Maternal and Perinatal Outcomes of Expectant Management of Full-Term, Low-Risk, Nulliparous Patients
Obstet Gynecol. 2021 Jun 1;137(6):1125-1126. doi: 10.1097/AOG.0000000000004416.NO ABSTRACTPMID:34011875 | DOI:10.1097/AOG.0000000000004416 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Amelie Boutin K S Joseph Source Type: research

In Reply
Obstet Gynecol. 2021 Jun 1;137(6):1126-1127. doi: 10.1097/AOG.0000000000004417.NO ABSTRACTPMID:34011876 | DOI:10.1097/AOG.0000000000004417 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Alan T N Tita William A Grobman George R Saade Source Type: research

Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage
Obstet Gynecol. 2021 Jun 1;137(6):1127. doi: 10.1097/AOG.0000000000004418.NO ABSTRACTPMID:34011877 | DOI:10.1097/AOG.0000000000004418 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Hugo Madar Aur élien Mattuizzi Aliz ée Froeliger Lo ïc Sentilhes Source Type: research

In Reply
Obstet Gynecol. 2021 Jun 1;137(6):1127-1128. doi: 10.1097/AOG.0000000000004419.NO ABSTRACTPMID:34011878 | DOI:10.1097/AOG.0000000000004419 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Dena Goffman Mary E D'Alton Source Type: research

ACOG Publications: June 2021
Obstet Gynecol. 2021 Jun 1;137(6):1129-1130. doi: 10.1097/AOG.0000000000004400.NO ABSTRACTPMID:34011879 | DOI:10.1097/AOG.0000000000004400 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin Summary, Number 228
Discussion of the use of morcellation in the surgical management of leiomyomas is beyond the scope of this document and is addressed in a separate American College of Obstetricians and Gynecologists (ACOG) publication (3).PMID:34011880 | DOI:10.1097/AOG.0000000000004403 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Antepartum Fetal Surveillance: ACOG Practice Bulletin Summary, Number 229
Obstet Gynecol. 2021 Jun 1;137(6):1134-1136. doi: 10.1097/AOG.0000000000004411.ABSTRACTThe goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Obesity in Pregnancy: ACOG Practice Bulletin Summary, Number 230
Obstet Gynecol. 2021 Jun 1;137(6):1137-1139. doi: 10.1097/AOG.0000000000004396.ABSTRACTObstetrician-gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such a common condition that the implications relative to pregnancy often are unrecognized, overlooked, or ignored because of the lack of specific evidence-based treatment options. The management of obesity requires long-term approaches ranging from population-based public health and economic initiatives to individual nutritional, behavioral, or surgical interve...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin Summary, Number 231
Obstet Gynecol. 2021 Jun 1;137(6):1140-1143. doi: 10.1097/AOG.0000000000004398.ABSTRACTThe incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (1). However, after more than three decades of increases, the twin birth rate declined 4% during 2014-2018 to 32.6 twins per 1,000 total births in 2018 (2). The rate of triplet and higher-order multifetal gestations increased more than 400% during the 1980s and 1990s, peaking at 193.5 per 100,000 births in 1998, fo...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Protecting and Expanding Medicaid to Improve Women's Health: ACOG Committee Opinion Summary, Number 826
Obstet Gynecol. 2021 Jun 1;137(6):1144-1145. doi: 10.1097/AOG.0000000000004405.ABSTRACTMedicaid, the state-federal health insurance program for individuals with low incomes, serves as a safety net for women throughout the life span. Historically, expansions of Medicaid have been associated with improved access to health care, less delay in obtaining health care, better self-reported health, and reductions in mortality. Compared with nonexpansion states, states that have participated in the Affordable Care Act's Medicaid expansion have experienced improvements in maternal and infant mortality and decreases in uninsured rate...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Access to Postpartum Sterilization: ACOG Committee Opinion Summary, Number 827
Obstet Gynecol. 2021 Jun 1;137(6):1146-1147. doi: 10.1097/AOG.0000000000004406.ABSTRACTSterilization is one of the most effective and popular forms of contraception in the United States, relied upon by 18.6% of women aged 15-49 years using contraception. Nearly half of procedures are performed during the postpartum period, yet many women who desire postpartum sterilization do not actually undergo the procedure. Factors that may decrease the likelihood of a patient obtaining desired postpartum sterilization include patient-related factors, physician-related factors, lack of available operating rooms and anesthesia, federal ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Indications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion Summary, Number 828
Obstet Gynecol. 2021 Jun 1;137(6):1148-1151. doi: 10.1097/AOG.0000000000004408.ABSTRACTThe purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is performed to reduce the risk of stillbirth. However, because the pathway that results in increased risk of stillbirth for a given condition may not be known and antenatal fetal surveillance has not been shown to improve perinatal outcomes for all conditions associated with stillbirth, it is challenging to create a prescriptive list of all indic...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

