Article
Obstetrics & Gynecology
Nathaniel DeNicola, Ann E. Borders, Veena Singla, Tracey J. Woodruff
Summary: There is evidence linking exposure to toxic environmental agents with adverse reproductive and developmental health outcomes, including infertility, miscarriage, preterm birth, low birth weight, neurodevelopmental delay, and cancer. Obstetric care clinicians should be knowledgeable about local toxic environmental exposures and provide information to patients. Clinical encounters offer opportunities to screen and counsel patients on reducing toxic environmental exposures.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Cynthia Gyamfi-Bannerman, Angela B. Gantt, Russell S. Miller
Summary: The neonatal risks of late-preterm and early-term births have been well studied, but there are circumstances where early delivery may be needed due to maternal, fetal, or placental complications. The decision to deliver earlier than 39 weeks should take into account balancing risks and benefits for both the mother and newborn.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Summary: Morcellation is a surgical technique used to reduce the size of the uterus or myomas, but it carries a risk of spreading malignancy in some cases. Therefore, preoperative evaluation to assess the risk of malignancy is crucial before considering morcellation for fibroids or the uterus.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Summary: Elder abuse is defined as actions that cause harm, risk of harm, or distress to individuals aged 60 or older. The best interventions for preventing elder abuse include screening, education, and policy change.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Carolyn Sufrin
Summary: Obstetrician-gynecologists and other women's health care practitioners can support efforts to improve health care for incarcerated pregnant, postpartum, and nonpregnant individuals. Attention should be given to the increased health risks common to incarcerated populations. Providing respectful, consistent, and high-quality care is essential for reducing inequities and affirming individual dignity.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Serina Floyd
Summary: Sterilization is a popular form of contraception in the United States, but many women who desire postpartum sterilization do not undergo the procedure. Factors such as patient-related factors, physician-related factors, lack of available operating rooms and anesthesia, federal consent requirements, and receiving care in some religiously affiliated hospitals may decrease the likelihood of a patient obtaining desired postpartum sterilization.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
[Anonymous]
Summary: Physicians have an ethical obligation to establish a therapeutic alliance with their patients and should try to resolve conflicts through communication or mediation. If restoring the therapeutic relationship is not feasible, ending the patient-physician relationship may be the best option. This statement provides an ethical framework and evidence-based tools to manage patient-physician conflict and rebuild meaningful connections with patients.
OBSTETRICS AND GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Rita Wesley Driggers, Allison S. Bryant, Alessandro Ghidini
Summary: The Committee Opinion provides guidance on indications, timing, and frequency of antenatal fetal surveillance, emphasizing the importance of individualized decisions.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Summary: The results of in vitro maturation (IVM) investigations show potential for wider clinical application, and this document discusses the efficacy of IVM as reported in the published literature. This updated document replaces the one published in 2013, reflecting the ongoing advancements in the field.
FERTILITY AND STERILITY
(2021)
Article
Obstetrics & Gynecology
Colleen McNicholas, Serina Floyd, Melissa Kottke
Summary: Trauma has a significant impact on health, relationships, and healthcare experience, and it is important for healthcare professionals to understand and implement trauma-informed care.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Jami Star, Kavita Shah Arora
Summary: The goals of vaccination are to preserve individual and public health, but face challenges including misinformation, limited knowledge, distrust in the medical system, prioritization of personal freedoms, and nonmedical exemptions. Obstetrician-gynecologists can help address these barriers through educating patients, providing vaccinations, and serving as role models in public health initiatives.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Sarah Horvath
Summary: Medicaid plays a crucial role in improving women's health and reducing disparities. The American College of Obstetricians and Gynecologists advocates for policies that expand access to Medicaid, as well as education on the complex system and advocacy for increased access to care for all women.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Summary: An estimated 150,000 youth and 1.4 million adults in the United States identify as transgender, facing social and economic marginalization which leads to health care inequities, highlighting the importance of providing inclusive health care.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Group Author Only
Summary: This article provides a critical review of current methods and procedures for evaluating infertility in women, with an emphasis on using the least invasive methods to detect the most common causes.
FERTILITY AND STERILITY
(2021)
Article
Obstetrics & Gynecology
Summary: Introducing new strategies, tests, and procedures into clinical practice can raise challenging ethical issues, including evaluating evidence, balancing benefits and harms, supporting patient autonomy, and promoting advances in healthcare. This document aims to assist reproductive health practitioners in introducing new interventions into the clinical care they provide to patients.
FERTILITY AND STERILITY
(2021)
