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ANNUAL REPORT 2024

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

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.”

Sandra E. Brooks

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.”

ResearchLetter

ValidityofBirthCertificateDataCompared WithHospitalDischargeDatainReporting

NarrativeReview

AngiogenicBiomarkersinPreeclampsia

MaternalMorbidityandDisparities AlisonGemmill,PhD,MollyPassarella,MS,CiaranS.Phibbs,PhD,ElliottK.Main,MD ScottA.Lorch,MD,KatyB.Kozhimannil,PhD,SuzanL.Carmichael,PhD,andStephanieA.Leonard,PhD

RichardM.Burwick, MD MPH,andM.HellenRodriguez, MD Preeclampsiacontributesdisproportionatelytomaternal andneonatalmorbidityandmortalitythroughoutthe world.Acriticaldriverofpreeclampsiaisangiogenic imbalance,whichisoftenpresentweekstomonths beforeovertdisease.Twoplacenta-derivedangiogenic biomarkers,solublefms-liketyrosinekinase1(sFlt-1) andplacentalgrowthfactor(PlGF),haveprovedusefulas diagnosticandprognostictestsforpreeclampsia. Recently,theU.S.FoodandDrugAdministration approvedthesFlt-1/PlGFassaytoaidintheprediction ofpreeclampsiawithseverefeaturesamongwomenwith hypertensivedisordersofpregnancyat24–34weeksof gestation.Inthisnarrativereview,wesummarizethe bodyofworkleadingtothisapprovalanddescribe howthesFlt-1/PlGFratiomaybeimplementedinclinical practiceasanadjunctivemeasuretohelpoptimizecare andtoreduceadverseoutcomesinpreeclampsia. (ObstetGynecol2024;143:515–23) DOI:10.1097/AOG.0000000000005532 Preeclampsiaisalife-threateninghypertensivedisorderthatcomplicates3–4%ofallpregnanciesin theUnitedStates.1,2 Itisaglobalpublichealthconcern, withmorethan70,000maternaldeathsattributedto preeclampsiaannually.3,4 Maternalandneonatalmorbidityandmortalityincreasesignificantlywhensevere featuresofdiseasearepresent(Box1)becausethey portendend-organinjuryandadverseoutcomes.5,6 Surveillanceforseverefeaturesinat-riskpatientsis

OriginalResearch

criticaltoinformhospitalizationandtreatmentdecisionsandtoexpeditedelivery,whennecessary,topreventfetaldeathandmaternalcomplications.7,8Althoughpreeclampsiawithseverefeaturesmay arisesuddenly,itisoftenprecededbyanonsevere hypertensivedisorderofpregnancy,includinggestationalhypertension,preeclampsiawithoutsevere features,orchronichypertensionwithorwithout superimposedpreeclampsia.9,10 Suchpatientsare oftenhospitalizedinthelasthalfofpregnancytoevaluateforseverefeaturesthroughassessmentofblood pressure,clinicalsymptoms(eg,headache,visualdisturbances),andlaboratoryparameters(eg,liver enzymes,plateletcount).Theseevaluationsareused tomakeimportantclinicaldecisions,yettheyhave limitedabilitytopredictseverediseaseandadverse outcomesinthesubsequentdaysandweeks.11,12 Box1.PreeclampsiaWithSevereFeatures Systolicbloodpressureof160mmHgormore,or diastolicbloodpressureof110mmHgormoreon twooccasionsatleast4hoursapart(unlessantihypertensivetherapyisinitiatedbeforethistime) Thrombocytopenia(plateletcountlessthan100310 L)Impairedliverfunctionthatisnotaccountedforby alternativediagnosesandasindicatedbyabnormally elevatedbloodconcentrationsofliverenzymes(to morethantwicetheupperlimitnormalconcentrations)orbyseverepersistentupperrightquadrantor epigastricpainunresponsivetomedications Renalinsufficiency(serumcreatinineconcentration morethan1.1mg/dLoradoublingofserumcreatinineconcentrationintheabsenceofotherrenal disease) Pulmonaryedema New-onsetheadacheunresponsivetomedicationand notaccountedforbyalternativediagnoses Visualdisturbances ReprintedfromGestationalhypertensionandpreeclampsia. ACOGPracticeBulletinNo.222.AmericanCollegeof ObstetriciansandGynecologists.ObstetGynecol 2020;135:e237–60.doi:10.1097/AOG.0000000000003891.5

