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21.

Health Care for Unauthorized Immigrants

Committee Opinion Number 627, March 2015

(Replaces Committee Opinion Number 425, January 2009)

ABSTRACT Unauthorized undocumented immigrants are less likely than other residents of the United States to have health insurance The American College of Obstetricians and Gynecologists has long supported a basic health care package for all women living within the United States without regard to th...

March 2015

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22.

Health Care for Urban American Indian and Alaska Native Women

Committee Opinion Number 515, January 2012

(Reaffirmed 2015)

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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23.

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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24.

Health Care Systems for Underserved Women

Committee Opinion Number 516, January 2012

(Reaffirmed 2016)

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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25.

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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26.

Hospital-Based Triage of Obstetric Patients

Committee Opinion Number 667, July 2016

ABSTRACT Emergency departments typically have structured triage guidelines for health care providers encountering the diverse cases that may present to their units Such guidelines aid in determining which patients must be evaluated promptly and which may wait safely and aid in determining anticipa...

July 2016

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27.

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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28.

Increasing Access to Abortion

Committee Opinion Number 613, November 2014

(Replaces No. 424, January 2009)

ABSTRACT Safe legal abortion is a necessary component of womens health care The American College of Obstetricians and Gynecologists supports the availability of highquality reproductive health services for all women and is committed to improving access to abortion Access to abortion is threatened ...

November 2014

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29.

Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy

Committee Opinion Number 642, October 2015

(Replaces Committee Opinion Number 450, December 2009)

ABSTRACT Unintended pregnancy persists as a major public health problem in the United States Although lowering unintended pregnancy rates requires multiple approaches individual obstetriciangynecologists may contribute by increasing access to contraceptive implants and intrauterine devices Obstetr...

October 2015

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30.

Induced Abortion and Breast Cancer Risk

Committee Opinion Number 434, June 2009

(Reaffirmed 2015, 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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31.

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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32.

Management of Women With Dense Breasts Diagnosed by Mammography

Committee Opinion Number 625, March 2015

ABSTRACT Women with dense breasts have a modestly increased risk of breast cancer and experience reduced sensitivity of mammography to detect breast cancer However evidence is lacking to advocate for additional testing until there are clinically validated data that indicate improved screening outc...

March 2015

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33.

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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34.

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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35.

Misoprostol for Postabortion Care

Committee Opinion Number 427, February 2009

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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36.

Motivational Interviewing: A Tool for Behavior Change

Committee Opinion Number 423, January 2009

Reaffirmed 2016

Abstract Applying the principles of motivational interviewing to everyday patient interactions has been proved effective in eliciting behavior change that contributes to positive health outcomes and improved patientphysician communication Current Procedural Terminology codes are available to aid i...

January 2009

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37.

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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38.

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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39.

Patient Testing Ethical Issues in Selection and Counseling

Committee Opinion Number 363, April 2007

(Reaffirmed 2015)

ABSTRACT Recommendations to patients about testing should be based on current medical knowledge a concern for the patients best interests and mutual consultation In addition to establishing a diagnosis testing provides opportunities to educate inform and advise The ethical principles of respect fo...

April 2007

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40.

Preparing for Disasters: Perspectives on Women

Committee Opinion Number 457, June 2010

(Reaffirmed 2016)

ABSTRACT Emergency plans that specifically address the needs of women infants and children during disasters are currently underdeveloped in the United States Pregnant women infants and children are adversely affected by disasters resulting in an increased number of infants with intrauterine growth...

June 2010

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