Green-top Guidelines

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class="search-header__form"> <form class="form" action="/site-search" method="get"> <label class="visually-hidden" for="searchBox">Search the site</label> <input autocomplete="off" type="search" class="js-ss360-search-query" id="searchBox" name="ss360Query" placeholder="Search the site" aria-label="Search the site"> <button id="searchButton" class="js-ss360-search-button">Search</button> </form> </div> </div> </div> <div class="row"> <div class="banner js-banner banner--green banner--content-left banner--no-caption banner--has-image"> <div class="banner__breadcrumbs"> <div class="container"> </div> </div> <div class="container"> <div class="banner__image" style="background-image:url(/media/54qp43wn/adobestock_294703747.jpeg?width=1000&height=666&v=1d82e53db407ef0);"> <img src="/media/54qp43wn/adobestock_294703747.jpeg?width=1000&height=666&v=1d82e53db407ef0" alt="" /> </div> <div class="banner__content"> <h1>Green-top Guidelines</h1> <p>Green-top Guidelines provide systematically developed recommendations which assist clinicians and patients in making decisions about appropriate treatment for specific conditions.</p> <div class="content__buttons"> </div> </div> </div> </div> </div> </div> <div class="container"> <div class="row"> <div class="col-lg-12"> <div class=""> <div class="row"> <div class="component component--section-navigator component-width--100 "> <div class="section-navigator js-section-navigator"> <div class="section-navigator__content"> <p>In this section</p> <div class="content__links"> <ul class="section-navigator__links"> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/amniocentesis-and-chorionic-villus-sampling-green-top-guideline-no-8/">Amniocentesis and Chorionic Villus Sampling (Green-top Guideline No. 8)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/antenatal-corticosteroids-to-reduce-neonatal-morbidity-and-mortality-green-top-guideline-no-74/">Antenatal corticosteroids to reduce neonatal morbidity and mortality (Green-top Guideline No. 74)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/antenatal-corticosteroids-to-reduce-neonatal-morbidity-green-top-guideline-no-7/">Antenatal Corticosteroids to Reduce Neonatal Morbidity (Green-top Guideline No. 7)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/assisted-vaginal-birth-green-top-guideline-no-26/">Assisted Vaginal Birth (Green-top Guideline No. 26)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/diagnosis-and-management-of-ectopic-pregnancy-green-top-guideline-no-21/">Diagnosis and Management of Ectopic Pregnancy (Green-top Guideline No. 21)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/antepartum-haemorrhage-green-top-guideline-no-63/">Antepartum Haemorrhage (Green-top Guideline No. 63)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/birth-after-previous-caesarean-birth-green-top-guideline-no-45/">Birth after Previous Caesarean Birth (Green-top Guideline No. 45)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/blood-transfusions-in-obstetrics-green-top-guideline-no-47/">Blood Transfusions in Obstetrics (Green-top Guideline No. 47)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/pregnancy-and-breast-cancer-green-top-guideline-no-12/">Pregnancy and Breast Cancer (Green-top Guideline No. 12)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/care-after-non-invasive-pre-natal-testing-green-top-guideline-1/">Care after non-invasive pre-natal testing (Green-top Guideline) (1)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-women-presenting-with-suspected-preterm-prelabour-rupture-of-membranes-from-24plus0-weeks-of-gestation-green-top-guideline-no-73/">Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation (Green-top Guideline No. 73)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-women-with-obesity-in-pregnancy-green-top-guideline-no-72/">Care of Women with Obesity in Pregnancy (Green-top Guideline No. 72)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/cervical-cerclage-green-top-guideline-no-75/">Cervical cerclage (Green-top Guideline No. 75)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/cervical-cerclage-green-top-guideline-no-60/">Cervical Cerclage (Green-top Guideline No. 60)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/chickenpox-in-pregnancy-green-top-guideline-no-13/">Chickenpox in Pregnancy (Green-top Guideline No. 13)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/the-initial-management-of-chronic-pelvic-pain-green-top-guideline-no-41/">The Initial Management of Chronic Pelvic Pain (Green-top Guideline No. 41)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/early-pregnancy-loss-management-green-top-guideline-no-25/">Early Pregnancy Loss, Management (Green-top Guideline No. 25)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/endometriosis-investigation-and-management-green-top-guideline-no-24/">Endometriosis, Investigation and Management (Green-top Guideline No. 24)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/epilepsy-in-pregnancy-green-top-guideline-no-68/">Epilepsy in Pregnancy (Green-top Guideline No. 68)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/external-cephalic-version-and-reducing-the-incidence-of-term-breech-presentation-green-top-guideline-no-20a/">External Cephalic Version and Reducing the Incidence of Term Breech Presentation (Green-top Guideline No. 20a)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/female-genital-mutilation-and-its-management-green-top-guideline-no-53/">Female Genital Mutilation and its Management (Green-top Guideline No. 53)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/genital-herpes-in-pregnancy-management-green-top-guideline-no-30/">Genital Herpes in Pregnancy, Management (Green-top Guideline No. 30)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/gestational-trophoblastic-disease-green-top-guideline-no-38/">Gestational Trophoblastic Disease (Green-top Guideline No. 38)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/prevention-of-early-onset-group-b-streptococcal-disease-green-top-guideline-no-36/">Prevention of Early-onset Group B Streptococcal Disease (Green-top Guideline No. 36)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/hiv-in-pregnancy-management-green-top-guideline-no-39/">HIV in Pregnancy, Management (Green-top Guideline No. 39)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/">Outpatient Hysteroscopy (Green-top Guideline No. 59)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-inherited-bleeding-disorders-in-pregnancy-green-top-guideline-no-71/">Management of Inherited Bleeding Disorders in Pregnancy (Green-top Guideline No. 71)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/laparoscopic-injuries-green-top-guideline-no-49/">Laparoscopic Injuries (Green-top Guideline No. 49)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-late-intrauterine-fetal-death-and-stillbirth-green-top-guideline-no-55/">Care of late intrauterine fetal death and stillbirth (Green-top Guideline No. 