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Obstetrics Guidelines Introduction


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Obstetrics Guidelines Introduction

Related to: Clinical Guidelines, Communication, Diagnosis, Documentation, Informed Consent, Nursing, Obstetrics


The Clinical Guidelines for the Obstetrical Services of the CRICO-insured institutions are intended to provide guidance for clinicians and to support the safest maternal and fetal outcomes for patients receiving care by CRICO-insured clinicians1.  The recommendations for practice included in this document were arrived at through careful consideration of the available evidence and should be considered as thoughtful, expert advice. These Guidelines offer a framework for provision of obstetrical care, rather than an inflexible set of mandates. Clinicians involved in obstetrical care must use their professional knowledge and judgment when applying the recommendations to the management of individual patients. These Guidelines are subject to revision at regular intervals as changes in clinical practice evolve.


Safe care requires a collaborative process among obstetrical clinicians who respect the right of the patient to make informed decisions for herself and her fetus.


The Guidelines are a codification of:

  • existing best practices,
  • recommendations of the American College of Obstetricians and Gynecologists (ACOG),
  • Guidelines for Perinatal Care (American Academy of Pediatrics and ACOG), and
  • Practice Guidelines for Obstetrical Anesthesia.

The 2014 revisions to the Clinical Guidelines for the Obstetrical Services were guided by a multi-disciplinary group of clinicians, including obstetricians, nurse leaders, nurse midwives, and anesthesiologists from several CRICO-insured institutions. The clinical chiefs of the obstetrical departments of the CRICO-insured institutions have approved the current version of these guidelines. Questions regarding this document should be directed to the Program Administrator, of Patient Safety at CRICO, Cambridge, Massachusetts.

  1. As of March 2014, the following institutions insured through CRICO provide obstetrical service: Beth Israel Deaconess Medical Center, Brigham and Women’s Hospital, Cambridge Health Alliance, Harvard Vanguard Medical Associates, Martha’s Vineyard Hospital, Massachusetts General Hospital, Mount Auburn Hospital, Newton-Wellesley Hospital, North Shore Medical Center, and Nantucket Cottage Hospital.

May 1, 2014
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