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Professional Liability and Gynecology-Only Practice

  • Committee Opinion CO
  • Number 790
  • October 2019

Number 790 (Replaces Committee Opinion Number 567, July 2013)

Committee on Patient Safety and Quality Improvement

INTERIM UPDATE: This Committee Opinion has been updated to reflect content oversight by the Committee on Patient Safety and Quality Improvement.


ABSTRACT: Fellows of the American College of Obstetricians and Gynecologists may choose to limit the scope of their practices to gynecology and, accordingly, may choose not to carry professional liability coverage for obstetrics. The American College of Obstetricians and Gynecologists considers early pregnancy care to be within the scope of gynecology and gynecologic practice. Liability insurers that provide coverage for gynecology-only practices should provide coverage for clinical practice activities that involve the management of first-trimester and early second-trimester pregnancy and its complications.


Fellows of the American College of Obstetricians and Gynecologists may choose to limit the scope of their practices to gynecology and, accordingly, may choose not to carry professional liability coverage for obstetrics. However, the American College of Obstetricians and Gynecologists considers early pregnancy care to be within the scope of gynecology and gynecologic practice. Management of early pregnancy failure, ectopic pregnancy, spontaneous or elective abortion, and early prenatal care may be properly undertaken in such practices. Liability insurers that provide coverage for gynecology-only practices should provide coverage for clinical practice activities that involve the management of first-trimester and early second-trimester pregnancy and its complications.


References


    Published online on September 24, 2019.

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    Professional liability and gynecology-only practice. ACOG Committee Opinion No. 790. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;134:e115–6.

    This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Any updates to this document can be found on acog.org or by calling the ACOG Resource Center.

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