In case you missed it: Here are the top 5 posts this month.

News from ACOG 2017: Changing gloves before abdominal closure brings down the rate of wound infection by almost 50% in Cesarean Section.

Results of a randomized controlled trial presented at the ACOG 2017showed that changing the outer gloves before closing the abdomen decreases the wound complication of infection, cellulitis and dehiscence.

Wound infection after a cesarean section (CS) is a major cause of maternal morbidity, lengthy hospital stays and increased medical cost. The rate of surgical site infection after cesarean section range from 3% to 15%. 

https://obgynupdated.blogspot.com/2017/05/news-from-acog-2017-changing-gloves.html

CDC releases ‘long awaited’ guidelines for preventing surgical site infections.

The Center for Disease Control released it’s much awaited update to its 1999 guidelines for the prevention of surgical site infections (SSIs). The guidelines were published online May 3, 2017 in JAMA.

As the number of surgeries performed worldwide rise, so does the human and financial cost of treating this infection also rises as reimbursements for SSIs are often reduced or denied. It is estimated that 50% of SSIs are preventable.

https://obgynupdated.blogspot.com/2017/05/cdc-releases-long-awaited-guidelines.html

ACOG updates its recommendations for estimating gestational age and due date: May 2017

Accurate gestational dating of pregnancy is very important for optimal maternal and fetal outcome.Throughout pregnancy decisions like ordering and interpreting lab tests, determining fetal growth and performing intervention to prevent preterm births or post-term pregnancies and associated morbidities are based on accurate dating.

Estimated Due Date (EDD)and current gestational dating should be documented on medical records and discussed with the patient as early as possible based on dates of Last Menstrual Period(LMP) and earliest available ultrasound in pregnancy.

https://obgynupdated.blogspot.com/2017/05/acog-updates-its-recommendations-for.html

ACOG issues guidelines for obstetrics analgesia and anesthesia.

ACOG has issued clinical guidance for obstetricians and other healthcare professional for management of pain during labor and giving anesthesia for any surgical procedure required during labor.

The reviewed guidelines were published in Journal of Obstetrics & Gynecology, April issue.

https://obgynupdated.blogspot.com/2017/05/acog-issues-guidelines-for-obstetrics.html

Antenatal Corticosteroids administration just few hours before preterm delivery improves survival and health gains for the infants.

Imminent preterm labor, with no time to give antenatal corticosteroids? Still give it says the result of a large population based study.

Antenatal corticosteroids given few hours before an imminent delivery is effective in improving survival says results of a large population-based study of 4594 European infants born before 32 weeks’ gestation. This study was published on line today in JAMA Pediatrics.

https://obgynupdated.blogspot.com/2017/05/antenatal-corticosteroids.html