Late-PretermAntenatalSteroidsfor ReductionofNeonatal RespiratoryComplications

ARandomizedControlledTrial

ResearchLetter

HildaYenuberi, MD,BenjaminRoss, DM,RichaSasmitaTirkey, MS,SantoshJosephBenjamin, MS SwatiRathore, MS,RekaKaruppusami, MSc,AadarshLal, MSc,NiranjanThomas, MD, FRACP

Agrowingnumberofstudiesareusingbirthcertificate data,despitedata-qualityconcerns,tostudymaternal morbidityandassociateddisparities.Weexamined whetherconclusionsabouttheincidenceofmaternal morbidity,includingBlack–Whitedisparities,differ betweenbirthcertificatedataandhospitalizationdata. Usinglinkedbirthcertificateandhospitalizationdata fromCaliforniaandMichiganfor2018(N5543,469), wefoundthatmaternalmorbiditymeasuresusing birthcertificatedataalonearesubstantiallyunderreportedandhavepoorvalidity.Furthermore,the degreeofunderreportinginbirthcertificatedatadiffersbetweenBlackandWhiteindividualsandresults inerroneousinferencesaboutdisparities.Overall, Black–Whitedisparitiesweremoremodestinthebirth certificatedatacomparedwiththehospitalization data.Birthcertificatedataaloneareinadequatefor studiesofmaternalmorbidityandassociatedracial disparities.(ObstetGynecol2024;143:459–62) DOI:10.1097/AOG.0000000000005497 Preventingseverematernalmorbidity(SMM)and andpolicyinterest.associateddisparitieshasgarneredintenseclinical 1 TheCentersforDiseaseControl andPrevention(CDC)identifiesSMMinadministrativedatabasedonatleast1of21indicatorsofpotentiallylife-threateningeventsoccurringduringlabor anddelivery.2 Theseindicatorsareidentifiedusing InternationalClassificationofDiseasesdiagnosisand procedurecodes.3 Nationalhospitalizationdatawith thesecodes(eg,NationalInpatientSample)canbe cost-prohibitivetoaccess,arenotreadilyavailableat thestatelevel,andhaveincompleteinformationon raceandethnicity.Birthcertificatedata,bycontrast, arefreelyavailable,includenearlyallbirthsinthe UnitedStates,andcontainself-reportedraceandethnicity.Anincreasingnumberofstudiespublishedin high-impactjournalsaremeasuringmaternalmorbidityusingonlydatafromthebirthcertificate,4–6 becauseallstates(since2014)haveimplementeda revisedbirthcertificatethatincludesmaternalmorbidityfields.However,priorworkshowsthatthe qualityofthematernalmorbiditydatafrombirthcertificatesispooranddoesnotsufficientlyidentify cases.3,7 Weconductedanupdateddata-quality assessmentofspecificmaternalmorbiditymeasures availableonthebirthcertificateandexamined

andJijiElizabethMathew, MS

OBJECTIVE: Toevaluatetheefficacyofantenatalcorticosteroidsinreducingneonatalrespiratorycomplicationswhenadministeredtothoseatriskofpreterm deliverybetween34and366/7weeksofgestation. METHODS: Thiswasasingle-center,triple-blind,randomized,placebo-controlledtrialinsouthernIndiaenrolling pregnantparticipantsatriskofpretermdeliverybetween 34and366/7weeksofgestation.Computer-generated blockrandomizationwasusedwithparticipantsrandom-

Seerelatededitorialonpage465.

