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Title Date
41.

Preparing for Clinical Emergencies in Obstetrics and Gynecology

Number 590

(Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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42.

Female Age-Related Fertility Decline

Number 589

(Replaces Committee Opinion Number 413, August 2008)

ABSTRACT The fecundity of women decreases gradually but significantly beginning approximately at age 32 years and decreases more rapidly after age 37 years Education and enhanced awareness of the effect of age on fertility are essential in counseling the patient who desires pregnancy Given the ant...

March 2014

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43.

Human Papillomavirus Vaccination

Number 588

(Replaces Committee Opinion Number 467, September 2010)

ABSTRACT The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention recommends that human papillomavirus HPV vaccination routinely be targeted to females and males aged 11 years or 12 years as part of the adolescent immunization platform to help reduce the i...

March 2014

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44.

Effective Patient–Physician Communication

Number 587

(Replaces Committee Opinion Number 492, May 2011)

ABSTRACT Physicians ability to effectively and compassionately communicate information is key to a successful patientphysician relationship The current health care environment demands increasing clinical productivity and affords less time with each patient which can impede effective patientphysici...

February 2014

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45.

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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46.

Health Literacy

Number 585

(Replaces Committee Opinion Number 491, May 2011)

ABSTRACT According to the Institute of Medicine of the National Academies health literacy is defined as the degree to which individuals have the capacity to obtain process and understand basic health information and services needed to make appropriate health decisions The American College of Obste...

February 2014

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47.

Oocyte Cryopreservation

Number 584

ABSTRACT In 2013 the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology published a joint document Mature Oocyte Cryopreservation A Guideline which addresses advances in techniques to freeze human eggs that have resulted in significant recent improvemen...

January 2014

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48.

Predispute, Voluntary, Binding Arbitration

Number 583

ABSTRACT Arbitration is a form of dispute resolution that is an alternative to taking a case to court Weighing the potential advantages and disadvantages predispute arbitration may represent a valid alternative dispute resolution strategy for physicians and patients When correctly prepared contrac...

January 2014

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49.

Addressing Health Risks of Noncoital Sexual Activity

Number 582

(Replaces No. 417, September 2008)

ABSTRACT Noncoital sexual behavior is a common expression of human sexuality which commonly cooccurs with coital behavior Sexually transmitted infections including human immunodeficiency virus HIV herpes simplex virus human papillomavirus hepatitis virus types A B and C syphilis gonorrhea and chla...

December 2013

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50.

The Use of Chromosomal Microarray Analysis in Prenatal Diagnosis

Number 581

(Replaces No. 446, November 2009) (See also Practice Bulletin No. 88)

ABSTRACT Chromosomal microarray analysis is a technique that identifies chromosomal abnormalities including submicroscopic abnormalities that are too small to be detected by conventional karyotyping Like conventional fetal karyotyping prenatal chromosomal microarray analysis requires direct testin...

December 2013

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51.

Von Willebrand Disease in Women

Number 580

(Replaces No. 451, December 2009)

ABSTRACT Von Willebrand disease the most common inherited bleeding disorder among American women is a common cause of heavy menstrual bleeding and other bleeding problems in women and adolescent girls Von Willebrand disease and other inherited and acquired disorders of coagulation and hemostasis s...

December 2013

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52.

Definition of Term Pregnancy

Number 579

ABSTRACT In the past the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered term with the expectation that neonatal outcomes from deliveries in this interval were uniform and good Increasingly however research has shown that neonatal outcomes especially re...

November 2013

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53.

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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54.

Understanding and Using the U.S. Selected Practice Recommendations for Contraceptive Use, 2013

Number 577

ABSTRACT The US Selected Practice Recommendations for Contraceptive Use 2013 US SPR issued by the Centers for Disease Control and Prevention is a companion piece to the Centers for Disease Control and Preventions US Medical Eligibility Criteria for Contraceptive Use 2010 The US Medical Eligibility...

November 2013

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55.

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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56.

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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57.

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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58.

Magnesium Sulfate Use in Obstetrics

Number 573

ABSTRACT The US Food and Drug Administration advises against the use of magnesium sulfate injections for more than 57 days to stop preterm labor in pregnant women Based on this the drug classification was changed from Category A to Category D and the labeling was changed to include this new warnin...

September 2013

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59.

Reproductive Health Care for Adolescents with Human Immunodeficiency Virus

Number 572

(Reaffirmed 2015)

ABSTRACT Adolescents make up an increasing percentage of the US population with human immunodeficiency virus HIV Adolescentfocused care is critical to identify and reduce atrisk behavior comorbidities and partner transmission Optimal medical and reproductive health care both now and in the future ...

September 2013

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60.

Solutions for Surgical Preparation of the Vagina

Number 571

ABSTRACT Currently only povidoneiodine preparations are approved for vaginal surgicalsite antisepsis However there are compelling reasons to consider chlorhexidine gluconate solutions for offlabel use in surgical preparation of the vagina especially in women with allergies to iodine Although chlor...

September 2013

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American Congress of Obstetricians and Gynecologists
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