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King Edward Memorial Hospital

O&G Clinical Guidelines Section B

Obstetrics and Midwifery Care

Preface

Notifications of New guidelines
Notifications of Updated guidelines

1. Antepartum Care

2. Complications of Pregnancy

3. Medical Disorders Associated with Pregnancy

4. Pain Management in Labour

5. Intrapartum Care

6. Routine Postpartum Care

7. Caesarean Section

8. Newborn Feeding

9. Complications of the Postnatal Period

10. Care of the Neonate

11. Emergency Procedures

Preface

1. Antepartum Care

	Date Reviewed
1.1 Antepartum Clinic Visits
1.1.1 Guidelines for the Care of Women Planning a Non-Hospital Birth	November 2009
1.1.2 Midwifery Care
1.1.2.1 Low Risk Midwifery Care	December 2009
1.1.2.2 Low Risk Midwives Clinic with Medical Consultation	December 2009
1.1.2.3 Exclusion Criteria to Low Risk Midwives Clinic	February 2011
1.1.2.4 Midwifery Care Flow Chart	December 2009
1.1.3 Antepartum Clinic Visits - Initial visit	April 2011
1.1.4 Antepartum Clinic Visits – Subsequent Visits	April 2011
1.1.5 Folic Acid Supplementation	September 2010
1.1.6 Referral to genetic Services	March 2009
1.1.7 Screening for Family Domestic Violence	October 2010
1.1.8 Nicotine Dependence Assessment and Intervention	June 2009
1.1.9 Screeening and treatment of vitamin D deficiency in pregnancy	April 2010
1.1.10 Care Of A Woman With A Previous Caesarean Section - Antepatum Preparation	September 2010
1.1.11 Assessment of a woman with > 41 weeks gestation	August 2009
1.1.12 Haemoglobinopathy Screening and Referral	October 2010
1.2 Adolescent Clinic	January 2011
1.3 Female Genital Mutilation	September 2011
1.4 Infections in Pregnancy
1.4.1 Group B Streptococcal Disease	September 2010
1.4.2 Labour and Birth Suite Quick Reference Guide to Group B Streptococcal Disease	September 2010
1.4.3 Hepatitis B Protocol	October 2008
1.4.4 Herpes Simplex	September 2008
1.4.5 Syphilis in Pregnancy and the Newborn	November 2008
1.4.6 Varicella (Chicken Pox) in Pregnancy	October 2008
1.4.7 Rubella in Pregnancy	September 2008
1.4.8 Chlamydia	August 2008
1.4.9 Hepatitis C in Pregnancy	September 2008
1.5 Substance Use in Pregnancy
1.5.1 Referral to Women and Newborn Drug and Alcohol Service (WANDAS)	July 2010
1.5.2 Booking Visit to the Women and Newborn Drug and Alcohol Service (WANDAS)	July 2010
1.5.3 Subsequent Visits to the Women and Newborn Drug and Alcohol Service (WANDAS)	July 2010
1.6 Antepartum Procedures - Maternal
1.6.1 Measuring Blood Pressure	December 2009
1.6.2 Abdominal Examination / Palpation	December 2009
1.6.3 Measuring Fundal Height with a Tape Measure	June 2009
1.6.4 Performing a Vaginal Examination	December 2009
1.7 Antepartum Procedures - Fetal
1.7.1 Obstetric Ultrasound Examination	September 2011
1.7.2 Antepartum Fetal Heart Rate Monitoring	July 2009
1.7.3 Chorionic Villus Sampling	August 2008
1.7.4 Amniocentesis
1.7.4.1 Diagnostic Amniocentesis	August 2008
1.7.4.2 Therapeutic Amniocentesis	August 2008
1.7.5 Intra Uterine Transfusions	April 2008
1.7.6 Cordocentesis	April 2008
1.8 Parent Education Guidelines for Midwives	February 2009
1.9 Blood Investigations - see Section A 1.9
1.10 Minor Symptoms or Disorders in Pregnancy	August 2008
1.11 Planning for a complex care needs patient at KEMH	June 2009