FromtheDepartmentofPopulation,FamilyandReproductiveHealth,Johns HopkinsBloombergSchoolofPublicHealth,Baltimore,Maryland;the DepartmentofPediatrics,ChildrensHospitalofPhiladelphia,andtheLeonard DavisInstituteofHealthEconomics,WhartonSchool,UniversityofPennsylvania,Philadelphia,Pennsylvania;theHealthEconomicsResourceCenter,VeteransAffairsPaloAltoHealthcareSystem,MenloPark,andtheDepartmentof PediatricsandtheDepartmentofObstetricsandGynecology,StanfordUniversity SchoolofMedicine,Stanford,California;andtheDivisionofHealthPolicyand Management,UniversityofMinnesotaSchoolofPublicHealth,Minneapolis, Minnesota.FundingforthisworkwasprovidedinpartbytheNationalInstitutesofHealth EuniceKennedyShriverNationalInstituteofChildHealthandHuman Development(grantsR01HD084819toDrs.PhibbsandLorchand R01HD099197toDr.Phibbs)andtheNationalInstituteonMinorityHealth andHealthDisparities(grant[U54MD000214toDr.Gemmill]).Thiswork waspartlyfundedbytheNationalInstituteofNursingResearch(grants NR020335andNR017020toDr.Carmichael). Eachauthorhasconfirmedcompliancewiththejournalsrequirementsfor authorship.Correspondingauthor:AlisonGemmill,PhD,DepartmentofPopulation, FamilyandReproductiveHealth,JohnsHopkinsBloombergSchoolofPublic Health,Baltimore,MD;agemmill@jhu.edu. FinancialDisclosure Theauthorsdidnotreportanypotentialconflictsofinterest. ©2024bytheAmericanCollegeofObstetriciansandGynecologists.Published byWoltersKluwerHealth,Inc.Allrightsreserved. ISSN:0029-7844/24

FromtheDivisionofMaternalFetalMedicine,SanGabrielValleyPerinatal MedicalGroup,PomonaValleyHospitalMedicalCenter,Pomona,California. Eachauthorhasconfirmedcompliancewiththejournalsrequirementsfor authorship. Correspondingauthor:RichardM.Burwick,MD,MPH,MaternalFetal Medicine,SanGabrielValleyPerinatalMedicalGroup,PomonaValley HospitalMedicalCenter,Pomona,CA;richardburwick@gmail.com. FinancialDisclosure RichardBurwickservesonadvisoryboardsforComancheBiopharma,Roche Diagnostics,andUCBBiosciencesandservesonadvisoryboardsandthespeakers bureauforAlexion,AstraZenecaRareDisease.Theotherauthordidnotreport anypotentialconflictsofinterest. ©2024bytheAmericanCollegeofObstetriciansandGynecologists.Published byWoltersKluwerHealth,Inc.Allrightsreserved. ISSN:0029-7844/24

VOL.143,NO.4,APRIL2024

FromtheDepartmentsofObstetricsandGynecology,Neonatology,andBiostatistics,ChristianMedicalCollege,Vellore,India;andNewbornServices,Joan KirnerWomen sandChildren satSunshineHospital,St.Albans,andthe DepartmentofObstetricsandGynecology,UniversityofMelbourne,Melbourne, Victoria,Australia. TheIRBofChristianMedicalCollege,Vellore,providedfundsthatwereusedtoward employmentoftheresearchassistantandforpurchasingandpackagingthestudydrug. TheIRBhadnoroleinthestudydesign;collection,analysis,andinterpretationof data;writingofthereport;orthedecisiontosubmitthereportforpublication. Theauthorsthankalltheparticipantsandtheirneonatesforbeingapartofourtrial. TheythanktheIRBofChristianMedicalCollege,Vellore,forthefinancialassistance toconductthisrandomizedtrial.SpecialthanksgotoMrs.KumariSekar,who relentlesslyworkedtoscreenindividuals,coordinatedrecruitment,obtainedandmaintainedtheconsentforms,andfilledtheproformas,andforeffortlesslyensuringthat dataentrywasuptodate.TheauthorsalsothankDr.AnnaduraiSubramanian,head ofmanufacturing,DivisionofPharmacy,fordiligentlyworking,alongwithhisstaff, toprovidethestudydrugontime,andDr. support,andguidanceindataanalysisandinterpretation.JohnIdikullaforhisoversight,advice, Eachauthorhasconfirmedcompliancewiththejournal srequirementsfor authorship. Correspondingauthor:HildaYenuberi,DepartmentofObstetricsandGynecology,ChristianMedicalCollege,TamilNadu,India;hildagrace@gmail.com. FinancialDisclosure Theauthorsdidnotreportanypotentialconflictsofinterest. ©2024bytheAmericanCollegeofObstetriciansandGynecologists.Published byWoltersKluwerHealth,Inc.Allrightsreserved. ISSN:0029-7844/24

