Issuu

2024

ANNUAL REPORT

ABOUT ACOG Founded in 1951, ACOG is the premier professional membership organization for obstetrician–gynecologists. The College produces practice guidelines for health care professionals and educational materials for patients, provides practice management and career support, facilitates programs and initiatives to improve women’s health, and advocates for members and patients. With more than 60,000 members spanning the entire career life cycle, ACOG is composed of 12 Districts. These Districts are made up of 93 Sections. ACOG’s Districts and Sections represent various regions, countries, territories, and states in North and South America. ACOG Fellows are board-certified obstetrician-gynecologists whose professional activities are devoted to the practice of obstetrics and gynecology, who possess unrestricted licenses to practice medicine, and who have attained high ethical and professional standing.

Mission ACOG’s mission is to support our members to improve the lives of all people seeking obstetric and gynecologic care, their families, and communities.

Vision ACOG’s vision is an equitable world in which exceptional and respectful obstetric and gynecologic care is accessible to all.

Core Values Excellence Integrity Accountability Respect Equity

TABLE OF CONTENTS LETTER FROM THE ACOG PRESIDENT AND CHIEF EXECUTIVE OFFICER 2 CLINICAL PRACTICE 3 NATIONAL PROGRAMS FOCUSED ON MATERNAL, GYNECOLOGIC, AND PERINATAL HEALTH AND IMMUNIZATION

HEALTH AND PAYMENT POLICY 14 ADVOCACY AND GOVERNMENT AFFAIRS 16 PROMOTING EVIDENCE AND TRUTH ABOUT REPRODUCTIVE HEALTH 22 PUBLICATIONS AND PRODUCTS 26 OBSTETRIC AND GYNECOLOGIC EDUCATION

ACSM 30 EDUCATING PATIENTS AND THE PUBLIC

MEMBERSHIP

DISTRICTS AND SECTIONS

2024–25 COLLEGE BOARD OF DIRECTORS

ACOG FOUNDATION 47 OUR SUPPORTERS 52 FINANCIAL SUMMARY

LETTER FROM THE ACOG PRESIDENT AND CHIEF EXECUTIVE OFFICER

Dear ACOG family and valued supporters, Over the last year, we at ACOG worked to empower our members to sustain, maintain, and pursue rewarding practices as ob-gyns and support them in their efforts to provide compassionate, patientcentered care in their communities. Ob-gyns care for their patients across their life span; provide critical high-risk obstetric care and prevention and treatment of gynecologic malignancies; fulfill people’s dreams of growing their families; and facilitate fertility treatments, all in an increasingly challenging environment. This is no small task, as the practice of obstetrics and gynecology has never been more complex. However, we remain undaunted in our commitment to you, as we know how important our specialty is to the health and well-being of people and families. As ACOG implements innovative approaches to make meaningful improvements in our members’ practices and careers—and, concurrently, in our patients’ health and lives—we also seek to continuously provide a community for our members on which they can rely for support, training, networking, and professional development. We partner with our members to advocate for equitable payment; the sanctity of the patient–physician relationship; and combat misinformation to promote science, evidence, and the truth. We who are drawn to the field of obstetrics and gynecology share a calling. By recognizing the purpose that drives us all, we create a community that is supportive, uplifting, inspiring, and sustaining. As we near ACOG’s 75th anniversary, we reflect on the enduring commitment of our organization to our members and their patients. It is our goal for all of our members—across all practice models, settings, and stages in their careers—to find, maintain, or rediscover joy in the practice of medicine and for their patients to be able to receive the comprehensive, evidence-based care that they need. We will continue to do our best to pave the way for that to happen. Looking back at 2024, we are humbled by all that we were able to achieve through collaboration with our membership, with partners who share our commitment to advancing patient care, and with other stakeholders who are driven to achieve a more sustainable environment for obstetric and gynecologic care. We look forward to continuing this critical work together.

Stella Dantas

Stella Dantas, MD, FACOG 75th ACOG President “Our ACOG community is dynamic, dedicated, and inspiring. ACOG is strengthened every day by the work we do for—and with—our members.” 2

Sandra E. Brook s

Sandra E. Brooks, MD, MBA, FACOG ACOG CEO “It is my deep honor and privilege to lead this highly respected organization with our deeply committed leaders and staff. Our focus on our mission is unwavering.”

tive Narra

psia Original lamResearch Preec Rese Late-Preterment Ante deciarch for natal Stero ids atm eLe , and tre ssary, to pr driguez Redu ation ction liz nece of may atal en Ro Valid tter hospita ery, when ations. Neon M. Hell orm , and tures ere to inf pedite deliv l complic na ere fea irato ex ev critical d toResp ter ry ns sev Com W ma plications ith ity of Bir th d an a no gestasions al death an clampsia wi eded by ing ec fet lud ee H pr A inc en pr vent severe izedy,Contro ugh Random Mate ospit th Cert Trial Altho ly, it is oft pregnanc without lled thout of al if or wi mpsia sudden disorder rnal arise preecla nsion with tients are ive Yenuberi, ns Hilda ion, pa , Mor Dischar icate Da Alison hyperte hypertens Such Ross, to ev,al-Richa Sasmita Tirkey, hyperte Benjamin y , Santosh Joseph Benjamin, nc nic l . Swati ro Rathore, bidit, t g ch , RekaofKaruppusa tiona blood , Aadarsh pregna t ofmi, Scott , Gemmill mpsia Lal, es, orJiji Elizabeth A.Niranjan preecla lasMathew, t half , essmen visual disLorch , Thomas, y an e Data ina Comp featur and , posed , in the gh ass , , , Molly Pa throu , headache (eg, liver superim spitalized d Dis a es K ss aty B ho featur s (eg eters used . Koz arella, often severe symptom parit Reportinred param ations are himan , have uate fore, clinical atory nil, Ciaran S. labor These evalu yet they rse ies g s, ve pressur es), and Phibbs , Suza unt). cision se and ad nc nL , al de telet co ea turba ers in

ark Biom

Revie

d are ggenic m in Apngio Co pordtM. Burwick, , a t ar e Da in R sRich , te ica ata itie , , Leonard rtif rge D ispar tt K. Mteainphanie A. e C ha D llio and S E r h , e , sc nd irt Lett rch f B l Di ty a S. Phibabrms, ichael, sea .C Re ran ty o ita idi idi Hosp orb lla, , Cia, Suzan L l a V ith al M assare annil, nd )a l W tern , MollBy. PKozhim MM nica y (S se cli ntrol n idit o Ma emmill,, , Katy orb inte ase C istra in e l m red n MD

