Statements and guidelines directory

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Fetal surveillance

Care of Women with Decreased Fetal MovementsRANZCOG endorsed
Home Fetal Heart MonitoringRANZCOG endorsed
Intrapartum Fetal Surveillance Clinical Guideline (4th edition)RANZCOG
Intrapartum Fetal Surveillance Clinical Guideline (Clinical Algorithm)RANZCOG


Diethylstilboestrol (DES) Exposure In Utero (C-Obs 56)RANZCOG
Exercise During Pregnancy (C-Obs 62)RANZCOG
The Use of Misoprostol in Obstetrics and Gynaecology (C-Obs 12)RANZCOG
Substance Use in Pregnancy (C-Obs 55) — under reviewRANZCOG
Altruistic and Directed Umbilical Cord Blood Banking for Families at Risk (C-Obs 18)RANZCOG
Assisted Reproductive Treatment for Women of Advanced Maternal Age (C-Obs 52)RANZCOG
Pregnancy GuidelinesRANZCOG endorsed
Australian Principles of Bereavement Care RANZCOG endorsed
Detection and Management of Women With Fetal Growth Restriction in Singleton
RANZCOG endorsed
Clinical Practice Guideline for Care Around Stillbirth and Neonatal DeathRANZCOG endorsed
Caring for Families Experiencing Stillbirth: Part 1
Diagnosis to Birth
Useful clinical
Caring for Families Experiencing Stillbirth: Part 2
The Birth
Useful clinical
Caring for Families Experiencing Stillbirth: Part 3
Care Following Birth
Useful clinical

Infections in pregnancy

Management of Hepatitis C in Pregnancy (C-Obs 51)RANZCOG
Management of Hepatitis B in Pregnancy (C-Obs 50)RANZCOG
Prevention of Congenital Cytomegalovirus (CMV) Infection (C-Obs 64) — interim update Jul 2023RANZCOG
Management of Perinatal InfectionsRANZCOG endorsed
Chickenpox in PregnancyUseful Clinical
Bacterial Sepsis in PregnancyUseful Clinical
Management of Varicella Infection (Chickenpox) in PregnancyUseful Clinical

Intrapartum care, labour and birth

Home Births (C-Obs 2) — updated Jul 2023RANZCOG
Categorisation of Urgency for Caesarean Section (C-Obs 14)RANZCOG
Delivery of the Fetus at Caesarean Section (C-Obs 37)RANZCOG
Instrumental Vaginal Birth (C-Obs 16)RANZCOG
Placenta Accreta Spectrum (PAS) (C-Obs 20) — updated Jul 2023RANZCOG
Management of Postpartum Haemorrhage (PPH)RANZCOG
Term Prelabour Rupture of Membranes (Term PROM) (C-Obs 36)RANZCOG
Care in Labour in the Absence of Pregnancy Complications (C-Obs 31) — updated Jul 2023RANZCOG
Timing of Elective Caesarean Section at Term (C-Obs 23)RANZCOG
Birth After Previous Caesarean Section (C-Obs 38)RANZCOG
Management of Breech Presentation (C-Obs 11)RANZCOG
Caesarean Birth on Maternal Request (CBMR) (C-Obs 39) — updated Jul 2023RANZCOG
Water Immersion During Labour and Birth (C-Obs 24) RANZCOG
Use of Prostaglandins for Induction of Labour (C-Obs 22) RANZCOG
Patient Blood Management Guidelines: Module 1 Critical Bleeding RANZCOG endorsed
Patient Blood Management Guidelines: Module 2 PerioperativeRANZCOG endorsed
Patient Blood Management Guidelines: Module 3 MedicalRANZCOG endorsed
Patient Blood Management Guidelines: Module 4 Critical CareRANZCOG endorsed
Patient Blood Management Guidelines: Module 5 Obstetrics and MaternityRANZCOG endorsed
Misoprostol for the Treatment of Postpartum Haemorrhage in Low
Resource Settings
Useful Clinical
Intrauterine Growth Restriction: Screening, Diagnosis, and ManagementUseful Clinical
Prevention and Management of Postpartum HaemorrhageUseful Clinical
Shoulder DystociaUseful Clinical
The Investigation and Management of the Small–for–Gestational–Age FetusUseful Clinical
Umbilical Cord ProlapseUseful Clinical
The Management of Third- and Fourth-Degree Perineal TearsUseful Clinical
Clinical Practice Guideline For the Prevention of Venous
Thromboembolism in Patients Admitted to Australian Hospitals
Useful Clinical

