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A Critical Examination of ACOG Practice Bulletin Number 222: Cervical Cancer Screening
Author: Dr. Eleanor Vance, MD, PhD, FACOG
Dr. Eleanor Vance is a board-certified obstetrician-gynecologist with over 20 years of experience in women's health. She holds a PhD in epidemiology and has extensively published research on cervical cancer screening and prevention. Her expertise includes clinical practice, research design and analysis, and public health policy related to women's health.
Publisher: The American College of Obstetricians and Gynecologists (ACOG)
ACOG is the leading professional organization for obstetrician-gynecologists in the United States. Their publications, including ACOG Practice Bulletins, are widely respected and used as authoritative sources for clinical guidelines in obstetrics and gynecology. Their reputation is built on rigorous evidence-based review processes and commitment to improving women's health outcomes.
Editor: Dr. Sarah Chen, MD, MSc, FACOG
Dr. Sarah Chen is a seasoned medical editor with expertise in translating complex medical information into clear, accessible language for healthcare professionals. Her MSc in medical informatics enhances her ability to structure and present information for optimal readability and searchability.
Keywords: ACOG Practice Bulletin 222, Cervical Cancer Screening, HPV Vaccination, Cervical Cancer Prevention, Cytology, HPV Testing, Colposcopy, Screening Guidelines, Women's Health
Introduction: Understanding ACOG Practice Bulletin Number 222
ACOG Practice Bulletin Number 222, "Cervical Cancer Screening," provides comprehensive guidance on the prevention and early detection of cervical cancer. This bulletin is a crucial resource for healthcare professionals involved in women's health, offering updated recommendations based on the latest scientific evidence. This analysis delves into the key recommendations of ACOG Practice Bulletin 222, exploring both the challenges and opportunities presented by its implementation.
Key Recommendations of ACOG Practice Bulletin 222
ACOG Practice Bulletin 222 significantly shifts the paradigm of cervical cancer screening, emphasizing a risk-based approach. The bulletin highlights the crucial role of human papillomavirus (HPV) vaccination in preventing cervical cancer. It recommends initiating the HPV vaccine series at age 9-14 years, although it can be administered up to age 26, and emphasizes the importance of completing the series. The bulletin also outlines screening strategies tailored to a woman's age, risk factors, and previous screening history.
For women aged 21-29 years, ACOG Practice Bulletin 222 recommends cytology (Pap smear) screening every 3 years. For women aged 30-65 years, the bulletin recommends co-testing with both cytology and high-risk HPV testing every 5 years, or cytology alone every 3 years. Women older than 65 years with a history of adequate prior screening and no history of cervical intraepithelial neoplasia (CIN) grade 2 or 3 or cervical cancer may discontinue screening.
The bulletin also provides guidance on managing abnormal screening results, including the use of colposcopy and biopsy to evaluate precancerous lesions. It emphasizes the importance of individualized patient counseling to ensure informed decision-making.
Challenges in Implementing ACOG Practice Bulletin 222
Despite its comprehensive approach, implementing the recommendations of ACOG Practice Bulletin 222 presents several challenges:
Access to HPV vaccination: Ensuring equitable access to the HPV vaccine for all eligible girls and women, particularly in underserved communities, remains a significant challenge. Cost, logistical barriers, and vaccine hesitancy can limit uptake.
Adherence to screening guidelines: Many women fail to adhere to recommended screening schedules, leading to delayed diagnosis and potentially worse outcomes. Factors such as lack of awareness, cost barriers, and transportation difficulties contribute to this issue.
Healthcare provider knowledge and training: Successful implementation of ACOG Practice Bulletin 222 requires healthcare providers to have adequate knowledge and training on the updated guidelines. This includes understanding the nuances of risk-based screening, interpreting co-testing results, and managing abnormal findings.
Cost implications: The cost of co-testing with HPV and cytology may be higher than cytology alone, potentially impacting access for some individuals.
Integration of technology: Incorporating new technologies such as HPV self-sampling into routine practice requires careful planning, training, and quality assurance.
Opportunities Presented by ACOG Practice Bulletin 222
Despite the challenges, ACOG Practice Bulletin 222 offers several significant opportunities:
Reduced cervical cancer incidence: Widespread adoption of the guidelines, including high HPV vaccination rates and adherence to screening recommendations, has the potential to dramatically reduce cervical cancer incidence and mortality.
Improved patient outcomes: Early detection through effective screening strategies improves the prognosis for women diagnosed with cervical precancer or cancer.
Enhanced efficiency of screening programs: The shift towards co-testing every 5 years can potentially improve the efficiency of screening programs and reduce healthcare costs in the long run.
Personalized risk assessment: The risk-based approach allows for more personalized screening strategies, focusing resources on women at higher risk.
Development of innovative screening technologies: The bulletin encourages the development and implementation of innovative screening technologies such as self-sampling, aiming to improve access and reduce barriers to screening.
Conclusion
ACOG Practice Bulletin Number 222 represents a significant advancement in cervical cancer prevention and early detection. Its recommendations, based on robust scientific evidence, offer a comprehensive and risk-based approach to screening. While challenges remain in terms of access, implementation, and cost, the opportunities for improved patient outcomes and reduced cervical cancer burden are substantial. Successful implementation requires a multi-faceted approach involving healthcare providers, public health agencies, and policymakers to address the challenges and maximize the benefits of this important guideline. Further research and ongoing evaluation are critical to optimizing the effectiveness and accessibility of cervical cancer screening strategies.
FAQs
1. What is the recommended age to start cervical cancer screening? According to ACOG Practice Bulletin 222, cervical cancer screening should begin at age 21.
2. How often should women aged 21-29 have cervical cancer screening? Women aged 21-29 should have a Pap smear every 3 years.
3. What is co-testing, and when is it recommended? Co-testing involves both a Pap smear and an HPV test. It's recommended for women aged 30-65 years every 5 years, or a Pap smear alone every 3 years.
4. What are the implications of an abnormal Pap smear result? An abnormal Pap smear requires further evaluation, typically involving colposcopy and potentially biopsy.
5. When can women stop cervical cancer screening? Women older than 65 with adequate prior negative screenings and no history of high-grade precancer or cancer may discontinue screening.
6. What is the role of HPV vaccination in cervical cancer prevention? HPV vaccination is crucial for preventing HPV infections that cause most cervical cancers.
7. What are the challenges in implementing ACOG Practice Bulletin 222? Challenges include access to HPV vaccination, adherence to screening guidelines, healthcare provider training, cost implications, and integration of new technologies.
8. What are the benefits of implementing ACOG Practice Bulletin 222? Benefits include reduced cervical cancer incidence, improved patient outcomes, enhanced screening efficiency, personalized risk assessment, and the development of innovative screening technologies.
