Tag Archives: Nice Guidance

Percutaneous balloon valvuloplasty for fetal critical aortic stenosis – NICE Guidance


NICE has produced Interventional Procedures Guidance IPG613 covering percutaneous balloon valvuloplasty for fetal critical aortic stenosis.  It covers evidence based guidance on placing a catheter into the baby’s heart, while the baby is still in the womb.

Read the full guidance here



Antenatal and postnatal mental health NICE CG192 updated

Image source: Alwyn ap huw

NICE have updated Antenatal and postnatal mental health: clinical management and service guidance CG192 to reflect the latest MHRA warnings that valproate must not be used in pregnancy, and only used in girls and women when there is no alternative and a pregnancy prevention plan is in place. This is because of the risk of malformations and developmental abnormalities in the baby.

View the NICE update information here

Download more information including the MHRA toolkit on valproate in pregnancy here

NICE Diagnostics consultation: Biomarker tests to help diagnose preterm labour in women with intact membranes

Preterm baby - pixabay
Image Source: pixabay

The National Institute for Health and Care Excellence (NICE) is producing guidance on using biomarker tests (Actim Partus, PartoSure and the Rapid fFN 10Q Cassette Kit) in the NHS in England. The diagnostics advisory committee has considered the evidence base and the views of clinical and patient experts.

The advisory committee is interested in receiving comments on the following:

  • Has all of the relevant evidence been taken into account?
  • Are the summaries of clinical and cost effectiveness reasonable interpretations of the evidence?
  • Are the provisional recommendations sound, and a suitable basis for guidance to the NHS?

The consultation will close on 3rd April.  More details available from NICE here

Surveillance report 2017 – Maternal and child nutrition (2008) NICE guideline PH11 to be updated

In 2014, the previous surveillance decision was that the guideline should be updated but that the update should wait until the following reports had published:

  • Scientific Advisory Committee on Nutrition (SACN) working group review of the dietary reference values for vitamin D intake.
  • NICE public health guideline on vitamin D.
  • The Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) report on assessing the health benefits and risks of the introduction of peanut and hen’s egg into the infant diet before six months of age in the UK.
  • SACN sub-group on Maternal and Child Nutrition (SMCN) report on feeding in the first year of life.

The first 3 listed reports have published, and the SACN’s report on feeding in the first year of life is expected to publish in mid-2018. Additionally, several of NICE’s maternity-related guidelines are currently being updated and there are plans to update NICE guidance on weight management before during and after pregnancy.

After considering all the evidence and views of topic experts, it was decided that a full update is necessary for this guideline.

Read the full details on evidence and reasoning behind the proposed update here

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

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