ACOG in the News: Updated Guidance on VBAC from ACOG, 5 Miscarriage Myths We Need to Stop Believing, the Tax Bill is a Health Bill

ACOG serves as an expert information source about women’s health for consumers 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.

 

Medscape The Flu Shot During Pregnancy: Safe and Effective

Dr. Chris Zahn vice president of practice, ACOG, authored a commentary urging physicians to continue to recommend pregnant patients receive the flu vaccine following a study from the CDC that raised concerns about the safety and efficacy of the flu vaccine. He explained that “it's essential that clinicians treating pregnant women are prepared to address these concerns and assure women that the flu vaccine is both safe and vital during pregnancy for the protection of both mother and baby.”

 

Medscape Updated Guidance on VBAC Released by ACOG

ACOG issued an updated practice bulletin on VBACs, expanding women who are eligible for the procedure. The new bulletin says that 60% to 80% of women who attempt a TOLAC have a successful vaginal birth. Dr. Mark Turrentine, the chair of ACOG’s Committee on Practice Bulletins-Obstetrics, said, “The best circumstance for a woman to labor after having had a prior [cesarean delivery] is when the balance of risks and chances of success are acceptable to both the patient and the physician, and that will be different in every case.”

 

Reuters Waiting to conceive after miscarriage may not be needed

A new study suggests that “one miscarriage doesn’t necessarily increase the risk of another, and counseling women to delay conception after a pregnancy loss may not be warranted.” The piece cites comments by Dr. Thomas Price, an infertility specialist with Duke Health not involved with the study, who “noted that ACOG puts out bulletins with recommendations.” He said, “If you read the ACOG recommendation in their bulletins, they do not recommend any wait time after a miscarriage.”

 

Medpage Today Ob/Gyn Society Urges Hospital Disaster Plans

ACOG issued updated guidance on disaster preparedness for hospitals. Committee Opinion author, Dr. Nathaniel DeNicola says, "it's vital that hospitals dedicate staff and resources to establishing plans and communicating about emergencies in advance, ensuring every element of obstetric and neonatal care is considered and partnerships are well established,"

 

Pittsburgh Post-Gazette Many Women Trying To Get Pregnant, Not Using Birth Control Soon After Bariatric Surgery, Research Indicates

Some physicians have expressed concerns about research that found “half of the women who had had bariatric surgery either tried to get pregnant or did not use birth control in the first two years after surgery.” The American College of Obstetricians and Gynecologists warns that increased fertility after bariatric surgery can lead to an unplanned pregnancy, and that getting pregnant within two years of surgery has been found to increase the risk for prematurity, newborns who are small for their gestational age and admissions to neonatal intensive care units.

 

SELF Why Do Miscarriages Happen? 5 Miscarriage Myths We Need to Stop Believing

ACOG fellow, Dr. Yalda Afshar, M.D., Ph.D., writes about women’s misunderstandings around miscarriage, citing that “ACOG estimates that 10 percent of known pregnancies end in miscarriage,” and women too often blame themselves due to misperceptions about what causes miscarriages and whether or not they could have prevented the loss.

 

Rewire You’re Not Out of the Woods Yet: Advocates Share Tips for Hard Conversations

Nearly a dozen health-care practitioners, reproductive justice activists, and sexuality educators weighed in on strategies for facilitating an open dialogue around difficult health care topics, especially when they veer into the political.  Dr. Barbara Levy vice president of health policy for ACOG, recommended “using your body language and eye contact to communicate an atmosphere of openness and equality.” While Dr. Sandra Carson, vice president of education for ACOG, added “that when you’re communicating with patients, you want to open up when topics come up that are open and close your body language when it’s a very serious topic to stress the importance, and the patient will mimic those actions if she’s understanding you.”

 

CNN Childbirth Is Killing Black Women in the US, and Here's Why

As  high rates of maternal mortality among black women in the United States persist, more solutions are needed. One response growing in popularity led by ACOG, the Alliance in Innovation for Maternal Health, creates patient safety bundles, aimed at establishing standardized protocols across all hospitals -- whether they serve mostly white or black patients -- to appropriately assess and address childbirth complications, such as postpartum hemorrhage, with an equal quality of care.

 

The Atlantic The Tax Bill is a Health Bill

In a joint statement this month, the American Psychiatric Association, American College of Physicians, American Congress of Obstetricians and Gynecologists, American Academy of Pediatrics—among others—voiced opposition to the Republican tax proposal. The main concern is insurance. The repeal of the Affordable Care Act’s individual mandate—a provision rolled into the Republican tax bill—means millions more people will be uninsured by 2027, according to the Congressional Budget Office (CBO).

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