Choosing Wisely: Five Things Physicians and Patients Should Question
In February 2014, the Society for Maternal-Fetal Medicine (SMFM) released its list of “Five Things Physicians and Patients Should Question” in high-risk obstetrics as part of the Choosing Wisely® campaign, led by the American Board of Internal Medicine (ABIM) Foundation. SMFM’s list includes five evidence-based recommendations that can support maternal-fetal medicine subspecialists and their patients in making wise choices about their care. The items included in the list were developed by the SMFM Publications Committee based on a review of the literature and evidence from SMFM’s published documents.
Five Things Physicians and Patients Should Question in high-risk obstetrics
- Don’t do an inherited thrombophilia evaluation for women with histories of pregnancy loss, intrauterine growth restriction (IUGR), preeclampsia and abruption.
- Don’t place a cerclage in women with short cervix who are pregnant with twins.
- Don’t offer noninvasive prenatal testing (NIPT) to low-risk patients or make irreversible decisions based on the results of this screening test.
- Don’t screen for intrauterine growth restriction (IUGR) with Doppler blood flow studies.
- Don’t use progestogens for preterm birth prevention in uncomplicated multifetal gestations.