A Guide to Upper Gastrointestinal Tract, Biliary, and Pancreatic Disorders: Clinical Updates in Women's Health Care Primary and Preventive Care Review
Obstet Gynecol. 2021 Jun 1;137(6):1152. doi: 10.1097/AOG.0000000000004366.ABSTRACTThis monograph provides an overview of pathophysiology and screening, followed by sections on diagnosis and management of upper gastrointestinal, biliary, and pancreatic disorders. The most common upper gastrointestinal disorder is GERD, which affects women of all ages and creates a treatment challenge in pregnant women. Gallstone disease is the most common biliary disorder. A case-based format is used to review management of gallstone disease in pregnancy, as well as chronic pancreatitis in pregnancy. Some of these disorders can be treated b...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Suha Abushamma Dayna S Early Source Type: research

Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin, Number 228
Discussion of the use of morcellation in the surgical management of leiomyomas is beyond the scope of this document and is addressed in a separate American College of Obstetricians and Gynecologists (ACOG) publication (3).PMID:34011888 | DOI:10.1097/AOG.0000000000004401 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins–Gynecology Source Type: research

Antepartum Fetal Surveillance: ACOG Practice Bulletin, Number 229
Obstet Gynecol. 2021 Jun 1;137(6):e116-e127. doi: 10.1097/AOG.0000000000004410.ABSTRACTThe goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins—Obstetrics Source Type: research

Obesity in Pregnancy: ACOG Practice Bulletin, Number 230
Obstet Gynecol. 2021 Jun 1;137(6):e128-e144. doi: 10.1097/AOG.0000000000004395.ABSTRACTObstetrician-gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such a common condition that the implications relative to pregnancy often are unrecognized, overlooked, or ignored because of the lack of specific evidence-based treatment options. The management of obesity requires long-term approaches ranging from population-based public health and economic initiatives to individual nutritional, behavioral, or surgical interve...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins–Obstetrics Source Type: research

Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231
Obstet Gynecol. 2021 Jun 1;137(6):e145-e162. doi: 10.1097/AOG.0000000000004397.ABSTRACTThe incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (1). However, after more than three decades of increases, the twin birth rate declined 4% during 2014-2018 to 32.6 twins per 1,000 total births in 2018 (2). The rate of triplet and higher-order multifetal gestations increased more than 400% during the 1980s and 1990s, peaking at 193.5 per 100,000 births in 1998, fo...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins—Obstetrics, Society for Maternal-Fetal Medicine Source Type: research

Indications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion, Number 828
Obstet Gynecol. 2021 Jun 1;137(6):e177-e197. doi: 10.1097/AOG.0000000000004407.ABSTRACTThe purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is performed to reduce the risk of stillbirth. However, because the pathway that results in increased risk of stillbirth for a given condition may not be known and antenatal fetal surveillance has not been shown to improve perinatal outcomes for all conditions associated with stillbirth, it is challenging to create a prescriptive list of all indic...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Obstetric Practice, Society for Maternal-Fetal Medicine Source Type: research

Maternal and Perinatal Outcomes of Expectant Management of Full-Term, Low-Risk, Nulliparous Patients
Obstet Gynecol. 2021 Jun 1;137(6):1125-1126. doi: 10.1097/AOG.0000000000004416.NO ABSTRACTPMID:34011875 | DOI:10.1097/AOG.0000000000004416 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Amelie Boutin K S Joseph Source Type: research

In Reply
Obstet Gynecol. 2021 Jun 1;137(6):1126-1127. doi: 10.1097/AOG.0000000000004417.NO ABSTRACTPMID:34011876 | DOI:10.1097/AOG.0000000000004417 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Alan T N Tita William A Grobman George R Saade Source Type: research

Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage
Obstet Gynecol. 2021 Jun 1;137(6):1127. doi: 10.1097/AOG.0000000000004418.NO ABSTRACTPMID:34011877 | DOI:10.1097/AOG.0000000000004418 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Hugo Madar Aur élien Mattuizzi Aliz ée Froeliger Lo ïc Sentilhes Source Type: research

