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Guidelines

The RCOG produces guidelines as an aid to good clinical practice. Our guidelines present recognised methods and techniques for clinical practice, based on published evidence, for consideration by obstetricians/gynaecologists and other relevant health professionals. Find out more about the different types of guideline we publish.

All guidelines on this website are current and remain so until replaced. Find out how to access previous versions of guidelines.

You can browse all of our guidelines below, or search for guidelines by type, by subject or by keyword.

We also publish a range of patient information leaflets.

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Amniocentesis and Chorionic Villus Sampling (Green-top Guideline No. 8)
This guideline sets a series of evidence-based standards to ensure a high level and consistency of practice in the provision and performance of amniocentesis and chorionic villus sampling (CVS).
Published 25/10/2021
Risk-Reducing Salpingo-Oophorectomy and the Use of Hormone Replacement Therapy Below the Age of Natural Menopause (Scientific Impact Paper No. 66)
This Scientific Impact Paper details the risk factors for ovarian cancer which determine the indications for and timing of risk-reducing salpingo-oophorectomy. It also outlines the subsequent consequences of premature surgical menopause and the role of hormone replacement therapy – its benefits, risks and limitations.
Published 21/10/2021
Coronavirus (COVID-19) infection and pregnancy
Version 14: updated 25 August 2021. Guidance for healthcare professionals on coronavirus (COVID-19) infection in pregnancy, including guidance on vaccination in pregnancy, published by the RCOG, Royal College of Midwives, Royal College of Paediatrics and Child Health, Public Health England and Public Health Scotland.
Published 25/08/2021
Uterine Transplantation (Scientific Impact Paper No. 65)
The purpose of this Scientific Impact Paper is to summarise the pertinent published literature on uterine transplantation (UTx) and to propose a framework for establishing a sustainable UTx programme in the UK. Potential recipients and donors are discussed, as well as the surgical, immunological, fertility, obstetric, psychological and ethical considerations associated with this procedure.
Published 29/04/2021
Supply disruption of sterile infusion sets and connectors manufactured by Becton Dickinson
Becton Dickinson (BD) have notified the Medicines and Healthcare products Regulatory Agency (MHRA) that the sterility of some of their devices cannot be guaranteed due to quality issues with their third-party sterilisation provider.
Published 11/03/2021
Evidence to Support the Clinical Utility of Prenatal Exome Sequencing in the Evaluation of the Fetus with Congenital Anomalies (Scientific Impact Paper No. 64)
This Scientific Impact Paper examines past and more recent evidence on the use of prenatal exome sequencing and outlines what this test adds to current practice in identifying congenital anomalies.
Published 16/02/2021
Suspension of ulipristal acetate for uterine fibroids during ongoing EMA review of liver injury risk
On 18 March 2020 the MHRA suspended the licence for Esmya to protect public health while a safety review is conducted following a further case of liver injury requiring transplant.
Published 19/01/2021
Supporting women and their partners through prenatal screening for Down's syndrome, Edwards' syndrome and Patau's syndrome
Consensus statement on pregnancy screening from the Royal College of Obstetricians and Gynaecologists, Royal College of Midwives, Society and College of Radiographers
Published 02/12/2020
Gestational Trophoblastic Disease (Green-top Guideline No. 38)
This guideline describes the presentation, management, treatment and follow-up of gestational trophoblastic disease (GTD) and gestational trophoblastic neoplasia (GTN).
Published 30/09/2020
Safety messaging regarding the use of plastic cord clamps at caesarean section
Plastic cord clamps are being used, in some maternity units, in place of Spencer Wells forceps, to clamp the umbilical cord following birth at caesarean section.
Published 29/09/2020