MPH

7,8

nal mater tely to t the ortiona throughou nic hD prop ge tesP dis mortality angio s ntribu d sia is month psia co rbidity an eeclamp MD s to MD lam nic DM 9,10 Preec onatal mo iver of pr ent week angioge MS d es MS dr MS ne lt-1) erive MSc en pr tical and 1 (sF MSc ll, centa-d is oft rapla . A cri PhD MD FRACP kinase eful as oe MS world ce, which Ov birthtyrosine proved us se. Tw MD lan sia. ike n have s. fms-l mp imba overt disea e e preecla tion tioGFr ), riti le th za(Pl e PhD PhD tra for so palubst hinfacator befor li nis MS ts rs, fo is mi e OBJECTIVE: tes d rket To evaluate the efficacy of antenatal od wtospitnousti atec cial Drug Ad prediction l gro biomaouce cortim ized hprogeq A grto either one course of intramuscular costeroids in reducing neonatal th bpla onta PhD the raand re wi a in d d e ow d n betamethaso respiratory complicaan d an a Food ne aid me ing nu th m or placebo. data tions when administered to The ces egn primary outcome was a composite reostic h s of U.inS. ciateF assay to among wo PhD mbe , de 11,12 those at risk s.of nic . Car ren dia week of w wit theare sso/P lG preterm es r of s, pla treatment m ek nt cliand 36 iterespiratory ere dis d we orbi spfor micha , Elliott the 24–34 between dntly,lone dsFlat-1 featur stdistress zyme im infe ties rece data udie in the neonate, defined as porta 34ed endelivery MS weeks dity ict sev6/7ys an of gestation. K. M aed the a n severe egnancy at summarize ibe el, Ph -q s w us ispari mpRe need a ke pr th for ar ua oxygen an he da o ov hD or e us airway to ma lit y co positive d as continuous ai ther e P D, an ata itympsia wi rs of pr toMETHODS: uent descr , we single-center, co apdpr on soci triple-blind, random- mmechanical ed conc abilityThis was idcla bsaeq ncer ing birth pressure or d Step n, MD, al dplacebo-cont orbi ventilation su orde tive review oval and at nic for ite err Whit ata icate of oprrbee at ized, lu least dis ns ed cli 2 the hours di sio lim in the certfirst 72 rolled trial in southern , to hanie d ive ty rra d in appr di s in ns in ck– behours ifica re stud incl twee of ,life. Neonatal rtif al m pertens secondary te mente A. Leo this na g to this pregnant tcome participants at risk of preterm Indiareenrolling out spar te outcomes in er s ities udin ab ize ca y mtransient ple were ou In n 2) im tim Bla ifica th ce tern hy tio bi Us th n. at . atu delivery din g Bl op tachypnea rone between e in nard, erna We in of the newborn, a g lin rth sta59–6 05wo re Fe 497 rk lea 34 and 36 6/7 weeks of gestation. . may be to help Blac cide distress te ge exsyndrome, cert . Bir f m PhD orfrom ked cert ifica ack–respiratory Seve PhD amin l ratio re k–W ous infe 43:4 00 mpsia Computer-generated nce Whi F of ica al necrotizing re, ith o ;1 cla asu lG ta enterocolitis, if te bi W dy mo hi te di /P ed 00 of m me block randomization was cert renc Calif rth ce pree dasepsis, or sia da ies on ta an hyperbilirubin 2024 bo00 the sFlt-1 we glycemia, s. ifica te disp ctive aterhypocert atern d spar emia, D rtificearly randommes in clamp used with participants more erstillbirth, ud ritie ecol .00000 ariti es abou d ho death; mm Hg or te da foun orni nal w adjun and M th ee iti a tco da e 0 neonatal ho st Pr an es ou at an ir m a 16 es e maternal ta is Hg sp G rch d e an , di sect di b G d M . yn ta co y amin al w pa eteas rn egaad rnverse re of 110 mm less antihypbirth ondary ad)m f pote or ffer Box 1. spar d ho italizat at m r D 515in–23 ichiga chorioamnion See related editorial o ng ud were stud Birth ce dis stet G 7/AO cert thoutcomes son mpa ere mor practic a reduc 465. (un pressu reonofpage fo itis, iopostpartum ities s o b sp 43: re at usi to st e ex atern r ie ifi n m rt a od n 09 9 e re ita art b er 4;1 po 32 la s da rs ca ifi Ali tt A. L hemorrhage, . /rte h cote mod rs g d w nal fever, fo liz of ca puerperal ta. g l 202 MM 000 r 20 (O di m pressu lic blo urs ap W are s, to055 10.1 iffe s time) ered totiesGy length d an te da est in Overall, ith mor and ion hospitalizatio neen van de10 18 (Nof at ta al n. sparities materna te data ica durin usin d s S000000 ive dis ies cern ties. e of s, d ata. Systo lic blood at least 4 ho before thi s than 1003 greeAll analyses OI: th ri C bi da d se tet e Sco d ns .00 th d a were di e D bs ta based on al ha e 5 (O fi rte c e d on . l sto OG ty mto treat.54A3,sample size bste p 1 Th 7/A in g n pe one hosp in ted ns birth e arintention mor n ng dia tie on d ta fers byofof unde ve po is(O stu con pari fie sis ahy unt les 109 enti 46 easu caofsioObstetrics t Gy 21 ar bidi a ari is initiaGynecology, ide of betw 1,200 was h nancies From or va nti noing let co Neonatology, ted for enti d d DO su rrepplanned neco with e80% ty an e inad italizat io resdetect9)a, 30%DOI: , the Departments of currin -th st.I: 10. two oc the rapy iaand ) id er uality d dis e inc disp lizati on d 9), (plate witpreeg concernstatistics, tant to and Bio-rmally een idereaiaten or tin l 2024 lidity bspower rev ciate tere g ofta all 10.10 usin equa e n coun c a life Christiansiv d as a enVellore, reduction 6 ti College, mb ially Blacin rates DC st 1 ois o no g inrespiratory India; re g 97/A . Fudistress. ;143:4 ten Medical b alth a cn he te fo not acServices, soci abJoan nu ata-q ciate ut th hite spit liza k an of g to 3,4 Kirner Women’s unde bocytop at Sunshine thaand OG. a planned bi ass cy in on (C at lea mp t isNewborn rther After s d3–4% sia rs alicate s (to 59–6 and ated r a n ldpubli romChildren’s ted byand t ributed Department ents Fro 0000 interim ing e d asso abo k–W d ho spita 554 usin rli 2) analysis, d rzy icaAlbans, Whi rthwas mfor mme tompisease atioba enrollment of Th the racial ) c bles aatt 0000 ction Hospital, ore,futility. indSt. aco the stopped Obstetrics and Gynecology, po enti on reegclaevtha s er en te in cert (N ifi e an ho Hoco row spit d mor0000 ns ncenDetra lac er fun University D It isaalizglo mplel de Melbourne, partm the pkins L) and asof ns of liv Melbourne, dividu cate da reve in der indict of.1,2 5497 ilaathnne ononatal Victoria, A g , de y an lusio g B data and 2018 easure und the and Prev based tenor tomor ent ired liv gnoses BloRESULTS: tio rmal Depa ad nt ran ta di Saternaava an ere Australia. ntes ospit0 ma als an 2022, y ta a hese d tiSta berg of PoFrom qurtment pulat March 2020 to August Impa ative dia concentra r limit norigDa f- partic- asso ing seve st, en sevThe IRB al atiod awh ht vis da rbidit conc cludin icate icate for y m ntiall ore, difand data -thre 2 TUn ,00tient date iteica o anl h70 d re 847 Sch ily rnrm of Christian ion, ofipants pe ern Medical y r ci od College, Ped tr ool y were re n up Vellore, if it alt recruited, pe at provided 3,4 s r Ins Fa an M a the su o a a n the use employment of the funds iat with n ed di up were used m on . the d po lts toward nia on Inpally.t re insig fo icacontl m ethe y, in cert certif higa rbid bst herm data lts ati ted blo nt that ssif reatitha te oftio rics, Ch of Publi mily and 423 participants randomized tive y life erythe research , Philatitu icepurchasing ca stepackaging spariti aternal entra licy twfor elevaassistant to ati He y 1)in be ildren nec and o betamethaso methedic ncdel n and l nu no reatese ,nif -h v wi persiand thla mo s.5,6 Healt 424Reparticipants alt study an C an ll b era to drug. pro co 3 N siana The tha in IRB li m ph had a ’s wh rbidit bir th irth d Mic l m re su Furt ate d resu me ns no ere l d e role ve du ox es in Ec s e the cre randomized te th Ho ia, re or ti design; Affair (B sevcollection,poanalysis, re incple ant onomi nsi and ati nin to Prev e tco data; writing d ona eees. mp spital h, Baltim ctive He mo study a Pen ic b a tio , ality Pediat ser placebo. s Palo of um res cs, Wwere cre interpretation entio rest. 1 Th has garn bidity (S or by intoun d ta irth rse of22 individuals tive alth, to renalnsylva There nd ou mo een ked ia an tern ne lidity. ertif ls an ore nts is of the report; om apr od cla Na mossrta g of rics oth submit(se and rnati therum cpr report for ub teese alld badcve e er Joh follow-up. tions)or theicdecision n (C linSch data and er Alto He nia; the harton Philadelph , Maryllost pa c publication. a lo a tw e a risk patieThe in hns g, andacce ea ool of sec are School was althca no He re and; ns DC) Centers ed inte MM) an ia, an ba statistically be ng lin liforn at m ta a r va irth a do sen of Me theThere (eity De authors thank all the tia igastr uff idu ific yrlyan , Jo the significant iciency Mace epparticipants Inte cedu ebid nse cl the d dicine partment re Systemalth Econo , Un to of hdis iden ave can neonates in lly d rain ated in They for D the life- sed on na trial. for being ab /dL or ert injnur iversi d the difference ins and theirmg da poo in b indiv ealth d; rd e es Leona l Medical eafeaotur primary d sfeaiv Ca d th , Sta tal the IRB of Christian - ina thank outcome Usi tif mi of rtees the a partMiofnnourgem ent ty of ,(betamethas an e H an rd College, Vellore, thrg deere it tur andend-o pro se co ib n 1.1 m Pennsy vs placebo Rena tha d de threaten at least 1 ies SM isease C inical rd,d Ca Obstetrics Menlo Pa cs Reone p ate ave leyto6Per esota. , Universi nfo n in for the financial source4.9% 4.8%, assistance ite ing ctiv Maryl e Leona arbid a. blish loVal re Specialenthanks Birforclusev onty an relative fro foun rtific and Gy CI,rk, an M in liforni tratio -re 4–Caconduct h ontro liforni this randomized ing 1.03, Cente lvaati of 21 rte motrial. pu Galbrie ort Wh el,ndity. ce rodu th sylv of Mirisk Fund Internto livery. 2 0.57–1.84, d the -proh po a; an95% Sekar, number who dic s San self conccoordinatedgo to Mrs. Kumari adm worked to screen individuals, Rep more, and Penn Vetingto nn a m lev neil te, relentlessly ce and errep and in d the necology, the Departmr, Vet- needed Pomaona we for , in Thes events forme ationa nine inistra l ve rnter, ta Sch were Eu diene, lteCen There Stanfo thi s treat 786). eso rv ic lan and Balti lphia, ity of enter, t of and nsi nic mainth udici noionstatistically prdiffertained d occu dicators s wo ent of cost state Su arecruitment,resobtained ble ontain al Fetal Me e indi d aentthes consent forms, and irem ific requ ose po th se)the proformas, e Ke ool of Divis a st oc l a dica rd Un significant gn filled em en y ily ea e rk , rt rs te C C bir orted f un Black Me de il ed De and ed rr of of m wa dia for dis l’s e un m effortlessly f nn la tern al n ve tm c e lth it ensuring Publi He ive r- was up to date. The authors in secondary neonatal s provid ve ary he e dataoentry opm thatedy ences o en ativel d n of Ma Valley the e and ava anisio , Fa Hea Phila Uni ourc epar vers these ure code ssificatio cators ar ing durin potenc He or alt h Policy rsity r Hoospit ngwith ththe cjourna lmonalso thank outcomes. R0 Dr.ac ed in Annadurai rep ree head Subramanian, altern alth, maternal lem al ofmmanufacturing, 1HD0 enthead(gran Shriver tion blic tal of hool, s Res the D Uni y and Div e 3 Fetal Division ly ofPuPharmacy, e ir set c ona mbe asuri by e n p s. pa co an g la the s, e al nce g Na Mi on b , rt rd d of id m Pom ic ts for 99 th tw de e la Sc ra lic for tern d and with his staff, diligently nneap N wte costentif working, along im tern e plia e up, bor ley R01H tional N:byBetamethaso fr Fro ted es de be t Popu of Pus Hospi rton conom , an Stanfo Po apolis Healt 197 to Dr CONCLUSIO nufirmed mcom toaprovide Val H, Ma unJohn olis, Institu the Natio ie proh s (eg, N ational Diseases Stadical Gro ng con coDr. r-the study drug onNe D0a. of time, lth ne rk and , aMP th nc . Pham nal Ins ne administered 84 psi Dispa t ac re m th havk,e MD are ited Me for hiswaoversight, Pomonace s pa hadvice, te of baIdikulla hosp ibitive ationa ent School ldren’ s, Wha lth E lo Pa ology, of Hea Min the insta the fers diag d using s support, up, eclibbs) an 819 period s m titu Child horasihas ls a distur ) wic dedica to th. and guidance in datano analysis ies late-preterm those o to ita NR02 rtly funandritpre nosis interpretation. l Gro artm owgmail.c (grge Chi nomic e Hea , Men Gynec ion ealth, ual and l of for preterm delivery He attesrisk Un y. Eachinaut an of[U d the Na Drs. birom entify 0335 ion ded by lle lth’s cre. urna ta Ricfrhard20M.14BurtalcluMe shk@ is Dep berg cs, Vis race te level, to access Inpatie lization th and d H h an Health’s reduce Co did t not it n horship tio the Phibbs altfor 54MD and can Hea an has confirmed ertens a : celey Pertinain ard the Bloom diatri lth Eco ania; Systemics an e Div blic compliance with the journal’s Eahyp burwic from Eachidauthorlity dtreatment da nt Sa an , NR01 the of neonatal Hu .500 nal Ins need t jo autdhor ch an um d nic Aaut ork ol Natio38 th requirements Pe es of a, Roches Amerifor au y rma Val th,aCA; rich nec 70respiratory tional are fre d ethnic and have are not mple) ta with na 91 0214 to titute on d Lorch man 2.tho From kins t of of Hea nnsylv lthcare bstetr ; and of Pu autho pacondoing itut and H an r ste s 00 . 22 ntlauthorship. r w ata iehe pha-qu re nly sbrie(slinPom Gesta ona to 00 l Insdistress. hast Gy 0020 re No mresp Bio rship.Ob ch and Inst ta theasu speaker lth San aGa confirm 00 Dr. Ca titute of Dr. Gemm Minority Hop artmen itute a, Pe Hea t of O rnia School te ter,icate prio ity d Com d from Bulletin icanc Corresponding h-iCordici Unite ely avai ity. Birth incompl adily av can be gists. nal Health Lor y Hea k daand rm Healt ifo G.0000 CLINICAL author: e Coolo e rep ill] ed ngne, ll dica printe Department Nursi ichael REGISTRATIO st l Cen TRIAL Yenuberi, rds idrds forsuff ydboaogy, eortd Hilda Re d or rrespoand ete in Dep is Inst delphi lo Alto artmen , Cal sota hig Me atio ailabl compli lable, h of nec it Obstetrics d Stat m rtife ver, oyrbboa certi 97/AO This Clinical ng Re ). N: ). Practic and Gy Gynecolin uHosispitalaMe Trials did not esur isor Registry .10nd t Christian e N Child bs an inor his w nts te Medical c an y OG Fa hor 10 wo adv ing College, ni m fic e o e fo a th sea Tamil s ce isor i: of mi es Nadu, Dav Phila irs Pa e Dep anford Minne aut India, CTRI/2019/0 AC incl city. at rm ate rch (gr rk d other idit exa do ly an l.com. adv autho with ib on M ]). T (gra , and by ity ause ialirDis 9/021321. of th clo ow l ms andesservnes onu. pThe on a trician India;0.hildagrace@gmai d Healt r: Ali the ants nia, s Affa and th e, St ity of rb Financial serves rn Obste 5:e237–6 part itute rs. Ph itute mill rch cont ude near data, by ation on anc b wickH Disclosure 5 journa nce o h, Ba Reprodu lished (Obstet in 512024;143:468–7 d lds. UCBate ;13 bec Fin ain se Bioscied dRare Dis A ctiv son anease l mo The ly ltimore GemmGynecol l’s req 4) eran atrics Medic nivers andauthors ed in Inst to D l Inst Gem Resea GY ists. Pub 2020 for isehardfiBur Finan e s, ande m raZ LO a neneca ted any potential uirem ill, Ph , MD e HeDOI: lf-repo all birth contrast, high n increa ovid ional alt conflicts of interest. na Dr. ng te Gynecolog did not report Pedi ol of ent, U 10.1097/AOG.0 revRic ents ; age NEh,CO ent Joh -im 0000000000055 D, c. aterniciaifnsicaand th n, oAstr ofaintedrest sing The au cial Discl 459 as pr Nat 4819 Natio 14 to Nursi 20 s for s in rted Dia itygnostic © 2024 by the American irem r Scho agem . ofAlexiopflic S & GYmmill@jhuns Hopkins Departm o ts on u mObs osure kw ity us pact jo 08 the tetr rt thors num College of Obstetricians and Gynecologists. race the bidbureau requ tyfor d ETRIC GY con wor rive HD did 0002 e of on, ur .edu. c be Bloom ent of ic of tscereserved. by Wolters Kluwer Man nesota and not rep l’s alipot ent OBST Published lati ic LO Health, Inc. All rights reserved. © 2024 this dy Sh R01 bs) an 54MD stitut el). Po ciflege berg s ialis e erican eCol beca ing only nals are r of stu ethort an quany In urna for lation ntenatal corticostero by the s Min ib Schoolidspuare . All irthrigh by W CO Popu Publ ISSN: E0029-7844/24 us measu y pot dies cate 7 theWAmoHea ing enne rant r. Ph nt [U nal micha the jo Am data olt f splth, eInc b of Pu ,the standard all care ential revise e of YN t of ol of ti©fi 202s.43,bys Klunwer pu rin ISSN: ers Kluw ericans Co blic h Fund ice K ent (g to D (gra Natio r. Car sta t for en G fro preterm con th it bl ho g deliveries es the ished flicts w before 34biweeksd of mater se lter me 844/24 & 0029 trier ciHean artm rg Sc e c. gesta-tes (sinc m the n alth, ,llegIn Eun elopm 9197 pariti of int to D iance caWo by be dity birth na in Inc. Allof Obstetri Dep erest. ICS e certi ess0029-7 o pl Obste-7844/24 lth Dev HD09 Dis ed by 7020 cians D, Bloom ISS ficate 2014) ha birth ce l morbidETR assN: ilable com qual fields. and Gy ge of luwer Hea d R01 Healthly fund NR01 med ST , Ph ns rtific d. rights reserved. ity H th ve necolo ishe ir Colle2024 mill Hopki OB 24 ava and and part 143, NO. gists. tificat of the m owever, at includ implem ate, 4–6 rs K is prohibite 4, APRIL conf Publ s468 VOL. Gem hns u. 35 Publi nc. A olteVO erican st. RIL 20 ts. es is pr at es en was 0203 Jo has on L. 14 shed ed le3, tere ian lth, Ith 4, AP ogis OBSTETRICS case by W e m tic & s. Alis ealth, @jhu. GYNECOLO poorGYernal mor ior work materna ted a NO. thor NR 3,7 ecol of in NO. tric 24 H or: 143, . . Published n of this ar ill l mor bidity Gyn and show ea by h au . licts 3, M dts We assess ste VOL. auth ctive emm e 20 H Eac orship and conf do s b AR da it © ag l © du tio co 2024 th m es r ng is CH ns ; by ta th the American College ia ro O e ecol ibog reproduc au 2024 . icia ondi Rep e, MD of Obstetricians availabl ent of sp nducted not suffi from bi at the tent of luwyn d tetr rved resp and Gynecolo roh or y po

