The introduction of cell-free DNA screening for aneuploidy into obstetric practice in 2011 revolutionized the strategies utilized for prenatal testing. The purpose of this document is to review the current data on the role of ultrasound in women who have undergone or are considering cell-free DNA... Continue Reading
Publications & Guidelines
Access joint publications and statements from SMFM
Since 2004, the Publications Committee has been charged with developing and publishing various publications, including the SMFM Consult Series and the SMFM Clinical Guidelines series published in the American Journal of Obstetrics & Gynecology. The Publications Committee collaborates with other Societies and Colleges to develop joint publications and statements, as appropriate. The Committee plans topics, selects authors, and reviews each completed paper before it is submitted for an internal SMFM review process and then for publication. All Committee members have filed conflict of interest statements with SMFM. Any conflicts have been resolved through a process approved by the Executive Board. To facilitate transparency in SMFM's guideline development process, a brief overview of the key stages in development is provided here. Feedback for SMFM Publications is welcome at pubs@smfm.org
Acetaminophen is the most widely used medicine during pregnancy. While the rate of use in pregnancy is difficult to determine because it is an over-the-counter medication, large surveys have reported that 40–65% of pregnant women use acetaminophen at some time during their pregnancy. The... Continue Reading
Heath care measurement and evaluation is an integral piece of the health care system. The creation and assessment of care performance metrics are important and relevant for the obstetric community including both clinicians and patients. Careful deliberation is required to create a measurement... Continue Reading
This report describes the development of a measure of low-risk cesarean delivery by the Society for Maternal-Fetal Medicine (SMFM). Safely lowering the cesarean delivery rate is a priority for maternity care clinicians and health care delivery systems. Therefore, hospital quality assurance... Continue Reading
Chromosomal microarray analysis is a high-resolution, whole-genome technique used to identifychromosomal abnormalities, including those detected by conventional cytogenetic techniques, aswell as small submicroscopic deletions and duplications referred to as copy number variants. Becausechromosomal... Continue Reading
This document builds upon recommendations from peer organizations and outlines a process for identifying maternal cases that should be reviewed. Severe maternal morbidity is associated with a high rate of preventability, similar to that of maternal mortality. It also can be considered a near miss... Continue Reading
Diagnosis/definition: Primary Infection: After suspicious ultrasonographic findings (e.g echogenic bowel, cerebral ventriculomegaly and calcifications, and IUGR)- testing for maternal CMV infection For women suspected of having primary CMV infection in pregnancy, diagnosis should be either... Continue Reading
Diagnosis/definition: Triad of sudden hypoxia and hypotension, followed in many cases by coagulopathy, all occurring in relation to labor and delivery DDX in any women with sudden cardiovascular collapse or cardiac arrest seizures, severe respiratory difficulty or hypoxia, particularly if... Continue Reading
Download PDF TAGS:prenatal testing, prenatal diagnosis, genetic CATEGORIES:OB-GYN, Sub-specialist, Certified Nurse Midwife and Laborist Fetal Issues and Complications Joint Publication Continue Reading
Diagnosis/definition: The diagnosis of the chronic carrier state is confirmed with persistence of HBsAg and the absence of hepatitis B surface antibody (HBsAb). HBsAg and HBsAb do not coexist.Start with maternal HBsAg. HBV core ab is produced secondary to infection (never from... Continue Reading
The incidence of multifetal gestations in the United States has increased dramatically over the past several decades. The rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (). The rate of triplet and higher-order multifetal gestations increased more than... Continue Reading