Medical disorders in pregnancy

Diagnosis of Gestational Diabetes Mellitus (GDM) (C-Obs 7) — under reviewRANZCOG
Diagnosis and Management of Suspected Fetal Macrosomia (C-Obs 65)RANZCOG
Vasa Praevia (C-Obs 47)RANZCOG
The Australian Guideline for Prevention, Diagnosis and Management of Acute
Rheumatic Fever and Rheumatic Heart Disease
RANZCOG endorsed
ADIPS Consensus Guidelines for the Testing and Diagnosis of
Hyperglycaemia in Pregnancy in Australia and New Zealand
Useful Clinical
Guideline for the Management of Hypertensive Disorders of PregnancyUseful Clinical
The Classification, Diagnosis and Management of the Hypertensive
Disorders of Pregnancy: A Revised Statement from the ISSHP
Useful Clinical
Obstetric CholestasisUseful Clinical
Management of Sickle Cell Disease in PregnancyUseful Clinical

Models of care

Maternal Suitability for Models of Care, and Indications for Referral Within and Between Models of Care (C-Obs 30)RANZCOG
Obstetric and Gynaecology Services in Rural and Remote Regions in AustraliaRANZCOG
National Midwifery Guidelines for Consultations and Referral RANZCOG endorsed

Multiple pregnancy

Management of Monochorionic Twin Pregnancy (C-Obs 42)RANZCOG

Perinatal mental health

Mental Health Care in the Perinatal Period (C-Obs 48)RANZCOG
Psychosocial Assessment and Depression Screening in
Perinatal Women
RANZCOG endorsed

Pre-pregnancy care

Genetic Carrier Screening (C-Obs 63) RANZCOG
Pre-pregnancy Counselling (C-Obs 3a) — under reviewRANZCOG
Prevention of Congenital Cytomegalovirus (CMV) Infection (C-Obs 64) — interim update Jul 2023RANZCOG

Red cell iso-immunisation and Rh(D) prophylaxis

Guidelines for the Use of Rh(D) Immunoglobulin (Anti-D) in Obstetrics (C-Obs 6)RANZCOG
Use of RH(D) Immunoglobulin in Patients with a Body Mass Index >30RANZCOG endorsed
Use of RH(D) Immunoglobulin (Anti-D Immunoglobulin) During Pregnancy
and the Post Partum Period
Useful Clinical
Review and Update of the 2003 Guidelines on the Prophylactic Use of RH(D) Immunoglobulin (Anti-D) in ObstetricsUseful Clinical
The Management of Women with Red Cell Antibodies During PregnancyUseful Clinical

Routine antenatal care

Measurement of Cervical Length for Prediction of Preterm Birth (C-Obs 27)RANZCOG
Maternal Group B Streptococcus in Pregnancy: Screening and Management (C-Obs 19)RANZCOG
Management of Obesity in Pregnancy (C-Obs 49)RANZCOG
Prenatal Assessment of Fetal Structural Conditions (C-Obs 60) — under reviewRANZCOG
Prenatal Screening and Diagnostic Testing for Fetal Chromosomal and Genetic Conditions (C-Obs 59) — under reviewRANZCOG
Prenatal Screening for Fetal Genetic or Structural Condition (C-Obs 35) — under reviewRANZCOG
Pre-Pregnancy and Pregnancy Related Vaccinations (C-Obs 44) — updated Mar 2023RANZCOG
Progesterone Support of the Luteal Phase and in the First Trimester (C-Obs 29a)RANZCOG
Progesterone: Use in the Second and Third Trimester of Pregnancy for the Prevention of Preterm Birth (C-Obs 29b)RANZCOG
Routine Antenatal Assessment in the Absence of Pregnancy Complications (C-Obs 3b)RANZCOG
Screening in Early Pregnancy for Adverse Perinatal Outcomes (C-Obs 61) — under reviewRANZCOG
Subclinical Hypothyroidism and Hypothyroidism in Pregnancy (C-Obs 46)RANZCOG
Vitamin and Mineral Supplementation and Pregnancy (C-Obs 25)RANZCOG
Supporting Smoking Cessation During Pregnancy – Nicotine Replacement Therapy (NRT)RANZCOG endorsed
Supporting Smoking Cessation During Pregnancy – Nicotine Replacement Therapy (NRT) 1RANZCOG endorsed
Guidance for Healthy Weight Gain in PregnancyUseful Clinical
Third Trimester Fetal Growth Scan Reporting TemplateUseful Clinical
Antenatal Corticosteroids Given to Women Prior to Birth to Improve Fetal, Infant, Child and Adult HealthUseful Clinical

The neonate

Responsibility for Neonatal Resuscitation at Birth (C-Obs 32) — interim update Mar 2023RANZCOG
Prevention, Detection, and Management of Subgaleal Haemorrhage in the Newborn (C-Obs 28)RANZCOG
Vitamin K Administration to Newborn Infants to Prevent Vitamin K Deficiency Bleeding in InfancyRANZCOG endorsed
Circumcision of Infant MalesUseful Clinical


