Guidance
Update information
December 2022: This is a new guideline that updates and replaces the section on monitoring in labour in the NICE guideline on intrapartum care for healthy women and babies (CG190; published in 2014 and updated in 2017).
We have reviewed the evidence on fetal blood sampling during labour. All other changes have been made as editorial edits to the recommendations previously contained in CG190. These recommendations have not had an evidence review.
Recommendations are marked [2022] if the evidence has been reviewed, or they are new consensus recommendations based on the committee's knowledge or expertise.
Recommendations that have been deleted, or changed without an evidence review
We have deleted some recommendations from the section on monitoring in labour in the 2014 NICE guideline on intrapartum care for healthy women and babies. Table 1 in appendix 1 sets out these recommendations and includes details of replacement recommendations. If there is no replacement recommendation, an explanation for the proposed deletion is given.
For recommendations ending [2014, amended 2022] or [2017, amended 2022] we have made changes without reviewing the evidence. Reasons for the changes are given in table 2 in appendix 1.
For recommendations ending [2014] or [2017] we have not reviewed the evidence. In some cases minor changes have been made, for example, to update links, or bring the language and style up to date.
Minor changes since publication
October 2023: We updated links to the NICE guideline on intrapartum care, which has been updated.
June 2023: We have amended recommendation 1.4.37 for clarification and to align it with recommendation 1.4.15.
May 2023: In recommendation 1.3.3 we clarified when continuous cardiotocography monitoring should be used if there are reduced fetal movements before contractions start.