55)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/the-diagnosis-and-treatment-of-malaria-in-pregnancy-green-top-guideline-no-54b/">The Diagnosis and Treatment of Malaria in Pregnancy (Green-top Guideline No. 54b)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/malaria-in-pregnancy-prevention-green-top-guideline-no-54a/">Malaria in Pregnancy, Prevention (Green-top Guideline No. 54A)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-bladder-pain-syndrome-green-top-guideline-no-70/">Management of Bladder Pain Syndrome (Green-top Guideline No. 70)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-breech-presentation-green-top-guideline-no-20b/">Management of Breech Presentation (Green-top Guideline No. 20b)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-endometrial-hyperplasia-green-top-guideline-no-67/">Management of Endometrial Hyperplasia (Green-top Guideline No. 67)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/maternal-collapse-in-pregnancy-and-the-puerperium-green-top-guideline-no-56/">Maternal Collapse in Pregnancy and the Puerperium (Green-top Guideline No. 56)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-monochorionic-twin-pregnancy-green-top-guideline-no-51/">Management of Monochorionic Twin Pregnancy (Green-top Guideline No. 51)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/intrahepatic-cholestasis-of-pregnancy-green-top-guideline-no-43/">Intrahepatic cholestasis of pregnancy (Green-top Guideline No. 43)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/ovarian-cysts-in-postmenopausal-women-green-top-guideline-no-34/">Ovarian Cysts in Postmenopausal Women (Green-top Guideline No. 34)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/the-management-of-ovarian-hyperstimulation-syndrome-green-top-guideline-no-5/">The Management of Ovarian Hyperstimulation Syndrome (Green-top Guideline No. 5)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/ovarian-masses-in-premenopausal-women-management-of-suspected-green-top-guideline-no-62/">Ovarian Masses in Premenopausal Women, Management of Suspected (Green-top Guideline No. 62)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-suspected-ovarian-masses-in-premenopausal-women-green-top-guideline-no-62/">Management of Suspected Ovarian Masses in Premenopausal Women (Green-top Guideline No. 62)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/pelvic-inflammatory-disease-green-top-guideline-no-32/">Pelvic Inflammatory Disease (Green-top Guideline No. 32)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/placenta-praevia-placenta-praevia-accreta-and-vasa-praevia-diagnosis-and-management-green-top-guideline-no-27/">Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management (Green-top Guideline No. 27)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/placenta-praevia-and-placenta-accreta-diagnosis-and-management-green-top-guideline-no-27a/">Placenta Praevia and Placenta Accreta: Diagnosis and Management (Green-top Guideline No. 27a)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/long-term-consequences-of-polycystic-ovary-syndrome-green-top-guideline-no-33/">Long-term Consequences of Polycystic Ovary Syndrome (Green-top Guideline No. 33)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/post-hysterectomy-vaginal-vault-prolapse-green-top-guideline-no-46/">Post-Hysterectomy Vaginal Vault Prolapse (Green-top Guideline No. 46)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/prevention-and-management-of-postpartum-haemorrhage-green-top-guideline-no-52/">Prevention and Management of Postpartum Haemorrhage (Green-top Guideline No. 52)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/premenstrual-syndrome-management-green-top-guideline-no-48/">Premenstrual Syndrome, Management (Green-top Guideline No. 48)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/preterm-labour-tocolytic-drugs-green-top-guideline-no-1b/">Preterm Labour, Tocolytic Drugs (Green-top Guideline No. 1B)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/preterm-prelabour-rupture-of-membranes-green-top-guideline-no-44/">Preterm Prelabour Rupture of Membranes (Green-top Guideline No. 44)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/recurrent-miscarriage-green-top-guideline-no-17/">Recurrent Miscarriage (Green-top Guideline No. 17)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/reduced-fetal-movements-green-top-guideline-no-57/">Reduced Fetal Movements (Green-top Guideline No. 57)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/the-use-of-anti-d-immunoglobulin-for-rhesus-d-prophylaxis-green-top-guideline-no-22/">The Use of Anti-D Immunoglobulin for Rhesus D Prophylaxis (Green-top Guideline No. 22)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/bacterial-sepsis-following-pregnancy-green-top-guideline-no-64b/">Bacterial Sepsis following Pregnancy (Green-top Guideline No. 64b)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/sepsis-in-pregnancy-bacterial-green-top-guideline-no-64a/">Sepsis in Pregnancy, Bacterial (Green-top Guideline No. 64a)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/severe-pre-eclampsiaeclampsia-management-green-top-guideline-no-10a/">Severe Pre-eclampsia/Eclampsia, Management (Green-top Guideline No. 10a)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/shoulder-dystocia-green-top-guideline-no-42/">Shoulder Dystocia (Green-top Guideline No. 42)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/sickle-cell-disease-in-pregnancy-management-of-green-top-guideline-no-61/">Sickle Cell Disease in Pregnancy, Management of (Green-top Guideline No. 61)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/small-for-gestational-age-fetus-and-a-growth-restricted-fetus-investigation-and-care-green-top-guideline-no-31/">Small-for-Gestational-Age Fetus and a Growth Restricted Fetus, Investigation and Care (Green-top Guideline No. 31)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-beta-thalassaemia-in-pregnancy-green-top-guideline-no-66/">Management of Beta Thalassaemia in Pregnancy (Green-top Guideline No. 66)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/the-management-of-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum-green-top-guideline-no-69/">The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/the-management-of-women-with-red-cell-antibodies-during-pregnancy-green-top-guideline-no-65/">The Management of Women with Red Cell Antibodies during Pregnancy (Green-top Guideline No. 65)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/third-and-fourth-degree-perineal-tears-management-green-top-guideline-no-29/">Third- and Fourth-degree Perineal Tears, Management (Green-top Guideline No. 29)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/reducing-the-risk-of-thrombosis-and-embolism-during-pregnancy-and-the-puerperium-green-top-guideline-no-37a/">Reducing the Risk of Thrombosis and Embolism during Pregnancy and the Puerperium (Green-top Guideline No. 37a)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/thrombosis-and-embolism-during-pregnancy-and-the-puerperium-acute-management-green-top-guideline-no-37b/">Thrombosis and Embolism during Pregnancy and