Maternity Guidelines

Guidance for             
Community-based Midwives


​Community Midwives Referrals for Acute Assessment (same day) to Christchurch HospitalCommunity HealthPathways
COVID-19 Use of PPE for LMC
COVID-19 Positive Mothers – Taking Whenua (Placenta) and Pito (Umbilical Cord) Home After Birth
Ear Anomalies and Plastics Intervention​PPNHS16
Prioritisation Tool: Caesarean Section​​2409129
Prioritisation Tool: Induction of Labour​2409078
Breastfeeding Information (Covering the Basics)
Breastfeeding Your Baby
Breastfeeding Your Baby when there are Challenges
Feeding Your NICU Baby
Feeding Your Baby Infant Formula

2409569
2409570
2409571
2409572

 

​Introduction to CDHB Management Guidelines for Secondary/Tertiary Maternity and Newborn Care

On this page:
Maternity Guidelines
Infant Feeding Policy and Guidelines
Maternity Blood Optimisation Pathways
NZ Resuscitation Guidelines
Newborn in Maternity Care Guidelines
​​​​

Maternity Guidelines

WCH No.​

ACC Maternal Birth Injuries​​2409745
Admission to Primary Birthing UnitGLM0044​
Analgesia Prescribing After Child Birth ​GLM0069
Antenatal Corticosteroid Therapy​GLM0065
Antenatal Ultrasound for Obstetric Indications: Recommended Scan Frequency ​GLM0006​
Antenatal Obstetric Ultrasound: Indications for Doppler ​GLM0059
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 PostnatalGLM0038​​
Breech BirthGLM0048​
Caesarean Section: Antibiotic ProphylaxisGLM0050​​
Caesarean Section Assisted Deliveries in TheatreGLM0040​​
Cervical Insufficiency​GLM0055

Cholestasis - Obstetric                     

GLM0005​

Cord Prolapse

GLM0039​

​​COVID-19 Clinical Management in Hospitalised Adults (including in Pregnancy)​Ministry of Health
​Screening, Diagnosis and Management of Gestational Diabetes in New Zealand: A Clinical Practice Guideline​Ministry of Health
Diabetes - Gestational 

GLM0025​

Diabetes - Gestational Antenatal Outpatient​GLM0071

Diabetes - Type 1 

GLM0024​

Diabetes - Type 2 

​GLM0023

Diabetic Ketoacidosis Management in Pregnancy​GLM0061
Insulin Infusion following Betamethasone Injections for Women with Diabetes in Pregnancy (C260117)​2400756
Dural Puncture AccidentalGLM0008​
Epidural Analgesia in Labour

GLM0007​

External Cephalic Version

GLM0016

Fetal Heart Monitoring

GLM0010​
Fetal Movements​GLM0045
Group-B Streptococcus - Management and Prophylactic Antibiotics in LabourGLM0032

Herpes in pregnancy

17th ed. 2017​

Histological Examination of the PlacentaGLM0031​

HIV Infected Women During Pregnancy and Childbirth 

GLM0033​

Hypoglycaemia of the Newborn​GLM0056

Induction of Labour 
Please note this guideline is planned to be reviewed early 2023.
Please continue to refer to this guideline for operational detail and refer
     to the Timing of Birth for Specific Obstetric Indications (TOBA)
     guidelines 2022 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.

GLM0035​

​      Prioritisation Tool: Induction of Labour​​2409078
      ​Timing of Birth Obstetric Indications (TOBA) ​2409095
​        Oral Misoprostol Induction of Labour
​      Induction of Labour Patient Information​2400320
​      Misoprostol Induction of Labour Pathway2407461
In-Utero Transfer Between Hospitals2400256​

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
Mental Health Medications in Pregnant and Breastfeeding Women​HealthPathways

Newborn Screening Guidelines

NSU website​
Notifiable Diseases​HealthPathways
Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding Practice2400340
Opioid Use in Labour​GLM0053
Periviability Consensus Statement ​Starship
Placenta Praevia and Placenta Accreta

GLM0002​

Polyhydramnios​GLM0054

Postpartum Haemorrhage

GLM0021​

Pre-Eclampsia and Eclampsia

GLM0003​
​        Hypertension and Pre-eclampsia in Pregnancy in NZ​National Guideline

Pre-Labour Rupture of Membranes at Term 

GLM0043​

Preterm Labour/Birth

GLM0027

​      Periviability Consensus Statement

      Checklist: Antenatal care plan if at high risk of birth at 23 weeks to 24 weeks + 6 days

      Parent Information: Shared decision making at 23 weeks and 24 weeks gestation

​Starship

2406246

2406427

Preterm Pre-Labour Rupture of M​embranes

GLM0028​
Progress in Labour​GLM0062
Referral/Transfer to Christchurch Women's Hospital from West Coast​GLM0063

Registrar Supervision

GLM0019​

Maternity ReferralsHealthPathways
Remifentanil Patient Controlled Analgesia for LabourGLM0042​
Sepsis​GLM0072
Sexually Transmitted Infection Guidelines​Just the Facts

Shoulder Dystocia

GLM0011​

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
Venous Thromboembolism Prevention in the Postpartum​GLM0046

Water for Birth and Labour

GLM0037​

Zika Virus - Interim Guidance Information for LMC's, GP's and Other Health Professionals


 Infant Feeding Policy and Guidelines

Breastfeeding Policy​2401341
​      Breastfeeding Marketing Breastmilk Substitutes​GLB01a
​      Breastfeeding Policy Communicated​GLB01b
​      Breastfeeding Ongoing Monitoring​GLB01c
​      Breastfeeding Education and Training​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

Infant Formula Policy​2400254

 
  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​2311353

 

 

  NZ Resuscitation Guidelines

   Maternal/Adult: http://www.nzrc.org.nz/guidelines/#Sections

   Neonatal: http://www.nzrc.org.nz/guidelines/#Section-13-Guidelines

 

Newborn in Maternity Care Guideline

WCH No.​

Hypoglycaemia of the Newborn​GLM0056
Care of Infants Requiring PhototherapyPPN48
Neonatal Clinical Resource
​2403289
Newborn Metabolic Screening Programme​2403574
Newborn Screening GuidelinesNSU Website​
NOC-NEWS User Guide​ACC
LMC/Paediatrician Referral to UNHSEIP for Hearing Surveillance for Babies​PPNHS14

Periviability Consensus Statement 

      Checklist: Antenatal Care Plan if at High Risk of Birth from 23 Weeks to 24 Weeks + 6 days

      Parent Information: Shared Decision Making at 23 Weeks and 24 Weeks Gestation        

​Starship

2406246

 

2406427 

Risk Factors for Hearing Loss Requiring Surveillance2405561
Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding Practice2400340
Transcutaneous Bilirubin (TcB) Measurements in Maternity ​GLM0058
Umbilical Cord Clamping GLM0049​

 

rounded corners top

Related Documents

rounded corners bottom
Page last reviewed: 01 February 2023