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Intrapartum care

All NICE products on intrapartum care. Includes any guidance, advice, NICE Pathways and quality standards.

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Intrapartum care

Everything NICE has said on the care of healthy women and their babies during childbirth in an interactive flowchart

NICE Pathway Published November 2011 Last updated November 2019

Intrapartum care (QS105)

This quality standard covers the care of women and their babies during labour and immediately after the birth. It covers women who go into labour at term, and includes women at low risk of complications during labour and those who go on to develop complications. It describes high-quality care in priority areas for improvement.

Quality standard Published December 2015 Last updated February 2017

Intrapartum care for women with existing medical conditions or obstetric complications and their babies (NG121)

This guideline covers care during labour and birth for women who need extra support because they have a medical condition or complications in their current or previous pregnancy. The guideline also covers women who have had no antenatal care. It aims to improve experiences and outcomes for women and their babies.

NICE guideline Published March 2019 Last updated April 2019

Intrapartum care for women with obstetric complications

Everything NICE has said on intrapartum care for women with obstetric complications in an interactive flowchart

NICE Pathway Published March 2019 Last updated September 2019

Intrapartum care for women with existing medical conditions

Everything NICE has said on intrapartum care for women with existing medical conditions in an interactive flowchart

NICE Pathway Published March 2019

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. It focuses on women who give birth between 37 and 42 weeks of pregnancy (‘term’). The guideline helps women to make an informed choice about where to have their baby. It also aims to reduce variation in areas of care such as fetal monitoring during labour and management of the third stage of labour.

Clinical guideline Published December 2014 Last updated February 2017

Safe midwifery staffing for maternity settings

Everything NICE has said on safe midwifery staffing requirements for maternity settings in an interactive flowchart

NICE Pathway Published February 2015 Last updated September 2019

Inducing labour (CG70)

This guideline covers circumstances, methods and monitoring for inducing labour in pregnant women to avoid a pregnancy lasting longer than 42 weeks (known as a prolonged pregnancy) or if a woman’s waters break but labour does not start. It aims to improve the advice and care provided to women considering and undergoing induction of labour in hospital-based maternity units, midwifery led units and at home .

Clinical guideline Published July 2008

Preterm labour and birth (NG25)

This guideline covers the care of women at increased risk of, or with symptoms and signs of, preterm labour (before 37 weeks), and women having a planned preterm birth. It aims to reduce the risks of preterm birth for the baby and describes treatments to prevent or delay early labour and birth.

NICE guideline Published November 2015 Last updated August 2019

Twin and triplet pregnancy (NG137)

This guideline covers the care that should be offered to women with a twin or triplet pregnancy in addition to the routine care that is offered to all women during pregnancy. It aims to reduce the risk of complications and improve outcomes for women and their babies.

NICE guideline Published September 2019

Antenatal care for uncomplicated pregnancies

Everything NICE has said on antenatal care for healthy women with uncomplicated pregnancies in an interactive flowchart

NICE Pathway Published November 2011 Last updated January 2020

Neonatal infection (early onset): antibiotics for prevention and treatment (CG149)

This guideline covers preventing infection within 72 hours of birth in healthy babies, treating pregnant women whose baby is at risk, and caring for babies who have a suspected or confirmed infection. It aims to reduce delays in recognising and treating sick babies and prevent unnecessary use of antibiotics.

Clinical guideline Published August 2012

Induction of labour

Everything NICE has said on inducing labour in an interactive flowchart

NICE Pathway Published November 2011 Last updated March 2019

Intrapartum care: existing medical conditions or obstetric complications

In development [GID-QS10081] Expected publication date: 28 February 2020

Quality standard In development

Caesarean section (CG132)

This guideline covers when to offer caesarean section, procedural aspects of the operation and care after caesarean section. It aims to improve the consistency and quality of care for women who are considering a caesarean section or have had a caesarean section in the past and are now pregnant again.