Guidance downloaded more than A

3 O.

L VO

570,000

e Kd G p horized is ut s lleg ran Co lte cleUna an Wo arti eric by this Amlished n of e y th . Pub ductio b 024 gists epro © 2ecolo ized r n r Gy utho and Una

bs se Cor ily an altim ure rt an of O ghts re clos repo ri Fam lth, B lege Dis not Col All Hea an , Inc. cial did eric an ors Am Health Fin auth the by luwer 24 The 2024 ters K 844/ 24 -7 © 20 Wol 0029 H by : RC ISSN MA

rth ce ecific an e on gists. Published by Wolters Kluwer upda ciently rmat Health, Inc. the Unauthorized reproduction©of this birth ernal m ted da identify and G 2024 article is prohibited. ta-q or certi ficate bidity m uality by yn easu and Unautecologis the Am exam res horize ts. Pub erican ined OBS d repr lished Colle TETR IC ge S oduc by W &G of O YNEC tion OLO of th olters Klubstetricia GY is arti ns 459 cle iswer Healt h, proh ibited Inc. .

times in 2024

CLINICAL PRACTICE ACOG is the most trusted source for reliable, timely clinical guidance for ob-gyns and the public that is based on the best available evidence. More than 10 active standing committees and expert workgroups prioritize clinical topics, review current evidence, and develop clinical recommendations, all of which are published in ACOG’s leading peer-reviewed journal, Obstetrics & Gynecology, also known as the Green Journal. Our guidance was downloaded more than 570,000 times in 2024. More than 125 literature searches and 12,000 manuscripts were downloaded to support development of guidance.

Clinical Practice Guidelines ACOG’s Clinical Practice Guidelines provide clinical management recommendations that are developed through assessment of the benefits and harms of care options based on systematic review of the evidence.

Clinical Practice Updates Clinical Practice Updates are brief statements that communicate a focused update of a section of clinical guidance included in an existing ACOG document. Clinical Practice Updates are published online only in Obstetrics & Gynecology.

Documents introduced in 2024 include … Prediction of Preeclampsia With Severe  “Biomarker Features” for Gestational and Pregestational  “Screening Diabetes Mellitus in Pregnancy and Postpartum” and Fetal Genotyping in the Management of  “Paternal Alloimmunization in Pregnancy” on Criteria for Suspected Diagnosis of  “Update Intraamniotic Infection” D Immune Globulin Administration After Abortion  “Rh or Pregnancy Loss at Less Than 12 Weeks of Gestation”

 “Age to Initiate Breast Cancer Screening” of Full-Term Nulliparous Individuals  “Management Without a Medical Indication for Delivery” Medical student training at the 2024 ACSM

Practice Advisories Practice Advisories are issued in response to emergent clinical issues that require immediate attention. They provide clinical guidance and are reviewed periodically for reaffirmation, revision, or incorporation into other ACOG guidelines. These advisories are designed to aid clinicians in providing obstetric and gynecologic care, and their use is voluntary.

Advisories introduced in 2024 include … • “Zuranolone for Treatment of Postpartum Depression” • “Rho(D) Immune Globulin Shortages” • “First Over-the-Counter Daily Contraceptive Pill Released” • “Management of Obstetric– Gynecologic Patients During a Measles Outbreak” • “Screening for Syphilis in Pregnancy” • “Update on Oropouche Virus and Potential Effects on Pregnancy” • “Increase in Human Parvovirus B19 Activity in the United States”

Clinical Consensus Clinical Consensus documents provide recommendations on focused clinical issues based on a careful examination of available scientific data and supplemented with expert opinion when the evidence is limited. In 2024, ACOG introduced “The Use of Cannabis Products for the Management of Pain Associated With Gynecologic Conditions.” This document was determined to be a necessary resource based on the growing amount of information in scientific literature and public discourse about use of cannabinoids to manage pain.

• “Intravenous Fluid Shortage”

Emergencies in Clinical Obstetrics Training at ACOG’s ACSM.

Committee Statements Committee Statements address issues related to the practice of obstetrics and gynecology, such as ethics and opportunities for advancing equity.

DOCUMENTS INTRODUCED IN 2024 INCLUDE … Influenza in Pregnancy: Prevention and Treatment Permanent Contraception: Ethical Issues and Considerations Ethical Considerations for Increasing Inclusivity in Research Participants Racial and Ethnic Inequities in Obstetrics and Gynecology Addressing Social and Structural Determinants of Health in the Delivery of Reproductive Health Care Health Care for Women and Gender-Diverse Active-Duty and Reserve Uniformed Service Members and Veterans Self-Managed Abortion

Collaboration ACOG is a leading voice in important national and international proceedings related to clinical guidance for obstetric and gynecologic care. ACOG partners with national subspecialty obstetrics and gynecology organizations such as the Society for Maternal-Fetal Medicine, the Society of Family Planning, the Society of Gynecologic Oncology, the American Urogynecologic Society, the American Society for Colposcopy and Cervical Pathology, and the American Society for Reproductive Medicine to ensure that our guidance is aligned and applicable to a broad range of physicians. Additionally, ACOG has collaborated with other organizations, including the American College of Surgeons, the American College of Radiology, the American Cancer Society, and the National Commission on Correctional Health Care, to address health issues important to our members and their patients.

Quality and Safety ACOG QUALITY AND SAFETY INITIATIVES DELEGATION The ACOG Quality and Safety Initiatives Delegation, comprised of representatives from every District, met quarterly to share bidirectional updates on patient safety and quality improvement work at the ACOG national office and in each District and Section. During the summer 2024 meeting, which was held as a shared meeting with the ACOG Diversity, Equity, and Inclusion (DEI) Delegation, speakers provided updates on integration of equity into quality improvement. In 2024, the delegation developed and authored Committee Statement: Quality Improvement Strategies for Safe Reduction of Primary Cesarean Birth, addressing nulliparous, term, singleton, and vertex cesarean birth. The Committee Statement will be published in Obstetrics & Gynecology in May 2025. 6

Voluntary Review of Quality of Care Program Voluntary Review of Quality of Care is a confidential, voluntary, consultive peer review series that ACOG offers to health care institutions. In 2024 …

18 3 540

hospital site visits were conducted

health systems, comprising 14 sites, were reviewed

hospital charts were reviewed

The two most popular clinical studies selected for review:

42%

(of charts)

Cesarean birth for nonreassuring or indeterminant heart rate

36% 40 2

(of charts)

Induction of labor

review team members participated in visits

Voluntary Review of Quality of Care program managers joined ACOG

ACOG Committee on Indigenous Health In March 2024, ACOG’s Indigenous Health program cohosted the eighth Annual Indigenous Women’s Health Meeting, which brought in more than 250 attendees dedicated to serving Indigenous and Native communities across the United States and Canada. The ACOG Committee on Indigenous Health, supported by program staff, completed site visits at three Indian Health Service Great Plains Area facilities in June 2024: Eagle Butte Hospital, Pine Ridge Hospital, and Rosebud Hospital, which primarily serve the Lakota and Cheyenne River Sioux Tribes. Sites were reviewed for the quality and safety of provided ob-gyn care. Findings from the site visits were shared with Indian Health Service and area leadership.

Alliance for Innovation on Maternal Health Technical Assistance Center Funded by HRSA, the Alliance for Innovation on Maternal Health (AIM) Technical Assistance Center provides comprehensive, high-impact technical assistance in the form of learning collaboratives, peer learning opportunities, skills training sessions, one-on-one coaching, mentoring, and individual consultations to all entities implementing AIM patient safety bundles in the United States. The Technical Assistance Center helps states and entities engage birthing facilities to participate in AIM, supports education for health care professionals on AIM resources, strengthens quality improvement processes, and addresses participation and implementation barriers associated with AIM patient safety bundles.

Medical student training session at the 2024 ACSM.

