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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.

Statement on Surgical Assistants

Number 240

(Reaffirmed 2013, Replaces No. 145, November 1994)

Competent surgical assistants should be available for all major obstetric and gynecologic operations In many cases the complexity of the surgery or the patients condition will require the assistance of one or more physicians to provide safe quality care Often the complexity of a given surgical pro...

August 2000

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3.

Nongynecologic Procedures

Number 253

(Reaffirmed 2013, Replaces Statement of Policy on Liposuction, January 1988)

Cosmetic procedures such as laser hair removal body piercing tattoo removal and liposuction are not considered gynecologic procedures and therefore generally are not taught in approved obstetric and gynecologic residencies Because these are not considered gynecologic procedures it is inappropriate...

March 2001

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4.

Avoiding Inappropriate Clinical Decisions Based on False-Positive Human Chorionic Gonadotropin Test Results

Number 278

(Reaffirmed 2013)

ABSTRACT Clinically significant falsepositive human chorionic gonadotropin hCG test results are rare However some individuals have circulating factors in their serum eg heterophilic antibodies or nonactive forms of hCG that interact with the hCG antibody and cause unusual or unexpected test result...

November 2002

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5.

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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6.

Elective Coincidental Appendectomy

Number 323

(Reaffirmed 2014, Replaces No. 164, December 1995)

ABSTRACT Because of a lack of evidence from randomized trials it remains unclear whether the benefits of routine elective coincidental appendectomy outweigh the cost and risk of morbidity associated with this prophylactic procedure Because the riskbenefit analysis varies according to patient age a...

November 2005

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7.

Analgesia and Cesarean Delivery Rates

Number 339

(Reaffirmed 2013, Replaces No. 269, February 2002)

ABSTRACT Neuraxial analgesia techniques are the most effective and least depressant treatments for labor pain The American College of Obstetricians and Gynecologists previously recommended that practitioners delay initiating epidural analgesia in nulliparous women until the cervical dilatation rea...

June 2006

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8.

Mode of Term Singleton Breech Delivery

Number 340

(Replaces No. 265, December 2001, Reaffirmed 2014)

ABSTRACT In light of recent studies that further clarify the longterm risks of vaginal breech delivery the American College of Obstetricians and Gynecologists recommends that the decision regarding mode of delivery should depend on the experience of the health care provider Cesarean delivery will ...

July 2006

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9.

The Role of Cystourethroscopy in the Generalist Obstetrician-Gynecologist Practice

Number 372

(Reaffirmed 2013)

ABSTRACT Cystourethroscopy can be performed for diagnostic and a few operative indications by obstetriciangynecologists to help improve patient care Perhaps the most important indications for cystourethroscopy are to rule out cystotomy and intravesical or intraurethral suture or mesh placement and...

July 2007

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10.

Vaginal "Rejuvenation" and Cosmetic Vaginal Procedures

Number 378

(Reaffirmed 2014)

ABSTRACT Socalled vaginal rejuvenation designer vaginoplasty revirgination and Gspot amplification are vaginal surgical procedures being offered by some practitioners These procedures are not medically indicated and the safety and effectiveness of these procedures have not been documented Clinicia...

September 2007

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11.

Choosing the Route of Hysterectomy for Benign Disease

Number 444

(Reaffirmed 2011)

ABSTRACT Hysterectomies are performed vaginally abdominally or with laparoscopic or robotic assistance When choosing the route and method of hysterectomy the physician should take into consideration how the procedure may be performed most safely and costeffectively to fulfill the medical needs of ...

November 2009

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12.

Patient Safety in the Surgical Environment

Number 464

(Reaffirmed 2014, Replaces No. 328, February 2006)

ABSTRACT Ensuring patient safety in the operating room begins before the patient enters the operative suite and includes attention to all applicable types of preventable medical errors including for example medication errors but surgical errors are unique to this environment Steps to prevent wrong...

September 2010

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13.

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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14.

Nonobstetric Surgery During Pregnancy

Number 474

(Reaffirmed 2013, Replaces No. 284, August 2003)

ABSTRACT The American College of Obstetricians and Gynecologists Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women It is important for a physician to obtain an obstetric consultation before...

February 2011

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15.

Health Care for Transgender Individuals

Number 512

ABSTRACT Transgender individuals face harassment discrimination and rejection within our society Lack of awareness knowledge and sensitivity in health care communities eventually leads to inadequate access to underutilization of and disparities within the health care system for this population Alt...

December 2011

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16.

Vaginal Placement of Synthetic Mesh for Pelvic Organ Prolapse

Number 513

ABSTRACT Since 2004 use of synthetic mesh has increased in vaginal surgery for the treatment of pelvic organ prolapse However concerns exist about the safety and efficacy of transvaginally placed mesh Based on the currently available limited data although many patients undergoing meshaugmented vag...

December 2011

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17.

Access to Postpartum Sterilization

Number 530

(Reaffirmed 2014)

ABSTRACT Postpartum tubal sterilization is one of the safest and most effective methods of contraception Women who desire this type of sterilization typically undergo thorough counseling and informed consent during prenatal care and reiterate their desire for postpartum sterilization at the time o...

July 2012

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18.

Reprocessed Single-Use Devices

Number 537

(Reaffirmed 2014)

ABSTRACT The reprocessing and reuse of singleuse instruments has become increasingly common Although there are limited data on reprocessed singleuse devices existing studies have found a significant rate of physical defects performance issues or improper decontamination There are currently no data...

October 2012

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19.

Maternal–Fetal Surgery for Myelomeningocele

Number 550

ABSTRACT Myelomeningocele the most severe form of spina bifida occurs in approximately 1 in 1500 births in the United States Fetuses in whom myelomeningocele is diagnosed typically are delivered at term and are treated in the early neonatal period A recent randomized controlled trial found that fe...

January 2013

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20.

Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women

Number 557

ABSTRACT Initial evaluation of the patient with acute abnormal uterine bleeding should include a prompt assessment for signs of hypovolemia and potential hemodynamic instability After initial assessment and stabilization the etiologies of acute abnormal uterine bleeding should be classified using ...

April 2013

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American Congress of Obstetricians and Gynecologists
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