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Title Date
1.

Scheduled Cesarean Delivery and the Prevention of Vertical Transmission of HIV Infection

Number 234

(Reaffirmed 2010, Replaces No. 219, August 1999)

Prevention of transmission of the human immunodeficiency virus HIV from mother to fetus or newborn vertical transmission is a major goal in the care of pregnant women infected with HIV An important advance in this regard was the demonstration that treatment of the mother with zidovudine ZDV during...

May 2000

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2.

Racial and Ethnic Disparities in Women's Health

Number 317

ABSTRACT Significant racial and ethnic disparities exist in womens health These health disparities largely result from differences in socioeconomic status and insurance status Although many disparities diminish after taking these factors into account some remain because of health care systemlevel ...

October 2005

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3.

Maternal Decision Making Ethics and the Law

Number 321

ABSTRACT Recent legal actions and policies aimed at protecting the fetus as an entity separate from the woman have challenged the rights of pregnant women to make decisions about medical interventions and have criminalized maternal behavior that is believed to be associated with fetal harm or adve...

November 2005

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4.

Medical Futility

Number 362

(Reaffirmed 2008)

ABSTRACT The construct of medical futility has been used to justify a physicians unilateral refusal to provide treatment requested or demanded by a patient or the family of a patient It is important that physicians and their institutions develop a process for dealing with conflict surrounding the ...

March 2007

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5.

Patient Testing Ethical Issues in Selection and Counseling

Number 363

(Reaffirmed 2012)

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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6.

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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7.

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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8.

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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9.

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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10.

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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11.

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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12.

Prenatal and Perinatal Human Immunodeficiency Virus Testing - Expanded Recommendations

Number 418

(Reaffirmed 2011, Replaces No. 304, November 2004)

ABSTRACT Early identification and treatment of all pregnant women with human immunodeficiency virus HIV is the best way to prevent neonatal disease and improve the womans health Human immunodeficiency virus screening is recommended for all pregnant women after they are notified that they will be t...

September 2008

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13.

At-Risk Drinking and Illicit Drug Use Ethical Issues in Obstetric and Gynecologic Practice

Number 422

(Replaces No. 294, May 2004)

ABSTRACT Drug and alcohol abuse is a major health problem for American women regardless of their socioeconomic status race ethnicity and age It is costly to individuals and to society Obstetriciangynecologists have an ethical obligation to learn and use a protocol for universal screening questions...

December 2008

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14.

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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15.

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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16.

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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17.

Forming a Just Health Care System

Number 456

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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18.

Preparing for Disasters: Perspectives on Women

Number 457

(Reaffirmed 2014)

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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19.

Ethical Considerations for Performing Gynecologic Surgery in Low-Resource Settings Abroad

Number 466

(Reaffirmed 2013)

ABSTRACT International humanitarian medical efforts provide essential services to patients who would not otherwise have access to specific health care services The Committees on Ethics and Global Womens Health of the American College of Obstetricians and Gynecologists encourage College Fellows and...

September 2010

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20.

Substance Abuse Reporting and Pregnancy The Role of the Obstetrician Gynecologist

Number 473

(Reaffirmed 2014)

ABSTRACT Drug enforcement policies that deter women from seeking prenatal care are contrary to the welfare of the mother and fetus Incarceration and the threat of incarceration have proved to be ineffective in reducing the incidence of alcohol or drug abuse Obstetriciangynecologists should be awar...

January 2011

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American Congress of Obstetricians and Gynecologists
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