Carrier Screening for Fragile X Syndrome

Number 469

(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 3,600 males and 1 in 4,000–6,000 females. Approximately 1 in 250 female...

Cervical Cancer in Adolescents - Screening Evaluation and Management

Number 463

ABSTRACT: Based on several recent studies, new guidelines for initiation of cervical cancer screening have been developed. Evidence shows that screening before the age of 21 years does not change the...

Cesarean Delivery on Maternal Request

Number 559

ABSTRACT: Cesarean delivery on maternal request is defined as a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications. Potential risks of cesarean...

Challenges for Overweight and Obese Urban Women

Number 470

ABSTRACT: Overweight and obesity are epidemic in the United States. Obesity is a risk factor for numerous conditions, including diabetes, hypertension, high cholesterol, stroke, heart disease, certai...

Choosing the Route of Hysterectomy for Benign Disease

Number 444

(Reaffirmed 2011)

ABSTRACT: Hysterectomies are performed vaginally, abdominally, or with laparoscopic or robotic assistance. When choosing the route and method of hysterectomy, the physician should take into considera...

Circumcision

Number 260

(Reaffirmed 2011)

The American College of Obstetricians and Gynecologists supports the current position of the American Academy of Pediatrics that finds the existing evidence insufficient to recommend routine neonatal...

Coding Responsibility

Number 249

(Reaffirmed 2005)

Physicians are responsible for accurately coding the services they provide to their patients. Likewise, insurers are obligated to process all legitimate insurance claims for covered services accurate...

Colonoscopy and Colorectal Cancer Screening Strategies

Number 482

ABSTRACT: Each year colorectal cancer is diagnosed in more women than all types of gynecologic cancer combined. There continues to be a significant need to increase the rate of screening. Obstetricia...

Commercial Enterprises in Medical Practice

Number 359

(Reaffirmed 2011)

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 p...

Community Involvement and Volunteerism

Number 437

(Reaffirmed 2012)

ABSTRACT: As professional and community leaders, obstetrician–gynecologists have unlimited opportunities to become involved in and have a positive impact on local, national, and international communi...

Compounded Bioidentical Menopausal Hormone Therapy

Number 532

(Replaces No. 387, November 2007 and No. 322, November 2005)

ABSTRACT: Although improvement in long-term health is no longer an indication for menopausal hormone therapy, evidence supporting fewer adverse events in younger women, combined with its high overall...

Coping With the Stress of Medical Professional Liability Litigation

Number 551

(Replaces No. 497, August 2011)

ABSTRACT: Obstetrician–gynecologists should recognize that being a defendant in a medical professional liability lawsuit can be one of life’s most stressful experiences. Negative emotions in response...

Cultural Sensitivity and Awareness in the Delivery of Health Care

Number 493

(Reaffirmed 2013)

ABSTRACT: Communication with patients can be improved and patient care enhanced if health care providers can bridge the divide between the culture of medicine and the beliefs and practices that make ...

Depot Medroxyprogesterone Acetate and Bone Effects

Number 415

ABSTRACT: Although depot medroxyprogesterone acetate (DMPA) is associated with bone mineral density (BMD) loss during use, current evidence suggests that partial or full recovery of BMD occurs at the...

Direct-to-Consumer Marketing of Genetic Testing

Number 409

ABSTRACT: Marketing of genetic testing, although similar to direct-to-consumer advertising of prescription drugs, raises additional concerns and considerations. These include issues of limited knowle...

Disclosure and Discussion of Adverse Events

Number 520

(Replaces No. 380, October 2007)

ABSTRACT: Disclosure and discussion of adverse events in health care with the patient are morally and ethically necessary to achieve the optimal goal of respecting patient autonomy. Improving the dis...

Disruptive Behavior

Number 508

(Replaces No. 366, May 2007)

ABSTRACT: Disruptive physician behavior may have a negative effect on patient care. Consequently, it is important that a systematic process be in place to discourage, identify, and remedy episodes of...

Effective Patient - Physician Communication

Number 492

ABSTRACT: Perhaps the greatest contemporary challenge in implementing the principles of effective communication lies in our current health care environment that demands increasing physician productiv...

Elective Coincidental Appendectomy

Number 323

(Reaffirmed 2012, Replaces No. 164, December 1995)

ABSTRACT: Because of a lack of evidence from randomized trials, it remains unclear whether the benefits of routine elective coincidental appendectomy outweigh the cost and risk of morbidity associate...

Emergent Therapy for Acute-Onset Severe Hypertension with Preeclampsia and Eclampsia

Number 514

ABSTRACT: Acute-onset, persistent (lasting 15 minutes or more), severe systolic (greater than or equal to 160 mm Hg) or severe diastolic hypertension (greater than or equal to 110 mm Hg) or both in p...