Publications & Guidelines

Since 2004, the Publications Committee has been charged with developing and publishing various publications, including the SMFM Consult Series and the SMFM Clinical Guidelines series published in the American Journal of Obstetrics & Gynecology. The Publications Committee collaborates with other Societies and Colleges to develop joint publications and statements, as appropriate. The Committee plans topics, selects authors, and reviews each completed paper before it is submitted for an internal SMFM review process and then for publication.  All Committee members have filed conflict of interest statements with SMFM. Any conflicts have been resolved through a process approved by the Executive Board. To facilitate transparency in SMFM's guideline development process, a brief overview of the key stages in development is provided here. Feedback for SMFM Publications is welcome at pubs@smfm.org

Coding : Coding Tips Coding : Coding White Papers Press Publications & Guidelines Publications & Guidelines : Administrative Publications & Guidelines : Consult Series Publications & Guidelines : Endorsed Partner Pub Publications & Guidelines : Health Policy Publication Publications & Guidelines : Joint Publication Publications & Guidelines : Obstetric Care Consensus Publications & Guidelines : Public/Global Health Publications & Guidelines : SMFM Special Report Publications & Guidelines : SMFM Statement

SMFM Special Statement: Grading of Recommendations Assessment, Development, and Evaluation update
SMFM Special Statement: Grading of Recommendations Assessment, Development, and Evaluation update

The Society for Maternal-Fetal Medicine Publications Committee first adopted the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system in 2013. This document provides an update on the Society for Maternal-Fetal Medicine Publications Committee process for creating... Continue Reading

Date posted12/2/2021


SMFM Special Statement: Checklist for initial management of amniotic fluid embolism
SMFM Special Statement: Checklist for initial management of amniotic fluid embolism

Amniotic fluid embolism is a rare syndrome characterized by sudden cardiorespiratory collapse during labor or soon after delivery. Because of its rarity, many obstetrical providers have no experience in managing amniotic fluid embolism and may therefore benefit from a cognitive aid such as a... Continue Reading

Date posted11/30/2021


SMFM Consult Series #55, Counseling women at increased risk of maternal morbidity and mortality
SMFM Consult Series #55, Counseling women at increased risk of maternal morbidity and mortality

Women should be provided with evidence-based information when considering options for contraception and pregnancy management. When counseling about health conditions and available treatments, healthcare practitioners should employ strategies that encourage the incorporation of informed patient... Continue Reading

Date posted11/29/2021


SMFM Consult Series #54: Assessing the risk of maternal morbidity and mortality
SMFM Consult Series #54: Assessing the risk of maternal morbidity and mortality

The rates of maternal morbidity and mortality in the United States demand a comprehensive approach to assessing pregnancy-related risks. Numerous medical and nonmedical factors contribute to maternal morbidity and mortality. Reducing the number of women who experience pregnancy morbidity requires... Continue Reading

Date posted11/28/2021


SOAP Consensus Statement: Neuraxial Procedures in Obstetric Patients w/ Thrombocytopenia
SOAP Consensus Statement: Neuraxial Procedures in Obstetric Patients w/ Thrombocytopenia

Because up to 12% of obstetric patients meet criteria for the diagnosis of thrombocytopenia in pregnancy, it is not infrequent that the anesthesiologist must decide whether to proceed with a neuraxial procedure in an affected patient. Given the potential morbidity associated with general... Continue Reading

Date posted11/27/2021


ACOG Practice Bulletin #227, Fetal Growth Restriction
ACOG Practice Bulletin #227, Fetal Growth Restriction

Fetal growth restriction, also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. There is a lack of consensus regarding terminology, etiology, and diagnostic criteria for fetal growth restriction,... Continue Reading

Date posted11/26/2021


SMFM Consult Series #53: Intrahepatic cholestasis of pregnancy
SMFM Consult Series #53: Intrahepatic cholestasis of pregnancy

Intrahepatic cholestasis of pregnancy is a hepatic disorder characterized by pruritus and an elevation in serum bile acid levels. Although intrahepatic cholestasis of pregnancy poses little risk for women, this condition carries a significant risk for the fetus, including complications such as... Continue Reading

Date posted11/25/2021


Marker definition, approach to ultrasound exam in pregnancies risking placenta accreta spectrum
Marker definition, approach to ultrasound exam in pregnancies risking placenta accreta spectrum

Placenta accreta spectrum includes the full range of abnormal placental attachment to the uterus or other structures, encompassing placenta accreta, placenta increta, placenta percreta, morbidly adherent placenta, and invasive placentation. The incidence of placenta accreta spectrum has increased... Continue Reading

Date posted11/24/2021


SMFM Fetal Anomalies Consult #3: Intracranial Anomalies
SMFM Fetal Anomalies Consult #3: Intracranial Anomalies

Intracranial anomalies are among the most common congenital birth defects. They range from severe and lethal malformations, which are often amenable to prenatal diagnosis during the first to early second trimesters of pregnancy, to more subtle anomalies that may only be detected during the second... Continue Reading

Date posted12/23/2020


SMFM Special Statement: Society for Maternal-Fetal Medicine’s conflict of interest policy
SMFM Special Statement: Society for Maternal-Fetal Medicine’s conflict of interest policy

A vital mission of the Society for Maternal-Fetal Medicine is to provide independent, objective, scientifically based information and recommendations for providers, patients, and payors of high-risk pregnancy care. To ensure that these recommendations are free from bias, special interest, or the... Continue Reading

Date posted12/22/2020


SMFM Clinical Practice Guidelines Development Process
SMFM Clinical Practice Guidelines Development Process

The Society for Maternal-Fetal Medicine (SMFM) publishes clinical practice guidelines in two types of documents: SMFM Clinical Guidelines, which address topics of particular interest to maternal-fetal medicine (MFM) subspecialists, and the SMFM Consult Series, which consist of more focused... Continue Reading

Date posted12/21/2020


SMFM Special Statement: Updated checklists for management of monochorionic twin pregnancy
SMFM Special Statement: Updated checklists for management of monochorionic twin pregnancy

Approximately 20% of twin pregnancies are monochorionic. The management of monochorionic twin pregnancy involves several additional interventions beyond the routine management of singletons or dichorionic twins. In 2015, the Society for MaternaleFetal Medicine posted checklists for monochorionic/... Continue Reading

Date posted12/19/2020