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Persistent Vulvar Pain

Committee Opinion Number 673, September 2016

(Replaces Committee Opinion No. 345, October 2006)

ABSTRACT Persistent vulvar pain is a complex disorder that frequently is frustrating to the patient and the clinician It can be difficult to treat and rapid resolution is unusual even with appropriate therapy Vulvar pain can be caused by a specific disorder or it can be idiopathic Idiopathic vulva...

September 2016

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Personalized Genomic Testing for Disease Risk

Committee Opinion Number 527, June 2012

(Reaffirmed 2016)

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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Committee Opinion Number 488, May 2011

(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

Committee Opinion 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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Placenta Accreta

Committee Opinion Number 529, July 2012

Reaffirmed 2015

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

Committee Opinion Number 669, August 2016

(Replaces Committee Opinion Number 476, February 2011)

ABSTRACT In the United States approximately 35000 births 09 per year occur in the home Approximately one fourth of these births are unplanned or unattended Although the American College of Obstetricians and Gynecologists believes that hospitals and accredited birth centers are the safest settings ...

August 2016

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

Committee Opinion Number 556, April 2013

(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

Committee Opinion Number 442, October 2009

(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

Committee Opinion Number 583, January 2014

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

Committee Opinion Number 595, May 2014

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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Prenatal and Perinatal Human Immunodeficiency Virus Testing - Expanded Recommendations

Committee Opinion Number 635, June 2015

(Replaces Committee Opinion Number 418, September 2008)

ABSTRACT Given the enormous advances in the prevention of perinatal transmission of human immunodeficiency virus HIV it is clear that early identification and treatment of all pregnant women with HIV is the best way to prevent neonatal infection and also improve womens health Furthermore new evide...

June 2015

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Preparing for Clinical Emergencies in Obstetrics and Gynecology

Committee Opinion Number 590, March 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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Preparing for Disasters: Perspectives on Women

Committee Opinion Number 457, June 2010

(Reaffirmed 2016)

ABSTRACT Emergency plans that specifically address the needs of women infants and children during disasters are currently underdeveloped in the United States Pregnant women infants and children are adversely affected by disasters resulting in an increased number of infants with intrauterine growth...

June 2010

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Prevention of Early-Onset Group B Streptococcal Disease in Newborns

Committee Opinion Number 485, April 2011

(Replaces No. 279, December 2002, Reaffirmed 2015)

ABSTRACT In 2010 the Centers for Disease Control and Prevention revised its guidelines for the prevention of perinatal group B streptococcal disease Although universal screening at 3537 weeks of gestation and intrapartum antibiotic prophylaxis continue to be the basis of the prevention strategy th...

April 2011

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Primary Ovarian Insufficiency in Adolescents and Young Women

Committee Opinion Number 605, July 2014

(Reaffirmed 2016)

ABSTRACT Primary ovarian insufficiency is the depletion or dysfunction of ovarian follicles with cessation of menses before age 40 years There is no consensus on criteria to identify primary ovarian insufficiency in adolescents and delay in diagnosis is common Health care providers who make this c...

July 2014

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Professional Liability and Gynecology-Only Practice

Committee Opinion Number 567, July 2013

(Replaces No. 408, June 2008, Reaffirmed 2015)

ABSTRACT Fellows of the American College of Obstetricians and Gynecologists may choose to limit the scope of their practices to gynecology and accordingly may choose not to carry professional liability coverage for obstetrics The American College of Obstetricians and Gynecologists considers early ...

July 2013

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Professional Relationships With Industry

Committee Opinion Number 541, November 2012

(Replaces No. 401, March 2008, Reaffirmed 2015)

ABSTRACT The American College of Obstetricians and Gynecologists the College has a long history of leadership in ensuring that its educational mission is evidence based and unbiased A predecessor to this Committee Opinion was published in 1985 making the College one of the first professional assoc...

November 2012

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Professional Responsibilities in Obstetric-Gynecologic Medical Education and Training

Committee Opinion 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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Professional Use of Digital and Social Media

Committee Opinion Number 622, February 2015

ABSTRACT Digital and social media quickly are becoming universal in modern medical practice Data sharing online reviews and ratings and digital privacy concerns likely will become a part of most every physicians practice regardless of his or her use of social media The widespread use of social med...

February 2015

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Racial and Ethnic Disparities in Obstetrics and Gynecology

Committee Opinion 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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