In Reply
Obstet Gynecol. 2021 Jun 1;137(6):1127-1128. doi: 10.1097/AOG.0000000000004419.NO ABSTRACTPMID:34011878 | DOI:10.1097/AOG.0000000000004419 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Dena Goffman Mary E D'Alton Source Type: research

ACOG Publications: June 2021
Obstet Gynecol. 2021 Jun 1;137(6):1129-1130. doi: 10.1097/AOG.0000000000004400.NO ABSTRACTPMID:34011879 | DOI:10.1097/AOG.0000000000004400 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin Summary, Number 228
Discussion of the use of morcellation in the surgical management of leiomyomas is beyond the scope of this document and is addressed in a separate American College of Obstetricians and Gynecologists (ACOG) publication (3).PMID:34011880 | DOI:10.1097/AOG.0000000000004403 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Antepartum Fetal Surveillance: ACOG Practice Bulletin Summary, Number 229
Obstet Gynecol. 2021 Jun 1;137(6):1134-1136. doi: 10.1097/AOG.0000000000004411.ABSTRACTThe goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Obesity in Pregnancy: ACOG Practice Bulletin Summary, Number 230
Obstet Gynecol. 2021 Jun 1;137(6):1137-1139. doi: 10.1097/AOG.0000000000004396.ABSTRACTObstetrician-gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such a common condition that the implications relative to pregnancy often are unrecognized, overlooked, or ignored because of the lack of specific evidence-based treatment options. The management of obesity requires long-term approaches ranging from population-based public health and economic initiatives to individual nutritional, behavioral, or surgical interve...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin Summary, Number 231
Obstet Gynecol. 2021 Jun 1;137(6):1140-1143. doi: 10.1097/AOG.0000000000004398.ABSTRACTThe incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (1). However, after more than three decades of increases, the twin birth rate declined 4% during 2014-2018 to 32.6 twins per 1,000 total births in 2018 (2). The rate of triplet and higher-order multifetal gestations increased more than 400% during the 1980s and 1990s, peaking at 193.5 per 100,000 births in 1998, fo...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Protecting and Expanding Medicaid to Improve Women's Health: ACOG Committee Opinion Summary, Number 826
Obstet Gynecol. 2021 Jun 1;137(6):1144-1145. doi: 10.1097/AOG.0000000000004405.ABSTRACTMedicaid, the state-federal health insurance program for individuals with low incomes, serves as a safety net for women throughout the life span. Historically, expansions of Medicaid have been associated with improved access to health care, less delay in obtaining health care, better self-reported health, and reductions in mortality. Compared with nonexpansion states, states that have participated in the Affordable Care Act's Medicaid expansion have experienced improvements in maternal and infant mortality and decreases in uninsured rate...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Access to Postpartum Sterilization: ACOG Committee Opinion Summary, Number 827
Obstet Gynecol. 2021 Jun 1;137(6):1146-1147. doi: 10.1097/AOG.0000000000004406.ABSTRACTSterilization is one of the most effective and popular forms of contraception in the United States, relied upon by 18.6% of women aged 15-49 years using contraception. Nearly half of procedures are performed during the postpartum period, yet many women who desire postpartum sterilization do not actually undergo the procedure. Factors that may decrease the likelihood of a patient obtaining desired postpartum sterilization include patient-related factors, physician-related factors, lack of available operating rooms and anesthesia, federal ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Indications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion Summary, Number 828
Obstet Gynecol. 2021 Jun 1;137(6):1148-1151. doi: 10.1097/AOG.0000000000004408.ABSTRACTThe purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is performed to reduce the risk of stillbirth. However, because the pathway that results in increased risk of stillbirth for a given condition may not be known and antenatal fetal surveillance has not been shown to improve perinatal outcomes for all conditions associated with stillbirth, it is challenging to create a prescriptive list of all indic...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

A Guide to Upper Gastrointestinal Tract, Biliary, and Pancreatic Disorders: Clinical Updates in Women's Health Care Primary and Preventive Care Review
Obstet Gynecol. 2021 Jun 1;137(6):1152. doi: 10.1097/AOG.0000000000004366.ABSTRACTThis monograph provides an overview of pathophysiology and screening, followed by sections on diagnosis and management of upper gastrointestinal, biliary, and pancreatic disorders. The most common upper gastrointestinal disorder is GERD, which affects women of all ages and creates a treatment challenge in pregnant women. Gallstone disease is the most common biliary disorder. A case-based format is used to review management of gallstone disease in pregnancy, as well as chronic pancreatitis in pregnancy. Some of these disorders can be treated b...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Suha Abushamma Dayna S Early Source Type: research

Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin, Number 228
Discussion of the use of morcellation in the surgical management of leiomyomas is beyond the scope of this document and is addressed in a separate American College of Obstetricians and Gynecologists (ACOG) publication (3).PMID:34011888 | DOI:10.1097/AOG.0000000000004401 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins–Gynecology Source Type: research

Antepartum Fetal Surveillance: ACOG Practice Bulletin, Number 229
Obstet Gynecol. 2021 Jun 1;137(6):e116-e127. doi: 10.1097/AOG.0000000000004410.ABSTRACTThe goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins—Obstetrics Source Type: research

Obesity in Pregnancy: ACOG Practice Bulletin, Number 230
Obstet Gynecol. 2021 Jun 1;137(6):e128-e144. doi: 10.1097/AOG.0000000000004395.ABSTRACTObstetrician-gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such a common condition that the implications relative to pregnancy often are unrecognized, overlooked, or ignored because of the lack of specific evidence-based treatment options. The management of obesity requires long-term approaches ranging from population-based public health and economic initiatives to individual nutritional, behavioral, or surgical interve...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins–Obstetrics Source Type: research

Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231
Obstet Gynecol. 2021 Jun 1;137(6):e145-e162. doi: 10.1097/AOG.0000000000004397.ABSTRACTThe incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (1). However, after more than three decades of increases, the twin birth rate declined 4% during 2014-2018 to 32.6 twins per 1,000 total births in 2018 (2). The rate of triplet and higher-order multifetal gestations increased more than 400% during the 1980s and 1990s, peaking at 193.5 per 100,000 births in 1998, fo...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins—Obstetrics, Society for Maternal-Fetal Medicine Source Type: research

Indications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion, Number 828
Obstet Gynecol. 2021 Jun 1;137(6):e177-e197. doi: 10.1097/AOG.0000000000004407.ABSTRACTThe purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is performed to reduce the risk of stillbirth. However, because the pathway that results in increased risk of stillbirth for a given condition may not be known and antenatal fetal surveillance has not been shown to improve perinatal outcomes for all conditions associated with stillbirth, it is challenging to create a prescriptive list of all indic...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Obstetric Practice, Society for Maternal-Fetal Medicine Source Type: research

Maternal and Perinatal Outcomes of Expectant Management of Full-Term, Low-Risk, Nulliparous Patients
Obstet Gynecol. 2021 Jun 1;137(6):1125-1126. doi: 10.1097/AOG.0000000000004416.NO ABSTRACTPMID:34011875 | DOI:10.1097/AOG.0000000000004416 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Amelie Boutin K S Joseph Source Type: research

In Reply
Obstet Gynecol. 2021 Jun 1;137(6):1126-1127. doi: 10.1097/AOG.0000000000004417.NO ABSTRACTPMID:34011876 | DOI:10.1097/AOG.0000000000004417 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Alan T N Tita William A Grobman George R Saade Source Type: research

Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage
Obstet Gynecol. 2021 Jun 1;137(6):1127. doi: 10.1097/AOG.0000000000004418.NO ABSTRACTPMID:34011877 | DOI:10.1097/AOG.0000000000004418 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Hugo Madar Aur élien Mattuizzi Aliz ée Froeliger Lo ïc Sentilhes Source Type: research

In Reply
Obstet Gynecol. 2021 Jun 1;137(6):1127-1128. doi: 10.1097/AOG.0000000000004419.NO ABSTRACTPMID:34011878 | DOI:10.1097/AOG.0000000000004419 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Dena Goffman Mary E D'Alton Source Type: research

