ACOG Advises Against Cosmetic Vaginal Procedures Due to Lack of Safety and Efficacy Data

Washington, DC -- So-called "vaginal rejuvenation," "designer vaginoplasty," "revirgination," and "G-spot amplification" procedures are not medically indicated, nor is there documentation of their sa...

ACOG Issues Recommendations on Prevention of Blood Clots in Gynecologic Surgery Patients

Washington, DC -- Blood clots are a leading cause of disability and death in patients following surgery, despite medical advances in their prevention, diagnosis, and treatment. The American College o...

The Role of Cystourethroscopy in the Generalist Obstetrician-Gynecologist Practice

Number 372

(Reaffirmed 2010)

ABSTRACT: Cystourethroscopy can be performed for diagnostic and a few operative indications by obstetrician–gynecologists to help improve patient care. Perhaps the most important indications for cyst...

Special Ethical Considerations Inherent with Sterilization Procedures

Washington, DC -- There are unique ethical considerations when it comes to sterilization as a method of contraception because, unlike other methods, it is permanent and has far-reaching implications,...

ACOG Statement on the US Supreme Court Decision Upholding the Partial-Birth Abortion Ban Act of 2003

Washington, DC -- Despite the fact that the safety advantages of intact dilatation and evacuation (intact D&E) procedures are widely recognized—in medical texts, peer-reviewed studies, clin...

Si su bebe esta en presentacion pelviana (de nalgas)

SP079

Antes de nacer, la mayoria de los bebes se trasladan a una posicion invertida (de cabeza) en el utero. Pero algunos no. Cuando las nalgas, los pies o ambos estan dispuestos de manera que saldrian pri...

Vaginal Agenesis Diagnosis Management and Routine Care

Number 355

(Reaffirmed 2009, Replaces No. 274, July 2002)

ABSTRACT: Vaginal agenesis occurs in 1 of every 4,000.10,000 females. The most common cause of vaginal agenesis is congenital absence of the uterus and vagina, which also is referred to as mullerian ...

ACOG and ASCCP Issue Joint Opinion on Vulvodynia

Washington, DC -- The American College of Obstetricians and Gynecologists (ACOG), along with the American Society for Colposcopy and Cervical Pathology (ASCCP), today issued a new Committee Opinion o...

ACOG Files Amicus Brief in Gonzales v. Carhart and Gonzales v. PPFA

Washington, DC -- The American College of Obstetricians and Gynecologists (ACOG) has filed an amicus brief in support of the challenges to the federal Partial-Birth Abortion Ban Act of 2003. The Unit...

Mode of Term Singleton Breech Delivery

Number 340

(Reaffirmed 2012, Replaces No. 265, December 2001)

ABSTRACT: In light of recent studies that further clarify the long-term risks of vaginal breech delivery, the American College of Obstetricians and Gynecologists recommends that the decision regardin...

Analgesia and Cesarean Delivery Rates

Number 339

(Reaffirmed 2010, Replaces No. 269, February 2002)

ABSTRACT: Neuraxial analgesia techniques are the most effective and least depressant treatments for labor pain. The American College of Obstetricians and Gynecologists previously recommended that pra...

ACOG Recommends Restricted Use of Episiotomies

Washington, DC -- The use of episiotomy during labor should be restricted, with physicians encouraged to use clinical judgment to decide when the procedure is necessary, according to a new Practice B...

Elective Coincidental Appendectomy

Number 323

(Reaffirmed 2012, Replaces No. 164, December 1995)

ABSTRACT: Because of a lack of evidence from randomized trials, it remains unclear whether the benefits of routine elective coincidental appendectomy outweigh the cost and risk of morbidity associate...

Maternal Decision Making Ethics and the Law

Number 321

ABSTRACT: Recent legal actions and policies aimed at protecting the fetus as an entity separate from the woman have challenged the rights of pregnant women to make decisions about medical interventio...

Perdida temprana de embarazo

SP090

Un embarazo normal es de aproximadamente 40 semanas. La perdida de un embarazo antes de las 20 semanas se llama perdida gestacional temprana. Comunmente la perdida es un aborto (llamado aborto espont...

Avoiding Inappropriate Clinical Decisions Based on False-Positive Human Chorionic Gonadotropin Test Results

Number 278

(Reaffirmed 2009)

ABSTRACT: Clinically significant false-positive human chorionic gonadotropin (hCG) test results are rare. However, some individuals have circulating factors in their serum (eg, heterophilic antibodie...

Circumcision

Number 260

(Reaffirmed 2011)

The American College of Obstetricians and Gynecologists supports the current position of the American Academy of Pediatrics that finds the existing evidence insufficient to recommend routine neonatal...

Nongynecologic Procedures

Number 253

(Reaffirmed 2008, Replaces Statement of Policy on Liposuction, January 1988)

Cosmetic procedures (such as laser hair removal, body piercing, tattoo removal, and liposuction) are not considered gynecologic procedures and, therefore, generally are not taught in approved obstetr...

Statement on Surgical Assistants

Number 240

(Reaffirmed 2008, Replaces No. 145, November 1994)

Competent surgical assistants should be available for all major obstetric and gynecologic operations. In many cases, the complexity of the surgery or the patient's condition will require the assistan...

Scheduled Cesarean Delivery and the Prevention of Vertical Transmission of HIV Infection

Number 234

(Reaffirmed 2010, Replaces No. 219, August 1999)

Prevention of transmission of the human immunodeficiency virus (HIV) from mother to fetus or newborn (vertical transmission) is a major goal in the care of pregnant women infected with HIV. An import...