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Title Date

Cesarean Delivery on Maternal Request

Number 559

(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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Benefits to Women of Medicaid Expansion Through the Affordable Care Act

Number 552

(Reaffirmed 2015)

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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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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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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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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Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome and Women of Color

Number 536

(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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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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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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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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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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Health Care for Urban American Indian and Alaska Native Women

Number 515

(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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Maternal-Fetal Intervention and Fetal Care Centers

Number 501

(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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Adult Manifestations of Childhood Sexual Abuse

Number 498

(Reaffirmed 2015)

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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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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Preparing for Disasters: Perspectives on Women

Number 457

(Reaffirmed 2014)

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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Forming a Just Health Care System

Number 456

ABSTRACT In this Committee Opinion the Committee on Ethics of the American College of Obstetricians and Gynecologists endorses the Colleges ongoing efforts to promote a just health care system explores justifications that inform just health care and identifies professional responsibilities to guid...

March 2010

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Induced Abortion and Breast Cancer Risk

Number 434

(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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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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Motivational Interviewing: A Tool for Behavior Change

Number 423

(Reaffirmed 2014)

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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Ethical Decision Making in Obstetrics and Gynecology

Number 390

(Reaffirmed 2013)

ABSTRACT Physicians vary widely in their familiarity with ethical theories and methods and their sensitivity toward ethical issues It is important for physicians to improve their skills in addressing ethical questions Obstetriciangynecologists who are familiar with the concepts of medical ethics w...

December 2007

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