Clinical Practice Guideline
- Perinatal Care
| Topic: Perinatal Care |
Date of Origin: April 1998 |
| Revised/Effective Date: October
2008 |
Next Review Date: October
2009 |
Recommendation Summary:
Asuris supports the recommendations of the
U.S. Department of Veteran Affairs, Veterans
Health Administration, DoD/VA for the management
of uncomplicated pregnancy.
Recommendations for perinatal care are also published
by the following:
- Institute for Clinical Systems Improvement
(ICSI) Healthcare Guideline: Routine Prenatal
Care
- American College of Obstetricians and Gynecologists
(ACOG) and the American Academy of Pediatrics
(AAP) contained within the Guidelines for
Perinatal Care, 6th Edition.
Although these recommendations are more consensus-based
than evidence-based, they are frequently used.
Please refer to the web sites listed below for
detailed information. Differences between
these sources should be discussed with your physician/provider
of care.
Web Site Link:
Note: the ACOG/AAP guidelines are not available
to the general public for viewing via the Internet.
Position Statement:
The DoD/VA guidelines are supported by Asuris
because they are based on scientific evidence,
and where evidence is lacking, on panel consensus
judgment. The strength of evidence supporting
each recommendation is clearly indicated. The
guidelines reflect the current standard of care.
- The panel members are recognized experts
practicing in a variety of professional settings.
- Recommendations are based on a well-defined,
comprehensive scientific literature search.
- Methods used to select appropriate scientific
literature are well defined.
- The methods used to critically appraise the
evidence supporting guideline recommendations
are transparent.
- The guidelines clearly state the strength
of the evidence for which recommendations are
based.
- Sources of funding: the United States
Government
Other guidelines
ICSI: These guidelines are supported by graded
evidence; however, the methods for selecting
and critically appraising the evidence are unclear.
ACOG/AAP: These guidelines are consensus-based.
Guideline Adoption and Recommended
Use:
This guideline has been adopted based on nationally
recognized sources. This guideline is based
on the most recent medical evidence or a consensus
on clinical treatment patterns by physicians
in the selected field of practice. Asuris
adopts guidelines to help practitioners and members
make decisions about appropriate health care
for specific medical conditions. Guidelines
are not a substitute for professional medical
advice.
Benefit Determination:
Benefit determinations should be based in all
cases on the applicable contract coverage. To
the extent that there are any conflicts between
these guidelines and the contract language, the
contract language will control.
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