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ACOG - Practice Bulletins from the American College of Obstetricians and Gynecologists: ACOG Practice Bulletins

The most current Practice Bulletins from the American College of Obstetricians and Gynecologists

ACOG - Practice Bulletins from the American College of Obstetricians and Gynecologists

Practice Bulletins provide current information on established techniques and clinical management guidelines in obstetrics and gynecology. They are continuously monitored and by the American College of Obstetricians and Gynecologists and updated, reaffirmed or withdrawn as needed. This page contains direct links to each of the Practice Bulletins in current use. 

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Obstetrics and Gynecology

    Number O/G Title Publication Date   Reaffirmed Date  
    78 O Hemoglobinopathies in Pregnancy (Obstet Gynecol 2007;109:229-37) (Practice Advisory) Jan-07   2021  
    86 O Viral Hepatitis in Pregnancy (Obstet Gynecol 2007;110:941-55) Oct-07   2021  
    90 O Asthma in Pregnancy (Obstet Gynecol 2008;111:457-64) Feb-08   2020  
    92 O Use of Psychiatric Medications During Pregnancy and Lactation (Obstet Gynecol 2008;111:1001-20) Apr-08   2022  
    105 O Bariatric Surgery and Pregnancy (Obstet Gynecol 2009;113:1405-13) Jun-09   2021  
    106 O Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles (Obstet Gynecol 2009;114:192-202) (Practice Advisory) Jul-09   2021  
    107 O Induction of Labor (Obstet Gynecol 2009;114:386-97) Aug-09   2020  
    114 G Management of Endometriosis (Obstet Gynecol 2010;116:223–36) July 2010   2022  
    116 O Management of Intrapartum Fetal Heart Rate Tracings (Obstet Gynecol 2010;116:1232-40) Nov-10   2021  
    128 G Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women (Obstet Gynecol 2012;120:197–206) July 2012   2021  
    132 O Antiphospholipid Syndrome (Obstet Gynecol 2012;120:1514-21) Dec-12   2021  
    135 G Second-Trimester Abortion (Obstet Gynecol 2013;121:1394–1406) June 2013   2021  
    136 G Management of Abnormal Uterine Bleeding Associated With Ovulatory Dysfunction (Obstet Gynecol 2013;122:176–85) July 2013   2022  
    141 G Management of Menopausal Symptoms (Obstet Gynecol 2014;123:202–16) (Correction) (Correction) Jan 2014   2021  
    142 O Cerclage for the Management of Cevical Insufficiency (Obstet Gynecol 2014;123:372-9) Feb-14   2020  
    146 O Management of Late-Term and Postterm Pregnancies
(Obstet Gynecol 2014;124:390–6)
Aug-14   2020  
    147 G Lynch Syndrome (Joint with the Society of Gynecologic Oncology) (Obstet Gynecol 2014;124:1042–54) (Correction) Nov. 2014   2021  
    149 G Endometrial Cancer (Joint with the Society of Gynecologic Oncology) (Obstet Gynecol 2015;125:1006–26) April 2015   2021  
    151 O Cytomegalovirus, Parvovirus B19, Varicella Zoster, and Toxoplasmosis in Pregnancy (Obstet Gynecol 2015;125:1510–25) (Correction) Jun-15   2020  
    152 G Emergency Contraception (Obstet Gynecol 2015;126:e1–11) Sept. 2015   2022  
    155 G Urinary Incontinence in Women (Joint with the American Urogynecologic Society) (Obstet Gynecol 2015;126:e66–81) Nov. 2015   2022  
    162 O Prenatal Diagnostic Testing for Genetic Disorders (Joint with the Committee on Genetics and the Society for Maternal–Fetal Medicine) (Obstet Gynecol 2016;127:e108–22)  May-16   2020  
    164 G Diagnosis and Management of Benign Breast Disorders (Obstet Gynecol 2016;127:e141–56) (Correction) June 2016   2021  
    171 O Management of Preterm Labor (Obstet Gynecol 2016;128:e155–64) (Interim Update) (Practice Advisory) Oct-16   2022  
    174 G Evaluation and Management of Adnexal Masses (Obstet Gynecol 2016;128:e210–26) Nov. 2016   2021  
    175 O Ultrasound in Pregnancy (Joint with the American Institute of Ultrasound in Medicine) (Obstet Gynecol 2016;128:e241–56)  Dec-16   2022  
    178 O Shoulder Dystocia (Obstet Gynecol 2017;129:e123-33) May-17   2020  
    179 G Breast Cancer Risk Assessment and Screening in Average-Risk Women (Obstet Gynecol 2017;130:e1–16) July 2017   2021  
    181 O Prevention of Rh D Alloimmunization (Obstet Gynecol 2017;130:e57–70)  Aug-17   2021  
    182 G Hereditary Breast and Ovarian Cancer Syndrome (Joint with the Committee on Genetics and the Society of Gynecologic Oncology) (Obstet Gynecol 2017;130:e110–26) Sept. 2017   2021  