the Puerperium: Acute Management (Green-top Guideline No. 37b)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/umbilical-cord-prolapse-green-top-guideline-no-50/">Umbilical Cord Prolapse (Green-top Guideline No. 50)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/urodynamic-stress-incontinence-surgical-treatment-green-top-guideline-no-35/">Urodynamic Stress Incontinence, Surgical Treatment (Green-top Guideline No. 35)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/vasa-praevia-diagnosis-and-management-green-top-guideline-27b/">Vasa Praevia: Diagnosis and Management (Green-top Guideline 27b)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/venous-thromboembolism-and-hormonal-contraception-green-top-guideline-no-40/">Venous Thromboembolism and Hormonal Contraception (Green-top Guideline No. 40)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/venous-thromboembolism-and-hormone-replacement-therapy-green-top-guideline-no-19/">Venous Thromboembolism and Hormone Replacement Therapy (Green-top Guideline No. 19)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/vulval-skin-disorders-management-green-top-guideline-no-58/">Vulval Skin Disorders, Management (Green-top Guideline No. 58)</a></li> <li><a href="/guidance/browse-all-guidance/green-top-guidelines/rcog-green-top-guidelines-in-development-quarterly-update/">RCOG Green-top guidelines in development: quarterly update</a></li> </ul> </div> </div> </div> </div> <div class="component component--text component-width--66 "> <h2>Green-top Guidelines by year published</h2> </div> <div class="component component--accordion component-width--100 "> <div class="accordion-wrap js-accordion-wrap" data-accordion-topic="Green-top Guidelines by published year"> <div class="accordion-controls"> <a href="#" class="js-accordion-expand-all" title="Expand all about (Green-top Guidelines by published year)">Expand all</a> <a href="#" class="dis js-accordion-collapse-all" title="Close all about (Green-top Guidelines by published year)">Close all</a> </div> <div class="accordion js-accordion"> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2024 </a> </div> <div class="accordion__content js-content"> <div> <p><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-late-intrauterine-fetal-death-and-stillbirth-green-top-guideline-no-55/" title="Late Intrauterine Fetal Death and Stillbirth (Green-top Guideline No. 55)">Care of late intrauterine fetal death and stillbirth (Green-top Guideline No. 55)</a></p> <p>The purpose of this guideline is to identify evidence-based options for parents and their families who have a late intrauterine fetal death (IUFD) after 24+0 completed weeks of pregnancy of a singleton fetus and to incorporate information on general care before, during and after birth, and care in future pregnancies.</p> <p><strong>Published: </strong>28/10/2024</p> <p> </p> <p><a href="/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/" title="Hysteroscopy, Best Practice in Outpatient (Green-top Guideline No. 59)">Outpatient Hysteroscopy (Green-top Guideline No. 59)</a></p> <p>The aim of this guideline is to provide clinicians with up to date, evidence-based information regarding outpatient hysteroscopy, with particular reference to minimising pain and optimising the experience of the woman or person.</p> <p><strong>Published: </strong>19/08/2024</p> <p> </p> <p><a href="/guidance/browse-all-guidance/green-top-guidelines/small-for-gestational-age-fetus-and-a-growth-restricted-fetus-investigation-and-care-green-top-guideline-no-31/" title="Small-for-Gestational-Age Fetus and a Growth Restricted Fetus, Investigation and Care (Green-top Guideline No. 31)">Small-for-Gestational-Age Fetus and a Growth Restricted Fetus, Investigation and Care (Green-top Guideline No. 31)</a></p> <p>This guideline provides advice regarding the investigation and care of the small-for-gestational age fetus and fetal growth restricted fetus. It reviews the risk factors for these conditions and provides recommendations regarding surveillance, diagnosis and management, including recommendations for fetal monitoring and birth. </p> <p><strong>Published</strong> 14/05/2024</p> <p> </p> <p><a href="/guidance/browse-all-guidance/green-top-guidelines/the-management-of-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum-green-top-guideline-no-69/" title="The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69)">The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No.69)</a></p> <p>The guideline provides updated evidence-based or best clinical practice information regarding the diagnosis and subsequent management of nausea and vomiting in pregnancy (NVP) and hyperemesis gravidarum (HG) across community, ambulatory day care and inpatient settings.</p> <p><strong>Published</strong> 05/02/2024</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2023 </a> </div> <div class="accordion__content js-content"> <div> <p><a href="/guidance/browse-all-guidance/green-top-guidelines/recurrent-miscarriage-green-top-guideline-no-17/" title="Recurrent Miscarriage (Green-top Guideline No. 17)">Recurrent Miscarriage (Green-top Guideline No. 17)</a></p> <p>The guideline provides comprehensive information on risk factors, recommended investigations and treatments for recurrent first trimester and one or more second trimester miscarriages.</p> <p><strong>Published</strong> 19 June 2023</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2022 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/intrahepatic-cholestasis-of-pregnancy-green-top-guideline-no-43/" title="Intrahepatic cholestasis of pregnancy (Green-top Guideline No. 43)">Intrahepatic cholestasis of pregnancy (Green-top Guideline No. 43)</a></h2> <p>This guideline summarises the evidence regarding the diagnosis, and the maternal and fetal risks of intrahepatic cholestasis of pregnancy (ICP), previously called obstetric cholestasis.</p> <p><strong>Published</strong> 09/08/2022</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/cervical-cerclage-green-top-guideline-no-75/" title="Cervical cerclage (Green-top Guideline No. 75)">Cervical cerclage (Green-top Guideline No. 75)</a></h2> <p>The purpose of this guideline is to review the literature and provide evidence-based guidance on the use of cerclage in women at risk of preterm birth and second trimester loss.</p> <p><strong>Published</strong> 24/02/2022</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/antenatal-corticosteroids-to-reduce-neonatal-morbidity-and-mortality-green-top-guideline-no-74/" title="Antenatal corticosteroids to reduce neonatal morbidity and mortality (Green-top Guideline No. 74)">Antenatal corticosteroids to reduce neonatal morbidity and mortality (Green-top Guideline No. 74)</a></h2> <p>The aim of this guideline is to provide evidence-based recommendations on the use of antenatal corticosteroids in women at risk of preterm birth or undergoing caesarean birth at term.