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
Obstetric Clinic Referral
Prioritisation Tool: Caesarean Section
Prioritisation Tool: Induction of Labour

Breastfeeding Information (Covering the Basics)

​​Breastfeeding Your Baby​​2409569
Breastfeeding Your Baby when there are Challenges2409570
Feeding Your NICU Baby​​2409571
Feeding Your Baby Infant Formula


Introduction to Te Whatu Ora Waitaha 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

ACC Maternal Birth Injuries​​2409745
Admission to Primary Birthing UnitGLM0044
Analgesia Prescribing After Child Birth ​GLM0069
Antenatal Corticosteroid TherapyGLM0065
Antenatal Ultrasound for Obstetric Indications: Recommended Scan Frequency ​GLM0006
Antenatal Obstetric Ultrasound: Indications for Doppler ​GLM0059
Antepartum HaemorrhageGLM0052
Anti D - Use of Rh(D) Immunoglobulin in Unsensitised Rhesus Negative WomenGLM0047
Birth After Previous Caesarean SectionGLM0017
Bladder Care: Intrapartum and PostnatalGLM0038
Breech BirthGLM0048
Caesarean Section: Antibiotic ProphylaxisGLM0050
Caesarean Section Assisted Deliveries in TheatreGLM0040
Cervical InsufficiencyGLM0055
Cholestasis - ObstetricGLM0005
Cord ProlapseGLM0039​
COVID-19 Clinical Management in Hospitalised Adults (including in Pregnancy)National

Diabetes in Pregnancy


Postpartum Haemorrhage Guideline


Postpartum Haemorrhage PosterNational
Postpartum HaemorrhageGLM0021
Antepartum HaemorrhageGLM0052
​​Placenta Praevia and Placenta AccretaGLM0002
MPH Adult Policy  (only available when in hospital)2405559
Postpartum Haemorrhage Checklist2403626
Herpes in pregnancy​17th ed. 2017​
Histological Examination of the PlacentaGLM0031
HIV Infected Women During Pregnancy and ChildbirthGLM0033
Hyperemesis Gravidarum Patients: Enteral Feeding2410263
Hypoglycaemia of the NewbornGLM0056

Induction of Labour

Induction of LabourGLM0035
​Please note it is planned that this guideline is reviewed in 2023. 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 Labour2409078
Timing of Birth Obstetric Indications (TOBA)2409095
Induction of Labour Patient Information2400320
Misoprostol Induction of Labour Pathway2407461


Placenta Praevia and Placenta AccretaGLM0002
Postpartum Haemorrhage Guideline for TreatmentNational
Postpartum HaemorrhageGLM0021
Pre-Eclampsia and EclampsiaGLM0003
Hypertension and Pre-eclampsia in Pregnancy in NZNational
Pre-Labour Rupture of Membranes at TermGLM0043
Preterm Labour/BirthGLM0027
Preterm Pre-Labour Rupture of M​embranesGLM0028
Progress in Labour
Referral Guidelines for Consultation with Obstetric and Related Medical Services
Referral/Transfer to Christchurch Women's Hospital from West CoastGLM0063
Registrar SupervisionGLM0019
Maternity ReferralsHealthPathways
Remifentanil Patient Controlled Analgesia for LabourGLM0042
Sexually Transmitted Infection GuidelinesJust the Facts
Shoulder DystociaGLM0011
Substance Abuse in PregnancyGLM0067
SUDI Prevention Safe Infant Sleep Policy​​2404926
Swab and Instrument Counting Outside Theatre in the Maternity Setting GLM0068
​Syphilis in PregnancyNZSHS
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 PostpartumGLM0046
Water for Birth and LabourGLM0037
Zika Virus - Interim Guidance Information for LMC's, GP's and Other Health Professionals

Infant Feeding Policy and Guidelines

Breastfeeding Policy2401341
​​      Breastfeeding Code, Policy, Ongoing Monitoring GLB01
​      Breastfeeding Staff Education​GLB02
​​      Breastfeeding Antenatal InformationGLB03
​​      Breastfeeding Skin-to-SkinGLB04
​      Breastfeeding SupportGLB05
​​      Breastfeeding Breastmilk for Newborns​GLB06
​​      Breastfeeding Rooming In​GLB07
​​      Breastfeeding Responsive Feeding​GLB08
​​      Breastfeeding Bottles Teats and PacifiersGLB09
​      Breastfeeding Post Discharge Support​GLB10
Infant Formula Policy240025

Maternal Blood Optimisation Pathways (MBOP)

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

Maternal Blood Optimisation Pathways2404751
Intravenous Iron Infusion Prescription (Obstetric)2402506
Red Cell Transfusion for Postpartum Patients2406444
Recommended Oral Iron Preparations2311353


NZ Resuscitation Guidelines



Newborn in Maternity Care Guidelines

Hypoglycaemia of the NewbornGLM0056
Care of Infants Requiring PhototherapyPPN48
Neonatal Clinical Resource2403289
Newborn Metabolic Screening Programme2403574
Newborn Screening GuidelinesNSU
LMC/Paediatrician Referral to UNHSEIP for Hearing Surveillance for BabiesPPNHS14


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 ClampingGLM0049

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Page last reviewed: 17 July 2024