AIM Participation by the Numbers in 2024

22,298 51 2,069 75% 80+ 8

times the patient safety bundle learning modules have been completed as of December 2024

participating bodies: 49 states, the District of Columbia, and Puerto Rico

participating birthing facilities

of participating birthing facilities working with AIM state and jurisdiction teams

languages available for the Urgent Maternal Warning Signs patient resources

Sixth Annual Maternal Immunization Summit

NATIONAL PROGRAMS FOCUSED ON MATERNAL, GYNECOLOGIC, AND PERINATAL HEALTH AND IMMUNIZATION CDC Collaborative Initiatives Strengthening Public Health Partnerships MATERNAL MORTALITY To reduce preventable maternal mortality, ACOG collaborates with CDC and a robust network of partner organizations to build the capacity of obstetric care clinicians and those practitioners who practice outside the obstetric setting to improve the health outcomes of pregnant and postpartum people through training, data sharing, and development of materials.

MATERNAL IMMUNIZATION To reduce the burden of vaccine-preventable diseases among those pregnant and recently pregnant, this program focuses on increasing Tdap, influenza, COVID-19, and RSV immunization rates by collaborating with organizations comprised of clinicians who provide clinical care. Initiatives under this program include ... Overseeing the ACOG-led Maternal Immunization Task Force in collaboration with the American Academy of Family Physicians; American College of Nurse-Midwives; Association of Women’s Health, Obstetric and Neonatal Nurses; National Association of Nurse Practitioners in Women’s Health; and Society for Maternal-Fetal Medicine Hosting an annual Maternal Immunization Summit meeting of stakeholders working to improve maternal immunization rates Evaluating ACOG’s maternal immunization resources through surveys and focus groups of pregnant and recently pregnant people Developing a video series encouraging pregnant people to get recommended vaccines during pregnancy, which received more than 600,000 plays across all videos Attending national partner meetings to promote ACOG resources and foster collaboration with obstetric care professional organizations Overseeing ACOG’s Immunization Champion Award, given to 27 champions in the past six years ACOG’s Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group

COVID-19 Expert Work Group members and vaccine champions

Activities in 2024 include … Developed

five resources

for practitioners in emergency department, prehospital care, and urgent care settings to enhance readiness to identify and manage patients with obstetric emergencies during pregnancy and the postpartum period

Disseminated

state maternal mortality data and actions

to eliminate preventable maternal deaths and hosted the annual ACOG/CDC Maternal Mortality Prevention Meeting during ACOG’s ACSM

Disseminated maternal mortality prevention data at

12 meetings and conferences, including at ACOG/CDC Maternal Mortality Prevention Meetings, and on ACOG’s website at acog.org/ obemergencies

An Immunization Champion is someone who understands the power of vaccines to save and to improve lives and focuses on approaches to reach and vaccinate underserved communities. I’m an Immunization Champion. Are you? —Naima Joseph, MD, MPH, FACOG, 2024 Immunization Champion

Health Care Practitioner Education on Early Onset Breast Cancer and Gynecologic Cancers This program disseminates knowledge about the prevention and early diagnosis of early onset breast cancer and gynecologic cancers.

HIGHLIGHTS IN 2024 INCLUDE … Series of five free, CME-accredited online eModule courses Six journal articles published in Obstetrics & Gynecology Early onset breast cancer campaign: Don’t Lump Your Patients Together Uterine, ovarian, and lower anogenital tract cancers campaign: Are You Seeing the Full Picture? Series of 11 MicroRounds, which are short, educational video presentations tackling important clinical topics and highlighting research gaps in early onset breast and gynecologic cancers 11

Improving Pregnancy Outcomes through Education, Collaboration, and Training This funding from CDC’s National Center on Birth Defects and Developmental Disabilities and Division of Reproductive Health supports ACOG’s efforts to improve pregnancy outcomes by preventing infections and reducing the impact of emerging threats.

IN 2024, ACOG FOCUSED ON … Promoting our popular Labor of Love podcast, which was downloaded more than 14,000 times in its three seasons Developing Compassionate Conversations webinars focused on obstetric care Developing patient education videos on preventing infections during pregnancy and maternal immunization

DOCUMENTS PUBLISHED IN 2024 INCLUDE ... FAQs: Cytomegalovirus (CMV) in Pregnancy Syphilis Testing Algorithm FAQs: Maternal RSV Vaccination Seven Things to Share with Your Patients about the Maternal RSV Vaccine

I’m thankful and honored to have this podcast as a platform to share our challenges and our victories, learn from each other, inspire each other to care for our patients, care for each other, cheer for ourselves, and hopefully make a better tomorrow. — Veronica Pimentel, MD, MS, FACOG, ob-gyn and host of Labor of Love

Women’s Preventive Services Initiative THE WOMEN’S PREVENTIVE SERVICES INITIATIVE (WPSI), AN ACOG FOUNDATION PROGRAM FUNDED BY HRSA, ACHIEVED THE FOLLOWING KEY SUCCESSES IN 2024 ... Recommended Breast Cancer Screening for Women at Average Risk, which HRSA accepted. These recommendations will eliminate significant costs associated with tests required to complete the breast cancer screening clinical pathway. This updated recommendation will affect millions of women, given that up to 10% of women require follow-up after initial screening. Recommended Patient Navigation Services for Breast and Cervical Cancer Screening, which HRSA accepted and which will guide patients through their clinical journey to address language, literacy, disability, and socioeconomic barriers to cancer screening. By providing comprehensive support, this initiative aims to ensure equitable access to vital cancer screening services.

In 2024, ACOG developed a new video for the How I Practice video series titled Screening for Diabetes In and After Pregnancy and shared it with our network of

62,000 members members and other stakeholders.

Launched the inaugural WPSI CME course, open to all clinical professionals seeking CME credits. It offers a comprehensive overview of WPSI recommendations and methodology. Launched a pilot project testing the implementation of two crucial groundbreaking WPSI recommendations: screening for intimate partner violence and anxiety. This initiative spans 12 urban, rural, and federally qualified health centers, including ambulatory care centers.

Medical student training session at the 2024 ACSM.

HEALTH AND PAYMENT POLICY

To support its members and their work, ACOG provides policy analysis and advocacy for coverage and payment policies from private payers, commercial payers, and public payers such as Medicare and Medicaid. Additionally, ACOG publishes educational resources such as webinars, podcasts, the annual Coding Manual and quick reference guides, and the Payment Advocacy & Policy Portal to meet members’ needs.

Policy Analysis and Advocacy In 2024, ACOG and its members submitted 41 letters to federal and state policy makers across CMS, FCC, and HHS covering data privacy, prior authorization, payment, health equity, preventive services, and coverage and eligibility.

Payment Advocacy & Policy Portal ACOG’s Payment Advocacy & Policy Portal makes it possible for members to submit coding questions to our coding and policy experts. In 2024, members submitted 1,184 tickets, an increase of 20.45% from 2023. Top questions received from members addressed global billing in obstetrics, fetal nonstress test billing, delivery with postpartum care only, membrane stripping, and prolonged OB visits.

Portal Statistics

3,333 total users

811

new active users in 2024

91.4%

satisfaction rate for members who asked insurance and coding questions

15,778

Payment in Practice and OB/GYN Coding Manual ACOG’s Payment in Practice course, 2024 OB/GYN Coding Manual, and coding quick reference guides help support ob-gyns through coding and best practices for reimbursement. In July of 2024, ACOG released the first of three courses in our new Payment in Practice series.

Compassionate Conversations Webinars ACOG’s Health and Payment Policy team also hosts Compassionate Conversations webinars—live panel discussions that ACOG members lead regarding difficult conversations they face in practice—for ACOG members and the broader public. In 2024, ACOG held seven Compassionate Conversations on topics such as stillbirth, maternal mental health, and cytomegalovirus, among others. The sessions attracted 560 live viewers. Compassionate Conversations also has a companion podcast series on maternal mental health.

Committee on Health Economics and Coding ACOG’s Committee on Health Economics and Coding works in tandem with the Health and Payment Policy team to advocate for adequate physician reimbursement through work with the AMA and payers targeting payment methodologies. The committee performed a payment evaluation that was published in the February online issue of the Green Journal.

article reviews

ACOG members on Capitol Hill during the 2024 Congressional Leadership Conference

ADVOCACY AND GOVERNMENT AFFAIRS

ACOG’s commitment to science and evidence-based medicine extends to the policy-making arena, where our legislative and regulatory influence continues to grow in the face of mounting political interference in the practice of medicine. Our advocacy activities are wide-ranging and include lobbying on Capitol Hill, with federal agencies, and in statehouses and governors’ offices across the United States. ACOG is also a leader within the AMA and hosts a number of policy-honing events, such as the Congressional Leadership Conference and State Legislative Roundtable.

R. Todd Ivey, MD, FACOG, N. Dawn Bingham, MD, FACOG, ACOG President, Stella Dantas, MD, FACOG, Congresswoman Robin Kelly, ACOG Chief Executive Officer, Sandra Brooks, MD, MBA, FACS, FACOG and Rachel Tetlow, ACOG Senior Director, Government and Political Affairs.

ACOG’S STRATEGIC ADVOCACY CONTINUES TO ADVANCE BIPARTISAN PRIORITIES CONSISTENT WITH OUR COMMITMENT TO POLICY ACTION. ACTIVITIES IN 2024 INCLUDE … Introducing and advocating for dozens of bills to improve maternal and infant health outcomes, including the bipartisan Rural Obstetrics Readiness Act and Black Maternal Health Momnibus Act Celebrating the Preventing Maternal Deaths Reauthorization Act passing the House and the enactment of the Maternal and Child Health Stillbirth Prevention Act

In 2024, ACOG filed

Collaborating with key congressional committees to inform public hearings and development of reports on the impact of the Dobbs decision on physicians and ob-gyn residents. ACOG’s efforts, including facilitating key connections between congressional staff and ACOG members, resulted in three published congressional reports:

in state and federal courts across the United States defending access to essential reproductive health care; opposing the criminalization of evidence-based medicine and the prosecution of patients based on the outcomes of their pregnancies; and supporting the anti-discrimination provisions in the Affordable Care Act and coverage of preventative care services, including contraception.

» “It Will Only Get Worse”: How the Supreme Court’s Dobbs Decision Will Decimate Reproductive Health Care for Generations » Two Years Post-Dobbs: The Nationwide Impacts of Abortion Bans » Practicing Amid “a Minefield”: Emergency Reproductive Health Care Post-Dobbs Advocating for a long-term fix to the flawed Medicare physician payment system Providing technical assistance to lawmakers seeking to introduce legislation to protect, restore, and improve access to reproductive health care—including abortion and IVF—to ensure that legislation is consistent with medical evidence but does not legislate the practice of medicine

22 briefs

ACOG Leadership in the AMA House of Delegates In 2024, ACOG continued to serve as the authority on policies affecting all those seeking obstetric and gynecologic care. Our 14-member delegation to the AMA is a powerful and respected voice, providing critical on-the-ground perspectives of ob-gyns and their patients.