</p> <p><strong>Published</strong> 17/02/2022</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2021 </a> </div> <div class="accordion__content js-content"> <div> <h3><a href="/guidance/browse-all-guidance/green-top-guidelines/amniocentesis-and-chorionic-villus-sampling-green-top-guideline-no-8/" title="Amniocentesis and Chorionic Villus Sampling (Green-top Guideline No. 8)">Amniocentesis and Chorionic Villus Sampling (Green-top Guideline No. 8)</a></h3> <p>This guideline sets a series of evidence-based standards to ensure a high level and consistency of practice in the provision and performance of amniocentesis and chorionic villus sampling (CVS).</p> <p><strong>Published</strong> 25/10/2021</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2020 </a> </div> <div class="accordion__content js-content"> <div> <h3><a href="/guidance/browse-all-guidance/green-top-guidelines/gestational-trophoblastic-disease-green-top-guideline-no-38/" title="Gestational Trophoblastic Disease (Green-top Guideline No. 38)">Gestational Trophoblastic Disease (Green-top Guideline No. 38)</a></h3> <p>This guideline describes the presentation, management, treatment and follow-up of gestational trophoblastic disease (GTD) and gestational trophoblastic neoplasia (GTN).</p> <p><strong>Published</strong> 30/09/2020</p> <h3><a href="/guidance/browse-all-guidance/green-top-guidelines/assisted-vaginal-birth-green-top-guideline-no-26/" title="Assisted Vaginal Birth (Green-top Guideline No. 26)">Assisted Vaginal Birth (Green-top Guideline No. 26)</a></h3> <p>This guideline provides evidence-based information on the use of forceps and vacuum extractor for both rotational and non-rotational operative vaginal deliveries.</p> <p><strong>Published</strong> 29/04/2020</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2019 </a> </div> <div class="accordion__content js-content"> <div> <h3><a href="/guidance/browse-all-guidance/green-top-guidelines/maternal-collapse-in-pregnancy-and-the-puerperium-green-top-guideline-no-56/" title="Maternal Collapse in Pregnancy and the Puerperium (Green-top Guideline No. 56)">Maternal Collapse in Pregnancy and the Puerperium (Green-top Guideline No. 56)</a></h3> <p>This guideline covers the different causes of maternal collapse, the identification of women at increased risk and the management of maternal collapse.聽</p> <p><strong>Published</strong> 17/12/2019</p> <h3>Care after non-invasive pre-natal testing (NIPT)</h3> <p>This is the proposed scope for the new RCOG Green-top Guideline on Non-Invasive Prenatal Testing.</p> <p><strong>Published</strong> 31/0/2019</p> <h3><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-women-presenting-with-suspected-preterm-prelabour-rupture-of-membranes-from-24plus0-weeks-of-gestation-green-top-guideline-no-73/" title="Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation (Green-top Guideline No. 73)">Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation (Green-top Guideline No. 73)</a></h3> <p>This guideline covers recommendations for the diagnosis, assessment, care and timing of birth of women presenting with suspected PPROM from 24+0 to 36+6 weeks of gestation. It also addresses care in a subsequent pregnancy.</p> <p><strong>Published</strong> 18/06/2019</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2018 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-women-with-obesity-in-pregnancy-green-top-guideline-no-72/" title="Care of Women with Obesity in Pregnancy (Green-top Guideline No. 72)">Care of Women with Obesity in Pregnancy (Green-top Guideline No. 72)</a></h2> <p>This guideline covers interventions prior to conception, and during and after pregnancy when caring for women with obesity.</p> <p><strong>Published</strong> 22/11/2018</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/vasa-praevia-diagnosis-and-management-green-top-guideline-27b/" title="Vasa Praevia: Diagnosis and Management (Green-top Guideline 27b)"><span class="title"> Vasa Praevia: Diagnosis and Management (Green-top Guideline 27b)</span></a></h2> <p>This guideline describes the diagnostic modalities and reviews the evidence-based approach to the clinical management of pregnancies complicated by vasa praevia.</p> <p><strong>Published</strong> 27/09/2018</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/placenta-praevia-and-placenta-accreta-diagnosis-and-management-green-top-guideline-no-27a/" title="Placenta Praevia and Placenta Accreta: Diagnosis and Management (Green-top Guideline No. 27a)">Placenta Praevia and Placenta Accreta: Diagnosis and Management (Green-top Guideline No. 27a)</a></h2> <p>This guideline describes the diagnostic modalities and reviews the evidence-based approach to the clinical management of pregnancies complicated by placenta praevia and placenta accreta.</p> <p><strong>Published</strong> 27/09/2018</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2017 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/prevention-of-early-onset-group-b-streptococcal-disease-green-top-guideline-no-36/" title="Prevention of Early-onset Group B Streptococcal Disease (Green-top Guideline No. 36)">Group B Streptococcal Disease, Early-onset (Green-top Guideline No. 36)</a></h2> <p>This guideline provides guidance for obstetricians, midwives and neonatologists on the prevention of early-onset neonatal group B streptococcal (EOGBS) disease.</p> <p><strong>Published</strong> 13/09/2017</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-inherited-bleeding-disorders-in-pregnancy-green-top-guideline-no-71/" title="Management of Inherited Bleeding Disorders in Pregnancy (Green-top Guideline No. 71)">Management of Inherited Bleeding Disorders in Pregnancy (Green-top Guideline No. 71)</a></h2> <p>This guideline is intended for both specialist haematologists and obstetricians who have experience in managing pregnant patients with bleeding disorders. In addition, it may be a useful reference text for obstetric anaesthetists and neonatologists.</p> <p><strong>Published</strong> 27/04/2017</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/external-cephalic-version-and-reducing-the-incidence-of-term-breech-presentation-green-top-guideline-no-20a/" title="External Cephalic Version and Reducing the Incidence of Term Breech Presentation (Green-top Guideline No. 20a)">External Cephalic Version and Reducing the Incidence of Term Breech Presentation (Green-top Guideline No. 20a)</a></h2> <p>This guideline summarises the evidence regarding the routine use of external cephalic version (ECV) for breech presentation.</p> <p><strong>Published</strong> 16/03/2017</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-breech-presentation-green-top-guideline-no-20b/" title="Management of Breech Presentation (Green-top Guideline No. 20b)">Management of Breech Presentation (Green-top Guideline No. 20b)</a></h2> <p>This guideline provides up-to-date information on methods of delivery for women with breech presentation.