Monday, July 5, 2021

New NICE guidance recommends inducing women in labour earlier

Draft guidelines published by the UK’s National Institute for Health and Care Excellence (NICE) has recommended inducing women in labour earlier in order to ‘make birth safer’.

The draft guidance includes updated recommendations which bolster previous advice in light of new evidence on induction timings, NICE said in a statement.

The updated guideline recommends women with uncomplicated, singleton pregnancies should now be offered induction at 41 weeks, stating that the induction should occur ‘as soon as possible’.

Previously, NICE guidelines had recommended induction between 41 and 42 weeks and that women who choose not to be induced should be monitored after 42 weeks.

The update comes following recent research comparing induction times, with outcomes showing higher infant mortality after 42 weeks if a woman had not been induced.

A NICE independent advisory guideline committee also recommended that more research should be undertaken to establish at which gestational age induction should be offered to women who are more at risk of adverse outcomes if their pregnancy continues.

Another major update to the guideline involves new recommendations for women who have experienced intrauterine foetal death.

NICE’s committee identified an increased risk for women who experience this and who have previously had a caesarean birth, adding that they are more likely to suffer uterine rupture.

The draft guidance recommends women with this risk be advised when discussing their birth options.

Previously, advice had recommended that women with this risk should be offered pharmacological interventions to induce labour, although the committee found no evidence about any of these interventions in this group.

In addition, the committee recommended research into the best methods for inducing labour in women who experience intrauterine foetal death and who have had a previous caesarean birth.

“It’s vitally important that pregnant women faced with the possibility of induced labour are offered advice based on the latest evidence,” said Paul Chrisp, director of the Centre for Guidelines at NICE.

“By advising induced labour one week earlier, we can help ensure that women and babies are safer from harm and have the best possible outcomes during birth,” he added.

Source link

Stay Connected


Latest Articles

Covid’s second wave proves lethal for pregnant women

At SVP Hospital in Ahmedabad – one of the major Covid-19 hospitals of the city – 148 pregnant women with Covid-19 infection were admitted...

7 Tips to Keep Your Gut Healthy

This is common to say health (and illness) starts in your gut. If you have poor gut health, you’ll experience anything from wrinkled skin, to...

SII making first batch of Covovax: Poonawalla

The first batch of Covovax, a Covid-19 vaccine developed by Novavax Inc, is being manufactured at the Serum Institute of India's Pune facility, SII...

Sputnik V is safest among all Covid-19 vaccines, no deaths recorded: Buenos Aires study

A study by the Buenos Aires Ministry of Health to monitor the safety of the Sputnik V vaccine against Covid-19 confirmed on Thursday that...

Telangana caps Covid treatment charges in private hospitals

Hyderabad: The government of Telangana on Wednesday issued orders fixing treatment and investigation charges for Covid-19 in private hospitals.The state government, which had capped...