Maternity Guidelines

 Guidance for Community-Based Midwives

Admission to Waitaha Community Birthing Unit	GLM0044​
​​Birth Afterthoughts Clinic Triage	2409656​
​Ear Anomalies and Plastics Intervention	​PPNHS16
​Maternity Assessment Unit Condition Guidelines	2411874​
Obstetric Clinic Referral	2401611​
​Prioritisation Tool: Caesarean Section	​​2409129
​Prioritisation Tool: Induction of Labour	​2409078

 Breastfeeding Information (Covering the Basics)

​​Breastfeeding Your Baby	​​2409569
​Breastfeeding Your Baby when there are Challenges	​2409570
​Feeding Your NICU Baby	​​2409571
​Feeding Your Baby Infant Formula	​​2409572

 Gestational Diabetes

Introduction to Te Whatu Ora Waitaha Management        Guidelines for Secondary/Tertiary Maternity and
Newborn Care

Maternity Guidelines

​ACC Maternal Birth Injuries	​​​2409745
​Analgesia Prescribing After Child Birth	​​GLM0069
​Antenatal Corticosteroid Therapy	​GLM0065
​Antepartum Haemorrhage	​GLM0052
​Anti D - Use of Rh(D) Immunoglobulin in Unsensitised Rhesus Negative Women	​GLM0047
​Birth After Previous Caesarean Section	​GLM0017
​Bladder Care: Intrapartum and Postnatal	​GLM0038
​Breech Birth	​GLM0048
​Caesarean Section: Antibiotic Prophylaxis	​GLM0050
​Caesarean Section Assisted Deliveries in Theatre	​GLM0040
​Cervical Insufficiency	​GLM0055
​Cholestasis - Obstetric	​GLM0005
​Cord Prolapse	​GLM0039​

 Diabetes in Pregnancy

​Diabetes in Pregnancy	​National
​Gestational Diabetes Screening, Diagnosis and Management: A Clinical Practice Guideline	​National
​Gestational Diabetes	​​GLM0025
​Gestational Diabetes - Antenatal Outpatient Care	​GLM0071
​Intrapartum Management for Patients Using Insulin Pump Therapy Guideline	2410223​
​Intrapartum/Postpartum Management with Insulin Pump Therapy Instructions	2410224​
​Type 1 Diabetes	​GLM0024
​Type 2 Diabetes	​​GLM0023
​Diabetic Ketoacidosis Management in Pregnancy	​​GLM0061
​Insulin Infusion following Betamethasone Injections for Women with Diabetes in Pregnancy	​​2400756

​Dural Puncture Accidental	​GLM0008
​Epidural Analgesia in Labour	​GLM0007​
​External Cephalic Version	​GLM0016
​Fetal Heart Monitoring	​GLM0010​
​Fetal Movements	​GLM0045
​Group-B Streptococcus - Management and Prophylactic Antibiotics in Labour	​GLM0032

 Haemorrhage 

​Postpartum Haemorrhage	GLM0021
​Antepartum Haemorrhage	GLM0052
​​Placenta Praevia and Placenta Accreta	GLM0002
​MHP Adult Policy  (only available when in hospital)	2405559
​Obstetric Massive Haemorrhage Pathway	2411470​
​Postpartum Haemorrhage Documentation and Checklist	​2403626
​Active Management Third Stage of Labour (PPH Prevention)	2410478​
​Postpartum Haemorrhage Guideline	National
​Postpartum Haemorrhage Poster	National​

Herpes in pregnancy	​17th ed. 2017​
​Histological Examination of the Placenta	​GLM0031
​HIV Infected Women During Pregnancy and Childbirth	​GLM0033
​Hyperemesis Gravidarum Patients: Enteral Feeding	​2410263
​Hypoglycaemia of the Newborn	​GLM0056

  Induction of Labour

​Induction of Labour	​GLM0035
​NOTE: this guideline is in review. Continue to refer to this guideline for operational detail and refer to the Timing of Birth for Specific Obstetric Indications (TOBA) Guidelines and Prioritisation Tool: Induction of Labour for recommendations /considerations on timing of birth and prioritising of cases. Please also refer to the National Induction of Labour Guidelines for additional information.
​Prioritisation Tool: Induction of Labour	​2409078
​Timing of Birth Obstetric Indications (TOBA)	​2409095
​Induction of Labour Patient Information	​2400320
​Misoprostol Induction of Labour Pathway	​2407461

​In-Utero Transfer Between Hospitals	​2400256​
​Magnesium Sulphate for Neuroprotection in Preterm-Births	​GLM0041
​Management of Suspected Small for Gestational Age Singleton Pregnancies After 34 Weeks Gestation	​NZ Maternal Fetal Medicine Network
​Maternal Blood Optimisation Pathways (MBOP) Guideline and Practice Improvement Strategy (also see MBOP section below)	​GLM0070

​Maternal Mental Health Pathway: Referral and Support Services in Canterbury	​2406554
​Psychotropic Medications for Mothers and Babies Guidelines	​2407235

​MDRO Admission Assessment Flowchart	​2404773
​Newborn Screening Guidelines	​NSU ​
​Notifiable Diseases	​HealthPathways
​Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding Practice	​National
​Opioid Use in Labour	​GLM0053

 Periviability

​Periviability Consensus Statement	​Starship
​Checklist: Antenatal Care Plan if High Risk of Birth from 23 Weeks to 24 Weeks + 6 Days	​2406246
​Information: Shared Decision Making at 23-24 Weeks Gestation	​2406427

