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21.

The Obstetric and Gynecologic Hospitalist

Number 657, February 2016

(Replaces Committee Opinion Number 459, July 2010)

ABSTRACT The term hospitalist refers to physicians whose primary professional focus is the general medical care of hospitalized patients Their activities may include patient care teaching research and inpatient leadership The American College of Obstetricians and Gynecologists supports the continu...

February 2016

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22.

Guidelines for Diagnostic Imaging During Pregnancy and Lactation

Number 656, February 2016

(Replaces Committee Opinion Number 299, September 2004)

ABSTRACT Imaging studies are important adjuncts in the diagnostic evaluation of acute and chronic conditions However confusion about the safety of these modalities for pregnant and lactating women and their infants often results in unnecessary avoidance of useful diagnostic tests or the unnecessar...

February 2016

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23.

Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus Infections in Obstetrician–Gynecologists

Number 655, February 2016

ABSTRACT To prevent transmission of bloodborne pathogens it is important that health care providers adhere to standard precautions follow fundamental infectioncontrol principles and use appropriate procedural techniques All obstetriciangynecologists who provide clinical care should receive the hep...

February 2016

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24.

Reproductive Life Planning to Reduce Unintended Pregnancy

Number 654, February 2016

ABSTRACT Approximately one half 51 of the 6 million pregnancies each year in the United States are unintended A reproductive life plan is a set of personal goals regarding whether when and how to have children based on individual priorities resources and values A lack of reproductive life planning...

February 2016

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25.

Concerns Regarding Social Media and Health Issues in Adolescents and Young Adults

Number 653, February 2016

ABSTRACT Although there are many positive aspects of social media for adolescents and young adults there are also risks Adolescence is a time of significant developmental changes during which adolescents exhibit a limited capacity for selfregulation and an increased risk of susceptibility to peer ...

February 2016

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26.

Magnesium Sulfate Use in Obstetrics

Number 652, January 2016

(Reaffirmed 2016. Replaces Committee Opinion Number 573, September 2013)

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...

January 2016

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27.

Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign

Number 651, December 2015

(Replaces Committee Opinion 349, November 2006)

ABSTRACT Despite variations worldwide and within the US population median age at menarche has remained relatively stablebetween 12 years and 13 yearsacross wellnourished populations in developed countries Environmental factors including socioeconomic conditions nutrition and access to preventive h...

December 2015

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28.

Physical Activity and Exercise During Pregnancy and the Postpartum Period

Number 650, December 2015

(Replaces Committee Opinion Number 267, January 2002)

ABSTRACT Physical activity in all stages of life maintains and improves cardiorespiratory fitness reduces the risk of obesity and associated comorbidities and results in greater longevity Physical activity in pregnancy has minimal risks and has been shown to benefit most women although some modifi...

December 2015

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29.

Racial and Ethnic Disparities in Obstetrics and Gynecology

Number 649, December 2015

(Replaces Committee Opinion Number 317, October 2005)

ABSTRACT Projections suggest that people of color will represent most of the US population by 2050 and yet significant racial and ethnic disparities persist in womens health and health care Although socioeconomic status accounts for some of these disparities factors at the patient practitioner and...

December 2015

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30.

Umbilical Cord Blood Banking

Number 648, December 2015

(Replaces Committee Opinion Number 399, February 2008)

ABSTRACT Once considered a waste product that was discarded with the placenta umbilical cord blood is now known to contain potentially lifesaving hematopoietic stem cells When used in hematopoietic stem cell transplantation umbilical cord blood offers several distinct advantages over bone marrow o...

December 2015

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31.

Ethical Considerations for Including Women as Research Participants

Number 646, November 2015

(Replaces Committee Opinion No. 307, December 2004
and Committee Opinion No. 377, September 2007)

ABSTRACT Inclusion of women in research studies is necessary for valid inferences about health and disease in women The generalization of results from trials conducted in men may yield erroneous conclusions that fail to account for the biologic differences between men and women Although significan...

November 2015

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32.

Dual Therapy for Gonococcal Infections

Number 645, November 2015

ABSTRACT Gonorrhea is the second most commonly reported bacterial sexually transmitted disease in the United States with an estimated 820000 new Neisseria gonorrhoeae infections occurring each year Antimicrobial resistance limits treatment success heightens the risk of complications and may facili...

November 2015

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33.

The Apgar Score

Number 644, October 2015

(Replaces Committee Opinion Number 333, May 2006)

ABSTRACT The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed The Apgar score alone cannot be considered to be evidence of or a consequence of asphyxia does not predict individu...

October 2015

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34.

Identification and Referral of Maternal Genetic Conditions in Pregnancy

Number 643, October 2015

ABSTRACT Advances in the understanding of genetic conditions reproductive technologies and improved medical and surgical care have enabled an increasing number of women with genetic conditions to achieve a normal pregnancy outcome However management of certain genetic conditions during pregnancy i...

October 2015

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35.

Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy

Number 642, October 2015

(Replaces Committee Opinion Number 450, December 2009)

ABSTRACT Unintended pregnancy persists as a major public health problem in the United States Although lowering unintended pregnancy rates requires multiple approaches individual obstetriciangynecologists may contribute by increasing access to contraceptive implants and intrauterine devices Obstetr...

October 2015

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36.

Human Papillomavirus Vaccination

Number 641, September 2015

(This Committee Opinion Replaces Committee Opinion Number 588)

ABSTRACT Human papillomavirus HPV is associated with the development of anogenital cancer including cervical vaginal vulvar penile and anal oropharyngeal cancer and genital warts Human papillomavirus vaccination can significantly reduce the incidence of anogenital cancer and genital warts Despite ...

September 2015

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37.

Cell-free DNA Screening for Fetal Aneuploidy

Number 640, September 2015

(This Committee Opinion Replaces Committee Opinion Number 545)

ABSTRACT Noninvasive prenatal screening that uses cellfree DNA from the plasma of pregnant women offers tremendous potential as a screening method for fetal aneuploidy A number of laboratories have validated different techniques for the use of cellfree DNA as a screening test for fetal aneuploidy ...

September 2015

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38.

The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist

Number 639, September 2015

ABSTRACT Information from vital records is critical to identify and quantify healthrelated issues and to measure progress toward quality improvement and public health goals In particular maternal and infant mortality serve as important indicators of the nations health thereby influencing policy de...

September 2015

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39.

First-Trimester Risk Assessment for Early-Onset Preeclampsia

Number 638, September 2015

ABSTRACT Hypertensive disorders with adverse sequelae including preterm birth maternal morbidity and mortality and longterm risk of maternal cardiovascular disease complicate 510 of pregnancies Early identification of pregnant women at risk of developing earlyonset preeclampsia would theoretically...

September 2015

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40.

Marijuana Use During Pregnancy and Lactation

Number 637, July 2015

ABSTRACT Cannabis sativa marijuana is the illicit drug most commonly used during pregnancy The selfreported prevalence of marijuana use during pregnancy ranges from 2 to 5 in most studies A growing number of states are legalizing marijuana for medicinal or recreational purposes and its use by preg...

July 2015

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American Congress of Obstetricians and Gynecologists
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