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Title Date

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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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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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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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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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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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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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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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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Adolescent Confidentiality and Electronic Health Records

Number 599

ABSTRACT Confidentiality concerns are heightened during adolescence and these concerns can be a critical barrier to adolescents in receiving appropriate health care Health care providers caring for minors should be aware of federal and state laws that affect confidentiality State statutes on the r...

May 2014

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Sexual Assault

Number 592

(Replaces Committee Opinion Number 499, August 2011)

ABSTRACT Reproductiveaged victims of sexual assault are at risk of unintended pregnancy sexually transmitted infections and mental health conditions including posttraumatic stress disorder Health care providers should screen routinely for a history of sexual assault and offer victims both emergenc...

April 2014

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Health Disparities in Rural Women

Number 586

(Replaces Committee Opinion Number 429, March 2009)

ABSTRACT Rural women experience poorer health outcomes and have less access to health care than urban women Many rural areas have limited numbers of health care providers especially womens health providers Rural America is heterogeneous where problems vary depending on the region and state Health ...

February 2014

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Elective Surgery and Patient Choice

Number 578

(Replaces No. 395, January 2008)

ABSTRACT Acknowledgment of the importance of patient autonomy and increased patient access to information such as information on the Internet has prompted more patientgenerated requests for surgical interventions not traditionally recommended Depending on the context acceding to a request for a su...

November 2013

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Health Care for Homeless Women

Number 576

(Replaces No. 454, February 2010)

ABSTRACT Homelessness continues to be a significant problem in the United States Women and families represent the fastest growing segment of the homeless population Health care for these women is a challenge but an important issue that needs to be addressed Homeless women are at higher risk of inj...

October 2013

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Exposure to Toxic Environmental Agents

Number 575

ABSTRACT Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians gynecologists and other reproductive health care professionals Patient exposure to toxic environmental chemicals and other stressors is ubiquitous and preconception and prenatal exposure t...

October 2013

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Marriage Equality for Same-Sex Couples

Number 574

(Replaces No. 428, February 2009)

ABSTRACT Samesex couples encounter barriers to health care that include concerns about confidentiality and disclosure stigma and discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding of their health risks Samesex couples and the...

September 2013

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Breastfeeding in Underserved Women: Increasing Initiation and Continuation of Breastfeeding

Number 570

ABSTRACT Maternal and infant benefits from breastfeeding are well documented and are especially important to underserved women Underserved women are disproportionately likely to experience adverse health outcomes that may improve with breastfeeding They face unique barriers and have low rates of i...

August 2013

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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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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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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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American Congress of Obstetricians and Gynecologists
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