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Committee Opinion Number 750, September 2018

ABSTRACT: Gynecologic surgery is very common: hysterectomy alone is one of the most frequently performed operating room procedures each year. It is well known that surgical stress induces a catabolic state that leads to increased cardiac demand, relative tissue hypoxia, increased insulin resistance, impaired coagulation profiles, and altered pulmonary and gastrointestinal function. Enhanced Recovery After Surgery (ERAS) pathways were developed with the goal of maintaining normal physiology in the perioperative period, thus optimizing patient outcomes without increasing postoperative complicat...


(Approved by the Executive Board November 2008, Reaffirmed July 2012)

As cosmetic procedures receive increased attention from the media and patient requests for such procedures grow, there is a corresponding need to determine the proper role of obstetrician–gynecologists in this evolving field. A growing number of women are seeking service locations that provide “one-stop shopping” for both medical and aesthetic services. Some obstetrician–gynecologists have offered cosmetic services as an extension of providing gynecologic care, such as providing hair removal and acne treatment to patients with polycystic ovary syndrome.


3.
February 2017

(Approved February 2017)

There is a growing body of literature that validates the public health impact of racial bias, implicit and explicit, on the lives and health of people of color. As women’s health care physicians, obstetrician-gynecologists (ob-gyns) must work to clearly understand the impact of racial bias and how it manifests in our lives and in the lives of our patients. Racial bias is an issue that affects our patients, either directly by subjecting them or their families to inequitable treatment, or indirectly by creating a stressful and unhealthy environment. It is critical that physicians are aware of t...


Statement of Policy 091, May 2015

Advocacy on behalf of women’s health is central to our mission. The United States Congress and Statehouses are increasingly affecting the practice of medicine, our specialty’s ability to care for our patients, and the future of women’s health. The American Congress of Obstetricians and Gynecologists supports member involvement in legislative and political advocacy to help ensure that lawmakers and government entities make informed decisions on issues related to women’s health.


5.
November 2014

Statement of Policy (Revised and approved November 2014), November 2014

The following statement is the American College of Obstetricians and Gynecologists’ (ACOG) general policy related to abortion. The College’s clinical guidelines related to abortion and additional information are contained in the relevant Practice Bulletins, Committee Opinions, and other College documents.


Statement of Policy (Reaffirmed July 2014), July 2014

The problem of perinatal transmission of HIV infection was first appreciated in 1982. In 1991, the Institute of Medicine (IOM) recommended a policy of routine counseling and offering testing (with specific informed consent) for HIV infection to all pregnant women. Since 1991, there have been major advances in the treatment of HIV infection, including demonstration in 1994 of the efficacy of zidovudine to reduce perinatal transmission. The U.S. Public Health Service subsequently issued guidelines for use of zidovudine to reduce perinatal transmission and for counseling and voluntary testing fo...


(Reaffirmed July 2014)

The American College of Obstetricians and Gynecologists (the College) and the American College of Nurse-Midwives (ACNM) affirm our shared goal of safe women's health care in the United States through the promotion of evidence-based models provided by obstetrician–gynecologists (ob-gyns), certified nurse-midwives (CNMs), and certified midwives (CMs). The College and ACNM believe health care is most effective when it occurs in a system that facilitates communication across care settings and among providers. Ob-gyns and CNMs/CMs are experts in their respective fields of practice and are educated...


The health and economic benefits of paid parental leave are well documented. The American College of Obstetricians and Gynecologists (ACOG) endorses paid parental leave as essential. Paid parental leave includes maintenance of full benefits and 100% of pay for at least six weeks. Those who choose to have children should not face discrimination, and discrimination on the basis of pregnancy is explicitly prohibited. (1, 2) Workers who choose to have children make an equal commitment to the workplace and training environment as those who do not. Workers eligible for paid parental leave include ...


Statement of Policy (Amended and Reaffirmed July 2014), July 2014

The American College of Obstetricians and Gynecologists (the College) is the representative organization of physicians who are qualified specialists in providing health services to women. The College is committed to facilitating access to women’s health care that is both safe and high quality. One method of attaining this goal is to assure that providers of care meet educational and professional standards of a certification process. The College recognizes the educational and professional standards currently used by the American Midwifery Certification Board (AMCB) to evaluate and certify midw...


