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Title Date
1.

The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist

Number 639

ABSTRACT Information from vital records is critical to identify and quantify healthrelated issues and to measure progress toward quality improvement and public health goals In particular maternal and infant mortality serve as important indicators of the nations health thereby influencing policy de...

September 2015

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2.

Prenatal and Perinatal Human Immunodeficiency Virus Testing - Expanded Recommendations

Number 635

(Replaces Committee Opinion Number 418, September 2008)

ABSTRACT Given the enormous advances in the prevention of perinatal transmission of human immunodeficiency virus HIV it is clear that early identification and treatment of all pregnant women with HIV is the best way to prevent neonatal infection and also improve womens health Furthermore new evide...

June 2015

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3.

Alcohol Abuse and Other Substance Use Disorders: Ethical Issues in Obstetric and Gynecologic Practice

Number 633

(Replaces Committee Opinion Number 422, December 2008)

ABSTRACT Alcohol abuse and other substance use disorders are major often underdiagnosed health problems for women regardless of age race ethnicity and socioeconomic status and have resulting high costs for individuals and society The Diagnostic and Statistical Manual of Mental Disorders Fifth Edit...

June 2015

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4.

Health Care for Unauthorized Immigrants

Number 627

(Replaces Committee Opinion Number 425, January 2009)

ABSTRACT Unauthorized undocumented immigrants are less likely than other residents of the United States to have health insurance The American College of Obstetricians and Gynecologists has long supported a basic health care package for all women living within the United States without regard to th...

March 2015

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5.

The Transition From Pediatric to Adult Health Care: Preventive Care for Young Women Aged 18-26 Years

Number 626

ABSTRACT Young women aged 1826 years are a heterogeneous population transitioning from adolescence into adulthood who may present with unique issues and challenges including a potential gap in health care after pediatric health care Obstetriciangynecologists should note that these patients may nee...

March 2015

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6.

Management of Women With Dense Breasts Diagnosed by Mammography

Number 625

ABSTRACT Women with dense breasts have a modestly increased risk of breast cancer and experience reduced sensitivity of mammography to detect breast cancer However evidence is lacking to advocate for additional testing until there are clinically validated data that indicate improved screening outc...

March 2015

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7.

Cervical Cancer Screening in Low-Resource Settings

Number 624

ABSTRACT Cytologybased cervical cancer screening programs require a number of elements to be successful Certain lowresource settings like the US Affiliated Pacific Islands lack these elements Implementing alternative cervical cancer screening strategies in lowresource settings can provide consiste...

February 2015

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8.

End of Life Decision Making

Number 617

(Replaces Committee Opinion Number 403, April 2008)

ABSTRACT Obstetriciangynecologists care for women throughout their lifespans and are in an ideal position to have ongoing discussions with healthy patients about their values and wishes regarding future care and to encourage them to complete an advance directive for health care In addition situati...

January 2015

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9.

Increasing Access to Abortion

Number 613

(Replaces No. 424, January 2009)

ABSTRACT Safe legal abortion is a necessary component of womens health care The American College of Obstetricians and Gynecologists supports the availability of highquality reproductive health services for all women and is committed to improving access to abortion Access to abortion is threatened ...

November 2014

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10.

Abortion Training and Education

Number 612

(Replaces No. 424, January 2009)

ABSTRACT Access to safe abortion hinges upon the availability of trained abortion providers The American College of Obstetricians and Gynecologists supports education for students in health care fields as well as clinical training for residents and advanced practice clinicians in abortion care in ...

November 2014

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11.

Adolescent Confidentiality and Electronic Health Records

Number 599

ABSTRACT Confidentiality concerns are heightened during adolescence and these concerns can be a critical barrier to adolescents in receiving appropriate health care Health care providers caring for minors should be aware of federal and state laws that affect confidentiality State statutes on the r...

May 2014

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12.

Sexual Assault

Number 592

(Replaces Committee Opinion Number 499, August 2011)

ABSTRACT Reproductiveaged victims of sexual assault are at risk of unintended pregnancy sexually transmitted infections and mental health conditions including posttraumatic stress disorder Health care providers should screen routinely for a history of sexual assault and offer victims both emergenc...

April 2014

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13.

Challenges for Overweight and Obese Women

Number 591

(Replaces Committee Opinion Number 470, October 2010)

ABSTRACT Overweight and obesity are epidemic in the United States Obesity is a risk factor for numerous conditions including diabetes hypertension high cholesterol stroke heart disease certain types of cancer and arthritis The prevalence of obesity is high exceeding 30 in adult women and men Many ...

March 2014

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14.

Effective Patient–Physician Communication

Number 587

(Replaces Committee Opinion Number 492, May 2011)

ABSTRACT Physicians ability to effectively and compassionately communicate information is key to a successful patientphysician relationship The current health care environment demands increasing clinical productivity and affords less time with each patient which can impede effective patientphysici...

February 2014

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15.

Health Disparities in Rural Women

Number 586

(Replaces Committee Opinion Number 429, March 2009)

ABSTRACT Rural women experience poorer health outcomes and have less access to health care than urban women Many rural areas have limited numbers of health care providers especially womens health providers Rural America is heterogeneous where problems vary depending on the region and state Health ...

February 2014

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16.

Health Literacy

Number 585

(Replaces Committee Opinion Number 491, May 2011)

ABSTRACT According to the Institute of Medicine of the National Academies health literacy is defined as the degree to which individuals have the capacity to obtain process and understand basic health information and services needed to make appropriate health decisions The American College of Obste...

February 2014

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17.

Elective Surgery and Patient Choice

Number 578

(Replaces No. 395, January 2008)

ABSTRACT Acknowledgment of the importance of patient autonomy and increased patient access to information such as information on the Internet has prompted more patientgenerated requests for surgical interventions not traditionally recommended Depending on the context acceding to a request for a su...

November 2013

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18.

Health Care for Homeless Women

Number 576

(Replaces No. 454, February 2010)

ABSTRACT Homelessness continues to be a significant problem in the United States Women and families represent the fastest growing segment of the homeless population Health care for these women is a challenge but an important issue that needs to be addressed Homeless women are at higher risk of inj...

October 2013

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19.

Exposure to Toxic Environmental Agents

Number 575

ABSTRACT Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians gynecologists and other reproductive health care professionals Patient exposure to toxic environmental chemicals and other stressors is ubiquitous and preconception and prenatal exposure t...

October 2013

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20.

Marriage Equality for Same-Sex Couples

Number 574

(Replaces No. 428, February 2009)

ABSTRACT Samesex couples encounter barriers to health care that include concerns about confidentiality and disclosure stigma and discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding of their health risks Samesex couples and the...

September 2013

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American Congress of Obstetricians and Gynecologists
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