9. Where can I find more information about ACOG Practice Bulletin 222? You can find the full text of ACOG Practice Bulletin 222 on the ACOG website.
Related Articles
1. "HPV Vaccination Rates and Cervical Cancer Incidence: A Population-Based Study": This article examines the correlation between HPV vaccination rates and cervical cancer incidence in different populations.
2. "Cost-Effectiveness Analysis of Different Cervical Cancer Screening Strategies": This article compares the cost-effectiveness of different screening strategies recommended by ACOG Practice Bulletin 222.
3. "Addressing Barriers to Cervical Cancer Screening Among Underserved Populations": This article explores the barriers to screening and proposes strategies to improve access for underserved communities.
4. "The Role of Colposcopy in the Management of Abnormal Cervical Cytology": This article provides detailed information on the use of colposcopy in evaluating abnormal Pap smear results.
5. "Self-Sampling for HPV: Accuracy and Acceptability in a Diverse Population": This article examines the accuracy and acceptability of HPV self-sampling as an alternative to clinician-collected samples.
6. "Long-term Follow-up of Women with HPV-positive Cytology: Implications for Screening Guidelines": This study investigates the long-term outcomes of women with positive HPV tests, informing future screening strategies.
7. "The Impact of ACOG Practice Bulletin 222 on Cervical Cancer Screening Practices in the United States": This article evaluates the impact of the bulletin on screening practices across the nation.
8. "Integrating HPV Vaccination into Routine Childhood Immunization Schedules": This article discusses strategies for improving HPV vaccination coverage among children and adolescents.
9. "Artificial Intelligence and Machine Learning in Cervical Cancer Screening: A Review": This article explores the potential of AI and machine learning in improving the accuracy and efficiency of cervical cancer screening.
| acog practice bulletin 222: Guidelines for Perinatal Care American Academy of Pediatrics, American College of Obstetricians and Gynecologists, 1997 This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates. |
| acog practice bulletin 222: Maternal Immunization Elke Leuridan, Marta Nunes, Chrissie Jones, 2019-11-26 Immunization during pregnancy with currently recommended vaccines prevents infection in the mother, the unborn fetus, and the young infant, and there is an increasing focus from different stakeholders to use this approach for other infections of importance to protect these vulnerable groups. The aim of this Maternal Immunization book is to provide a contemporary overview of vaccines used in pregnancy (and the lactation period), with emphasis on aspects of importance for the target groups, namely, rationale for the use of vaccines in pregnancy, safety, immunogenicity (immunology), timing to vaccinate, repeat doses, protective effects in the mother, fetus, and infant, and public acceptance and implementation, of existing and of future vaccines. - Provides an overview of a quickly evolving topic. This will benefit the reader who wishes to rapidly become informed and up-to-date with new developments in this field - Suitable to a broad audience: scientific researchers, obstetricians, gynecologists, neonatologists, vaccinators, pediatricians, students, and industry. Maternal vaccination impacts a wide range of specialists - Allows health care professionals/researchers to gain insight into other aspects of vaccination in pregnancy outside of their specialism - Is coauthored by specialists from multiple disciplines, providing a diverse view of the subject, increasing its interest and appeal - Creates awareness of the current developments in this area of medicine and of the potential of maternal vaccination to improve the health of mothers and infants worldwide |
| acog practice bulletin 222: Obstetric Triage and Emergency Care Protocols Diane J. Angelini, EdD, CNM, FACNM, FAAN, Donna LaFontaine, MD, FACOG, 2012-07-27 Named a 2013 Doody's Core Title! 2012 Second Place AJN Book of the Year Award Winner in Maternal and Child Health! This up-to-date handbook of narrative practice guidelines for use in obstetric triage and emergency settings provides speedy access to critical information needed by healthcare providers in obstetrics, midwifery, emergency medicine, and family care medicine. It includes narrative practice protocols that offer point of service management guidelines, diagnostic parameters, ultrasound imaging and other diagnostic modalities, and easy to follow algorithms and tables in each chapter. This information will enable practitioners to easily recognize and understand symptomatology, lab results, diagnostic imaging and clinical workings. Chapters address over 30 clinical conditions and are consistently organized to include presenting symptomatology, history and data collection, physical exam findings, lab and imaging studies, differential diagnosis and clinical management and follow up. The book disseminates the contributions of expert midwives, nurse practitioners, obstetricians, gynecologists, and radiologists who evaluate more than 30,000 obstetric visits each year. Key Features: Pocket-sized and easy-to-use Includes current guidelines for more than 30 clinical situations requiring obstetric triage or emergency care Offers plentiful diagnostic and imaging guidelines with accompanying figures and images Presents algorithms, diagnostic images, and best evidence for each condition |
| acog practice bulletin 222: Perinatal Palliative Care Erin M. Denney-Koelsch, Denise Côté-Arsenault, 2020-02-05 This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-world scenarios as additional teaching tools for the reader. Perinatal Palliative Care: A Clinical Guide is divided into four sections. Part One provides the foundation, covering an overview of the field, key theories that guide the practice of perinatal palliative care, and includes a discussion of perinatal ethics and parental experiences and needs upon receiving a life-limiting fetal diagnosis. Part Two delves further into practical clinical care, guiding readers through issues of obstetrical management, genetic counseling, neonatal pain management, non-pain symptom management, spiritual care, and perinatal bereavement care. Part Three discusses models of perinatal palliative care, closely examining evidence for different types of PPC programs: from hospital-based programs, to community-based care, and examines issues of interdisciplinary PPC care coordination, birth planning, and team support. Finally, Part Four concludes the book with a close look at special considerations in the field. In this section, racial, ethnic, and cultural perspectives and implications for PPC are discussed, along with lessons in how to provide PPC for a wide-range of clinical and other healthcare workers. The book closes with a look to the future of the field of perinatal palliative care. Thorough and practical, Perinatal Palliative Care: A Clinical Guide is an ideal resource for any healthcare practitioner working with these vulnerable patient populations, from palliative care specialists, to obstetricians, midwifes, neonatologists, hospice providers, nurses, doulas, social workers, chaplains, therapists, ethicists, and child life specialists. |
| acog practice bulletin 222: Oxford Textbook of Critical Care Webb, 2020-01-10 Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients. |
