The Executive Desk: Experiencing and Embracing Change
Hal C. Lawrence, MD, Executive Vice President and CEO
The month of May was a tremendous time to experience and embrace change at ACOG, starting with changes to the format and content of our 2015 Annual Clinical and Scientific Meeting, May 2-6 in San Francisco. With well over 4,000 attendees, the meeting featured many changes to meet the needs requested by our members. The most notable changes were the addition of more science and interactive clinical practice sessions; live telesurgery and a special surgical forum were two of the most highly attended.
Change was also featured in the meeting’s President’s Program, beginning with a presentation about a new paradigm of big data and analytics in health information technology by Robert Wah, MD, FACOG, who is the current American Medical Association president. The program continued with two well-received presentations by ACOG Fellows: Dr. Max Rogers urged physicians to lead their teams in a culture of safety. Dr. Skip Granai cautioned that doctors should rely on human values to fight the good fight and stay passionate.
Incoming President Dr. Mark DeFrancesco, MD, MBA, FACOG, provided a rousing convocation address that began with a pivotal verse from Times are a Changin’ by Bob Dylan. Dr. DeFrancesco discussed the critical factor of physician satisfaction and his concern that unhappy physicians cannot provide high quality care. He set the theme of taking charge of health care for his presidential term, focusing on smoking and obesity as they together contribute more to morbidity and mortality in this country than all of the cancers and specific diseases for which we routinely screen and treat.
You may review other key happenings from the Annual Meeting in the electronic version of the ACOG Annual Meeting Daily newspaper. Save the date for next year’s Annual Meeting, May 14-18, in Washington, D.C.
Also of note, we have important changes happening this month in ACOG’s executive staff: we welcome Dr. Christopher Zahn, who has joined ACOG as Vice President, Practice Activities. With Dr. Zahn’s arrival, Past President Dr. Gerald Joseph has officially moved from Practice to the role of Vice President, Fellowship. Also, Dr. Albert Strunk, JD, MD is continuing to provide transition assistance for Fellowship Activities, as he prepares to retire from ACOG after 16 years of dedicated service.
President's Blog: For the Times, They Are A-Changin'
Posted on May 7, 2015 by Mark DeFrancesco
Come gather ’round people…
…If your time to you’s worth savin’
Then you better start swimmin’ or you’ll sink like a stone
For the times they are a-changin’ ~Bob Dylan
I began my ACOG Presidency this past Wednesday by reciting some of Bob Dylan’s famous verse from the 1960’s. It rings true today, especially in medicine and our specialty as obstetrician-gynecologists.
As the times change I thank our now past-president, Dr. John Jennings, for his leadership and friendship during this past year. With the counsel of his past president, Dr. Jeanne Conry, John tackled some of the very difficult issues facing our practices and our workforce. I will continue his fine work and advance it on behalf of our patients, our specialty and our organization, ACOG.
When I chose the ob-gyn specialty some 35 years ago, it was in part because of the ability to provide a continuity of care over the course of a woman’s life and also the privilege of witnessing the birth of a new family. But now I worry that the excitement and enthusiasm that I felt then are being thwarted by many external forces, resulting in physician dissatisfaction. My concern is that unhappy physicians cannot provide high quality care.
The health care world talks about the “Triple Aim” of providing higher quality care, at lower cost, while at the same time enhancing patient satisfaction. We need to expand the “Triple Aim” to the “Triple Aim Plus One” and include physician satisfaction as an important metric.
My two immediate predecessors began addressing how we can provide more care for more people. Dr. Conry’s landmark task force on Well Woman Care defined the important elements of women’s health care, and Dr. Jennings encouraged us to team up with collaborative health care professionals to provide more care more efficiently. Now, it is time to really take charge of health care and focus on two problems which together contribute more to morbidity and mortality in this country than all of the cancers and specific diseases for which we routinely screen and treat: smoking and obesity.
Oftentimes, ob-gyns are the only regular contact many of our patients have with the health care system. We meet many of our patients when they are very young, often before they become obese and certainly before they build up 20 or 30 or more pack-years. We should not let this happen on our watch!
To help you help your patients, I will ask ACOG’s standing committees to develop a toolkit specifically designed for obstetrician-gynecologists to address obesity and cigarette smoking in their daily practice. First do no harm? Let’s go way beyond that: let’s do even more good than we do right now!
Along with our patients, we must always be the ones making the health care decisions — not the administrators and certainly, not the politicians. So let’s take charge of health care. Let’s step outside of our comfort zone of Pap smears and pelvic exams and provide care for the whole patient… For the times, they are a-changin’.
