Search Results

Return to List
Results 201–220 of 223
Title Date
201.

Mode of Term Singleton Breech Delivery

Number 340

(Replaces No. 265, December 2001, Reaffirmed 2014)

ABSTRACT In light of recent studies that further clarify the longterm risks of vaginal breech delivery the American College of Obstetricians and Gynecologists recommends that the decision regarding mode of delivery should depend on the experience of the health care provider Cesarean delivery will ...

July 2006

PDF Format
202.

Analgesia and Cesarean Delivery Rates

Number 339

(Reaffirmed 2013, Replaces No. 269, February 2002)

ABSTRACT Neuraxial analgesia techniques are the most effective and least depressant treatments for labor pain The American College of Obstetricians and Gynecologists previously recommended that practitioners delay initiating epidural analgesia in nulliparous women until the cervical dilatation rea...

June 2006

PDF Format
203.

The Apgar Score

Number 333

(Reaffirmed 2010, Replaces No. 174, July 1996)

ABSTRACT The Apgar score provides a convenient shorthand for reporting the status of the newborn infant and the response to resuscitation The Apgar score has been used inappropriately to predict specific neurologic outcome in the term infant There are no consistent data on the significance of the ...

May 2006

PDF Format
204.

Perinatal Risks Associated With Assisted Reproductive Technology

Number 324

(Reaffirmed 2007)

ABSTRACT Over the past two decades the use of assisted reproductive technology ART has increased dramatically worldwide and has made pregnancy possible for many infertile couples A growing body of evidence suggests an association between pregnancies resulting from ART and perinatal morbidity possi...

November 2005

PDF Format
205.

Elective Coincidental Appendectomy

Number 323

(Reaffirmed 2014, Replaces No. 164, December 1995)

ABSTRACT Because of a lack of evidence from randomized trials it remains unclear whether the benefits of routine elective coincidental appendectomy outweigh the cost and risk of morbidity associated with this prophylactic procedure Because the riskbenefit analysis varies according to patient age a...

November 2005

PDF Format
206.

Maternal Decision Making Ethics and the Law

Number 321

ABSTRACT Recent legal actions and policies aimed at protecting the fetus as an entity separate from the woman have challenged the rights of pregnant women to make decisions about medical interventions and have criminalized maternal behavior that is believed to be associated with fetal harm or adve...

November 2005

PDF Format
207.

Screening for Tay - Sachs Disease

Number 318

(Reaffirmed 2014, Replaces No. 162, November 1995)

ABSTRACT TaySachs disease TSD is a severe progressive neurologic disease that causes death in early childhood Carrier screening should be offered before pregnancy to individuals and couples at high risk including those of Ashkenazi Jewish FrenchCanadian or Cajun descent and those with a family his...

October 2005

PDF Format
208.

Racial and Ethnic Disparities in Women's Health

Number 317

ABSTRACT Significant racial and ethnic disparities exist in womens health These health disparities largely result from differences in socioeconomic status and insurance status Although many disparities diminish after taking these factors into account some remain because of health care systemlevel ...

October 2005

PDF Format
209.

The Importance of Preconception Care in the Continuum of Women's Health Care

Number 313

(Reaffirmed 2015)

ABSTRACT The goal of preconception care is to reduce the risk of adverse health effects for the woman fetus or neonate by optimizing the womans health and knowledge before planning and conceiving a pregnancy Because reproductive capacity spans almost four decades for most women optimizing womens h...

September 2005

PDF Format
210.

Partner Consent for Participation in Women's Reproductive Health Research

Number 307

(Reaffirmed 2008)

ABSTRACT Recent advances in reproductive medicine include treatment of subfertility as well as investigation of agents that may serve as both contraceptives and potential prophylaxis against sexually transmitted diseases including potential protection from human immunodeficiency virus HIV Although...

December 2004

PDF Format
211.

