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According to ACOG guidelines, the following criteria may reduce the likelihood of VBAC success but should NOT preclude a trial of labour: having two prior caesarean sections, suspected fetal macrosomia at term (fetus greater than 4000-4500 grams in weight), gestation beyond 40 weeks, twin gestation, and previous low vertical or unknown previous ...
A 2019 randomized control trial of induced labor at 42 or 43 weeks was terminated early due to statistical evidence of "significantly increased risk for women induced at the start of week 43". The study implies clinical guidelines for induction of labor no later than at 41 gestational weeks. [22]
A companion 501(c)(6) organization, the American Congress of Obstetricians and Gynecologists, was founded in 2008 and became operational in 2010. [2] The two organizations coexist, and member individuals automatically belong to both. [3]
Established guidelines recommend that caesarean sections not be used before 39 weeks of pregnancy without a medical reason. [6] The method of delivery does not appear to have an effect on subsequent sexual function. [7] In 2012, about 23 million C-sections were done globally. [8]
In 2002, ACOG estimated that incidence has increased 10-fold over the past 50 years. [8] The risk of placenta accreta in future deliveries after caesarian section is 0.4-0.8%. For patients with placenta previa , risk increases with number of previous caesarean sections, with rates of 3%, 11%, 40%, 61%, and 67% for the first, second, third ...
Dilation and evacuation can be offered for the management of second trimester miscarriage if skilled providers are available. [6] Some women choose D&E over labor induction for a second trimester loss because it can be a scheduled surgical procedure, offering predictability over labor induction, or because they find it emotionally easier than undergoing labor and delivery.
American College of Obstetrics and Gynecology (ACOG): In 2018, ACOG recommended universal screening for depression and anxiety using a validated tool at least once during pregnancy or postpartum, in addition to a full assessment of mood and well-being at the postpartum visit. This is in addition to existing recommendations for annual depression ...
According to the ACOG 2017 Guidelines, it is recommended that if the birthing parent has a history of opioid use during pregnancy, then the infant must be monitored by a pediatrician for the possibility of NAS. [35] Unfortunately these guidelines do not specify the length of monitoring.