Tag Archives: Nice Guidance

Intrapartum care for healthy women and babies – NICE CG190 update

NICE Guidance on Intrapartum Care for Healthy Women and Babies (CG190) has been updated.

February 2017: The evidence has been reviewed for the sections on measuring fetal heart rate as part of the initial assessment and on fetal monitoring during labour. Recommendations for which the evidence was reviewed are labelled [2017]. Recommendations were added or amended, or the committee agreed that no changes were needed to the recommended actions.

View the full guideline here

NICE Guidance CG62 Antenatal care for uncomplicated pregnancies updated

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Image source: NHS Photo Library Copyright ©Crown Copyright

NICE Guidance on antenatal care for uncomplicated pregnancies has been updated with a footnote:

January 2017: A footnote was added to recommendation 1.6.2.2 linking to the NICE diagnostics guidance on high-throughput non-invasive prenatal testing for fetal RHD genotype (DG25).

To read or download the full document click here

 

High-throughput non-invasive prenatal testing for fetal RHD genotype

 

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Image Source:  NHS Photo Library

NICE Diagnostics Guidance 25 

High-throughput non-invasive prenatal testing for fetal RHD genotype | 1-Recommendations | Guidance and guidelines | NICE

1 Recommendations

1.1 High-throughput non‑invasive prenatal testing (NIPT) for fetal RHD genotype is recommended as a cost-effective option to guide antenatal prophylaxis with anti‑D immunoglobulin, provided that the overall cost of testing is £24 or less. This will help reduce unnecessary use of a blood product in pregnant women, and conserve supplies by only using anti‑D immunoglobulin for those who need it.

1.2 Cost savings associated with high-throughput NIPT for fetal RHD genotype are sensitive to the unit cost of the test, additional pathway costs and implementation costs. Trusts adopting NIPT should collect and monitor the costs and resource use associated with implementing testing to ensure that cost savings are achieved (see section 6.1).

Intrapartum care for healthy women and babies

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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.