Washington, DC — The use of episiotomy during labor should be restricted, with physicians encouraged to use clinical judgment to decide when the procedure is necessary, according to a new Practice Bulletin published by The American College of Obstetricians and Gynecologists (ACOG) in the April issue of Obstetrics & Gynecology. According to ACOG, “The best available data do not support the liberal or routine use of episiotomy. Nonetheless, there is a place for episiotomy for maternal or fetal indications such as avoiding severe maternal lacerations or facilitating or expediting difficult deliveries.”
Washington, DC — Refinements of the definitions, classifications, and interpretations of fetal heart rate (FHR) monitoring methods were issued today in new guidelines released by The American College of Obstetricians and Gynecologists (ACOG). The objective of the guidelines is to reduce the inconsistent use of common terminology and the wide variability that sometimes occurs in FHR interpretations. ACOG’s Practice Bulletin, published in the July 2009 issue of Obstetrics & Gynecology, supports the recommendations of the Eunice Kennedy Shriver National Institute of Child and Health Development workshop* on electronic fetal monitoring (EFM) held in April 2008.
Washington, DC — As long as pregnant women don’t have any obstetric or other medical complications, they can follow the same precautions for air travel as the general population and fly safely, according to a revised Committee Opinion released today by The American College of Obstetricians and Gynecologists (ACOG) and published in the October issue of Obstetrics & Gynecology.
San Diego, CA — Today experts addressed in further detail new screening guidelines for fetal chromosomal abnormalities at the 55th Annual Clinical Meeting of The American College of Obstetricians and Gynecologists (ACOG). In January 2007, ACOG revised its guidelines that now recommend offering fetal chromosomal screening to all pregnant women, regardless of age, because of improvements in low-risk, noninvasive screening methods. The experts reviewed what these new recommendations mean, in practical terms, for both women and physicians.
Washington, DC — Evaluating a patient’s risk of hereditary breast and ovarian cancer syndrome is an important first step in cancer prevention and early detection and should be a routine part of ob-gyn practice. Those who are likely to have the syndrome should be referred for further assessment to a clinician with expertise in genetics, according to a new Practice Bulletin jointly released today by The American College of Obstetricians and Gynecologists and the Society of Gynecologic Oncologists. The new document also provides information on how to counsel patients with hereditary risk in cancer prevention and how to perform surgical removal of the ovaries and fallopian tubes in this population.
Washington, DC — Physicians should give balanced information to their pregnant patients who are considering cord blood banking, presenting both the advantages and disadvantages of public vs. private cord blood banks, according to The American College of Obstetricians and Gynecologists (ACOG) in a revised Committee Opinion published today in the February issue of Obstetrics & Gynecology. ACOG also advises physicians who recruit patients for for-profit cord blood banking to disclose their financial interests or other potential conflicts of interest to pregnant women and their families.
Washington, DC — In response to a debate over whether all pregnant women should be screened for subclinical hypothyroid disease, The American College of Obstetricians and Gynecologists (ACOG) today recommended against routine screening in a Committee Opinion in the October issue of Obstetrics & Gynecology. ACOG says there is no evidence that identifying and treating pregnant women with subclinical hypothyroidism improves either maternal or infant outcomes.
Washington, DC — Pregnant women with depression face complicated treatment decisions because of the risks associated with both untreated depression and the use of antidepressants. A new report from The American College of Obstetricians and Gynecologists (ACOG) and the American Psychiatric Association (APA) attempts to help doctors and patients weigh the risks and benefits of various treatment options.
Washington, DC — Pregnant asthmatic women should continue to use their asthma medication in the lowest dose possible to manage symptoms during pregnancy, according to a new Practice Bulletin released today by The American College of Obstetricians and Gynecologists (ACOG). Women with moderate or severe asthma should also be monitored throughout pregnancy for fetal growth restriction and signs of preterm birth.
Washington, DC — In 2009, researchers from the National Birth Defects Prevention Study published a report suggesting that two types of commonly prescribed antibiotics used to treat urinary tract infections—nitrofurans and sulfonamides—may increase the risk of birth defects when taken during the first trimester. However, a new Committee Opinion issued today by The American College of Obstetricians and Gynecologists (The College) suggests that these two antibiotics are still considered appropriate when there is no suitable alternative.