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Title Date

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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Ovarian Reserve Testing

Number 618

ABSTRACT The main goal of ovarian reserve testing is to identify those individuals who are at risk of decreased or diminished ovarian reserve commonly known as DOR Although ovarian reserve testing cannot predict the end of ones reproductive years results outside the range expected for a patients a...

January 2015

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Newborn Screening and the Role of the Obstetrician-Gynecologist

Number 616

(Replaces Committee Opinion Number 481, March 2011)

ABSTRACT Newborn screening is a mandatory statebased public health program that provides all newborns in the United States with presymptomatic testing and necessary followup health care for a variety of medical conditions The goal of this essential public health program is to decrease morbidity an...

January 2015

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Colorectal Cancer Screening Strategies

Number 609

ABSTRACT Each year more than 24000 women die from colorectal cancer which makes it the third leading cause of cancer death in women after lung cancer and breast cancer However screening tests are underused for many segments of the population and are ordered in a manner inconsistent with guidelines...

October 2014

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Options for Prevention and Management of Heavy Menstrual Bleeding in Adolescent Patients Undergoing

Number 606

ABSTRACT Adolescents undergoing cancer treatment are at high risk of heavy menstrual bleeding and gynecologists may be consulted either before the initiation of cancer treatment to request strategies for menstrual suppression or during an episode of severe heavy bleeding to stop the bleeding emerg...

August 2014

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Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment

Number 603

ABSTRACT Stress urinary incontinence SUI is a condition of involuntary loss of urine on effort physical exertion sneezing or coughing that is often bothersome to the patient and frequently affects quality of life When women are evaluated for SUI counseling about treatment should begin with conserv...

June 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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Tracking and Reminder Systems

Number 546

(Reaffirmed 2014, Replaces No. 461, August 2010)

ABSTRACT An accurate and effective tracking or reminder system is useful for the modern practice of obstetrics and gynecology Practices should not rely solely on the patient to complete all ordered studies and to follow up on health care provider recommendations Health care providers should encour...

December 2012

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Noninvasive Prenatal Testing for Fetal Aneuploidy

Number 545

ABSTRACT Noninvasive prenatal testing that uses cell free fetal DNA from the plasma of pregnant women offers tremendous potential as a screening tool for fetal aneuploidy Cell free fetal DNA testing should be an informed patient choice after pretest counseling and should not be part of routine pre...

December 2012

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Reprocessed Single-Use Devices

Number 537

(Reaffirmed 2014)

ABSTRACT The reprocessing and reuse of singleuse instruments has become increasingly common Although there are limited data on reprocessed singleuse devices existing studies have found a significant rate of physical defects performance issues or improper decontamination There are currently no data...

October 2012

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Reproductive Health Care for Incarcerated Women and Adolescent Females

Number 535

ABSTRACT Increasing numbers of women and adolescent females are incarcerated each year in the United States and they represent an increasing proportion of inmates in the US correctional system Incarcerated women and adolescent females often come from disadvantaged environments and have high rates ...

August 2012

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Well-Woman Visit

Number 534

(Reaffirmed 2014)

ABSTRACT The annual health assessment annual examination is a fundamental part of medical care and is valuable in promoting prevention practices recognizing risk factors for disease identifying medical problems and establishing the clinicianpatient relationship The annual health assessment should ...

August 2012

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Lead Screening During Pregnancy and Lactation

Number 533

(Reaffirmed 2014)

ABSTRACT Prenatal lead exposure has known adverse effects on maternal health and infant outcomes across a wide range of maternal blood lead levels Adverse effects of lead exposure are being identified at lower levels of exposure than previously recognized in both children and adults In 2010 the Ce...

August 2012

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Placenta Accreta

Number 529

(Reaffirmed 2014)

ABSTRACT Placenta accreta is a potentially lifethreatening obstetric condition that requires a multidisciplinary approach to management The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate Women at greatest risk of placenta accreta are those w...

July 2012

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Health Care for Lesbians and Bisexual Women

Number 525

(Reaffirmed 2014)

ABSTRACT Lesbians and bisexual women encounter barriers to health care that include concerns about confidentiality and disclosure discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding as to what their health risks may be Health ...

May 2012

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Intimate Partner Violence

Number 518

ABSTRACT Intimate partner violence IPV is a significant yet preventable public health problem that affects millions of women regardless of age economic status race religion ethnicity sexual orientation or educational background Individuals who are subjected to IPV may have lifelong consequences in...

February 2012

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At-Risk Drinking and Alcohol Dependence: Obstetric and Gynecologic Implications

Number 496

(Reaffirmed 2013)

ABSTRACT Compared with men atrisk alcohol use by women has a disproportionate effect on their health and lives including reproductive function and pregnancy outcomes Obstetriciangynecologists have a key role in screening and providing brief intervention patient education and treatment referral for...

August 2011

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Update on Carrier Screening for Cystic Fibrosis

Number 486

(Reaffirmed 2014, Replaces No. 325, December 2005)

ABSTRACT In 2001 the American College of Obstetricians and Gynecologists and the American College of Medical Genetics introduced guidelines for prenatal and preconception carrier screening for cystic fibrosis The American College of Obstetricians and Gynecologists Committee on Genetics has updated...

April 2011

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Carrier Screening for Fragile X Syndrome

Number 469

(Reaffirmed 2014, Replaces No. 338, June 2006)

ABSTRACT Fragile X syndrome is the most common inherited form of mental retardation The syndrome occurs in approximately 1 in 3600 males and 1 in 40006000 females Approximately 1 in 250 females carry the premutation DNAbased molecular analysis is the preferred method of diagnosis for fragile X syn...

October 2010

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Screening for Depression During and After Pregnancy

Number 453

(Reaffirmed 2012)

Abstract Depression is very common during pregnancy and the postpartum period At this time there is insufficient evidence to support a firm recommendation for universal antepartum or postpartum screening There are also insufficient data to recommend how often screening should be done There are mul...

February 2010

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American Congress of Obstetricians and Gynecologists
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