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Title Date

Identification and Referral of Maternal Genetic Conditions in Pregnancy

Number 643

ABSTRACT Advances in the understanding of genetic conditions reproductive technologies and improved medical and surgical care have enabled an increasing number of women with genetic conditions to achieve a normal pregnancy outcome However management of certain genetic conditions during pregnancy i...

October 2015

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

Number 642

(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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Human Papillomavirus Vaccination

Number 641

(This Committee Opinion Replaces Committee Opinion Number 588)

ABSTRACT Human papillomavirus HPV is associated with the development of anogenital cancer including cervical vaginal vulvar penile and anal oropharyngeal cancer and genital warts Human papillomavirus vaccination can significantly reduce the incidence of anogenital cancer and genital warts Despite ...

September 2015

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

Number 639

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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Hereditary Cancer Syndromes and Risk Assessment

Number 634

ABSTRACT A hereditary cancer syndrome is a genetic predisposition to certain types of cancer often with onset at an early age caused by inherited mutations in one or more genes Cases of cancer commonly encountered by obstetriciangynecologists or other obstetricgynecologic providersmdashsuch as bre...

June 2015

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Expedited Partner Therapy in the Management of Gonorrhea and Chlamydial Infection

Number 632

(Replaces Committee Opinion Number 506, September 2011)

ABSTRACT Sexually transmitted infections STIs disproportionately affect women and create a preventable threat to their fertility One factor that contributes to young womens high rates of STIs is reinfection from an untreated sexual partner One way to address this problem is through expedited partn...

June 2015

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Robotic Surgery in Gynecology

Number 628

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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Health Care for Unauthorized Immigrants

Number 627

(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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The Transition From Pediatric to Adult Health Care: Preventive Care for Young Women Aged 18-26 Years

Number 626

ABSTRACT Young women aged 1826 years are a heterogeneous population transitioning from adolescence into adulthood who may present with unique issues and challenges including a potential gap in health care after pediatric health care Obstetriciangynecologists should note that these patients may nee...

March 2015

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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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Cervical Cancer Screening in Low-Resource Settings

Number 624

ABSTRACT Cytologybased cervical cancer screening programs require a number of elements to be successful Certain lowresource settings like the US Affiliated Pacific Islands lack these elements Implementing alternative cervical cancer screening strategies in lowresource settings can provide consiste...

February 2015

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Salpingectomy for Ovarian Cancer Prevention

Number 620

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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Gynecologic Surgery in the Obese Woman

Number 619

ABSTRACT Obesity is a serious problem worldwide and particularly in the United States and in women is associated with an increased risk of death and morbid conditions including hypertension diabetes mellitus obstructive sleep apnea and hypercholesterolemia as well as malignancies such as endometri...

January 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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End of Life Decision Making

Number 617

(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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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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Access to Contraception

Number 615

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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Management of Pregnant Women With Presumptive Exposure to Listeria monocytogenes

Number 614

ABSTRACT Listeriosis is predominantly a foodborne illness with sporadic and outbreakrelated cases tied to consumption of food contaminated with listeria Listeria monocytogenes The incidence of listeriosis associated with pregnancy is approximately 13 times higher than in the general population Mat...

December 2014

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Increasing Access to Abortion

Number 613

(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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Abortion Training and Education

Number 612

(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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American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998