Use of Antenatal corticosteroids at 22 weeks of gestation (ACOG September 2021):
Gestation | Grade of Evidence | Recommendations |
20.0 – 21.6 | 1A | Antenatal corticosteroids are not recommended due to the absence of data to suggest benefit. |
22.0 – 22.6 | 2C | Antenatal corticosteroids may be considered if neonatal resuscitation is planned and after appropriate counseling |
23.0 – 23.6 | 2B | May be considered |
24.0 + | 1B | Antenatal corticosteroids recommended |
Research: A 2021 systematic review and meta-analysis that included 31 retrospective, observational studies of 2,226 infants who were delivered at 22 0/7 weeks to 22 6/7 weeks of gestation found that survival among infants born to pregnant individuals receiving antenatal corticosteroids was twice that of infants born to pregnant individuals not receiving antenatal corticosteroids (39.0% versus 19.5%; P<.01)
Screening for colorectal cancer: USPSTF (ACOG endorsed September 2021):
Recommendation | Grade of Evidence |
Screening for colorectal cancer in all adults aged 50 to 75 years. | A recommendation |
Screening for colorectal cancer in adults aged 45 to 49 years | B recommendation |
The USPSTF recommends that clinicians selectively offer screening for colorectal cancer in adults aged 76 to 85 years. Patients and clinicians should consider the patient’s overall health, prior screening history, and preferences. |
C recommendation |
Article link: https://jamanetwork.com/journals/jama/fullarticle/2779985
Osteoporosis Prevention, Screening, and Diagnosis (ACOG September 2021):
Recommendation | Grade of Evidence |
Prevention: recommendation of routine aerobic physical activity and weight-bearing exercise | Strong recommendation, moderate-quality evidence |
Screening and diagnosis: screen in all postmenopausal patients 65+ with BMD testing | Strong recommendation, high quality evidence |
Screen for postmenopausal patients <65 years who are at risk for osteoporosis from a clinical risk assessment tool | Strong recommendation, high quality evidence |
CDC STI treatment updates (July 2021):
Topic | Updates |
Gonorrhea treatment |
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Pelvic inflammatory disease (PID) treatment |
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Syphilis Screening |
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Hepatitis C Screening |
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Article Links:
https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf