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Session
X
2009-10
Type
House
Session
Year
Department
Member
Primary member
Answering member
Legislative stage
Legislation
Subject
Publisher
(2) what guidelines his Department provides on preventing group B streptococcal infection in newborn babies.
(2) what guidelines his Department provides on preventing group B streptococcal infection in newborn babies.
Asked by
Anne Milton
(Conservative)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
3 March 2010
For answer on
5 March 2010
Answered on
10 March 2010
Current guidance for obstetricians, midwives and neonatologists is provided by the Royal College of Obstetricians and Gynaecologists, (RCOG) which published its Green-top guideline No. 36 on the prevention of early-onset neonatal group B streptococcus disease in November 2003. In 2005, the RCOG, in collaboration with the National Screening Committee, established a national audit to evaluate practice in United Kingdom obstetric units against the recommendations of the guideline. The audit published in January 2007, reported that current practice followed the established patterns of care described in the RCOG guideline.The Department supports the Maternity Standards published by the RCOG in 2008, which state that maternity services should comply with evidence-based guidelines for the provision of high-quality clinical care.The National Institute for Health and Clinical Excellence clinical guidelines for routine antenatal care, published in 2008, recommends that pregnant women should not be offered routine antenatal screening for group B streptococcus because evidence of its clinical and cost effectiveness remains uncertain.Information for women on Group B streptococcus is contained in "the Pregnancy book"—a guide to health pregnancy, labour and giving birth, life with your new baby, which is given to all pregnant women during their antenatal care. A copy has already been placed in the Library. Information is also available on NHS Direct and NHS Choices website. Women who are concerned are advised to talk to their doctor or midwife.
Subjects
Pregnancy; Streptococcus
Date
10 March 2010
Reference
507 c353-4W; 321082
House
House of Commons
To ask the Secretary of State for Health (1) what steps are being taken by his Department to increase levels of compliance with the Royal College of Obstetricians and Gynaecologists' guidelines on preventing group B streptococcal infection in newborn babies;
To ask the Secretary of State for Health (1) what steps are being taken by his Department to increase levels of compliance with the Royal College of Obstetricians and Gynaecologists' guidelines on preventing group B streptococcal infection in newborn babies;
Asked by
Anne Milton
(Conservative)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
3 March 2010
For answer on
5 March 2010
Answered on
10 March 2010
Current guidance for obstetricians, midwives and neonatologists is provided by the Royal College of Obstetricians and Gynaecologists, (RCOG) which published its Green-top guideline No. 36 on the prevention of early-onset neonatal group B streptococcus disease in November 2003. In 2005, the RCOG, in collaboration with the National Screening Committee, established a national audit to evaluate practice in United Kingdom obstetric units against the recommendations of the guideline. The audit published in January 2007, reported that current practice followed the established patterns of care described in the RCOG guideline.The Department supports the Maternity Standards published by the RCOG in 2008, which state that maternity services should comply with evidence-based guidelines for the provision of high-quality clinical care.The National Institute for Health and Clinical Excellence clinical guidelines for routine antenatal care, published in 2008, recommends that pregnant women should not be offered routine antenatal screening for group B streptococcus because evidence of its clinical and cost effectiveness remains uncertain.Information for women on Group B streptococcus is contained in "the Pregnancy book"—a guide to health pregnancy, labour and giving birth, life with your new baby, which is given to all pregnant women during their antenatal care. A copy has already been placed in the Library. Information is also available on NHS Direct and NHS Choices website. Women who are concerned are advised to talk to their doctor or midwife.
Subjects
Pregnancy; Streptococcus
Date
10 March 2010
Reference
507 c353-4W; 321081
House
House of Commons
(2) how many infant deaths were due to (a) early and (b) late onset Group B streptococcus infection in the latest period for which figures are available.
(2) how many infant deaths were due to (a) early and (b) late onset Group B streptococcus infection in the latest period for which figures are available.
