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Concerns about the new NICE guidelines on intrapartum care and diabetes in pregnancy
  1. J R Fernandez,
  2. N Aiton,
  3. P Amess,
  4. R Bomont,
  5. C Lawn,
  6. P Seddon,
  7. R Watkins,
  8. H Rabe
  1. Department of Neonatology, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  1. J R Fernandez, Department of Neonatology, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton BN2 5BE, UK; joseramon.fernandez-alvarez{at}bsuh.nhs.uk

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We are pleased to see the two new National Institute for Health and Clinical Excellence (NICE) guidelines on intrapartum care and diabetes in pregnancy. However, we would like to highlight some areas of concern.

The intrapartum care guideline (CG55) applies to mothers with premature rupture of membranes (PROM) (>24 h). Unfortunately it does not take into account maternal group B streptococcus (GBS) status. In most women in the UK, GBS status will be unknown, but up to 25% may be carriers. According to the new NICE guideline, mothers will not receive antibiotics before delivery unless there are signs of chorioamnionitis. The …

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