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Title Date

Medical Futility

Number 362

(Reaffirmed 2008)

ABSTRACT The construct of medical futility has been used to justify a physicians unilateral refusal to provide treatment requested or demanded by a patient or the family of a patient It is important that physicians and their institutions develop a process for dealing with conflict surrounding the ...

March 2007

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The Limits of Conscientious Refusal in Reproductive Medicine

Number 385

(Reaffirmed 2013)

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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Misoprostol for Postabortion Care

Number 427

ABSTRACT The World Health Organization estimates that 67000 women mostly in developing countries die each year from untreated or inadequately treated abortion complications Postabortion care a term commonly used by the international reproductive health community refers to a specific set of service...

February 2009

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Induced Abortion and Breast Cancer Risk

Number 434

(Reaffirmed 2013, Replaces No. 285, August 2003)

Abstract The relationship between induced abortion and the subsequent development of breast cancer has been the subject of a substantial amount of epidemiologic study Early studies of the relationship between prior induced abortion and breast cancer risk were methodologically flawed More rigorous ...

June 2009

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At-Risk Drinking and Alcohol Dependence: Obstetric and Gynecologic Implications

Number 496

(Reaffirmed 2013)

ABSTRACT Compared with men atrisk alcohol use by women has a disproportionate effect on their health and lives including reproductive function and pregnancy outcomes Obstetriciangynecologists have a key role in screening and providing brief intervention patient education and treatment referral for...

August 2011

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Adult Manifestations of Childhood Sexual Abuse

Number 498

(Reaffirmed 2013)

ABSTRACT Longterm effects of childhood sexual abuse are varied complex and often devastating Many obstetriciangynecologists knowingly or unknowingly provide care to abuse survivors and should screen all women for a history of such abuse Depression anxiety and anger are the most commonly reported e...

August 2011

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Health Care for Urban American Indian and Alaska Native Women

Number 515

(Reaffirmed 2013)

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 partly funds 34 Urban Indian Health Organizations which vary in size and services Some are small informationa...

January 2012

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Health Care Systems for Underserved Women

Number 516

(Reaffirmed 2014)

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 gender identity or other factors that contribute to health care inequities With passage of the Patient Prot...

January 2012

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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 orientation or educational background Individuals who are subjected to IPV may have lifelong consequences in...

February 2012

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Disclosure and Discussion of Adverse Events

Number 520

(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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Health Care for Lesbians and Bisexual Women

Number 525

(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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Access to Emergency Contraception

Number 542

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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Over-the-Counter Access to Oral Contraceptives

Number 544

(Reaffirmed 2014)

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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Health Care for Women in the Military and Women Veterans

Number 547

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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Benefits to Women of Medicaid Expansion Through the Affordable Care Act

Number 552

ABSTRACT Many US women are uninsured and face avoidable adverse obstetric and gynecologic health outcomes The Affordable Care Act requires an expansion of Medicaid that would increase the percentage of US women with health insurance with the anticipated benefit of improved health The 2012 Supreme ...

January 2013

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Reproductive Health Care for Adolescents With Human Immunodeficiency Virus

Number 572

(Reaffirmed 2015)

ABSTRACT Adolescents make up an increasing percentage of the US population with human immunodeficiency virus HIV Adolescentfocused care is critical to identify and reduce atrisk behavior comorbidities and partner transmission Optimal medical and reproductive health care both now and in the future ...

September 2013

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Marriage Equality for Same-Sex Couples

Number 574

(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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Elective Surgery and Patient Choice

Number 578

(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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Sexual Assault

Number 592

(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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Abortion Training and Education

Number 612

(Replaces No. 424, January 2009)

ABSTRACT Access to safe abortion hinges upon the availability of trained abortion providers The American College of Obstetricians and Gynecologists supports education for students in health care fields as well as clinical training for residents and advanced practice clinicians in abortion care in ...

November 2014

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American Congress of Obstetricians and Gynecologists
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