Pregnancy

NICE Pathways

Interactive topic-based flowcharts that allow you to navigate our recommendations on any subject. Find out more about NICE Pathways.

• Antenatal and postnatal mental health

• Antenatal care for uncomplicated pregnancies

• Diabetes in pregnancy

• Diet

• Ectopic pregnancy and miscarriage

• Hypertension in pregnancy

• Induction of labour

• Maternal and child nutrition

• Multiple pregnancy

• Obesity: working with local communities

• Physical activity

• Postnatal care

• Pregnancy and complex social factors: service provision

• Preterm labour and birth

• Smoking

• Smoking cessation in secondary care

NICE guidelines

Evidence-based recommendations on a range of health and care topics. Find out more about NICE guidelines

• Antenatal and postnatal mental health: clinical management and service guidance (CG192)

  Updated

  Yes

  Id:

  CG192

  Published date:

  December 2014

  Last updated:

  April 2018

• Antenatal care for uncomplicated pregnancies (CG62)

  Id:

  CG62

  Published date:

  March 2008

• Diabetes in pregnancy: management from preconception to the postnatal period (NG3)

  Id:

  NG3

  Published date:

  February 2015

• Ectopic pregnancy and miscarriage: diagnosis and initial management (CG154)

  Id:

  CG154

  Published date:

  December 2012

• Hypertension in pregnancy: diagnosis and management (CG107)

  Id:

  CG107

  Published date:

  August 2010

• Maternal and child nutrition (PH11)

  Id:

  PH11

  Published date:

  March 2008

• Multiple pregnancy: antenatal care for twin and triplet pregnancies (CG129)

  Id:

  CG129

  Published date:

  September 2011

• Pregnancy and complex social factors: a model for service provision for pregnant women with complex social factors (CG110)

  Id:

  CG110

  Published date:

  September 2010

• Preterm labour and birth (NG25)

  Id:

  NG25

  Published date:

  November 2015

• Smoking: acute, maternity and mental health services (PH48)

  Id:

  PH48

  Published date:

  November 2013

• Smoking: stopping in pregnancy and after childbirth (PH26)

  Id:

  PH26

  Published date:

  June 2010

• Weight management before, during and after pregnancy (PH27)

  Id:

  PH27

  Published date:

  July 2010

Quality standards

Statements covering priority areas for quality improvement (including ways to measure quality). Find out more about Quality standards.

• Antenatal and postnatal mental health (QS115)

  Id:

  QS115

  Published date:

  February 2016

• Antenatal care (QS22)

  Id:

  QS22

  Published date:

  September 2012

• Caesarean section (QS32)

  Id:

  QS32

  Published date:

  June 2013

• Diabetes in pregnancy (QS109)

  Id:

  QS109

  Published date:

  January 2016

• Ectopic pregnancy and miscarriage (QS69)

  Id:

  QS69

  Published date:

  September 2014

• Hypertension in pregnancy (QS35)

  Id:

  QS35

  Published date:

  July 2013

• Maternal and child nutrition (QS98)

  Id:

  QS98

  Published date:

  July 2015

• Multiple pregnancy: twin and triplet pregnancies (QS46)

  Id:

  QS46

  Published date:

  September 2013

• Preterm labour and birth (QS135)

  Id:

  QS135

  Published date:

  October 2016

Technology appraisal guidance

Assessments of the clinical and cost effectiveness of health technologies (most commonly medicines, but also medical devices, procedures and diagnostic techniques). Find out more about Technology appraisals guidance.

• Routine antenatal anti-D prophylaxis for women who are rhesus D negative (TA156)

  Id:

  TA156

  Published date:

  August 2008

Diagnostics guidance

Evaluation of innovative medical diagnostic technologies, allowing the NHS to adopt clinically and cost-effective technologies rapidly and consistently. Find out more about Diagnostics guidance.

• High-throughput non-invasive prenatal testing for fetal RHD genotype (DG25)

  Id:

  DG25

  Published date:

  November 2016

• PlGF-based testing to help diagnose suspected pre-eclampsia (Triage PlGF test, Elecsys immunoassay sFlt-1/PlGF ratio, DELFIA Xpress PlGF 1-2-3 test, and BRAHMS sFlt-1 Kryptor/BRAHMS PlGF plus Kryptor PE ratio) (DG23)

  Id:

  DG23

  Published date:

  May 2016

Interventional procedures guidance

Assessments of whether procedures are safe enough and work well enough for wider use in the NHS. Find out more about Interventional procedures guidance.