• Support separate payments for services not accounted for in the valuation of maternity global codes and oppose inappropriate bundling of related services

ACOG DELEGATION MEMBERS SHARED POWERFUL TESTIMONIES WITH THE AMA HOUSE THAT PROPELLED ACCOMPLISHMENTS AT THE JUNE AND NOVEMBER 2024 MEETINGS, INCLUDING NEW AMA POLICIES THAT …

• Support increased payer accountability for harm caused by delay or denial of prior authorization • Support physicians and medical students who experience doxing, or publishing of private or identifying information with malicious intent • Update AMA policy on HPV-associated cancer prevention to support strategies to increase vaccine availability and accessibility • Support insurance coverage for infertility diagnosis and treatment and oppose policies that could criminalize IVF or otherwise confer personhood upon gametes or embryos

Congressional Leadership Conference In March 2024, more than 700 ob-gyns convened in Washington, D.C., for the annual Congressional Leadership Conference (CLC) to hone their advocacy skills, build relationships with members of Congress, and network with colleagues. During meetings with legislators, attendees advocated for legislation to support maternal mortality review committees (MMRCs), championed a long-term solution to stop Medicare physician payment cuts and ensure sustainability of physician practice, and shared the importance of continued access to IVF. Hill meeting during ACOGs 2024 CLC

Hill meeting during ACOGs 2024 CLC

In a survey following the event, the vast majority of respondents (95%) agreed or strongly agreed that the CLC contributes to a positive ACOG member experience.

State Legislative Advocacy: Section and District Engagement ACOG’s State Legislative Advocacy team works with our Sections and Districts to help promote state priorities, uplift state legislative agendas, and support lobbyists working on our behalf in all ACOG Districts and most Sections.

ACTIVITIES IN 2024 INCLUDE ... Our members enthusiastically endorse the experience!

As a new Junior Fellow member, I didn’t know how I could be involved in ACOG or advocacy. The CLC gave me tools for both. Advocacy is a huge part of why I love obstetrics and gynecology so much, so having our national organization prioritize advocacy is very important to me. [CLC was] such an inspiring experience [and] provided me with a needed reminder of why I went into medicine.

Authoring an opposition letter for Idaho regarding HR 381, which would have amended existing law to redesignate the terms “fetus” and “stillborn fetus” to “preborn child” and “stillborn child,” respectively. The bill failed in the House committee. Authoring a support letter for the Alaska Section regarding HR 17, which would require insurance companies to cover prescription contraceptives without a copayment and to retroactively cover prescriptions in certain circumstances. HR 17 passed both chambers and was vetoed by the governor. Authoring critical comments on the Texas Medical Board’s proposed regulations clarifying medical exceptions to the abortion ban Presenting to and collaborating with ACOG Districts on issues related to contraception legislation, Vot-ER voter registration drives, doula reimbursement, funding, resources for “model” bills, and more

Partnering with States STATE LEGISLATIVE ROUNDTABLE At the 2024 State Legislative Roundtable in Minneapolis, Minnesota, 118 attendees representing District and Section legislative chairs from 45 states and Washington, D.C., gathered to hear experts interpret the complex political landscape and participate in panels and discussions focused on current and emerging legislative issues affecting obstetric and gynecologic care, increasing political engagement among ob-gyns, institutional advocacy, IVF, misinformation, and midwifery.

Dr. Kelly McCue presenting the annual state legislative advocacy awards at the 2024 CLC.

 



Massachusetts

Rhode Island Connecticut

 

Hawaii

Ballot Initiatives on Abortion In New York and Colorado, ACOG endorsed successful ballot initiatives on abortion. While ACOG did not endorse the ballot initiatives in Nebraska, Florida, Arkansas, or Arizona, we worked with ob-gyns in those states to develop materials that uplifted their experiences operating under abortion restrictions. These stories and experiences have the power to make change and are vitally important.

Action Alerts in the States IN 2024, ACOG PROVIDED ACTION ALERTS THAT URGED MEMBERS TO ... Oppose HR 6085 and HR 6086 in Michigan, which would have increased the cap on noneconomic damages and expanded the types of damages recoverable in malpractice suits. Neither bill passed.

 External Partnerships and Coalition Building ACOG joined with the Democratic Attorneys General Association’s Reproductive Rights Working Group to collaborate with reproductive health, rights, and justice partners and staff from attorneys generals’ offices across the country.

Oppose HR 195 in Alabama, which would have limited comprehensive sex education in schools. This bill ultimately did not pass. Support a 12-month postpartum Medicaid extension in Wisconsin. This bill passed in the state senate but was not taken up in the assembly.

PROMOTING EVIDENCE AND TRUTH ABOUT REPRODUCTIVE HEALTH

Across public discourse and especially on social media, misinformation about obstetric and gynecologic care is proliferating. It appears in discussions across all areas of the specialty, including birth control, IVF, menopause, home birth, the HPV vaccine, and abortion. ACOG is promoting truth and evidence—and equipping our members to do the same with their patients and within their communities.

ACTIVITIES IN 2024 INCLUDED … Sharing strategic content to reach across communications platforms to set the record straight about reproductive health care and all facets of obstetric and gynecologic care Continuing to serve as an authoritative source for reporters who are seeking to separate misinformation from the truth Beginning a first-of-its-kind digital advertising campaign funded by a grant from the ACOG Foundation that brought ACOG’s message—that abortion is health care—to online audiences in six abortion-restricted states. We specifically targeted states to directly counter harmful narratives. High levels of engagement proved that people are eager to learn the truth. Developing member-facing social media tool kits with messaging and downloadable graphics to share as part of our digital advertising campaign urging viewers in select restricted states to know the facts about abortion Spreading the truth and combating misinformation with rapid creation of evidence-based resources to arm our members and our partners with the facts. For example, Facts Are Important: Hormonal Birth Control rebuts the widespread mistruths that are spread to erode people’s confidence in safe and effective contraception.

Know the Facts Campaign 53.8 million impressions 6.4 million viewers reached

Video: Abortion Is Essential Reproductive Health Care

With reproductive health care under attack, it’s critical that people have the facts they need to see through misinformation surrounding birth control. Get the information you need to empower yourself at ACOG’s Misinformation Hub.

ACOG’s Commitment to Justice and Equity In 2023, ACOG’s Equity Transformation team launched a series of live learning events focused on transforming our specialty to develop an equity and justice mindset. In 2024 we implemented the following:

ACSM SESSION With delegates from every District, the District DEI Delegation, now known as the Collective Action Advancing Respect and Equity Delegation, convened at the ACSM for a half-day strategic planning session to set new goals for the upcoming year of programming. Additionally, the delegation hosted a joint learning session with ACOG’s Quality and Safety Initiatives Delegation that focused on the intersections of patient quality and safety and health equity in ob-gyn health outcomes. The session highlighted the following data reporting efforts to track patient safety and promote strategies to advance maternal health equity through quality improvement and patient safety efforts: Advances in patient safety have come from adverse event reporting data and quality measures that allow differential outcomes in practice to be visible so that they are properly addressed in care delivery Stratifying data by race and ethnicity to help institutions identify inequities, inform action, and improve overall care, as bias and inequality may affect the process of safety event reporting when demographic data are not collected or analyzed Engage and build relationships with community members in an effort to reduce mistrust from patient communities who have a history of being marginalized in health care or exploited by biomedical research. These relationships also reduced race- and gender-based bias against health care staff that could affect health care professionals’ perspectives on safety culture and patient safety reporting.

COMMUNITY EVENTS In June and November, virtual community events featured presenters Audra Robertson Meadows, MD, MPH, FACOG, and Serina Floyd, MD, MSPH, FACOG. Dr. Robertson Meadows spoke about why maternal health equity is fundamental to quality and how perinatal quality improvement efforts provide opportunities to optimize care, prevent maternal morbidity, and promote equity. In a session focused on reproductive justice in clinical practice, Dr. Floyd spoke about the definition of reproductive justice, reproductive injustices in our past and in our present, and how ob-gyns can apply a reproductive justice framework to the work they do.

Betsey, Lucy, and Anarcha Days of Recognition Betsey, Lucy, and Anarcha were enslaved Black women who were leased to the gynecologist J. Marion Sims so that he could perform experimental procedures on them in front of witnesses without anesthesia. Every year on February 28 and March 1, the dates that bridge Black History Month and Women’s History Month, ACOG formally acknowledges the exploitation of enslaved women’s bodies and the contributions to obstetric and gynecologic knowledge that they were forced to make. As part of the 2024 observance, ACOG members Brownsyne Tucker-Edmonds, MD, MPH, MS, FACOG; Omar M. Young, MD, FACOG; and Arthurine Zakama, MD, FACOG, participated in a roundtable discussion moderated by Michelle Owens, MD, MS, FACOG, titled The Importance of Mentorship in Medicine: Why Diverse Mentorship Matters. These experts from different stages in their careers shared their experiences about mentorship in clinical practice and across the career life span. They also discussed how mentorship supports the recruitment and retention of a diverse workforce and why diverse perspectives lead to better health outcomes. The discussion was broadcast to 300 attendees at the CREOG & APGO Annual Meeting.

Bookstore at the 2024 Annual Clinical and Scientific Meeting

PUBLICATIONS AND PRODUCTS IN 2024, ACOG INTRODUCED SEVERAL NEW PRODUCTS AND PUBLICATIONS DESIGNED TO MEET THE DIVERSE NEEDS OF OUR COMMUNITY, INCLUDING ... The 2024 Coding On Demand and Payment in Practice online courses, offering convenient access to essential coding expertise Payment in Practice: Foundations in Coding, which provides new physicians with essential knowledge in medical billing and coding for obstetric and gynecologic services through 17 interactive videos, realworld scenarios, and regular assessments The 2024 OB/GYN Coding Manual: Components of Correct Coding, an indispensable reference for precise coding practices

O&G Open In 2024, ACOG launched O&G Open, an online open-access journal that features peer-reviewed articles on a range of translational, clinical, and scientific topics pertaining to obstetrics, gynecology, and associated disciplines. Complementing Obstetrics & Gynecology, ACOG’s monthly leading print journal, this online publication is designed for obstetricians, gynecologists, reproductive endocrinologists, maternal–fetal medicine specialists, nurses, and other health care professionals involved in associated disciplines. To learn more, scan the QR code to visit the O&G Open site.

• “Late-Preterm Antenatal Steroids for Reduction of Neonatal Respiratory Complications: A Randomized Controlled Trial” Hilda Yenuberi, MD; Benjamin Ross, MD, Richa Sasmita Tirkey, MS; Santosh Joseph Benjamin, MS; Swati Rathore, MS; Reka Karuppusami, MSc; Aadarsh Lal, MSc; Niranjan Thomas, MD, FRACP; and Jiji Elizabeth Mathew, MS • “Angiogenic Biomarkers in Preeclampsia” Richard M. Burwick, MD, MPH, FACOG; and M. Hellen Rodriguez, MD • ACOG Committee Statement 8: “Permanent Contraception: Ethical Issues and Considerations” ACOG Committee on Ethics in collaboration with committee members Kavita Shah Arora, MD, MBE, MS, FACOG; Maryam Guiahi, MD, MSc, FACOG; and Lisa H. Harris, MD, PhD, FACOG

Dr. Jason D. Wright, MD, FACOG and ACOG Green Journal fellow Mengyang Sun, MD, MS, FACOG

Obstetrics & Gynecology Obstetrics & Gynecology, also known as the Green Journal, continues to be the leading peer-reviewed journal in its field. Since 1953, ACOG has provided readers with articles on premier clinical research. Jason D. Wright, MD, FACOG, an internationally recognized expert in the treatment of gynecologic cancers and surgery, serves as editor in chief.

• “Validity of Birth Certificate Data Compared With Hospital Discharge Data in Reporting Maternal Morbidity and Disparities” Alison Gemmill, PhD; Molly Passarella, MS; Ciaran S. Phibbs, PhD; Elliott K. Main, MD, FACOG; Scott A. Lorch, MD, MSCE; Katy B. Kozhimannil, PhD; Suzan L. Carmichael, PhD; and Stephanie A. Leonard, PhD • Special Issue: “Diabetes in Pregnancy”

The Green Journal’s Top Cited Articles in 2024 • ACOG Clinical Practice Guideline 8: “First and Second Stage Labor Management” ACOG Committee on Clinical Practice Guidelines–Obstetrics in collaboration with Alison G. Cahill, MD, MSCI, FACOG; Nandini Raghuraman, MD, MSCI, FACOG; and Manisha Gandhi, MD, FACOG; with consultation from Anjali J. Kaimal, MD, MAS, FACOG. The Society for Maternal-Fetal Medicine supports this document.

