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21.

End of Life Decision Making

Committee Opinion Number 617, January 2015

(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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22.

Ethical Considerations for Including Women as Research Participants

Committee Opinion Number 646, November 2015

(Replaces Committee Opinion No. 307, December 2004
and Committee Opinion No. 377, September 2007)

ABSTRACT Inclusion of women in research studies is necessary for valid inferences about health and disease in women The generalization of results from trials conducted in men may yield erroneous conclusions that fail to account for the biologic differences between men and women Although significan...

November 2015

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23.

Ethical Considerations for Performing Gynecologic Surgery in Low-Resource Settings Abroad

Committee Opinion Number 466, September 2010

(Reaffirmed 2016)

ABSTRACT International humanitarian medical efforts provide essential services to patients who would not otherwise have access to specific health care services The Committees on Ethics and Global Womens Health of the American College of Obstetricians and Gynecologists encourage College Fellows and...

September 2010

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24.

Ethical Decision Making in Obstetrics and Gynecology

Committee Opinion Number 390, December 2007

Reaffirmed 2016

ABSTRACT Physicians vary widely in their familiarity with ethical theories and methods and their sensitivity toward ethical issues It is important for physicians to improve their skills in addressing ethical questions Obstetriciangynecologists who are familiar with the concepts of medical ethics w...

December 2007

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25.

Ethical Issues in Genetic Testing

Committee Opinion Number 410, June 2008

(Reaffirmed 2014)

ABSTRACT Genetic testing is poised to play an increasing role in the practice of obstetrics and gynecology To assure patients of the highest quality of care physicians should become familiar with the currently available array of genetic tests and the tests limitations Clinicians should be able to ...

June 2008

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26.

Exposure to Toxic Environmental Agents

Committee Opinion Number 575, October 2013

Reaffirmed 2016

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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27.

Forming a Just Health Care System

Committee Opinion Number 456, March 2010

ABSTRACT In this Committee Opinion the Committee on Ethics of the American College of Obstetricians and Gynecologists endorses the Colleges ongoing efforts to promote a just health care system explores justifications that inform just health care and identifies professional responsibilities to guid...

March 2010

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28.

Guidelines for Adolescent Health Research

Committee Opinion Number 665, June 2016

ABSTRACT Considerable uncertainty exists about what constitutes appropriate levels of protection for adolescents as research participants and about the need for parental permission The ethical principles that govern research include respect for individuals beneficence and justice as articulated in...

June 2016

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29.

Health Care for Homeless Women

Committee Opinion Number 576, October 2013

(Replaces No. 454, February 2010, Reaffirmed 2016)

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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30.

Health Care for Lesbians and Bisexual Women

Committee Opinion Number 525, May 2012

(Reaffirmed 2016)

ABSTRACT Lesbians and bisexual women encounter barriers to health care that include concerns about confidentiality and disclosure discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding as to what their health risks may be Health ...

May 2012

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31.

Health Care for Unauthorized Immigrants

Committee Opinion Number 627, March 2015

(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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32.

Health Care for Women in the Military and Women Veterans

Committee Opinion Number 547, December 2012

Abstract Military service is associated with unique risks to womens reproductive health As increasing numbers of women are serving in the military and a greater proportion of United States Veterans are women it is essential that obstetriciangynecologists are aware of and well prepared to address t...

December 2012

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33.

Health Disparities in Rural Women

Committee Opinion Number 586, February 2014

(Reaffirmed 2016. 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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34.

Health Literacy to Promote Quality of Care

Committee Opinion Number 676, October 2016

(Replaces Committee Opinion Number 585, February 2014)

ABSTRACT Health literacy is defined as the degree to which individuals have the capacity to obtain process and understand the basic health information and services they need to make appropriate health decisions Multiple factors affect a patients understanding of health information including cultur...

October 2016

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35.

Human Immunodeficiency Virus

Committee Opinion Number 389, December 2007

(Reaffirmed 2015)

ABSTRACT Because human immunodeficiency virus HIV infection often is detected through prenatal and sexually transmitted disease testing an obstetriciangynecologist may be the first health professional to provide care for a woman infected with HIV Universal testing with patient notification and rig...

December 2007

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36.

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome and Women of Color

Committee Opinion Number 536, September 2012

(Replaces Committee Opinion No. 414, August 2008)

ABSTRACT In the United States most new cases of human immunodeficiency virus HIV infection and acquired immunodeficiency syndrome AIDS occur among women of color primarily African American and Hispanic women Most women of color acquire the disease from heterosexual contact often from a partner who...

September 2012

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37.

Immediate Postpartum Long-Acting Reversible Contraception

Committee Opinion Number 670, August 2016

ABSTRACT Immediate postpartum longacting reversible contraception LARC has the potential to reduce unintended and shortinterval pregnancy Women should be counseled about all forms of postpartum contraception in a context that allows informed decision making Immediate postpartum LARC should be offe...

August 2016

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38.

Increasing Access to Abortion

Committee Opinion Number 613, November 2014

(Replaces No. 424, January 2009, Reaffirmed 2017)

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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39.

Informed Consent

Committee Opinion Number 439, August 2009

(Reaffirmed 2015)

ABSTRACT Obtaining informed consent for medical treatment for participation in medical research and for participation in teaching exercises involving students and residents is an ethical requirement that is partially reflected in legal doctrines and requirements As an ethical doctrine informed con...

August 2009

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40.

Integrating Immunizations Into Practice

Committee Opinion Number 661, April 2016

ABSTRACT Immunization against vaccinepreventable diseases is an essential component of womens primary and preventive health care Despite the importance of vaccination and clear guidance from public health agencies rates of vaccination lag behind national goals Obstetriciangynecologists can play a ...

April 2016

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