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Cervical Cancer Screening in Low-Resource Settings

Committee Opinion Number 624, February 2015

ABSTRACT Cytologybased cervical cancer screening programs require a number of elements to be successful Certain lowresource settings like the US Affiliated Pacific Islands lack these elements Implementing alternative cervical cancer screening strategies in lowresource settings can provide consiste...

February 2015

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Direct-to-Consumer Marketing of Genetic Testing

Committee Opinion Number 409, June 2008

Reaffirmed 2016

ABSTRACT Marketing of genetic testing although similar to directtoconsumer advertising of prescription drugs raises additional concerns and considerations These include issues of limited knowledge among patients and health care providers of available genetic tests difficulty in interpretation of g...

June 2008

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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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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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Ethical Considerations for Performing Gynecologic Surgery in Low-Resource Settings Abroad

Committee Opinion Number 466, September 2010

(Reaffirmed 2016)

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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Ethical Issues in Genetic Testing

Committee Opinion Number 410, June 2008

(Reaffirmed 2014)

ABSTRACT Genetic testing is poised to play an increasing role in the practice of obstetrics and gynecology To assure patients of the highest quality of care physicians should become familiar with the currently available array of genetic tests and the tests limitations Clinicians should be able to ...

June 2008

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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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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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Family Building Through Gestational Surrogacy

Committee Opinion Number 660, March 2016

(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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Human Immunodeficiency Virus

Committee Opinion Number 389, December 2007

(Reaffirmed 2015)

ABSTRACT Because human immunodeficiency virus HIV infection often is detected through prenatal and sexually transmitted disease testing an obstetriciangynecologist may be the first health professional to provide care for a woman infected with HIV Universal testing with patient notification and rig...

December 2007

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Multifetal Pregnancy Reduction

Committee Opinion Number 553, February 2013

(Reaffirmed 2016. Replaces Committee Opinion Number 369, June 2007)

ABSTRACT Fertility treatments have contributed significantly to the increase in multifetal pregnancies The first approach to the problem of multifetal pregnancies should be prevention and strategies to limit multifetal pregnancies especially highorder multifetal pregnancies should be practiced by ...

February 2013

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Sterilization of Women Including Those With Mental Disabilities

Committee Opinion Number 371, July 2007

Reaffirmed 2016

ABSTRACT Sterilization like any other surgical procedure must be carried out under the general ethical principles of respect for autonomy beneficence and justice Women requesting sterilization should be encouraged to discuss their decision and associated issues with their husbands or other appropr...

July 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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