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December 2017

Number Number 187, December 2017

(Replaces Practice Bulletin Number 44, July 2003)

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Number AP146, November 2017

Members Only

Number Number 723, October 2017

(Replaces Committee Opinion Number 656, February 2016)

ABSTRACT: Imaging studies are important adjuncts in the diagnostic evaluation of acute and chronic conditions. However, confusion about the safety of these modalities for pregnant and lactating women and their infants often results in unnecessary avoidance of useful diagnostic tests or the unnecessary interruption of breastfeeding. Ultrasonography and magnetic resonance imaging are not associated with risk and are the imaging techniques of choice for the pregnant patient, but they should be used prudently and only when use is expected to answer a relevant clinical question or otherwise provid...

Number Number 720, September 2017

(Replaces Committee Opinion Number 550, January 2013)

ABSTRACT: Myelomeningocele, a severe form of spina bifida, occurs in approximately 1 in 3,000 live births in the United States. The extent of disability is generally related to the level of the myelomeningocele defect, with a higher upper level of lesion generally corresponding to greater deficits. Open maternal–fetal surgery for myelomeningocele repair is a major procedure for the woman and her affected fetus. Although there is demonstrated potential for fetal and pediatric benefit, there are significant maternal implications and complications that may occur acutely, postoperatively, for the...

September 2017

Members Only

Number Number 717, September 2017

(Replaces Committee Opinion 494, June 2011)

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 pregnant women only for appropriate indications and for the shortest effective duration. During the second and third trimesters, sulfonamides and nitrofurantoins may continue to be used as first-line agents for the treatment and prevention of urinary tract infections and other infections caused by susceptible organisms. Prescribing sulfonamides or nitrofurantoin in the first trimester is still consi...

September 2017

Number FAQ060, September 2017

Why is there a concern about having a child later in life? Becoming pregnant after age 35 years can present a challenge. Also, having a child later in life has certain risks. These risks may affect a woman’s health as well as her baby’s health.

SP179 Cómo funcionan los genes Un gen es un segmento corto de una sustancia química que se llama ADN. Los genes contienen las instrucciones codificadas de su constitución física y de todos los procesos del cuerpo. Los genes ocurren en pares y se Prueba de detección de portadores The American College of Obstetricians and Gynecologists WOMEN’S HEALTH CARE PHYSICIANS PATIENT EDUCATI N El Embarazo • SP179 encuentran en cromosomas. Los cromosomas también ocurren en pares (uno de cada uno de los padres). La mayoría de las células tienen 23 pares de cromosomas, lo que forma un tota...

SP171 La fibrosis quística: Detección y diagnóstico prenatal The American College of Obstetricians and Gynecologists WOMEN’S HEALTH CARE PHYSICIANS PATIENT EDUCATI N El Embarazo • SP171 L a fibrosis quística es una enfermedad que afecta la salud de una persona a largo plazo y su expectativa de vida. Aunque no hay cura para la fibrosis quística, es posible controlarla con tratamiento. La fibrosis quística es un trastorno genético que ocurre debido a un gen que se transfiere de los padres a los hijos. Actualmente hay una prueba de detección que puede indicar si hay una mutació...

Number FAQ165, July 2017

What is prenatal genetic testing? Prenatal genetic testing gives parents-to-be information about whether their fetus has certain genetic disorders.

American College of Obstetricians and Gynecologists
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