Asked by
Neil Gerrard
(Labour)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
9 February 2010
For answer on
22 February 2010
Answered on
22 February 2010
The National Institute for Health and Clinical Excellence clinical guidelines for routine antenatal care, published in 2008, recommends that pregnant women should not be offered routine antenatal screening for group B streptococcus because evidence of its clinical and cost-effectiveness remains uncertain.The following table provides the number of infant deaths where there was mention of streptococcus, group B. It is not possible to determine onset of infections but numbers are presented for the neonatal and post-neonatal periods. In 2008, there were 3,281 infant deaths in total, 2,260 occurred in the neonatal period and 1,021 occurred in the post-neonatal period.
| Number of infant deaths where there was mention of streptococcus group B¹, for England and Wales, 2008² | |
|---|---|
| Number of deaths | |
| Neonatal³ | 26 |
| Postneonatal4 | 3 |
| Infant5 | 29 |
| ¹ Cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10). Deaths were included where there was mention of streptococcus group B (corresponding ICD-10 codes are shown in Box 1). | |
| ² Figures for 2008 are provisional. | |
| ³ Neonatal deaths under 28 days after live birth. | |
| 4 Post-neonatal deaths at least 28 days but under one year after live birth. | |
| 5 Infant deaths under a year after live birth. |
| Box 1. ICD-10 codes used to define infant deaths due to Group B streptococcus infection | |
|---|---|
| Description | ICD-10 |
| Septicaemia due to streptococcus, group B | A40.1 |
| Pneumonia due to streptococcus, group B | J15.3 |
| Congenital pneumonia due to streptococcus, group B | P23.3 |
| Sepsis of newborn due to streptococcus, group B | P36.0 |
Subjects
Pregnancy; Streptococcus
Date
22 February 2010
Reference
506 c147W; 317274
House
House of Commons
To ask the Secretary of State for Health (1) what guidance his Department issues to strategic health authorities on the availability of tests to pregnant women for Group B streptococcus infection;
To ask the Secretary of State for Health (1) what guidance his Department issues to strategic health authorities on the availability of tests to pregnant women for Group B streptococcus infection;
Asked by
Neil Gerrard
(Labour)
Answered by
Ann Keen
(Labour)
Answering body
Department of Health
Type
Written questions
Status
Answered
Tabled on
9 February 2010
For answer on
22 February 2010
Answered on
22 February 2010
The National Institute for Health and Clinical Excellence clinical guidelines for routine antenatal care, published in 2008, recommends that pregnant women should not be offered routine antenatal screening for group B streptococcus because evidence of its clinical and cost-effectiveness remains uncertain.The following table provides the number of infant deaths where there was mention of streptococcus, group B. It is not possible to determine onset of infections but numbers are presented for the neonatal and post-neonatal periods. In 2008, there were 3,281 infant deaths in total, 2,260 occurred in the neonatal period and 1,021 occurred in the post-neonatal period.
| Number of infant deaths where there was mention of streptococcus group B¹, for England and Wales, 2008² | |
|---|---|
| Number of deaths | |
| Neonatal³ | 26 |
| Postneonatal4 | 3 |
| Infant5 | 29 |
| ¹ Cause of death was defined using the International Classification of Diseases, Tenth Revision (ICD-10). Deaths were included where there was mention of streptococcus group B (corresponding ICD-10 codes are shown in Box 1). | |
| ² Figures for 2008 are provisional. | |
| ³ Neonatal deaths under 28 days after live birth. | |
| 4 Post-neonatal deaths at least 28 days but under one year after live birth. | |
| 5 Infant deaths under a year after live birth. |
| Box 1. ICD-10 codes used to define infant deaths due to Group B streptococcus infection | |
|---|---|
| Description | ICD-10 |
| Septicaemia due to streptococcus, group B | A40.1 |
| Pneumonia due to streptococcus, group B | J15.3 |
| Congenital pneumonia due to streptococcus, group B | P23.3 |
| Sepsis of newborn due to streptococcus, group B | P36.0 |
Subjects
Pregnancy; Streptococcus
Date
22 February 2010
Reference
506 c147W; 317273
House
House of Commons