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Maternity Clinical Practice Guidelines

This page contains Clinical Practice Guidelines (CPGs) that relate to Pregnancy conditions and associated issues commonly addressed by Accident & Emergency, Antenatal, Birth Suite, Perioperative and Postnatal Departments of The Royal Women's Hospital.

Guidelines can be found within the following sections;

• Antepartum
• Medical Disorders in Pregnancy
• Complicated Pregnancy
• Intrapartum Care
• Postpartum Care

Antepartum

Antenatal Care

• Antenatal Care Schedule: Routine Low Risk
• Antenatal Pre Admission visit (PAC)
• Antepartum Haemorrhage
• Breech: Management of Breech Presentation
• Female Genital Mutilation (FGM): Management Guidelines  - includes Antenatal and Birth Suite Algorithms 
• Folate in pregnancy
• Gastroschisis
• Hepatitis C - Screening Indicators
• Iron deficiency in pregnancy 
• Obese maternity woman: Management
• Rh D Immunoglobulin in obstetrics
• The Standard Antenatal Check 
• Violence Against Women: Management & Referral Options 
• Vitamin B12 in pregnancy
• Vitamin D - Antenatal Screening

Antenatal and Postnatal Testing

• Red Cell Antibody Testing in pregnancy 
• Home Birth Women who are Rh negative
• Thalassaemia and Abnormal Haemoglobins in Pregnancy

Infections / Infectious Diseases

• GBS colonisation: Strategies to prevent early-onset sepsis in neonates
• HIV and Pregnancy

Medical Disorders of Pregnancy

Diabetes Mellitus

• Management of Pre-existing Diabetes in Pregnancy 
• Management of Gestational Diabetes
• Diabetes in pregnancy: Management in Labour

Complicated Pregnancy

• Breech: Management of Breech Presentation
• Interval delivery in multiple pregnancy
• Methadone and Buprenorphine dosing procedures 
• Opoid substitution in pregnancy: Buprenorphine
• Pre Eclampsia - Management
  • Magnesium Sulphate protocol
  • Hydralazine protocol

Fetal Anomalies

• Gastroschisis

Preterm Labour

• Threatened Preterm Labour
• Preterm Tocolysis Labour
• Mid-Trimester use of Misoprostol *

Prelabour Rupture of Membranes

• Premature at Term
• Preterm Premature (PPROM)

Reproductive Loss

Forms - Autopsy Consent

• 12-19 week pregnancy loss (Word 68 KB)
• Stillborn baby (Word 68 KB)
• Neonatal Death (Word 68 KB)

Intrapartum Care

• Assisted Vaginal Birth
• Breech: Management of Breech Presentation
• Diabetes in pregnancy: Management in Labour
• Gastroschisis
• Induction of labour
• Normal labour and birth - low risk
• Obese maternity woman: Management
• Pain Relief in Labour
• Perineal Trauma: Assessment and Repair
• Peripartum Bladder Management
• Third and Fourth Degree Tears : Management
• VBAC (Vaginal Birth after Caesarean): Intrapartum Management

Obstetric Emergency

• Antepartum Haemorrhage
• Acute Tocolysis in Labour
• Shoulder Dystocia
• Cord Prolapse
• Primary Post Partum Haemorrhage: Management
  • Anaesthetic Management of Post Partum Haemorrhage

Third Stage

• Third Stage Management
• Retained Placenta: Management of

Postpartum Care

• Analgesia - Post Caesarean Section
• Breastfeeding
  • Breastfeeding: The healthy, term newborn (PDF)
  • Candida Guide: Nipple/Breast (Algorithm)
  • Thrush in Lactation
  • Low Breastmilk Supply
  • Mastitis: Lactational
  • Mastitis: Algorithm
  • Medications and herbal preparations to increase breastmilk production (galatogogues)
  • Nipple/Breast pain: Lactating woman
  • Nipple eczema / Dermatitis
  • Tongue Tie - Management
• Obese maternity woman: Management
• Postpartum Care (Obstetric-based care)
• Thromboprophylaxis in women undergoing Caesarean Section

* Intranet only.

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