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181.

Risk of Venous Thromboembolism Among Users of Drospirenone-Containing Oral Contraceptive Pills

Committee Opinion Number 540, November 2012

(Reaffirmed 2016)

ABSTRACT Although the risk of venous thromboembolism is increased among oral contraceptive users compared with nonusers who are not pregnant and not taking hormones and some data have suggested that use of drospirenonecontaining pills has a higher risk of venous thromboembolism this risk is still ...

November 2012

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182.

Robotic Surgery in Gynecology

Committee Opinion Number 628, March 2015

ABSTRACT The field of robotic surgery has developed rapidly and its use for gynecologic conditions has grown exponentially Surgeons should be skilled at abdominal and laparoscopic approaches for a specific procedure before undertaking robotic approaches Surgeon training competency guidelines and q...

March 2015

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183.

Routine Human Immunodeficiency Virus Screening

Committee Opinion Number 596, May 2014

(Replaces Committee Opinion Number 411, August 2008)

Abstract Early diagnosis and treatment of human immunodeficiency virus HIV can improve survival and reduce morbidity The Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists recommend that females aged 1364 years be tested at least once in their li...

May 2014

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184.

Salpingectomy for Ovarian Cancer Prevention

Committee Opinion Number 620, January 2015

ABSTRACT Ovarian cancer has the highest mortality rate out of all types of gynecologic cancer and is the fifth leading cause of cancer deaths among women Current attempts at screening for ovarian cancer have been unsuccessful and are associated with falsepositive test results that lead to unnecess...

January 2015

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185.

Scheduled Cesarean Delivery and the Prevention of Vertical Transmission of HIV Infection

Committee Opinion Number 234, May 2000

(Replaces No. 219, August 1999, Reaffirmed 2015)

Prevention of transmission of the human immunodeficiency virus HIV from mother to fetus or newborn vertical transmission is a major goal in the care of pregnant women infected with HIV An important advance in this regard was the demonstration that treatment of the mother with zidovudine ZDV during...

May 2000

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186.

Screening for Perinatal Depression

Committee Opinion Number 630, May 2015

(Replaces Committee Opinion Number 453, February 2010)

ABSTRACT Perinatal depression which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery is one of the most common medical complications during pregnancy and the postpartum period affecting one in seven women It is important to identify ...

May 2015

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187.

Screening for Tay - Sachs Disease

Committee Opinion Number 318, October 2005

(Reaffirmed 2014, Replaces No. 162, November 1995)

ABSTRACT TaySachs disease TSD is a severe progressive neurologic disease that causes death in early childhood Carrier screening should be offered before pregnancy to individuals and couples at high risk including those of Ashkenazi Jewish FrenchCanadian or Cajun descent and those with a family his...

October 2005

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188.

Seeking and Giving Consultation

Committee Opinion Number 365, May 2007

Reaffirmed 2016

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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189.

Sexual Assault

Committee Opinion Number 592, April 2014

(Reaffirmed 2016. 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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190.

Sexual Misconduct

Committee Opinion Number 373, August 2007

Reaffirmed 2016

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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191.

Smoking Cessation During Pregnancy

Committee Opinion Number 471, November 2010

(Replaces No. 316, October 2005. Reaffirmed 2015)

ABSTRACT Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States and is associated with maternal fetal and infant morbidity and mortality The physical and psychologic addiction to cigarettes is powerful however the compassionate intervention of th...

November 2010

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192.

Spinal Muscular Atrophy

Committee Opinion Number 432, May 2009

Reaffirmed 2014

ABSTRACT Spinal muscular atrophy SMA is an autosomal recessive neurodegenerative disease that results from degeneration of spinal cord motor neurons leading to atrophy of skeletal muscle and overall weakness In current practice patients with a family history of SMA are being offered carrier screen...

May 2009

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193.

Sterilization of Women Including Those With Mental Disabilities

Committee Opinion Number 371, July 2007

Reaffirmed 2016

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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194.

Substance Abuse Reporting and Pregnancy: The Role of the Obstetrician-Gynecologist

Committee Opinion Number 473, January 2011

(Reaffirmed 2014)

Abstract Drug enforcement policies that deter women from seeking prenatal care are contrary to the welfare of the mother and fetus Incarceration and the threat of incarceration have proved to be ineffective in reducing the incidence of alcohol or drug abuse Obstetriciangynecologists should be awar...

January 2011

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195.

Sulfonamides, Nitrofurantoin, and Risk of Birth Defects

Committee Opinion Number 494, June 2011

(Reaffirmed 2015)

Abstract The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed As with all patients antibiotics should be prescribed for pregnant women only for appropriate indications and for the shortest effective duration During the secon...

June 2011

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196.

Tamoxifen and Uterine Cancer

Committee Opinion Number 601, June 2014

(Replaces Committee Opinion Number 336, June 2006)

ABSTRACT Tamoxifen a nonsteroidal antiestrogen agent is widely used as adjunctive therapy for women with breast cancer and it has been approved by the US Food and Drug Administration for adjuvant treatment of breast cancer treatment of metastatic breast cancer and reduction in breast cancer incide...

June 2014

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197.

The Apgar Score

Committee Opinion Number 644, October 2015

(Replaces Committee Opinion Number 333, May 2006)

ABSTRACT The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed The Apgar score alone cannot be considered to be evidence of or a consequence of asphyxia does not predict individu...

October 2015

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198.

The Importance of Preconception Care in the Continuum of Women's Health Care

Committee Opinion Number 313, September 2005

(Reaffirmed 2015)

ABSTRACT The goal of preconception care is to reduce the risk of adverse health effects for the woman fetus or neonate by optimizing the womans health and knowledge before planning and conceiving a pregnancy Because reproductive capacity spans almost four decades for most women optimizing womens h...

September 2005

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199.

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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200.

The Initial Reproductive Health Visit

Committee Opinion Number 598, May 2014

(Replaces Committee Opinion Number 460, July 2010, Reaffirmed 2016)

ABSTRACT The initial visit for screening and the provision of reproductive preventive health care services and guidance should take place between the ages of 13 years and 15 years The initial reproductive health visit provides an excellent opportunity for the obstetriciangynecologist to start a pa...

May 2014

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