OBSTETRIC AND GYNECOLOGIC EDUCATION ACOG is helping to lead the way in transforming medical education by driving innovative educational initiatives and programming that provide educators with exceptional support and resources to ensure their learners are prepared to meet the moment.

PACE by the Numbers

IN 2024, ACOG SUPPORTED A NUMBER OF EDUCATIONAL INITIATIVES, INCLUDING … The launch of ResidencyCAS, a powerful platform providing residency programs with the ability to holistically review applicants, facilitate exceptional alignment between applicants and programs, and contribute to the creation of a diverse workforce well suited to addressing the critical needs of the ob-gyn profession and patients The launch of the CREOG Inclusive Excellence Program, a five-year approach to fostering inclusive excellence in U.S. obstetric and gynecologic residency programs consisting of a series of webinars and awards that support inclusive excellence curriculum development and implementation Beginning the development of a national obstetric and gynecologic curriculum in conjunction with national cross-specialty discussions related to the movement toward competencybased medical education The Patient-Centered Abortion Care Education Initiative, or PACE, an abortion care essentials curriculum available to all obstetrics and gynecology residents and residency programs across the United States. ACOG developed the curriculum in collaboration with CREOG, Innovating Education in Reproductive Health, and the Kenneth J. Ryan Residency Training Program in Abortion and Family Planning. This program is an online, module-based, self-study curriculum addressing the essentials of patient-centered abortion care education.

Year One by the Numbers

2,431

292

(100% of U.S. residency programs)

455 residents enrolled.

The CREOG In-Training Exam, a critical self-assessment for ob-gyn residents, was successfully administered to more than

6,000 residents across the country.

Total number of applicants:

Total number of programs participating in year one:

95 residency programs are currently using the curriculum as of December 31, 2024, with a total of

Total number of ob-gyn residency applications received:

160,094

The CREOG Education Committee published several curricula on topics such as laparoscopic abdominal entry, neonatal circumcision, enhanced recovery in gynecology, and inequities in rural obstetric care.

Events for Ob-Gyn Educators and Learners ACOG IS PROUD TO HOST ANNUAL EDUCATIONAL EVENTS.

1 2

CREOG & APGO ANNUAL MEETING This meeting brings together undergraduate and graduate medical educators to learn about the latest in educational practices and updates. In 2024, ACOG celebrated innovation with the theme Transforming Obstetrics and Gynecology Education: Brave Solutions for Enduring Challenges.

CREOG EDUCATIONAL RETREAT The retreat provides a forum for ob-gyn residency program directors and managers to connect, share strategies and ideas, and discuss key topics affecting resident education. In 2024, the retreat focused on building resilience and finding joy as educators.

CREOG SCHOOL FOR RESIDENCY AND FELLOWSHIP PROGRAM DIRECTORS AND MANAGERS

CREOG WORKSHOPS FOR RESIDENTS: PREPARING TO BE TEACHERS AND LEADERS

The CREOG School is a hybrid course for new and seasoned program directors and managers led by experienced program director faculty. It addresses the fundamentals critical to a well-run residency program.

These workshops equip ob-gyn residents with the knowledge and skills necessary to serve as leaders and exemplary teachers for junior residents and medical students.

1,266 attendees

ACOG Robert C. Cefalo National Leadership Institute The ACOG Robert C. Cefalo National Leadership Institute’s transformational program has trained

700 OB-GYNS FROM 11 COUNTRIES across three continents since its inception

374 attendees (up 20% from 2023)

117 attendees

252 attendees

96% OF RECENT CEFALO INSTITUTE PARTI CIPANTS have made changes to their communication and leadership approaches based on their experiences in the course

62% HAVE BEEN PROMOTED

promoted, changed jobs, or taken on new leadership opportunities since completing the course

“The most amazing learning experience of my adult professional life!” —Cefalo Institute participant

ACSM

ACOG’s premier educational conference, the ACSM, hosted more than 4,500 attendees in San Francisco, California, in May 2024. Over three days, participants attended 96 educational sessions, presented more than 350 abstracts, and enjoyed networking opportunities through receptions and the career fair. New for 2024’s ACSM was the inclusion of four in-depth pre-meeting workshops focused on menopause and hands-on clinical emergency obstetrical procedures, which approximately 400 people attended.

Stella M. Dantas, MD, FACOG, during the 2024 ACSM Convocation

Events at the 2024 ACSM

ACSM attendee donating blood to Vitalant

Training in Emergencies in Clinical Obstetrics at the 2024 ACSM

EDUCATING PATIENTS AND THE PUBLIC ACOG is committed to educating patients and the public about obstetric and gynecologic conditions and health care. We develop and publish resources for patients and clinicians around the world.

Patient Website ACOG’s patient website, acog.org/womens-health, serves as an essential resource hub offering current, evidence-based insights on a broad range of health topics. This reflects ACOG’s dedication to empowering patients to make informed health care choices on a variety of topics, such as birth control, menopause, prenatal testing, menstrual health, heart health, and vaccine recommendations. It also includes stories from real patients and ob-gyns. Accessible features include a user-friendly dictionary of obstetric and gynecologic health terms and downloadable infographics. All content is developed with ACOG guidance, reviewed by ACOG members, and crafted to align with health literacy standards, ensuring reliability and accessibility for all users.

IN 2024, ACOG EXPANDED THE ACOG EXPLAINS ANIMATED VIDEO SERIES, WITH FIVE NEW VIDEOS COVERING ... Infertility tests and treatments Preventing infections during pregnancy Vaccines during pregnancy Polycystic ovary syndrome Birth control These videos transform complex information into short, engaging, and easy-tounderstand animations for viewers.

WEBSITE USAGE 12.8 million views, 8.9 million users, 11 million sessions

DOWNLOADS

POPULAR PAGES

Top downloaded content included Hysterectomy, Polycystic Ovary Syndrome, Abnormal Cervical Cancer Screening, Uterine Fibroids, and Nutrition During Pregnancy

Trying to Get Pregnant? Here’s When to Have Sex To Shave or Not to Shave: An Ob-Gyn’s Guide to Pubic Hair Care Nutrition During Pregnancy Bleeding After Menopause Could Be a Problem. Here’s What to Know What You Should Know about Breakthrough Bleeding With Birth Control

BIRTH CONTROL This page provides detailed information on different birth control methods, their effectiveness, and potential side effects.

MENOPAUSE This page offers insights into managing menopause symptoms, including lifestyle changes and evidence-based medical treatments.

DURING PREGNANCY This page guides you through each trimester, addressing the changes and questions that arise. It provides answers and insights on what to expect during every stage of pregnancy.

Expanding the Range and Reach of Our Patient Education Resources Clinicians can refer patients to ACOG’s online materials, which are available in a variety of user-friendly formats. These include ... New customizable health tools Member-preferred infographics Videos Expert Views FAQs Ask ACOG items These resources are based on ACOG’s clinical guidance and are free of charge. Additionally, clinicians may choose to purchase

the ACOG digital pamphlet and Fast Facts subscription to access more than 130 high-quality, evidence-based, illustrated digital pamphlets and Fast Facts handouts, available in both English and Spanish. ACOG materials are continuously created and updated in response to ... Evolving health concerns Changes in clinical guidance, such as recommended duration of breastfeeding and guidance on viral hepatitis in pregnancy Emerging health risks, such as RSV Other identified areas of need

These resources cater to patients from puberty through menopause and beyond, addressing important issues such as health care for transgender and nonbinary adolescents; conditions and procedures that receive limited mainstream attention, such as screening for hemoglobinopathies; and everything in between.

Maternal Health Awareness Day: Access in Crisis For the fourth year in a row, ACOG observed Maternal Health Awareness Day. The 2024 theme was Access in Crisis, reflecting the ongoing challenges people face in accessing maternal and reproductive health care. It attracted record levels of international engagement from influential partners and stakeholders. In the wake of the Dobbs v. Jackson Women’s Health Organization decision, people are increasingly unable to access needed abortion care, leaving them at risk of complications and

even death and further compounding existing challenges in access and disparities in outcomes. The maternal health crisis is felt most profoundly by Black and American Indian and Alaska Native people, whose maternal mortality rate is two to three times higher than that of white people, according to CDC data. The live webinar, which featured then-ACOG President Verda J. Hicks, MD, FACOG, from Kansas; Margaret Chou, MD, FACOG, from Delaware; Charlene Collier, MD, MPH, MHS, FACOG, from Mississippi; Kylie Cooper, MD, FACOG, from Minnesota; Katherine Glaser, MD, FACOG, from Arizona; and Richard Todd Ivey, MD, FACOG, from Texas. The webinar also featured Allie Phillips, a patient from Tennessee who was unable to obtain an abortion in her home state after receiving a heartbreaking diagnosis during her 19th week of pregnancy.

More than

700 VIEWERS watched the live webinar.

2024 Maternal Health Awareness Day webinar.

MEMBERSHIP Associate and Educational Life Fellows and Fellows Affiliate Members Senior Status

4,553

5,268

Medical Students

Fellows

11,600

30,038

Junior Fellows

11,118

MEMBERS BY GENDER Female: 43,914 Male: 17,966 Not specified: 201 Prefer not to answer: 360 Nonbinary: 98 Prefer to self-describe: 15 Queer: 12 Transgender man: 8 Transgender woman: 3

MEMBERS BY COUNTRY United States: 60,019 Mexico: 491 Canada: 410 Other Countries: 1,657

District VI 5,565

MEMBERS BY DISTRICT District X

1,673

No District

928

District V 6,144

District II 4,521

District III 4,830

District IX 5,905

Not Specified 187

District I 3,795

District IV 8,817 District VIII 6,622

District XI 4,447

District VII 5,733

District XII 3,410

MentorCity active users

959

Total logins on ACOG Engage

7,331

Total discussion threads on ACOG Engage

MEMBER ENGAGEMENT

2024

HIGHLIGHTS

1,300

Resident Reporter and Opening Ceremonies at the 2024 ACSM

DISTRICTS AND SECTIONS

In 2024, ACOG members came together for regional meetings throughout the United States to discuss and debate critical topics and provide educational opportunities for professionals involved in obstetric and gynecologic care.

DISTRICT I Nurturing the Next Generation

District I’s annual Virtual Residency Fair included 15 programs, 45 speakers, and more than 400 medical students. At the 2024 Districts I, V & VI Annual District Meeting in Boston, Junior Fellow and Early-Career Fellow leadership organized an exciting day dubbed How to Be a Life-Long Learner, which featured … Panels on finding the right residency program, fellowship program, and your niche Hands-on skills workshops on manual vacuum aspiration, IUD placement, knot tying, and suturing Interactive sessions on navigating professional challenges, networking, job hunting, business administration, and negotiating

DISTRICT II Prioritizing Education and Advocacy

To create a community of support, learning, and mentorship, District II ... Offered more than 200 leadership opportunities and delivered education to 550 individuals Facilitated more than 500 engagements in direct and grassroots advocacy in support of policies that promote science, enhance access, prevent legislative interference, and strengthen the profession Prevented dozens of harmful legislative mandates Succeeded in voter approval of Prop 1, a ballot measure that protected reproductive health care access Secured for a third time a veto of harmful legislation that would have significantly expanded liability exposure and cost Equipped members with tools to advocate through a two-day Resident Advocacy Program

District II’s Safe Motherhood Initiative (SMI) offers ob-gyns and maternal health teams tools to reduce maternal mortality and address racial disparities in health outcomes. Building on AIM’s work, the SMI launched a cardiac bundle to provide implementation tools and resources. The SMI annual meeting provided a statewide forum to share best practices, foster collaboration, and develop solutions to improve health outcomes.

