Approaches to Limit Intervention During Labor and Birth: Resource Overview

The American College of Obstetricians and Gynecologists has identified the following resources that may be helpful for ob-gyns, other health care providers, and patients on topics related to approaches to limit intervention during labor and birth.

These materials are for information purposes only and are no meant to be comprehensive. Referral to these resources does not imply ACOG’s endorsement of the organization, the organization’s website, or the content of the resource. The resources may change without notice.

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Resources for Ob-Gyns and Women’s Health Care Providers
External Resources

Resources for Ob-Gyns and Women’s Health Care Providers

Committee Opinion: Approaches to Limit Intervention During Labor and Birth
This Committee Opinion, issued by ACOG in February 2019, recognizes that the desire to avoid unnecessary interventions during labor is shared by health care providers and pregnant women, and reviews labor care practices that minimize intervention for appropriate women who are in spontaneous labor at term. 

External Resources

Intermittent Auscultation for Intrapartum Fetal Heart Rate Surveillance
This clinical bulletin, published by the American College of Nurse-Midwives, reviews intermittent auscultation (IA) and includes recommendations for use based on the best available scientific data, the need to provide informed choice, and patient safety. 

Fetal Heart Monitoring Program 
This program, developed by the Association of Women’s Health, Obstetric, and Neonatal Nurses, provides evidence-based resources consisting of live courses, books, webinars, and online learning for physicians and nurses. 

Intrapartum Care for Healthy Women and Babies
This guideline, published by the National Institute for Health and Care Excellence (NICE), covers the care of healthy women and their babies during labor and immediately after the birth. It aims to reduce variation in areas of care such as fetal monitoring during labor and management of the third stage of labor. 

Medicaid and Private Insurance Coverage of Doula Care to Strengthen Maternal and Infant Health
This issue brief outlines the health and cost benefits of doula care and details pathways to increased coverage. 

Toolkit to Support Vaginal Birth and Reduce Primary Cesareans 
This toolkit, created by the California Maternal Quality Care Collaborative (CMQCC), was designed to educate and motivate maternity clinicians to apply best practices for supporting vaginal birth. 

The American College of Obstetricians and Gynecologists (ACOG), a 501(c)(3) organization, is the nation’s leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 58,000 members, ACOG strongly advocates for quality women’s health care, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women’s health care.

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