ACOG Publications: June 2021
Obstet Gynecol. 2021 Jun 1;137(6):1129-1130. doi: 10.1097/AOG.0000000000004400.NO ABSTRACTPMID:34011879 | DOI:10.1097/AOG.0000000000004400 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin Summary, Number 228
Discussion of the use of morcellation in the surgical management of leiomyomas is beyond the scope of this document and is addressed in a separate American College of Obstetricians and Gynecologists (ACOG) publication (3).PMID:34011880 | DOI:10.1097/AOG.0000000000004403 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Antepartum Fetal Surveillance: ACOG Practice Bulletin Summary, Number 229
Obstet Gynecol. 2021 Jun 1;137(6):1134-1136. doi: 10.1097/AOG.0000000000004411.ABSTRACTThe goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in clinical use for almost four decades and are used along with real-time ultrasonography and umbilical artery Doppler velocimetry to evaluate fetal well-being. Antepartum fetal surveillance techniques are routinely used to assess the risk of fetal death in pregnancies complicated by preexisting maternal conditions (eg, diabetes mellitus) as well as those ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Obesity in Pregnancy: ACOG Practice Bulletin Summary, Number 230
Obstet Gynecol. 2021 Jun 1;137(6):1137-1139. doi: 10.1097/AOG.0000000000004396.ABSTRACTObstetrician-gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such a common condition that the implications relative to pregnancy often are unrecognized, overlooked, or ignored because of the lack of specific evidence-based treatment options. The management of obesity requires long-term approaches ranging from population-based public health and economic initiatives to individual nutritional, behavioral, or surgical interve...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin Summary, Number 231
Obstet Gynecol. 2021 Jun 1;137(6):1140-1143. doi: 10.1097/AOG.0000000000004398.ABSTRACTThe incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (1). However, after more than three decades of increases, the twin birth rate declined 4% during 2014-2018 to 32.6 twins per 1,000 total births in 2018 (2). The rate of triplet and higher-order multifetal gestations increased more than 400% during the 1980s and 1990s, peaking at 193.5 per 100,000 births in 1998, fo...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Protecting and Expanding Medicaid to Improve Women's Health: ACOG Committee Opinion Summary, Number 826
Obstet Gynecol. 2021 Jun 1;137(6):1144-1145. doi: 10.1097/AOG.0000000000004405.ABSTRACTMedicaid, the state-federal health insurance program for individuals with low incomes, serves as a safety net for women throughout the life span. Historically, expansions of Medicaid have been associated with improved access to health care, less delay in obtaining health care, better self-reported health, and reductions in mortality. Compared with nonexpansion states, states that have participated in the Affordable Care Act's Medicaid expansion have experienced improvements in maternal and infant mortality and decreases in uninsured rate...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Access to Postpartum Sterilization: ACOG Committee Opinion Summary, Number 827
Obstet Gynecol. 2021 Jun 1;137(6):1146-1147. doi: 10.1097/AOG.0000000000004406.ABSTRACTSterilization is one of the most effective and popular forms of contraception in the United States, relied upon by 18.6% of women aged 15-49 years using contraception. Nearly half of procedures are performed during the postpartum period, yet many women who desire postpartum sterilization do not actually undergo the procedure. Factors that may decrease the likelihood of a patient obtaining desired postpartum sterilization include patient-related factors, physician-related factors, lack of available operating rooms and anesthesia, federal ...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

Indications for Outpatient Antenatal Fetal Surveillance: ACOG Committee Opinion Summary, Number 828
Obstet Gynecol. 2021 Jun 1;137(6):1148-1151. doi: 10.1097/AOG.0000000000004408.ABSTRACTThe purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is performed to reduce the risk of stillbirth. However, because the pathway that results in increased risk of stillbirth for a given condition may not be known and antenatal fetal surveillance has not been shown to improve perinatal outcomes for all conditions associated with stillbirth, it is challenging to create a prescriptive list of all indic...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Source Type: research

A Guide to Upper Gastrointestinal Tract, Biliary, and Pancreatic Disorders: Clinical Updates in Women's Health Care Primary and Preventive Care Review
Obstet Gynecol. 2021 Jun 1;137(6):1152. doi: 10.1097/AOG.0000000000004366.ABSTRACTThis monograph provides an overview of pathophysiology and screening, followed by sections on diagnosis and management of upper gastrointestinal, biliary, and pancreatic disorders. The most common upper gastrointestinal disorder is GERD, which affects women of all ages and creates a treatment challenge in pregnant women. Gallstone disease is the most common biliary disorder. A case-based format is used to review management of gallstone disease in pregnancy, as well as chronic pancreatitis in pregnancy. Some of these disorders can be treated b...
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: Suha Abushamma Dayna S Early Source Type: research

Management of Symptomatic Uterine Leiomyomas: ACOG Practice Bulletin, Number 228
Discussion of the use of morcellation in the surgical management of leiomyomas is beyond the scope of this document and is addressed in a separate American College of Obstetricians and Gynecologists (ACOG) publication (3).PMID:34011888 | DOI:10.1097/AOG.0000000000004401 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 20, 2021 Category: OBGYN Authors: American College of Obstetricians and Gynecologists ’ Committee on Practice Bulletins–Gynecology Source Type: research