According to the CDC, birth defects affect 1 in 33 babies in the US every year, and 18 babies die each day as a result of a birth defect. Some are caused by genetic factors such as Down syndrome or sickle cell anemia. Others are caused by certain chemicals or drugs, including alcohol and tobacco. Unfortunately, however, the cause of many birth defects is not yet known.
Workforce issues in women’s healthcare continue to be a primary concern for ACOG.
A recent survey of 20,088 physicians conducted by the Physicians Foundation, a non-profit research organization, found that increasing workloads, regulatory requirements, and other changes in the healthcare system are prompting physicians to make career changes. It found that 81% of physicians described themselves as either overextended or at full capacity. Although these findings are not specific to our specialty of obstetrics and gynecology, it can be assumed that many ACOG Fellows have similar opinions.
In recent years, we’ve made great strides in encouraging vaccination in pregnant women. During the 2009 H1N1 pandemic, influenza vaccination rates in pregnant women increased from 15% to around 47%. Since then, rates have been sustained around 50%, increasing to 53% in the 2013-14 flu season. However, there are still patients who choose not to be vaccinated, possibly due to misinformation about vaccines.
December 1 is World AIDS Day, an opportunity to bring awareness to the fight against HIV and AIDS. This year, the focus of the UN AIDS campaign is “closing the gap,” which means providing prevention, treatment, care, and support services to all people.
Women, particularly young women and pregnant women, are often more at risk for and more affected by HIV. Most cases of HIV infection in women are diagnosed in the reproductive years. According to UN AIDS, in 2013, almost 60% of all new HIV infections among people aged 15–24 occurred among adolescent girls and young women.
November 9-15 is National Nurse Practitioner Week, an event designed to recognize the contributions that nurse practitioners (NPs) make to our health care system. According to the American Association of Nurse Practitioners (AANP), there are more than 192,000 NPs practicing in the US today, approximately 8% of whom focus on women’s health.
In order to deliver the best health care, ob-gyns must develop strong relationships with our patients. We need to discuss sensitive issues in the exam room, including sexual health, family planning, mental health, and domestic violence concerns. Keeping the line of communication unhindered allows physicians to provide the needed information to keep patients healthy.
That’s why a Florida law called the Firearm Owners’ Privacy Act, or the “physician gag law,” is so troubling. Continue reading
As ob-gyns, we are entrusted with protecting women’s health, including providing preventive health care services. During an annual well-woman visit, each of us has an opportunity to discuss many topics: contraception, reproductive health, cardiovascular risk factors, healthy eating, exercise, smoking cessation, and more. It’s also an important time to discuss and provide necessary immunizations.
The Centers for Disease Control and Prevention and ACOG recommend vaccinations for adults throughout life. However, data from its National Health Interview Survey show that adults are not getting the immunizations they need. Continue reading
The value of the Medicaid program in ensuring care for low income women and families cannot be overstated. Nearly one out of every five woman in the US (19%) is insured by Medicaid. Yet the importance of the Medicaid program is undercut by the current biased payment system. Continue reading
For most of my career, I have been able to care for women without fear of major complications or death from abortion. However, I have not forgotten those days when safe abortion was generally unavailable. I was delighted when I delivered my first baby in 1968. But at that time in our history, the exciting events of bringing babies into this world were often countered by the tragedies of illegal abortion. Continue reading