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).
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