Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care

Number 555

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...

Maternal–Fetal Surgery for Myelomeningocele

Number 550

ABSTRACT: Myelomeningocele, the most severe form of spina bifida, occurs in approximately 1 in 1,500 births in the United States. Fetuses in whom myelomeningocele is diagnosed typically are delivered...

Weight Gain During Pregnancy

Number 548

ABSTRACT: The updated guidelines by the Institute of Medicine regarding gestational weight gain provide clinicians with a basis for practice. Health care providers who care for pregnant women should ...

Noninvasive Prenatal Testing for Fetal Aneuploidy

Number 545

ABSTRACT: Noninvasive prenatal testing that uses cell free fetal DNA from the plasma of pregnant women offers tremendous potential as a screening tool for fetal aneuploidy. Cell free fetal DNA testin...

Timing of Umbilical Cord Clamping After Birth

Number 543

ABSTRACT: The optimal timing for clamping the umbilical cord after birth has been a subject of controversy and debate. Although many randomized controlled trials in term and preterm infants have eval...

Trial of Labor After Previous Cesarean Delivery (Intrapartum Admission)

Number 9

The Patient Safety Checklist on Trial of Labor After Previous Cesarean Delivery should be completed by the health care provider when a patient who is undergoing a trial of labor after a previous cesa...

Appropriateness of Trial of Labor after Previous Cesarean Delivery (Antepartum Period)

Number 8

The Patient Safety Checklist on Appropriateness of Trial of Labor After Previous Cesarean Delivery should be completed by the health care provider early in the course of prenatal care for patients fo...

Lead Screening During Pregnancy and Lactation

Number 533

ABSTRACT: Prenatal lead exposure has known adverse effects on maternal health and infant outcomes across a wide range of maternal blood lead levels. Adverse effects of lead exposure are being identif...

Documenting Shoulder Dystocia

Number 6

The Patient Safety Checklist on Documenting Shoulder Dystocia should be used to guide the documentation process if a patient has experienced shoulder dystocia. Patient Safety Checklist DOCUMENTING...

Access to Postpartum Sterilization

Number 530

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 inform...

Placenta Accreta

Number 529

ABSTRACT: Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. The incidence of placenta accreta has increased and seems to...

Opioid Abuse, Dependence, and Addiction in Pregnancy

Number 524

ABSTRACT: Opioid use in pregnancy is not uncommon, and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes. The current standard of care for pregnant ...

Emergent Therapy for Acute-Onset Severe Hypertension with Preeclampsia and Eclampsia

Number 514

ABSTRACT: Acute-onset, persistent (lasting 15 minutes or more), severe systolic (greater than or equal to 160 mm Hg) or severe diastolic hypertension (greater than or equal to 110 mm Hg) or both in p...

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 Home HANYS/ACOG/NYSDOH New York State’s Obstetric Safety Initiative: Providing Excellence in Electronic Fetal Monitoring (EFM) Click Here to read the Final Report The New York State Ob...

Maternal-Fetal Intervention and Fetal Care Centers

Number 501

ABSTRACT: The past two decades have yielded profound advances in the fields of prenatal diagnosis and fetal intervention. Although fetal interventions are driven by a beneficence-based motivation to ...

Sulfonamides, Nitrofurantoin, and Risk of Birth Defects

Number 494

Abstract: The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed. As with all patients, antibiotics should be prescribed for pr...

Nonobstetric Surgery During Pregnancy

Number 474

(Replaces No. 284, August 2003)

ABSTRACT: The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for phy...

Smoking Cessation During Pregnancy

Number 471

(Reaffirmed 2012, Replaces No. 316, October 2005)

ABSTRACT: Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States, and is associated with maternal, fetal, and infant morbidity and mortality. The p...

Vaginal Birth After Previous Cesarean Delivery

Number 115

(Replaces Practice Bulletin Number 54, July 2004 and Committee Opinion Number 342, August 2006)

Trial of labor after previous cesarean delivery (TOLAC)* provides women who desire a vaginal delivery with the possibility of achieving that goal—a vaginal birth after cesarean delivery (VBAC)†. In a...

Air Travel During Pregnancy

Number 443

(Replaces No. 264, December 2001)

ABSTRACT: In the absence of obstetric or medical complications, pregnant women can observe the same precautions for air travel as the general population and can fly safely. Pregnant women should be i...

Postpartum Screening for Abnormal Glucose Tolerance in Women Who Had Gestational Diabetes Mellitus

Number 435

ABSTRACT: Establishing the diagnosis of gestational diabetes mellitus offers an opportunity not only to improve pregnancy outcome, but also to decrease risk factors associated with the subsequent dev...

Subclinical Hypothyroidism in Pregnancy

Number 381

(Reaffirmed 2012)

ABSTRACT: Subclinical hypothyroidism is diagnosed in asymptomatic women when the thyroid-stimulating hormone level is elevated and the free thyroxine level is within the reference range. Thyroid horm...

Perinatal Risks Associated With Assisted Reproductive Technology

Number 324

(Reaffirmed 2007)

ABSTRACT: Over the past two decades, the use of assisted reproductive technology (ART) has increased dramatically worldwide and has made pregnancy possible for many infertile couples. A growing bod...

Avoiding Inappropriate Clinical Decisions Based on False-Positive Human Chorionic Gonadotropin Test Results

Number 278

(Reaffirmed 2009)

ABSTRACT: Clinically significant false-positive human chorionic gonadotropin (hCG) test results are rare. However, some individuals have circulating factors in their serum (eg, heterophilic antibodie...

Exercise During Pregnancy and the Postpartum Period

Number 267

(Reaffirmed 2009)

ABSTRACT: The physiologic and morphologic changes of pregnancy may interfere with the ability to engage safely in some forms of physical activity. A woman's overall health, including obstetric and me...