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Racial and Ethnic Disparities in Obstetrics and Gynecology

Number 649

(Replaces Committee Opinion Number 317, October 2005)

ABSTRACT Projections suggest that people of color will represent most of the US population by 2050 and yet significant racial and ethnic disparities persist in womens health and health care Although socioeconomic status accounts for some of these disparities factors at the patient practitioner and...

December 2015

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Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy

Number 642

(Replaces Committee Opinion Number 450, December 2009)

ABSTRACT Unintended pregnancy persists as a major public health problem in the United States Although lowering unintended pregnancy rates requires multiple approaches individual obstetriciangynecologists may contribute by increasing access to contraceptive implants and intrauterine devices Obstetr...

October 2015

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Health Care for Unauthorized Immigrants

Number 627

(Replaces Committee Opinion Number 425, January 2009)

ABSTRACT Unauthorized undocumented immigrants are less likely than other residents of the United States to have health insurance The American College of Obstetricians and Gynecologists has long supported a basic health care package for all women living within the United States without regard to th...

March 2015

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Cervical Cancer Screening in Low-Resource Settings

Number 624

ABSTRACT Cytologybased cervical cancer screening programs require a number of elements to be successful Certain lowresource settings like the US Affiliated Pacific Islands lack these elements Implementing alternative cervical cancer screening strategies in lowresource settings can provide consiste...

February 2015

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Gynecologic Surgery in the Obese Woman

Number 619

ABSTRACT Obesity is a serious problem worldwide and particularly in the United States and in women is associated with an increased risk of death and morbid conditions including hypertension diabetes mellitus obstructive sleep apnea and hypercholesterolemia as well as malignancies such as endometri...

January 2015

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Ethical Issues in the Care of the Obese Woman

Number 600

ABSTRACT Rates of obesity in the United States have increased rapidly over the past several decades and physicians should be prepared to care for obese patients in a nonjudgmental manner being cognizant of the medical social and ethical implications of obesity It is the responsibility of the physi...

June 2014

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Adolescent Confidentiality and Electronic Health Records

Number 599

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 r...

May 2014

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Challenges for Overweight and Obese Women

Number 591

(Replaces Committee Opinion Number 470, October 2010)

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 certain types of cancer and arthritis The prevalence of obesity is high exceeding 30 in adult women and men Many ...

March 2014

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Preparing for Clinical Emergencies in Obstetrics and Gynecology

Number 590

(Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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Effective Patient–Physician Communication

Number 587

(Replaces Committee Opinion Number 492, May 2011)

ABSTRACT Physicians ability to effectively and compassionately communicate information is key to a successful patientphysician relationship The current health care environment demands increasing clinical productivity and affords less time with each patient which can impede effective patientphysici...

February 2014

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Health Disparities in Rural Women

Number 586

(Replaces Committee Opinion Number 429, March 2009)

ABSTRACT Rural women experience poorer health outcomes and have less access to health care than urban women Many rural areas have limited numbers of health care providers especially womens health providers Rural America is heterogeneous where problems vary depending on the region and state Health ...

February 2014

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Health Literacy

Number 585

(Replaces Committee Opinion Number 491, May 2011)

ABSTRACT According to the Institute of Medicine of the National Academies health literacy is defined as the degree to which individuals have the capacity to obtain process and understand basic health information and services needed to make appropriate health decisions The American College of Obste...

February 2014

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Health Care for Homeless Women

Number 576

(Replaces No. 454, February 2010)

ABSTRACT Homelessness continues to be a significant problem in the United States Women and families represent the fastest growing segment of the homeless population Health care for these women is a challenge but an important issue that needs to be addressed Homeless women are at higher risk of inj...

October 2013

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Exposure to Toxic Environmental Agents

Number 575

ABSTRACT Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians gynecologists and other reproductive health care professionals Patient exposure to toxic environmental chemicals and other stressors is ubiquitous and preconception and prenatal exposure t...

October 2013

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Reproductive Health Care for Adolescents With Human Immunodeficiency Virus

Number 572

(Reaffirmed 2015)

ABSTRACT Adolescents make up an increasing percentage of the US population with human immunodeficiency virus HIV Adolescentfocused care is critical to identify and reduce atrisk behavior comorbidities and partner transmission Optimal medical and reproductive health care both now and in the future ...

September 2013

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Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome and Women of Color

Number 536

(Replaces Committee Opinion No. 414, August 2008)

ABSTRACT In the United States most new cases of human immunodeficiency virus HIV infection and acquired immunodeficiency syndrome AIDS occur among women of color primarily African American and Hispanic women Most women of color acquire the disease from heterosexual contact often from a partner who...

September 2012

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Reproductive Health Care for Incarcerated Women and Adolescent Females

Number 535

ABSTRACT Increasing numbers of women and adolescent females are incarcerated each year in the United States and they represent an increasing proportion of inmates in the US correctional system Incarcerated women and adolescent females often come from disadvantaged environments and have high rates ...

August 2012

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Health Care Systems for Underserved Women

Number 516

(Reaffirmed 2014)

ABSTRACT Underserved women are those who are unable to obtain quality health care by virtue of barriers created by poverty cultural differences race or ethnicity geography sexual orientation gender identity or other factors that contribute to health care inequities With passage of the Patient Prot...

January 2012

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Health Care for Urban American Indian and Alaska Native Women

Number 515

(Reaffirmed 2015)

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 informationa...

January 2012

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Health Care for Pregnant and Postpartum Incarcerated Women and Adolescent Females

Number 511

(Reaffirmed 2013)

ABSTRACT Clinicians who provide care for incarcerated women should be aware of the special health care needs of pregnant incarcerated women and the specific issues related to the use of restraints during pregnancy and the postpartum period The use of restraints on pregnant incarcerated women and a...

November 2011

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American Congress of Obstetricians and Gynecologists
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