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Results 161–180 of 221
Title Date
161.

Oral Intake During Labor

Number 441

(Reaffirmed 2013)

ABSTRACT There is insufficient evidence to address the safety of any particular fasting period for solids in obstetric patients Expert opinion supports that patients undergoing either elective cesarean delivery or elective postpartum tubal ligation should undergo a fasting period of 68 hours Adher...

September 2009

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162.

The Role of Transvaginal Ultrasonography in the Evaluation of Postmenopausal Bleeding

Number 440

(Reaffirmed 2013)

ABSTRACT The clinical approach to postmenopausal bleeding requires prompt and efficient evaluation to exclude or diagnose carcinoma Women with postmenopausal bleeding may be assessed initially with either endometrial biopsy or transvaginal ultrasonography this initial evaluation does not require p...

August 2009

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163.

Informed Consent

Number 439

(Reaffirmed 2012)

ABSTRACT Obtaining informed consent for medical treatment for participation in medical research and for participation in teaching exercises involving students and residents is an ethical requirement that is partially reflected in legal doctrines and requirements As an ethical doctrine informed con...

August 2009

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164.

Community Involvement and Volunteerism

Number 437

(Reaffirmed 2014)

Abstract As professional and community leaders obstetriciangynecologists have unlimited opportunities to become involved in and have a positive impact on local national and international communities and organizations Volunteering outside of daily work routines often revitalizes a commitment to med...

July 2009

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165.

Induced Abortion and Breast Cancer Risk

Number 434

(Reaffirmed 2013, Replaces No. 285, August 2003)

Abstract The relationship between induced abortion and the subsequent development of breast cancer has been the subject of a substantial amount of epidemiologic study Early studies of the relationship between prior induced abortion and breast cancer risk were methodologically flawed More rigorous ...

June 2009

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166.

Spinal Muscular Atrophy

Number 432

Reaffirmed 2014

ABSTRACT Spinal muscular atrophy SMA is an autosomal recessive neurodegenerative disease that results from degeneration of spinal cord motor neurons leading to atrophy of skeletal muscle and overall weakness In current practice patients with a family history of SMA are being offered carrier screen...

May 2009

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167.

Preimplantation Genetic Screening for Aneuploidy

Number 430

(Reaffirmed 2014)

ABSTRACT Preimplantation genetic screening differs from preimplantation genetic diagnosis for single gene disorders and was introduced for the detection of chromosomal aneuploidy Current data does not support a recommendation for preimplantation genetic screening for aneuploidy using fluorescence ...

March 2009

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168.

Misoprostol for Postabortion Care

Number 427

ABSTRACT The World Health Organization estimates that 67000 women mostly in developing countries die each year from untreated or inadequately treated abortion complications Postabortion care a term commonly used by the international reproductive health community refers to a specific set of service...

February 2009

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169.

Motivational Interviewing: A Tool for Behavior Change

Number 423

(Reaffirmed 2014)

Abstract Applying the principles of motivational interviewing to everyday patient interactions has been proved effective in eliciting behavior change that contributes to positive health outcomes and improved patientphysician communication Current Procedural Terminology codes are available to aid i...

January 2009

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170.

Aromatase Inhibitors in Gynecologic Practice

Number 412

(Reaffirmed 2014)

ABSTRACT Aromatase inhibitors appear to be effective as an adjuvant treatment for earlystage and latestage breast cancer Their role in chemoprevention of breast cancer in highrisk patients remains to be defined Side effects of aromatase inhibitors in postmenopausal women are due to estrogenlowerin...

August 2008

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171.

Ethical Issues in Genetic Testing

Number 410

(Reaffirmed 2014)

ABSTRACT Genetic testing is poised to play an increasing role in the practice of obstetrics and gynecology To assure patients of the highest quality of care physicians should become familiar with the currently available array of genetic tests and the tests limitations Clinicians should be able to ...

June 2008

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172.

Direct-to-Consumer Marketing of Genetic Testing

Number 409

Reaffirmed 2014

ABSTRACT Marketing of genetic testing although similar to directtoconsumer advertising of prescription drugs raises additional concerns and considerations These include issues of limited knowledge among patients and health care providers of available genetic tests difficulty in interpretation of g...

June 2008

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173.

Surrogate Motherhood

Number 397

ABSTRACT Ethical responsibilities are described for obstetriciangynecologists who choose to participate in surrogacy arrangements by 1 advising couples who are considering surrogacy 2 counseling potential surrogate mothers 3 providing obstetric services for pregnant women participating in surrogac...

February 2008

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174.

Umbilical Cord Blood Banking

Number 399

(Reaffirmed 2012, Replaces No. 183, April 1997)

ABSTRACT Two types of banks have emerged for the collection and storage of umbilical cord bloodpublic banks and private banks Public banks promote allogenic related or unrelated donation analogous to the current collection of whole blood units in the United States Private banks were initially deve...

February 2008

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175.

Ethical Decision Making in Obstetrics and Gynecology

Number 390

(Reaffirmed 2013)

ABSTRACT Physicians vary widely in their familiarity with ethical theories and methods and their sensitivity toward ethical issues It is important for physicians to improve their skills in addressing ethical questions Obstetriciangynecologists who are familiar with the concepts of medical ethics w...

December 2007

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176.

Human Immunodeficiency Virus

Number 389

ABSTRACT Because human immunodeficiency virus HIV infection often is detected through prenatal and sexually transmitted disease testing an obstetriciangynecologist may be the first health professional to provide care for a woman infected with HIV Universal testing with patient notification and rig...

December 2007

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177.

The Limits of Conscientious Refusal in Reproductive Medicine

Number 385

(Reaffirmed 2013)

ABSTRACT Health care providers occasionally may find that providing indicated even standard care would present for them a personal moral problema conflict of conscienceparticularly in the field of reproductive medicine Although respect for conscience is important conscientious refusals should be l...

November 2007

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178.

Management of Delivery of a Newborn With Meconium-Stained Amniotic Fluid

Number 379

(Reaffirmed 2013)

ABSTRACT In accordance with the new guidelines from the American Academy of Pediatrics and the American Heart Association all infants with meconiumstained amniotic fluid should no longer routinely receive intrapartum suctioning If meconium is present and the newborn is depressed the clinician shou...

September 2007

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179.

Vaginal "Rejuvenation" and Cosmetic Vaginal Procedures

Number 378

(Reaffirmed 2014)

ABSTRACT Socalled vaginal rejuvenation designer vaginoplasty revirgination and Gspot amplification are vaginal surgical procedures being offered by some practitioners These procedures are not medically indicated and the safety and effectiveness of these procedures have not been documented Clinicia...

September 2007

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180.

Research Involving Women

Number 377

ABSTRACT All women should be presumed to be eligible for participation in clinical studies The potential for pregnancy should not automatically exclude a woman from participating in a clinical study although the use of contraception may be required for participation Research objectives should not ...

September 2007

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