</p> <p><strong>Published</strong> 16/03/2017</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2016 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/prevention-and-management-of-postpartum-haemorrhage-green-top-guideline-no-52/" title="Prevention and Management of Postpartum Haemorrhage (Green-top Guideline No. 52)">Postpartum Haemorrhage, Prevention and Management (Green-top Guideline No. 52)</a></h2> <p>This guideline provides information about the prevention and management of postpartum haemorrhage (PPH), primarily for clinicians working in obstetric-led units in the UK; recommendations may be less appropriate for other settings where facilities, resources and routine practices differ.</p> <p><strong>Published</strong> 16/12/2016</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-bladder-pain-syndrome-green-top-guideline-no-70/" title="Management of Bladder Pain Syndrome (Green-top Guideline No. 70)">Management of Bladder Pain Syndrome (Green-top Guideline No. 70)</a></h2> <p>This guideline provides evidence-based information for primary and secondary care clinicians on the symptoms and treatment options for bladder pain syndrome (BPS) in women.</p> <p><strong>Published</strong> 09/12/2016</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/premenstrual-syndrome-management-green-top-guideline-no-48/" title="Premenstrual Syndrome, Management (Green-top Guideline No. 48)">Premenstrual Syndrome, Management (Green-top Guideline No. 48)</a></h2> <p>This guideline reviews the diagnosis, classification and management of premenstrual syndrome. In addition, the evidence for pharmacological and nonpharmacological treatments is examined.</p> <p><strong>Published</strong> 01/12/2016</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-monochorionic-twin-pregnancy-green-top-guideline-no-51/" title="Management of Monochorionic Twin Pregnancy (Green-top Guideline No. 51)">Monochorionic Twin Pregnancy, Management (Green-top Guideline No. 51)</a></h2> <p>This guideline provides clinicians with up-to-date evidence-based information regarding the management of monochorionic twin pregnancy.</p> <p><strong>Published</strong> 16/11/2016</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/diagnosis-and-management-of-ectopic-pregnancy-green-top-guideline-no-21/" title="Diagnosis and Management of Ectopic Pregnancy (Green-top Guideline No. 21)">Diagnosis and Management of Ectopic Pregnancy (Green-top Guideline No. 21)</a></h2> <p>This guideline provides evidence-based guidance on the diagnosis and management of ectopic pregnancies.</p> <p><strong>Published</strong> 04/11/2016</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/ovarian-cysts-in-postmenopausal-women-green-top-guideline-no-34/" title="Ovarian Cysts in Postmenopausal Women (Green-top Guideline No. 34)">Ovarian Cysts in Postmenopausal Women (Green-top Guideline No. 34)</a></h2> <p>This guideline provides information on the investigation and management of postmenopausal women with known ovarian cysts.</p> <p><strong>Published</strong> 19/07/2016</p> <div></div> <div> <p>聽</p> </div> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/epilepsy-in-pregnancy-green-top-guideline-no-68/" title="Epilepsy in Pregnancy (Green-top Guideline No. 68)">Epilepsy in Pregnancy (Green-top Guideline No. 68)</a></h2> </div> <div> <p>This guideline summarises the evidence on maternal and fetal outcomes in women with epilepsy.</p> <p><strong>Published</strong> 20/06/2016</p> </div> <div> <p>聽</p> </div> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-endometrial-hyperplasia-green-top-guideline-no-67/" title="Management of Endometrial Hyperplasia (Green-top Guideline No. 67)">Endometrial Hyperplasia, Management of (Green-top Guideline No. 67)</a></h2> </div> <div> <p>This guideline provides clinicians with up-to-date evidence-based information regarding the management of endometrial hyperplasia.聽</p> <p><strong>Published</strong> 26/02/2016</p> </div> <div> <p>聽</p> </div> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/the-management-of-ovarian-hyperstimulation-syndrome-green-top-guideline-no-5/" title="The Management of Ovarian Hyperstimulation Syndrome (Green-top Guideline No. 5)">Ovarian Hyperstimulation Syndrome, Management (Green-top Guideline No. 5)</a></h2> </div> <div> <p>This guideline provides information about the diagnosis and treatment of ovarian hyperstimulation syndrome (OHSS).</p> <p><strong>Published</strong> 26/02/2016</p> </div> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2015 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/birth-after-previous-caesarean-birth-green-top-guideline-no-45/" title="Birth after Previous Caesarean Birth (Green-top Guideline No. 45)">Birth after Previous Caesarean Birth (Green-top Guideline No. 45)</a></h2> <p>This guideline provides evidence-based information to inform the care of women undergoing either planned vaginal birth after previous caesarean section (VBAC) or elective repeat caesarean section (ERCS).</p> <p><strong>Published</strong> 01/10/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/post-hysterectomy-vaginal-vault-prolapse-green-top-guideline-no-46/" title="Post-Hysterectomy Vaginal Vault Prolapse (Green-top Guideline No. 46)">Post-Hysterectomy Vaginal Vault Prolapse (Green-top Guideline No. 46)</a></h2> <p>This guideline aims to assist generalist and subspecialist gynaecologists in the management of posthysterectomy vaginal vault prolapse (PHVP). The management of urinary incontinence is not covered in this guideline; however, the role of concomitant continence procedures at the time of surgery for vault prolapse is addressed.</p> <p><strong>Published</strong> 24/07/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/female-genital-mutilation-and-its-management-green-top-guideline-no-53/" title="Female Genital Mutilation and its Management (Green-top Guideline No. 53)">Female Genital Mutilation and its Management (Green-top Guideline No. 53)</a></h2> <p>This guideline reviews the evidence on female genital mutilation (FGM) and provides guidance for clinicians involved in the care of women who have undergone FGM.</p> <p><strong>Published</strong> 10/07/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/third-and-fourth-degree-perineal-tears-management-green-top-guideline-no-29/" title="Third- and Fourth-degree Perineal Tears, Management (Green-top Guideline No. 29)">Third- and Fourth-degree Perineal Tears, Management (Green-top Guideline No. 29)</a></h2> <p>This guideline provides evidence-based guidance on the diagnosis, management and treatment of third- and fourth-degree perineal tears (obstetric anal sphincter injuries, referred to as OASIS).聽</p> <p><strong>Published</strong> 12/06/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/blood-transfusions-in-obstetrics-green-top-guideline-no-47/" title="Blood Transfusions in Obstetrics (Green-top Guideline No. 47)">Blood Transfusions in Obstetrics (Green-top Guideline No. 47)</a></h2> <p>This guideline offers guidance about the appropriate use of blood products that neither compromises the affected woman nor exposes her to unnecessary risk. Strategies to maximise the haemoglobin (Hb) level at delivery as well as to minimise blood loss are also discussed.