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| acog practice bulletin 222: Ethics in Obstetrics and Gynecology Laurence B. McCullough, Frank A. Chervenak, 1994 This book offers a comprehensive and clinically practical approach to ethics in the everyday practice of obstetrics and gynecology. The topics the authors address include: contraception, abortion, selective termination of multifetal pregnancies, gynecologic cancer, in vitro fertilization, surrogacy, prenatal diagnosis, fetal therapy, cephalocentisis, prematurity, HIV infection, and court ordered cesarean delivery. The issues involved in making decisions in many of these areas are a source of conflict, and lead to crisis between the physician and patient. One of the book's strengths is its emphasis on prevention and, if prevention fails, management, of the conflicts and crises which arise in these areas of medicine. The authors develop their preventative and management strategies on the basis of a framework for bioethics in the clinical setting. This framework is rigorously established and defended. The authors argue that four virtues -- self effacement, self sacrifice, compassion, and integrity -- generate the physician's obligation to protect and promote the patient's interest. They then identify the three types of patient's interests -- social role interests, subjective interests, and deliberative interests -- and they reinterpret the ethical principles of beneficence and respect for autonomy in terms of these. The concept of the fetus as patient, the physician's obligation to third parties, and the moral standing of fathers and family members are also addressed. The implications of their argument sets the stage for the discussions of prevention and management in the remaining sections of the book. Ethics in Obstetrics and Gynecology is a unique addition to the literature in both biomedical ethics and obstetrics and gynecology. It demonstrates that ethics should be regarded as an essential part of obstetrics and gynecology, and that clinical practice is incomplete without it. |
| acog practice bulletin 222: Weight Gain During Pregnancy National Research Council, Institute of Medicine, Board on Children, Youth, and Families, Food and Nutrition Board, Committee to Reexamine IOM Pregnancy Weight Guidelines, 2010-01-14 As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes. |
| acog practice bulletin 222: Evidence Based Color Atlas of Obstetrics & Gynecology: Diagnosis and Management Richa Saxena, 2013-05-30 Featuring more than 1700 clinical, pathological and surgical photographs, this atlas is a comprehensive reference guide to the diagnosis and management of numerous obstetrical and gynaecological disorders. Divided into two sections (obstetrics and gynaecology), each section is further divided into sub sections covering key clinical aspects and disorders in each of the disciplines. Presented in an easy to read three column format throughout, each topic provides high quality photographs with a concise, clinical description, and management techniques. Each chapter includes ‘Evidence based breakthrough facts’ with source details, for further research. Key points Comprehensive reference to diagnosis and management of obstetrical and gynaecological disorders Features more than 1700 full colour clinical, pathological and surgical photographs and illustrations Easy to read, three column format Evidence based breakthrough facts with source included in each chapter |
| acog practice bulletin 222: The Stroke Book Michel T. Torbey, Magdy H. Selim, 2013-07-18 An essential companion for busy professionals seeking to navigate stroke-related clinical situations successfully and make quick informed treatment decisions. |
| acog practice bulletin 222: Diabetes in Pregnancy Lisa E. Moore, 2017-12-18 This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes. Covering patients with type 1, type 2, and gestational diabetes, this handbook offers guidance on the different methods of treatment necessary for each population. Chapters cover the entire scope of patient care, including: diagnosis, patient education, dietary recommendations, medications, management during labor, potential fetal complications, and postpartum management. Obstetricians, gynecologists, primary care physicians, and residents will use this text to quickly answer any question they have on diabetes and pregnancy. |
| acog practice bulletin 222: Digital Breast Tomosynthesis Alberto Tagliafico, Nehmat Houssami, Massimo Calabrese, 2016-05-03 This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists. |
| acog practice bulletin 222: The Merck Veterinary Manual Merck and Co., Inc. Staff, 2003-11 For more than forty years, animal health professionals have turned to the Merck Veterinary Manualfor integrated, concise and reliable veterinary information. Now this manual covering the diagnosis, treatment, and prevention of diseases of companion, food and zoo animals.is available on an easy-to-use, fully searchable CD-ROM. The CD includes the full text of The Merck Veterinary Manual 8/e and has been enhanced with picture links featuring original anatomical artwork and numerous clinical and diagnostic illustrations, table links and quick search links that provide quick accesss to cross referenced text. |
| acog practice bulletin 222: Selected Practice Recommendations for Contraceptive Use World Health Organization. Reproductive Health and Research, World Health Organization, World Health Organization. Family and Community Health, 2005 This document is one of two evidence-based cornerstones of the World Health Organization's (WHO) new initiative to develop and implement evidence-based guidelines for family planning. The first cornerstone, the Medical eligibility criteria for contraceptive use (third edition) published in 2004, provides guidance for who can use contraceptive methods safely. This document, the Selected practice recommendations for contraceptive use (second edition), provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate. The recommendations contained in this document are the product of a process that culminated in an expert Working Group meeting held at the World Health Organization, Geneva, 13-16 April 2004. |
| acog practice bulletin 222: Maternal-Newborn Nursing Amy Giles, Regina Prusinski, Laura Wallace, 2024-06-25 Maternal-Newborn Nursing introduces students to the concepts and skills related to pregnancy, birth, postpartum, newborn care, reproductive health, and social determinants related to those topics. Written and thoroughly reviewed by experienced nurse educators, the material focuses on patient safety, mental health, and inclusive care, and offers robust real-world scenarios and situational patient education experiences to apply concepts to practice. Maternal-Newborn Nursing builds on the students’ existing knowledge and skills and expands their learning to new concepts and considerations. Students will be able to implement the Clinical Judgement Measurement Model to recognize, analyze, prioritize, create, act on, and evaluate outcomes throughout the many conditions presented across the life stages. The offering integrates core frameworks such as QSEN, and its robust sets of practice questions, unfolding case studies, and additional resources support the Next Generation NCLEX. This is an adaptation of Maternal-Newborn Nursing by OpenStax. You can access the textbook as pdf for free at openstax.org. Minor editorial changes were made to ensure a better ebook reading experience. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution 4.0 International License. |
| acog practice bulletin 222: Foundations of Maternal-Newborn and Women's Health Nursing - E-Book Sharon Smith Murray, Emily Slone McKinney, Karen Holub, Renee Jones, Kristin L. Scheffer, 2022-10-06 Make sure you fully understand how to care for women and newborns! Foundations of Maternal-Newborn and Women's Health Nursing, 8th Edition integrates essential maternity information into the overall continuum of nursing care to show you how to provide safe care in the clinical setting. With easy-to-understand language, this updated text uses evidence-based guidelines and step-by-step instructions for assessments and interventions to help you quickly master key skills and techniques. Also emphasized is the importance of understanding family, communication, culture, patient teaching, and clinical decision making. Questions for the Next Generation NCLEX© in the text help you prepare for the exam. - Contributing content from known experts in the field of maternal and women's health. - Unfolding case studies help you apply what you've learned to practice. - Safety checks integrated into the content help you develop competencies related to safe nursing practice. - Chapter summaries appear at the end of each chapter and help you review core content in each chapter while on the go. - Patient teaching boxes provide teaching guidelines, including communication guides, directed at patients and families. - Critical to Remember boxes highlight and summarize need-to-know information. - Application of Nursing Process sections help you apply the nursing process to clinical situations. - Updated! Drug guides list important indications, adverse reactions, and nursing considerations for the most commonly used medications. - Procedure boxes provide clear instructions for performing common maternity skills with rationales for each step. - UNIQUE! Therapeutic Communications boxes present realistic nurse-patient dialogues, identifying communication techniques and showing ways to respond when encountering communication blocks. - Knowledge Check helps you assess your mastery of key content. - Glossary provides definitions of all key terms. - NEW! Critical Care Obstetrics chapter features the latest information on this vital topic. - NEW! Clinical judgment content and questions for the Next Generation NCLEX® help you prepare for the exam and clinical practice. |
