Ob-Gyn Group Lists Procedures That May Not Be Needed2013-Mar-03
-- Robert Preidt
SUNDAY, March 3 (HealthDay News) -- Five tests and procedures
that obstetricians/gynecologists and their patients should question
the need for are outlined in a list released by the American
College of Obstetricians and Gynecologists (ACOG) as part of the
Choosing Wisely campaign.
The American Board of Internal Medicine Foundation-led campaign
involves about 35 medical specialty groups and is intended to
encourage patients and doctors to discuss appropriate care while
avoiding unnecessary tests and treatments. ACOG is one of 17
medical societies that recently released advice lists.
"We carefully selected the five procedures and tests in ob-gyn
based on their potential to improve quality health care and avoid
potential harm. As ob-gyns, our goal is to provide women the very
best evidence-based medical care," Dr. Hal Lawrence III, ACOG
executive vice president, said in a college news release.
Here are the ACOG recommendations:
- Elective, non-medically indicated inductions of labor or
cesarean deliveries should not be scheduled before 39 weeks'
gestation. Delivery prior to 39 weeks has been shown to be
associated with an increased risk of learning disabilities and a
potential increase in illness and death.
- Elective, non-medically indicated inductions of labor between
39 weeks' and 41 weeks' gestation should not be scheduled unless
the cervix is deemed favorable.
- Routine annual Pap tests are not needed in women aged 30 to 65.
In average-risk women, an annual screening offers no advantages
over screening every three years.
- Treatment is not needed in average-risk women who have "mild
dysplasia," which is associated with the human papillomavirus
(HPV), for a period of less than two years.
- For average-risk women with no symptoms, there is no need to
screen for ovarian cancer. In these women, the potential harms of
screening outweigh the potential benefits.
Here's where you can learn more about the
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