Dr. Chapa’s Clinical Pearls. SFP vs ACOG on EPL
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Jun 8, 2025 The podcast dives into the fascinating world of medical recommendations, highlighting how different societies interpret the same data uniquely. It contrasts the Society of Family Planning's guidelines on early pregnancy loss with those from ACOG, revealing four key differences. The discussion includes the implications of terminology in reproductive healthcare and how they affect clinical practices. Listeners will gain insights into evidence-based practices and the importance of understanding varied therapeutic guidelines.
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Society Guidelines Differ by Perspective
- Different medical societies may interpret the same data differently based on their values and experiences.
- This explains why SFP and ACOG have differing guidelines on early pregnancy loss management.
Early Pregnancy Loss Definition Varies
- ACOG defines early pregnancy loss as pregnancy loss before 12 weeks and 6 days.
- SFP extends this to 13 weeks and 6 days, covering the true first trimester.
Diagnostic Criteria Disagree Slightly
- Diagnosis criteria differ slightly: ACOG uses a 7 mm crown rump length with no heartbeat.
- SFP acknowledges 5 mm as 100% diagnostic certainty, allowing flexibility with patient preferences.