Guidelines for Diagnostic Imaging During Pregnancy

Number 299

(Replaces No. 158, September 1995, Reaffirmed 2014 )

ABSTRACT Undergoing a single diagnostic Xray procedure does not result in radiation exposure adequate to threaten the wellbeing of the developing preembryo embryo or fetus and is not an indication for therapeutic abortion When multiple diagnostic Xrays are anticipated during pregnancy imaging proc...

September 2004

PDF Format
212.

Nonmedical use of Obstetric Ultrasonography

Number 297

(Reaffirmed 2015)

ABSTRACT The American College of Obstetricians and Gynecologists ACOG has endorsed the Prudent Use statement from the American Institute of Ultrasound in Medicine AIUM discouraging the use of obstetric ultrasonography for nonmedical purposes eg solely to create keepsake photographs or videos The A...

August 2004

PDF Format
213.

Pain Relief During Labor

Number 295

(Reaffirmed 2008, Replaces No. 231, February 2000)

ABSTRACT Pain management should be provided whenever medically indicated The American Society of Anesthesiologists ASA and the American College of Obstetricians and Gynecologists ACOG believe that women requesting epidural analgesia during labor should not be deprived of this service based on thei...

July 2004

PDF Format
214.

Avoiding Inappropriate Clinical Decisions Based on False-Positive Human Chorionic Gonadotropin Test Results

Number 278

(Reaffirmed 2015)

ABSTRACT Clinically significant falsepositive human chorionic gonadotropin hCG test results are rare However some individuals have circulating factors in their serum eg heterophilic antibodies or nonactive forms of hCG that interact with the hCG antibody and cause unusual or unexpected test result...

November 2002

PDF Format
215.

Obstetric Management of Patients with Spinal Cord Injuries

Number 275

(Replaces No. 121, April 1993, Reaffirmed 2014)

ABSTRACT Effective rehabilitation and modern reproductive technology may increase the number of women considering pregnancy who have spinal cord injuries SCIs It is important that obstetricians caring for these patients are aware of the specific problems related to SCIs Autonomic dysreflexia is th...

September 2002

PDF Format
216.

Management of Asymptomatic Pregnant or Lactating Women Exposed to Anthrax

Number 268

(Reaffirmed 2009)

ABSTRACT Anthrax infections are diagnosed by isolating Bacillus anthracis from body fluids or by measuring specific antibodies in the blood of persons suspected to have the disease It is recommended that asymptomatic pregnant and lactating women who have been exposed to a confirmed environmental c...

February 2002

PDF Format
217.

Exercise During Pregnancy and the Postpartum Period

Number 267

(Reaffirmed 2009)

ABSTRACT The physiologic and morphologic changes of pregnancy may interfere with the ability to engage safely in some forms of physical activity A womans overall health including obstetric and medical risks should be evaluated before prescribing an exercise program Generally participation in a wid...

January 2002

PDF Format
218.

Nongynecologic Procedures

Number 253

(Replaces Statement of Policy on Liposuction, January 1988, Reaffirmed 2015)

Cosmetic procedures such as laser hair removal body piercing tattoo removal and liposuction are not considered gynecologic procedures and therefore generally are not taught in approved obstetric and gynecologic residencies Because these are not considered gynecologic procedures it is inappropriate...

March 2001

PDF Format
219.

Inappropriate Reimbursement Practices by Third-Party Payers

Number 250

The American College of Obstetricians and Gynecologists ACOG Committee on Coding and Nomenclature believes that physicians must code accurately the services they provide and the diagnoses that justify those services for purposes of appropriate payment This requirement is consistent with the rules ...

January 2001

PDF Format
220.

Coding Responsibility

Number 249

(Reaffirmed 2005)

Physicians are responsible for accurately coding the services they provide to their patients Likewise insurers are obligated to process all legitimate insurance claims for covered services accurately and in a timely manner It is inappropriate for physicians to code or for insurers to process claim...

January 2001

PDF Format

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998