Federal Register - August 20, 2021
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Source: Federal Register
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Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices in part, the recommended updates to the Guidelines.
In March 2021, ACOG was awarded a subsequent cooperative agreement to further review and recommend updates to the Guidelines. As the award recipient, starting on March 1, 2021, ACOG has engaged in a process to consider and review new information developed by a multidisciplinary group of womens health professional organizations. Following recommendations by ACOG, HRSA will decide whether to support, in whole or in part, the recommended updates to the guidelines.
As part of this cooperative agreement, ACOG is required to base its recommended updates to the Guidelines on review and synthesis of existing clinical guidelines and new scientific evidence. The National Academy of Medicine standards for establishing foundations for and rating strengths of recommendations, articulation of recommendations, as well as external reviews are to be met in developing these guidelines. Additionally, processes are to be incorporated to assure opportunity for public input and transparency, including participation by patients and consumers, in the development of the updated Guideline recommendations.
This notice solicits comments from the public on the draft recommendation statements for the Well-Woman Preventive Visits, Counseling for Sexually Transmitted Infections, and Breastfeeding Services and Supplies.
The updated draft clinical recommendation statements are provided below:
recommended preventive services as determined by age and risk factors.
Well Woman Preventive Visits The MSC has updated the clinical recommendation statement to reflect that recommended services may be completed at a single visit or as part of a series of preventive health visits that take place over time to obtain the necessary services. Well Women Visits have also been further defined to include pre-pregnancy, prenatal, and interpregnancy visits.
Members of the public can view each complete updated draft recommendation statement by accessing the initiatives web page at https
www.womenspreventivehealth.org/.
The WPSI recommends that women receive at least one preventive care visit per year beginning in adolescence and continuing across the lifespan to ensure the provision of all recommended preventive services. These services may be completed at a single visit or as part of a series of visits that take place over time to obtain all necessary services depending on a womans age, health status, reproductive health needs, pregnancy status, and risk factors. Well women visits include pre-pregnancy, prenatal, and interpregnancy visits. The primary purpose of well-woman visits is the delivery and coordination of all
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Counseling for Sexually Transmitted Infections The MSC has made minor updates to the counseling for sexually transmitted infections statement to include a review of a womens sexual history, and modified the risk factor list by stating that risk factors are not limited to the areas indicated.
The WPSI recommends directed behavioral counseling by a health care provider or other appropriately trained individual for sexually active adolescent and adult women at an increased risk for sexually transmitted infections STIs.
The WPSI recommends that health care providers review a womans sexual history and risk factors to help identify those at an increased risk of STIs. Risk factors include but are not limited to age younger than 25
years, a recent history of an STI, a new sex partner, multiple partners, a partner with concurrent partners, a partner with an STI, and a lack of or inconsistent condom use. For adolescents and women not identified as high risk, counseling to reduce the risk of STIs should be considered, as determined by clinical judgment.
Breastfeeding Services and Supplies The MSC has updated the clinical recommendation to include consultative services that will optimize successful initiation and maintenance of breastfeeding.
The WPSI recommends comprehensive lactation support services including consultation, counseling, education, and breastfeeding equipment and supplies during the antenatal, perinatal, and postpartum periods to optimize the successful initiation and maintenance of breastfeeding.
Diana Espinosa, Acting Administrator.
FR Doc. 202117826 Filed 81921; 8:45 am BILLING CODE 416515P
National Institutes of Health National Institute on Aging; Notice of Closed Meetings Pursuant to section 10d of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meetings.
The meetings will be closed to the public in accordance with the
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provisions set forth in sections 552bc4 and 552bc6, Title 5 U.S.C., as amended. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy.
Name of Committee: National Institute on Aging Special Emphasis Panel; Aging and Metabolic Plasticity of Adipose Tissue.
Date: October 19, 2021.
Time: 12:00 p.m. to 5:30 p.m.
Agenda: To review and evaluate grant applications.
Place: National Institute on Aging, Gateway Building, 7201 Wisconsin Avenue, Bethesda, MD 20892 Video Meeting.
Contact Person: Joshua Jin-Hyouk Park, Ph.D., Scientific Review Officer, Scientific Review Branch, National Institute on Aging, National Institutes of Health, Gateway Building 2W200, 7201 Wisconsin Avenue, Bethesda, MD 20892, 301 4966208, joshua.park4@nih.gov.
Name of Committee: National Institute on Aging Special Emphasis Panel; MOST4
Osteoarthritis Study.
Date: October 27, 2021.
Time: 12:00 p.m. to 5:30 p.m.
Agenda: To review and evaluate grant applications.
Place: National Institute on Aging, Gateway Building, 7201 Wisconsin Avenue, Bethesda, MD 20892 Video Meeting.
Contact Person: Joshua Jin-Hyouk Park, Ph.D., Scientific Review Officer, Scientific Review Branch, National Institute on Aging, National Institutes of Health, Gateway Building 2W200, 7201 Wisconsin Avenue, Bethesda, MD 20892, 301 4966208, joshua.park4@nih.gov.
Name of Committee: National Institute on Aging Special Emphasis Panel; Neurogenesis Dynamics in AD and ADRD.
Date: November 910, 2021.
Time: 11:00 a.m. to 5:30 p.m.
Agenda: To review and evaluate grant applications.
Place: National Institute on Aging, Gateway Building, 7201 Wisconsin Avenue, Bethesda, MD 20892 Video Meeting.
Contact Person: Joshua Jin-Hyouk Park, Ph.D., Scientific Review Officer, Scientific Review Branch, National Institute on Aging, National Institutes of Health, Gateway Building 2W200, 7201 Wisconsin Avenue, Bethesda, MD 20892, 301 4966208, joshua.park4@nih.gov.
Catalogue of Federal Domestic Assistance Program Nos. 93.866, Aging Research, National Institutes of Health, HHS
Dated: August 17, 2021.
Miguelina Perez, Program Analyst, Office of Federal Advisory Committee Policy.
FR Doc. 202117877 Filed 81921; 8:45 am BILLING CODE 414001P
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