Clinical Practice: It’s Not All in Your Head: Revised Perinatal Depression Guidance Adds to ACOG’s Resources about the Disorder
Please enjoy this edition of ACOG Rounds, which highlights many other changes happening to support you, our members, as you work to serve women’s health care efforts each day.
ACOG recently released its revised Committee Opinion on Screening for Perinatal Depression; it is recommended that pregnant women be screened at least once during the perinatal period for depression and that practices have a referral process in place for women who may require follow-up and treatment. Depression is the most common mood disorder in the general population and is approximately twice as common in women as in men, with initial onset peaking during the reproductive-age years.
Perinatal depression can have devastating effects on women, infants, and families. The new guidance is an important piece of ACOG’s comprehensive approach to ensure that obstetricians-gynecologists and other obstetric providers have the appropriate tools to identify and treat this common, but often unrecognized and misunderstood, disorder. ACOG offers additional clinical physician and patient resources on this topic on the website: Depression and Postpartum Depression Resource Overview.
For information on ICD coding for perinatal depression, view ACOG’s Coding Memo with ICD codes on Screening, Treatment and Diagnosis of Perinatal Depression.
Membership & Fellowship: OBGWhyN—Why Did You Become an Ob-Gyn?
This fundamental question was the basis for a social media campaign launched during ACOG’s 2015 Annual Clinical and Scientific Meeting. This theme proved a huge success, as ob-gyns were excited to share their unique reasons for deciding to professionally focus on women’s health.
The campaign was spearheaded by the hashtag #obgWHYn—a Twitter shorthand for “why did you become an ob-gyn?” This provided a fun and entertaining way to learn more about the motivations behind the individuals who make a difference in the lives of women every day. As tweeted by the California Maternal Care Collaborative, “This is a wonderful way to see the faces of ACOG and meet the wonderful people who become ob-gyns.”
Fronted by Junior Fellow leaders Amanda Kallen and Megan Evans (now immediate past chair and chair, respectively), as well as Massachusetts Section Junior Fellow Vice Chair Olivia Chang (who originated the concept), the campaign elicited more than 60 inspiring responses from Annual Meeting attendees and ACOG leadership, including some of our current or past presidential officers.
Just now learning about the campaign and want to participate? Share your photo and message on Twitter with #obgWHYn
Not a social media user? No problem. You can view the #obgWHYn Twitter posts via Storify without any special account or technical knowledge.
Want to learn more about ACOG’s presence on social media? Visit ACOG’s page on social media for ob-gyns at acog.org/SocialMediaGuide
Medical Education: ACOG – Your Source for Ob-Gyn Focused CME
ACOG is dedicated to providing all Fellows, Junior Fellows and other health care providers with lifelong learning opportunities through diverse offerings such as PROLOG, Annual Clinical and Scientific Meeting, postgraduate courses, coding workshops, multimedia resources, and Maintenance of Certification articles. Members have a wide range of CME opportunities, which ultimately facilitates the improvement of women’s health care.
ACOG’s Committee on Continuing Medical Education (CCME) oversees the development of CME offerings, as well as the quality and consistency of the content to ensure compliance with the policies of the Accreditation Council for Continuing Medical Education (ACCME). The CCME is headed by Wayne Trout, MD, District V chair, and Kirk Ramin, MD, District VI vice-chair. The committee is comprised of one member from each district, plus liaisons from the ACOG Committee on Scientific Program, ACOG executive board, young physician membership, and representatives from Mexico and Canada to ensure diversity. ACOG staff who are responsible for ACOG’s CME program includes Vice President of Education, Sandra A. Carson, MD, and the Director of the Department of Continuing Professional Development, Vanita Murray.
ACOG provides the voluntary College Cognate Program, which allows the College to record and maintain a computerized record of all member AMA PRA Category 1 credit activity. ACOG also has reciprocity agreement with the American Medical Association that allows AMA PRA Category 1 Credit(s) to be equivalent to College Cognate Credits.
As a leading participant in the support and furtherance of quality CME for its members and other physicians practicing obstetrics and gynecology, ACOG is proud that members can rely on the organization to fill gaps in knowledge. As Ms. Murray summarized, “ACOG’s CME mission is to support the life-long learning of ACOG members through continuing medical education programs.” Take a moment to review opportunities to earn CME credits from ACOG: your trusted, accredited source.