</p> <p><strong>Published</strong> 29/05/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/thrombosis-and-embolism-during-pregnancy-and-the-puerperium-acute-management-green-top-guideline-no-37b/" title="Thrombosis and Embolism during Pregnancy and the Puerperium: Acute Management (Green-top Guideline No. 37b)">Thrombosis and Embolism during Pregnancy and the Puerperium: Acute Management (Green-top Guideline No. 37b)</a></h2> <p>This guideline provides advice on the immediate investigation and management of women in whom venous thromboembolism (VTE) is suspected during pregnancy and the puerperium.</p> <p><strong>Published</strong> 13/04/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/reducing-the-risk-of-thrombosis-and-embolism-during-pregnancy-and-the-puerperium-green-top-guideline-no-37a/" title="Reducing the Risk of Thrombosis and Embolism during Pregnancy and the Puerperium (Green-top Guideline No. 37a)">Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk (Green-top Guideline No. 37a)</a></h2> <p>This guideline provides advice on the prevention of venous thromboembolism (VTE) during pregnancy and birth and following delivery.</p> <p><strong>Published</strong> 13/04/2015</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/chickenpox-in-pregnancy-green-top-guideline-no-13/" title="Chickenpox in Pregnancy (Green-top Guideline No. 13)">Chickenpox in Pregnancy (Green-top Guideline No. 13)</a></h2> <p>This guideline assesses the evidence regarding the maternal and fetal risks of varicella zoster virus (VZV) infection in pregnancy and whether these complications can be prevented or modified by the administration of varicella zoster immune globulin (VZIG) or by treatment with aciclovir.</p> <p><strong>Published</strong> 21/01/2015</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2014 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/long-term-consequences-of-polycystic-ovary-syndrome-green-top-guideline-no-33/" title="Long-term Consequences of Polycystic Ovary Syndrome (Green-top Guideline No. 33)">Polycystic Ovary Syndrome, Long-term Consequences (Green-top Guideline No. 33)</a></h2> <p>This guideline provides information based on clinical evidence about the long-term health consequences of PCOS.</p> <p><strong>Published</strong> 05/11/2014</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/umbilical-cord-prolapse-green-top-guideline-no-50/" title="Umbilical Cord Prolapse (Green-top Guideline No. 50)">Umbilical Cord Prolapse (Green-top Guideline No. 50)</a></h2> <p>This guideline provides evidence-based advice on the prevention, diagnosis and management of umbilical cord prolapse.</p> <p><strong>Published</strong> 05/11/2014</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/the-management-of-women-with-red-cell-antibodies-during-pregnancy-green-top-guideline-no-65/" title="The Management of Women with Red Cell Antibodies during Pregnancy (Green-top Guideline No. 65)">Red Cell Antibodies during Pregnancy, The Management of Women with (Green-top Guideline No. 65)</a></h2> <p>This guideline aims to assist clinicians with the initial assessment and appropriate management of pregnant women with red blood cell antibodies.</p> <p><strong>Published</strong> 28/05/2014</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/management-of-beta-thalassaemia-in-pregnancy-green-top-guideline-no-66/" title="Management of Beta Thalassaemia in Pregnancy (Green-top Guideline No. 66)">Thalassaemia in Pregnancy, Management of Beta (Green-top 66)</a></h2> <p>This guideline provides evidence-based guidance on the management of women with beta (尾) thalassaemia major and intermedia in pregnancy.</p> <p><strong>Published</strong> 27/03/2014</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2013 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/small-for-gestational-age-fetus-and-a-growth-restricted-fetus-investigation-and-care-green-top-guideline-no-31/" title="Small-for-Gestational-Age Fetus, Investigation and Management (Green-top Guideline No. 31)">Small-for-Gestational-Age Fetus, Investigation and Management (Green-top Guideline No. 31)</a></h2> <p>This guideline reviews the risk factors for a small-for-gestational-age (SGA) fetus and provides recommendations regarding screening, diagnosis and management, including fetal monitoring and delivery.</p> <p><strong>Published</strong> 22/03/2013</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2012 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/the-initial-management-of-chronic-pelvic-pain-green-top-guideline-no-41/" title="The Initial Management of Chronic Pelvic Pain (Green-top Guideline No. 41)">Chronic Pelvic Pain, Initial Management (Green-top Guideline No. 41)</a></h2> <p>This guideline provides an evidence-based summary for the generalist to facilitate appropriate investigation and management of women presenting for the first time with chronic pelvic pain.</p> <p><strong>Published</strong> 23/05/2012</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/sepsis-in-pregnancy-bacterial-green-top-guideline-no-64a/" title="Sepsis in Pregnancy, Bacterial (Green-top Guideline No. 64a)">Sepsis in Pregnancy, Bacterial (Green-top Guideline No. 64a)</a></h2> <p>This guideline covers the recognition and management of serious bacterial illness in the antenatal and intrapartum periods and its management in secondary care.</p> <p><strong>Published</strong> 23/05/2012</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/bacterial-sepsis-following-pregnancy-green-top-guideline-no-64b/" title="Bacterial Sepsis following Pregnancy (Green-top Guideline No. 64b)">Sepsis following Pregnancy, Bacterial (Green-top Guideline No. 64b)</a></h2> <p>This guideline provides guidance in the management of sepsis in the puerperium (sepsis developing after birth until 6 weeks postnatally).</p> <p><strong>Published</strong> 25/04/2012</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/shoulder-dystocia-green-top-guideline-no-42/" title="Shoulder Dystocia (Green-top Guideline No. 42)">Shoulder Dystocia (Green-top Guideline No. 42)</a></h2> <p>This guideline reviews the evidence regarding the possible prediction, prevention and management of shoulder dystocia.</p> <p><strong>Published</strong> 28/03/2012</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2011 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/antepartum-haemorrhage-green-top-guideline-no-63/" title="Antepartum Haemorrhage (Green-top Guideline No. 63)">Antepartum Haemorrhage (Green-top Guideline No. 63)</a></h2> <p>This guideline provides advice for clinicians working in obstetric units on how to deal with antepartum haemorrhage.</p> <p><strong>Published</strong> 05/12/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/ovarian-masses-in-premenopausal-women-management-of-suspected-green-top-guideline-no-62/" title="Ovarian Masses in Premenopausal Women, Management of Suspected (Green-top Guideline No. 62)">Ovarian Masses in Premenopausal Women, Management of Suspected (Green-top Guideline No. 62)</a></h2> <p>This guideline aims to assist clinicians with the initial assessment and appropriate management of suspected ovarian masses in premenopausal women.