    183 O Postpartum Hemorrhage (Obstet Gynecol 2017;130:e168–86)  Oct-17   2019  
    186 G Long-Acting Reversible Contraception: Implants and Intrauterine Devices (Obstet Gynecol 2017;130:e251–69) Nov. 2017   2021  
    187 O Neural Tube Defects (Obstet Gynecol 2017;130:e279–90)  Dec-17   2021  
    189 O Nausea and Vomiting of Pregnancy (Obstet Gynecol 2018;131:e15–30)  Jan-18   2021  
    190 O Gestational Diabetes Mellitus (Obstet Gynecol 2018;131:e49–64) (Interim Update) Feb-18   2021  
    192 O Management of Alloimmunization During Pregnancy (Obstet Gynecol 2018; 131:e82–90) (Interim Update) Mar-18   2019  
    193 G Tubal Ectopic Pregnancy (Obstet Gynecol 2018;131:e91–103) (Interim Update) (Correction) March 2018   2022  
    194 G Polycystic Ovary Syndrome (Obstet Gynecol 2018;131:e157–71) (Interim Update) (Correction) June 2018   2022  
    195 G Prevention of Infection After Gynecologic Procedures (Obstet Gynecol 2018;131:e172–89) June 2018   2022  
    196 O Thromboembolism in Pregnancy (Obstet Gynecol 2018;132:e1-17) (Correction) Jun-18   2022  
    197 O Inherited Thrombophilias in Pregnancy (Obstet Gynecol 2018;132:e18-34) (Correction)  Jun-18   2022  
    198 O Prevention and Management of Obstetric Lacerations at Vaginal Delivery (Obstet Gynecol 2018;132:e87-102) (Interim Update) Aug-18   2022  
    199 O Use of Prophylactic Antibiotics in Labor and Delivery (Obstet Gynecol 2018;132:e103-19) (Correction) Aug-18   2021  
    200 G Early Pregnancy Loss (Obstet Gynecol 2018;132:e197–207) (Interim Update) Aug. 2018   2021  
    201 O Pregestational Diabetes Mellitus (Obstet Gynecol 2018;132:e228-48) Nov-18   2020  
    203 O Chronic Hypertension in Pregnancy (Obstet Gynecol 2018;133:e26-50) Dec-18      
    205 O Vaginal Birth After Cesarean Delivery (Obstet Gynecol 2019;133:e110-27) (Interim Update) Jan-19      
    206 G Use of Hormonal Contraception in Women With Coexisting Medical Conditions (Obstet Gynecol 2019;133:e128–50) (Correction) Jan.2019   2022  
    207 O Thrombocytopenia in Pregnancy (Obstet Gynecol 2019;133:e181-93) Feb-19   2022  
    208 G Benefits and Risks of Sterilization (Obstet Gynecol 2019;133:e194–207) (Interim Update) Jan. 2019   2021  
    209 O Obstetric Analgesia and Anesthesia (Obstet Gynecol 2019;133:e208-25) (Interim Update) Feb-19   2020  
    210 G Fecal Incontinence (Obstet Gynecol 2019;133:e260–73) (Correction) Mar. 2019   2021  
    211 O Critical Care in Pregnancy (Obstet Gynecol 2019; 133:e303-19) (Practice Advisory) Apr-19   2021  
    212 O Pregnancy and Heart Disease (Joint with the Presidential Task Force on Pregnancy and Heart Disease) (Obstet Gynecol 2019;133:e320-56) Apr-19   2021  
    213 G Female Sexual Dysfunction (Obstet Gynecol 2019;134:e1–18) June 2019   2022  
    214 G Pelvic Organ Prolapse (Joint with the American Urogynecologic Society) (Obstet Gynecol 2019;134:e126–42) (Interim Update) Oct. 2019   2021  
    215 G Vaginitis in Nonpregnant Patients (Obstet Gynecol 2020;135:e1–17) Dec. 2019   2022  
    216 O Macrosomia (Obstet Gynecol 2020; 135(1):e18-e35) Dec. 2019      
    217 O Prelabor Rupture of Membranes (Obstet Gynecol 2020; 135(3):e80-e97) (Practice Advisory) Mar-20   2022  
    218 G Chronic Pelvic Pain (Obstet Gynecol 2020;135:e98–109) Feb. 2020   2023  
    219 O Operative Vaginal Birth (Obstet Gynecol 2020; 135(4):e149-e159) (Interim Update) Apr-20   2021  
    220 O Management of Genital Herpes in Pregnancy (Obstet Gynecol 2020;135:e193–202) Apr-23      
    221 O External Cephalic Version (Obstet Gynecol 2020; 135(5):e203-e212) (Interim Update) Apr-23      
    222 O Gestational Hypertension and Preeclampsia (Obstet Gynecol 2020; 135(6):e237-e260) (Interim Update) (Practice Advisory) May-21      
    223 O Thyroid Disease in Pregnancy (Obstet Gynecol 2020; 135(6):e261-e274) May-21      
    224 G Diagnosis and Management of Vulvar Skin Disorders (Obstet Gynecol 2020;136:e1–14) June 2020   2023  
    225 G Medication Abortion Up to 70 Days of Gestation (Joint with the Society of Family Planning) (Obstet Gynecol 2020;136:e31–47) Aug. 2020      
    226 O
Screening for Fetal Chromosomal Abnormalities (Obstet Gynecol. 2020;136(4):e48-e69)


