Tag Archives: RCOG

Care of women with obesity in pregnancy. RCOG green‐top guideline No.72 in BJOG

This RCOG guideline recommends that women who are obese should be supported to lose weight before conception and between pregnancies to ensure the healthiest possible outcome for mother and baby. This is the second edition of this guideline. The first edition was published in 2010 as a joint guideline with the Centre of Maternal and Child Enquiries under the title ‘Management of Women with Obesity in Pregnancy’.

RCOG previously co-developed a new digital tool, Planning for Pregnancy, which provides tailored information for women on how they can prepare before conception in order to have a healthy pregnancy.

See the RCOG Press release here RCM press release here

View the RCOG Greentop Care of Women with Obesity in Pregnancy here

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Each baby counts: 2018 progress report (RCOG)

Each baby counts progress 2018
Image Source: RCOG 

This report presents key findings and recommendations based on the analysis of data from 2016 relating to the care given to mothers and babies throughout the UK, to ensure each baby receives the safest possible care during labour. The report makes a number of recommendations including addressing workload issues, an individualised management plan for women during antenatal, labour and postnatal care, and ensuring local guidelines are updated in line with national guidance. Each Baby Counts is a clinical quality improvement programme that aims to halve the number of stillbirths and babies who die or are left severely disabled due to incidents during term labour by 2020.

Read also: RCOG news report

Read the RCM news report 

RCOG – Diagnostic Biomarkers for Predicting Adverse Early Pregnancy Outcomes (Scientific Impact Paper No. 58)

This Scientific Impact Paper discusses the use of biomarkers in identifying and caring for women with complications in early pregnancy. A lot of research has been carried out in the past 10 years to find new biomarkers that can do this reliably.

However, so far none of these have been shown to be reliable enough by themselves to remove the need to rely on other ways of diagnosing, such as ultrasound. More research is needed before biomarkers can be used effectively and independently in a hospital or clinic.

Download the Scientific Impact Paper here

RCOG – Vasa Praevia: Diagnosis and Management (Green-top Guideline 27b)

RCOG: Placenta Praevia and Placenta Accreta: Diagnosis and Management (Green-top Guideline No. 27a)

Surgical Management of Miscarriage and Removal of Persistent Placental or Fetal Remains (Consent Advice No. 10 – Joint with AEPU)

nhs_uclh_day-1-surgery_0363-10230
Image Source: NHS Photo Library

This is the second edition of this guidance which was previously published in June 2010 under the title Surgical Evacuation of the Uterus for Early Pregnancy Loss.

This paper provides advice for health professionals obtaining consent from women undergoing surgical management of miscarriage with electric or manual vacuum aspiration. It is also intended to be appropriate when surgical intervention is indicated for an incomplete termination of pregnancy, incomplete or delayed miscarriage, or partially retained placenta after delivery. After careful discussion with the woman, the consent form should be edited under the heading ‘Name of proposed procedure or course of treatment’ to accurately describe the exact procedure to be performed.

Download the full guidance here

Multiple pregnancies following assisted conception. Scientific impact paper No. 22

RCOG Scientific impact paper 22

This is the second edition of this paper, first published in January 2011 under the same title.

Maternal complications include increased risk of pregnancy-induced hypertension, gestational diabetes, peripartum haemorrhage, operative delivery, postpartum depression, and heightened symptoms of anxiety and parenting stress. Multiple pregnancy is also associated with a six-fold increase in the risk of preterm birth, which is a leading cause of infant mortality and long-term mental and physical disabilities, including cerebral palsy, learning difficulties and chronic lung disease.

This paper describes current knowledge and progress made since the publication of the previous edition to reduce multiple pregnancies following ART in the UK, with reference to more recent data showing a downward trend.

Download the paper in pdf from RCOG here

View the BJOG paper here