Maternity Guidelines

Guidance for             
Community-based Midwives

Birth Afterthoughts Clinic Triage​2409656
​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



​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

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


Bladder Care: Intrapartum and PostnatalGLM0038​​
Breech BirthGLM0048​
Caesarean Section: Antibiotic ProphylaxisGLM0050​​
Caesarean Section Assisted Deliveries in TheatreGLM0040​​
Cervical Insufficiency​GLM0055

Cholestasis - Obstetric                     


Cord Prolapse


​​COVID-19 Clinical Management in Hospitalised Adults (including in Pregnancy)​National Guideline
Diabetes in Pregnancy​National Guideline
  ​      Gestational Diabetes Screening, Diagnosis and Management: A Clinical Practice Guideline​National Guideline
         Diabetes - Gestational 


​       Diabetes - Gestational Antenatal Outpatient​GLM0071

         Diabetes - Type 1 


       Diabetes - Type 2 


​       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


External Cephalic Version


Fetal Heart Monitoring

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 


Hyperemesis Gravidarum Patients: Enteral Feeding​2410263
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.


​      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

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)
Maternal Mental Health Pathway: Referral and Support Services in Canterbury​2406554
MDRO Admission Assessment Flowchart​2404773
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 PracticeNational Guideline
Opioid Use in Labour​GLM0053
Periviability Consensus Statement ​Starship
Placenta Praevia and Placenta Accreta


Postpartum Haemorrhage Guideline for Treatment​National Guideline

        Postpartum Haemorrhage


Pre-Eclampsia and Eclampsia

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

Pre-Labour Rupture of Membranes at Term 


Preterm Labour/Birth


​      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




Preterm Pre-Labour Rupture of M​embranes

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

Registrar Supervision


Maternity Referrals
Remifentanil Patient Controlled Analgesia for LabourGLM0042​
Sexually Transmitted Infection Guidelines​Just the Facts

Shoulder Dystocia


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 
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


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


​      Breastfeeding Post Discharge Support


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



Newborn in Maternity Care Guideline

WCH No.​

Hypoglycaemia of the Newborn​GLM0056
Care of Infants Requiring PhototherapyPPN48
Neonatal Clinical Resource
Newborn Metabolic Screening Programme​2403574
Newborn Screening GuidelinesNSU Website​
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        





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​


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Page last reviewed: 29 May 2023