Maternity Guidelines, Protocols and Polices

Disclaimer: The Grampians Region Health Collaborative (GRHC) does not accept any liability to any person for the information (or use of such information) which is provided in these documents or incorporated into them by reference. GRHC provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy.

The following are Maternity Guidelines developed by Ballarat Health Services for use by maternity services in the Grampians Region.  Local adaptions may be applied and the original document referenced in the local guideline which has been ratified by local governance documentation frameworks in place at each organisation.

* = under development or review

Labour and birth

 

• Accoucher 
• Artificial Rupture of Membranes (ARM) 
• Caesarean Section - Urgency Coding and Response 
• Cord Prolapse*
• Diabetes in Pregnancy – Screening for Gestational Diabetes 
• Diabetes In Pregnancy - Management of Gestational Diabetes*
• Diabetes In Pregnancy - Management of Type 1 Diabetes*
• Diabetes in Pregancy - Management of Type 2 Diabetes*
• Diabetes in Pregnancy Postnatal Care 
• Emergency Hysterotomy in Maternal Cardiac Arrest 
• Fetal Fibronectin 
• Fetal Surveillance - Antepartum 
• Fetal Surveillance - Intrapartum 
• Fetal Surveillance – Fetal Scalp Electrode Application  *NEW*
• Fetal Surveillance - Fetal blood sampling*NEW*
• Fetal Surveillance - Cord blood sampling*
• Group B Streptococcus (GBS) Maternal Screening & Treatment 
• Group B Streptococcus (GBS) Prevention & Management of Neonatal GBS Sepsis 
• Hypertension in Pregnancy - Eclampsia**NEW**
• Hypertension in Pregnancy - Hypertensive Disorders**NEW**
• Hypertension in Pregnancy - Pre-eclampsia**NEW**
• Induction of Labour 
• Induction of labour - Transcervical catheterr*NEW*
• Induction of Labour with prostaglandin E2 (PGE2) Vaginal Gel (Prostin)
• Magnesium Sulphate Infusion in Midwifery  *
• Management of Uterine Hyperstimulation (Tachysystole) 
• Massive Transfusion 
• Non-detection of Foetal Heart Sounds 
• Obesity in Pregnancy*
• Obstetric Emergency Response 
• Oxytocin (Syntocinon)- Induction, augmentation of labour and postpartum administration 
• Oxytocin (Syntocinon) Infusion - intrapartum
• Patient Cotrolled Analgesia (PCA) in labour ward using Remifentanil
• Patient Controlled Epidural Analgesia - Labour Ward Only 
• Postpartum Care - Contraceptive Advice *
• Postpartum Care - Perinenal Care*
• Postpartum Haemorrhage (PPH) 
• Pregnancy Care - Maternity Booking and First Visit*
• Pregnancy Care - Model of Care*
• Pregnancy Care - Routine Antenatal Check*
• Pregnancy Care - Pregnancy Assessment Service*
• Pregnancy Care - Schedule of Visits*
• Pregnancy Care Procedures - Abdominal Palpation
• Pregnancy Care Procedures - Auscultation of Fetal Heart Rate*
• Pregnancy Care Procedures - Measuring Blood Pressure**NEW**
• Pregnancy Care Procedures - Measuring Fundal Height**NEW**
• Pregnancy Care Procedures - Speculum Examination*
• Pregnancy Care Procedures - Vaginal Examination*
• Prelabour Rupture of Membranes (PROM)
• Preterm Prelabour Rupture of Membranes (PPROM)
• Retained Placenta
• Rh D Immunoglobulin Administration (formerly Anti D)
• Shoulder Dystocia 
• Support Persons in Labour Ward
• Tocolysis - Preterm Labour and Inhibition of Established Labour
• Water immersion for pain management during the first stage of labour
• Water Injections (Labour analgesia)

 Additional resources

• Australian and New Zealand Stillbirth Alliance Clinical Practice Guidelines
• Guideline for Perinatal Mortality http://www.stillbirthalliance.org.au/guideline1.htm
• Guideline for  the Management of Women who Report Decreased Fetal Movements http://www.stillbirthalliance.org.au/guideline4.htm
• Guideline for Smoking Cessation in Pregnancy http://www.stillbirthalliance.org.au/guideline2.htm

Neonatal

• Fetal and Neonatal Death
• Identifcation of the Newborn
• Nasal CPAP (Paediatric)
• Neonatal Hypoglycaemia - Prevention and management
• Neonatal Jaundice (hyperbilirubinaemia)*
• Neonatal_observations
• Cardio-Pulmonary Resuscitation - Neonatal Basic Life Support
• Neonatal Sepsis - Preventional and Management
• Oral Sucrose

Breast feeding and infant feeding

• Artificial Feeding and the Healthy Term Newborn 
• Breastfeeding Aides - Nipple Sheilds
• Breastfeeding Policy
• Breastfeeding Challenges - Low Supply
• Breastfeeding Challenges - Mastitis and Breast Abcess
• Breastfeeding Challanges - Nipple Problems
• Breastfeeding Challenges - Oversupply
• Breastfeeding Challenges - Thrush
• Breastfeeding Challenges - Management of tongue tie (Akloglossia)
• Breastfeeding Friendly Workplace
• Breastfeeding and the Healthy Term Newborn
• Breastmilk: Incorrect Breastmilk administered to a baby 
• Expressed Breast Milk - Alternative Feeding Methods
• Expressed Breast Milk - Antenatal Expression of Colostrum
• Expressed Breast Milk (EBM) - Storage, transport and checking procedures 
• Expressed Breast Milk - Methods of Expressing
• Supplementary Feeding of the Breastfed Baby
• Supplementary Feeding of the Breastfed Baby

Maternity Guidelines Useful Links

The Women's

Southern Health Care

King Edward Memorial Hospital

 

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Revised Feb 2012