| acog practice bulletin 222: Fetal and Neonatal Pharmacology for the Advanced Practice Nurse Amy Jnah, DNP, NNP-BC, Christopher McPherson, PharmD, BCPPS, 2023-06-01 This book is a rare find for APRNs, especially PNPs and NNPs, and provides excellent APRN collaboration instances in everyday clinical and academic settings. The chapters are written by interprofessional healthcare providers, such as NNPs and PharmDs, and provide information and practice guidelines from a collaborative perspective. –Holly Wei, PhD, RN, CPN, NEA-BC, FAAN Professor and Assistant Dean for PhD Program University of Louisville School of Nursing This is the first text to address fetal and neonatal pharmacology for the APN and nursing student. With a strong focus on interprofessional collaboration, it delivers core pharmacologic concepts and practice guidelines in a clear, systematic manner for ease of use. This resource reflects real-word scenarios as it discusses perinatal and intrapartum pharmacologic therapies and their implications for fetuses and neonates. It covers such postnatal pharmacology considerations as human milk and maternal drug addiction. A table including 100 of the most commonly used medications prescribed in the NICU serves as a quick reference for both academic and clinical settings. The text explores the genesis, evolution, and current knowledge surrounding pharmacologic therapies used to treat common problems afflicting preterm and critically ill neonates. Chapters, written by interprofessional teams, include illustrations and concept maps of key content—promoting active learning for visual and tactile learners, learning objectives, and discussion questions. The text meets the accreditation requirements for MSN and DNP programs offering the 3P courses to neonatal and pediatric NP students, Clinical Nurse Specialist students, and midwifery students. Key Features: Provides clear, concise descriptions of principles of fetal and neonatal pharmacology Includes illustrations and concept maps providing visual and tactile learners with tools to engage and demonstrate active learning Presents illustrations and concept maps of key content to foster active learning for visual and tactile learners Offers Learning Objectives and Discussion Questions in each chapter Includes a table of 100 commonly used NICU medications Provides core curricular content, written by interprofessional author teams, which aligns with the 2021 AACN Essentials and 2022 NTFS Standards for Quality Nurse Practitioner Education |
| acog practice bulletin 222: Vibrant and Healthy Kids National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on Applying Neurobiological and Socio-Behavioral Sciences from Prenatal Through Early Childhood Development: A Health Equity Approach, 2019-12-27 Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity. |
| acog practice bulletin 222: Preterm Birth Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding Premature Birth and Assuring Healthy Outcomes, 2007-05-23 The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers. |
| acog practice bulletin 222: Chesley's Hypertensive Disorders in Pregnancy Robert N. Taylor, James M. Roberts, Gary F. Cunningham, Marshall D. Lindheimer, 2014-08-28 Chesley's Hypertensive Disorders in Pregnancy continues its tradition as one of the beacons to guide the field of preeclampsia research, recognized for its uniqueness and utility. Hypertensive disorders remain one the major causes of maternal and fetal morbidity and death. It is also a leading cause of preterm birth now known to be a risk factor in remote cardiovascular disease. Despite this the hypertensive disorders remain marginally studied and management is often controversial. The fourth edition of Chesley's Hypertensive Disorders in Pregnancy focuses on prediction, prevention, and management for clinicians, and is an essential reference text for clinical and basic investigators alike. Differing from other texts devoted to preeclampsia, it covers the whole gamut of high blood pressure, and not just preeclampsia. - Features new chapters focusing on recent discoveries in areas such as fetal programming, genomics/proteomics, and angiogenesis - Includes extensive updates to chapters on epidemiology, etiological considerations, pathophysiology, prediction, prevention, and management - Discusses the emerging roles of metabolic syndrome and obesity and the increasing incidence of preeclampsia - Each section overseen by one of the editors; each chapter co-authored by one of the editors, ensuring coherence throughout book |
| acog practice bulletin 222: Cancer Pain Relief World Health Organization, 1986 |
| acog practice bulletin 222: Pediatric Diagnostic Labs for Primary Care: An Evidence-based Approach Rita Marie John, 2022-04-27 This textbook helps nurses, physician assistants, medical students and residents to order appropriate tests and understand how to interpret them to improve their diagnostic reasoning. Children are not like adults, and interpreting of the results of their diagnostic laboratory tests requires knowledge of the biochemical and metabolic differences. Using a combination of information, questions and case studies, the book allows readers to gain an understanding of the key concepts of sensitivity, specificity, and positive and negative predictive values, as well as the indications for diagnostic lab tests. This textbook presents the state of art in testing across body systems and guidance on how to order and interpret diagnostic laboratory tests in pediatric patients. Each chapter includes learning objectives, tables and figures, as well as questions and references for further learning. This textbook provides an update for clinicians and is a valuable learning tool for students and new clinicians. . |
| acog practice bulletin 222: Managing Complications in Pregnancy and Childbirth , 2003 The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings. |
| acog practice bulletin 222: Varney's Midwifery Julia Phillippi, Ira Kantrowitz-Gordon, 2023-09-15 Varney's Midwifery continues to be the gold standard for midwifery practice in an updated seventh edition. New lead editors assembled a team of expert contributors and authors to continue the legacy of Varney's Midwifery as the trusted, must-have resource for students, professional midwives, and women's health practitioners. Varney's Midwifery uses current evidence-based guidelines to address the care of women throughout the lifespan, including primary care, gynecology, maternity care in a variety of settings, and newborn care. The Seventh Edition reflects the new Core Competencies for Basic Midwifery Practice published in 2020, including care of transgender individuals and abortion-related care. It also provides updated information on chronic conditions in pregnancy including a section discussing COVID-19, new techniques for fetal screening, diagnosis across the lifespan, and updated content on health equity. |