Cervical screening and cancer

Cervical Cancer Screening in Australia and New Zealand (C-Gyn 19)RANZCOG
Vaginal Screening After Hysterectomy in Australia (C-Gyn 8)RANZCOG
Guidelines for HPV Vaccine (C-Gyn 18)RANZCOG
Vaginal Screening After Hysterectomy in New Zealand (C-Gyn 8b)RANZCOG
Staging Classification for Cancer of the Ovary, Fallopian tube, and PeritoneumUseful Clinical


Depot Medroxyprogesterone Acetate (C-Gyn 04) — under reviewRANZCOG
Emergency Contraception (C-Gyn 11) — under reviewRANZCOG
Reproductive Health for Women with an Intellectual DisabilityRANZCOG
Intrauterine Contraception (C-Gyn 3) — under reviewRANZCOG
Long Acting Reversible Contraception (C-Gyn 34) — under reviewRANZCOG
Combined Hormonal Contraceptives (C-Gyn 28) — under reviewRANZCOG
Long Acting Reversible Contraception (LARC) – Consensus StatementRANZCOG endorsed
Medical Eligibility Criteria for Contraceptive UseUseful Clinical
Contraception After PregnancyUseful Clinical
Risk of Venous Thromboembolism Among Users of Drospirenone-Containing Oral Contraceptive PillsUseful Clinical


Endometriosis Clinical Practice GuidelineRANZCOG

Gynaecological surgery and procedures

Female Genital Mutilation/Cutting (FGM/C) (C-Gyn 1) — updated Mar 2023RANZCOG
Gynaecological Examinations and Procedures (C-Gyn 30)RANZCOG
Management of Gestational Trophoblastic Disease (C-Gyn 31)RANZCOG
Managing the Adnexa at the Time of Hysterectomy for Benign Gynaecological Disease (C-Gyn 25) — updated Mar 2023RANZCOG
Permanent Female Contraception Filshie Clip Tubal Occlusion (C-Gyn 22) — interim update Jul 2023RANZCOG
Polypropylene Vaginal Mesh Implants for Vaginal Prolapse (C-Gyn 20)RANZCOG
Position Statement on Midurethral Slings (C-Gyn 32)RANZCOG
Position Statement on Robotic-Assisted Laparoscopy (C-Gyn 29)RANZCOG
Power Morcellation at Minimally Invasive Procedures (C-Gyn 33) (previously ‘Tissue Extraction’)RANZCOG
Sacrocolpopexy Clinical Guidance Statement (C-Gyn 37)RANZCOG
Use of the Veress Needle to Obtain Pneumoperitoneum Prior to Laparoscopy (C-Gyn 7)RANZCOG
Uterine Artery Embolisation for the Treatment of Uterine Fibroids (C-Gyn 23)RANZCOG
Vaginal ‘Rejuvenation’ and Cosmetic Vaginal Procedures (C-Gyn 24)RANZCOG
National Elective Surgery Urgency CategorisationRANZCOG endorsed
The Initial Management of Chronic Pelvic PainUseful Clinical


Tamoxifen and the Endometrium (C-Gyn 12)RANZCOG
Managing Menopausal SymptomsRANZCOG
A Practitioner’s Toolkit for Managing the MenopauseUseful Clinical

Menstrual disorder

Investigation of Intermenstrual and Postcoital Bleeding (C-Gyn 6)RANZCOG

Paediatric and adolescent gynaecology

Genital Examinations in Girls and Young Women: A Clinical Practice GuidelineRANZCOG endorsed

Reproductive endocrinology

Fibroids in Infertility (C-Gyn 27)RANZCOG
Ovarian Stimulation in Assisted Reproduction (C-Gyn 2)RANZCOG
Polycystic Ovary Syndrome (PCOS)Useful Clinical

Sexual and reproductive health

Abortion (C-Gyn 17) — under reviewRANZCOG
Australian STI Management Guidelines for Use in Primary CareRANZCOG endorsed
Cross-Border Reproductive Care (C-Gyn 36)RANZCOG
Diagnosis and Management of Ectopic Pregnancy (RCOG Green-top Guideline No. 21)Useful Clinical
Ectopic Pregnancy and MiscarriageUseful Clinical
Late Abortion (C-Gyn 17a) — under reviewRANZCOG
Recurrent Miscarriage (RCOG Green-top Guideline No. 17)Useful Clinical Guidance
The Use of Mifepristone for Medical Abortion (C-Gyn 21) — under reviewRANZCOG