​Placenta Praevia and Placenta Accreta	​GLM0002
​Polyhydramnios	​GLM0054
​Postpartum Haemorrhage Guideline for Treatment	​National
​Postpartum Haemorrhage	​GLM0021​
​Pre-Eclampsia and Eclampsia	​GLM0003​
​Hypertension and Pre-eclampsia in Pregnancy in NZ	​National
​Pre-Labour Rupture of Membranes at Term	​GLM0043​
​Preterm Birth Clinic Referral Guidelines	GLM0074​
​Preterm Labour/Birth	​GLM0027
​Preterm Pre-Labour Rupture of M​embranes	​GLM0028​
​Progress in Labour	​​GLM0062
​Referral Guidelines for Consultation with Obstetric and Related Medical Services	National​
​Referral/Transfer to Christchurch Women's Hospital from West Coast	​GLM0063
​Registrar Supervision	​GLM0019​
​Maternity Referrals	​HealthPathways
​Remifentanil Patient Controlled Analgesia for Labour	​GLM0042​
​Sepsis	​GLM0072
​Sexually Transmitted Infection Guidelines	​Just the Facts
​Shoulder Dystocia	​GLM0011​
​sFlt-1 PlGF Ratio	GLM0076​
​Substance Abuse in Pregnancy	​GLM0067
​SUDI Prevention Safe Infant Sleep Policy	​​2404926
​Swab and Instrument Counting Outside Theatre in the Maternity Setting	​GLM0068
​​Syphilis in Pregnancy	​NZSHS
​Tears: Third and Fourth Degree	​GLM0036
​Timing of Birth Obstetric Indications (TOBA)	​2409095
​Treating adults who decline blood products (including Jehovah's Witnesses)	​Red book​
​Twin Pregnancy and Birth	​​GLM0064
​Ultrasound - Obstetric Indications for Scan Frequency	GLM0006​
​Ultrasound - Obstetric Doppler	​​GLM0059​
​Venous Thromboembolism Prevention in the Postpartum	​GLM0046
​Vomiting in Pregnancy (including Hyperemesis Gravidarum)	GLG0006​
​Water for Birth and Labour	​GLM0037​

 Infant Feeding

​Breastfeeding Policy	​2401341
​​      Breastfeeding Code, Policy, Ongoing Monitoring	​GLB01
​      Breastfeeding Staff Education	​​GLB02
​​      Breastfeeding Antenatal Information	​GLB03
​​      Breastfeeding Skin-to-Skin	​GLB04
​      Breastfeeding Support	​GLB05
​​      Breastfeeding Breastmilk for Newborns	​​GLB06
​​      Breastfeeding Rooming In	​​GLB07
​​      Breastfeeding Responsive Feeding	​​GLB08
​​      Breastfeeding Bottles Teats and Pacifiers	​GLB09
​      Breastfeeding Post Discharge Support	​​GLB10

 Unpasteurised Donor Milk (UDM)

LMC-Factilitated Use of UDM In Maternity Facilities	2400411
​Breastmilk Donor's Information	2411630​
​Breastmilk Sharing: Donor	2411525​
​Breastmilk Sharing: Recipient	2400329​
​Donor Milk Label	2402204
Donor Breastmilk Card	2400325
Consent for Recipient: Use of UDM In Maternity Facilities	​2403668
​Consent to Donate Breastmilk for Use as UDM	2405232​
​Difference Between Pasteurised and Unpasteurised Donor Milk	2411674​
​Unpasteurised Breastmilk Donor Screen Records	2401147​

 Maternal Blood Optimisation Pathways (MBOP)

 See guideline above: Maternal Blood Optimisation Pathways Guideline and Practice  Improvement Strategy (GLM0070)

​Maternal Blood Optimisation Pathways	​2404751
​Intravenous Iron Infusion Prescription (Obstetric)	​2402506
​Red Cell Transfusion for Postpartum Patients	​2406444
​Recommended Oral Iron Preparations	​2405360

 NZ Resuscitation Guidelines

 Maternal/Adult: https://www.anzcor.org/home/basic-life-support/

 Neonatal: https://www.resus.org.nz/assets/Uploads/Neonatal-Resuscitation-All-  Guidelines.pdf 

 Newborn in Maternity Care Guidelines

​Blood Type Incompatibility and Haemolytic Disease of the Newborn	2411393​
Care of Infants Requiring Phototherapy	PPN48
Neonatal Clinical Resource	​2403289
​Hypoglycaemia of the Newborn	GLM0056​
​Neonatal Transfers to Higher Level Care	GLM0075​
​Newborn Metabolic Screening Programme	​2403574
Newborn Screening Guidelines	NSU​
​NOC-NEWS User Guide	​ACC
​LMC/Paediatrician Referral to UNHSEIP for Hearing Surveillance for Babies	​PPNHS14

 Periviability

​Periviability Consensus Statement	​Starship​
​Checklist: Antenatal Care Plan if at High Risk of Birth from   23 Weeks to 24 Weeks + 6 days	2406246​
Parent Information: Shared Decision Making at 23 Weeks and 24 Weeks Gestation	2406427

Risk Factors for Hearing Loss Requiring Surveillance	​2405561
​Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding Practice	​2400340
​Transcutaneous Bilirubin (TcB) Measurements in Maternity	​​GLM0058​
​​Umbilical Cord Clamping	GLM0049​