O Fetal Growth Restriction (Joint with the Society for Maternal-Fetal Medicine) (Obstet Gynecol 2021;137:e16–28) (Interim Update) (Correction) Jan-21      
    228 G Management of Symptomatic Uterine Leiomyomas (Obstet Gynecol 2021; 137:e100–15) (Correction) May 2021      
    229 O Antepartum Fetal Surveillance (Obstet Gynecol 2021;137:e116–27) (Interim Update) May-20      
    230 O Obesity in Pregnancy (Obstet Gynecol 2021;137:e128–44) (Interim Update) May-20   2021  
    231 O Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies (Joint with the Society for Maternal-Fetal Medicine) (Obstet Gynecol 2021; 137:e145–62) (Interim Update) (Practice Advisory) May-21      
    232 G Prevention of Venous Thromboembolism in Gynecologic Surgery (Obstet Gynecol 2021;138:e1–15) July 2021      
    233 O Anemia in Pregnancy (Obstet Gynecol 2021;138:e55–64) (Interim Update) Jul-21      
    234 O Prediction and Prevention of Spontaneous Preterm Birth (Obstet Gynecol 2021;138:e65–90) Jul-21      

Additional Information

Looking for the current list of ACOG Committee Opinions? 

Here is the list. 

Last Updated

This page was last updated on March 2023.