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1.

Health Literacy to Promote Quality of Care

Number 676

(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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2.

Perinatal Risks Associated With Assisted Reproductive Technology

Number 671

(Replaces Committee Opinion No. 324, November 2005)

ABSTRACT Over the past decades the use of assisted reproductive technology ART has increased dramatically worldwide and has made pregnancy possible for many infertile couples Although the perinatal risks that may be associated with ART and ovulation induction are much higher in multifetal gestatio...

September 2016

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3.

Immediate Postpartum Long-Acting Reversible Contraception

Number 670

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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4.

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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5.

Guidelines for Adolescent Health Research

Number 665

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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6.

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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7.

Integrating Immunizations Into Practice

Number 661

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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8.

Concerns Regarding Social Media and Health Issues in Adolescents and Young Adults

Number 653

ABSTRACT Although there are many positive aspects of social media for adolescents and young adults there are also risks Adolescence is a time of significant developmental changes during which adolescents exhibit a limited capacity for selfregulation and an increased risk of susceptibility to peer ...

February 2016

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9.

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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10.

Ethical Considerations for Including Women as Research Participants

Number 646

(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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11.

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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12.

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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13.

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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14.

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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15.

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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16.

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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17.

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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18.

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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19.

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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20.

Adolescent Confidentiality and Electronic Health Records

Number 599

(Reaffirmed 2016)

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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