Doula Certification Evidence-Based Practices and Research 2 — Questions and Answers
Question 1: What does the acronym ACOG stand for?
- American College of Obstetricians and Gynecologists (Correct answer)
- Association of Certified Obstetric Guidance
- American Council of OB-GYN Practitioners
- Association for Certified Obstetric Goals
Correct answer: American College of Obstetricians and Gynecologists
ACOG (American College of Obstetricians and Gynecologists) is the leading professional organization that publishes clinical practice guidelines for OB-GYN care in the US.
Question 2: What is physiologic birth?
- A birth requiring significant medical intervention
- Birth that unfolds with minimal intervention, allowing natural labor processes to occur (Correct answer)
- Birth that takes place only in a hospital setting
- A birth managed entirely by physicians
Correct answer: Birth that unfolds with minimal intervention, allowing natural labor processes to occur
Physiologic birth describes labor and delivery that progresses naturally with minimal medical intervention, allowing the body's innate processes to guide birth.
Question 3: What is a systematic review in healthcare research?
- A review of a single landmark study
- A rigorous synthesis of multiple studies on a specific clinical question (Correct answer)
- A hospital policy document
- A clinical case report
Correct answer: A rigorous synthesis of multiple studies on a specific clinical question
A systematic review rigorously identifies, appraises, and synthesizes all available research on a specific question using explicit, reproducible methods.
Question 4: What is Group B Streptococcus (GBS) screening in pregnancy?
- A postpartum mood disorder screening test
- A test for bacteria in the vagina/rectum that can be transmitted to the baby during birth (Correct answer)
- A breastfeeding readiness assessment
- A routine newborn blood test
Correct answer: A test for bacteria in the vagina/rectum that can be transmitted to the baby during birth
GBS screening at 35-37 weeks identifies whether Group B Strep bacteria are present; positive mothers receive IV antibiotics in labor to protect the newborn.
Question 5: What is an episiotomy?
- A spontaneous perineal tear during birth
- A surgical incision made in the perineum to widen the vaginal opening during birth (Correct answer)
- A cesarean incision technique
- A cervical ripening procedure
Correct answer: A surgical incision made in the perineum to widen the vaginal opening during birth
An episiotomy is a surgical cut made in the perineum during the pushing stage; current evidence supports selective rather than routine use.
Question 6: What did the ARRIVE trial (2018) find about labor induction at 39 weeks?
- It is always associated with worse neonatal outcomes
- It was associated with reduced cesarean rates and similar neonatal outcomes compared to expectant management (Correct answer)
- It always leads to cesarean birth
- It is only recommended after 42 weeks gestation
Correct answer: It was associated with reduced cesarean rates and similar neonatal outcomes compared to expectant management
The ARRIVE trial found that elective induction at 39 weeks for low-risk nulliparous women was associated with lower cesarean rates compared to expectant management.
Doula Certification Evidence-Based Practices and Research 2
What does the acronym ACOG stand for?