Today, more than a third of the adult population, 36.5 percent, is affected by obesity. The number of adults who are affected by severe obesity continues to rise. It’s time for a change in obesity care. With severe obesity on the rise, our nation, led by the health care community, must attack this disease from multiple angles and unite to overhaul the treatment of obesity. ACOG recognizes the important role that obstetrician-gynecologists play. Ob-gyns often meet their patients at a young age, when obesity is less likely to be an issue. Therefore, we are in an ideal position to help educate women and provide counsel on the importance of a healthy lifestyle and fighting obesity.
The 2nd Annual National Obesity Care Week (NOCW), October 30 through November 5, seeks to ignite a national movement to ensure anyone affected by obesity receives respectful and comprehensive care. ACOG is proud to join the Campaign, which was founded by The Obesity Society, the Obesity Action Coalition, Strategies to Overcome and Prevent Obesity Alliance and the American Society for Metabolic and Bariatric Surgery.
As ob-gyns, we know the important role that vaccination plays in the health of mother and baby. It is one of our best options in reducing their chances of morbidity and mortality from vaccine-preventable diseases. Additionally, vaccination helps prevents the spread of certain infectious diseases.
The fall is usually when we start reminding women to get their annual flu vaccine, especially if they are pregnant. However, recent reports of whooping cough (pertussis) and measles exposure underscore the need to discuss other vaccinations with our patients. August is National Immunization Awareness Month and a great time to talk to your pregnant patients about immunization.
Larry Maxwell, MD, FACOG, COL(ret) U.S. Army, Director of the Globe-athon to End Women’s Cancers
Global statistics from the International Agency for Research on Cancer indicate that in 2012, gynecologic cancers accounted for 16% of the 6.6 million estimated new cases and 14% of the 3.5 million cancer related deaths among women. That means that 1 million women will be diagnosed this year with cancers below the belt and a woman will lose her battle with this disease almost every minute of every day. Cervical cancer accounted for 527,000 new cases and for 239,000 deaths. Although cervical cancer is the fourth-leading cause of cancer related death across the globe, it is the number one cause of cancer related deaths in some parts of Africa. Prevention of cervical cancer with the HPV vaccine is one of the best strategies to address the increasing problem of cervical cancer, particularly for low income countries. Unfortunately, only one third of eligible girls have received all 3 doses of the HPV vaccine in the U.S. This lack of compliance is increased among underserved groups such as African Americans. Public mistrust of the HPV vaccine has been fueled by information that is often misleading. The Vaccine Adverse Events Reporting System, a national database maintained by the CDC, has analyzed severe events and not found any causative relationships. In order to optimize public opinion and enhance compliance, it’s important to clarify additional misperceptions about the safety of the vaccine.
When I assumed the presidency in May, I promised to work on behalf of our patients, our doctors and ACOG. Not quite halfway through a very busy year, I wanted to give you a progress report on my activities.
ACOG Celebrates National Immunization Awareness Month
Every year, thousands of adults in the United States suffer serious health problems, are hospitalized, or even die from diseases that could have been prevented by vaccination. To celebrate the importance of immunizations throughout life – and to help remind adults that they need vaccines, too – ACOG is recognizing August as National Immunization Awareness Month. This is the perfect opportunity to make sure adults are protected against diseases like whooping cough, tetanus, shingles and pneumococcal disease. Let’s not forget the flu either, as flu season is right around the corner!
Come gather ’round people…
…If your time to you’s worth savin’
Then you better start swimmin’ or you’ll sink like a stone
For the times they are a-changin’ ~Bob Dylan
I began my ACOG Presidency this past Wednesday by reciting some of Bob Dylan’s famous verse from the 1960’s. It rings true today, especially in medicine and our specialty as obstetrician-gynecologists.
As the times change I thank our now past-president, Dr. John Jennings, for his leadership and friendship during this past year. With the counsel of his past president, Dr. Jeanne Conry, John tackled some of the very difficult issues facing our practices and our workforce. I will continue his fine work and advance it on behalf of our patients, our specialty and our organization, ACOG.
Once again, Angelina Jolie Pitt is shining a bright spotlight on women’s health.
On March 24, Ms. Jolie Pitt wrote an op-ed piece for the New York Times in which she announced her decision to have a risk-reducing laparoscopic bilateral salpingo-oophorectomy (removal of her ovaries and fallopian tubes.) This is following her decision to undergo a preventive double mastectomy in 2013, after learning through genetic testing she carried a BRCA1 gene mutation.
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
National Women’s Health Week, led by the U.S. Department of Health and Human Services’ Office on Women’s Health, starts on Mother’s Day, May 11. The goal is to empower women to make their health a priority.
For ob-gyns, it’s a great opportunity to help our patients and communities learn more about what it means to be a well woman.