Intrapartum care-updated summary of NICE guidance

What you need to knowConsider a woman’s body mass index when planning place of birth, as the chance of needing interventions in labour varies across different BMI rangesSterile water injections, remifentanil patient controlled analgesia, and programmed intermittent epidural boluses are all now recommended as pain relief options for women during labourWarm compresses or massage during the second stage of labour may prevent serious perineal tears and can be considered if appropriate for and acceptable to the womanIn 2021, there were around 650 000 births in England and Wales.1 Most of these births were the result of a straightforward pregnancy, where labour occurred spontaneously at term (37-42 weeks) and the woman gave birth to a single baby without complications. The advice and care that women receive around where to plan their place of birth, pain relief during labour, and management of labour affect their overall experience, and could impact both their…
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