Surveillance decision

Surveillance decision

We will plan a full update of this guideline.

We will amend the guideline to:

  • Indicate the 'Birth to five' booklet is no longer available in hard copy in recommendation 1.2.2 which states that The Department of Health booklet 'Birth to five', which is a guide to parenthood and the first 5 years of a child's life, should be given to all women within 3 days of birth.

  • Add a cross-referral to NICE guideline NG51 on sepsis published July 2016 in recommendations 1.2.8, 1.2.9 and 1.2.10.

Reason for the decision

We found 245 studies through surveillance of this guideline.

This included new evidence that supports current recommendations on:

  • planning the content and delivery of care (model of care, postpartum hospital stay)

  • maintaining maternal health (thrombosis, perineal pain, incontinence)

  • infant feeding (environmental factors, successful breastfeeding, information and support, breast engorgement and mastitis)

  • maintaining infant health (attachment/bonding, skin problems, home visiting).

We also found new evidence that was not thought to have an impact on current recommendations, including:

  • maintaining maternal health (postnatal haemorrhage, psychological morbidities, constipation, urinary retention, contraception)

  • infant feeding (sore nipple)

  • maintaining infant health (colic, vitamin K, sudden infant death syndrome [SIDS]).

We did not find any new evidence related to:

  • signs and symptoms of major physical morbidities (pre-eclampsia, genital tract sepsis)

  • identification and management of common health problems in women (dyspareunia, headache, fatigue, backache)

  • prevention, identification and treatment of breastfeeding problems (inverted nipple, tongue tied, sleepy baby).

We held a workshop with topic experts and asked for their views on the current recommendations. The topic experts indicated that the service delivery and provision of care have considerably changed since the guideline was developed and the recommendations no longer fit with current practice.

Based on the feedback from topic experts, it was felt that the guideline should be updated to bring the recommendations into line with how services are currently delivered.

Other clinical areas

We did not find any new evidence in areas not covered by the original guideline.


No equalities issues were identified during the surveillance process.

Overall decision

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

See how we made the decision for further information.

This page was last updated: 09 January 2017