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1.

Perinatal Risks Associated With Assisted Reproductive Technology

Number 671

(Replaces Committee Opinion No. 324, November 2005)

ABSTRACT Over the past decades the use of assisted reproductive technology ART has increased dramatically worldwide and has made pregnancy possible for many infertile couples Although the perinatal risks that may be associated with ART and ovulation induction are much higher in multifetal gestatio...

September 2016

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2.

Planned Home Birth

Number 669

(Replaces Committee Opinion Number 476, February 2011)

ABSTRACT In the United States approximately 35000 births 09 per year occur in the home Approximately one fourth of these births are unplanned or unattended Although the American College of Obstetricians and Gynecologists believes that hospitals and accredited birth centers are the safest settings ...

August 2016

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3.

Reproductive Life Planning to Reduce Unintended Pregnancy

Number 654

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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4.

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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5.

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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6.

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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7.

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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8.

Depot Medroxyprogesterone Acetate and Bone Effects

Number 602

(Replaces Committee Opinion Number 415, September 2008)

ABSTRACT Depot medroxyprogesterone acetate DMPA is a highly effective injectable contraceptive that affords privacy and has a convenient dose schedule of four times per year making it appealing to many users especially adolescents Although the use of DMPA is associated with loss of bone mineral de...

June 2014

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9.

Understanding and Using the U.S. Selected Practice Recommendations for Contraceptive Use, 2013

Number 577

(Reaffirmed 2015)

ABSTRACT The US Selected Practice Recommendations for Contraceptive Use 2013 US SPR issued by the Centers for Disease Control and Prevention is a companion piece to the Centers for Disease Control and Preventions US Medical Eligibility Criteria for Contraceptive Use 2010 The US Medical Eligibility...

November 2013

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10.

Health Care for Women in the Military and Women Veterans

Number 547

Abstract Military service is associated with unique risks to womens reproductive health As increasing numbers of women are serving in the military and a greater proportion of United States Veterans are women it is essential that obstetriciangynecologists are aware of and well prepared to address t...

December 2012

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11.

Over-the-Counter Access to Oral Contraceptives

Number 544

(Reaffirmed 2016)

ABSTRACT Unintended pregnancy remains a major public health problem in the United States Access and cost issues are common reasons why women either do not use contraception or have gaps in use A potential way to improve contraceptive access and use and possibly decrease unintended pregnancy rates ...

December 2012

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12.

Access to Emergency Contraception

Number 542

ABSTRACT Emergency contraception includes contraceptive methods used to prevent pregnancy in the first few days after unprotected intercourse sexual assault or contraceptive failure Although the US Food and Drug Administration approved the first dedicated product for emergency contraception in 199...

November 2012

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13.

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

Number 540

(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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14.

Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices

Number 539

(Replaces Committee Opinion No. 392, December 2007, Reaffirmed 2014)

ABSTRACT Longacting reversible contraception LARCintrauterine devices and the contraceptive implantare safe and appropriate contraceptive methods for most women and adolescents The LARC methods are toptier contraceptives based on effectiveness with pregnancy rates of less than 1 per year for perfe...

October 2012

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15.

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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16.

Understanding and Using the U.S. Medical Eligibility Criteria for Contraceptive Use, 2010

Number 505

(Reaffirmed 2014)

ABSTRACT The 2010 US Medical Eligibility Criteria for Contraceptive Use US MEC issued by the Centers for Disease Control and Prevention gives comprehensive evidencebased guidance to clinicians providing family planning services to women especially women with medical conditions The American College...

September 2011

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17.

Induced Abortion and Breast Cancer Risk

Number 434

(Reaffirmed 2015, Replaces No. 285, August 2003)

Abstract The relationship between induced abortion and the subsequent development of breast cancer has been the subject of a substantial amount of epidemiologic study Early studies of the relationship between prior induced abortion and breast cancer risk were methodologically flawed More rigorous ...

June 2009

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18.

Misoprostol for Postabortion Care

Number 427

ABSTRACT The World Health Organization estimates that 67000 women mostly in developing countries die each year from untreated or inadequately treated abortion complications Postabortion care a term commonly used by the international reproductive health community refers to a specific set of service...

February 2009

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19.

The Limits of Conscientious Refusal in Reproductive Medicine

Number 385

Reaffirmed 2016

ABSTRACT Health care providers occasionally may find that providing indicated even standard care would present for them a personal moral problema conflict of conscienceparticularly in the field of reproductive medicine Although respect for conscience is important conscientious refusals should be l...

November 2007

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20.

Brand Versus Generic Oral Contraceptives

Number 375

(Reaffirmed 2015)

ABSTRACT The US Food and Drug Administration considers generic and brand name oral contraceptive OC products clinically equivalent and interchangeable The American College of Obstetricians and Gynecologists supports patient or clinician requests for branded OCs or continuation of the same generic ...

August 2007

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