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Title Date
21.

Ethical Issues in Pandemic Influenza Planning Concerning Pregnant Women

Number 563

ABSTRACT Pregnant women traditionally have been assigned priority in the allocation of prevention and treatment resources during outbreaks of influenza because of their increased risk of morbidity and mortality The Committee on Ethics of the American College of Obstetricians and Gynecologists expl...

May 2013

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22.

Nonmedically Indicated Early-Term Deliveries

Number 561

ABSTRACT For certain medical conditions available data and expert opinion support optimal timing of delivery in the latepreterm or earlyterm period for improved neonatal and infant outcomes However for nonmedically indicated earlyterm deliveries such an improvement has not been demonstrated Morbid...

April 2013

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23.

Medically Indicated Late-Preterm and Early-Term Deliveries

Number 560

ABSTRACT The neonatal risks of late preterm 34 0736 67 weeks of gestation and earlyterm 37 0738 67 weeks of gestation births are well established However there are a number of maternal fetal and placental complications in which either a latepreterm or earlyterm delivery is warranted The timing of ...

April 2013

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24.

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 delivery on maternal request include a longer maternal hospital stay an increased risk of respirator...

April 2013

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25.

Integrating Immunizations Into Practice

Number 558

ABSTRACT Given demonstrated vaccine efficacy safety and the large potential for prevention of many infectious diseases among adults newborns and pregnant women obstetriciangynecologists should embrace immunizations as an integral part of their womens health care practice To provide direct examples...

April 2013

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26.

Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care

Number 555

ABSTRACT Numerous occurrences in the past decade have brought the issue of disaster preparedness and specifically hospital preparedness to the national forefront Much of the work in this area has focused on large hospital system preparedness for various disaster scenarios Many unique features of t...

March 2013

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27.

Multifetal Pregnancy Reduction

Number 553

(Replaces Committee Opinion Number 369, June 2007)

ABSTRACT Fertility treatments have contributed significantly to the increase in multifetal pregnancies The first approach to the problem of multifetal pregnancies should be prevention and strategies to limit multifetal pregnancies especially highorder multifetal pregnancies should be practiced by ...

February 2013

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28.

Benefits to Women of Medicaid Expansion Through the Affordable Care Act

Number 552

ABSTRACT Many US women are uninsured and face avoidable adverse obstetric and gynecologic health outcomes The Affordable Care Act requires an expansion of Medicaid that would increase the percentage of US women with health insurance with the anticipated benefit of improved health The 2012 Supreme ...

January 2013

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29.

Maternal–Fetal Surgery for Myelomeningocele

Number 550

ABSTRACT Myelomeningocele the most severe form of spina bifida occurs in approximately 1 in 1500 births in the United States Fetuses in whom myelomeningocele is diagnosed typically are delivered at term and are treated in the early neonatal period A recent randomized controlled trial found that fe...

January 2013

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30.

Obesity in Pregnancy

Number 549

(Replaces Committee Opinion Number 315, September 2005)

ABSTRACT In the United States more than one third of women are obese more than one half of pregnant women are overweight or obese and 8 of reproductiveaged women are extremely obese putting them at a greater risk of pregnancy complications Therefore preconception assessment and counseling are stro...

January 2013

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31.

Weight Gain During Pregnancy

Number 548

ABSTRACT The updated guidelines by the Institute of Medicine regarding gestational weight gain provide clinicians with a basis for practice Health care providers who care for pregnant women should determine a womans body mass index at the initial prenatal visit and counsel her regarding the benefi...

January 2013

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32.

Noninvasive Prenatal Testing for Fetal Aneuploidy

Number 545

ABSTRACT Noninvasive prenatal testing that uses cell free fetal DNA from the plasma of pregnant women offers tremendous potential as a screening tool for fetal aneuploidy Cell free fetal DNA testing should be an informed patient choice after pretest counseling and should not be part of routine pre...

December 2012

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33.

Timing of Umbilical Cord Clamping After Birth

Number 543

(Reaffirmed 2014)

ABSTRACT The optimal timing for clamping the umbilical cord after birth has been a subject of controversy and debate Although many randomized controlled trials in term and preterm infants have evaluated the benefits of delayed umbilical cord clamping versus immediate umbilical cord clamping the id...

December 2012

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34.

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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35.

Lead Screening During Pregnancy and Lactation

Number 533

(Reaffirmed 2014)

ABSTRACT Prenatal lead exposure has known adverse effects on maternal health and infant outcomes across a wide range of maternal blood lead levels Adverse effects of lead exposure are being identified at lower levels of exposure than previously recognized in both children and adults In 2010 the Ce...

August 2012

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36.

Improving Medication Safety

Number 531

(Reaffirmed 2014, Replaces No. 331, April 2006 and No. 400, March 2008)

ABSTRACT Despite significant national attention medical errors continue to pervade the US health care system Medicationrelated errors consistently rank at the top of all medical errors which account for thousands of preventable deaths annually in the United States There are a variety of methodsran...

August 2012

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37.

Access to Postpartum Sterilization

Number 530

(Reaffirmed 2014)

ABSTRACT Postpartum tubal sterilization is one of the safest and most effective methods of contraception Women who desire this type of sterilization typically undergo thorough counseling and informed consent during prenatal care and reiterate their desire for postpartum sterilization at the time o...

July 2012

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38.

Placenta Accreta

Number 529

(Reaffirmed 2014)

ABSTRACT Placenta accreta is a potentially lifethreatening obstetric condition that requires a multidisciplinary approach to management The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate Women at greatest risk of placenta accreta are those w...

July 2012

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39.

Personalized Genomic Testing for Disease Risk

Number 527

(Reaffirmed 2014)

ABSTRACT Advances in genetic technologies have led to the identification of hundreds of single nucleotide polymorphisms that are associated with a variety of complex diseases including cancer diabetes cardiovascular disease and Alzheimer disease Although personalized genomic tests that provide inf...

June 2012

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40.

Opioid Abuse, Dependence, and Addiction in Pregnancy

Number 524

(Reaffirmed 2014)

ABSTRACT Opioid use in pregnancy is not uncommon and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes The current standard of care for pregnant women with opioid dependence is referral for opioidassisted therapy with methadone but emerging eviden...

May 2012

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