ACOG in the News: The Pros and Cons of an Epidural and 11 Questions to Ask Yourself Before Getting an IUD

ACOG serves as an expert information source about women’s health for consumers and the media. The organization’s Office of Communications regularly receives media inquiries from newspapers, magazines, websites, radio, and TV broadcast outlets. In many cases, ACOG officers and members talk with the media, working with the Office of Communications. Here are several recent articles that prominently featured ACOG guidance and experts. We’ve included excerpts and links to the original articles.

NPR Laughing Gas Gives Women Another Option To Manage Labor Pain

Obstetricians don't have an official position on use of nitrous oxide, says Dr. Laura Goetzl, a professor at Temple University's Lewis Katz School of Medicine in Philadelphia and a member of the American College of Obstetricians and Gynecologists. She helped draft the College's 2002 guidance about analgesia for labor, which, she says, "did not discuss nitrous oxide as an option since its use in the U.S. was exceedingly rare at the time." She adds, "However, I can speak as an expert on obstetrical analgesia that it is a safe and reasonable option. We are actually currently trying to add a service to our hospital."


SELF The Pros And Cons Of Getting An Epidural

Older studies examining the connection between epidurals and C-sections suggested that getting the drugs increases the chances the birth will end with a C-section as much as 12-fold, according to the American College of Obstetricians and Gynecologists.

ACOG now says that women shouldn’t let fear of an emergency C-section influence the method of pain relief they choose. The organization also released updated guidelines in 2014 to say it’s OK for women with low-risk pregnancies to spend more time in labor as long as they’re being monitored, in an effort to reduce the number of unnecessary C-sections.

 

New York Magazine’s The Cut Which IUD Should You Get?

Mirena was initially approved for women who’d already had children, but that’s just because those were the women recruited for the study submitted to the FDA. Doctors prescribe it to women without kids all the time and, in fact, the American College of Obstetricians and Gynecologists has recommended long-acting reversible contraception as the first-line method for adolescents since 2012.

 

New York Magazine’s The Cut 11 Questions to Ask Yourself Before Getting an IUD

Doctors usually start with some version of this simple but key question as they try to figure out what you’re looking for in your contraception, says Kristyn Brandi, M.D., instructor of obstetrics and gynecology at the Boston University School of Medicine. If a woman needs birth control for less than a year, a doctor would be more likely to recommend things that are easy to stop and start on your own like the pill, patch, or ring, says Laura MacIsaac, M.D., M.P.H., F.A.C.O.G., director of family planning at Mount Sinai Health Systems and associate professor of obstetrics and gynecology at the Icahn School of Medicine.

 

Medscape Induction Combination Associated With Shorter Labor Times

Women whose labor was induced with misoprostol or Foley balloon alone "were almost 50% less likely to deliver before women with misoprostol–Foley concurrently ([hazard ratio (HR)] 0.52, HR 0.53, respectively)," lead author Lisa D. Levine, MD, and colleagues write in an article published online November 8 and in the December 2016 issue of Obstetrics & Gynecology.
 

Marketplace Fearing changes under President-elect Trump, women are getting IUDs and stockpiling Plan B

IUDs are “the most cost-effective option for women” in the long-term, Mehta said. But in the case that removal is necessary, it can be an “expensive medical endeavor,” [Eve] Espey said (and would possibly, if anything changes, similarly not be covered).

“I think women should always think carefully before trying a contraceptive method,” said Espey, who is chair of American College of Obstetricians and Gynecologists’ long-acting reversible contraceptive work group. “That said, there’s no best contraceptive method — it’s trial and error... it’s most important that women feel good about their particular option.”


 
ABC News Doctors Report More Women Asking About IUDs After Election

The American College of Obstetricians and Gynecologists (ACOG) wrote they hoped the form of birth control, which is "20 times more effective at preventing pregnancy than oral contraceptive pills, patches or rings," will continue to be easily available to women.

"All women should have access to safe contraceptive methods, including Long-Acting Reversible Contraception (LARC), which includes implants and intrauterine devices (IUDs) which have a high up-front cost," officials from ACOG said in an emailed statement to ABC News. "While I certainly hope birth control methods will be readily available under the Trump administration, I can understand women’s concern over losing such access, particularly to high cost methods."


Women’s Health Are Your Periods Really Heavy? You Could Have One of These Issues and Not Even Know It

Again, hormone imbalances could be to blame. A surplus of estrogen without sufficient progesterone can lead to hyperplasia, and as a result it's more likely to strike women after menopause, when ovulation stops and your body no longer makes progesterone, says the American College of Obstetricians and Gynecologists. Treatment usually involves drugs to correct hormone shortages.

 

HealthDay Self-Harm a Cause of Death During Pregnancy and for New Moms

The new findings, published in the December issue of Obstetrics & Gynecology, are based on records of maternal deaths in Colorado between 2004 and 2012. They included both deaths during pregnancy or in the year afterward.

 

The New York Times Bayer’s Essure Contraceptive Implant, Now With a Warning
 
“There’s no question there are complications, but there are risks and benefits to everything we do in medicine, and we don’t have good data to establish the magnitude of the problem,” said Dr. Christopher M. Zahn, the vice president of practice for the American College of Obstetricians and Gynecologists.

“Decisions like these should be made based on data that’s appropriately vetted, not a series of anecdotal reports,” Dr. Zahn said, referring to the black box warning and the checklist.

 

American Congress of Obstetricians and Gynecologists
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