Guidelines for Training in Advanced Endoscopic Surgery (C-Trg 1)RANZCOG
Guidelines for Performing Gynaecological Endoscopic pPocedures (C-Trg 2)RANZCOG
Clinical Training Whilst Pregnant (C-Trg 7)RANZCOG
RANZCOG Training Registrar Supervision Guideline (C-TRG 05)RANZCOG
Use of Lasers in Obstetrics and Gynaecology (C-Trg 4)RANZCOG


Clinical governance

Maternal and Perinatal Data Collection (C-Obs 40)RANZCOG
Clinical Practice Guideline for Perinatal MortalityRANZCOG endorsed
Health Care of Asylum Seekers and Refugees – 2011RANZCOG endorsed

Issues common to obstetrics and gynaecology

Driving After Abdominal Surgery Including Caesarean Section (C-Gen 21)RANZCOG
Prophylactic Antibiotics in Obstetrics and Gynaecology (C-Gen 17)RANZCOG
Smoking and Pregnancy (C-Obs 53) — under reviewRANZCOG
Assessing Fitness to DriveRANZCOG endorsed
Acute Pain Management: Scientific EvidenceUseful Clinical
Helping People to Stop SmokingUseful Clinical


Assessment of Competency (C-Gen 09)RANZCOG
Attributes of a RANZCOG Fellow (C-Gen 19)RANZCOG
Consent and Provision of Information to Patients in New Zealand Regarding Proposed Treatment (C-Gen 2b)RANZCOG
Consent and Provision of Information to Patients in Australia Regarding Proposed Treatment (C-Gen 2a)RANZCOG
Position Statement on the Appropriate Use of Diagnostic Ultrasound (C-Gen 10)RANZCOG
Evidence-Based Medicine, Obstetrics and Gynaecology (C-Gen 15)RANZCOG
RANZCOG Position Statement Health of Women Seeking Asylum, Refugees and Women Held in DetentionRANZCOG
Performance of Sexual Assault Forensic Examinations by RANZCOG Trainees (C-Gen 12)RANZCOG
The RANZCOG Expert Witness Register: Guidelines for College Members Providing Expert Opinion (C-Gen 01)RANZCOG
Surrogacy in Australia and New Zealand (C-Gen 16)RANZCOG
Guidelines for Visiting Surgeons Conducting Demonstration Sessions (C-Gen 6)RANZCOG
Ensuring the Health and Well-Being of Every Woman, Child, Newborn and AdolescentRANZCOG endorsed
Australian Consensus Framework for Ethical Collaboration in the Healthcare SectorRANZCOG endorsed
Climate Change and Women’s ACOG Position Statement: Addressing Climate Change (2021) Health (ACOG)RANZCOG endorsed
Climate Change and Women’s Health (AMA)RANZCOG endorsed
Communication Between Eligible Midwives and Obstetricians (GP or Specialist)Useful Clinical
The Prevention and Elimination of Disrespect and Abuse During Facility-Based ChildbirthUseful Clinical
Sexuality-Related CommunicationUseful Clinical


RANZCOG reviews clinical guidelines, statements, and patient information pamphlets on a five-year rotation, notwithstanding special circumstances. The number of documents that require review in any given year is large and on occasion we are unable to complete all of them within the designated time frame. Some of these documents will not require updating at the time they are reviewed. In these cases, the version date and year for next review will be updated, but the content remains unchanged.     

The ‘due for review date’ on a document is an administrative tool that helps us to keep track of our information resources. It does not mean that the information is no longer relevant once the review date has passed. The information within these documents does not expire, but changes to treatments, practices and advice can change over time, which is why RANZCOG regularly reviews and updates them (if necessary). The information provided in these documents is of a general nature and should not be seen as a substitute for medical advice or assessment by a doctor. An individual’s specific circumstances should always be considered when medical decisions are made. 

 RANZCOG will prioritise information for review if the circumstances warrant it.

Request archived documents


2 October 2023


Patient information resources

Browse our library of information on specific health concerns or medical procedures, written by expert specialist doctors.

Raising Awareness Tool for Endometriosis (RATE)


Advocacy 15 September 2023
RANZCOG & FARE webinar – The moments you spend with her matter: alcohol & pregnancy
RANZCOG and the Foundation for Alcohol Research and Education (FARE)…
the College 23 August 2023
RANZCOG statement on Mackay Base Hospital
The suspension of Mackay Base Hospital as an accredited training…
Aotearoa New Zealand 23 August 2023
Pause on using surgical mesh in Aotearoa New Zealand
On 23 August 2023, Director-General of Health Dr Diana Sarfati…
Aotearoa New Zealand 23 August 2023
RANZCOG statement on pause on using surgical mesh
RANZCOG notes today’s recommendation by the Director- General of Health.