Clinical guideline Published November 2011 Last updated September 2019

Antenatal care (QS22)

This quality standard covers care for healthy women and their babies during pregnancy (up to 42 weeks). It covers routine antenatal care in primary, community and hospital settings. It describes high-quality care in priority areas for improvement.

Quality standard Published September 2012 Last updated April 2016

Caesarean section (QS32)

This quality standard covers the care of women who are considering having or may need to have a caesarean section, including those who have had a caesarean section in the past. It includes decision-making, reducing the risk of complications and care after a caesarean section. It describes high-quality care in priority areas for improvement.

Quality standard Published June 2013

Neonatal infection (QS75)

This quality standard covers preventing infection in newborn babies, treating pregnant women whose babies are at risk of infection, and treating newborn babies with suspected or confirmed infection. It includes when to give antibiotics to prevent and treat neonatal infection. It describes high-quality care in priority areas for improvement.

Quality standard Published December 2014

Hypertension in pregnancy: diagnosis and management (NG133)

This guideline covers diagnosing and managing hypertension (high blood pressure), including pre-eclampsia, during pregnancy, labour and birth. It also includes advice for women with hypertension who wish to conceive and women who have had a pregnancy complicated by hypertension. It aims to improve care during pregnancy, labour and birth for women and their babies.

NICE guideline Published June 2019

Transforming maternity services

Transforming maternity services

Antenatal care for uncomplicated pregnancies (CG62)

This guideline covers the care that healthy women and their babies should be offered during pregnancy. It aims to ensure that pregnant women are offered regular check-ups, information and support.

Clinical guideline Published March 2008 Last updated February 2019

Xpert GBS test for the intrapartum detection of group B streptococcus (MIB28)

Advice on the use of the Xpert GBS test for the intrapartum detection of group B streptococcus (GBS) colonisation in pregnant women...

Medtech innovation briefing Published April 2015

Early-onset neonatal infection

Everything NICE has said on antibiotics for preventing and treating early-onset neonatal infection in an interactive flowchart

NICE Pathway Published August 2012 Last updated March 2019

NICE impact: maternity

How NICE recommendations are being used to improve maternity outcomes

Published October 2018 Last updated October 2018

NICEimpact maternity and neonatal care

evidence-based guidance contributes to improvements in maternity and neonatal care. Published September 2019 // Updates

Published September 2019 Last updated September 2019

Episcissors-60 for guided mediolateral episiotomy (MIB33)

Advice on the use of the Episcissors-60 for guided mediolateral episiotomy to aid local decision-making

Medtech innovation briefing Published July 2015

Developmental follow-up of children and young people born preterm (NG72)

This guideline covers the developmental follow-up of babies, children and young people under 18 years who were born preterm (before 37+0 weeks of pregnancy). It explains the risk of different developmental problems and disorders, and specifies what extra assessments and support children born preterm might need during their growth and development.

NICE guideline Published August 2017

Maternal and child nutrition (PH11)

This guideline covers the nutrition of pregnant women, including women who are planning to become pregnant, mothers and other carers of children aged under 5 and their children. In particular, it aims to address disparities in the nutrition of low-income and other disadvantaged groups compared with the general population.

Clinical guideline Published March 2008 Last updated November 2014

Is obesity an independent risk factor for perinatal morbidity and mortality?

scans, making accurate fetal monitoring particularly important in the intrapartum period. However, there was no evidence that continuous...

Research recommendation Published August 2019

Hypertension in pregnancy

Everything NICE has said on diagnosing and managing hypertension in pregnancy in an interactive flowchart

NICE Pathway Published August 2013 Last updated July 2019

What clinical features and laboratory investigations can be used to better stratify risk for women in labour with signs of sepsis (including fever and tachycardia)?

after 42 weeks of pregnancy no antenatal care. The committee did not want to medicalise care for women with fever in labour...

