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Results 141–160 of 223
Title Date

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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Ovarian Reserve Testing

Number 618

ABSTRACT The main goal of ovarian reserve testing is to identify those individuals who are at risk of decreased or diminished ovarian reserve commonly known as DOR Although ovarian reserve testing cannot predict the end of ones reproductive years results outside the range expected for a patients a...

January 2015

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Over-the-Counter Access to Oral Contraceptives

Number 544

(Reaffirmed 2014)

ABSTRACT Unintended pregnancy remains a major public health problem in the United States Access and cost issues are common reasons why women either do not use contraception or have gaps in use A potential way to improve contraceptive access and use and possibly decrease unintended pregnancy rates ...

December 2012

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Pain Relief During Labor

Number 295

(Reaffirmed 2008, Replaces No. 231, February 2000)

ABSTRACT Pain management should be provided whenever medically indicated The American Society of Anesthesiologists ASA and the American College of Obstetricians and Gynecologists ACOG believe that women requesting epidural analgesia during labor should not be deprived of this service based on thei...

July 2004

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Partnering With Patients to Improve Safety

Number 490

(Reaffirmed 2013, Replaces No. 320, November 2005)

Abstract Actively involving patients in the planning of health services is recommended as a means of improving the quality of care This can increase patient engagement and reduce risk resulting in improved outcomes satisfaction and treatment adherence Introduction The foundation for a positive phy...

May 2011

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Patient Safety and Health Information Technology

Number 621

(Replaces Committee Opinion Number 472, November 2010)

ABSTRACT The advantages of health information technology IT include facilitating communication between health care providers improving medication safety tracking and reporting and promoting quality of care through optimized access to and adherence to guidelines Health IT systems permit the collect...

January 2015

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Patient Safety in Obstetrics and Gynecology

Number 447

(Reaffirmed 2015, Replaces No. 286, October 2003)

ABSTRACT Since publication of the Institute of Medicines landmark report To Err is Human Building a Safer Health System emphasis on patient safety has steadily increased Obstetriciangynecologists should continuously incorporate elements of patient safety into their practices and also encourage oth...

December 2009

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Patient Safety in the Surgical Environment

Number 464

(Replaces No. 328, February 2006, Reaffirmed 2014)

ABSTRACT Ensuring patient safety in the operating room begins before the patient enters the operative suite and includes attention to all applicable types of preventable medical errors including for example medication errors but surgical errors are unique to this environment Steps to prevent wrong...

September 2010

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Patient Testing Ethical Issues in Selection and Counseling

Number 363

(Reaffirmed 2015)

ABSTRACT Recommendations to patients about testing should be based on current medical knowledge a concern for the patients best interests and mutual consultation In addition to establishing a diagnosis testing provides opportunities to educate inform and advise The ethical principles of respect fo...

April 2007

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Performance Enhancing Anabolic Steroid Abuse in Women

Number 484

(Reaffirmed 2015)

ABSTRACT Anabolic steroids are composed of testosterone and other substances related to testosterone that promote growth of skeletal muscle increase hemoglobin concentration and mediate secondary sexual characteristics These substances have been in use since the 1930s to promote muscle growth impr...

April 2011

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Perinatal Risks Associated With Assisted Reproductive Technology

Number 324

(Reaffirmed 2007)

ABSTRACT Over the past two decades the use of assisted reproductive technology ART has increased dramatically worldwide and has made pregnancy possible for many infertile couples A growing body of evidence suggests an association between pregnancies resulting from ART and perinatal morbidity possi...

November 2005

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Personalized Genomic Testing for Disease Risk

Number 527

(Reaffirmed 2014)

ABSTRACT Advances in genetic technologies have led to the identification of hundreds of single nucleotide polymorphisms that are associated with a variety of complex diseases including cancer diabetes cardiovascular disease and Alzheimer disease Although personalized genomic tests that provide inf...

June 2012

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Number 488

(Reaffirmed 2015)

ABSTRACT Pharmacogenetics is the study of genetic variations in drug response that are determined by specific genes It is hoped that the use of pharmacogenetics in clinical practice may improve drug safety and decrease the rate of adverse drug reactions Given the potential applications of pharmaco...

May 2011

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Physical Activity and Exercise During Pregnancy and the Postpartum Period

Number 650

(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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Placenta Accreta

Number 529

Reaffirmed 2014

ABSTRACT Placenta accreta is a potentially lifethreatening obstetric condition that requires a multidisciplinary approach to management The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate Women at greatest risk of placenta accreta are those w...

July 2012

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Planned Home Birth

Number 476

Reaffirmed 2015

ABSTRACT Although the Committee on Obstetric Practice believes that hospitals and birthing centers are the safest setting for birth it respects the right of a woman to make a medically informed decision about delivery Women inquiring about planned home birth should be informed of its risks and ben...

February 2011

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Postmenopausal Estrogen Therapy: Route of Administration and Risk of Venous Thromboembolism

Number 556

(Reaffirmed 2015)

ABSTRACT The development of menopausal symptoms and related disorders which lead women to seek prescriptions for postmenopausal estrogen therapy and hormone therapy is a common reason for a patient to visit her gynecologist but these therapies are associated with an increased risk of venous thromb...

April 2013

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Preconception and Prenatal Carrier Screening for Genetic Diseases in Individuals of Eastern European Jewish Descent

Number 442

(Reaffirmed 2014, Replaces No. 298, August 2004)

ABSTRACT Certain autosomal recessive disease conditions are more prevalent in individuals of Eastern European Jewish Ashkenazi descent Previously the American College of Obstetricians and Gynecologists recommended that individuals of Eastern European Jewish ancestry be offered carrier screening fo...

October 2009

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Predispute, Voluntary, Binding Arbitration

Number 583

ABSTRACT Arbitration is a form of dispute resolution that is an alternative to taking a case to court Weighing the potential advantages and disadvantages predispute arbitration may represent a valid alternative dispute resolution strategy for physicians and patients When correctly prepared contrac...

January 2014

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Preexposure Prophylaxis for the Prevention of Human Immunodeficiency Virus

Number 595

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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American Congress of Obstetricians and Gynecologists
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