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Guidelines for Adolescent Health Research

Committee Opinion Number 665, June 2016

ABSTRACT Considerable uncertainty exists about what constitutes appropriate levels of protection for adolescents as research participants and about the need for parental permission The ethical principles that govern research include respect for individuals beneficence and justice as articulated in...

June 2016

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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

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Ethical Considerations for Including Women as Research Participants

Committee Opinion Number 646, November 2015

(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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Alcohol Abuse and Other Substance Use Disorders: Ethical Issues in Obstetric and Gynecologic Practice

Committee Opinion Number 633, June 2015

(Replaces Committee Opinion Number 422, December 2008)

ABSTRACT Alcohol abuse and other substance use disorders are major often underdiagnosed health problems for women regardless of age race ethnicity and socioeconomic status and have resulting high costs for individuals and society The Diagnostic and Statistical Manual of Mental Disorders Fifth Edit...

June 2015

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End of Life Decision Making

Committee Opinion Number 617, January 2015

(Replaces Committee Opinion Number 403, April 2008)

ABSTRACT Obstetriciangynecologists care for women throughout their lifespans and are in an ideal position to have ongoing discussions with healthy patients about their values and wishes regarding future care and to encourage them to complete an advance directive for health care In addition situati...

January 2015

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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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Maternal-Fetal Intervention and Fetal Care Centers

Committee Opinion Number 501, August 2011

(Reaffirmed 2014)

ABSTRACT The past two decades have yielded profound advances in the fields of prenatal diagnosis and fetal intervention Although fetal interventions are driven by a beneficencebased motivation to improve fetal and neonatal outcomes advancement in fetal therapies raises ethical issues surrounding m...

August 2011

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Forming a Just Health Care System

Committee Opinion Number 456, March 2010

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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Ethical Decision Making in Obstetrics and Gynecology

Committee Opinion Number 390, December 2007

Reaffirmed 2016

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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The Limits of Conscientious Refusal in Reproductive Medicine

Committee Opinion Number 385, November 2007

Reaffirmed 2016

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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Patient Testing Ethical Issues in Selection and Counseling

Committee Opinion Number 363, April 2007

(Reaffirmed 2015)

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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Medical Futility

Committee Opinion Number 362, March 2007

Reaffirmed 2016

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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