Medical Education: Interactive eModules Feature Enhance Online Learning Experience
ACOG’s eModules now offer an enhanced format and interactivity, which brings professional learning content to life. The eModules help members to boost their knowledge anytime, anywhere, via an online learning experience, while earning CME credits.
Each eModule begins with a Pretest, continues with interactive content, and concludes with a Posttest. With a score of 70% or better, physicians are able to earn up to 7 AMA PRA Category 1 Credits.
The eModules are produced using Articulate Storyline software. Interactive features allow learners to review information, including matching, multiple-choice quizzes, drag-and-drop review of vocabulary or anatomy, and select/reveal slides. Some modules include audio and video, while all modules include a resources tab with a drop-down menu with links to websites, studies, ACOG Practice Bulletins, the module bibliography, and more. This feature allows members to do self-study outside of the information presented in the modules. Per-eModule pricing is as follows:
- ACOG Fellows - $70
- ACOG Jr. Fellows - $25
- Non-members - $90
To view and purchase eModules, log in at the ACOG homepage and visit the eModules website at http://cfweb.acog.org/onlineModules/ . Both members and non-members can view and purchase any of the following eModules:
- Fetal Heart Rate: Nomenclature, Interpretation, and Management
- Nausea and Vomiting of Pregnancy (free to residents)
- Genetics (free to residents)
- Infectious Diseases
- Infectious Diseases Part II
Future eModules include:
- Tackling Obesity in Obstetric and Gynecologic Patients
- Approaches to the Care of the Adolescent Patient
- Labia Minora and Labia Minora Labiaplasty Procedures
- Heart Health
For questions about production and how to access or download eModules, please contact Anne Arnold, Director of Education Programs, at firstname.lastname@example.org. For questions about authorship and academic contributions, please contact Erica Bukevicz, Senior Director of Education and Testing, at email@example.com.
Junior Fellows and Medical Students: Junior Fellow Congress Advisory Council (JFCAC) Elects National Officers
Dr Amanda Kallen passing the gavel to
Dr. Megan Evans
At the conclusion of the ACOG’s 63rd Annual Clinical and Scientific Meeting, Dr. Megan Evans became the chair of the JFCAC. Dr. Evans is a fourth year resident at Tufts Medical Center in Boston. She served as District I Junior Fellow chair and completed the Gellhaus Fellowship. Dr. Amanda Kallen will continue to support the JFCAC as the immediate past chair.
During the Annual Meeting in San Francisco, Dr. Kristen P. Zeligs was elected as the new JFCAC vice chair (chair-elect). Dr. Zeligs intends to increase involvement in ACOG among Junior Fellows in Practice and find new ways to support medical students and Junior Fellows in training.
Dr. Zeligs currently serves as the Junior Fellow Chair of the Armed Forces District. She received her medical education at the Uniformed Services University of Health Sciences and completed her residency at the Walter Reed National Military Medical Center.
Junior Fellows and Medical Students: Medical Students Active at ACOG's 63rd Annual Meeting
The medical student events at this year’s Annual Meeting were well attended, with 312 medical students from the United States and a few international students participating in the medical student courses and hands-on events.
The John M. Gibbons, MD Medical Student Lecture kicked off the events on Sunday, providing medical students with valuable information about Ob-Gyn as a career and how to succeed in residency. Monday’s workshops included the second annual Step Up to Residency Course and Hands-on Workshops and the 1-3 year Roundtable Workshops and Hands-on Skills Workshops. Students walked away with conditioned hands-on skills including knot-tying, suturing, C-section skills, pelvic exams, and much more. A record number attended the Monday night Medical Student Reception.
Angela Gonzalez, MD, of District XII received the coveted Medical Student Recruitment Award this year. In addition, ACOG honored Patrick Ramsey, MD and Sarah Page-Ramsey, MD, who have served over the past 10 years as co-directors of the Medical Student Lecture and Workshops, with special awards of appreciation given by ACOG President, John Jennings, MD. The medical student events concluded with the Medical Student Residency Fair on Tuesday, where over 35 residency programs from across the country exhibited and networked with attending medical students.
Regarding his experience throughout all the medical student events, third year medical student from Texas A&M Health Science Center, Andrew Lupo said, “I greatly enjoyed the medical school panel and the interactive skills lab. I left inspired and motivated to start the interview process in a search to find a new home. I look forward to becoming an ob-gyn this time next year.”
