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Results 41–60 of 61
Title Date
41.

Maternal-Fetal Intervention and Fetal Care Centers

Number 501

(Reaffirmed 2014)

ABSTRACT The past two decades have yielded profound advances in the fields of prenatal diagnosis and fetal intervention Although fetal interventions are driven by a beneficencebased motivation to improve fetal and neonatal outcomes advancement in fetal therapies raises ethical issues surrounding m...

August 2011

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42.

Medical Futility

Number 362

Reaffirmed 2016

ABSTRACT The construct of medical futility has been used to justify a physicians unilateral refusal to provide treatment requested or demanded by a patient or the family of a patient It is important that physicians and their institutions develop a process for dealing with conflict surrounding the ...

March 2007

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43.

Methamphetamine Abuse in Women of Reproductive Age

Number 479

(Reaffirmed 2013)

ABSTRACT Methamphetamine abuse has continued to increase in the United States since the late 1980s with its use spreading from the West Coast to areas across the country Methamphetamine use in pregnancy endangers the health of the woman and increases the risk of low birth weight and small for gest...

March 2011

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44.

Motivational Interviewing: A Tool for Behavior Change

Number 423

(Reaffirmed 2014)

Abstract Applying the principles of motivational interviewing to everyday patient interactions has been proved effective in eliciting behavior change that contributes to positive health outcomes and improved patientphysician communication Current Procedural Terminology codes are available to aid i...

January 2009

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45.

Nonmedical Use of Prescription Drugs

Number 538

Reaffirmed 2014

ABSTRACT The nonmedical use of prescription drugs particularly opioids sedatives and stimulants has been cited as epidemic in the United States accounting for increasing numbers of emergency department visits and deaths from reactions and overdoses The prevalence of prescription drug abuse is simi...

October 2012

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46.

Opioid Abuse, Dependence, and Addiction in Pregnancy

Number 524

(Reaffirmed 2014)

ABSTRACT Opioid use in pregnancy is not uncommon and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes The current standard of care for pregnant women with opioid dependence is referral for opioidassisted therapy with methadone but emerging eviden...

May 2012

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47.

Optimizing Postpartum Care

Number 666

ABSTRACT In the weeks after birth postpartum care often is fragmented among maternal and pediatric health care providers and communication between inpatient and outpatient settings is inconsistent To optimize postpartum care anticipatory guidance should begin during pregnancy During antenatal care...

June 2016

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48.

Oral Health Care During Pregnancy and Through the Lifespan

Number 569

(Reaffirmed 2015)

ABSTRACT Oral health is an important component of general health and should be maintained during pregnancy and through a womans lifespan Maintaining good oral health may have a positive effect on cardiovascular disease diabetes and other disorders In 20072009 35 of US women reported that they did ...

August 2013

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49.

Partnering With Patients to Improve Safety

Number 490

(Reaffirmed 2013, Replaces No. 320, November 2005)

Abstract Actively involving patients in the planning of health services is recommended as a means of improving the quality of care This can increase patient engagement and reduce risk resulting in improved outcomes satisfaction and treatment adherence Introduction The foundation for a positive phy...

May 2011

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50.

Patient Testing Ethical Issues in Selection and Counseling

Number 363

(Reaffirmed 2015)

ABSTRACT Recommendations to patients about testing should be based on current medical knowledge a concern for the patients best interests and mutual consultation In addition to establishing a diagnosis testing provides opportunities to educate inform and advise The ethical principles of respect fo...

April 2007

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51.

Planned Home Birth

Number 476

Reaffirmed 2015

ABSTRACT Although the Committee on Obstetric Practice believes that hospitals and birthing centers are the safest setting for birth it respects the right of a woman to make a medically informed decision about delivery Women inquiring about planned home birth should be informed of its risks and ben...

February 2011

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52.

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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53.

Preparing for Disasters: Perspectives on Women

Number 457

(Reaffirmed 2014)

ABSTRACT Emergency plans that specifically address the needs of women infants and children during disasters are currently underdeveloped in the United States Pregnant women infants and children are adversely affected by disasters resulting in an increased number of infants with intrauterine growth...

June 2010

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54.

Racial and Ethnic Disparities in Obstetrics and Gynecology

Number 649

(Replaces Committee Opinion Number 317, October 2005)

ABSTRACT Projections suggest that people of color will represent most of the US population by 2050 and yet significant racial and ethnic disparities persist in womens health and health care Although socioeconomic status accounts for some of these disparities factors at the patient practitioner and...

December 2015

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55.

Refusal of Medically Recommended Treatment During Pregnancy

Number 664

(Replaces Committee Opinion Number 321, November 2005)

ABSTRACT One of the most challenging scenarios in obstetric care occurs when a pregnant patient refuses recommended medical treatment that aims to support her wellbeing her fetuss wellbeing or both In such circumstances the obstetriciangynecologists ethical obligation to safeguard the pregnant wom...

June 2016

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56.

Scheduled Cesarean Delivery and the Prevention of Vertical Transmission of HIV Infection

Number 234

(Replaces No. 219, August 1999, Reaffirmed 2015)

Prevention of transmission of the human immunodeficiency virus HIV from mother to fetus or newborn vertical transmission is a major goal in the care of pregnant women infected with HIV An important advance in this regard was the demonstration that treatment of the mother with zidovudine ZDV during...

May 2000

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57.

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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58.

Substance Abuse Reporting and Pregnancy: The Role of the Obstetrician-Gynecologist

Number 473

(Reaffirmed 2014)

Abstract Drug enforcement policies that deter women from seeking prenatal care are contrary to the welfare of the mother and fetus Incarceration and the threat of incarceration have proved to be ineffective in reducing the incidence of alcohol or drug abuse Obstetriciangynecologists should be awar...

January 2011

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59.

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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60.

The Limits of Conscientious Refusal in Reproductive Medicine

Number 385

Reaffirmed 2016

ABSTRACT Health care providers occasionally may find that providing indicated even standard care would present for them a personal moral problema conflict of conscienceparticularly in the field of reproductive medicine Although respect for conscience is important conscientious refusals should be l...

November 2007

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American Congress of Obstetricians and Gynecologists
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