ValidityofBirthCertificateDataCompared WithHospitalDischargeDatainReporting MaternalMorbidityandDisparitiesAlisonGemmill, PhD,MollyPassarella, MS,CiaranS.Phibbs, PhD,ElliottK.Main, MD ScottA.Lorch,MD,KatyB.Kozhimannil,PhD,SuzanL.Carmichael,PhD,andStephanieA.Leonard,PhD

izedtoeitheronecourseofintramuscularbetamethasone orplacebo.Theprimaryoutcomewasacompositeof treatmentfor respiratorydistress intheneonate,definedas needforoxygenorcontinuouspositiveairwaypressureor mechanicalventilationforatleast2hoursinthefirst72 hoursoflife.Neonatalsecondaryoutcomesweretransient tachypneaofthenewborn,respiratorydistresssyndrome, necrotizingenterocolitis,sepsis,hyperbilirubinemia,hypoglycemia,stillbirth,andearlyneonataldeath;maternalsecondaryoutcomeswerechorioamnionitis,postpartum hemorrhage,puerperalfever,andlengthofhospitalization. Allanalyseswerebasedonintentiontotreat.Asamplesize of1,200wasplannedwith80%powertodetecta30% reductioninratesofrespiratorydistress.Afteraplanned interimanalysis,enrollmentwasstoppedforfutility.

FromtheDepartmentofPopulation,FamilyandReproductiveHealth,Johns HopkinsBloombergSchoolofPublicHealth,Baltimore,Maryland;the DepartmentofPediatrics,ChildrensHospitalofPhiladelphia,andtheLeonard DavisInstituteofHealthEconomics,WhartonSchool,UniversityofPennsylvania,Philadelphia,Pennsylvania;theHealthEconomicsResourceCenter,VeteransAffairsPaloAltoHealthcareSystem,MenloPark,andtheDepartmentof PediatricsandtheDepartmentofObstetricsandGynecology,StanfordUniversity SchoolofMedicine,Stanford,California;andtheDivisionofHealthPolicyand Management,UniversityofMinnesotaSchoolofPublicHealth,Minneapolis, Minnesota. FundingforthisworkwasprovidedinpartbytheNationalInstitutesofHealths EuniceKennedyShriver NationalInstituteofChildHealthandHuman Development(grantsR01HD084819toDrs.PhibbsandLorchand R01HD099197toDr.Phibbs)andtheNationalInstituteonMinorityHealth andHealthDisparities(grant[U54MD000214toDr.Gemmill]).Thiswork waspartlyfundedbytheNationalInstituteofNursingResearch(grants NR020335andNR017020toDr.Carmichael). Eachauthorhasconfirmedcompliancewiththejournalsrequirementsfor authorship. Correspondingauthor:AlisonGemmill,PhD,DepartmentofPopulation, FamilyandReproductiveHealth,JohnsHopkinsBloombergSchoolofPublic Health,Baltimore,MD;agemmill@jhu.edu. FinancialDisclosure Theauthorsdidnotreportanypotentialconflictsofinterest. ©2024bytheAmericanCollegeofObstetriciansandGynecologists.Published byWoltersKluwerHealth,Inc.Allrightsreserved. ISSN:0029-7844/24

RESULTS: FromMarch2020toAugust2022,847participantswererecruited,with423participantsrandomized tobetamethasoneand424participantsrandomizedto placebo.Therewere22individualslosttofollow-up. Therewasnostatisticallysignificantdifferenceinthe primaryoutcome(betamethasone4.9%vsplacebo4.8%, relativerisk1.03,95%CI,0.57–1.84,numberneededto treat786).Therewerenostatisticallysignificantdifferencesinsecondaryneonatalormaternaloutcomes. CONCLUSION: Betamethasoneadministeredinthe late-pretermperiodtothoseatriskforpretermdelivery didnotreducetheneedfortreatmentofneonatal respiratorydistress.