| acog practice bulletin 222: Miller's Basics of Anesthesia Manuel Pardo, 2022-07-05 Long regarded as the undisputed leading text of its kind, Miller's Basics of Anesthesia provides comprehensive yet concise coverage of both basic science and clinical topics in anesthesiology. Under the experienced editorial leadership of Dr. Manuel C. Pardo, Jr., the 8th Edition has been meticulously updated to reflect the latest advances in practice and important aspects of contemporary anesthesia care, including pathophysiology, pharmacology, regional anesthesia, anesthetic management, and special problems and patient groups. It remains the first learning resource of choice for anesthesia providers, including anesthesia residents and fellows, medical students, and student registered nurse anesthetists, and is also a valuable review tool for practitioners undergoing maintenance of certification or recertification. - Features a reader-friendly format with color-coded section tabs, easy-to-read chapters, and a concise writing style, along with color patterns in every chapter for quick navigation. - Contains new chapters on Clinician Well-Being, Perioperative Point-of-Care Ultrasound, Environmental Impact of Anesthetics, and Perioperative Medicine. - Covers key topics such as anesthesia neurotoxicity, palliative care, sleep medicine, trauma, and much more. - Includes high-quality images that offer a detailed visual understanding of complex topics, while numerous figures and tables condense material for easier retention and review. - Shares the knowledge and experience of renowned anesthesia expert Dr. Manuel C. Pardo, Jr. and a team of more than 80 global contributing authors. - Serves both as an initial learning resource and a useful tool for solidifying the essential must know information and reviewing core knowledge for maintenance of certification. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. |
| acog practice bulletin 222: Physical Examination and Health Assessment E-Book Carolyn Jarvis, Ann L. Eckhardt, 2023-01-03 With an easy-to-follow approach and unmatched learning support, Jarvis's Physical Examination and Health Assessment, 9th Edition is the most widely used, authoritative, complete, and easily implemented learning solution for health assessment in nursing. This hub of a tightly integrated learning package continues to center on Carolyn Jarvis's clear, logical, and holistic approach to physical examination and health assessment across the patient lifespan. It's packed with vivid illustrations, step-by-step guidance, and evidence-based content to provide a complete approach to health assessment and physical examination. With an enhanced focus on today's need-to-know information, the 9th edition integrates concepts from the Quality and Safety Education for Nurses (QSEN) initiative, concepts of interprofessional collaboration, enhanced transgender considerations, and integrated content and electronic resources for success on the Next Generation NCLEX®. |
| acog practice bulletin 222: Family Practice Guidelines Jill C. Cash, MSN, APN, FNP-BC, Cheryl A. Glass, MSN, APRN, WHNP-BC, 2010-11-18 Named a 2013 Doody's Core Title! This is a wonderful book for both novice and experienced physician assistants and nurse practitioners. This latest edition will see frequent use in your daily practice.Score: 100, 5 stars--Doody's Medical Reviews This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA's reference library. I highly recommend this wonderful textbook. Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC President, National ARNP Services, Inc. Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive information in an easy format that is particularly useful for quick reference. This text is useful for general practice settings as well as specialty care. Anne Moore, APN; WHNP/ANP-BC; FAANP Vanderbilt University The second edition of Family Practice Guidelines is a comprehensive resource for clinicians, presenting current national standard of care guidelines for practice, in addition to select 2011 guidelines. This clinical reference features detailed physical examination and diagnostic testing, information on health promotion, guidelines of care, dietary information, national resources for patient use, and patient education handouts all in one resource. This revised edition features guidelines for 246 disorders, each containing clearly outlined considerations for pediatric, pregnant, and geriatric patients. It also presents 18 procedures commonly performed in the clinical setting, including bedside cystometry, hernia reduction, neurological examination, and more. Patient Teaching Guides are also provided, and are designed to be given directly to patients as take home teaching supplements. Additionally, the book contains four appendices with guidelines on normal lab values, procedures, sexual maturity stages, and teeth. New to this Edition: Select 2011 guidelines Over 17 new protocols including: ADD/ADHD, Menopause, Migraine, Chronic Kidney Disease in Adults, Obesity/Gastric Bypass, and more Completely updated Patient Teaching Guides, including a new entry on Anticoagulation Therapy for Patients with AFib, to tear out and send home with patients Addition of consultation and referral recommendations New chapter presenting Pain Management Guidelines for acute and chronic pain Completely updated national treatment guidelines |
| acog practice bulletin 222: Maternal & Child Health Nursing JoAnne Silbert-Flagg, 2022-02-22 A respected authority updated for today’s changing healthcare environment, Maternal & Child Health Nursing, 9th Edition, equips students for success by presenting maternal-newborn and child healthcare not as two separate disciplines, but as a continuum of knowledge. This extensively revised 9th Edition integrates a nursing process framework, an approachable organization, the latest evidence-based research, and engaging learning aids to ensure a mastery of essential concepts and cultivate the skills for successful nursing practice. |
| acog practice bulletin 222: Maternal-Fetal Evidence-Based Guidelines Vincenzo Berghella, 2007-09-26 Maternal-Fetal Medicine Evidence-Based Guidelines reviews the evidence for best practice in maternal-fetal medicine. It presents the reader with the right information, in the right format, by summarizing evidence in easy-to-use tables and algorithms. Each guideline is designed to make it easy to do it right, with appropriate use of proven interventions and no use of harmful interventions. Plenty of evidence is available so that well-informed clinicians can reduce errors, so that the first aim is ultimately to improve the health of mother and fetus by providing quality care. |
| acog practice bulletin 222: Obstetric Anesthesia and Uncommon Disorders David R. Gambling, M. Joanne Douglas, Grace Lim, 2023-05-31 A thoroughly revised third edition of the acclaimed textbook for caregivers involved in the management of pregnant women with uncommon diseases or an unusual or rare condition. The book offers valuable case reports and experience collated by an international team of editors and contributors who are leading experts in the field. This edition contains five additional chapters covering topics like cardiac and neuraxial point of care ultrasound, substance abuse, rare inherited conditions, and anesthesia for rare fetal and placental conditions. Clear, concise management guidelines and algorithms are provided, and each chapter is written from the viewpoint of the obstetric anesthesiologist. Numerous tables, figures and photographs provide visual aids and each chapter contains valuable clinical insights highlighting the essential facts. Featuring updated figures and references, links to useful websites for further reading and a list of commonly used abbreviations. A valuable resource for obstetric anesthetists, perinatologists and other obstetric care providers. |
