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Revised ACOG Recommendation Adds “Fourth Trimester” to Postpartum Care

On April 23, 2018, ACOG released a revised Committee Opinion that integrates a “fourth trimester” into postpartum care for mothers.  The prior recommendation of a single visit within the six weeks following delivery is replaced with an ongoing process of an initial assessment within three weeks and a comprehensive evaluation within 12 weeks.

Discussions with patients should begin during pregnancy. Issues providers should address with patients include the following:

  • mood and emotional well-being,
  • contraception,
  • sleep patterns,
  • chronic disease management and
  • infant care and feeding.

ACOG’s goal is to reduce morbidity and mortality of mothers following childbirth through the provision of an all-inclusive care plan and a designated care team.

MLMIC encourages all providers who care for women during pregnancy and following childbirth to review the opinion and incorporate these recommendations into their practice.

Posted in Hospitals, Physicians

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