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1.

Management of Suboptimally Dated Pregnancies

Committee Opinion Number 688, March 2017

ABSTRACT The American College of Obstetricians and Gynecologists considers firsttrimester ultrasonography to be the most accurate method to establish or confirm gestational age Pregnancies without an ultrasonographic examination confirming or revising the estimated due date before 22 07 weeks of g...

March 2017

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2.

Approaches to Limit Intervention During Labor and Birth

Committee Opinion Number 687, February 2017

ABSTRACT Obstetriciangynecologists in collaboration with midwives nurses patients and those who support them in labor can help women meet their goals for labor and birth by using techniques that are associated with minimal interventions and high rates of patient satisfaction Many common obstetric ...

February 2017

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3.

Delayed Umbilical Cord Clamping After Birth

Committee Opinion Number 684, January 2017

(Replaces Committee Opinion Number 543, December 2012)

ABSTRACT Delayed umbilical cord clamping appears to be beneficial for term and preterm infants In term infants delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life which may have a favorable effect on developmental outcom...

January 2017

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4.

Hospital-Based Triage of Obstetric Patients

Committee Opinion Number 667, July 2016

ABSTRACT Emergency departments typically have structured triage guidelines for health care providers encountering the diverse cases that may present to their units Such guidelines aid in determining which patients must be evaluated promptly and which may wait safely and aid in determining anticipa...

July 2016

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5.

Magnesium Sulfate Use in Obstetrics

Committee Opinion Number 652, January 2016

(Reaffirmed 2016. Replaces Committee Opinion Number 573, September 2013)

ABSTRACT The US Food and Drug Administration advises against the use of magnesium sulfate injections for more than 57 days to stop preterm labor in pregnant women Based on this the drug classification was changed from Category A to Category D and the labeling was changed to include this new warnin...

January 2016

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6.

Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period

Committee Opinion Number 623, February 2015

(Reaffirmed 2016. Replaces Committee Opinion Number 514, December 2011)

ABSTRACT Acuteonset severe systolic hypertension severe diastolic hypertension or both can occur in pregnant women or women in the postpartum period Introducing standardized evidencebased clinical guidelines for the management of patients with preeclampsia and eclampsia has been demonstrated to re...

February 2015

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7.

Method for Estimating Due Date

Committee Opinion Number 611, October 2014

(Reaffirmed 2016. See also Committee Opinion No. 579)

ABSTRACT Accurate dating of pregnancy is important to improve outcomes and is a research and public health imperative As soon as data from the last menstrual period the first accurate ultrasound examination or both are obtained the gestational age and the estimated due date should be determined di...

October 2014

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8.

Definition of Term Pregnancy

Committee Opinion Number 579, November 2013

Reaffirmed 2015

ABSTRACT In the past the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered term with the expectation that neonatal outcomes from deliveries in this interval were uniform and good Increasingly however research has shown that neonatal outcomes especially re...

November 2013

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9.

Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care

Committee Opinion Number 555, March 2013

(Reaffirmed 2016)

ABSTRACT Numerous occurrences in the past decade have brought the issue of disaster preparedness and specifically hospital preparedness to the national forefront Much of the work in this area has focused on large hospital system preparedness for various disaster scenarios Many unique features of t...

March 2013

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10.

Access to Postpartum Sterilization

Committee Opinion Number 530, July 2012

(Reaffirmed 2016)

ABSTRACT Postpartum tubal sterilization is one of the safest and most effective methods of contraception Women who desire this type of sterilization typically undergo thorough counseling and informed consent during prenatal care and reiterate their desire for postpartum sterilization at the time o...

July 2012

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11.

Placenta Accreta

Committee Opinion Number 529, July 2012

Reaffirmed 2015

ABSTRACT Placenta accreta is a potentially lifethreatening obstetric condition that requires a multidisciplinary approach to management The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate Women at greatest risk of placenta accreta are those w...

July 2012

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