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Results 181–200 of 215
Title Date

Vaginal "Rejuvenation" and Cosmetic Vaginal Procedures

Number 378

(Reaffirmed 2014)

ABSTRACT Socalled vaginal rejuvenation designer vaginoplasty revirgination and Gspot amplification are vaginal surgical procedures being offered by some practitioners These procedures are not medically indicated and the safety and effectiveness of these procedures have not been documented Clinicia...

September 2007

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Nalbuphine Hydrochloride Use for Intrapartum Analgesia

Number 376

(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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Brand Versus Generic Oral Contraceptives

Number 375

(Reaffirmed 2015)

ABSTRACT The US Food and Drug Administration considers generic and brand name oral contraceptive OC products clinically equivalent and interchangeable The American College of Obstetricians and Gynecologists supports patient or clinician requests for branded OCs or continuation of the same generic ...

August 2007

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Expert Testimony

Number 374

(Reaffirmed 2013)

ABSTRACT It is the duty of obstetricians and gynecologists who testify as expert witnesses on behalf of defendants the government or plaintiffs to do so solely in accordance with their judgment on the merits of the case Obstetriciangynecologists must limit testimony to their sphere of medical expe...

August 2007

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Sexual Misconduct

Number 373

ABSTRACT The physicianpatient relationship is damaged when there is either confusion regarding professional roles and behavior or clear lack of integrity that allows sexual exploitation and harm Sexual contact or a romantic relationship between a physician and a current patient is always unethical...

August 2007

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The Role of Cystourethroscopy in the Generalist Obstetrician-Gynecologist Practice

Number 372

(Reaffirmed 2015)

ABSTRACT Cystourethroscopy can be performed for diagnostic and a few operative indications by obstetriciangynecologists to help improve patient care Perhaps the most important indications for cystourethroscopy are to rule out cystotomy and intravesical or intraurethral suture or mesh placement and...

July 2007

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Sterilization of Women Including Those With Mental Disabilities

Number 371

(Reaffirmed 2009)

ABSTRACT Sterilization like any other surgical procedure must be carried out under the general ethical principles of respect for autonomy beneficence and justice Women requesting sterilization should be encouraged to discuss their decision and associated issues with their husbands or other appropr...

July 2007

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Institutional Responsibility to Provide Legal Representation

Number 370

(Reaffirmed 2015)

ABSTRACT Hospitals academic institutions professional corporations and other health care organizations should have policies and procedures by which alleged violations of professional behavior can be reported and investigated These institutions should adopt policies on legal representation and inde...

July 2007

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Seeking and Giving Consultation

Number 365

(Reaffirmed 2013)

ABSTRACT Consultations usually are sought when practitioners with primary clinical responsibility recognize conditions or situations that are beyond their level of expertise or available resources One way to maximize prompt effective consultation and collegial relationships is to have a formal con...

May 2007

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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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Medical Futility

Number 362

(Reaffirmed 2015)

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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Breastfeeding: Maternal and Infant Aspects

Number 361

(Reaffirmed 2013)

ABSTRACT Evidence continues to mount regarding the value of breastfeeding for both women and their infants The American College of Obstetricians and Gynecologists strongly supports breastfeeding and calls on its Fellows other health care professionals caring for women and their infants hospitals a...

February 2007

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Commercial Enterprises in Medical Practice

Number 359

(Reaffirmed 2015)

ABSTRACT Increasing numbers of physicians sell and promote both medical and nonmedical products as part of their practices Physicians always have rendered advice and treatment for a fee and this practice is appropriate It is unethical under most circumstances however for physicians to sell or prom...

January 2007

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Innovative Practice: Ethical Guidelines

Number 352

(Reaffirmed 2015)

ABSTRACT Innovations in medical practice are critical to the advancement of medicine Good clinicians constantly adapt and modify their clinical approaches in ways they believe will benefit patients Innovative practice frequently is approached very differently from formal research which is governed...

December 2006

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Using Preimplantation Embryos for Research

Number 347

(Reaffirmed 2008)

ABSTRACT Human embryonic stem cell research promises an increased understanding of the molecular process underlying cell differentiation Transplantation of embryonic stem cells or their derivatives may in the future offer therapies for human diseases In this Committee Opinion the American College ...

November 2006

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Amnioinfusion Does Not Prevent Meconium Aspiration Syndrome

Number 346

(Reaffirmed 2014)

ABSTRACT Amnioinfusion has been advocated as a technique to reduce the incidence of meconium aspiration and to improve neonatal outcome However a large proportion of women with meconiumstained amniotic fluid have infants who have taken in meconium within the trachea or bronchioles before meconium ...

October 2006

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Number 345

(Reaffirmed 2015)

ABSTRACT Vulvodynia is a complex disorder that can be difficult to treat It is described by most patients as burning stinging irritation or rawness Many treatment options have been used including vulvar care measures medication biofeedback training physical therapy dietary modifications sexual cou...

October 2006

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Mode of Term Singleton Breech Delivery

Number 340

(Replaces No. 265, December 2001, Reaffirmed 2014)

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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Analgesia and Cesarean Delivery Rates

Number 339

(Reaffirmed 2013, Replaces No. 269, February 2002)

ABSTRACT Neuraxial analgesia techniques are the most effective and least depressant treatments for labor pain The American College of Obstetricians and Gynecologists previously recommended that practitioners delay initiating epidural analgesia in nulliparous women until the cervical dilatation rea...

June 2006

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Perinatal Risks Associated With Assisted Reproductive Technology

Number 324

(Reaffirmed 2007)

ABSTRACT Over the past two decades the use of assisted reproductive technology ART has increased dramatically worldwide and has made pregnancy possible for many infertile couples A growing body of evidence suggests an association between pregnancies resulting from ART and perinatal morbidity possi...

November 2005

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American Congress of Obstetricians and Gynecologists
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