In February 2013, the American College of Obstetricians and Gynecologists released its list of “Five Things Physicians and Patients Should Question” in obstetrics-gynecology as part of the Choosing Wisely® campaign, led by the American Board of Internal Medicine (ABIM) Foundation. The College’s list includes five evidence-based recommendations that can support ob-gyns and their patients in making wise choices about their care. The list of five tests or procedures released by the College as part of the Choosing Wisely® include the following:
- Don’t schedule elective, non-medically indicated inductions of labor or cesarean deliveries before 39 weeks 0 days gestational age
- Don’t schedule elective, non-medically indicated inductions of labor between 39 weeks 0 days and 41 weeks 0 days unless the cervix is deemed favorable
- Don’t perform routine annual cervical cytology (Pap tests) in women 30 to 65 years of age
- Don’t treat patients who have mild dysplasia of less than two years in duration
- Don’t screen for ovarian cancer in asymptomatic women at average risk
For additional details about these items, including the evidence to support them, can be found here.