Research recommendation Published August 2019

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

This guideline covers managing diabetes and its complications in women who are planning pregnancy or are already pregnant. It aims to improve the diagnosis of gestational diabetes and help women with diabetes to self-manage their blood glucose levels before and during pregnancy.

NICE guideline Published February 2015 Last updated August 2015

What is the most effective treatment for primary postpartum haemorrhage?

interventions, immediate feedback and quality improvements) compared with standard care could be undertaken. Important outcomes include...

Research recommendation Published June 2015

Does the use of ultrasound of the lumbar spine improve siting of regional anaesthetic needles in pregnant women with a BMI over 30 kg/m2 at the booking appointment?

this group, particularly in women with a BMI over 40 kg/m2. It's helpful for care planning if an anaesthetist is told when a woman with...

Research recommendation Published August 2019

Scholars

Scholarships are one year opportunities to improve quality of care and contribute to your professional development

Published December 2019 Last updated December 2019

What are the long-term consequences for women and babies of planning birth in different settings?

functioning. Source guidance details Comes from guidance Intrapartum care for healthy women and babies Number CG190 Date issued

Research recommendation Published June 2015

How does the provision of accurate, evidence-based information affect women's decision-making processes and choice of place of birth?

birth. Source guidance details Comes from guidance Intrapartum care for healthy women and babies Number CG190 Date issued

Research recommendation Published June 2015

Hypertension in pregnancy (QS35)

This quality standard covers diagnosing and managing hypertension (high blood pressure) and pre-eclampsia during pregnancy, labour and birth. It also covers advice for women with hypertension who may become pregnant and postnatal care for women who have had hypertension or pre-eclampsia. It describes high-quality care in priority areas for improvement.

Quality standard Published July 2013 Last updated July 2019

Does caesarean section protect against cerebral haemorrhage in women with a history of subarachnoid haemorrhage or cerebrovascular malformation?

risk (for example, because they have presented in labour with no antenatal care), the committee decided that in theory a caesarean...

Research recommendation Published August 2019

What is the clinical and cost effectiveness of intermittent auscultation compared with continuous cardiotocography for women in labour who have had a previous caesarean section?

comprehensive information so that they could make informed decisions about their care and wellbeing, and would not be subjected to...

Research recommendation Published August 2019

Fellows

Details of former NICE fellows

Published May 2019 Last updated May 2019

Intrapartum care: Care of healthy women and their babies during childbirth (CG55)

This guidance has been updated and replaced by NICE guideline CG190

Clinical guideline Published September 2007

Maternal and child nutrition

Everything NICE has said on maternal and child nutrition in an interactive flowchart

NICE Pathway Published November 2012 Last updated November 2019

Sepsis: recognition, diagnosis and early management (NG51)

This guideline covers the recognition, diagnosis and early management of sepsis for all populations. The guideline committee identified that the key issues to be included were: recognition and early assessment, diagnostic and prognostic value of blood markers for sepsis, initial treatment, escalating care, identifying the source of infection, early monitoring, information and support for patients and carers, and training and education.

NICE guideline Published July 2016 Last updated September 2017

Postnatal care up to 8 weeks after birth (CG37)

This guideline covers the routine postnatal care women and their babies should receive for 6–8 weeks after the birth. It includes advice given on breastfeeding, and the management of common and serious health problems in women and their babies after the birth.

Clinical guideline Published July 2006 Last updated February 2015

Screening and intrapartum antibiotic prophylaxis for group B streptococcal colonisation:- What is the clinical and cost effectiveness of intrapartum antibiotic prophylaxis targeting group B streptococcus and guided by routine antenatal screening?

Screening and intrapartum antibiotic prophylaxis for group B streptococcal colonisation:- What is the clinical and cost effectiveness of...

Research recommendation Published June 2015

Diabetes

Everything NICE has said on managing type 1 and 2 diabetes in children, young people and adults in an interactive flowchart

NICE Pathway Published May 2011 Last updated June 2018