Practice Updates for October/November: Updated Zika Practice Advisory, Comprehensive Sexuality Education, Immersion in Water During Labor and Delivery

Stay up to date with ACOG's authoritative clinical guidance and helpful patient education materials. The following provides Practice Updates for October and November 2016.


Featured Committee Opinion 678: Comprehensive Sexuality Education

According to the Centers for Disease Control and Prevention, nearly 70 percent of high schools in the US have a class devoted to health topics, but sexuality education varies widely in terms of the accuracy of content, emphasis, and effectiveness. It is not uncommon for adolescents to turn to social media to fill in the gaps. Committee Opinion 678 states that this is an opportunity for ob-gyns to play a part in sexual education by encouraging and developing evidence-based curriculum, and supporting the parents or guardians of adolescents to be actively involved in their children's sexuality education. ACOG recommends sexuality education include the benefits of delaying sexual intercourse and be medically accurate and age-appropriate.

In addition to reproductive development, prevention of STIs and unintended pregnancy, sexuality education should focus on forms of sexual expression, health sexual and nonsexual relationships, gender identity and sexual orientation and questioning, communication, recognizing and preventing sexual violence, consent, and decision making.

Committee Opinion #678: Comprehensive Sexuality Education is available in the November 2016 issue of Obstetrics and Gynecology.


Featured Committee Opinion 679: Immersion in Water During Labor and Delivery

A revised Committee Opinion states that although there may be benefits to undergoing the early stages of labor in a birthing pool, there are no proven benefits of water delivery for women or babies and may even pose a risk of serious health problems for the newborn. The College recommends that birth occur on land and not water, because there are insufficient data on which to draw conclusions regarding the benefits and risks of immersion in water during the second stage of labor and delivery.

Committee Opinion #679 Immersion in Water During Labor and Delivery is available in the November 2016 issue of Obstetrics and Gynecology.

Featured Updated Practice Advisory: Zika Virus

ACOG’s updated Practice Advisory on the Zika virus includes additional information on when to test for the Zika virus, clinical management of pregnant women with suspected Zika virus infection, and postnatal management. There is also updated information on travel restrictions, prevention of infection, and reproductive counseling. The Practice Advisory maintains that pregnant women should not travel to areas with current Zika virus outbreak, and when pregnant women and their partners must travel to one of these areas, they should strictly follow prevention steps to avoid mosquito bites during the trip and decrease the risk for sexual transmission. Also included in the Practice Advisory is the recommendation that pregnant women with sex partners who have traveled to or lived in an area with active Zika virus transmission consistently and correctly using condoms during sex or abstaining from sex for the duration of the pregnancy.

Read the full Practice Advisory: Zika Virus, updated October 18, 2016.


ACOG helps you stay informed of the latest Zika information:

ACOG’s Zika webpage

ACOG/SMFM Practice Advisory on Zika

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

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New Practice Bulletins (members only) 

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New Patient Education Pamphlets (members only)

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Frequently Asked Questions (FAQs) for Patients

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