OBSTETRICS&GYNECOLOGY

Guidance downloaded more than 570,000 times in 2024

CLINICAL PRACTICE

CLINICALTRIALREGISTRATION: ClinicalTrialsRegistry ofIndia,CTRI/2019/09/021321. (ObstetGynecol2024;143:468–74) DOI:10.1097/AOG.0000000000005520 A ntenatalcorticosteroidsarethestandardofcare forpretermdeliveriesbefore34weeksofgesta-

inerroneousinferencesaboutdisparities.Overall, Black–Whitedisparitiesweremoremodestinthebirth certificatedatacomparedwiththehospitalization data.Birthcertificatedataaloneareinadequatefor studiesofmaternalmorbidityandassociatedracial disparities. (ObstetGynecol2024;143:459–62) DOI:10.1097/AOG.0000000000005497Preventingseverematernalmorbidity(SMM)and andpolicyinterest.associateddisparitieshasgarneredintenseclinical TheCentersforDiseaseControl andPrevention(CDC)identifiesSMMinadministrativedatabasedonatleast1of21indicatorsofpotentiallylife-threateningeventsoccurringduringlabor anddelivery.2 Theseindicatorsareidentifiedusing InternationalClassificationofDiseasesdiagnosisand procedurecodes.3 Nationalhospitalizationdatawith thesecodes(eg,NationalInpatientSample)canbe cost-prohibitivetoaccess,arenotreadilyavailableat thestatelevel,andhaveincompleteinformationon raceandethnicity.Birthcertificatedata,bycontrast, arefreelyavailable,includenearlyallbirthsinthe nicity.UnitedStates,andcontainself-reportedraceandethAnincreasingnumberofstudiespublishedin high-impactjournalsaremeasuringmaternalmorbidityusingonlydatafromthebirthcertificate,4–becauseallstates(since2014)haveimplementeda6 revisedbirthcertificatethatincludesmaternalmorbidityfields.However,priorworkshowsthatthe qualityofthematernalmorbiditydatafrombirthcercases.tificatesispooranddoesnotsufficientlyidentify 3,7 Weconductedanupdateddata-quality assessmentofspecificmaternalmorbiditymeasures availableonthebirthcertificateandexamined

OBSTETRICS&GYNECOLOGY 459

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 …

“Biomarker Prediction of Preeclampsia With Severe Features”

“Screening for Gestational and Pregestational Diabetes Mellitus in Pregnancy and Postpartum”

“Paternal and Fetal Genotyping in the Management of Alloimmunization in Pregnancy”

“Update on Criteria for Suspected Diagnosis of Intraamniotic Infection”

“Rh D Immune Globulin Administration After Abortion or Pregnancy Loss at Less Than 12 Weeks of Gestation”

“Age to Initiate Breast Cancer Screening”

“Management of Full-Term Nulliparous Individuals 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”

• “Intravenous Fluid Shortage”

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.

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.

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 The two most popular clinical studies selected for review:

3 540

42%

Cesarean birth for nonreassuring or indeterminant heart rate (of charts)

36% Induction of labor (of charts)

40 hospital site visits were conducted health systems, comprising 14 sites, were reviewed hospital charts were reviewed 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

2,069

75%

80+

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

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.

Sixth Annual Maternal Immunization Summit

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

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

COVID-19 Expert Work Group members and vaccine champions

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

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.

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.

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.

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.

Medical student training session at the 2024 ACSM.

3,333

total users

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.

811

new active users in 2024

91.4% satisfaction rate for members who asked insurance and coding questions

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.

15,778 article reviews

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.

ACOG members on Capitol Hill during the 2024 Congressional Leadership Conference

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

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:

» “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

In 2024, ACOG filed 22 briefs 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.

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 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.

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

• 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

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.

Our members enthusiastically endorse the 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 ...

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.

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 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.

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.

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.

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.

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.

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.

Bookstore at the 2024 Annual Clinical and Scientific Meeting

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.

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.

• “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

• “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”

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

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.

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

Total number of programs participating in year one:

292

(100% of U.S. residency programs)

95 residency programs are currently using the curriculum as of December 31, 2024, with a total of 455 residents enrolled. PACE by the Numbers

Total number of applicants: 2,431

Total number of ob-gyn residency applications received: 160,094

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.

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.

ACOG Robert C. Cefalo National Leadership Institute

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

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.

