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141.

Opioid Abuse, Dependence, and Addiction in Pregnancy

Number 524, May 2012

(Reaffirmed 2016)

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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142.

Re-entering the Practice of Obstetrics and Gynecology

Number 523, May 2012

(Reaffirmed 2014)

ABSTRACT Reentering the practice of obstetrics and gynecology after a period of inactivity can pose a number of obstacles for a physician Preparing for the leave of absence may help reduce the difficulties physicians may face upon reentering practice Introduction Physicians decide to modify or lea...

May 2012

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143.

Disclosure and Discussion of Adverse Events

Number 520, March 2012

(Replaces No. 380, October 2007, Reaffirmed 2014)

ABSTRACT Disclosure and discussion of adverse events in health care with the patient are morally and ethically necessary to achieve the optimal goal of respecting patient autonomy Improving the disclosure process through education policies programmatic training and accessible resources will enhanc...

March 2012

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144.

Fatigue and Patient Safety

Number 519, March 2012

(Reaffirmed 2013, Replaces No. 398, February 2008)

ABSTRACT It has long been recognized that fatigue can affect human cognitive and physical function Although there are limited published data on the effects of fatigue on health care providers including fulltime practicing physicians there is increasing awareness within the patient safety movement ...

March 2012

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145.

Intimate Partner Violence

Number 518, February 2012

ABSTRACT Intimate partner violence IPV is a significant yet preventable public health problem that affects millions of women regardless of age economic status race religion ethnicity sexual orientation or educational background Individuals who are subjected to IPV may have lifelong consequences in...

February 2012

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146.

Communication Strategies for Patient Handoffs

Number 517, February 2012

(Reaffirmed 2016. Replaces No. 367, June 2007)

ABSTRACT Handoff communication which includes uptodate information regarding patient care treatment and service condition and any recent or anticipated changes should be interactive to allow for discussion between those who give and receive patient information It requires a process for verificatio...

February 2012

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147.

Health Care Systems for Underserved Women

Number 516, January 2012

(Reaffirmed 2014)

ABSTRACT Underserved women are those who are unable to obtain quality health care by virtue of barriers created by poverty cultural differences race or ethnicity geography sexual orientation gender identity or other factors that contribute to health care inequities With passage of the Patient Prot...

January 2012

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148.

Health Care for Urban American Indian and Alaska Native Women

Number 515, January 2012

(Reaffirmed 2015)

ABSTRACT Sixty percent of American Indian and Alaska Native women live in metropolitan areas Most are not eligible for health care provided by the federal Indian Health Service IHS The IHS partly funds 34 Urban Indian Health Organizations which vary in size and services Some are small informationa...

January 2012

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149.

Vaginal Placement of Synthetic Mesh for Pelvic Organ Prolapse

Number 513, December 2011

(Reaffirmed 2015)

ABSTRACT Since 2004 use of synthetic mesh has increased in vaginal surgery for the treatment of pelvic organ prolapse However concerns exist about the safety and efficacy of transvaginally placed mesh Based on the currently available limited data although many patients undergoing meshaugmented vag...

December 2011

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150.

Health Care for Transgender Individuals

Number 512, December 2011

ABSTRACT Transgender individuals face harassment discrimination and rejection within our society Lack of awareness knowledge and sensitivity in health care communities eventually leads to inadequate access to underutilization of and disparities within the health care system for this population Alt...

December 2011

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151.

Health Care for Pregnant and Postpartum Incarcerated Women and Adolescent Females

Number 511, November 2011

Reaffirmed 2016

ABSTRACT Clinicians who provide care for incarcerated women should be aware of the special health care needs of pregnant incarcerated women and the specific issues related to the use of restraints during pregnancy and the postpartum period The use of restraints on pregnant incarcerated women and a...

November 2011

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152.

Ethical Ways for Physicians to Market a Practice

Number 510, November 2011

(Reaffirmed 2014, Replaces No. 341, July 2006)

ABSTRACT It is ethical for physicians to market their practices provided that the communication is truthful and not misleading deceptive or discriminatory All paid advertising must be clearly identified as such Producing fair and accurate advertising of medical practices and services can be challe...

November 2011

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153.

Disruptive Behavior

Number 508, October 2011

(Reaffirmed 2013, Replaces No. 366, May 2007)

ABSTRACT Disruptive physician behavior may have a negative effect on patient care Consequently it is important that a systematic process be in place to discourage identify and remedy episodes of disruptive behavior Introduction A growing number of organizations recognize that disruptive behavior m...

October 2011

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154.

Human Trafficking

Number 507, September 2011

ABSTRACT Human trafficking is a widespread problem with estimates ranging from 14000 to 50000 individuals trafficked into the United States annually This hidden population involves the commercial sex industry agriculture factories hotel and restaurant businesses domestic workers marriage brokers a...

September 2011

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155.

Understanding and Using the U.S. Medical Eligibility Criteria for Contraceptive Use, 2010

Number 505, September 2011

(Reaffirmed 2014)

ABSTRACT The 2010 US Medical Eligibility Criteria for Contraceptive Use US MEC issued by the Centers for Disease Control and Prevention gives comprehensive evidencebased guidance to clinicians providing family planning services to women especially women with medical conditions The American College...

September 2011

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156.

Tobacco Use and Women's Health

Number 503, September 2011

(Reaffirmed 2015)

ABSTRACT Tobacco use negatively affects every organ system and is the most prevalent cause of premature death for adults within the United States Compared with women who are nonsmokers women who smoke cigarettes have greater risks of reproductive health problems many forms of gynecologic cancer an...

September 2011

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157.

Maternal-Fetal Intervention and Fetal Care Centers

Number 501, August 2011

(Reaffirmed 2014)

ABSTRACT The past two decades have yielded profound advances in the fields of prenatal diagnosis and fetal intervention Although fetal interventions are driven by a beneficencebased motivation to improve fetal and neonatal outcomes advancement in fetal therapies raises ethical issues surrounding m...

August 2011

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158.

Professional Responsibilities in Obstetric-Gynecologic Medical Education and Training

Number 500, August 2011

(Reaffirmed 2014, Replaces No. 358, January 2007)

ABSTRACT The education of health care professionals is essential to maintaining standards of medical competence and access to care by patients Inherent in the education of health care professionals is the problem of disparity in power and authority including the power of teachers over learners and...

August 2011

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159.

Adult Manifestations of Childhood Sexual Abuse

Number 498, August 2011

(Reaffirmed 2015)

ABSTRACT Longterm effects of childhood sexual abuse are varied complex and often devastating Many obstetriciangynecologists knowingly or unknowingly provide care to abuse survivors and should screen all women for a history of such abuse Depression anxiety and anger are the most commonly reported e...

August 2011

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160.

At-Risk Drinking and Alcohol Dependence: Obstetric and Gynecologic Implications

Number 496, August 2011

(Reaffirmed 2013)

ABSTRACT Compared with men atrisk alcohol use by women has a disproportionate effect on their health and lives including reproductive function and pregnancy outcomes Obstetriciangynecologists have a key role in screening and providing brief intervention patient education and treatment referral for...

August 2011

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