The hope and expectation is that even more medical students will attend next year’s Annual Meeting, which will be held in ACOG’s headquarter city, Washington, DC, May 14-18. Medical students—be sure to save the date!
Patient Education: Ob-Gyns Find ACOG Patient Education E-Pamphlets Helpful in Digital World
If you are looking for different options to provide patient education to patients, you’re not alone.It is clear from the volume of questions we received at the Annual Meeting this year that ACOG’s Patient Education ePamphlet Subscription is becoming a popular alternative to the traditional printed pamphlets. As more practices are going digital, the ePamphlet Subscription offers patients a way to receive the latest in patient education from ACOG.
Unfamiliar with ACOG's ePamphlets? For an annual fee, this web-based service includes all 275 English and Spanish patient education pamphlets as a printable file. With the ePamphlet subscription, you can do all of the following with a few keystrokes:
- Customize ePamphlets with physician name/practice name and contact information
- Provide unlimited access to and printing of every ACOG pamphlet (both English and Spanish versions)
- Print ePamphlets on your office printer in either black-and-white or color
- Search for ePamphlets by topic
- Save frequently used ePamphlets for future easy reference
As an added bonus, subscribers can provide links to all of the patient education “Frequently Asked Questions” on their practice’s web sites. At the annual meeting, we learned that some practices even have a computer in their waiting rooms specifically for patients to browse through the entire collection of FAQs and ePamphlets.
Here are answers to some of the most frequently asked questions we received from members at the Annual Meeting:
- Are all of the pamphlets available via the ePamphlet Subscription? Yes. One annual fee gives you access to all 275 patient education pamphlets. With the ePamphlet Subscription, there’s no need to track, order, or store paper pamphlets.
- Are the ePamphlets the most recent versions? Yes. This is a key advantage of the ePamphlet Subscription. The current version of each pamphlet, as well as brand-new pamphlets on new topics, are uploaded as soon as they become available. You can be assured that the information you give your patients is up to date.
- Can I upload ePamphlets into my EMR (Electronic Medical Records)? Not yet, but we’re working on solutions. Expect to hear more about this feature next year.
- Are the Spanish versions available as ePamphlets, too? Yes. The Spanish ePamphlets are included as part of the subscription.
- Is this subscription available through my iPad? Yes, ePamphlets are accessible through a PC or iPad.
If you would like more information to determine if this product is right for your practice environment, please visit our online bookstore or call 800-762-2264.
Advocacy & Health Policy: Never Been to FIGO? Great Opportunity in 2015
The International Federation of Gynecology and Obstetrics (FIGO) is the association that brings together national ob-gyn colleges, societies and federations, with members in over 125 countries worldwide. FIGO is based in London, England. ACOG is and has been a member in good standing for many years.
From October 4-9, 2015, FIGO will hold its 21st World Congress in nearby Vancouver, British Columbia, Canada. This is a great opportunity to gain an international perspective on the topics currently at the forefront of women’s health care. ACOG Fellow, Joanna M. Cain, MD, FACOG, professor and vice-chair, director of Faculty Talent Management SOM UMass Medical School in Worcester, Massachusetts, is serving as program chair for this Congress.
Dr. Cain notes that this Congress offers the very best international research in key women’s health topics as well as hands-on training that has not been included in previous Congresses. The program includes seminars, 'meet the experts' sessions, debates, plenary sessions, discussions on new technology, new developments, updates and interactive sessions.
She adds that "for many U.S. doctors, the opportunity to meet with and discuss clinical and women's heath policy issues with the international community can be quite transformative.”
The World Congress provides the very best international research delving into key women’s health topics. It consists of seminars, 'meet the experts' sessions, debates, plenary sessions, discussions on new technology, new developments, updates and interactive sessions.
Register now to attend as a delegate.
For more information about FIGO and to register, please visit their website: figo.org
Advocacy & Health Policy: All-In for Women's Primary Care
As more women enter Medicaid, and as more people on Medicaid cannot find a doctor, states have an important role to play in improving women’s access to primary care. Medicaid to Medicare parity (or the primary care pay bump) boosts patients’ access to health care by reimbursing Medicaid providers at Medicare rates for a designated set of E&M and vaccine administration codes.
Absent these reforms, Medicaid pays only a fraction of what Medicare pays for similar care in most states, leaving women covered, but vulnerable without access to ob-gyn care. The federal version of this program, which expired in 2014, showed promise in boosting access to patients’ access to physicians, but wrongly did not include ob-gyns.
