Obstetric Anesthesiology ACGME case minimums
The ACGME writes 10 case minimums for Obstetric Anesthesiology fellows into its Program Requirements, and the largest single minimum is 30. It publishes no Case Log categories for the specialty; each row below cites the requirement it comes from; the minimums are effective July 1, 2026.
By Chris, CA-1, anesthesiology
Obstetric Anesthesiology minimums by category
| Category | Fellow's clinical experience |
|---|---|
| Fellows' clinical experience must include a minimum of 30 high-risk maternal comorbidity vaginal deliveries. | 30 |
| Fellows' clinical experience must include a minimum of 30 high-risk fetal condition vaginal deliveries. | 30 |
| Fellows' clinical experience must include a minimum of 30 high-risk maternal comorbidity Cesarean deliveries. | 30 |
| Fellows' clinical experience must include a minimum of 20 high-risk fetal condition Cesarean deliveries. | 20 |
| Fellows' clinical experience must include a minimum of 10 antenatal procedures, with no more than five cases accrued from cervical cerclage placement or removal. | 10 |
| Fellows' clinical experience must include a minimum of 20 ultrasonography procedures. | 20 |
| Fellows' clinical experience must include a minimum of 20 neuraxial ultrasound exams, including at least five abdominal plane blocks (e.g., transversus abdominis, quadratus lumborum). | 20 |
| including at least five abdominal plane blocks (e.g., transversus abdominis, quadratus lumborum) | 5 |
| Fellows' clinical experience must include evaluation and management of a minimum of five patients with postpartum headache. | 5 |
| Fellows' clinical experience must include a minimum of 10 neonatal resuscitations, with the support of a skilled neonatology team. | 10 |
| The curriculum must be structured to include interpretation of and to demonstrate competence in fetal heart rate monitoring in the first three months of the program. | — |
| The curriculum must be structured to include a minimum of seven months of operating room and labor and delivery clinical activity. | — |
| The curriculum must be structured to include at least one contiguous two-week rotation in maternal-fetal medicine that includes experience in antepartum fetal testing and high-risk antepartum care. | — |
| The curriculum must be structured to include at least one contiguous two-week rotation in neonatology during which fellows provide routine neonatal evaluation and care. | — |
An em-dash means the ACGME publishes no minimum on that row — not a minimum of zero.
Obstetric Anesthesiology · ACGME specialty 043 · minimums effective July 1, 2026.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- The ACGME publishes no Case Log categories for Obstetric Anesthesiology; its minimums are written into the Program Requirements.
- Every number is a count in one column, “Fellow's clinical experience”.
- 1 row is drawn from a larger row: those cases count toward that row too, never on top of it.
- 4 rows carry no published number and show an em-dash, which is not a minimum of zero.
- The ACGME Review Committee that accredits Obstetric Anesthesiology programs sets these requirements.
Where do these numbers come from?
- Program Requirements, July 1, 2026
Capnolog is independent of the ACGME. Where a number here and the ACGME's own document disagree, the document is right.