Thrombophilias and Insurance Companies: The problem with ACOG’s recent Practice Bulletin
In this month’s Green Journal, ACOG published Practice Bulletin #111 “Inherited Thrombophilias in Pregnancy”. This practice bulletin was an attempt to coalesce the available evidence on thrombophilias in pregnancy and to make some evidence based recommendations for how obstetricians should deal with the issue.
This is all well and good, but what happened next was not. A few weeks after publication ACOG retracted the Practice Bulletin. Though we don’t know for sure, this was likely due to an outcry the many MFMs who don’t agree with the published recommendations. As of now, it is no longer available online, and exists only in the pages of the printed journal. Per ACOG, a new version will be out this summer.
So why did this happen?
