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Number Number 726, December 2017

(Replaces Committee Opinion Number 555, March 2013)

ABSTRACT: Large-scale catastrophic events and infectious disease outbreaks highlight the need for disaster planning at all community levels. Features unique to the obstetric population (including antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods an...


2.
December 2017

Number Number 187, December 2017

(Replaces Practice Bulletin Number 44, July 2003)

Members Only


3.
November 2017

Number Number 725, November 2017

ABSTRACT: Vaginal seeding refers to the practice of inoculating a cotton gauze or a cotton swab with vaginal fluids to transfer the vaginal flora to the mouth, nose, or skin of a newborn infant. The intended purpose of vaginal seeding is to transfer maternal vaginal bacteria to the newborn. As the increase in the frequency of asthma, atopic disease, and immune disorders mirrors the increase in the rate of cesarean delivery, the theory of vaginal seeding is to allow for proper colonization of the fetal gut and, therefore, reduce the subsequent risk of asthma, atopic disease, and immune disorde...


4.
November 2017

Number AP177, November 2017

Members Only


Number AP070, November 2017

Members Only


Number Number 184, November 2017

(Replaces Practice Bulletin Number 115, August 2010)

Members Only


Number Number 722, October 2017

(Replaces Committee Opinion No. 637, July 2015)

ABSTRACT: Cannabis sativa (marijuana) is the illicit drug most commonly used during pregnancy. The self-reported prevalence of marijuana use during pregnancy ranges from 2% to 5% in most studies. A growing number of states are legalizing marijuana for medicinal or recreational purposes, and its use by pregnant women could increase even further as a result. Because of concerns regarding impaired neurodevelopment, as well as maternal and fetal exposure to the adverse effects of smoking, women who are pregnant or contemplating pregnancy should be encouraged to discontinue marijuana use. Obstetri...


Number Number 721, October 2017

(Replaces Committee Opinion 471, October 2010)

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 physical and psychologic addiction to cigarettes is powerful; however, the compassionate intervention of the obstetrician–gynecologist can be the critical element in prenatal smoking cessation. An office-based protocol that systematically identifies pregnant women who smoke and offers treatment or referral has been proved to increase quit rates. A short counseling session with pregnancy-specific ed...


SP086 Opciones para explorar sobre el alivio del dolor antes del trabajo de parto El trabajo de parto de una mujer es una experiencia individual. Cómo percibe usted el dolor del trabajo de parto depende de muchos factores, tales como el tamaño y la posición del bebé, la intensidad de las contracciones y cómo enfrenta usted el dolor. El dolor que perciba en el trabajo de parto puede ser diferente al dolor de su amiga en esa misma situación. Su dolor puede incluso ser diferente al dolor que sintió durante un trabajo de parto previo. Medicamentos para aliviar el dolor durante el ...


10.
October 2017

Number Number 6, October 2017

(Replaces Obstetric Care Consensus Number 4, June 2016)

ABSTRACT: Approximately 0.5% of all births occur before the third trimester of pregnancy, and these very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. A recent executive summary of proceedings from a joint workshop defined periviable birth as delivery occurring from 20 0/7 weeks to 25 6/7 weeks of gestation. When delivery is anticipated near the limit of viability, families and health care teams are faced with complex and ethically challenging decisions. Multiple factors have been found to be associated with short-term and long-term outcomes of...


American Congress of Obstetricians and Gynecologists
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