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1.

Hospital-Based Triage of Obstetric Patients

Committee Opinion Number 667, July 2016

ABSTRACT Emergency departments typically have structured triage guidelines for health care providers encountering the diverse cases that may present to their units Such guidelines aid in determining which patients must be evaluated promptly and which may wait safely and aid in determining anticipa...

July 2016

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2.

Guidelines for Adolescent Health Research

Committee Opinion Number 665, June 2016

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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3.

Refusal of Medically Recommended Treatment During Pregnancy

Committee Opinion Number 664, June 2016

(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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4.

Reproductive Life Planning to Reduce Unintended Pregnancy

Committee Opinion Number 654, February 2016

ABSTRACT Approximately one half 51 of the 6 million pregnancies each year in the United States are unintended A reproductive life plan is a set of personal goals regarding whether when and how to have children based on individual priorities resources and values A lack of reproductive life planning...

February 2016

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5.

Racial and Ethnic Disparities in Obstetrics and Gynecology

Committee Opinion Number 649, December 2015

(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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6.

Ethical Considerations for Including Women as Research Participants

Committee Opinion Number 646, November 2015

(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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7.

Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy

Committee Opinion Number 642, October 2015

(Replaces Committee Opinion Number 450, December 2009)

ABSTRACT Unintended pregnancy persists as a major public health problem in the United States Although lowering unintended pregnancy rates requires multiple approaches individual obstetriciangynecologists may contribute by increasing access to contraceptive implants and intrauterine devices Obstetr...

October 2015

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8.

The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist

Committee Opinion Number 639, September 2015

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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9.

Alcohol Abuse and Other Substance Use Disorders: Ethical Issues in Obstetric and Gynecologic Practice

Committee Opinion Number 633, June 2015

(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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10.

Health Care for Unauthorized Immigrants

Committee Opinion Number 627, March 2015

(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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11.

Management of Women With Dense Breasts Diagnosed by Mammography

Committee Opinion Number 625, March 2015

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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12.

End of Life Decision Making

Committee Opinion Number 617, January 2015

(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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13.

Access to Contraception

Committee Opinion Number 615, January 2015

ABSTRACT Nearly all US women who have ever had sexual intercourse have used some form of contraception at some point during their reproductive lives However multiple barriers prevent women from obtaining contraceptives or using them effectively and consistently All women should have unhindered and...

January 2015

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14.

Increasing Access to Abortion

Committee Opinion Number 613, November 2014

(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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15.

Abortion Training and Education

Committee Opinion Number 612, November 2014

(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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16.

Adolescent Confidentiality and Electronic Health Records

Committee Opinion Number 599, May 2014

(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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17.

Sexual Assault

Committee Opinion Number 592, April 2014

(Replaces Committee Opinion Number 499, August 2011)

ABSTRACT Reproductiveaged victims of sexual assault are at risk of unintended pregnancy sexually transmitted infections and mental health conditions including posttraumatic stress disorder Health care providers should screen routinely for a history of sexual assault and offer victims both emergenc...

April 2014

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18.

Health Disparities in Rural Women

Committee Opinion Number 586, February 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 429, March 2009)

ABSTRACT Rural women experience poorer health outcomes and have less access to health care than urban women Many rural areas have limited numbers of health care providers especially womens health providers Rural America is heterogeneous where problems vary depending on the region and state Health ...

February 2014

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19.

Elective Surgery and Patient Choice

Committee Opinion Number 578, November 2013

(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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20.

Health Care for Homeless Women

Committee Opinion Number 576, October 2013

(Replaces No. 454, February 2010, Reaffirmed 2016)

ABSTRACT Homelessness continues to be a significant problem in the United States Women and families represent the fastest growing segment of the homeless population Health care for these women is a challenge but an important issue that needs to be addressed Homeless women are at higher risk of inj...

October 2013

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