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CRICO Guidelines by Topic

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OB Guideline 29: Placental Pathology Evaluation

Individual judgment is warranted concerning the appropriateness of submitting the placenta, with as much umbilical cord as is feasible, for pathologic evaluation. Consider submitting the tissue if one is in doubt.

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OB Guideline 33: Newborn Male Circumcision

Pediatricians, obstetrical providers, and nurses should all be involved in the development/approval of guidelines. Each institution will track short-term complications of the procedure, including the type of complication, the method of circumcision, and the performing clinician.

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OB Guideline 28: Anesthesia in Obstetrics

This guideline applies to obstetrical patients receiving major neuraxial anesthesia (spinal, epidural, combined spinal-epidural); general anesthesia; or monitored anesthesia care (MAC) for labor analgesia or operative procedures.

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OB Guideline 25: Patients with Previous Cesarean Delivery1, 2

When you have a complete obstetrical history from a patient who previously delivered via a cesarean, you can discuss the risks and benefits of repeating that delivery method or trying a vaginal birth.

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OB Guideline 21: Management of Twins

This guideline covers the timing, considerations and post-delivery care for twins.

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OB Guideline 24: Management of Shoulder Dystocia

If a shoulder dystocia occurs, this event and the details used to resolve it must be entered into the medical record as an operative report and dictated (or the electronic equivalent completed) immediately after the delivery. 

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OB Guideline 23: Macrosomia1

When macrosomia is clinically suspected, patients should be informed of the potential risks and such discussion should be documented in the prenatal record.

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OB Guideline 22: Prolonged Pregnancy

Post-term pregnancies are at risk for adverse outcomes that include an increased incidence of perinatal and neonatal morbidity and mortality, uteroplacental insufficiency, meconium aspiration, and intrauterine infection.

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Guideline 19: Prevention of Retained Sponges and Needles Following Vaginal Delivery

Retained foreign objects following vaginal delivery and obstetrical surgery procedures are preventable events.

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