Following stakeholder feedback, NICE has made an amendment to recommendation 1.3.3 to its NICE guideline 229 Fetal monitoring in labour.
The purpose of the amendment is to clarify the timeframe meant in the final bullet.
Updated text
"Offer continuous CTG monitoring for women in labour who have any of the following antenatal fetal risk factors:
- non-cephalic presentation (including breech, transverse, oblique and cord), including while a decision is made about mode of birth
- fetal growth restriction (estimated fetal weight below 3rd centile)
- small for gestational age (estimated fetal weight below 10th centile) with other high-risk features such as abnormal doppler scan results, reduced liquor volume or reduced growth velocity
- advanced gestational age (more than 42+0 weeks at the onset of established labour)
- anhydramnios or polyhydramnios
- reduced fetal movements in the 24 hours prior to the onset of regular contractions."
