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41.

Magnesium Sulfate Before Anticipated Preterm Birth for Neuroprotection

Committee Opinion Number 455, March 2010

Reaffirmed 2015

Abstract Numerous large clinical studies have evaluated the evidence regarding magnesium sulfate neuroprotection and preterm births The Committee on Obstetric Practice and the Society for MaternalFetal Medicine recognize that none of the individual studies found a benefit with regard to their prim...

March 2010

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42.

Magnesium Sulfate Use in Obstetrics

Committee Opinion Number 652, January 2016

(Reaffirmed 2016. Replaces Committee Opinion Number 573, September 2013)

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...

January 2016

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43.

Management of Women With Phenylketonuria

Committee Opinion Number 636, June 2015

(Replaces Committee Opinion Number 449, December 2009)

ABSTRACT Phenylketonuria PKU is an autosomal recessive disorder of phenylalanine Phe metabolism characterized by deficient activity of the hepatic enzyme phenylalanine hydroxylase Increased blood Phe levels are toxic to a variety of tissues particularly the developing fetal brain The mainstay of t...

June 2015

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44.

Marijuana Use During Pregnancy and Lactation

Committee Opinion Number 637, July 2015

ABSTRACT Cannabis sativa marijuana is the illicit drug most commonly used during pregnancy The selfreported prevalence of marijuana use during pregnancy ranges from 2 to 5 in most studies A growing number of states are legalizing marijuana for medicinal or recreational purposes and its use by preg...

July 2015

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45.

Maternal-Fetal Intervention and Fetal Care Centers

Committee Opinion Number 501, August 2011

(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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46.

Maternal–Fetal Surgery for Myelomeningocele

Committee Opinion Number 550, January 2013

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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47.

Medically Indicated Late-Preterm and Early-Term Deliveries

Committee Opinion Number 560, April 2013

(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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48.

Methamphetamine Abuse in Women of Reproductive Age

Committee Opinion Number 479, March 2011

(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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49.

Method for Estimating Due Date

Committee Opinion Number 611, October 2014

(Reaffirmed 2016. See also Committee Opinion No. 579)

ABSTRACT Accurate dating of pregnancy is important to improve outcomes and is a research and public health imperative As soon as data from the last menstrual period the first accurate ultrasound examination or both are obtained the gestational age and the estimated due date should be determined di...

October 2014

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50.

Mode of Term Singleton Breech Delivery

Committee Opinion Number 340, July 2006

(Replaces No. 265, December 2001, Reaffirmed 2016)

ABSTRACT In light of recent studies that further clarify the longterm risks of vaginal breech delivery the American College of Obstetricians and Gynecologists recommends that the decision regarding mode of delivery should depend on the experience of the health care provider Cesarean delivery will ...

July 2006

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51.

Moderate Caffeine Consumption During Pregnancy

Committee Opinion Number 462, August 2010

Reaffirmed 2015

ABSTRACT Moderate caffeine consumption less than 200 mg per day does not appear to be a major contributing factor in miscarriage or preterm birth The relationship of caffeine to growth restriction remains undetermined A final conclusion cannot be made at this time as to whether there is a correlat...

August 2010

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52.

Multifetal Pregnancy Reduction

Committee Opinion Number 553, February 2013

(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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53.

Nalbuphine Hydrochloride Use for Intrapartum Analgesia

Committee Opinion Number 376, August 2007

(Reaffirmed 2014)

ABSTRACT Safety concerns have been raised regarding the use of nalbuphine hydrochloride during labor The American College of Obstetricians and Gynecologists finds data are insufficient to recommend any changes in nalbuphine hydrochloride administration at this time Opinion Nalbuphine hydrochloride...

August 2007

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54.

Nonmedical use of Obstetric Ultrasonography

Committee Opinion Number 297, August 2004

(Reaffirmed 2015)

ABSTRACT The American College of Obstetricians and Gynecologists ACOG has endorsed the Prudent Use statement from the American Institute of Ultrasound in Medicine AIUM discouraging the use of obstetric ultrasonography for nonmedical purposes eg solely to create keepsake photographs or videos The A...

August 2004

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55.

Nonmedically Indicated Early-Term Deliveries

Committee Opinion Number 561, April 2013

(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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56.

Nonobstetric Surgery During Pregnancy

Committee Opinion Number 474, February 2011

(Replaces No. 284, August 2003, Reaffirmed 2015)

ABSTRACT The American College of Obstetricians and Gynecologists Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women It is important for a physician to obtain an obstetric consultation before...

February 2011

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57.

Obstetric Management of Patients with Spinal Cord Injuries

Committee Opinion Number 275, September 2002

(Replaces No. 121, April 1993, Reaffirmed 2016)

ABSTRACT Effective rehabilitation and modern reproductive technology may increase the number of women considering pregnancy who have spinal cord injuries SCIs It is important that obstetricians caring for these patients are aware of the specific problems related to SCIs Autonomic dysreflexia is th...

September 2002

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58.

Opioid Abuse, Dependence, and Addiction in Pregnancy

Committee Opinion Number 524, May 2012

(Reaffirmed 2016)

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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59.

Optimizing Postpartum Care

Committee Opinion Number 666, June 2016

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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60.

Oral Health Care During Pregnancy and Through the Lifespan

Committee Opinion Number 569, August 2013

(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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