We are pleased to announce the publication of the NICE guideline Intrapartum care for women with existing medical conditions or obstetric complications and their babies (NG121) developed by the National Guideline Alliance (NGA).
This new guideline will sit alongside NICE’s existing guideline on the care of healthy women and their babies during childbirth (CG190). It covers intrapartum care when either the woman or the baby is at high risk of adverse outcomes because of an existing medical condition affecting the woman or an obstetric complication.
The guideline will be used to update the NICE quality standard for intrapartum care.
The guideline covers topics linked to the following:
- information for women with existing medical conditions
- planning for intrapartum care with women with existing medical conditions – involving a multidisciplinary team
- heart disease
- long-term systemic steroids
- bleeding disorders
- subarachnoid haemorrhage or arteriovenous malformation of the brain
- acute kidney injury or chronic kidney disease
- information for women with obstetric complications or no antenatal care
- risk assessment for women with obstetric complications or no antenatal care
- intrapartum haemorrhage
- breech presenting in labour
- small-for-gestational-age baby
- large-for-gestational-age baby
- no antenatal care
- previous caesarean section
- labour after 42 weeks of pregnancy.
"Intrapartum care for women with existing medical conditions or obstetric complications and their babies" (NG121) is available on the NICE website from 6 March 2019.