Practice Updates: Practice Advisory on Codeine and Tramadol for Breastfeeding Women, Updated Zika Practice Advisory


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

TOPIC SPOTLIGHT

Featured Practice Advisory on Codeine and Tramadol for Breastfeeding Women

On April 20, 2017, the US Food and Drug Administration issued a Drug Safety Communication announcing revisions to labels of prescription medicines containing codeine and tramadol. Among the revisions is a strengthened warning that breastfeeding is not recommended while using medicines containing codeine or tramadol due to the potential for serious adverse effects in the infant due to opioid overdose.

The ACOG Practice Advisory on Codeine and Tramadol for Breastfeeding Women advises that ob-gyns ensure application of this guidance does not interfere with pain-control in non-pregnant breastfeeding women or disrupt breastfeeding. Also included are recommended strategies from ACOG, the Society for Maternal-Fetal Medicine (SMFM), and the Academy of Breastfeeding Medicine (ABM) for ob-gyns and other obstetric providers to adopt to enable adequate pain control and continued breastfeeding if opiate analgesia is required.

Read the full Practice Advisory on Codeine and Tramadol for Breastfeeding Women, updated April 27, 2017.

Featured Updated Zika Practice Advisory

ACOG’s Advisory on the Zika virus now includes a resource to help pregnant women and others avoid travel to areas where there is risk of a Zika virus infection. An interactive world map from the Centers for Disease Control and Prevention (CDC) enables users to see of areas of Zika risk and to search for location-specific Zika information and travel recommendations. It is also recommended that Fellows check the CDC’s Zika Travel Notices periodically for updates. The Advisory includes updated information on testing for the Zika virus in pregnant patients.

Read the full Practice Advisory: Zika Virus, updated April 3, 2017.

Zika Information

ACOG’s Zika webpage

ACOG Zika Practice Advisory

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

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 at770-488-7100,or emailZikaPregnancy@cdc.govfor any concerns related to clinical management or the US Zika Pregnancy Registry

Office of Population Affairs' Zika Toolkit



LIST OF NEW PRACTICE PUBLICATIONS, APRIL/MAY 2017

New Committee Opinions

 

See all Committee Opinions

                                                                                                                                  

New Practice Bulletins (members only)

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)

See all Patient Education Pamphlets


Frequently Asked Questions (FAQs) for Patients

See all Frequently Asked Questions

American Congress of Obstetricians and Gynecologists
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