• Fetal cystoscopy for the diagnosis and treatment of lower urinary outflow tract obstruction (IPG205)

  Id:

  IPG205

  Published date:

  January 2007

• Fetal vesico–amniotic shunt for lower urinary tract outflow obstruction (IPG202)

  Id:

  IPG202

  Published date:

  December 2006

• Hysteroscopic metroplasty of a uterine septum for recurrent miscarriage (IPG510)

  Id:

  IPG510

  Published date:

  January 2015

• Insertion of a double balloon catheter for induction of labour in pregnant women without previous caesarean section (IPG528)

  Id:

  IPG528

  Published date:

  July 2015

• Insertion of pleuro–amniotic shunt for fetal pleural effusion (IPG190)

  Id:

  IPG190

  Published date:

  September 2006

• Intrauterine laser ablation of placental vessels for the treatment of twin-to-twin transfusion syndrome (IPG198)

  Id:

  IPG198

  Published date:

  December 2006

• Laparoscopic cerclage for prevention of recurrent pregnancy loss due to cervical incompetence (IPG228)

  Id:

  IPG228

  Published date:

  August 2007

• Percutaneous fetal balloon valvuloplasty for aortic stenosis (IPG175)

  Id:

  IPG175

  Published date:

  May 2006

• Percutaneous fetal balloon valvuloplasty for pulmonary atresia with intact ventricular septum (IPG176)

  Id:

  IPG176

  Published date:

  May 2006

• Percutaneous laser therapy for fetal tumours (IPG180)

  Id:

  IPG180

  Published date:

  June 2006

• Septostomy with or without amnioreduction for the treatment of twin-to-twin transfusion syndrome (IPG199)

  Id:

  IPG199

  Published date:

  December 2006

• Therapeutic amnioinfusion for oligohydramnios during pregnancy (excluding labour) (IPG192)

  Id:

  IPG192

  Published date:

  November 2006

Medical technologies guidance

Recommendations about whether new medical devices and diagnostics should be adopted in place of current techniques. Find out more about Medical technologies guidance.

• Vision Amniotic Leak Detector to assess unexplained vaginal wetness in pregnancy (MTG15)

  Id:

  MTG15

  Published date:

  July 2013

Evidence summaries

Summaries of the best available evidence for selected new medicines, off-label use of licensed medicines and unlicensed medicines. Find out more about Evidence summaries.

• Induction of labour in late intrauterine fetal death: vaginal misoprostol (after oral mifepristone) (ESUOM11)

  Id:

  ESUOM11

  Published date:

  April 2013

Medtech innovation briefings

Information on device and diagnostic technologies to help local decision-making. Find out more about Medtech innovation briefings (MIBs).

• Health app: GDm-Health for people with gestational diabetes (MIB131)

  Updated

  Yes

  Id:

  MIB131

  Published date:

  November 2017

  Last updated:

  November 2017

In development

• Antenatal care for uncomplicated pregnancies update

  New

  Yes

  Expected publication date:

  July 2020

• Biomarker tests to help diagnose preterm labour in women with intact membranes

  New

  Yes

  Expected publication date:

  July 2018

• Caesarean section (Update)

  New

  Yes

  Expected publication date:

  TBC

• Ectopic pregnancy and miscarriage: diagnosis and initial management (Update)

  New

  Yes

  Expected publication date:

  TBC

• Hypertension in pregnancy: diagnosis and management (Update)

  New

  Yes

  Expected publication date:

  TBC

• Percutaneous balloon valvuloplasty for fetal aortic stenosis

  New

  Yes

  Expected publication date:

  TBC

• Preterm labour and birth (update)

  New

  Yes

  Expected publication date:

  March 2020

• Termination of pregnancy

  New

  Yes

  Expected publication date:

  September 2019

• Twin and triplet pregnancy (update)

  New

  Yes

  Expected publication date:

  May 2019

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