CREOG WORKSHOPS FOR RESIDENTS: PREPARING TO BE TEACHERS AND LEADERS

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

374 attendees (up 20% from 2023)

117 attendees

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

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

252 attendees

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

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

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.

Events at the 2024 ACSM

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

Training in Emergencies in Clinical Obstetrics at the 2024 ACSM

ACSM attendee donating blood to Vitalant

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.

million views, 8.9 million users, 11 million sessions

DOWNLOADS

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

POPULAR PAGES

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.

Medical Students

11,600

Life Fellows and Fellows Senior Status

4,553

Associate and Educational Affiliate Members

5,268

Fellows

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

MEMBERS BY DISTRICT

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 bundles created (hypertension, hemorrhage, cardiac, VTE, sepsis, MEWS)

3 sepsis Grand Rounds presentations held

5 cardiac Grand Rounds presentations held

42,331 visits to the SMI app

11,155 different users who accessed the app

941 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

Stella M. Dantas, MD, FACOG

Treasurer

Grant R. Cox, MD, FACOG

Secretary

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

Assistant Secretary

Marguerite P. Cohen, MD, FACOG

Chief Executive Officer

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

Chair, District I

Erin T. Bradley, MD, MPH, FACOG

Chair, District II

Mary L. Rosser, MD, PhD, FACOG

Chair, District III

Gregory W. DeMeo, DO, FACOG

Chair, District IV

Scott A. Sullivan, MD, FACOG

Chair, District V

Wayne C. Trout, MD, FACOG

Chair, District VI

Tamara G. Helfer, MD, MBA, FACOG

Chair, District VII

Christopher T. Welsch, MD, FACOG

President-Elect

Steven J. Fleischman, MD, MBA, FACOG

Chair, District VIII

Ilana B. Addis, MD, MPH, FACOG

Chair, District IX

John P. McHugh, MD, FACOG

Chair, Armed Forces District

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

Chair, District XI

Gayle Olson Koutrouvelis, MD, MPH, FACOG

Chair, District XII

Julie Zemaitis DeCesare, MD, FACOG Fellow at Large

Pratima Gupta, MD, FACOG

Fellow at Large

Hector O. Chapa, MD, FACOG

Early-Career Fellow at Large

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

Early-Career Fellow at Large

Niraj R. Chavan, MD, FACOG Chair, Junior Fellow College Advisory Council

Allen Ghareeb, MD, FACOG

Immediate Past President

Verda J. Hicks, MD, FACOG

Vice Chair, Junior Fellow College Advisory Council

Sivani Aluru, MD

Subspecialty Representative, American Urogynecologic Society

Elisa R. Trowbridge, MD, FACOG

Subspecialty Representative, SMFM

Fadi Bsat, MD, FACOG

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

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, LETTER FROM THE CHAIR

Tamika 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

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

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.

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

The University of Miami

Initiative: Group Prenatal Care Program at the University of Miami

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: $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

Tamika Auguste, MD, FACOG

Secretary

Robert H. Palmer Jr, MD, FACOG

Treasurer

David W. Doty, DO, FACOG

Designated Directors

Anne L. Banfield, MD, FACOG

Bridget Keller, MD, FACOG

Ex Officio Designated Director

Verda J. Hicks, MD, 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 Hologic Foundation