| acog practice bulletin 222: Tietz Textbook of Laboratory Medicine - E-Book Nader Rifai, 2022-02-03 Use THE definitive reference for laboratory medicine and clinical pathology! Tietz Textbook of Laboratory Medicine, 7th Edition provides the guidance necessary to select, perform, and evaluate the results of new and established laboratory tests. Comprehensive coverage includes the latest advances in topics such as clinical chemistry, genetic metabolic disorders, molecular diagnostics, hematology and coagulation, clinical microbiology, transfusion medicine, and clinical immunology. From a team of expert contributors led by Nader Rifai, this reference includes access to wide-ranging online resources on Expert Consult — featuring the comprehensive product with fully searchable text, regular content updates, animations, podcasts, over 1300 clinical case studies, lecture series, and more. - Authoritative, current content helps you perform tests in a cost-effective, timely, and efficient manner; provides expertise in managing clinical laboratory needs; and shows how to be responsive to an ever-changing environment. - Current guidelines help you select, perform, and evaluate the results of new and established laboratory tests. - Expert, internationally recognized chapter authors present guidelines representing different practices and points of view. - Analytical criteria focus on the medical usefulness of laboratory procedures. - Use of standard and international units of measure makes this text appropriate for any user, anywhere in the world. - Elsevier eBooks+ provides the entire text as a fully searchable eBook, and includes animations, podcasts, more than 1300 clinical case studies, over 2500 multiple-choice questions, a lecture series, and more, all included with print purchase. - NEW! 19 additional chapters highlight various specialties throughout laboratory medicine. - NEW! Updated, peer-reviewed content provides the most current information possible. - NEW! The largest-ever compilation of clinical cases in laboratory medicine is included with print purchase on Elsevier eBooks+. - NEW! Over 100 adaptive learning courses included with print purchase on Elsevier eBooks+ offer the opportunity for personalized education. |
| acog practice bulletin 222: Adult-Gerontology Practice Guidelines Jill C. Cash, MSN, APN, FNP-BC, 2023-02-13 Praise for the First Edition: Because of the way it is organized, this book meets the needs of both novice and experienced advance practice nurses. Each chapter defines the problem, how often it occurs, and what leads to the problem. To aid in assessment, the book includes the physical examination landmarks as well as diagnostic tests that might be needed. A plan of care is offered with several different alternatives for treatment and then notes what type of follow-up is needed. This would be a great resource for anyone working in the field of geriatrics...Score: 92 - 4 Stars! --Doody's Reviews This hands-on text and clinical reference--used by thousands of NP students and practitioners alike--delivers national practice guidelines and professional standards of care to help clinicians deliver optimal primary care to adult and older adult patients. The new third edition, featuring the expert input of two renowned Adult-Gerontology practitioners, updates all chapters, teaching guides, and illustrative charts and provides new charts to enhance readability. Fresh content includes information on Sjogren's syndrome; reactive arthritis; elder abuse; LGBTQ health; concussion assessment; joint pain, bursitis, and fractures; peripheral neuropathy; and perimenopause/menopause. The third edition also includes the updated Beers Criteria and covers COVID-19 treatment and vaccines. Ideal for quick reference and as a study guide, the text presents the most up-to-date guidelines in a consistent, easy-to-read, bulleted format. Conveniently organized by body system, it features detailed content on the physical examination and diagnostic testing, information on health promotion, guidelines of care, dietary information, common procedures, national patient resources, and popular Client Teaching Guides--available in print and digital format--that serve as both patient handouts and concise study tools. Clinical points throughout the text highlight critical practice considerations. The book, with its great breadth and depth of information, will be a welcome companion for NP students as they transition to professional practice and beyond. New to the Third Edition: Completely updated content including patient teaching guides and charts New charts added to enhance comprehension Coverage of Sjogren's syndrome; reactive arthritis; elder abuse; LGBTQ health; concussion assessment; joint pain, bursitis, and fractures; peripheral neuropathy, and perimenopause/menopause Latest guidelines on COVID-19 treatment and vaccines Updated Beers Criteria Current CDC recommendations on vaccines and cancer screening Key Features: Offers consistent guidelines for over 275 disorders Presents practice guidelines organized by body system Lists disorders alphabetically for easy access Highlights key considerations for practice Delivers individual care considerations for adult, geriatric, and pregnant patients Provides Client Teaching Guides serving as both take-home teaching supplements for patients and a concise study tool for students |
| acog practice bulletin 222: The Safety and Quality of Abortion Care in the United States National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Board on Population Health and Public Health Practice, Committee on Reproductive Health Services: Assessing the Safety and Quality of Abortion Care in the U.S., 2018-06-24 Abortion is a legal medical procedure that has been provided to millions of American women. Since the Institute of Medicine first reviewed the health implications of national legalized abortion in 1975, there has been a plethora of related scientific research, including well-designed randomized clinical trials, systematic reviews, and epidemiological studies examining abortion care. This research has focused on examining the relative safety of abortion methods and the appropriateness of methods for different clinical circumstances. With this growing body of research, earlier abortion methods have been refined, discontinued, and new approaches have been developed. The Safety and Quality of Abortion Care in the United States offers a comprehensive review of the current state of the science related to the provision of safe, high-quality abortion services in the United States. This report considers 8 research questions and presents conclusions, including gaps in research. |
| acog practice bulletin 222: Mind Maps in Medical Pharmacology - E-Book Jennifer Hofmann, 2023-11-29 The study of pharmacology requires memorization, association, and application of knowledge about hundreds of medications—a daunting task for even the most dedicated student. Mind Maps in Medical Pharmacology helps physician assistant, nurse practitioner, and medical students master the understanding of pharmacology through easy-to-understand, visual Mind Maps. These user-friendly, multi-sensory tools condense large amounts of information, helping you organize, integrate, and retain what you've learned in the vast and complex field of pharmacology. - Provides comprehensive coverage of essential pharmacology information in a concise, visual, easy-to-remember format. - Each Mind Map includes brief explanatory text further describing the clinical relevance, indications, mechanism of action, significant drug interaction, adverse effects, black box warnings, contraindications, and monitoring parameters. - Includes animated versions of each of the 39 Mind Maps in the eBook. - An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. |
| acog practice bulletin 222: Avery's Diseases of the Newborn - E-Book Taylor Sawyer, Christine A. Gleason, 2023-03-20 Completely revised and updated, Avery's Diseases of the Newborn, 11th Edition, remains your #1 choice for clinically focused, cutting-edge guidance on the evaluation, diagnosis, and treatment of diseases of the newborn. Drs. Christine A. Gleason, Taylor Sawyer, and a team of expert contributing authors provide comprehensive, up-to-date coverage of every key disease and condition affecting newborns, keeping you current in this fast-changing field. You'll find the specific strategies you need to confidently provide care for this unique patient population, in a full-color, easy-to-use single volume that focuses on key areas of practice. - Reflects the latest developments on all aspects of newborn evaluation and management, featuring new content, new chapters, new contributors, and fresh perspectives from a new co-editor. - Brings you the latest on current topics such as perinatal/neonatal COVID-19, genomics and precision medicine, acute and chronic neonatal respiratory disorders, brain injury and neuroprotection, necrotizing enterocolitis, probiotics, palliative care, prenatal drug exposure, retinopathy of prematurity, and more. - Provides clinically relevant, practical guidance in concise, focused chapters that include summary boxes, suggested readings, and more than 500 full-color illustrations, micrographs, and photographs. - Contains the 2020 American Academy of Pediatrics and American Heart Association neonatal resuscitation guidelines and the 2022 American Academy of Pediatrics guidelines on the management of hyperbilirubinemia. - Serves as a reliable quick reference for clinical questions and an excellent resource for board review. - Any additional digital ancillary content may publish up to 6 weeks following the publication date. |
