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Practice Bulletin Number 197, July 2018

(Replaces Practice Bulletin Number 138, September 2013)

Members Only


Committee Opinion Number 720, September 2017

(Replaces Committee Opinion Number 550, January 2013) (Reaffirmed 2019)

ABSTRACT: Myelomeningocele, a severe form of spina bifida, occurs in approximately 1 in 3,000 live births in the United States. The extent of disability is generally related to the level of the myelomeningocele defect, with a higher upper level of lesion generally corresponding to greater deficits. Open maternal–fetal surgery for myelomeningocele repair is a major procedure for the woman and her affected fetus. Although there is demonstrated potential for fetal and pediatric benefit, there are significant maternal implications and complications that may occur acutely, postoperatively, for the...


3.
September 2017

Members Only


Committee Opinion Number 693, April 2017

(Reaffirmed 2019)

ABSTRACT: Given the increasing availability and complexity of genetic testing, it is imperative that the practicing obstetrician–gynecologist or other health care provider has a firm comprehension of the benefits, limitations, and risks of offering a specific genetic test, as well as the importance of appropriate pretest and posttest counseling. The purpose of this Committee Opinion is to provide an outline of how obstetrician–gynecologists and other health care providers can best incorporate these tests into their current practices and provide appropriate pretest and posttest counseling to p...


Committee Opinion Number 690, March 2017

(Reaffirmed 2019)

ABSTRACT: Carrier screening, whether targeted or expanded, allows individuals to consider their range of reproductive options. Ultimately, the goal of genetic screening is to provide individuals with meaningful information that they can use to guide pregnancy planning based on their personal values. Ethnic-specific, panethnic, and expanded carrier screening are acceptable strategies for prepregnancy and prenatal carrier screening. Because all of these are acceptable strategies, each obstetrician–gynecologist or other health care provider or practice should establish a standard approach that i...


6.
December 2016

Practice Bulletin Number 175, December 2016

(Replaces Practice Bulletin Number 101, February 2009,
and Committee Opinion 297, August 2004)
(Reaffirmed 2018)

Members Only


Practice Bulletin Number 163, May 2016

(Replaces Practice Bulletin Number 77, January 2007)
(See also Practice Bulletin Number 162, Prenatal Diagnostic Testing for Genetic Disorders) (Reaffirmed 2018)

Members Only


Practice Bulletin Number 78, January 2007

(Replaces Practice Bulletin Number 64, July 2005) (Reaffirmed 2018)

Members Only


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American College of Obstetricians and Gynecologists
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Mailing Address: PO Box 96920, Washington, DC 20024-9998