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Title Date
1.

Ethical Considerations for Including Women as Research Participants

Number 646

(Replaces Committee Opinion No. 307, December 2004
and Committee Opinion No. 377, September 2007)

ABSTRACT Inclusion of women in research studies is necessary for valid inferences about health and disease in women The generalization of results from trials conducted in men may yield erroneous conclusions that fail to account for the biologic differences between men and women Although significan...

November 2015

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2.

Limitations of Perineal Lacerations as an Obstetric Quality Measure

Number 647

ABSTRACT Perineal lacerations are a common occurrence with vaginal delivery Although perineal lacerations are tracked easily from coding data there are a variety of problems with using rates of such tears as a quality measure The rate of severe perineal lacerations should not be used as a measure ...

November 2015

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3.

Umbilical Cord Blood Banking

Number 648

(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

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4.

Racial and Ethnic Disparities in Obstetrics and Gynecology

Number 649

(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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5.

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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6.

Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign

Number 651

(Replaces Committee Opinion 349, November 2006)

ABSTRACT Despite variations worldwide and within the US population median age at menarche has remained relatively stablebetween 12 years and 13 yearsacross wellnourished populations in developed countries Environmental factors including socioeconomic conditions nutrition and access to preventive h...

December 2015

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7.

Magnesium Sulfate Use in Obstetrics

Number 652

(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

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8.

Concerns Regarding Social Media and Health Issues in Adolescents and Young Adults

Number 653

ABSTRACT Although there are many positive aspects of social media for adolescents and young adults there are also risks Adolescence is a time of significant developmental changes during which adolescents exhibit a limited capacity for selfregulation and an increased risk of susceptibility to peer ...

February 2016

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9.

Reproductive Life Planning to Reduce Unintended Pregnancy

Number 654

ABSTRACT Approximately one half 51 of the 6 million pregnancies each year in the United States are unintended A reproductive life plan is a set of personal goals regarding whether when and how to have children based on individual priorities resources and values A lack of reproductive life planning...

February 2016

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10.

Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus Infections in Obstetrician–Gynecologists

Number 655

ABSTRACT To prevent transmission of bloodborne pathogens it is important that health care providers adhere to standard precautions follow fundamental infectioncontrol principles and use appropriate procedural techniques All obstetriciangynecologists who provide clinical care should receive the hep...

February 2016

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11.

Guidelines for Diagnostic Imaging During Pregnancy and Lactation

Number 656

(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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12.

The Obstetric and Gynecologic Hospitalist

Number 657

(Replaces Committee Opinion Number 459, July 2010)

ABSTRACT The term hospitalist refers to physicians whose primary professional focus is the general medical care of hospitalized patients Their activities may include patient care teaching research and inpatient leadership The American College of Obstetricians and Gynecologists supports the continu...

February 2016

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13.

Optimizing Support for Breastfeeding as Part of Obstetric Practice

Number 658

(Replaces Committee Opinion Number 361, February 2007)

ABSTRACT Although most women in the United States initiate breastfeeding more than one half wean earlier than they desire As reproductive health experts and advocates for womens health who work in conjunction with other obstetric and pediatric health care providers obstetriciangynecologists are un...

February 2016

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14.

The Use of Vaginal Estrogen in Women With a History of Estrogen-Dependent Breast Cancer

Number 659

ABSTRACT Cancer treatment should address femalespecific survivorship issues including the hypoestrogenicrelated adverse effects of cancer therapies or of natural menopause in survivors Systemic and vaginal estrogen are widely used for symptomatic relief of vasomotor symptoms sexual dysfunction and...

March 2016

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15.

Family Building Through Gestational Surrogacy

Number 660

(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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16.

Integrating Immunizations Into Practice

Number 661

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

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American Congress of Obstetricians and Gynecologists
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