Maternity Guidelines

 Guidance for Community-Based Midwives

​Birth Afterthoughts Clinic Triage	​2409656
​Ear Anomalies and Plastics Intervention	​PPNHS16
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	​
Gestational Diabetes Diet Pathway	​2410686
​Diabetes in Pregnancy (Gestational Diabetes)	​HealthInfo

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

Maternity Guidelines

​ACC Maternal Birth Injuries	​​​2409745
​Admission to Primary Birthing Unit	​GLM0044
​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​
​COVID-19 Clinical Management in Hospitalised Adults (including in Pregnancy)	​National

 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
​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 Guideline	National
​Postpartum Haemorrhage Poster	National
​Postpartum Haemorrhage	GLM0021
​Antepartum Haemorrhage	GLM0052
​​Placenta Praevia and Placenta Accreta	GLM0002
​MPH Adult Policy  (only available when in hospital)	2405559
​Postpartum Haemorrhage Checklist	​2403626

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
​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 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 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​
​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
​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 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
​Infant Formula Policy	​240025

 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: 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

Hypoglycaemia of the Newborn	​GLM0056
Care of Infants Requiring Phototherapy	PPN48
Neonatal Clinical Resource	​2403289
​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​