Dr Andrew Thomson provided insight into the introduction of the Royal College of Obstetricians and Gynaecologists (RCOG) guidelines. He stated that the process to revise the RCOG GBS guideline is now underway, “if the evidence was compelling that we needed to change the practice, then we could revise a guideline in one year or less.”
“The RCOG GBS guideline initially published in 2003 and revised in 2012 concluded that routine bacteriological screening of all pregnant women for antenatal GBS carriage is not recommended.
So we grade our recommendations and this is given as a grade D recommendation and the evidence for that is given underneath and its evidence level 4. And you see what is that recommendation based on. Essentially that is based on expert opinion. It’s not based on good studies; it’s not based on good science. It’s based on a group of experts coming to that conclusion. And in this particular case the group of experts were from the National Screening Committee.”