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1.

Breast and Labial Surgery in Adolescents

Committee Opinion Number 686, January 2017

(Replaces Committee Opinion Number 662, May 2016)

ABSTRACT The obstetriciangynecologist may receive requests from adolescents and their families for advice surgery or referral for conditions of the breast or vulva to improve appearance and function Appropriate counseling and guidance of adolescents with these concerns require a comprehensive and ...

January 2017

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2.

Care for Transgender Adolescents

Committee Opinion Number 685, January 2017

ABSTRACT Gender nonconforming youth are an underserved population who obstetriciangynecologists are seeing increasingly in their practices Currently there are large gaps in training knowledge and comfort with transgender patients among obstetriciangynecologists The purpose of this document is to r...

January 2017

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3.

Delayed Umbilical Cord Clamping After Birth

Committee Opinion Number 684, January 2017

(Replaces Committee Opinion Number 543, December 2012)

ABSTRACT Delayed umbilical cord clamping appears to be beneficial for term and preterm infants In term infants delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life which may have a favorable effect on developmental outcom...

January 2017

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4.

Behavior That Undermines a Culture of Safety

Committee Opinion Number 683, January 2017

(Replaces Committee Opinion Number 508, October 2011)

ABSTRACT A key element of an organizational safety culture is maintaining an environment of professionalism that encourages communication and promotes highquality care Behavior that undermines a culture of safety including disruptive or intimidating behavior has a negative effect on the quality an...

January 2017

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5.

Microarrays and Next-Generation Sequencing Technology: The Use of Advanced Genetic Diagnostic Tools in Obstetrics and Gynecology

Committee Opinion Number 682, December 2016

(Replaces Committee Opinion Number 581, December 2013)

ABSTRACT Genetic technology has advanced dramatically in the past few decades and its applications and use in caring for and counseling pregnant women has been transformational in the realm of prenatal diagnosis Two of the newer genetic technologies in the prenatal setting are chromosomal microarr...

December 2016

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6.

Disclosure and Discussion of Adverse Events

Committee Opinion Number 681, December 2016

(Replaces Committee Opinion No. 520, March 2012)

ABSTRACT Adverse outcomes preventable or otherwise are a reality of medical care Most importantly adverse events affect patients but they also affect health care practitioners Disclosing information about adverse events has benefits for the patient and the physician and ideally strengthens the pat...

December 2016

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7.

The Use and Development of Checklists in Obstetrics and Gynecology

Committee Opinion Number 680, November 2016

ABSTRACT Checklists are used in medical and nonmedical settings as cognitive aids to ensure that users complete all the items associated with a particular task They are ideal for tasks with many steps for tasks performed under stressful circumstances or for reminding people to perform tasks that t...

November 2016

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8.

Immersion in Water During Labor and Delivery

Committee Opinion Number 679, November 2016

(Replaces Committee Opinion Number 594, April 2014)

ABSTRACT Immersion in water during labor or delivery has been popularized over the past several decades The prevalence of this practice in the United States is uncertain because it has not been studied in births outside of the home and birth centers and the data are not recorded on birth certifica...

November 2016

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9.

Comprehensive Sexuality Education

Committee Opinion Number 678, November 2016

ABSTRACT Current sexuality education programs vary widely in the accuracy of content emphasis and effectiveness Data have shown that not all programs are equally effective for all ages races and ethnicities socioeconomic groups and geographic areas Studies have demonstrated that comprehensive sexu...

November 2016

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10.

Antenatal Corticosteroid Therapy for Fetal Maturation

Committee Opinion Number 677, October 2016

ABSTRACT Corticosteroid administration before anticipated preterm birth is one of the most important antenatal therapies available to improve newborn outcomes A single course of corticosteroids is recommended for pregnant women between 24 07 weeks and 33 67 weeks of gestation including for those w...

October 2016

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11.

Health Literacy to Promote Quality of Care

Committee Opinion Number 676, October 2016

(Replaces Committee Opinion Number 585, February 2014)

ABSTRACT Health literacy is defined as the degree to which individuals have the capacity to obtain process and understand the basic health information and services they need to make appropriate health decisions Multiple factors affect a patients understanding of health information including cultur...

October 2016

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12.

Management of Vulvar Intraepithelial Neoplasia

Committee Opinion Number 675, October 2016

(Replaces Committee Opinion Number 509, November 2011)

ABSTRACT Vulvar intraepithelial neoplasia VIN is an increasingly common problem particularly among women in their 40s Although spontaneous regression has been reported VIN should be considered a premalignant condition Immunization with the quadrivalent or 9valent human papillomavirus vaccine which...

October 2016

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13.

Guiding Principles for Privileging of Innovative Procedures in Gynecologic Surgery

Committee Opinion Number 674, September 2016

ABSTRACT New or emerging surgical procedures and technologies continue to be developed at a rapid rate and must be implemented safely into clinical practice Additional privileging may be required if substantively new technical or cognitive skills are required to implement an innovative procedure o...

September 2016

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14.

Persistent Vulvar Pain

Committee Opinion Number 673, September 2016

(Replaces Committee Opinion No. 345, October 2006)

ABSTRACT Persistent vulvar pain is a complex disorder that frequently is frustrating to the patient and the clinician It can be difficult to treat and rapid resolution is unusual even with appropriate therapy Vulvar pain can be caused by a specific disorder or it can be idiopathic Idiopathic vulva...

September 2016

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15.

Perinatal Risks Associated With Assisted Reproductive Technology

Committee Opinion Number 671, September 2016

(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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16.

Immediate Postpartum Long-Acting Reversible Contraception

Committee Opinion Number 670, August 2016

ABSTRACT Immediate postpartum longacting reversible contraception LARC has the potential to reduce unintended and shortinterval pregnancy Women should be counseled about all forms of postpartum contraception in a context that allows informed decision making Immediate postpartum LARC should be offe...

August 2016

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17.

Planned Home Birth

Committee Opinion Number 669, August 2016

(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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18.

Menstrual Manipulation for Adolescents With Physical and Developmental Disabilities

Committee Opinion Number 668, August 2016

(Replaces Committee Opinion Number 448, December 2009)

ABSTRACT For an adolescent with physical disabilities intellectual disabilities or both and for her caregivers menstruation can present significant challenges If after an evaluation the adolescent her family and the obstetriciangynecologist have decided that menstrual intervention is warranted adv...

August 2016

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