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Ethical Issues With Vaccination for the Obstetrician–Gynecologist

Committee Opinion Number 564, May 2013

(Reaffirmed 2016)

ABSTRACT Because of the growing importance of infectious disease prevention in the individual patient and the larger community it is vital that Fellows of the American College of Obstetricians and Gynecologists be prepared to navigate the practical and ethical challenges that come with vaccination...

May 2013

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Ethical Ways for Physicians to Market a Practice

Committee Opinion 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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Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment

Committee Opinion 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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Expedited Partner Therapy in the Management of Gonorrhea and Chlamydial Infection

Committee Opinion Number 632, June 2015

(Replaces Committee Opinion Number 506, September 2011)

ABSTRACT Sexually transmitted infections STIs disproportionately affect women and create a preventable threat to their fertility One factor that contributes to young womens high rates of STIs is reinfection from an untreated sexual partner One way to address this problem is through expedited partn...

June 2015

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Expert Testimony

Committee Opinion Number 374, August 2007

Reaffirmed 2016

ABSTRACT It is the duty of obstetricians and gynecologists who testify as expert witnesses on behalf of defendants the government or plaintiffs to do so solely in accordance with their judgment on the merits of the case Obstetriciangynecologists must limit testimony to their sphere of medical expe...

August 2007

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Exposure to Toxic Environmental Agents

Committee Opinion Number 575, October 2013

Reaffirmed 2016

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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Family Building Through Gestational Surrogacy

Committee Opinion Number 660, March 2016

(Replaces Committee Opinion No. 397, February 2008)

ABSTRACT Gestational surrogacy is an increasingly common form of family building that can allow individuals or a couple to become parents despite circumstances in which carrying a pregnancy is biologically impossible or medically contraindicated The practice of gestational surrogacy involves a wom...

March 2016

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Family History as a Risk Assessment Tool

Committee Opinion Number 478, March 2011

(Reaffirmed 2015)

ABSTRACT Family history plays a critical role in assessing the risk of inherited medical conditions and single gene disorders Several methods have been established to obtain family medical histories including the family history questionnaire or checklist and the pedigree The screening tool selecte...

March 2011

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Fatigue and Patient Safety

Committee Opinion 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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Female Age-Related Fertility Decline

Committee Opinion Number 589, March 2014

(Reaffirmed 2016. 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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First-Trimester Risk Assessment for Early-Onset Preeclampsia

Committee Opinion 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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Forming a Just Health Care System

Committee Opinion Number 456, March 2010

ABSTRACT In this Committee Opinion the Committee on Ethics of the American College of Obstetricians and Gynecologists endorses the Colleges ongoing efforts to promote a just health care system explores justifications that inform just health care and identifies professional responsibilities to guid...

March 2010

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Guidelines for Adolescent Health Research

Committee Opinion Number 665, June 2016

ABSTRACT Considerable uncertainty exists about what constitutes appropriate levels of protection for adolescents as research participants and about the need for parental permission The ethical principles that govern research include respect for individuals beneficence and justice as articulated in...

June 2016

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Guidelines for Diagnostic Imaging During Pregnancy and Lactation

Committee Opinion 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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Guiding Principles for Privileging of Innovative Procedures in Gynecologic Surgery

Committee Opinion Number 674, September 2016

ABSTRACT New or emerging surgical procedures and technologies continue to be developed at a rapid rate and must be implemented safely into clinical practice Additional privileging may be required if substantively new technical or cognitive skills are required to implement an innovative procedure o...

September 2016

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Gynecologic Concerns in Children and Adolescents With Cancer

Committee Opinion 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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Gynecologic Surgery in the Obese Woman

Committee Opinion Number 619, January 2015

ABSTRACT Obesity is a serious problem worldwide and particularly in the United States and in women is associated with an increased risk of death and morbid conditions including hypertension diabetes mellitus obstructive sleep apnea and hypercholesterolemia as well as malignancies such as endometri...

January 2015

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Health Care for Homeless Women

Committee Opinion Number 576, October 2013

(Replaces No. 454, February 2010, Reaffirmed 2016)

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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Health Care for Lesbians and Bisexual Women

Committee Opinion Number 525, May 2012

(Reaffirmed 2016)

ABSTRACT Lesbians and bisexual women encounter barriers to health care that include concerns about confidentiality and disclosure discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding as to what their health risks may be Health ...

May 2012

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Health Care for Pregnant and Postpartum Incarcerated Women and Adolescent Females

Committee Opinion 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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