Now states are leading the way for reform. As 20 states and DC work to continue the primary care pay bump in their own budgets, it is important that women’s health care is a part of the equation.
We need your help to get all states on board so that Medicaid-insured women and their doctors are not left behind. Your state can raise Medicaid primary care rates to Medicare levels for ob-gyns.
Click here to learn what you can do to help get this program underway in your state.
Another way that you can go all-in for women’s primary care: Sign up for ACOG’s upcoming webinar, on May 29 at 12pm EDT, which is free and open to all!!
Led by ACOG President, Mark DeFrancesco, MD, MBA, the webinar will feature experts on the topic who will impart attendees with knowledge about ob-gyn inclusion in the Medicaid parity program and advocating at the state level for enhanced Medicaid reimbursement. The webinar will occur Friday, May 29, 2015, at 12:00 PM EDT.
Together, ACOG and our Fellows are going ALL-IN FOR WOMEN’S PRIMARY CARE.
Advocacy & Health Policy: Reducing Medical Errors and Improving Patient Outcomes: ACOG’s VRQC & SCOPE Can Help
Physicians and patients both benefit if medical errors can be reduced and patient outcomes improved. With that as a foundational guiding principal, ACOG’s Health Policy division develops and implements patient safety and quality of care information, tools and programs to help ob-gyns in their practices, including the following cornerstone programs:
- Voluntary Review of Quality of Care (VRQC)
- Safety Certification in Outpatient Practice Excellence (SCOPE) for Women’s Health Programs
VRQC and SCOPE Overview
The VRQC and SCOPE programs help institutions and providers achieve the highest standard of quality in care delivery by offering reviews, guidance, tools and pearls of wisdom gleaned from years of experience. Reviewers for both programs are composed of highly experienced ACOG Fellows with skills in peer review and quality assessment techniques. They are also board-certified physicians in other specialties that are critical to effective reviews and analyses (i.e., nurses, family physicians, certified nurse-midwives). Most of these reviewers have over fifteen years of quality review experience and are currently practicing medicine which allows them to recognize and address current trends, challenges and changes in the practice of medicine.
More about SCOPE
SCOPE is a voluntary comprehensive patient safety review program available to all medical practices that provide obstetrics and/or gynecology services. The SCOPE review and certification focuses on a single office location; this is done because individual offices, even within the same practice or system, have unique cultures and may provide different services. The SCOPE review includes participation by both clinical and non-clinical staff and certification is based on the assessment of the use of patient safety concepts and techniques in an individual office setting. Successful certification requires a self-assessment and application submission, site visit following the submission of the application along with supporting documentation and provides an in-depth and thorough review of safety as it pertains to procedures done in an office setting.
To learn more about SCOPE, visit the website at ScopeforWomensHealth.org or send an email to SCOPE@acog.org
More about VRQC
The VRQC program has completed more than 315 reviews since its inception in 1986, providing a comprehensive peer review consultation that focuses on the quality of care being provided in the hospital setting. To complete the review, customized ob-gyn clinical teams conduct a site visit and use various quality assessment techniques; this includes an evaluation based on the American College of Obstetricians and Gynecologists (the College) guidelines. The four-day VRQC site visit includes chart reviews, staff interviews, educational presentations and a facilities tour. At the end of the review, the team prepares a report that includes observations and chart review findings and recommendations for improvement based on ACOG guidance. The report, along with helpful references, and a table of recommendations are provided to the hospital as a sample workplan. This is an important program to consider as hospitals and providers deal with pay for performance issues, as well as investigate further collaborations in light of some payers moving to bundled payment for specific services.
To learn more about VRQC, visit the section of the ACOG website dedicated to VRQC or contact firstname.lastname@example.org to request more information.
Membership & Fellowship: New Member Video: “ACOG We Are You”
As part of a grassroots program to promote involvement of ACOG membership at all levels of the organization, ACOG’s Council of District Chairs (CDC) developed a new video: “ACOG: We Are You.” It provides an introduction to ACOG, with highlights of the organization’s mission, physician and practice resources, advocacy efforts and leadership opportunities. Members may view the We Are You video at acog.org/WeAreYouVideo.
ACOG encourages our members to show the video at resident orientations, grand rounds, local hospitals and other ob-gyn meetings. Members may view the We Are You video here or request a DVD copy of the video at TKelly@acog.org.
Membership & Fellowship: Career Connection—What is Your Job Searching Strategy?
As a potential new hire, you need to know what employers are looking for and what you want in a new position. Develop a clear strategy that includes both objectives.
