Patient Safety and the Electronic Health Record

Number 472

ABSTRACT: The electronic health record (EHR) has the potential to improve the quality, safety, and efficiency of patient care when fully implemented, yet adoption of this tool has been slow. The adva...

Smoking Cessation During Pregnancy

Number 471

(Reaffirmed 2012, Replaces No. 316, October 2005)

ABSTRACT: Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States, and is associated with maternal, fetal, and infant morbidity and mortality. The p...

Challenges for Overweight and Obese Urban Women

Number 470

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, certai...

Carrier Screening for Fragile X Syndrome

Number 469

(Replaces No. 338, June 2006)

ABSTRACT: Fragile X syndrome is the most common inherited form of mental retardation. The syndrome occurs in approximately 1 in 3,600 males and 1 in 4,000–6,000 females. Approximately 1 in 250 female...

Influenza Vaccination During Pregnancy

Number 468

(Replaces No. 305, November 2004)

ABSTRACT: Preventing influenza during pregnancy is an essential element of prenatal care, and the most effective strategy for preventing influenza is annual immunization. The Centers for Disease Cont...

Human Papillomavirus Vaccination

Number 467

(Replaces No. 344, September 2006)

ABSTRACT: The U.S. Food and Drug Administration has approved both a bivalent and quadrivalent human papillomavirus (HPV) vaccine. The Advisory Committee on Immunization Practices has recommended that...

Ethical Considerations for Performing Gynecologic Surgery in Low-Resource Settings Abroad

Number 466

ABSTRACT: International humanitarian medical efforts provide essential services to patients who would not otherwise have access to specific health care services. The Committees on Ethics and Global W...

Antimicrobial Prophylaxis for Cesarean Delivery: Timing of Administration

Number 465

ABSTRACT: Antimicrobial prophylaxis for cesarean delivery has been a general practice for cesarean deliveries because it significantly reduces postoperative maternal infectious morbidity. Recently, s...

Patient Safety in the Surgical Environment

Number 464

(Reaffirmed 2012, Replaces No. 328, February 2006)

ABSTRACT: Ensuring patient safety in the operating room begins before the patient enters the operative suite and includes attention to all applicable types of preventable medical errors (including, f...

Cervical Cancer in Adolescents - Screening Evaluation and Management

Number 463

ABSTRACT: Based on several recent studies, new guidelines for initiation of cervical cancer screening have been developed. Evidence shows that screening before the age of 21 years does not change the...

Moderate Caffeine Consumption During Pregnancy

Number 462

ABSTRACT: Moderate caffeine consumption (less than 200 mg per day) does not appear to be a major contributing factor in miscarriage or preterm birth. The relationship of caffeine to growth restrictio...

Vaginal Birth After Previous Cesarean Delivery

Number 115

(Replaces Practice Bulletin Number 54, July 2004 and Committee Opinion Number 342, August 2006)

Trial of labor after previous cesarean delivery (TOLAC)* provides women who desire a vaginal delivery with the possibility of achieving that goal—a vaginal birth after cesarean delivery (VBAC)†. In a...

The Initial Reproductive Health Visit

Number 460

ABSTRACT: The American College of Obstetricians and Gynecologists recommends that the first dedicated reproductive health visit take place between the ages of 13 years and 15 years. This visit will p...

The Obstetric-Gynecologic Hospitalist

Number 459

(Reaffirmed 2012)

ABSTRACT: The work models for the obstetric–gynecologic hospitalist and the obstetric laborist are gaining popularity and momentum in hospitals across the nation. These models could be timely solutio...

Use of Hysterosalpingography After Tubal Sterilization

Number 458

ABSTRACT: The U.S. Food and Drug Administration has approved two devices for hysteroscopic tubal sterilization. To minimize the failure rates of these effective methods, it is important for health c...

Preparing for Disasters: Perspectives on Women

Number 457

(Reaffirmed 2012)

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...

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 College's ongoing efforts to promote a just health care system, ex...

Magnesium Sulfate Before Anticipated Preterm Birth for Neuroprotection

Number 455

ABSTRACT: Numerous large clinical studies have evaluated the evidence regarding magnesium sulfate, neuroprotection, and preterm births. The Committee on Obstetric Practice and the Society for Materna...

Health Care for Homeless Women

Number 454

(Replaces No. 312, August 2005)

ABSTRACT: Homelessness continues to be a growing problem in the United States. With increasing unemployment and home foreclosures, the recent recession and current economic difficulties are estimated...

Screening for Depression During and After Pregnancy

Number 453

(Reaffirmed 2012)

Abstract: Depression is very common during pregnancy and the postpartum period. At this time, there is insufficient evidence to support a firm recommendation for universal antepartum or postpartum sc...

Von Willebrand Disease in Women

Number 451

ABSTRACT: Approximately 3 million women in the United States have inherited bleeding disorders. The prevalence of bleeding disorders is particularly high among women with menorrhagia. Von Willebrand ...

Increasing Use of Contraceptive Implants and Intrauterine Devices To Reduce Unintended Pregnancy

Number 450

(Reaffirmed 2011)

ABSTRACT: High unintended pregnancy rates in the United States may in part be the result of relatively low use of long-acting reversible contraceptive (LARC) methods, specifically the contraceptive i...

Maternal Phenylketonuria

Number 449

(Replaces No. 230, January 2000)

ABSTRACT: Phenylketonuria (PKU) is an autosomal recessive disorder of phenylalanine (Phe) metabolism characterized by a deficiency of the hepatic enzyme, phenylalanine hydroxylase, an enzyme responsi...

Menstrual Manipulation for Adolescents With Disabilities

Number 448

(Reaffirmed 2012)

ABSTRACT: Defining the reasons for intervention and the precise goal of treatment are the most critical issues regarding use of interventions to alter menstrual flow in adolescents with disabilities....

Patient Safety in Obstetrics and Gynecology

Number 447

(Reaffirmed 2012, Replaces No. 286, October 2003)

ABSTRACT: Since publication of the Institute of Medicine's landmark report To Err is Human: Building a Safer Health System, emphasis on patient safety has steadily increased. Obstetrician–gynecologis...