The Green Room: A Podcast from Obstetrics & Gynecology December 2024: Obstetrics
Nov 14, 2024
Dr. Naida M. Cole, an Assistant Professor and chief of the OB anesthesia division at the University of Chicago, dives into critical discussions on maternal health equity and the impact of healthcare policies on maternal outcomes. She highlights innovative approaches to managing uterine atony and postpartum hemorrhage, including insights from her research on second-line uterotonics. The conversation also addresses ACOG's recent guideline updates, particularly in shared decision-making for patient care, and the implications of recent clinical trials in obstetric practices.
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ACOG Revises RhIg Guidance For Early Loss
- Recent studies show very low risk of Rh alloimmunization after abortion or pregnancy loss before 12 weeks.
- ACOG updated guidance now suggests foregoing routine Rh testing and RhIG in these early losses with shared decision-making allowed.
Use Shared Decision-Making For RhIg In Early Loss
- Consider Rh testing and RhIG on an individual basis using shared decision-making for early pregnancy loss.
- Continue routine Rh testing and RhIG for Rh-negative, unsensitized patients at or beyond 12 weeks.
Early Research Sparked Career Focus
- Naida Cole described how she first encountered research on uterine contractility as a medical student studying carbetocin vs oxytocin.
- That early exposure motivated her focus on uterine atony and postpartum hemorrhage research.