Researchers began reporting on the effectiveness of these guidelines in 1994. New studies related to the guidelines have been published each year and are summarized in the next section. ACOG guidelines suggest discussion of laboratory tests, options for intrapartum care, office policies, roles of providers, alternate physician coverage and costs. ACOG technical bulletin no. 124. This bulletin advises obstetricians to become active in providing information on family violence to all pregnant patients.
Pregnancy is a risk factor for initiation or escalation of domestic violence.
Information on proposed prenatal and birthing care plans. These recommendations reflect the US Public Health Service guidelines. The Canadian guidelines give additional attention to health education allowing the pregnant woman to recognize complications of pregnancy early and instigate treatment where appropriate. Specific conditions are emphasized including preterm labor, premature rupture of membranes, bleeding during pregnancy, hypertension, fetal movement. Also, the guidelines urge physicians to encourage patients to participate in health education and prenatal classes.