Intrapartum care for women with existing medical conditions or obstetric complications and their babies [NICE consultation]

NICE | September 2018 | Intrapartum care for women with existing medical conditions or obstetric complications and their babies

You can now review and comment on this draft guideline.

The guideline covers:

  •  Women in spontaneous or induced labour (or who have a planned caesarean
    section) who are at high risk of adverse outcomes for themselves or their baby
    because of existing maternal medical conditions.
  •  Women in spontaneous or induced labour who are at high risk of adverse
    outcomes for themselves or their baby because:
  •  of obstetric complications in the current or previous pregnancy, labour or birth
  •  the baby is identified during labour to be at risk of adverse outcomes
  •  they have had no antenatal care.

The consultation closes on 5pm 23/10/2018

Evidence reviews and supplementary guidance available at NICE 

Maternal request caesarean research highlights postcode lottery

Birthrights | August 2018 | Maternal request caesarean research highlights postcode lottery

New figures published by Birthrights highlights concerns about  the treatment of women requesting a cesarean section. Their freedom of information request finds that the majority of Trusts in the UK make the process of requesting a caesarean lengthy, difficult or inconsistent adding anxiety and distress to women at a vulnerable time. Statistics show that 15% of Trusts have policies or processes that explicitly do not support maternal request caesarean, while 47% of Trusts have policies or processes that are problematic or inconsistent. Only 26% of Trusts offer caesareans in line with NICE best-practice guidance (via Birthrights). 

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Birthrights news story here 

In the news:

On Medica Some hospitals tell women requesting caesareans to go elsewhere

The Guardian One in six NHS trusts do not offer caesareans on request – charity

BBC News  Women ‘being denied Caesarean choice’

[Video] BBC News I had to fight for my C-section while in labour’

New impact report on maternity care

The Royal College of Medicines| New impact report on maternity care

NICE has published a new report that  explores how its evidence-based guidance contributes to improvements.
The reports are based on data from national audits, reports, survey and indicator frameworks that show the uptake of NICE guidance and quality statement measures (via Royal College of Midwives).

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Image source: nice.org.uk

You can download the full report from NICE 

Fever in under 5s: assessment and initial management

New NICE guidance

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This guideline was updated in August 2017. It covers the assessment and early management of fever with no obvious cause in children aged under 5. It aims to improve clinical assessment and help healthcare professionals diagnose serious illness among young children who present with fever in primary and secondary care.

Read full Clinical guideline [CG160] here

Cerebral palsy in under 25s: assessment and management

NICE guideline [NG62] | Published date: January 2017

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Image source: NICE

This guideline covers diagnosing, assessing and managing cerebral palsy in children and young people from birth up to their 25th birthday. It aims to make sure they get the care and treatment they need for the developmental and clinical comorbidities associated with cerebral palsy, so that they can be as active and independent as possible.

This guideline includes recommendations on:

Read the full guidelines here

Intrapartum care for healthy women and babies

NICE has updated its clinical guideline Intrapartum care for healthy women and babies (CG190). This guideline covers the care of healthy women and their babies during labour and immediately after the birth.  NICE has reviewed the evidence on the effectiveness of midwife-led continuity models and other models of care and deleted a recommendation about team midwifery.

This guideline includes recommendations on:nice-logo

  • choosing place of birth
  • the latent first stage of labour
  • initial and ongoing assessment
  • transfer of care
  • pain relief and monitoring during labour
  • care in the first, second and third stages of labour
  • care of the baby and woman after the birth