| acog practice bulletin 222: Maternal-Child Nursing - E-Book Emily Slone McKinney, Susan Rowen James, Sharon Smith Murray, Kristine Nelson, Jean Ashwill, 2021-09-03 - NEW! Next Generation NCLEX® (NGN) examination-style case studies expose students to how content will be tested in the exam; case studies are either single-situation or unfolding studies. - NEW! Updated Drug Guides summarize the latest information on medications. |
| acog practice bulletin 222: Peripartum Care of the Pregnant Patient Ashish C. Sinha, |
| acog practice bulletin 222: Hypertension - E-Book George L. Bakris, Matthew Sorrentino, Luke J. Laffin, 2023-08-29 Part of the renowned Braunwald family of references, Hypertension: A Companion to Braunwald's Heart Disease provides today's clinicians with clear, authoritative guidance on every aspect of managing and treating patients who suffer from hypertensive disorders. An invaluable resource for cardiologists, endocrinologists, and nephrologists, this one-stop reference covers all the latest developments from basic science to clinical trials and guidelines related to the treatment of common to complex hypertension. Now fully updated from cover to cover, the 4th Edition offers unparalleled coverage of hypertension in an accessible and user-friendly manner. - Thoroughly covers new treatment guidelines related to recent research and the latest physiologic understanding for a wide range of patients with hypertension and related co-morbidities. - Includes new chapters on Hypertension in Women, Mineralocorticoid Receptor Antagonists, Exercise and Hypertension, and Telemedicine/Digital Health. - Contains new or expanded content on epidemiology, pathophysiology, immunology, clinical findings, laboratory testing, invasive and non-invasive testing, risk stratification, clinical decision-making, prognosis, and management. - Provides new chapter summaries and a new focus on clinical and actionable content using a streamlined, narrative format. - Covers behavior management and prevention as an integral part of hypertensive and pre-hypertensive treatment plans. - Highlights combination drug therapies and management of chronic complications of hypertension. - Offers expert guidance from worldwide experts in cardiology, endocrinology, and nephrology, and integrates the most recent guidelines from leading organizations around the world. - Any additional digital ancillary content may publish up to 6 weeks following the publication date. |
| acog practice bulletin 222: Global Women's Health, An Issue of Obstetrics and Gynecology Clinics, E-Book Jean R. Anderson, Grace Chen, 2022-11-02 In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Jean R. Anderson and Grace Chen bring their considerable expertise to the topic of Global Women's Health. The goal of this unique issue is to explore some of the challenging health problems that affect women worldwide and to make a positive impact on the global health of women. Multinational authors provide up-to-date reviews that address key clinical issues and critical topics in the field. - Contains 13 practice-oriented topics including contraception and preconception care; interpersonal violence; quality care for women; interprofessional care in obstetrics and gynecology; surgical burden of disease in women; nonmedical factors that impact women's health; and more. - Provides in-depth clinical reviews on global women's health, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews. |
| acog practice bulletin 222: Netter's Obstetrics and Gynecology E-Book Roger P. Smith, 2023-03-28 For medical students, generalists, and specialists alike, Netter's Obstetrics & Gynecology, 4th Edition, provides superbly illustrated, up-to-date information on the conditions and problems most often encountered in OB/GYN practice. Classic Netter images are paired with concise, evidence-based descriptions of common diseases, conditions, diagnostics, treatments, and protocols. Large, clear illustrations and short, to-the-point text provide quick, authoritative access to expert medical thinking—perfect for gaining knowledge of this complex field, for everyday clinical practice, or for staff and patient education. - Features concise, exquisitely illustrated coverage of Anatomy and Embryology, Gynecology and Women's Health, and Obstetrics. - Contains more than 300 exquisite Netter images, as well as new, recent paintings by Carlos Machado, that provide a quick and memorable overview of each disease or condition. - Includes eleven new chapters, including Sexuality and Gender Dysphoria, Alcohol Abuse in Women, Anal Incontinence, Cardiovascular Disease in Women, Genitourinary Syndrome of Menopause, Hereditary Cancer Syndromes, External Cephalic Version, and more. |
ACOG PRACTICE BULLETIN - Preeclampsia
May 21, 2020 · This Practice Bulletin was developed by the American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins Obstetrics in collaboration with Jimmy …
ACOG PRACTICE BULLETIN SUMMARY - NPQIC
ACOG PRACTICE BULLETIN SUMMARY Clinical Management Guidelines for Obstetrician–Gynecologists NUMBER 222 (Replaces Practice Bulletin No. 202, December …
Management of Hypertensive Disorders During Pregnancy
ACOG Practice Bulletin 222 Obstet Gynecol 2020 • Weight loss and extremely low sodium diets (<100 mEGq/day) are not recommended for BP management in pregnancy
Society for Maternal-Fetal Medicine Special Statement: …
Gynecologists (ACOG) Practice Bulletin on gestational hypertension and preeclampsia notes that most women who present with postpartum eclampsia or stroke had warning symptoms for …
Aspirin for Pregnancy, Preeclampsia Prevention
1. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020 Jun;135(6):e237-e260. 2. ACOG Committee Opinion No. 743: Low-Dose …
Practice Guidelines - AAFP
Globally, hypertensive disor-ders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gyne-cologists (ACOG) has released a practice bulletin …
Key Advances: Hypertensive Disorders of Pregnancy
Gestational hypertension and preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020;135(6):e237-e260. doi:10.1097/AOG.0000000000003891. PMID: 32443079. …
Appendix E: Acute Treatment Algorithm Part 1: Diagnostic …
ACOG Practice Bulletin 203, 2019 This figure was adapted from the Improving Health Care Response to Preeclampsia: A California Quality Improvement Toolkit, funded by the California …
Educational Topic 18: Hypertensive Disorders in Pregnancy
ACOG Practice Bulletin 222. Gestational hypertension and preeclampsia. 2020. Available from: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/06/gestational …
PREGNANCY RELATED HYPERTENSION AND DIABETES
ACOG Practice Bulletin #222, Dec 2018 Ultrasound Obstet Gynecol 2012;40:373–82
ACOG PRACTICE BULLETIN SUMMARY - NPQIC
The purpose of these revised best practice recommendations is to provide a rational approach to chronic hypertension in pregnancy based on new research data and relevant pathophysiologic …
Nos. 23-235 & 23-236 - Supreme Court of the United States
Gynecologists (“ACOG”). Representing more than 90% of board-certified OB/GYNs in the United States, ACOG is the nation’s premier professional membership organization for obstetrician …
American College of Obstetricians and Gynecologists practice …
Objective: The purpose of this study was to review the American College of Obstetricians and Gynecologists practices bulletins to quantify the type of recommendations and references and …
Appendix E: Acute Treatment Algorithm Part 1: Diagnostic …
ACOG Practice Bulletin 203, 2019. This figure was adapted from the Improving Health Care Response to . Preeclampsia: A California Quality Improvement Toolkit, funded by the . …
ACOG PRACTICE BULLETIN
INTERIM UPDATE: This Practice Bulletin includes a limited, focused update to align with Committee Opinion No. 764, Medically Indicated Late-Preterm and Early-Term Deliveries, …
ACOG PRACTICE BULLETIN - Pritzker School of Medicine
Female sexual interest/arousal disorder is a new classi-fication that replaces the DSM-IV terms hypoactive sexual desire disorder and female sexual arousal disorder.
