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141.

Müllerian Agenesis: Diagnosis, Management, and Treatment

Committee Opinion Number 562, May 2013

(Replaces No. 355, December 2006, Reaffirmed 2016)

ABSTRACT Müllerian agenesis occurs in 1 out of every 400010000 females The most common presentation of müllerian agenesis is congenital absence of the vagina uterus or both which also is referred to as müllerian aplasia MayerRokitanskyKüsterHauser syndrome or vaginal agenesis Satisfactory vaginal ...

May 2013

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142.

Nalbuphine Hydrochloride Use for Intrapartum Analgesia

Committee Opinion Number 376, August 2007

(Reaffirmed 2014)

ABSTRACT Safety concerns have been raised regarding the use of nalbuphine hydrochloride during labor The American College of Obstetricians and Gynecologists finds data are insufficient to recommend any changes in nalbuphine hydrochloride administration at this time Opinion Nalbuphine hydrochloride...

August 2007

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143.

Newborn Screening and the Role of the Obstetrician-Gynecologist

Committee Opinion Number 616, January 2015

(Replaces Committee Opinion Number 481, March 2011, Reaffirmed 2016)

ABSTRACT Newborn screening is a mandatory statebased public health program that provides all newborns in the United States with presymptomatic testing and necessary followup health care for a variety of medical conditions The goal of this essential public health program is to decrease morbidity an...

January 2015

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144.

Nongynecologic Procedures

Committee Opinion Number 253, March 2001

(Replaces Statement of Policy on Liposuction, January 1988, Reaffirmed 2015)

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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145.

Nonmedical Use of Prescription Drugs

Committee Opinion Number 538, October 2012

Reaffirmed 2014

ABSTRACT The nonmedical use of prescription drugs particularly opioids sedatives and stimulants has been cited as epidemic in the United States accounting for increasing numbers of emergency department visits and deaths from reactions and overdoses The prevalence of prescription drug abuse is simi...

October 2012

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146.

Nonmedically Indicated Early-Term Deliveries

Committee Opinion Number 561, April 2013

(Reaffirmed 2015)

ABSTRACT For certain medical conditions available data and expert opinion support optimal timing of delivery in the latepreterm or earlyterm period for improved neonatal and infant outcomes However for nonmedically indicated earlyterm deliveries such an improvement has not been demonstrated Morbid...

April 2013

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147.

Nonobstetric Surgery During Pregnancy

Committee Opinion Number 474, February 2011

(Replaces No. 284, August 2003, Reaffirmed 2015)

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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148.

Obstetric Management of Patients with Spinal Cord Injuries

Committee Opinion Number 275, September 2002

(Replaces No. 121, April 1993, Reaffirmed 2016)

ABSTRACT Effective rehabilitation and modern reproductive technology may increase the number of women considering pregnancy who have spinal cord injuries SCIs It is important that obstetricians caring for these patients are aware of the specific problems related to SCIs Autonomic dysreflexia is th...

September 2002

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149.

OnabotulinumtoxinA and the Bladder

Committee Opinion Number 604, June 2014

(Reaffirmed 2016)

ABSTRACT In January 2013 the US Food and Drug Administration approved the use of onabotulinumtoxinA also known as Botox A for the treatment of overactive bladder thus providing another treatment option for women Symptoms of overactive bladder have been shown to significantly improve after onabotul...

June 2014

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150.

Oocyte Cryopreservation

Committee Opinion Number 584, January 2014

(Reaffirmed 2016)

ABSTRACT In 2013 the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology published a joint document Mature Oocyte Cryopreservation A Guideline which addresses advances in techniques to freeze human eggs that have resulted in significant recent improvemen...

January 2014

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151.

Opioid Abuse, Dependence, and Addiction in Pregnancy

Committee Opinion Number 524, May 2012

(Reaffirmed 2016)

ABSTRACT Opioid use in pregnancy is not uncommon and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes The current standard of care for pregnant women with opioid dependence is referral for opioidassisted therapy with methadone but emerging eviden...

May 2012

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152.

Optimizing Postpartum Care

Committee Opinion Number 666, June 2016

ABSTRACT In the weeks after birth postpartum care often is fragmented among maternal and pediatric health care providers and communication between inpatient and outpatient settings is inconsistent To optimize postpartum care anticipatory guidance should begin during pregnancy During antenatal care...

June 2016

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153.

Optimizing Support for Breastfeeding as Part of Obstetric Practice

Committee Opinion Number 658, February 2016

(Replaces Committee Opinion Number 361, February 2007)

ABSTRACT Although most women in the United States initiate breastfeeding more than one half wean earlier than they desire As reproductive health experts and advocates for womens health who work in conjunction with other obstetric and pediatric health care providers obstetriciangynecologists are un...

February 2016

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154.

Options for Prevention and Management of Heavy Menstrual Bleeding in Adolescent Patients Undergoing

Committee Opinion Number 606, August 2014

(Reaffirmed 2016)

ABSTRACT Adolescents undergoing cancer treatment are at high risk of heavy menstrual bleeding and gynecologists may be consulted either before the initiation of cancer treatment to request strategies for menstrual suppression or during an episode of severe heavy bleeding to stop the bleeding emerg...

August 2014

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155.

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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156.

Oral Intake During Labor

Committee Opinion Number 441, September 2009

Reaffirmed 2015

ABSTRACT There is insufficient evidence to address the safety of any particular fasting period for solids in obstetric patients Expert opinion supports that patients undergoing either elective cesarean delivery or elective postpartum tubal ligation should undergo a fasting period of 68 hours Adher...

September 2009

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157.

Ovarian Reserve Testing

Committee Opinion Number 618, January 2015

ABSTRACT The main goal of ovarian reserve testing is to identify those individuals who are at risk of decreased or diminished ovarian reserve commonly known as DOR Although ovarian reserve testing cannot predict the end of ones reproductive years results outside the range expected for a patients a...

January 2015

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158.

Over-the-Counter Access to Oral Contraceptives

Committee Opinion Number 544, December 2012

(Reaffirmed 2016)

ABSTRACT Unintended pregnancy remains a major public health problem in the United States Access and cost issues are common reasons why women either do not use contraception or have gaps in use A potential way to improve contraceptive access and use and possibly decrease unintended pregnancy rates ...

December 2012

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159.

Pain Relief During Labor

Committee Opinion Number 295, July 2004

(Replaces No. 231, February 2000, Reaffirmed 2015)

ABSTRACT Pain management should be provided whenever medically indicated The American Society of Anesthesiologists ASA and the American College of Obstetricians and Gynecologists ACOG believe that women requesting epidural analgesia during labor should not be deprived of this service based on thei...

July 2004

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160.

Partnering With Patients to Improve Safety

Committee Opinion Number 490, May 2011

(Reaffirmed 2013, Replaces No. 320, November 2005)

Abstract Actively involving patients in the planning of health services is recommended as a means of improving the quality of care This can increase patient engagement and reduce risk resulting in improved outcomes satisfaction and treatment adherence Introduction The foundation for a positive phy...

May 2011

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