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21.

Sexual Assault

Committee Opinion Number 592, April 2014

(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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22.

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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23.

Effective Patient–Physician Communication

Committee Opinion Number 587, February 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 492, May 2011)

ABSTRACT Physicians ability to effectively and compassionately communicate information is key to a successful patientphysician relationship The current health care environment demands increasing clinical productivity and affords less time with each patient which can impede effective patientphysici...

February 2014

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24.

Health Disparities in Rural Women

Committee Opinion Number 586, February 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 429, March 2009)

ABSTRACT Rural women experience poorer health outcomes and have less access to health care than urban women Many rural areas have limited numbers of health care providers especially womens health providers Rural America is heterogeneous where problems vary depending on the region and state Health ...

February 2014

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25.

Elective Surgery and Patient Choice

Committee Opinion Number 578, November 2013

(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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26.

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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27.

Exposure to Toxic Environmental Agents

Committee Opinion Number 575, October 2013

Reaffirmed 2016

ABSTRACT Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians gynecologists and other reproductive health care professionals Patient exposure to toxic environmental chemicals and other stressors is ubiquitous and preconception and prenatal exposure t...

October 2013

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28.

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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29.

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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30.

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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31.

Health Care for Women in the Military and Women Veterans

Committee Opinion Number 547, December 2012

Abstract Military service is associated with unique risks to womens reproductive health As increasing numbers of women are serving in the military and a greater proportion of United States Veterans are women it is essential that obstetriciangynecologists are aware of and well prepared to address t...

December 2012

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32.

Access to Emergency Contraception

Committee Opinion Number 542, November 2012

ABSTRACT Emergency contraception includes contraceptive methods used to prevent pregnancy in the first few days after unprotected intercourse sexual assault or contraceptive failure Although the US Food and Drug Administration approved the first dedicated product for emergency contraception in 199...

November 2012

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33.

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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34.

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome and Women of Color

Committee Opinion Number 536, September 2012

(Replaces Committee Opinion No. 414, August 2008)

ABSTRACT In the United States most new cases of human immunodeficiency virus HIV infection and acquired immunodeficiency syndrome AIDS occur among women of color primarily African American and Hispanic women Most women of color acquire the disease from heterosexual contact often from a partner who...

September 2012

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35.

Adoption

Committee Opinion Number 528, June 2012

(Replaces No. 368, June 2007, Reaffirmed 2015)

ABSTRACT Obstetriciangynecologists may find themselves at the center of adoption issues because of their expertise in the assessment and management of infertility pregnancy and childbirth The lack of clarity about both ethical issues and legal consequences may create challenges for physicians Ther...

June 2012

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36.

Health Care for Lesbians and Bisexual Women

Committee Opinion Number 525, May 2012

(Reaffirmed 2014)

ABSTRACT Lesbians and bisexual women encounter barriers to health care that include concerns about confidentiality and disclosure discriminatory attitudes and treatment limited access to health care and health insurance and often a limited understanding as to what their health risks may be Health ...

May 2012

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37.

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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38.

Disclosure and Discussion of Adverse Events

Committee Opinion Number 520, March 2012

(Replaces No. 380, October 2007, Reaffirmed 2014)

ABSTRACT Disclosure and discussion of adverse events in health care with the patient are morally and ethically necessary to achieve the optimal goal of respecting patient autonomy Improving the disclosure process through education policies programmatic training and accessible resources will enhanc...

March 2012

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39.

Intimate Partner Violence

Committee Opinion Number 518, February 2012

ABSTRACT Intimate partner violence IPV is a significant yet preventable public health problem that affects millions of women regardless of age economic status race religion ethnicity sexual orientation or educational background Individuals who are subjected to IPV may have lifelong consequences in...

February 2012

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40.

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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