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).
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.
NICE guideline [NG62] | Published date: January 2017
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.
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:
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
The new quality standard highlights the key areas where preterm labour and birth services need to improve.
Studies show the risk of cerebral palsy in babies is significantly lower when women who may give birth early are treated with magnesium sulfate, which can protect developing babies’ brains.
The standard also calls for women who have previously lost a baby mid-trimester or had a previous preterm birth to be offered treatment to prevent the cervix opening early to delay labour and birth.
Professor Gillian Leng, deputy chief executive of NICE, said:
“We know the risks of long-term developmental problems are greater the earlier a baby is born. This quality standard highlights key issues, originally raised in the NICE guideline on Preterm labour and birth, where care needs to improve. For instance the quality standard calls for greater use of magnesium sulfate in women at risk of a preterm birth, which we know has significant potential to reduce disability among babies born preterm.”
The guidance also recommends certain pregnant women are offered maternal corticosteroids, which help with babies’ lung development.
Draft guidance from NICE (National Institute for Health and Care Excellence) outlines what the best palliative care for children looks like.
It emphasises the need for infants, children and young people to be treated as individuals and highlights the importance of children and their families being involved in decisions about care.
Play and art as communication
It is key that children are given information in formats they can understand so NICE recommends using music, art and play.
Play is ultimately fun and enjoyable for children. It offers opportunities for social, emotional and physical development.
Those who study and practice play therapy emphasise that it has a particular importance for children and young people with a life-limiting illness. They suggest that it offers a chance for the child to have normality and opportunities to express themselves in a creative and independent way.