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Title Date

Preparing for Clinical Emergencies in Obstetrics and Gynecology

Number 590

(Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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The Use of Chromosomal Microarray Analysis in Prenatal Diagnosis

Number 581

(Replaces No. 446, November 2009) (See also Practice Bulletin No. 88)

ABSTRACT Chromosomal microarray analysis is a technique that identifies chromosomal abnormalities including submicroscopic abnormalities that are too small to be detected by conventional karyotyping Like conventional fetal karyotyping prenatal chromosomal microarray analysis requires direct testin...

December 2013

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Definition of Term Pregnancy

Number 579

ABSTRACT In the past the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered term with the expectation that neonatal outcomes from deliveries in this interval were uniform and good Increasingly however research has shown that neonatal outcomes especially re...

November 2013

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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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Understanding and Using the U.S. Selected Practice Recommendations for Contraceptive Use, 2013

Number 577

(Reaffirmed 2015)

ABSTRACT The US Selected Practice Recommendations for Contraceptive Use 2013 US SPR issued by the Centers for Disease Control and Prevention is a companion piece to the Centers for Disease Control and Preventions US Medical Eligibility Criteria for Contraceptive Use 2010 The US Medical Eligibility...

November 2013

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Magnesium Sulfate Use in Obstetrics

Number 573

ABSTRACT The US Food and Drug Administration advises against the use of magnesium sulfate injections for more than 57 days to stop preterm labor in pregnant women Based on this the drug classification was changed from Category A to Category D and the labeling was changed to include this new warnin...

September 2013

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Breastfeeding in Underserved Women: Increasing Initiation and Continuation of Breastfeeding

Number 570

ABSTRACT Maternal and infant benefits from breastfeeding are well documented and are especially important to underserved women Underserved women are disproportionately likely to experience adverse health outcomes that may improve with breastfeeding They face unique barriers and have low rates of i...

August 2013

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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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Professional Liability and Gynecology-Only Practice

Number 567

(Replaces No. 408, June 2008, Reaffirmed 2015)

ABSTRACT Fellows of the American College of Obstetricians and Gynecologists may choose to limit the scope of their practices to gynecology and accordingly may choose not to carry professional liability coverage for obstetrics The American College of Obstetricians and Gynecologists considers early ...

July 2013

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Update on Immunization and Pregnancy Tetanus Diphtheria and Pertussis Vaccination

Number 566

(Replaces No. 521, March 2012, Reaffirmed 2015)

ABSTRACT In the face of dramatic and persistent increases in pertussis disease in the United States the Centers for Disease Control and Preventions Advisory Committee on Immunization Practices has updated its guidelines for the use of the tetanus toxoid reduced diphtheria toxoid and acellular pert...

June 2013

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Ethical Issues With Vaccination for the Obstetrician–Gynecologist

Number 564

ABSTRACT Because of the growing importance of infectious disease prevention in the individual patient and the larger community it is vital that Fellows of the American College of Obstetricians and Gynecologists be prepared to navigate the practical and ethical challenges that come with vaccination...

May 2013

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Ethical Issues in Pandemic Influenza Planning Concerning Pregnant Women

Number 563

ABSTRACT Pregnant women traditionally have been assigned priority in the allocation of prevention and treatment resources during outbreaks of influenza because of their increased risk of morbidity and mortality The Committee on Ethics of the American College of Obstetricians and Gynecologists expl...

May 2013

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Nonmedically Indicated Early-Term Deliveries

Number 561

(Reaffirmed 2015)

ABSTRACT For certain medical conditions available data and expert opinion support optimal timing of delivery in the latepreterm or earlyterm period for improved neonatal and infant outcomes However for nonmedically indicated earlyterm deliveries such an improvement has not been demonstrated Morbid...

April 2013

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Medically Indicated Late-Preterm and Early-Term Deliveries

Number 560

(Reaffirmed 2015)

ABSTRACT The neonatal risks of late preterm 34 0736 67 weeks of gestation and earlyterm 37 0738 67 weeks of gestation births are well established However there are a number of maternal fetal and placental complications in which either a latepreterm or earlyterm delivery is warranted The timing of ...

April 2013

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Cesarean Delivery on Maternal Request

Number 559

(Reaffirmed 2015)

ABSTRACT Cesarean delivery on maternal request is defined as a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications Potential risks of cesarean delivery on maternal request include a longer maternal hospital stay an increased risk of respirator...

April 2013

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Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care

Number 555

ABSTRACT Numerous occurrences in the past decade have brought the issue of disaster preparedness and specifically hospital preparedness to the national forefront Much of the work in this area has focused on large hospital system preparedness for various disaster scenarios Many unique features of t...

March 2013

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Multifetal Pregnancy Reduction

Number 553

(Replaces Committee Opinion Number 369, June 2007)

ABSTRACT Fertility treatments have contributed significantly to the increase in multifetal pregnancies The first approach to the problem of multifetal pregnancies should be prevention and strategies to limit multifetal pregnancies especially highorder multifetal pregnancies should be practiced by ...

February 2013

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Benefits to Women of Medicaid Expansion Through the Affordable Care Act

Number 552

(Reaffirmed 2015)

ABSTRACT Many US women are uninsured and face avoidable adverse obstetric and gynecologic health outcomes The Affordable Care Act requires an expansion of Medicaid that would increase the percentage of US women with health insurance with the anticipated benefit of improved health The 2012 Supreme ...

January 2013

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Maternal–Fetal Surgery for Myelomeningocele

Number 550

Reaffirmed 2015

ABSTRACT Myelomeningocele the most severe form of spina bifida occurs in approximately 1 in 1500 births in the United States Fetuses in whom myelomeningocele is diagnosed typically are delivered at term and are treated in the early neonatal period A recent randomized controlled trial found that fe...

January 2013

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Weight Gain During Pregnancy

Number 548

Reaffirmed 2015

ABSTRACT The updated guidelines by the Institute of Medicine regarding gestational weight gain provide clinicians with a basis for practice Health care providers who care for pregnant women should determine a womans body mass index at the initial prenatal visit and counsel her regarding the benefi...

January 2013

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American Congress of Obstetricians and Gynecologists
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