(Reaffirmed July 2014)

Access to maternity care is an important public health concern in the United States. Providing comprehensive perinatal services to a diverse population requires a cooperative relationship among a variety of health professionals, including social workers, health educators, nurses and physicians. Prenatal care, labor and delivery, and postpartum care have historically been provided by midwives, family physicians and obstetricians. All three remain the major caregivers today. A cooperative and collaborative relationship among obstetricians, family physicians and nurse midwives is essential for p...


Committee Opinion Number 599, May 2014

(Reaffirmed 2018)

ABSTRACT: Confidentiality concerns are heightened during adolescence, and these concerns can be a critical barrier to adolescents in receiving appropriate health care. Health care providers caring for minors should be aware of federal and state laws that affect confidentiality. State statutes on the rights of minors to consent to health care services vary by state, and health care providers should be familiar with the regulations that apply to their practice. Parents and adolescents should be informed, both separately and together, that the information each of them shares with the health care...


(Reaffirmed July 2016)

The American College of Obstetricians and Gynecologists and the American Congress of Obstetricians and Gynecologists find the targeting of women of all ages by the tobacco industry unconscionable and strongly oppose the practice.


(Reaffirmed July 2016)

Excellence in women’s health care is an essential element of the long-term physical, intellectual, social and economic well-being of any society. It is a basic determinant of the health of future generations.


Approved by the Executive Board May 2013; Revised and reaffirmed

Government serves a valuable role in the protection of public health and safety and the provision of essential health services. The American College of Obstetricians and Gynecologists (the College) and the American Congress of Obstetricians and Gynecologists (ACOG) support this proper role of government. Laws that veer from these functions and unduly interfere with patient-physician relationships are not appropriate. Absent a substantial public.


Committee Opinion Number 547, December 2012

(Reaffirmed 2019)

Abstract: Military service is associated with unique risks to women’s 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 obstetrician–-gynecologists are aware of and well prepared to address the unique health care needs of this demographic group. Obstetrician–-gynecologists should ask about women’s military service, know the Veteran status of their patients, and be aware of high prevalence problems (eg, posttraumatic stress disorder, intimate partner violence, and military sexual t...


Statement of Policy (Approved by the Executive Board July 2012), July 2012

Acknowledging the significant interplay of women's human rights with the overall health of women and society, the American College of Obstetricians and Gynecologists and the American Congress of Obstetricians and Gynecologists (ACOG) ardently support efforts to improve the dignity, autonomy, rights and health of women in the United States and globally.


(Approved by the Executive Board February 2008, Revised and Approved July 2012)

Resident training in obstetrics and gynecology incorporates the full spectrum of obstetric and gynecologic practice as defined in the special requirements promulgated by the Accreditation Council for Graduate Medical Education (ACGME). These include diagnostic, therapeutic and operative procedures used in the practice of the specialty. The certification process of the American Board of Obstetrics and Gynecology Inc. (ABOG) evaluates medical knowledge and patient care skills of individual practitioners in the broad range of obstetrics, gynecology and women’s health care. The Maintenance of Cer...


Committee Opinion Number 515, January 2012

(Reaffirmed 2018)

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 informational and referral sites that are limited even in the scope of outpatient services provided. Compared with other urban populations, urban American Indian and Alaska Native women have higher rates of teenaged pregnancy, late or no prenatal care, and alcohol and tobacco use in pregnancy. Their infan...


Statement of Policy (Reaffirmed July 2011), July 2011

Members Only


Committee Opinion Number 390, December 2007

Reaffirmed 2019

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. Obstetrician–gynecologists who are familiar with the concepts of medical ethics will be better able to approach complex ethical situations in a clear and structured way. By considering the ethical frameworks involving principles, virtues, care and feminist perspectives, concern for community, and case precedents, they can enhance their ability to make ethically justifiable cl...


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