Practice Updates for January/February: Approaches to Limit Intervention During Labor and Birth

Stay up to date with ACOG's authoritative clinical guidance and helpful patient education materials. The following provides Practice Updates for January and February 2017.


Featured Committee Opinion 687:
 Approaches to Limit Intervention During Labor and Birth

In an ACOG Committee Opinion endorsed by the American College of Nurse-Midwives and the Association of Women’s Health, Obstetric and Neonatal Nurses, it is recommended that ob-gyns and other maternity care providers consider labor and delivery approaches that facilitate limited medical intervention for low-risk pregnancies. “Low-risk” generally means a woman has presented at term in spontaneous labor and has had an uncomplicated course of prenatal care. Providers are encouraged to use low-intervention approaches that have been associated with healthy outcomes and may increase a woman’s satisfaction with her birth experience. Other recommendations included in the Committee Opinion encourage ob-gyns, midwives, nurses, and patients to work together to meet each women’s goals for labor and birth.

Committee Opinion 687 Approaches for Ob-Gyns and Maternity Care Providers to Limit Intervention During Labor and Birth in Low-Risk Pregnancies is available in the February 2017 issue of Obstetrics and Gynecology.

Featured Practice Advisory: Update on Seafood Consumption During Pregnancy

A Practice Advisory from the US Food and Drug Administration (FDA) and US Environmental Protection Agency (EPA) features updated advice regarding fish consumption for pregnant women, women who may become pregnant, and breastfeeding mothers and parents of young children. The FDA and EPA suggest that women who are pregnant, may become pregnant, or are breastfeeding to eat 2-3 servings each week of a variety of fish, eat only one serving a week of albacore tuna and fish with similar mercury concentrations, and to avoid certain fish with the highest mercury concentrations. The Practice Advisory also notes that it is important to check for advisories for fish caught by friends and family, and where no advisories exist, to limit eating those fish to one serving a week and no other fish that week. 

Read the full Practice Advisory: Update on Seafood Consumption During Pregnancy, updated January 30, 2017

Featured Updated Practice Advisory: Zika Virus

The updated Zika Virus Practice Advisory includes new information on testing a pregnant woman with suspected Zika virus infection. There is also updated information on travel advisories and restrictions in Florida and Texas for pregnant women, women of reproductive age and their sexual partners. Be sure to check the list frequently, as the areas of local transmission in the US change frequently. Also, read the Practice Advisory for recent updates on reproductive counseling.

Read the full Practice Advisory: Zika Virus, updated December 19, 2016.

More Zika Information

ACOG’s Zika webpage

ACOG Zika Toolkit, including patient education video, infographic, and assessment web tool endorsed by CDC

NEW! CDC’s Pregnancy and Zika Testing Clinical Algorithm

CDC Zika Virus Website

State Health Department Contact list for ob-gyns (members only) for questions on CDC’s Zika Registry

State Health Department Contact list for ob-gyns (members only) for questions on testing

CDC Zika Pregnancy Hotline for Health Care Providers: Ob-gyns can contact the CDC Zika Pregnancy Hotline at 770-488-7100, or email for any concerns related to clinical management or the US Zika Pregnancy Registry

Office of Population Affairs' Zika Toolkit




New Committee Opinions

See all Committee Opinions


New Practice Bulletins (members only) 

  • No Practice Bulletins were issued in January/Febuary 2017

See all Practice Bulletins

New Title: Clinical Updates in Women's Health Care (members only)

See all Clinical Updates Titles

New Patient Education Pamphlets (members only)

  • 127 Vulvodynia (Coming later in February 2017)
  • 075 Ovarian Cysts (Coming later in February 2017)
  • 055 Travel During Pregnancy (January 2017)

See all Patient Education Pamphlets

Frequently Asked Questions (FAQs) for Patients

See all Frequently Asked Questions

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