Search Results

Return to List
Results 1–20 of 90
Sort By: Relevance | Date | Title
1.

Carrier Screening for Genetic Conditions

Committee Opinion Number 691, March 2017

(Replaces Committee Opinion Number 318, October 2005;
Committee Opinion Number 432, May 2009;
Committee Opinion Number 442, October 2009;
Committee Opinion Number 469, October 2010;
Committee Opinion Number 486, April 2011)

ABSTRACT Carrier screening is a term used to describe genetic testing that is performed on an individual who does not have any overt phenotype for a genetic disorder but may have one variant allele within a genes associated with a diagnosis Information about carrier screening should be provided to...

March 2017

PDF Format
2.

Carrier Screening in the Age of Genomic Medicine

Committee Opinion Number 690, March 2017

ABSTRACT Carrier screening whether targeted or expanded allows individuals to consider their range of reproductive options Ultimately the goal of genetic screening is to provide individuals with meaningful information that they can use to guide pregnancy planning based on their personal values Eth...

March 2017

PDF Format
3.

Delivery of a Newborn With Meconium-Stained Amniotic Fluid

Committee Opinion Number 689, March 2017

ABSTRACT In 2006 the American Academy of Pediatrics and the American Heart Association published the 2005 guidelines on neonatal resuscitation Before the 2005 guidelines management of a newborn with meconiumstained amniotic fluid included suctioning of the oropharynx and nasopharynx on the perineu...

March 2017

PDF Format
4.

Management of Suboptimally Dated Pregnancies

Committee Opinion Number 688, March 2017

ABSTRACT The American College of Obstetricians and Gynecologists considers firsttrimester ultrasonography to be the most accurate method to establish or confirm gestational age Pregnancies without an ultrasonographic examination confirming or revising the estimated due date before 22 07 weeks of g...

March 2017

PDF Format
5.

Approaches to Limit Intervention During Labor and Birth

Committee Opinion Number 687, February 2017

ABSTRACT Obstetriciangynecologists in collaboration with midwives nurses patients and those who support them in labor can help women meet their goals for labor and birth by using techniques that are associated with minimal interventions and high rates of patient satisfaction Many common obstetric ...

February 2017

PDF Format
6.

Delayed Umbilical Cord Clamping After Birth

Committee Opinion Number 684, January 2017

(Replaces Committee Opinion Number 543, December 2012)

ABSTRACT Delayed umbilical cord clamping appears to be beneficial for term and preterm infants In term infants delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life which may have a favorable effect on developmental outcom...

January 2017

PDF Format
7.

Microarrays and Next-Generation Sequencing Technology: The Use of Advanced Genetic Diagnostic Tools in Obstetrics and Gynecology

Committee Opinion Number 682, December 2016

(Replaces Committee Opinion Number 581, December 2013)

ABSTRACT Genetic technology has advanced dramatically in the past few decades and its applications and use in caring for and counseling pregnant women has been transformational in the realm of prenatal diagnosis Two of the newer genetic technologies in the prenatal setting are chromosomal microarr...

December 2016

PDF Format
8.

Disclosure and Discussion of Adverse Events

Committee Opinion Number 681, December 2016

(Replaces Committee Opinion No. 520, March 2012)

ABSTRACT Adverse outcomes preventable or otherwise are a reality of medical care Most importantly adverse events affect patients but they also affect health care practitioners Disclosing information about adverse events has benefits for the patient and the physician and ideally strengthens the pat...

December 2016

PDF Format
9.

The Use and Development of Checklists in Obstetrics and Gynecology

Committee Opinion Number 680, November 2016

ABSTRACT Checklists are used in medical and nonmedical settings as cognitive aids to ensure that users complete all the items associated with a particular task They are ideal for tasks with many steps for tasks performed under stressful circumstances or for reminding people to perform tasks that t...

November 2016

PDF Format
10.

Immersion in Water During Labor and Delivery

Committee Opinion Number 679, November 2016

(Replaces Committee Opinion Number 594, April 2014)

ABSTRACT Immersion in water during labor or delivery has been popularized over the past several decades The prevalence of this practice in the United States is uncertain because it has not been studied in births outside of the home and birth centers and the data are not recorded on birth certifica...

November 2016

PDF Format
11.

Antenatal Corticosteroid Therapy for Fetal Maturation

Committee Opinion Number 677, October 2016

ABSTRACT Corticosteroid administration before anticipated preterm birth is one of the most important antenatal therapies available to improve newborn outcomes A single course of corticosteroids is recommended for pregnant women between 24 07 weeks and 33 67 weeks of gestation including for those w...

October 2016

PDF Format
12.

Immediate Postpartum Long-Acting Reversible Contraception

Committee Opinion Number 670, August 2016

ABSTRACT Immediate postpartum longacting reversible contraception LARC has the potential to reduce unintended and shortinterval pregnancy Women should be counseled about all forms of postpartum contraception in a context that allows informed decision making Immediate postpartum LARC should be offe...

August 2016

PDF Format
13.

Hospital-Based Triage of Obstetric Patients

Committee Opinion Number 667, July 2016

ABSTRACT Emergency departments typically have structured triage guidelines for health care providers encountering the diverse cases that may present to their units Such guidelines aid in determining which patients must be evaluated promptly and which may wait safely and aid in determining anticipa...

July 2016

PDF Format
14.

Optimizing Postpartum Care

Committee Opinion Number 666, June 2016

ABSTRACT In the weeks after birth postpartum care often is fragmented among maternal and pediatric health care providers and communication between inpatient and outpatient settings is inconsistent To optimize postpartum care anticipatory guidance should begin during pregnancy During antenatal care...

June 2016

PDF Format
15.

Refusal of Medically Recommended Treatment During Pregnancy

Committee Opinion Number 664, June 2016

(Replaces Committee Opinion Number 321, November 2005)

ABSTRACT One of the most challenging scenarios in obstetric care occurs when a pregnant patient refuses recommended medical treatment that aims to support her wellbeing her fetuss wellbeing or both In such circumstances the obstetriciangynecologists ethical obligation to safeguard the pregnant wom...

June 2016

PDF Format
16.

Integrating Immunizations Into Practice

Committee Opinion Number 661, April 2016

ABSTRACT Immunization against vaccinepreventable diseases is an essential component of womens primary and preventive health care Despite the importance of vaccination and clear guidance from public health agencies rates of vaccination lag behind national goals Obstetriciangynecologists can play a ...

April 2016

PDF Format
17.

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

PDF Format
18.

Magnesium Sulfate Use in Obstetrics

Committee Opinion 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

PDF Format
19.

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

PDF Format
20.

Umbilical Cord Blood Banking

Committee Opinion 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

PDF Format
Advertisement

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998