HomeLatest NewsFederal NewsACOG releases new guidance on prenatal care delivery

ACOG releases new guidance on prenatal care delivery

The American College of Obstetricians and Gynecologists (ACOG) April 17 released guidance recommending a new approach to prenatal care delivery. The guidance calls for a potential reduction in the standard 12 to 14 in-person visits for pregnant individuals — traditionally scheduled regardless of risk factors — for a more personalized approach. Among other recommendations, the guidance calls for clinicians to screen patients for social drivers of health before 10 weeks of pregnancy; coordinate health and community assistance for individuals with unmet social needs; and offer telehealth services when necessary.

Summary

Obstetrician–gynecologists and other maternity care professionals should conduct a comprehensive prenatal needs assessment, including medical, social, and structural drivers of health, ideally before 10 weeks of gestation or when a pregnant individual first presents for care.

Obstetrician–gynecologists and other maternity care professionals should engage pregnant individuals in developing their care plans using shared decision making.

Obstetrician–gynecologists and other maternity care professionals should refer or coordinate assistance through the health system and community for individuals with unmet social needs.

Obstetrician–gynecologists and other maternity care professionals may adjust prenatal care delivery to be more accessible for pregnant individuals, especially for those with unmet needs.

Obstetrician–gynecologists and other maternity care professionals may tailor the visit frequency and monitoring schedule as determined by the medical and social needs of the pregnant individual.

Obstetrician–gynecologists and other maternity care professionals may offer telemedicine or other visit modalities as long as they support the completion of guideline-based recommended services.

Obstetrician–gynecologists and other maternity care professionals may individualize monitoring options for most routine parameters during pregnancy.

Read the full guidance here.

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