Guideline
Changes to the Clinical Guidelines for Obstetrical Services at CRICO-insured Institutions

Based on the recommendations of our advisory committee, the 2026 version of Clinical Guidelines for Obstetrical Services at CRICO-insured Institutions, contains changes or enhancements in the following areas:
Content
The 2026 revisions to the Clinical Guidelines for 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 leaders 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 Patient Safety Department at CRICO, Boston, Massachusetts.
References
- The supporting evidence for all Guidelines was reviewed and updated.
Test
- Every year, CRICO-insured obstetrical providers participating in the CRICO Obstetrics Patient Safety Program are required to pass a test based on their study of the OB Guidelines. The test (see the link in the margin), will be updated annually to reflect any clinically significant changes to the Guidelines.
More CRICO Guidelines or Algorithms
CRICO decision support tools.
Neonatal Encephalopathy Guidelines
Guideline
At the behest of its membership, the Academic Medical Center Patient Safety Organization convened a Task Force to arrive at a set of consensus-based guidelines for the most effective use of therapeutic hypothermia in cases of suspected neonatal encephalopathy.
General Informed Consent Guidelines
Guideline
A document to assist institutions in reviewing policies, procedures and forms relative to obtaining and documenting informed consent.
OB Guideline 15: Assessment and Monitoring in Labor and Delivery
Guideline
During prenatal care, the clinician and patient will discuss common events and procedures in labor, including methods of assessing fetal well-being.
Obstetrics Guidelines Introduction
Guideline
The Clinical Guidelines for Obstetrical Services at CRICO-insured Institutions are intended to provide guidance for clinicians and to support the safest maternal and fetal outcomes for patients receiving care in CRICO-insured medical institutions.