Aim for HbA1c <48 mmol/mol (6.5%) before conception - Folic acid 5mg daily (from pre-conception until 12 weeks) - Review medications: stop statins, ACE inhibitors, ARBs; switch to pregnancy-safe alternatives - Retinal...
Endometriosis: presence of endometrial-like tissue outside the uterus - Affects approximately 10% of women of reproductive age - Common sites: ovaries (endometriomas / "chocolate cysts"), peritoneum, uterosacral...
Offer initial investigations to couples who have not conceived after 1 year of regular unprotected vaginal intercourse - If using artificial insemination, offer investigation if not conceived after 6 cycles of...
Chronic hypertension: present before 20 weeks or pre-existing diagnosis - Gestational hypertension: new hypertension after 20 weeks without proteinuria or other features of pre-eclampsia - Pre-eclampsia: new...
Non-invasive prenatal testing (NIPT), also called cell-free DNA (cfDNA) screening, analyses fragments of placentally-derived cell-free fetal DNA circulating in maternal plasma.
NG123 divides urinary incontinence into three categories that determine the management pathway: stress urinary incontinence (leakage on effort/exertion), urgency urinary incontinence/overactive bladder, and mixed...
NG192 covers the benefits and risks of caesarean birth versus vaginal birth, indications for planned caesarean birth, maternal request, procedural technique, and care before, during, and after caesarean birth, including...
Nulliparous women: plan 10 routine antenatal appointments with a midwife or doctor (recommendation 1.1.7). - Parous (multiparous) women: plan 7 routine antenatal appointments with a midwife or doctor (recommendation...
NG207 covers information and decision-making for induction of labour (IOL), the circumstances in which induction should be offered, the methods used to induce labour, methods that are not recommended, assessment and...
NG217 ("Epilepsies in children, young people and adults") is an 11-section, 150+ page guideline covering diagnosis, seizure-type-specific drug choice, status epilepticus, non-pharmacological treatment, comorbidities,...
In women aged 45 and over, identify perimenopause or menopause on the basis of symptoms alone, without laboratory tests, if they have vasomotor symptoms that have recently started together with a change in their...
Short cervix threshold for offering vaginal progesterone or cerclage: TVUS cervical length ≤25 mm, measured at 16+0–24+0 weeks. - Diagnostic cervical length cut-off in symptomatic women ≥30+0 weeks: ≤15 mm = diagnosed...
NG73 covers the identification, investigation, and management of endometriosis in women and people presenting with suggestive symptoms, including organisation of care, referral pathways, and treatment options through...
Take a history covering the nature of the bleeding, associated symptoms (e.g. pain, pressure symptoms, intermenstrual or postcoital bleeding), impact on quality of life, and other factors that may affect treatment...
Must be determined at 11-13+6 week dating scan — most accurate time - DCDA (dichorionic diamniotic): two placentae, two amniotic sacs — "lambda/twin peak sign" - MCDA (monochorionic diamniotic): one placenta, two...
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