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21.

Brand Versus Generic Oral Contraceptives

Committee Opinion Number 375, August 2007

(Reaffirmed 2015)

ABSTRACT The US Food and Drug Administration considers generic and brand name oral contraceptive OC products clinically equivalent and interchangeable The American College of Obstetricians and Gynecologists supports patient or clinician requests for branded OCs or continuation of the same generic ...

August 2007

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22.

Breast and Labial Surgery in Adolescents

Committee Opinion Number 686, January 2017

(Replaces Committee Opinion Number 662, May 2016)

ABSTRACT The obstetriciangynecologist may receive requests from adolescents and their families for advice surgery or referral for conditions of the breast or vulva to improve appearance and function Appropriate counseling and guidance of adolescents with these concerns require a comprehensive and ...

January 2017

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23.

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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24.

Care for Transgender Adolescents

Committee Opinion Number 685, January 2017

ABSTRACT Gender nonconforming youth are an underserved population who obstetriciangynecologists are seeing increasingly in their practices Currently there are large gaps in training knowledge and comfort with transgender patients among obstetriciangynecologists The purpose of this document is to r...

January 2017

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25.

Carrier Screening for Fragile X Syndrome

Committee Opinion Number 469, October 2010

(Reaffirmed 2014, Replaces No. 338, June 2006)

ABSTRACT Fragile X syndrome is the most common inherited form of mental retardation The syndrome occurs in approximately 1 in 3600 males and 1 in 40006000 females Approximately 1 in 250 females carry the premutation DNAbased molecular analysis is the preferred method of diagnosis for fragile X syn...

October 2010

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26.

Cell-free DNA Screening for Fetal Aneuploidy

Committee Opinion Number 640, September 2015

(This Committee Opinion Replaces Committee Opinion Number 545)

ABSTRACT Noninvasive prenatal screening that uses cellfree DNA from the plasma of pregnant women offers tremendous potential as a screening method for fetal aneuploidy A number of laboratories have validated different techniques for the use of cellfree DNA as a screening test for fetal aneuploidy ...

September 2015

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27.

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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28.

Cesarean Delivery on Maternal Request

Committee Opinion Number 559, April 2013

(Reaffirmed 2015)

ABSTRACT Cesarean delivery on maternal request is defined as a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications Potential risks of cesarean delivery on maternal request include a longer maternal hospital stay an increased risk of respirator...

April 2013

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29.

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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30.

Choosing the Route of Hysterectomy for Benign Disease

Committee Opinion Number 444, November 2009

(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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31.

Chronic Antithrombotic Therapy and Gynecologic Surgery

Committee Opinion Number 610, October 2014

(Reaffirmed 2016)

ABSTRACT Surgery can present a management dilemma for gynecologists whose patients receive chronic antithrombotic therapy because the risk of hemorrhagic complications must be balanced against the risk of thromboembolic complications Interruption of antithrombotic therapy to reduce perioperative b...

October 2014

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32.

Clinical Challenges of Long-Acting Reversible Contraceptive Methods

Committee Opinion Number 672, September 2016

ABSTRACT Longacting reversible contraceptive methods are the most effective reversible contraceptives and have an excellent safety record Although uncommon possible longacting reversible contraceptive complications should be included in the informed consent process Obstetriciangynecologists and ot...

September 2016

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33.

Clinical Guidelines and Standardization of Practice to Improve Outcomes

Committee Opinion Number 629, April 2015

(Replaces Committee Opinion 526, May 2012)

ABSTRACT Protocols and checklists have been shown to reduce patient harm through improved standardization and communication Implementation of protocols and guidelines often is delayed because of lack of health care provider awareness or difficult clinical algorithms in medical institutions However...

April 2015

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34.

Coding Responsibility

Committee Opinion Number 249, January 2001

(Reaffirmed 2005)

Physicians are responsible for accurately coding the services they provide to their patients Likewise insurers are obligated to process all legitimate insurance claims for covered services accurately and in a timely manner It is inappropriate for physicians to code or for insurers to process claim...

January 2001

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35.

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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36.

Commercial Enterprises in Medical Practice

Committee Opinion Number 359, January 2007

(Reaffirmed 2015)

ABSTRACT Increasing numbers of physicians sell and promote both medical and nonmedical products as part of their practices Physicians always have rendered advice and treatment for a fee and this practice is appropriate It is unethical under most circumstances however for physicians to sell or prom...

January 2007

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37.

Communication Strategies for Patient Handoffs

Committee Opinion Number 517, February 2012

(Reaffirmed 2016. Replaces No. 367, June 2007)

ABSTRACT Handoff communication which includes uptodate information regarding patient care treatment and service condition and any recent or anticipated changes should be interactive to allow for discussion between those who give and receive patient information It requires a process for verificatio...

February 2012

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38.

Community Involvement and Volunteerism

Committee Opinion Number 437, July 2009

Reaffirmed 2016

Abstract As professional and community leaders obstetriciangynecologists have unlimited opportunities to become involved in and have a positive impact on local national and international communities and organizations Volunteering outside of daily work routines often revitalizes a commitment to med...

July 2009

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39.

Compounded Bioidentical Menopausal Hormone Therapy

Committee Opinion Number 532, August 2012

(Reaffirmed 2016, Replaces No. 387, November 2007 and No. 322, November 2005)

ABSTRACT Although improvement in longterm health is no longer an indication for menopausal hormone therapy evidence supporting fewer adverse events in younger women combined with its high overall effectiveness has reinforced its usefulness for shortterm treatment of menopausal symptoms Menopausal ...

August 2012

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40.

Comprehensive Sexuality Education

Committee Opinion Number 678, November 2016

ABSTRACT Current sexuality education programs vary widely in the accuracy of content emphasis and effectiveness Data have shown that not all programs are equally effective for all ages races and ethnicities socioeconomic groups and geographic areas Studies have demonstrated that comprehensive sexu...

November 2016

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