</p> <p><strong>Published</strong> 02/12/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/sickle-cell-disease-in-pregnancy-management-of-green-top-guideline-no-61/" title="Sickle Cell Disease in Pregnancy, Management of (Green-top Guideline No. 61)">Sickle Cell Disease in Pregnancy, Management of (Green-top Guideline No. 61)</a></h2> <p>This guideline describes the management of pregnant women with sickle cell disease, including preconceptual screening and antenatal, intrapartum and postnatal management.</p> <p><strong>Published</strong> 26/08/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/venous-thromboembolism-and-hormone-replacement-therapy-green-top-guideline-no-19/" title="Venous Thromboembolism and Hormone Replacement Therapy (Green-top Guideline No. 19)">Venous Thromboembolism and Hormone Replacement Therapy (Green-top Guideline No. 19)</a></h2> <p>This guideline has been archived. Please see the guideline produced by the Faculty of Sexual and Reproductive Healthcare (FSRH).</p> <p><strong>Published</strong> 31/05/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/cervical-cerclage-green-top-guideline-no-60/" title="Cervical Cerclage (Green-top Guideline No. 60)">Cervical Cerclage (Green-top Guideline No. 60)</a></h2> <p>This guideline has been archived. Please see Green-top Guideline No. 75 Cervical cerclage and the NICE guideline [NG25] Preterm labour and birth.</p> <p><strong>Published</strong> 19/05/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/recurrent-miscarriage-green-top-guideline-no-17/" title="The Investigation and Treatment of Couples with Recurrent Miscarriage (Green-top Guideline No. 17)">Recurrent Miscarriage, Investigation and Treatment of Couples (Green-top Guideline No. 17)</a></h2> <p>This guideline provides guidance on the investigation and treatment of couples with three or more first-trimester miscarriages, or one or more second-trimester miscarriages.</p> <p><strong>Published</strong> 19/05/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/intrahepatic-cholestasis-of-pregnancy-green-top-guideline-no-43/" title="Obstetric Cholestasis (Green-top Guideline No. 43)">Obstetric Cholestasis (Green-top Guideline No. 43)</a></h2> <p>This guideline summarises the evidence for the fetal risks associated with obstetric cholestasis and provides guidance on the different management choices and the options available for its treatment.</p> <p><strong>Published</strong> 19/05/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/the-use-of-anti-d-immunoglobulin-for-rhesus-d-prophylaxis-green-top-guideline-no-22/" title="The Use of Anti-D Immunoglobulin for Rhesus D Prophylaxis (Green-top Guideline No. 22)">Rhesus D Prophylaxis, The Use of Anti-D Immunoglobulin for (Green-top Guideline No. 22)</a></h2> <p>This guideline has been archived. Please see the British Committee for Standards in Haematology (BCSH) guideline on anti-D administration in pregnancy.</p> <p><strong>Published</strong> 27/04/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/" title="Hysteroscopy, Best Practice in Outpatient (Green-top Guideline No. 59)">Hysteroscopy, Best Practice in Outpatient (Green-top Guideline No. 59)</a></h2> <p>This guideline provides clinicians with evidence-based information regarding outpatient hysteroscopy, with a focus on minimising pain and optimising the woman鈥檚 experience.</p> <p><strong>Published</strong> 27/04/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/reduced-fetal-movements-green-top-guideline-no-57/" title="Reduced Fetal Movements (Green-top Guideline No. 57)">Reduced Fetal Movements (Green-top Guideline No. 57)</a></h2> <p>This guideline reviews the risk factors for reduced fetal movements in pregnancy and makes management recommendations</p> <p><strong>Published</strong> 25/02/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/vulval-skin-disorders-management-green-top-guideline-no-58/" title="Vulval Skin Disorders, Management (Green-top Guideline No. 58)">Vulval Skin Disorders, Management (Green-top Guideline No. 58)</a></h2> <p>This guideline has been archived. Please see the British Association for Sexual Health and HIV (BASHH) guideline on the management of vulval conditions.</p> <p><strong>Published</strong> 22/02/2011</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/preterm-labour-tocolytic-drugs-green-top-guideline-no-1b/" title="Preterm Labour, Tocolytic Drugs (Green-top Guideline No. 1B)">Preterm Labour, Tocolytic Drugs (Green-top Guideline No. 1B)</a></h2> <p>This guideline has been archived. Please see the NICE guideline [NG25] Preterm labour and birth.</p> <p><strong>Published</strong> 22/02/2011</p> </div> </div> </div> </div> <div class="component component--accordion component-width--100"> <div class="accordion__panel js-accordion-panel"> <div class="accordion__panel-heading"> <a href="#" class="js-heading" data-accordion-topic="Green-top Guidelines by published year"> 2010 </a> </div> <div class="accordion__content js-content"> <div> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/care-of-late-intrauterine-fetal-death-and-stillbirth-green-top-guideline-no-55/" title="Late Intrauterine Fetal Death and Stillbirth (Green-top Guideline No. 55)">Late Intrauterine Fetal Death and Stillbirth (Green-top Guideline No. 55)</a></h2> <p>This guideline identifies evidence-based options for women who have a late intrauterine fetal death of a singleton fetus.</p> <p><strong>Published</strong> 10/11/2010</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/antenatal-corticosteroids-to-reduce-neonatal-morbidity-green-top-guideline-no-7/" title="Antenatal Corticosteroids to Reduce Neonatal Morbidity (Green-top Guideline No. 7)">Antenatal Corticosteroids to Reduce Neonatal Morbidity (Green-top Guideline No. 7)</a></h2> <p>This guideline has been archived. Please see the NICE guideline [NG25] Preterm labour and birth.</p> <p><strong>Published</strong> 31/10/2010</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/preterm-prelabour-rupture-of-membranes-green-top-guideline-no-44/" title="Preterm Prelabour Rupture of Membranes (Green-top Guideline No. 44)">Preterm Prelabour Rupture of Membranes (Green-top Guideline No. 44)</a></h2> <p>This guideline has been archived. Please see GTG No. 73 Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes, and the NICE guideline [NG25] Preterm labour and birth.</p> <p><strong>Published</strong> 01/10/2010</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/venous-thromboembolism-and-hormonal-contraception-green-top-guideline-no-40/" title="Venous Thromboembolism and Hormonal Contraception (Green-top Guideline No. 40)">Venous Thromboembolism and Hormonal Contraception (Green-top Guideline No. 40)</a></h2> <p>This guideline has been archived. Please see the Faculty of Sexual and Reproductive Healthcare (FSRH) statement on venous thromboembolism and hormonal contraception.