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61.

Increasing Access to Abortion

Number 613, November 2014

(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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62.

Abortion Training and Education

Number 612, November 2014

(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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63.

Method for Estimating Due Date

Number 611, October 2014

(Reaffirmed 2016. See also Committee Opinion No. 579)

ABSTRACT Accurate dating of pregnancy is important to improve outcomes and is a research and public health imperative As soon as data from the last menstrual period the first accurate ultrasound examination or both are obtained the gestational age and the estimated due date should be determined di...

October 2014

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64.

Chronic Antithrombotic Therapy and Gynecologic Surgery

Number 610, October 2014

ABSTRACT Surgery can present a management dilemma for gynecologists whose patients receive chronic antithrombotic therapy because the risk of hemorrhagic complications must be balanced against the risk of thromboembolic complications Interruption of antithrombotic therapy to reduce perioperative b...

October 2014

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65.

Colorectal Cancer Screening Strategies

Number 609, October 2014

ABSTRACT Each year more than 24000 women die from colorectal cancer which makes it the third leading cause of cancer death in women after lung cancer and breast cancer However screening tests are underused for many segments of the population and are ordered in a manner inconsistent with guidelines...

October 2014

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66.

Influenza Vaccination During Pregnancy

Number 608, September 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 468, October 2010)

ABSTRACT The Centers for Disease Control and Preventions Advisory Committee on Immunization Practices and the American College of Obstetricians and Gynecologists recommend that all adults receive an annual influenza vaccine Influenza vaccination is an essential element of preconception prenatal an...

September 2014

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67.

Gynecologic Concerns in Children and Adolescents With Cancer

Number 607, August 2014

ABSTRACT Advancements in radiation therapy chemotherapy surgery and multimodal treatment have dramatically improved childhood cancer survival However cancer and its treatment may have immediate or delayed adverse effects on reproductive health Gynecologists should be prepared to manage gynecologic...

August 2014

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68.

Options for Prevention and Management of Heavy Menstrual Bleeding in Adolescent Patients Undergoing

Number 606, August 2014

ABSTRACT Adolescents undergoing cancer treatment are at high risk of heavy menstrual bleeding and gynecologists may be consulted either before the initiation of cancer treatment to request strategies for menstrual suppression or during an episode of severe heavy bleeding to stop the bleeding emerg...

August 2014

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69.

Primary Ovarian Insufficiency in Adolescents and Young Women

Number 605, July 2014

(Reaffirmed 2016)

ABSTRACT Primary ovarian insufficiency is the depletion or dysfunction of ovarian follicles with cessation of menses before age 40 years There is no consensus on criteria to identify primary ovarian insufficiency in adolescents and delay in diagnosis is common Health care providers who make this c...

July 2014

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70.

OnabotulinumtoxinA and the Bladder

Number 604, June 2014

ABSTRACT In January 2013 the US Food and Drug Administration approved the use of onabotulinumtoxinA also known as Botox A for the treatment of overactive bladder thus providing another treatment option for women Symptoms of overactive bladder have been shown to significantly improve after onabotul...

June 2014

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71.

Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment

Number 603, June 2014

ABSTRACT Stress urinary incontinence SUI is a condition of involuntary loss of urine on effort physical exertion sneezing or coughing that is often bothersome to the patient and frequently affects quality of life When women are evaluated for SUI counseling about treatment should begin with conserv...

June 2014

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72.

Depot Medroxyprogesterone Acetate and Bone Effects

Number 602, June 2014

(Replaces Committee Opinion Number 415, September 2008)

ABSTRACT Depot medroxyprogesterone acetate DMPA is a highly effective injectable contraceptive that affords privacy and has a convenient dose schedule of four times per year making it appealing to many users especially adolescents Although the use of DMPA is associated with loss of bone mineral de...

June 2014

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73.

Tamoxifen and Uterine Cancer

Number 601, June 2014

(Replaces Committee Opinion Number 336, June 2006)

ABSTRACT Tamoxifen a nonsteroidal antiestrogen agent is widely used as adjunctive therapy for women with breast cancer and it has been approved by the US Food and Drug Administration for adjuvant treatment of breast cancer treatment of metastatic breast cancer and reduction in breast cancer incide...

June 2014

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74.

Ethical Issues in the Care of the Obese Woman

Number 600, June 2014

ABSTRACT Rates of obesity in the United States have increased rapidly over the past several decades and physicians should be prepared to care for obese patients in a nonjudgmental manner being cognizant of the medical social and ethical implications of obesity It is the responsibility of the physi...

June 2014

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75.

Adolescent Confidentiality and Electronic Health Records

Number 599, May 2014

(Reaffirmed 2016)

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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76.

The Initial Reproductive Health Visit

Number 598, May 2014

(Replaces Committee Opinion Number 460, July 2010)

ABSTRACT The initial visit for screening and the provision of reproductive preventive health care services and guidance should take place between the ages of 13 years and 15 years The initial reproductive health visit provides an excellent opportunity for the obstetriciangynecologist to start a pa...

May 2014

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77.

Labor Induction or Augmentation and Autism

Number 597, May 2014

(Reaffirmed 2016)

Abstract Functional oxytocin deficiency and a faulty oxytocin signaling pathway have been observed in conjunction with autism spectrum disorder ASD Because exogenous synthetic oxytocin commonly is administered for labor induction and augmentation some have hypothesized that synthetic oxytocin used...

May 2014

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78.

Routine Human Immunodeficiency Virus Screening

Number 596, May 2014

(Replaces Committee Opinion Number 411, August 2008)

Abstract Early diagnosis and treatment of human immunodeficiency virus HIV can improve survival and reduce morbidity The Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists recommend that females aged 1364 years be tested at least once in their li...

May 2014

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79.

Preexposure Prophylaxis for the Prevention of Human Immunodeficiency Virus

Number 595, May 2014

Abstract Preexposure prophylaxis is defined as the administration of antiretroviral medications to individuals who are not infected with human immunodeficiency virus HIV and are at the highest risk of acquiring HIV infection In combination with other proven HIVprevention methods preexposure prophy...

May 2014

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80.

Immersion in Water During Labor and Delivery

Number 594, April 2014

(Reaffirmed 2016)

ABSTRACT Immersion in water has been suggested as a beneficial alternative for labor or delivery or both and over the past decades has gained popularity in many parts of world Immersion in water during the first stage of labor may be associated with decreased pain or use of anesthesia and decrease...

April 2014

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