6 3 5 42,331 11,155 941

bundles created (hypertension, hemorrhage, cardiac, VTE, sepsis, MEWS) sepsis Grand Rounds presentations held

cardiac Grand Rounds presentations held

visits to the SMI app

different users who accessed the app

total hours of engagement

DISTRICT III Leading Day by Day

Maternal Health Awareness Day Each year, District III provides a recorded webinar online for members to use during local Maternal Health Awareness Day initiatives. In 2024 we featured a webinar by Adi Hirshberg, MD, and Kirstin Leitner, MD, FACOG, from the Hospital of the University of Pennsylvania.

Junior Fellow Day Each year, District III brings together up to 250 residents and medical students to hear lectures, learn about ACOG, and participate in topical roundtables and hands-on simulations. Up to 20 residency programs are represented each year.

Panelists featured in the 2024 District III Maternal Health Awareness Day webinar

DISTRICT IV Engaging with Critical Partners

District IV officers presented at the PROGyn Sunshine Seminar 2024 in San Juan, Puerto Rico, where they spoke about industry updates and education and forged relationships with ACOG members from Puerto Rico. At the first West Virginia Section Meeting in five years, District IV officers shared their clinical expertise and reengaged with the West Virginia Section.

Hosted the West Virginia Section Meeting

DISTRICT V Creating Harmony

By integrating artistic expression with reflective dialogue, the Harmony Project offers a unique avenue for stress relief, fostering emotional wellness and camaraderie among health care professionals facing the relentless demands of their field. Beyond its immediate impact, the project advocates for a broader cultural shift, emphasizing the importance of holistic well-being and interconnectedness in health care settings. Through their involvement, participants contribute not only to a shared creative work but also to a vision of a more empathetic and resilient health care system where individual wellness and collective strength pave the way for enhanced patient care.

Mosaics created for the Harmony Project

DISTRICT VI Creating Community

The District VI communications team established a social media footprint in 2024, enhancing member experience by communicating valuable information through graphics. The District VI Junior Fellow Advisory Council continued to provide opportunities for the community to gather by hosting events. Events included a book club to discuss All in Her Head: The Truth and Lies Early Medicine Taught Us About Women’s Bodies and Why It Matters Today by Elizabeth Comen, the battle of the residency programs at the annual CREOG Jeopardy event, and the screening of the documentary The Fight for Black Lives.

DISTRICT VII Meeting Members Where They Are

In 2024, District VII committees hosted eight live webinars reaching more than 800 ACOG members and public health officials. Topics included tackling social media misinformation about contraception, raising awareness about how physicians can use social media to improve HPV vaccination rates, and practical measures that can be taken to improve maternal mortality. At the 2024 District VII Annual District Meeting, the Diversity, Equity, and Inclusive Excellence Committee engaged members in a hands-on communication workshop titled Using the Power of Curiosity to Transform Difficult Conversations in Health Care.

The District VII HPV Vaccine Committee reel contest engaged physicians and residents to make Instagram reels, which have received more than 9,000 views since October 2024.

The Mexico Section reached 1,200 Instagram followers and 2,900 Facebook followers in 2024. The Section now has six medical student interest groups registered with ACOG.

DISTRICT VIII Preventing Maternal Mortality

District VIII’s annual summit, a three-hour virtual meeting with the state MMRC, included overviews from CDC and HHS. District members shared notes, made connections, and learned about MMRC findings across the various Sections. They also unpacked how MMRCs are turning findings into actions to prevent maternal mortality.

DISTRICT IX Stronger Together

The Peer Support Program—launched in 2019 by Laurie Gregg, MD, FACOG; Mibhali Bhalala, MD, FACOG; and Marie Boller, MD, FACOG—provides a safe space for Fellows and Junior Fellows to share experiences and support each other, thereby addressing burnout in obstetrics and gynecology. The program has become the largest national network of peers supporting peers in the field and is reducing burnout and isolation through confidentiality and shared experiences. Peer supporters expanded their reach to provide both formal and informal support.

Peer Support Program Addresses burnout in obstetrics and gynecology

ARMED FORCES DISTRICT Combating Burnout

The Armed Forces District continued with its successful work on its ACOG Foundation grant program, Facilitating Effective Transitions: Addressing Burnout and Retention in Military Physicians. The AFD Junior Fellows once again hosted their annual Simulation Festival at the 2024 ADM. Junior Fellows have presented 28 projects since the inaugural event in 2022. This annual event facilitates critical thinking in the development of novel simulation models, creative use of inexpensive materials and available medical supplies, new additions to previously created projects, and friendly competition. Topics included cervical ripening balloon placement, perineal laceration repair, surgical management of postpartum hemorrhage, dilation and evacuation, and obstetric anal sphincter repair. This event has garnered national scholarly recognition, including a peer-reviewed publication on development and success of the Simulation Festival, two oral presentations by residents at subsequent ADMs, and a first-place Junior Fellow Initiative Tool kit award in 2023 for a resident’s novel simulation model on perineal laceration repair.

Activities in 2024 include … Enrolling 67 physicians,

residents, and medical students for group coaching with professional coaches

An online longitudinal coaching program with

six sessions over 12 weeks

Coaching sessions conducted with four professional coaches: Holly Olson, MD, FACOG, who coached medical students; Cristin Mount, MD, who coached residents and the all-AFD group; Vanessa Calderon, MD, who coached Early-Career Fellows; and Amy Vertrees, MD, who coached AFD Fellows

DISTRICT XI Educating State Lawmakers and Staff

The District XI Legislative Committee hosted lunch-and-learn sessions at the Texas state capitol, focusing on maternal mental health and diabetes. Additional sessions covering other key health topics are planned for the 89th Texas legislative session.

Hosted sessions at the Texas state capitol on maternal mental health and diabetes

DISTRICT XII Expanding the Resident Research Session

In 2024, residents submitted 68 abstracts to the resident research session, up from 46 in 2023. Of those, 50 were accepted for the poster session. The abstract presented by Rachel Astles, MD, was selected as one of two winners of the 2024–25 Donald F. Richardson Memorial Prize Paper Award. This was a first for a District XII resident. Dr. Astles will present her paper, Intravenous Fluid in Labor and Delivery and Postpartum Hemorrhage and Blood Transfusion: A Retrospective Study, at the 2025 ACSM.

Abstract winner of the 2024–25 Donald F. Richardson Memorial Prize Paper Award

2024–25 COLLEGE BOARD OF DIRECTORS

President-Elect Steven J. Fleischman, MD, MBA, FACOG

Immediate Past President Verda J. Hicks, MD, FACOG

Treasurer

Chair, District VIII

Grant R. Cox, MD, FACOG

Ilana B. Addis, MD, MPH, FACOG

Vice Chair, Junior Fellow College Advisory Council

Secretary

Chair, District IX

Sivani Aluru, MD

Camille A. Clare, MD, MPH, CPE, FACOG

John P. McHugh, MD, FACOG

Assistant Secretary

Chair, Armed Forces District

Marguerite P. Cohen, MD, FACOG

Monica A. Lutgendorf, MD, CAPT, MC, USN, FACOG

Elisa R. Trowbridge, MD, FACOG

Sandra E. Brooks, MD, MBA, FACS, FACOG

Chair, District XI

Fadi Bsat, MD, FACOG

Chair, District I

Gayle Olson Koutrouvelis, MD, MPH, FACOG

President Stella M. Dantas, MD, FACOG

Chief Executive Officer

Erin T. Bradley, MD, MPH, FACOG

Chair, District XII

Chair, District II

Julie Zemaitis DeCesare, MD, FACOG

Mary L. Rosser, MD, PhD, FACOG

Fellow at Large

Chair, District III

Pratima Gupta, MD, FACOG

Gregory W. DeMeo, DO, FACOG

Fellow at Large

Chair, District IV

Hector O. Chapa, MD, FACOG

Scott A. Sullivan, MD, FACOG

Early-Career Fellow at Large

Chair, District V

Emily R. Penick, MD, COL, MC USA, FACOG

Wayne C. Trout, MD, FACOG

Early-Career Fellow at Large

Chair, District VI

Niraj R. Chavan, MD, FACOG

Tamara G. Helfer, MD, MBA, FACOG

Chair, District VII Christopher T. Welsch, MD, FACOG

Chair, Junior Fellow College Advisory Council Allen Ghareeb, MD, FACOG

Subspecialty Representative, American Urogynecologic Society Subspecialty Representative, SMFM Subspecialty Representative, Society for Reproductive Endocrinology and Infertility Erica E. Marsh, MD, MSCI, FACOG

Subspecialty Representative, Society of Gynecologic Oncology David I. Shalowitz, MD, MSHP, FACOG

Subspecialty Representative, Society of Family Planning Anitra D. Beasley, MD, MPH, FACOG

Public Member Kimberly A. Butler, MPH

LETTER FROM THE CHAIR

ACOG FOUNDATION Dear Friends of the ACOG Foundation, The ACOG Foundation proudly represents the charitable arm of our 62,000 ACOG members, who come from 12 Districts spanning the United States and eight other countries. Our goal is to promote educational and scientific programs that advance the health of people seeking obstetric and gynecologic care. Supporting the development and dissemination of community-based interventions, patient-facing educational materials, and hands-on trainings designed to improve access to reproductive care and providing training in emergency obstetrical care enables us to effect demonstrable change in these unprecedented times. The vision we share with ACOG—to see an equitable world in which exceptional care is accessible to all—is important to highlight during this time of uncertainty. Access to the full spectrum of reproductive and gynecologic care is essential for people’s health, safety, and well-being. We, alongside our grantee partner organizations and our generous supporters, are committed to being a positive force for elevating patients’ health. Whether we’re supporting our patient-facing website that garnered over 12 million views in 2024, providing trainings on postpartum long-acting reversible contraception (LARC) to institutions around the country, or supporting ob-gyn trainings on postpartum hemorrhage at a hospital in Cameroon, we know that each intervention makes a difference. The year ahead demands that we continue to deliver on the promise of our mission: to promote charitable, educational, and scientific initiatives that enable ACOG members and their colleagues to improve the lives of all people seeking ob-gyn care, their families, and communities. We are honored that you stand with us. Warm regards,

Tamik a Auguste

Tamika Auguste, MD, FACOG ACOG Foundation Chair

The ACOG Foundation’s 2024 accomplishments include ... Launching the CREOG Inclusive Excellence Program, which is designed to train ob-gyn residents in promoting a supportive, inclusive work environment, with support from Hologic Foundation Conducting 22 Effective Conversations about Abortion workshops and introducing a new support call resource to help individuals and small groups implement recommendations from the workshop Providing 17 Postpartum Contraception Access Initiative trainings and implementation calls in 2024, a 42% increase from 2023. After hands-on clinical training and implementation support, 30 physicians at one institution in Texas are offering immediate postpartum LARC and have provided 138 patients with postpartum LARC. Training 311 participants through the Optimizing Care for Pregnancy Loss Program, which focuses on the medication and procedural management of early pregnancy loss Supporting ACOG’s patient website, which provides evidence-based, accessible medical information to the public. The website garnered more than 12 million views in 2024 and includes animated videos and significant amounts of content in Spanish. Watching our first five grantee partners tackle postpartum hemorrhage in a Cameroon hospital, community-based doula care in Cleveland, severe hypertension in pregnancy in Idaho, access to reproductive care in underserved communities in Southern California, and burnout and attrition in ob-gyns in the military

2024–25 Grantees The ACOG Foundation is pleased to announce its grantees for our 2024–25 grant award cycle. The ACOG Foundation Board of Directors awarded four new grants and two follow-on grants totaling $205,430.

