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NICE

NICE

Water birth can be considered as an option for people with low-risk pregnancy, including both nulliparous and multiparous individuals, across different settings (home, midwife-led or obstetric-led units), provided that facilities and trained staff are available. Compared with birth out of water, water birth may be associated with lower risk of severe perineal trauma (third- or fourth-degree tears) in multiparous individuals, reduced postpartum haemorrhage, and lower neonatal unit admission. A ...

NICE

NICE

The use of low-energy contact X-ray brachytherapy is recommended for early-stage or locally advanced rectal cancer (tumours ≤3 cm, up to stage T3b N1 M0) when surgery is declined or poses an unacceptably high risk. However, it is not recommended for metastatic rectal cancer outside formal research settings due to insufficient evidence on efficacy and safety.

NICE

NICE

In adults with refractory cardiac arrest and a shockable rhythm or reversible causes, venoarterial extracorporeal membrane oxygenation (VA ECMO) may be considered as a treatment option, provided it is delivered by a trained multidisciplinary team and in a suitable clinical setting. Patient selection and outcome monitoring are essential. For cases with non-shockable rhythms or irreversible causes, evidence is insufficient to support the use of VA ECMO, and the procedure should only be undertaken ...

NICE

NICE

For children under 12 with atopic eczema, explain to their parents or carers that the effectiveness and safety of homeopathy, herbal medicine, massage and food supplements have not been adequately assessed in clinical trials. There is also no evidence of any benefit from taking fewer baths or showers, or from using ion exchange water softeners or silk clothing. This recommendation was updated in 2025 in light of new evidence reaffirming the lack of benefit from these non-pharmacological ...

NICE

NICE

NICE confirms that beta-blockers should not be routinely withheld from people with chronic heart failure with reduced ejection fraction solely because of advanced age, peripheral vascular disease, erectile dysfunction, diabetes, interstitial lung disease or COPD. These comorbidities are not contraindications, and evidence supports the safety and clinical benefit of beta-blockers when used with proper monitoring. Before prescribing, a 12-lead ECG should be performed to assess heart rhythm, ...