Group B streptococcal disease RCOG Greentop No 36 updated

AGAR dish

The Royal College of Obstetricians and Gynaecologists has updated Group B Streptococcal Disease, Early-onset (Green-top Guideline No 36).  This guideline guidance for obstetricians, midwives and neonatologists on the prevention of early-onset (less than 7 days of age) neonatal group B streptococcal (EOGBS) disease.

GBS is recognised as the most frequent cause of severe early-onset infection in newborn infants. GBS is present in the bowel flora of 20–40% of adults (colonisation) and those who are colonised are called ‘carriers’. This includes pregnant women. There is variation in practice across the UK regarding the best strategies to prevent EOGBS disease.

Download the full guideline here

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NICE Multiple Pregnancy (update): draft scope consultation

Pregnant woman wikimedia
Image Source: NHS Photolibrary

This guideline will update the NICE guideline on Multiple pregnancy: antenatal 5 care for twin and triplet pregnancies (CG129), and will also be used to update the NICE quality standard for 10 Multiple pregnancy: twin and triplet pregnancies (QS46).

The surveillance process identified that the topic of intrapartum care related to multiple pregnancy should be added.

The consultation will close on 3/10/17

Download the consultation documents and surveillance review from here

Under pressure? NHS maternity services in England

Briefing note
Image Source: IFS

The Institute of Fiscal Studies has published “Under pressure? NHS maternity services in England”. This briefing note discusses the causes and consequences of short-run and long-run pressures on NHS maternity services in England.  It finds the number of maternity cases has stabilised since 2010 but the case mix has changed.

  • The changing case mix explains all of the rise in the number of C-sections in England between 2006 and 2014. The number of C-sections performed by NHS hospitals in England each year increased by 23,000 between 2006 and 2014. We estimate that all of this growth can be explained by the changing case mix of mothers giving birth. There is no evidence of a change in medical practice leading to more C-sections.

Read the briefing note here
Download the full document here

NHS commits to better care for expectant and new mums with mental health

The Chief Executive of NHS England has announced four new Mother and Baby Units which will allow women to stay with their babies while receiving the specialist care they need. These new units will provide in-patient support for women and their babies with the most complex and severe needs who require hospital care, who are experiencing severe mental health crisis including very serious conditions like post-partum psychosis

“Having a baby should be one of happiest, most life-changing experiences and every mum should have the opportunity to bond with her baby, while receiving the care she needs and remaining as close to her families as possible”

Simon Stephens, Chief Executive at NHS England

Read the full press release here

Whooping cough vaccination in pregnancy

Whooping cough poster
Image Source: PHE

Public Health England has published an information poster to support the whooping cough vaccination in pregnancy programme. The poster has been designed to promote the need for maternal pertussis vaccination which is now recommended from week 16 of each pregnancy. It is suitable for GP surgeries, hospitals, maternity units, nurseries, child care centres and libraries.

Download the poster from here

Clinical guideline CG156 updated. Fertility problems: assessment and treatment

 

egg and sperm
Image Source: Flickr

This NICE guideline covers diagnosing and treating fertility problems. It aims to reduce variation in practice and improve the way fertility problems are investigated and managed.

In September 2017, we stood down section 1.7 in this guideline as it has been superseded by publication of the NICE guideline on endometriosis

View the updated guideline here

Female Genital Mutilation (FGM) – April 2017 to June 2017, Experimental Statistics Report

The Female Genital Mutilation (FGM) Enhanced Dataset (SCCI 2026) is an NHS Digital repository for individual level data collected by healthcare providers in England, including acute hospital providers, mental health providers and GP practices.

Key Facts

The Female Genital Mutilation (FGM) Enhanced Dataset (SCCI 2026) supports the Department of Health’s FGM Prevention Programme by presenting a national picture of the prevalence of FGM in England.
•Between April and June 2017 there were 2,288 attendances2 reported at NHS trusts and GP practices where FGM was identified or a procedure for FGM was undertaken.
•There were 1,178 women and girls who had their FGM information collected in the Enhanced Dataset for the first time1. This does not indicate how recently the FGM was undertaken, nor does it necessarily mean that this is the woman or girl’s first attendance for FGM. It is the first time their information has been collected in the FGM Enhanced Dataset.

Download or view the statistics here