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Title Date
1.

Alcohol Abuse and Other Substance Use Disorders: Ethical Issues in Obstetric and Gynecologic Practice

Number 633

(Replaces Committee Opinion Number 422, December 2008)

ABSTRACT Alcohol abuse and other substance use disorders are major often underdiagnosed health problems for women regardless of age race ethnicity and socioeconomic status and have resulting high costs for individuals and society The Diagnostic and Statistical Manual of Mental Disorders Fifth Edit...

June 2015

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2.

Clinical Guidelines and Standardization of Practice to Improve Outcomes

Number 629

(Replaces Committee Opinion 526, May 2012)

ABSTRACT Protocols and checklists have been shown to reduce patient harm through improved standardization and communication Implementation of protocols and guidelines often is delayed because of lack of health care provider awareness or difficult clinical algorithms in medical institutions However...

April 2015

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3.

Endometrial Intraepithelial Neoplasia

Number 631

ABSTRACT Endometrial hyperplasia is of clinical significance because it is often a precursor lesion to adenocarcinoma of the endometrium Making the distinction between hyperplasia and true precancerous lesions or true neoplasia has significant clinical effect because their differing cancer risks m...

May 2015

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4.

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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5.

First-Trimester Risk Assessment for Early-Onset Preeclampsia

Number 638

ABSTRACT Hypertensive disorders with adverse sequelae including preterm birth maternal morbidity and mortality and longterm risk of maternal cardiovascular disease complicate 510 of pregnancies Early identification of pregnant women at risk of developing earlyonset preeclampsia would theoretically...

September 2015

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6.

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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7.

Management of Women With Phenylketonuria

Number 636

(Replaces Committee Opinion Number 449, December 2009)

ABSTRACT Phenylketonuria PKU is an autosomal recessive disorder of phenylalanine Phe metabolism characterized by deficient activity of the hepatic enzyme phenylalanine hydroxylase Increased blood Phe levels are toxic to a variety of tissues particularly the developing fetal brain The mainstay of t...

June 2015

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8.

Marijuana Use During Pregnancy and Lactation

Number 637

ABSTRACT Cannabis sativa marijuana is the illicit drug most commonly used during pregnancy The selfreported prevalence of marijuana use during pregnancy ranges from 2 to 5 in most studies A growing number of states are legalizing marijuana for medicinal or recreational purposes and its use by preg...

July 2015

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9.

Prenatal and Perinatal Human Immunodeficiency Virus Testing - Expanded Recommendations

Number 635

(Replaces Committee Opinion Number 418, September 2008)

ABSTRACT Given the enormous advances in the prevention of perinatal transmission of human immunodeficiency virus HIV it is clear that early identification and treatment of all pregnant women with HIV is the best way to prevent neonatal infection and also improve womens health Furthermore new evide...

June 2015

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10.

Screening for Perinatal Depression

Number 630

(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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11.

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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American Congress of Obstetricians and Gynecologists
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