Opioid Abuse, Dependence, and Addiction in Pregnancy

Number 524

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 ...

Re-entering the Practice of Obstetrics and Gynecology

Number 523

ABSTRACT: Re-entering the practice of obstetrics and gynecology after a period of inactivity can pose a number of obstacles for a physician. Preparing for the leave of absence may help reduce the dif...

Update on Immunization and Pregnancy: Tetanus, Diphtheria, and Pertussis Vaccination

Number 521

(Replaces No. 438, August 2009)

ABSTRACT: In light of the recent increased incidence of pertussis in the United States, in 2011, the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices approved...

Disclosure and Discussion of Adverse Events

Number 520

(Replaces No. 380, October 2007)

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 dis...

Fatigue and Patient Safety

Number 519

(Replaces No. 398, February 2008)

ABSTRACT: It has long been recognized that fatigue can affect human cognitive and physical function. Although there are limited published data on the effects of fatigue on health care providers, incl...

Intimate Partner Violence

Number 518

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 o...

Communication Strategies for Patient Handoffs

Number 517

(Replaces No. 367, June 2007)

ABSTRACT: Handoff communication, which includes up-to-date information regarding patient care, treatment and service, condition, and any recent or anticipated changes, should be interactive to allow ...

Health Care Systems for Underserved Women

Number 516

ABSTRACT: Underserved women are those who are unable to obtain quality health care by virtue of barriers created by poverty, cultural differences, race or ethnicity, geography, sexual orientation, ge...

Health Care for Urban American Indian and Alaska Native Women

Number 515

ABSTRACT: Sixty percent of American Indian and Alaska Native women live in metropolitan areas. Most are not eligible for health care provided by the federal Indian Health Service (IHS). The IHS partl...

Emergent Therapy for Acute-Onset Severe Hypertension with Preeclampsia and Eclampsia

Number 514

ABSTRACT: Acute-onset, persistent (lasting 15 minutes or more), severe systolic (greater than or equal to 160 mm Hg) or severe diastolic hypertension (greater than or equal to 110 mm Hg) or both in p...

Vaginal Placement of Synthetic Mesh for Pelvic Organ Prolapse

Number 513

ABSTRACT: Since 2004, use of synthetic mesh has increased in vaginal surgery for the treatment of pelvic organ prolapse. However, concerns exist about the safety and efficacy of transvaginally placed...

Health Care for Transgender Individuals

Number 512

ABSTRACT: Transgender individuals face harassment, discrimination, and rejection within our society. Lack of awareness, knowledge, and sensitivity in health care communities eventually leads to inade...

Health Care for Pregnant and Postpartum Incarcerated Women and Adolescent Females

Number 511

ABSTRACT: Clinicians who provide care for incarcerated women should be aware of the special health care needs of pregnant incarcerated women and the specific issues related to the use of restraints d...

Ethical Ways for Physicians to Market a Practice

Number 510

(Replaces No. 341, July 2006)

ABSTRACT: It is ethical for physicians to market their practices provided that the communication is truthful and not misleading, deceptive, or discriminatory. All paid advertising must be clearly ide...

Management of Vulvar Intraepithelial Neoplasia

Number 509

ABSTRACT: Vulvar intraepithelial neoplasia (VIN) is an increasingly common problem, particularly among women in their 40s. The term VIN is used to denote high-grade squamous lesions and is subdivided...

Disruptive Behavior

Number 508

(Replaces No. 366, May 2007)

ABSTRACT: Disruptive physician behavior may have a negative effect on patient care. Consequently, it is important that a systematic process be in place to discourage, identify, and remedy episodes of...

Human Trafficking

Number 507

ABSTRACT: Human trafficking is a widespread problem with estimates ranging from 14,000 to 50,000 individuals trafficked into the United States annually. This hidden population involves the commercial...

Expedited Partner Therapy in the Management of Gonorrhea and Chlamydia by Obstetrician-Gynecologists

Number 506

ABSTRACT: Expedited partner therapy is the clinical practice of treating the sex partners of patients, in whom sexually transmitted infections are diagnosed, by providing prescriptions or medications...

Understanding and Using the US Medical Eligibility Criteria for Contraceptive Use, 2010

Number 505

ABSTRACT: The 2010 U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC) issued by the Centers for Disease Control and Prevention gives comprehensive, evidence-based guidance to clinicia...

Screening and Diagnosis of Gestational Diabetes Mellitus

Number 504

Abstract: Gestational diabetes mellitus (GDM), defined as carbohydrate intolerance that begins or is first recognized during pregnancy, is associated with increased maternal, fetal, and neonatal risk...