Ambassador

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

Steven J. Fleischman, MD, MBA, FACOG

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

Investor

Rita W. Driggers, MD, FACOG, and Christopher M. Zahn, MD, FACOG

Jenna L. Tjossem-Robb, MD, FACOG

Steward

Anne L. Banfield, MD, FACOG

Ilana B. Addis, MD, MPH, FACOG

Daniel M. Breitkopf, MD, FACOG

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

Shanna Marie Combs, MD, FACOG

Stella M. Dantas, MD, FACOG

Sandra D. Dayaratna, MD, FACOG

Joseph T. Edwards, MD, FACOG

Melanie and Thomas Gellhaus, MD, FACOG

Lisa M. Hollier, MD, MPH, FACOG

David Johnson, IOM, CAE, FASAE

Magdalene B. Karon, MD, FACOG

Bridget B. Keller, MD, FACOG

Gloria H. Martin, PhD

G. Sealy Massingill, MD, FACOG

Wade A. Neiman, MD, FACOG

Lila V. Nevrekar, MD, FACOG

Robert H. Palmer Jr, MD, FACOG

Todd A. Pankratz, MD, FACOG

Heather Z. Sankey, MD, FACOG

Theodore D. Segal and

Joyce R. Wasserstein, PhD

Ally

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

Clayton H. McCracken III, MD, FACOG

Ted L. Anderson, MD, PhD, FACOG

Joseph J. Apuzzio, MD, FACOG

Amy J. Asato, MD, FACOG

Tamika C. Auguste, MD, FACOG

Rob Batarla, MBA, CPA

May H. Blanchard, MD, FACOG

Constance Bohon, MD, FACOG

William Bradford, DO

Eva Chalas, MD, FACOG

AnnaMarie Connolly, MD, FACOG

Grant R. Cox, MD, FACOG

Kendra Davis

Julie Zemaitis DeCesare, MD, FACOG

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

Joseph G. Gianfortoni, MD, FACOG

Cole D. Greves, MD, FACOG

William H. J. Haffner, MD, FACOG

Keith A. Hansen, MD, FACOG

Karen E. Harris, MD, MPH, FACOG

Carla G. Hawley-Bowland, MD, FACOG

Tamara Gammill Helfer, MD, MBA, FACOG

Christine M. Herde, MD, FACOG

Iffath A. Hoskins, MD, FACOG

Gerald F. Joseph Jr, MD, FACOG

Leah Kaufman, MD, FACOG

Judith Mara Kimelman, MD, FACOG

Douglas H. Kirkpatrick, MD, FACOG

Susan D. Klugman, MD FACOG

Sandra Koch, MD, FACOG

Gayle Koutrouvelis, MD, MPH, FACOG

Latifa Compoare Salifu

Dawn Holdren

Judy Levison, MD, MPH, FACOG

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

Maryanne McDonnell, MD, FACOG

Timothy C. McFarren, MD, FACOG

John P. McHugh, MD, FACOG

Molly Meegan, JD

Joseph Ogburn, MD

Holly L. Olson, MD, FACOG

Sarah M. Page-Ramsey, MD, FACOG

D. Paul Seago, MD, FACOG

Sarah W. Prager, MD, FACOG

Patrick S. Ramsey, MD, MSPH, FACOG

Monique M. Regard, MD, FACOG

Isaac Schiff, MD, FACOG

Sharuk Noor Ali

Heather A. Smith, MD, FACOG

Kirsten M. Smith, MD, FACOG

Scott A. Sullivan, MD, FACOG

Maria Teresa Tam, MD, FACOG

Terrie Platt, DNP

Jennifer Walsh

Louise R. Wannamaker, MD, FACOG

Christopher T. Welsch, MD, FACOG

Fund the Future Society

Matthew T. Allswede, MD, FACOG

Lisa Renee Blackwood, MD, FACOG

Rachel Kathleen Bowman, MD, FACOG

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

Sandra A. Carson, MD, FACOG

Ying Chan, MD, FACOG

Anna M. D’Amico, MD, FACOG

Leonard S. Fagan, MD, FACOG

Karin Anneliese Fox, MD, FACOG

Herbert Guzman, MD, FACOG

W. Benson Harer Jr, MD, FACOG

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

Sarah Katherine Horvath, MD, MSHP, FACOG

Alan T. Kent, MD

Robin D. Matthews, MD, FACOG

Megan McReynolds

Patricia M. Miller, MD

Anson Gregory Nebeker

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

Susana Schwarz, MD, FACOG

Paul A. Smurda, MD, FACOG

Doris E. Tirado, MD, FACOG

Eugene C. Toy, MD, FACOG

Mary F. Vanko, MD, FACOG

Kristy K. Ward, MD, FACOG

Jenny White

Corporate Donors

ACOG deeply appreciates the support we received from the following philanthropic supporters in 2024.

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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

ASSETS

Cash and cash equivalents $18,959,939 Accounts receivable, inventory, and prepaid expenses 409,461 Investments

Statement of Activities

OPERATING REVENUE

Dues and fees $28,564,100

Meeting registration, exhibits, and tuition

Contributions

Salaries and benefits $28,971,546

Meetings and travel 15,855,909