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NICE clarifies its stillbirth guidelines

Posted 25 June by Maura O'Malley

NICE has issued a clarification statement on whether women should be encouraged to see and hold their stillborn baby, after some organisations raised concerns that its guidelines could be open to misinterpretation.

The recommendation in the full guidelines states: ‘Mothers whose infants are stillborn or die soon after birth should not be routinely encouraged to see and hold the dead infant.’

NICE states that ‘this recommendation is not intended to suggest that women should not be given the choice of seeing and holding their baby, but rather that they should not be routinely encouraged to take up this choice if they do not wish to.  In line with patient-centred care it is expected that treatment and care should take into account the woman’s individual needs and preferences. 

‘Sensitive support will be required in offering this choice or other choices such as seeing or holding the baby with other family members present. Current evidence suggests that seeing and holding the baby is not beneficial for everyone and if women do not wish to see or hold their baby they should not be encouraged to do so.’

NICE has also updated its Understanding NICE guidance booklet, in line with the statement.

The stillbirth and neonatal death charity Sands, which spearheaded the campaign for clarification said it was ‘delighted’ with the statement.

It says: ‘The statement now makes it absolutely clear that parents should always be offered a choice about whether or not they want to see and hold their baby and that choice should be informed.’

It also expressed its thanks to the 4500 people who signed the petition calling for NICE to clarify its recommendation.

The full statement is available on the NICE website at: http://guidance.nice.org.uk/CG45



Comments
This clarification is very welcomed. It is important that midwives are clear about the guidance in this important aspect of care.

Nadia Permalloo (25/06/2010 19:22:05)