OBJECTIVE To determine the degree of adherence to guidelines on the diagnosis of cephalopelvic disproportion (CPD) in Maharaj Nakorn Chiang Mai Hospital. MATERIAL AND METHOD The database ofpregnant women who underwent cesarean delivery due to CPD between 2010 and 2012 was reviewed The degree of adherence to guidelines on the CPD diagnosis was recorded The guidelines were from Royal Thai Colle...

In a recent review we expressed concerns about new guidelines for the assessment and management of labor recommended jointly by the American Congress of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM). These guidelines are based heavily on a new concept of how cervical dilatation and fetal descent progress, derived from the work of Zhang et al. In their...

BACKGROUND In 2010, the NIH and ACOG recommended increasing women's access to trial of labor after cesarean (TOLAC). This study explored access to TOLAC in California, change in access since 2007 and 2010, and characteristics of TOLAC and non-TOLAC hospitals. METHODS Between November 2011 and June 2012, charge nurses at all civilian California birth hospitals were surveyed about hospitals' TO...

A collection of Practice Guidelines published in AFP is available at http:// www.aafp.org/afp/ practguide. Perinatal depression is one of the most common complications of pregnancy, affecting one in seven women. It includes minor and major depressive episodes occurring during pregnancy or the first 12 months after delivery. The American College of Obstetricians and Gynecologists (ACOG) has rele...

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Background: Over the past decade, prevalence of opioid use disorder (OUD) in pregnant patients has increased by 131% with an associated increase pregnancy complications. Opioid agonist pharmacotherapy (OAP) methadone or buprenorphine is recommended ACOG for management OUD. The objectives our study are to compare incidence complications among who at time their delivery used OAP, OAP plus any add...

Recommendations for cervical cancer screening have had remarkable agreement from a number of medical societies, including the American College Obstetricians and Gynecologists (ACOG), Cancer Society (ACS), Cervical Colposcopy Pathology (ASCCP), US Preventative Services Task Force (USPSTF). Reference to recommended age may need be re-examined, in light current data regarding comparative age-relat...

conceptually traumatic brain injury (tbi) can be classified from a mechanistic perspective as: 1) closed, 2) penetrating, 3) blast, and 4) crush injuries. thus, tbi is a heterogeneous disease and each type of brain injury has different characteristic features often necessitating different approaches to management. the first edition of the guidelines for management and prognosis of penetrating b...

surgical site infections are one of the most important post-surgery complications. antimicrobial prophylaxis has been used routinely in surgeries to reduce infection incidence. however, inappropriate selection of antimicrobial agents or dosing can develop antimicrobial resistance, serious adverse reactions and prolong hospitalization. current study aimed to examine prophylactic antibiotic presc...