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Committee Opinion Number 748, August 2018

(Replaces Committee Opinion Number 639, September 2015)(Reaffirmed 2019)

ABSTRACT: Information from vital records is critical to identify and quantify health-related issues and to measure progress toward quality improvement and public health goals. In particular, maternal and infant mortality serve as important indicators of the nation’s health, thereby influencing policy development, funding of programs and research, and measures of health care quality. Accurate and timely documentation of births and deaths is essential to high-quality vital statistics. This Committee Opinion describes the process by which births, maternal deaths, and fetal deaths are registered;...


2.
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.


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...


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 ...


(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...


(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...


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...


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.


(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 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...


Committee Opinion Number 385, November 2007

Reaffirmed 2019

ABSTRACT: Health care providers occasionally may find that providing indicated, even standard, care would present for them a personal moral problem—a conflict of conscience—particularly in the field of reproductive medicine. Although respect for conscience is important, conscientious refusals should be limited if they constitute an imposition of religious or moral beliefs on patients, negatively affect a patient's health, are based on scientific misinformation, or create or reinforce racial or socioeconomic inequalities. Conscientious refusals that conflict with patient well-being should be a...


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