Here are three tips to turn your job search strategy into a success:
1. Be Relevant - Customize your resume or C.V. to your ideal position and make sure your knowledge, skills, and abilities stand out.
2. Be Realistic - Apply to jobs you truly want and believe you will be happy doing.
3. Be Found - Post your updated resume or C.V. on ACOG’s Career Connection, where employers and recruiters will see it.
The ACOG job board is busier than ever, so don’t be left out. To review available jobs, your resume or job applications, visit ACOG’s Career Connection today.
ACOG in the News: Contraceptive Coverage, the Safeness of Electronic Cigarettes, Reproductive Health Apps, and 2015 Annual Meeting Highlights
ACOG serves as an expert information source about women’s health for women 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.
Roll Call Why All Methods of FDA-Approved Birth Control Must be Covered by Insurance
A commentary by ACOG EVP and CEO Hal C. Lawrence, MD, and Deborah Nucatola, MD, senior director of medical service for Planned Parenthood Federation of America.
Time What the New Study on Preterm Birth Actually Means
An op-ed by ACOG EVP and CEO Hal C. Lawrence, MD, about a recent study that evaluated survival rates at very early term gestation – and how media coverage of this study has been inaccurate and misleading.
Ob.Gyn.News Feds Instruct Insurers to Cover Range of Contraceptives
Dr. Mark S. DeFrancesco, president of the American Congress of Obstetricians and Gynecologists, lauded the guidance, calling it much needed to compel insurers to comply with the ACA’s birth control requirements.
Yahoo!Health “I Set Her Free”: What One Woman Wants Lawmakers to Know About Her Late-Term Abortion
The issue of fetal viability outside of the womb is controversial, if for no other reason than the fact that there is “no point when [viability] is clearly established” in a fetus’s development, as Dr. Hal Lawrence, executive vice president and chief executive officer of the American Congress of Obstetricians and Gynecologists, explained during a press call.
Highlights of Coverage Based on Research Released and Discussed at the 2015 ACOG Annual Clinical and Scientific Meeting
OBG Management ACOG Presidents Highlight Their Visions for the College at the 2015 Clinical Meeting
Mark S. DeFrancesco, MD, MBA, incoming president, noted that, with a team-based focus on practice, he will be able to “take it to the next level” and approach population health. “We need to recognize that many women patients—certainly, between the ages of 18 and 50—see their ObGyn primarily for health care. Short of an acute illness, they tend to not see other doctors.” Among the health issues that merit special attention among these women are obesity and smoking, Dr. DeFrancesco said.
HealthDay (national pickup) Many Pregnant Women Think E-Cigarettes “Safer” Than Regular Cigarettes
More than 40 percent of pregnant women surveyed think electronic cigarettes are less harmful than tobacco cigarettes, according to a new study. What's more, only 57 percent of the women believed that e-cigarettes contain nicotine. And fewer than two-thirds of the women thought that e-cigarettes could be addictive.
Medscape Women’s Reproductive Health Apps Lack Quality Standards
Smartphone applications that track a woman's reproductive health are proliferating, but some provide inaccurate or misleading information, according to a recent survey.
"I was surprised by the lack of quality," said Michelle Moglia, MS, from Planned Parenthood in Easton, Pennsylvania.
Ob.Gyn.News First Trimester Smoking Cessation Reduces Preterm Birth Risk By 24%
The findings underscore the need to counsel teen mothers that smoking cessation at any point in pregnancy will reduce the risk for preterm birth, Dr. Moore said. “Targeted counseling and interventions should focus on early smoking cessation in this group of mothers who are at an inherently high risk of preterm birth, as it results in the most substantial risk reduction for delivering prior to 37 weeks.”
WhatToExpect.com Many Women on Contraception Get Pregnant Within a Year of Giving Birth
In the U.S., 51 percent of all pregnancies are unintended, according to Eve Espey, MD, MPH, chair of the Department of Obstetrics and Gynecology at the University of New Mexico School of Medicine, who spoke at a session of the 2015 Annual Meeting of the American Congress of Obstetricians and Gynecologists. What's more, 53 percent of unintended pregnancies are among women who are using contraception, "which indicates there's an issue" with the type of birth control women are using, she said.
District Newsletters: District IV Newsletter May 2015
In this issue: Comments from the District IV Chair; Annual District Meeting; Congressional Leadership Conference; Georgia's Obstetric Crisis; Maternal Mortality Review Committee Meeting; Perinatal Ou...