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https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
Background. In 2011, one in three women who gave birth in the United States did so by cesarean delivery 1.Even though the rates of primary and total cesarean delivery have plateaued recently, there was a rapid increase in cesarean rates from 1996 to 2011 Figure 1.Although cesarean delivery can be life-saving for the fetus, the mother, or both in certain cases, the rapid increase in the rate of ...
http://apecguidelines.org/wp-content/uploads/2016/07/APEC-TWIN-6-2017.pdf
APEC Guidelines Twin Pregnancy . Alabama Perinatal Excellence Collaborative . This document should not be construed as dictating an exclusive course of treatment or procedure to be followed. Guideline 17, version 3 Page 5 of 6 6/30/2017 • Women with one previous low transverse cesarean delivery, who are otherwise appropriateFile Size: 168KB
https://www.obgproject.com/2019/01/30/acog-recommendations-when-to-deliver-medically-complicated-pregnancies/
ACOG and SMFM have released guidance on the timing of medically indicated late-preterm and early-term deliveries, based on maternal, fetal and placental complications ... ACOG states; Timing of delivery should be individualized based on prior surgical details (if available) and the clinical situation ... ACOG Preeclampsia Guidelines: Antenatal ...
https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/for-medical-professionals/twin-pregnancy-obstetric-care-guidelines
Twin Pregnancy Obstetric Care Guidelines ... of vaginal progesterone for shortened cervix in twin pregnancies is controversial and it is currently not supported by ACOG and SMFM. ... Immediate delivery after the demise of a twin in the late second or early third trimester has not been shown to be of benefit for the other twin.
https://www.contemporaryobgyn.net/acog-annual-meeting/intrapartum-management-second-twin
These trends may be due, in part, to a comprehensive program at the institution that entails patient counseling, staff simulation training and an available team for twin deliveries. A practical, hands-on approach to intrapartum management of the second twin was presented at the 2018 Annual ACOG Meeting in Austin.Author: Bob Kronemyer
The American College of Obstetricians and Gynecologists is the premier professional membership organization for obstetrician–gynecologists. The College’s activities include producing practice guidelines for providers and educational materials for patients, providing practice management and career support, facilitating programs and initiatives aimed at improving women’s health, and ...
https://www.ncbi.nlm.nih.gov/pubmed/24785876
ACOG Practice Bulletin No. 144: Multifetal gestations: twin, triplet, and higher-order multifetal pregnancies. American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine. The incidence of multifetal gestations in the United States has increased dramatically over the past several decades.Author: Gynecologists
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
Yang Q, Wen SW, Chen Y, et al. Occurrence and clinical predictors of operative delivery for the vertex second twin after normal vaginal delivery of the first twin. Am J Obstet Gynecol 2005; 192:178. Yang Q, Wen SW, Chen Y, et al. Neonatal death and morbidity in vertex-nonvertex second twins according to mode of delivery and birth weight.
https://m.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Mode-of-Term-Singleton-Breech-Delivery
Planned vaginal delivery of a term singleton breech fetus may be reasonable under hospital-specific protocol guidelines for both eligibility and labor management. There are many retrospective reports of vaginal breech delivery that follow very specific protocols and note excellent neonatal outcomes.
https://www.aapc.com/discuss/threads/billing-for-twin-deliveries.1973/
Jan 26, 2008 · However, if the c-section delivery is significanbtly more difficult, you might have an opportunity to add modifier 22. ***According to ACOG, to add modifier 22 if delivery is significantly more difficult as compared to a single gestation pregnancy.*** One Vaginal and one cesarean 59510 or 59618 for twin B and 59409-59 or 59612-59 for twin A.
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