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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

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

Committee Opinion Number 651, December 2015

(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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Human Papillomavirus Vaccination

Committee Opinion Number 641, September 2015

(This Committee Opinion Replaces Committee Opinion Number 588)

ABSTRACT Human papillomavirus HPV is associated with the development of anogenital cancer including cervical vaginal vulvar penile and anal oropharyngeal cancer and genital warts Human papillomavirus vaccination can significantly reduce the incidence of anogenital cancer and genital warts Despite ...

September 2015

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Health Care for Unauthorized Immigrants

Committee Opinion Number 627, March 2015

(Replaces Committee Opinion Number 425, January 2009)

ABSTRACT Unauthorized undocumented immigrants are less likely than other residents of the United States to have health insurance The American College of Obstetricians and Gynecologists has long supported a basic health care package for all women living within the United States without regard to th...

March 2015

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Management of Women With Dense Breasts Diagnosed by Mammography

Committee Opinion Number 625, March 2015

ABSTRACT Women with dense breasts have a modestly increased risk of breast cancer and experience reduced sensitivity of mammography to detect breast cancer However evidence is lacking to advocate for additional testing until there are clinically validated data that indicate improved screening outc...

March 2015

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Colorectal Cancer Screening Strategies

Committee Opinion Number 609, October 2014

ABSTRACT Each year more than 24000 women die from colorectal cancer which makes it the third leading cause of cancer death in women after lung cancer and breast cancer However screening tests are underused for many segments of the population and are ordered in a manner inconsistent with guidelines...

October 2014

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Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment

Committee Opinion Number 603, June 2014

ABSTRACT Stress urinary incontinence SUI is a condition of involuntary loss of urine on effort physical exertion sneezing or coughing that is often bothersome to the patient and frequently affects quality of life When women are evaluated for SUI counseling about treatment should begin with conserv...

June 2014

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Ethical Issues in the Care of the Obese Woman

Committee Opinion Number 600, June 2014

ABSTRACT Rates of obesity in the United States have increased rapidly over the past several decades and physicians should be prepared to care for obese patients in a nonjudgmental manner being cognizant of the medical social and ethical implications of obesity It is the responsibility of the physi...

June 2014

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The Initial Reproductive Health Visit

Committee Opinion Number 598, May 2014

(Replaces Committee Opinion Number 460, July 2010)

ABSTRACT The initial visit for screening and the provision of reproductive preventive health care services and guidance should take place between the ages of 13 years and 15 years The initial reproductive health visit provides an excellent opportunity for the obstetriciangynecologist to start a pa...

May 2014

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Routine Human Immunodeficiency Virus Screening

Committee Opinion Number 596, May 2014

(Replaces Committee Opinion Number 411, August 2008)

Abstract Early diagnosis and treatment of human immunodeficiency virus HIV can improve survival and reduce morbidity The Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists recommend that females aged 1364 years be tested at least once in their li...

May 2014

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Preexposure Prophylaxis for the Prevention of Human Immunodeficiency Virus

Committee Opinion Number 595, May 2014

Abstract Preexposure prophylaxis is defined as the administration of antiretroviral medications to individuals who are not infected with human immunodeficiency virus HIV and are at the highest risk of acquiring HIV infection In combination with other proven HIVprevention methods preexposure prophy...

May 2014

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Sexual Assault

Committee Opinion Number 592, April 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 499, August 2011)

ABSTRACT Reproductiveaged victims of sexual assault are at risk of unintended pregnancy sexually transmitted infections and mental health conditions including posttraumatic stress disorder Health care providers should screen routinely for a history of sexual assault and offer victims both emergenc...

April 2014

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Challenges for Overweight and Obese Women

Committee Opinion Number 591, March 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 470, October 2010)

ABSTRACT Overweight and obesity are epidemic in the United States Obesity is a risk factor for numerous conditions including diabetes hypertension high cholesterol stroke heart disease certain types of cancer and arthritis The prevalence of obesity is high exceeding 30 in adult women and men Many ...

March 2014

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Preparing for Clinical Emergencies in Obstetrics and Gynecology

Committee Opinion Number 590, March 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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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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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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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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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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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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Reprocessed Single-Use Devices

Committee Opinion Number 537, October 2012

(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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