AIM Hypertension in Pregnancy Bundle: Treating Severe …
• ACOG Practice Bulletin 203 January 2019: Chronic Hypertension in Pregnancy • ACOG Practice Bulletin 222 June 2020: Gestational Hypertension and Preeclampsia sBP≥160 or dBP≥110, …
ACOG PRACTICE BULLETIN - medi-guide.meditool.cn
The purpose of this Practice Bulletin is to discuss the risk factors for postpartum hemorrhage as well as its evalu-ation, prevention, and management. In addition, this document will encourage …
ACOG PRACTICE BULLETIN - medi-guide.meditool.cn
This Practice Bulletin has been updated with information on the diagnosis and the management of thyroid disease in pregnant women and includes a new clinical algorithm on management of …
ACOG PRACTICE BULLETIN - Fertile Health, LLC
INTERIM UPDATE: This Practice Bulletin is updated as highlighted to clarify the guidance on the assessment of hCG levels after uterine aspiration in women with a pregnancy of unknown …
ACOG PRACTICE BULLETIN - Preeclampsia
May 21, 2020 · This Practice Bulletin was developed by the American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins Obstetrics in collaboration with Jimmy Espinoza, …
ACOG PRACTICE BULLETIN SUMMARY - NPQIC
ACOG PRACTICE BULLETIN SUMMARY Clinical Management Guidelines for Obstetrician–Gynecologists NUMBER 222 (Replaces Practice Bulletin No. 202, December 2018) …
Management of Hypertensive Disorders During Pregnancy
ACOG Practice Bulletin 222 Obstet Gynecol 2020 • Weight loss and extremely low sodium diets (<100 mEGq/day) are not recommended for BP management in pregnancy
Society for Maternal-Fetal Medicine Special Statement: …
Gynecologists (ACOG) Practice Bulletin on gestational hypertension and preeclampsia notes that most women who present with postpartum eclampsia or stroke had warning symptoms for hours …
Aspirin for Pregnancy, Preeclampsia Prevention
1. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020 Jun;135(6):e237-e260. 2. ACOG Committee Opinion No. 743: Low-Dose Aspirin …
Practice Guidelines - AAFP
Globally, hypertensive disor-ders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gyne-cologists (ACOG) has released a practice bulletin to...
Key Advances: Hypertensive Disorders of Pregnancy
Gestational hypertension and preeclampsia: ACOG Practice Bulletin, Number 222. Obstet Gynecol. 2020;135(6):e237-e260. doi:10.1097/AOG.0000000000003891. PMID: 32443079. What is the …
Appendix E: Acute Treatment Algorithm Part 1: Diagnostic …
ACOG Practice Bulletin 203, 2019 This figure was adapted from the Improving Health Care Response to Preeclampsia: A California Quality Improvement Toolkit, funded by the California …
Educational Topic 18: Hypertensive Disorders in Pregnancy
ACOG Practice Bulletin 222. Gestational hypertension and preeclampsia. 2020. Available from: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/06/gestational …
PREGNANCY RELATED HYPERTENSION AND DIABETES
ACOG Practice Bulletin #222, Dec 2018 Ultrasound Obstet Gynecol 2012;40:373–82
ACOG PRACTICE BULLETIN SUMMARY - NPQIC
The purpose of these revised best practice recommendations is to provide a rational approach to chronic hypertension in pregnancy based on new research data and relevant pathophysiologic …
Nos. 23-235 & 23-236 - Supreme Court of the United States
Gynecologists (“ACOG”). Representing more than 90% of board-certified OB/GYNs in the United States, ACOG is the nation’s premier professional membership organization for obstetrician …
American College of Obstetricians and Gynecologists practice …
Objective: The purpose of this study was to review the American College of Obstetricians and Gynecologists practices bulletins to quantify the type of recommendations and references and …
Appendix E: Acute Treatment Algorithm Part 1: Diagnostic …
ACOG Practice Bulletin 203, 2019. This figure was adapted from the Improving Health Care Response to . Preeclampsia: A California Quality Improvement Toolkit, funded by the . California …
ACOG PRACTICE BULLETIN
INTERIM UPDATE: This Practice Bulletin includes a limited, focused update to align with Committee Opinion No. 764, Medically Indicated Late-Preterm and Early-Term Deliveries, regarding delivery …
ACOG PRACTICE BULLETIN - Pritzker School of Medicine
Female sexual interest/arousal disorder is a new classi-fication that replaces the DSM-IV terms hypoactive sexual desire disorder and female sexual arousal disorder.
AIM Hypertension in Pregnancy Bundle: Treating Severe …
• ACOG Practice Bulletin 203 January 2019: Chronic Hypertension in Pregnancy • ACOG Practice Bulletin 222 June 2020: Gestational Hypertension and Preeclampsia sBP≥160 or dBP≥110, …
ACOG PRACTICE BULLETIN - medi-guide.meditool.cn
The purpose of this Practice Bulletin is to discuss the risk factors for postpartum hemorrhage as well as its evalu-ation, prevention, and management. In addition, this document will encourage …
ACOG PRACTICE BULLETIN - medi-guide.meditool.cn
This Practice Bulletin has been updated with information on the diagnosis and the management of thyroid disease in pregnant women and includes a new clinical algorithm on management of …
ACOG PRACTICE BULLETIN - Fertile Health, LLC
INTERIM UPDATE: This Practice Bulletin is updated as highlighted to clarify the guidance on the assessment of hCG levels after uterine aspiration in women with a pregnancy of unknown …