</p> <p><strong>Published</strong> 27/09/2010</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/the-diagnosis-and-treatment-of-malaria-in-pregnancy-green-top-guideline-no-54b/" title="The Diagnosis and Treatment of Malaria in Pregnancy (Green-top Guideline No. 54b)">Malaria in Pregnancy, Diagnosis and Treatment (Green-top Guideline No. 54B)</a></h2> <p>This guideline provides clinicians with evidence-based information on the diagnosis and treatment of malaria in pregnancy in situations likely to be encountered in UK medical practice.</p> <p><strong>Published</strong> 28/04/2010</p> <h2><a href="/guidance/browse-all-guidance/green-top-guidelines/malaria-in-pregnancy-prevention-green-top-guideline-no-54a/" title="Malaria in Pregnancy, Prevention (Green-top Guideline No. 54A)">Malaria in Pregnancy, Prevention (Green-top Guideline No. 54A)</a></h2> <p>This guideline provides clinicians with evidence-based information about the prevention of malaria in pregnancy in situations likely to be encountered in UK clinical practice (i.e. in UK residents visting malaria endemic areas).</p> <p><strong>Published</strong> 28/04/2010</p> <p>聽</p> </div> </div> </div> </div> </div> </div> </div> <div class="component component--text component-width--66 "> <h2>How Green-top Guidelines are developed</h2> <p>The Green-top Guidelines are produced following the process outlined in the handbook <a rel="noopener" href="/media/pxqn50uk/rcog-guideline-development-guide.pdf" target="_blank" title="RCOG Guideline Development Guide">Developing a Green-top Guideline: Guidance for developers (PDF 2.4mb)</a>, under the direction of the <a href="/about-us/governance/committees/guidelines-committee/" title="Guidelines Committee">RCOG Guidelines Committee</a>.</p> <p>NICE has accredited the process used by the RCOG to produce its Green-top Guidelines. Accreditation is valid for 5 years from June 2020. More information on accreditation can be viewed at聽<a rel="noopener" href="http://www.nice.org.uk/about/what-we-do/accreditation" target="_blank">http://www.nice.org.uk/about/what-we-do/accreditation.</a></p> <p>Above, you can browse Green-top Guidelines by title or year published.</p> <p>For any enquiries about Green-top Guidelines, please contact <a href="mailto:clinicaleffectiveness@rcog.org.uk">clinicaleffectiveness@rcog.org.uk</a>.</p> <p><a href="/guidance/browse-all-guidance/green-top-guidelines/rcog-green-top-guidelines-in-development-quarterly-update/" title="RCOG Green-top guidelines in development: quarterly update">You can see a summary of Green-top Guidelines in development, including their stage in the development process and estimated publication date, here.</a></p> <p>The recommendations are not intended to dictate an exclusive course of management or treatment.</p> <p>They must be evaluated with reference to individual patient needs, resources and limitations unique to the institution and variations in local populations. It is hoped that this process of local ownership will help to incorporate these guidelines into routine practice.</p> <p>If you would like to propose a new Green-top Guideline, please complete the <a href="/media/d0lnkrla/rcog-topic-proposal-form-2024.docx" title="RCOG Topic Proposal Form 2024">Topic Proposal Form </a>and email it to <a href="mailto:clinicaleffectiveness@rcog.org.uk">clinicaleffectiveness@rcog.org.uk</a>.</p> </div></div> </div> </div> </div> </div> </main> <footer id="website-footer"> <div class="container"> <div class="row"> <div class="col-sm-12 col-md-2 col-lg-2"> <div class="footer__block np"> <img src="/Static/themes/rcog/img/logos/rcog-logomark.svg" alt="RCOG logo" /> </div> </div> <div class="col-sm-12 col-md-10 col-lg-10"> <div class="footer__block np"> <div class="footer__join"> Join the conversation <ul id="footer-social-list" class="footer__social-list"> <li><a class="tw" href="http://www.twitter.com/rcobsgyn">Twitter</a></li> <li><a class="fb" href="https://www.facebook.com/RCObsGyn">Facebook</a></li> <li><a class="ig" href="https://www.instagram.com/royalcollegeobsandgynae/">Instagram</a></li> <li><a class="li" href="https://www.linkedin.com/company/royal-college-of-obstetricians-and-gynaecologists/">LinkedIn</a></li> </ul> </div> </div> </div> </div> </div> <hr class="footer__break" /> <div class="container"> <div class="row row--styled-borders"> <div class="col-sm-12 col-md-4 col-lg-3"> <div class="footer__block np-l"> <nav aria-label="Footer Nav List"> <ul class="footer__nav-list"> <li><a class="icon icon--chevron-fill" href="https://www.rcog-careers.org/" target="_blank">Jobs</a></li> <li><a class="icon icon--chevron-fill" href="https://elearning.rcog.org.uk/catalog?pagename=1688122274sjE7M" target="_blank">RCOG Shop</a></li> <li><a class="icon icon--chevron-fill" href="/contact-us/">Contact us</a></li> </ul> </nav> </div> </div> <div class="col-sm-12 col-md-4 col-lg-3"> <div class="footer__block"> <address> <span>10–18 Union Street</span> <span>London</span> <span>SE1 1SZ</span> <span>UK</span> </address> </div> </div> <div class="col-sm-12 col-md-4 col-lg-3"> <div class="footer__block"> <ul class="footer__contact-list"> <li><a href="tel:+442077726200">T +44 20 7772 6200</a></li> </ul> </div> </div> <div class="col-sm-12 col-md-12 col-lg-3"> <div class="footer__block footer__support"> Support our work around the world by making a donation <br /> <a class="button" href="/about-us/get-involved-with-our-work/supporting-us/">Donate now</a> </div> </div> </div> </div> <div class="base"> <div class="container"> <div class="row"> <div class="col-lg-12"> <div class="base__charity"> Registered charity no. 213280 </div> <ul class="base__utility"> <li><a href="/legal/accessibility/">Accessibility</a></li> <li><a href="/legal/privacy-policy-and-cookies/">Privacy policy</a></li> <li><a href="/legal/terms-conditions/">Terms & conditions</a></li> <li><a href="/about-us/equality-diversity-and-inclusion-at-the-rcog/">Equality, diversity and inclusion</a></li> <li><a href="/site-map/">Site Map</a></li> </ul> </div> </div> </div> </div> </footer> <script integrity="sha256-H+K7U5CnXl1h5ywQfKtSj8PCmoN9aaq30gDh27Xc0jk=" crossorigin="anonymous" src="https://code.jquery.com/jquery-3.6.0.js"></script> <script src="/App_Plugins/UmbracoForms/Assets/promise-polyfill/dist/polyfill.min.js?v=13.2.5" type="application/javascript"></script><script src="/App_Plugins/UmbracoForms/Assets/aspnet-client-validation/dist/aspnet-validation.min.js?v=13.2.5" type="application/javascript"></script> <script integrity="sha384-aqvfY6jJZz7P1H3oZsg8o0LwTPPzfe8oAUErRJ960teK4rPG++iAX5l5gyu0iEzf" crossorigin="anonymous" src="https://cc.cdn.civiccomputing.com/9/cookieControl-9.6.1.min.js"></script> <script> const marketingCookies = ['yt-remote-session-app', 'yt-remote-session-name', 'yt-remote-fast-check-period', 'yt-remote-cast-installed', 'yt-remote-cast-available', 'yt-remote-device-id', 'yt-remote-connected-devices', 'yt-player-headers-readable', 'yt.innertube::requests', 'yt.innertube::nextId', '__Secure-3PSIDCC', 'SSID', 'SID', 'SAPISID', '__Secure-1PSID', '__Secure-3PAPISID', '__Secure-1PAPISID', '__Secure-3PSID', 'APISID', 'HSID', 'WIDGET::local::assignments', 'WIDGET::local::broadcast', 'PREF', 'VISITOR_INFO1_LIVE', 'use_hitbox', 'YSC']; 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