NumberResearch recommendation
Care setting
RR 14What is the clinical and cost effectiveness of different models of care for the prevention and treatment of early-onset neonatal infection?

Why this is important
The systematic reviews conducted for the guideline identified very limited evidence in relation to care setting. Further research is needed to evaluate the clinical and cost effectiveness of different models of care for the prevention and treatment of early-onset neonatal infection. This is important because of the need to support informed choice relating to care setting during labour, birth and the postnatal period. The research should include consideration of the competencies required to deliver particular aspects of care (such as intrapartum antibiotic prophylaxis), the implications of transfer between different care settings (such as transfers to or from the woman’s home or a stand-alone midwifery unit), and family preferences, including the balance between choice and safety. The models of care should be specified, including exposure to medication. The potential benefits and harms of each component should be considered as part of the evaluation of clinical and cost effectiveness.

From: 12, Care setting

Cover of Antibiotics for Early-Onset Neonatal Infection
Antibiotics for Early-Onset Neonatal Infection: Antibiotics for the Prevention and Treatment of Early-Onset Neonatal Infection.
NICE Clinical Guidelines, No. 149.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2012 Aug.
Copyright © 2012, National Collaborating Centre for Women’s and Children’s Health.

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