4.0.03 DOC Cmte minutes
Intrapartum Care for High-Risk Women – Obstetric Complications
Committee Meeting
Date:
5 & 6 December 2016
Location:
RCOG, London
Minutes:
Final
Committee members present:
Rhona Hughes (Chair) (RH)
Alena Chong (ACh)
Aung Soe (ASo) (from 11.45 on 5 December only)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 3 – 5)
Charlotte Kuponiyi (CK) (on 5 December only)
Heidi Beddall (HB)
Leanne Stamp (LS)
Philip Barclay (PB) (until 13.00 on 5 December & all day
on 6 December)
Sarah Fishburn (SF) (on 5 December only)
Tracey Cooper (TC)
(Present for notes 1 – 5)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 1 – 6 )
Co-opted committee members present
Bid Kumar (BK) (5 December only)
Caroline Rice (CR)
Jackie Baxter (JBa)
Maryam Parisaei (MP)
Myles Taylor (MT) (on 5 December only)
Sarah Davies (SD)
Sharon Jordan (SJ) (from 12.50 on 5 December & all day
on 6 December)
In attendance:
Adam Storrow (ASt) (on 6
December only)
Clifford Middleton (CM) (until
13.00 on 6 December)
Lyn Knott (LKn)
Anne Carty (ACa)
Bishal Bhandari (BB)
(Present for notes 1 – 5 )
(Present for notes 1 – 6)
(Present for notes 1 – 5)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 1 – 5)
(Present for notes 1 – 6)
(Present for notes 4 – 6)
Business Analyst (NICE)
(Present for notes 4 – 6)
Guidelines
Commissioning Manager
(NICE)
Senior Medical Editor
(NICE)
Project Manager
Assistant Systematic
Reviewer
(Present for notes 1 – 5)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
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Laura Kuznetsov (LKu)
Melanie Davies (MD) (from
13.15 on 5 December and
from 13.00 on 6 December)
Moira Mugglestone (MMu)
Paul Jacklin (PJ) (until 15.00
on 5 December & all day on 6
December)
Rami Cosulich (RC)
Shona Burman-Roy (SBR)
Taryn Krause (TK) (until
13.00 on 6 December)
Systematic Reviewer
Clinical Advisor
(Present for notes 1 – 6)
(Present for notes 4 – 6)
Director and Guideline
Lead
Senior Health Economist
(Present for notes 1 – 6)
Systematic Reviewer
Senior Systematic
Reviewer
External Contractor
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 1 – 6)
(Present for notes 1 – 5)
Apologies:
Claire Davidson (CD)
Jacqui Bolton (JBo)
Jenny Myers (JM)
Margaret Matthews (MMa)
Mark Kilby (MK)
Co-opted committee member
Co-opted committee member
Committee member
Committee member
Committee member
1. Welcome and objectives for the meeting
The Chair welcomed the augmented Committee (core members and co-opted
members) and technical team to the seventh meeting for Intrapartum Care for HighRisk Women – Obstetric Complications.
The Chair informed the Committee that apologies had been received as noted
above.
The Chair outlined the objectives of the meeting, which included the following:

reviewing stakeholder comments on the draft addendum to CG190
(exceptional review of fetal monitoring recommendations), agreeing revisions
and drafting responses to comments

considering the expanded evidence review for management in labour based
on cardiotocograph findings.
2. Confirmation of matter under discussion, and declarations of interest
The Chair confirmed that for the purpose of managing conflicts of interest the matter
under discussion was fetal monitoring. The Chair asked everyone to verbally declare
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any interests that had arisen since the last meeting.
Name
Job title,
organisation
Declarations of
Interest
Type of
interest
Decision
taken
Caroline
Rice
Consultant
Obstetrician and
Gynaecologist,
Pennine Acute
Hospitals NHS
Trust
Panel member
undertaking case
reviews for the
2016/17 perinatal
confidential
enquiry into
intrapartum
stillbirth and
intrapartumrelated neonatal
death for
MBRRACE
Personal nonfinancial
specific
Declare
and
participate
The Chair and a senior member of the Developer’s team noted that the interests
declared did not prevent the attendees from participating fully in the meeting.
3. Minutes of last meeting
The Chair asked the Committee if it wanted any changes made to the minutes of the
last meeting. The Committee agreed that the draft minutes were a true and accurate
account of the meeting.
4. Presentations
The Chair introduced SBR who presented the stakeholder comments received on
cardiotocography compared with intermittent auscultation on admission in labour.
SBR took questions from the Committee.
The Chair introduced RC who presented the stakeholder comments received on
interpretation of an electronic fetal heart rate trace. RC took questions from the
Committee.
The Chair introduced ASt who gave a presentation on resource impact assessment.
AS took questions from the Committee.
The Chair introduced LKu who presented the stakeholder comments received on
fetal blood sampling and fetal scalp stimulation. LKu took questions from the
Committee.
The Chair introduced LKu who presented the expanded evidence review for
management of labour based on cardiotocograph findings. LKu took questions from
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the Committee.
The Chair introduced RC who presented the stakeholder comments on management
of labour based on cardiotocograph findings. RC took questions from the Committee.
The Chair introduced BB who presented the stakeholder comments on women’s
views and experiences. BB took questions from the Committee.
The Chair introduced LKu who presented the stakeholder comments on
cardiotocography compared with intermittent auscultation during established labour.
LKu took questions from the Committee.
5. Questions and discussion
The Committee discussed the stakeholder comments received on the exceptional
review of the fetal monitoring guidance in CG190 and updated the recommendations
accordingly. Responses to stakeholder comments were drafted.
The Committee discussed the expanded evidence review for management of labour
based on cardiotocograph findings and reviewed the recommendations in the light of
this and the stakeholder comments.
In accordance with the NICE guideline development process, comments received
from non-registered stakeholders and individuals were also reviewed by the
Committee and where relevant changes to the guideline were agreed by the
Committee.
6. Any other business
The Chair thanked the augmented Committee for their work on the exceptional
review of the fetal monitoring guidance in CG190.
The Chair reminded the core members of the Committee that their next meeting
would be on 28 February 2017.
Date of next meeting:
28 February 2017
Location of next meeting:
RCOG, London
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