ACOG District II

The University of Miami

Initiative: Understanding How the Maternity Access Crisis Is Impacting Patient Care in New York

Initiative: Group Prenatal Care Program at the University of Miami

This project seeks to analyze the effects of the maternity access crisis on patient care in New York by surveying ob-gyns across the state. The findings will be used to identify opportunities to improve patient safety and address disparities in care.

The Group Prenatal Care Program at the University of Miami Jackson Health System aims to collect preliminary data on patient health outcomes and satisfaction. This initiative seeks to reduce clinician bias and maternal health disparities by fostering increased patient–physician contact and implementing a patient-led agenda.

Amount: $50,000

ACOG District IV Initiative: The Teen Promise Project This program educates middle school students on healthy relationships and sexual and reproductive health to reduce adolescent pregnancy rates. It is led by medical students in collaboration with ob-gyn and pediatrics physicians and local middle schools.

Amount: $42,088

The Fistula Foundation Initiative: Lake Zone Fistula Program: Expanding High-Quality Obstetric Fistula Care in Tanzania The Lake Zone Fistula Program in Tanzania aims to enhance the quality of life for women with obstetric fistula and build long-term capacity for health care professionals. The program will facilitate 100 life-transforming fistula surgeries; upskill two fistula surgeons; train 80 community health workers; and reach 100,000 community members.

Amount: $50,000

Amount: $48,342

The Cameroon-Arizona Partnership Initiative: Implementing an OB Hemorrhage Bundle in Cameroon: Stage 2 This is a continuation grant for the project at the Regional Hospital Limbe in Cameroon, a 2023–24 project designed to reduce preventable maternal mortality and severe maternal morbidity, pursue scholarly examination of the project, and potentially expand to another facility.

Amount: $10,000

ACOG Armed Forces District Initiative: Facilitating Effective Transitions: Addressing Burnout and Retention in Military Physicians This is a continuation grant to examine the effects of burnout and other challenges facing ob-gyns and help promote well-being of ob-gyns in the military.

Amount: $5,000

2024–25 ACOG Foundation Board of Directors Chair

Designated Directors

Tamika Auguste, MD, FACOG

Anne L. Banfield, MD, FACOG Bridget Keller, MD, FACOG

Secretary

Robert H. Palmer Jr, MD, FACOG

Ex Officio Designated Director

Verda J. Hicks, MD, FACOG

Treasurer

David W. Doty, DO, FACOG

Ex Officio Director

Sandra E. Brooks, MD, MBA, FACS, FACOG

ACOG AND THE ACOG FOUNDATION ARE GRATEFUL TO THE FOLLOWING SUPPORTERS WHO HELP ADVANCE OUR MISSION AND PROGRAMS. Note: In July 2024, ACOG Foundation changed the names of its donor societies and giving levels. For the purposes of this report, we are including all donors who contributed at what was previously the Reis Society level and above in this acknowledgement list.

Visionary

Steward

Magdalene B. Karon, MD, FACOG

Hologic Foundation

Anne L. Banfield, MD, FACOG

Bridget B. Keller, MD, FACOG

Ilana B. Addis, MD, MPH, FACOG

Gloria H. Martin, PhD

Daniel M. Breitkopf, MD, FACOG

G. Sealy Massingill, MD, FACOG

Camille A. Clare, MD, MPH, CPE, FACOG

Wade A. Neiman, MD, FACOG

Steven J. Fleischman, MD, MBA, FACOG

Shanna Marie Combs, MD, FACOG

Lila V. Nevrekar, MD, FACOG

Cassandra E. Henderson, MD, MSc, CDCES, FACOG

Stella M. Dantas, MD, FACOG

Robert H. Palmer Jr, MD, FACOG

Sandra D. Dayaratna, MD, FACOG

Todd A. Pankratz, MD, FACOG

Joseph T. Edwards, MD, FACOG

Heather Z. Sankey, MD, FACOG

Melanie and Thomas Gellhaus, MD, FACOG

Theodore D. Segal and Joyce R. Wasserstein, PhD

Ambassador Sandra E. Brooks, MD, MBA, FACOG, and Garth M. Beache, MD

Investor Rita W. Driggers, MD, FACOG, and Christopher M. Zahn, MD, FACOG Jenna L. Tjossem-Robb, MD, FACOG

Lisa M. Hollier, MD, MPH, FACOG David Johnson, IOM, CAE, FASAE

Ally

Tamara Gammill Helfer, MD, MBA, FACOG

Louise R. Wannamaker, MD, FACOG

Aaron B. Caughey, MD, MPH, PhD, FACOG

Christine M. Herde, MD, FACOG

Christopher T. Welsch, MD, FACOG

Clayton H. McCracken III, MD, FACOG

Iffath A. Hoskins, MD, FACOG

Ted L. Anderson, MD, PhD, FACOG

Gerald F. Joseph Jr, MD, FACOG

Joseph J. Apuzzio, MD, FACOG

Leah Kaufman, MD, FACOG

Amy J. Asato, MD, FACOG

Judith Mara Kimelman, MD, FACOG

Tamika C. Auguste, MD, FACOG

Douglas H. Kirkpatrick, MD, FACOG

Rob Batarla, MBA, CPA

Susan D. Klugman, MD FACOG

James T. Breeden, MD, FACOG, and Midge Breeden

May H. Blanchard, MD, FACOG

Sandra Koch, MD, FACOG

Sandra A. Carson, MD, FACOG

Constance Bohon, MD, FACOG

Gayle Koutrouvelis, MD, MPH, FACOG

Ying Chan, MD, FACOG

William Bradford, DO

Latifa Compoare Salifu

Anna M. D’Amico, MD, FACOG

Eva Chalas, MD, FACOG

Dawn Holdren

Leonard S. Fagan, MD, FACOG

AnnaMarie Connolly, MD, FACOG

Judy Levison, MD, MPH, FACOG

Karin Anneliese Fox, MD, FACOG

Grant R. Cox, MD, FACOG

J. Martin Tucker, MD, FACOG, and Robin Tucker

Herbert Guzman, MD, FACOG

Kendra Davis Julie Zemaitis DeCesare, MD, FACOG

Maryanne McDonnell, MD, FACOG

Fund the Future Society Matthew T. Allswede, MD, FACOG Lisa Renee Blackwood, MD, FACOG Rachel Kathleen Bowman, MD, FACOG

W. Benson Harer Jr, MD, FACOG

Timothy C. McFarren, MD, FACOG

Scott D. Hayworth, MD, FACOG, and Nan Hayworth

John P. McHugh, MD, FACOG

Sarah Katherine Horvath, MD, MSHP, FACOG

Molly Meegan, JD

Alan T. Kent, MD

Joseph Ogburn, MD

Robin D. Matthews, MD, FACOG

Holly L. Olson, MD, FACOG

Megan McReynolds

Sarah M. Page-Ramsey, MD, FACOG

Patricia M. Miller, MD

D. Paul Seago, MD, FACOG

Anson Gregory Nebeker

Sarah W. Prager, MD, FACOG Patrick S. Ramsey, MD, MSPH, FACOG

Thomas F. Purdon, MD, FACOG, and Kathryn M. Purdon

Monique M. Regard, MD, FACOG

Susana Schwarz, MD, FACOG

Isaac Schiff, MD, FACOG

Paul A. Smurda, MD, FACOG

Sharuk Noor Ali

Doris E. Tirado, MD, FACOG

Joseph G. Gianfortoni, MD, FACOG

Heather A. Smith, MD, FACOG

Eugene C. Toy, MD, FACOG

Cole D. Greves, MD, FACOG

Kirsten M. Smith, MD, FACOG

Mary F. Vanko, MD, FACOG

William H. J. Haffner, MD, FACOG

Scott A. Sullivan, MD, FACOG

Kristy K. Ward, MD, FACOG

Keith A. Hansen, MD, FACOG

Maria Teresa Tam, MD, FACOG

Jenny White

Karen E. Harris, MD, MPH, FACOG

Terrie Platt, DNP

Carla G. Hawley-Bowland, MD, FACOG

Jennifer Walsh

Kimberly M. DeVore, DO, FACOG Vivian M. Dickerson, MD, FACOG David W. Doty, DO, FACOG Don A. Dyer, MD, FACOG Julius R. Ellis, MD, FACOG Marygrace Elson, MD, MME, FACOG Maureen E. Farrell, MD, FACOG Karen L. Florio, DO, FACOG Lisa M. Foglia, MD, FACOG Anne F. Foster, MD, FACOG Snehanshu Ghosh, MD, FACOG, and Rosario A. Carmona, MD, FACOG

Corporate Donors ACOG deeply appreciates the support we received from the following philanthropic supporters in 2024. PLATINUM $250,000+

GOLD $100,000+

SILVER $50,000+

BRONZE $20,000+

2024 FINANCIAL SUMMARY ACOG/ACOG Foundation 2024 financial statements (unaudited) as of May 2025.

ACOG programs continue to provide the necessary resources to serve our members and improve health care for those seeking obstetric and gynecologic care. Included in these financial statements are the activities of ACOG, the ACOG Foundation, 93 ACOG Districts and 12 Sections, and the ACOG Landholding Corporation. Operating revenues of just over $66 million were led by member dues, federal cooperative agreements, Obstetrics & Gynecology, and the Annual Clinical & Scientific Meeting in San Francisco, California. Expenses of $70.9 million reflect our investment in the education and advancement of our members, reliable and relevant scientific research, medical practice support, and support for current and emerging issues in the field. In 2024, the ACOG portfolio returned significant gains, similar to 2023. The investment portfolio is continually monitored with a goal of funding ACOG’s long-term needs without subjecting the organization to excessive risk. ACOG’s combined operating and nonoperating activity resulted in a net income of just under $17.0 million for the year. To fund strategic initiatives in support of ACOG’s mission, vision, and values; support the operations of our Districts and Sections; and protect against business disruptions, ACOG held financial reserves and endowments of $190.8 million.

Statement of Financial Position LIABILITIES

ASSETS Cash and cash equivalents Accounts receivable, inventory, and prepaid expenses Investments Property and equipment, net value Total assets

Accounts payable and accrued expenses

$5,832,723

409,461

Deferred revenue

14,375,452

190,828,652

Total liabilities

$20,208,175

$18,959,939

12,138,943 $222,336,995

NET ASSETS Unrestricted

$183,153,783

Restricted

18,975,037

Total liabilities and net assets

Statement of Activities

OPERATING REVENUE Dues and fees Grants, contracts, and other

8,622,219 11,384,515

Meeting registration, exhibits, and tuition

7,270,296

Contributions

9,303,241

Total operating revenue

14%

$28,564,100

Publication sales and royalties

Member and practice services

$222,336,995

870,211

11%

Operating Revenue

43%

17%

$66,014,582

13%

EXPENSES Salaries and benefits

$28,971,546

Professional services

12,279,761

Meetings and travel

15,855,909

Honoraria, stipends, and awards

6,316,328

Facilities expenses

2,050,728

Dues and subscriptions

1,223,052

Adminstration and other

4,228,226

Total expenses

NET INCOME FROM OPERATIONS Investment gain Net income

$70,925,550

2% 3%

Expenses

41%

22%

17%

$(4,910,968) $21,877,167 $16,966,199