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101.

Oocyte Cryopreservation

Committee Opinion Number 584, January 2014

(Reaffirmed 2016)

ABSTRACT In 2013 the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology published a joint document Mature Oocyte Cryopreservation A Guideline which addresses advances in techniques to freeze human eggs that have resulted in significant recent improvemen...

January 2014

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102.

Addressing Health Risks of Noncoital Sexual Activity

Committee Opinion Number 582, December 2013

(Replaces No. 417, September 2008, Reaffirmed 2015)

ABSTRACT Noncoital sexual behavior is a common expression of human sexuality which commonly cooccurs with coital behavior Sexually transmitted infections including human immunodeficiency virus HIV herpes simplex virus human papillomavirus hepatitis virus types A B and C syphilis gonorrhea and chla...

December 2013

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103.

Von Willebrand Disease in Women

Committee Opinion Number 580, December 2013

(Replaces No. 451, December 2009, Reaffirmed 2015)

ABSTRACT Von Willebrand disease the most common inherited bleeding disorder among American women is a common cause of heavy menstrual bleeding and other bleeding problems in women and adolescent girls Von Willebrand disease and other inherited and acquired disorders of coagulation and hemostasis s...

December 2013

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104.

Definition of Term Pregnancy

Committee Opinion Number 579, November 2013

Reaffirmed 2015

ABSTRACT In the past the period from 3 weeks before until 2 weeks after the estimated date of delivery was considered term with the expectation that neonatal outcomes from deliveries in this interval were uniform and good Increasingly however research has shown that neonatal outcomes especially re...

November 2013

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105.

Elective Surgery and Patient Choice

Committee Opinion Number 578, November 2013

(Reaffirmed 2016. Replaces No. 395, January 2008)

ABSTRACT Acknowledgment of the importance of patient autonomy and increased patient access to information such as information on the Internet has prompted more patientgenerated requests for surgical interventions not traditionally recommended Depending on the context acceding to a request for a su...

November 2013

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106.

Health Care for Homeless Women

Committee Opinion Number 576, October 2013

(Replaces No. 454, February 2010, Reaffirmed 2016)

ABSTRACT Homelessness continues to be a significant problem in the United States Women and families represent the fastest growing segment of the homeless population Health care for these women is a challenge but an important issue that needs to be addressed Homeless women are at higher risk of inj...

October 2013

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107.

Exposure to Toxic Environmental Agents

Committee Opinion Number 575, October 2013

Reaffirmed 2016

ABSTRACT Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians gynecologists and other reproductive health care professionals Patient exposure to toxic environmental chemicals and other stressors is ubiquitous and preconception and prenatal exposure t...

October 2013

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108.

Marriage Equality for Same-Sex Couples

Committee Opinion Number 574, September 2013

(Replaces No. 428, February 2009)

ABSTRACT Samesex couples encounter barriers to health care that include concerns about confidentiality and disclosure stigma and discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding of their health risks Samesex couples and the...

September 2013

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109.

Solutions for Surgical Preparation of the Vagina

Committee Opinion Number 571, September 2013

(Reaffirmed 2015)

ABSTRACT Currently only povidoneiodine preparations are approved for vaginal surgicalsite antisepsis However there are compelling reasons to consider chlorhexidine gluconate solutions for offlabel use in surgical preparation of the vagina especially in women with allergies to iodine Although chlor...

September 2013

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110.

Breastfeeding in Underserved Women: Increasing Initiation and Continuation of Breastfeeding

Committee Opinion Number 570, August 2013

(Reaffirmed 2016)

ABSTRACT Maternal and infant benefits from breastfeeding are well documented and are especially important to underserved women Underserved women are disproportionately likely to experience adverse health outcomes that may improve with breastfeeding They face unique barriers and have low rates of i...

August 2013

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111.

Oral Health Care During Pregnancy and Through the Lifespan

Committee Opinion Number 569, August 2013

(Reaffirmed 2015)

ABSTRACT Oral health is an important component of general health and should be maintained during pregnancy and through a womans lifespan Maintaining good oral health may have a positive effect on cardiovascular disease diabetes and other disorders In 20072009 35 of US women reported that they did ...

August 2013

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112.

Elder Abuse and Women's Health

Committee Opinion Number 568, July 2013

(Reaffirmed 2015)

ABSTRACT Elder abuse a violation of human rights is defined as a single or repeated act or lack of appropriate actions which causes harm risk of harm or distress to an individual 60 years or older As many as 1 in 10 older adults have been victims of elder abuse Most cases of abuse occur in women T...

July 2013

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113.

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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114.

Update on Immunization and Pregnancy Tetanus Diphtheria and Pertussis Vaccination

Committee Opinion Number 566, June 2013

(Replaces No. 521, March 2012, Reaffirmed 2016)

ABSTRACT In the face of dramatic and persistent increases in pertussis disease in the United States the Centers for Disease Control and Preventions Advisory Committee on Immunization Practices has updated its guidelines for the use of the tetanus toxoid reduced diphtheria toxoid and acellular pert...

June 2013

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115.

Hormone Therapy and Heart Disease

Committee Opinion Number 565, June 2013

(Replaces No. 420, November 2008, Reaffirmed 2015)

ABSTRACT Menopausal hormone therapy should not be used for the primary or secondary prevention of coronary heart disease at the present time Evidence is insufficient to conclude that longterm estrogen therapy or hormone therapy use improves cardiovascular outcomes Nevertheless recent evidence sugg...

June 2013

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116.

Ethical Issues With Vaccination for the Obstetrician–Gynecologist

Committee Opinion Number 564, May 2013

(Reaffirmed 2016)

ABSTRACT Because of the growing importance of infectious disease prevention in the individual patient and the larger community it is vital that Fellows of the American College of Obstetricians and Gynecologists be prepared to navigate the practical and ethical challenges that come with vaccination...

May 2013

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117.

Ethical Issues in Pandemic Influenza Planning Concerning Pregnant Women

Committee Opinion Number 563, May 2013

(Reaffirmed 2016)

ABSTRACT Pregnant women traditionally have been assigned priority in the allocation of prevention and treatment resources during outbreaks of influenza because of their increased risk of morbidity and mortality The Committee on Ethics of the American College of Obstetricians and Gynecologists expl...

May 2013

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118.

Müllerian Agenesis: Diagnosis, Management, and Treatment

Committee Opinion Number 562, May 2013

(Replaces No. 355, December 2006, Reaffirmed 2016)

ABSTRACT Müllerian agenesis occurs in 1 out of every 400010000 females The most common presentation of müllerian agenesis is congenital absence of the vagina uterus or both which also is referred to as müllerian aplasia MayerRokitanskyKüsterHauser syndrome or vaginal agenesis Satisfactory vaginal ...

May 2013

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119.

Nonmedically Indicated Early-Term Deliveries

Committee Opinion Number 561, April 2013

(Reaffirmed 2015)

ABSTRACT For certain medical conditions available data and expert opinion support optimal timing of delivery in the latepreterm or earlyterm period for improved neonatal and infant outcomes However for nonmedically indicated earlyterm deliveries such an improvement has not been demonstrated Morbid...

April 2013

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120.

Medically Indicated Late-Preterm and Early-Term Deliveries

Committee Opinion Number 560, April 2013

(Reaffirmed 2015)

ABSTRACT The neonatal risks of late preterm 34 0736 67 weeks of gestation and earlyterm 37 0738 67 weeks of gestation births are well established However there are a number of maternal fetal and placental complications in which either a latepreterm or earlyterm delivery is warranted The timing of ...

April 2013

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