Featured Practice Bulletin: Prevention and Management of Obstetric Lacerations at Vaginal Delivery
A new Practice Bulletin from the American College of Obstetricians and Gynecologists (ACOG), “Prevention and Management of Obstetric Lacerations at Vaginal Delivery," reviews the need for ob-gyns to take steps to mitigate the risk of obstetric lacerations during vaginal delivery, rather than using routine episiotomy. The rate of lacerations is dependent upon the characteristics of each patient, and 53-79% of women will experience laceration during delivery. Although the majority of lacerations do not require intervention, this Practice Bulletin emphasizes the importance of reducing risk of lacerations and lays out specific recommendations for doing so. Third- and fourth-degree lacerations can be reduced by use of a warm compress on the perineum during pushing, and perineal massage during the second stage of labor or antepartum can also reduce the likelihood of laceration. Obstetric providers can play a vital role in helping to lower the severity of obstetric lacerations.
Practice Bulletin #165, “Prevention and Management of Obstetric Lacerations at Vaginal Delivery," is published in the July issue of Obstetrics & Gynecology.
Featured Practice Advisory: Updated Interim Guidance for Care of Women of Reproductive Age During a Zika Virus Outbreak
This Practice Advisory has been updated to reflect new findings on Zika virus testing. Since the virus may be found in urine and blood, the Centers for Disease Control and Prevention now recommends sending blood and urine samples for PCR testing. If the PCR is negative, IgM testing should be performed; depending on the lab performing the test, providers may need to send a new blood sample for IgM testing.
Read the full Practice Advisory on Interim Guidance for Care of Women of Reproductive Age During a Zika Virus Outbreak, which was updated on June 23, 2016
ACOG helps you stay informed of the latest Zika information:
ACOG’s Zika webpage
ACOG/SMFM Practice Advisory on Zika
CDC Zika Virus Website
State Health Department Contact list for ob-gyns (members only) for questions on CDC’s Zika Registry
State Health Department Contact list for ob-gyns (members only) for questions on testing
CDC Zika Pregnancy Hotline for Healthcare Providers: Ob-gyns can contact the CDC Zika Pregnancy Hotline at 770-488-7100 or email ZikaPregnancy@cdc.gov for any concerns related to clinical management or the US Zika Pregnancy Registry