2. Complications of Pregnancy	July 2011
2.1 Antenatal Admission	July 2009
2.2 Hypertension in Pregnancy	February 2011
2.2.1 Medical Management	October 2008
2.2.2 Maternal Fetal Assessment Unit Quick Reference Guide to Gestational Hypertension and Pre Eclampsia	February 2010
2.2.3.1 Midwifery Care of the Woman with Pre Eclampsia – Antepartum Ward	September 2014
2.2.3.2 Antenatal Ward Quick Reference Guide to Midwifery Care of the Woman with Pre Eclampsia	December 2008
2.2.3.3 Midwifery Care of the Woman with Severe Pre Eclampsia	November 2008
2.2.3.4 Midwifery Care of the Woman with Severe Pre Eclampsia During Labour	August 2009
2.2.3.5 Management of the Woman with Eclampsia	May 2009
2.2.3.6 Magnesium Sulphate Anticonvulsant Therapy	March 2011
2.2.3.7 Labour and Birth Suite Quick Reference Guide for Magnesium Sulphate Anticonvulsant Therapy	May 2009
2.2.3.8 Hydralazine Antihypertensive Therapy	May 2009
2.2.3.9 Labour and Birth Suite Quick Reference Guide for Hydralazine Antihypertensive Therapy	May 2009
2.3 Antepartum Haemorrhage (APH)
2.3.1 Management of APH	April 2009
2.3.1.1 MFAU Quick Reference Guide to APH	February 2009
2.3.1.2 QRG Subsequent Antenatal Management of a women with an APH	February 2009
2.5 Preterm Labour	March 2011
2.5.1 Labour and Birth Suite Quick Reference Guide to Nifedipine Tocolytic Therapy	August 2009
2.5.2 Maternal Fetal Assessment Unit Quick Reference Guide to Suspected Preterm Labour	November 2008
2.5.3 Antenatal Magnesium Sulphate Prior to Preterm Birth for Neuro Protection of the Fetus Post Birth	April 2011
2.6 Preterm Prelabour Rupture of Membranes (PPROM)
2.6.1 Medical and Midwifery Management	December 2008
2.6.2 Maternal Fetal Assessment Unit Quick Reference Guide to Suspected Preterm Prelabour Rupture of Membranes	November 2008
2.6.3 Maternal Fetal Assessment Unit Quick Reference Guide to Confirmed Preterm Prelabour Rupture of Membranes	December 2008
2.6.4 Antenatal ward QRG to the midwifery care of the woman with PPROM	November 2008
2.7 Use of Corticosteroids	October 2009
2.8 Prelabour Rupture of the Membranes at Term	August 2011
2.8.1 Using an Amnicator Test	August 2011
2.9 Prolonged Pregnancy	December 2010
2.9.1 Maternal Fetal Assessment Unit Quick Reference Guide to Management of Prolonged Pregnancy	December 2010
2.10 Abnormalities of Lie/Presentation
2.10.1 Breech Presentation	February 2009
2.10.2 ECV	January 2009
2.10.2.1 MFAU QRG ECV	April 2011
2.10.3 Breech Labour QRG	January 2009
2.10.4 Unstable Lie at or Near Term	January 2009
2.10.5 Rare Presentations	January 2009
2.11 Multiple Pregnancy
2.11.1 Antepartum Management Multiple Pregnancy	November 2007
2.11.2 Intrapartum Planned Vaginal Birth	January 2008
2.12 Venous Thrombosis and Embolism in Pregnancy and the Puerperium
2.12.1 Venous Thrombosis Occurring in the Present Pregnancy	August 2009
2.12.2 Antenatal Prophylaxis for Women with Proven Thrombophilia and a Previous Thrombotic Event or Obstetric Complication
2.12.3 Prophylaxis for Women with a Prior Thrombotic Event in whom no Thrombophilia has been Identified	October 2010
2.12.4 Women with Cardiac Conditions	November 2009
2.13 Management of the HIV Positive Pregnant Woman and her Neonate	January 2009
2.13.1 Quick reference guide - Management of the HIV positive woman	December 2009
2.13.2 Quick reference guide - Management of the baby of the HIV positive woman	December 2009
2.14 Women who refuse blood transfusion and blood products	September 2009
2.15 Maternal Fetal Assessment Unit Quick Reference Guide to Decreased Fetal Movements	June 2009
2.16 Maternal Fetal Assessment Unit Quick Reference Guide to Non Specific Abdominal Pain	January 2011
2.17 Management of Abdominal Trauma	October 2010
2.17.1 Quick Reference Guide for Management following Abdominal Trauma	February 2011
2.18 Cholestasis in Pregnancy	February 2011
2.18.1 MFAU Quick reference guide management of a woman with suspected cholestasis	February 2011
2.18.2 MFAU Quick reference guide management of a woman with confirmed cholestasis	February 2011
2.19 Small for Gestational Age	February 2011
2.19.1 Quick Reference Guide Assessment For The (Suspected) Small For Gestational Age Fetus	February 2011
2.20 Intrauterine growth restriction	February 2011
2.20.1 Maternal Fetal Medicine Unit - Quick Reference Guide Assessment For Confirmed Intra-Uterine Growth Restriction	February 2011
2.21 Management of Pregnancy and Childbirth in Women with a BMI > 40	July 2009
2.22 Booking a Patient with Major Placenta Praevia or Accreta	August 2010

3. Medical Disorders Associated with Pregnancy
3.1 Diabetes (Including Intrapartum Care)	October 2008
3.1.1 Screening for Diabetes in Pregnancy	October 2008
3.1.2 Referrals	October 2008
3.1.3 Diabetes Education	October 2008
3.1.4 Admission Procedure	October 2008
3.1.4.1 Quick Reference Guide – Midwifery Care Of The Woman With Diabetes During Pregnancy After Admission	October 2008
3.1.5 Blood Glucose Monitoring / Goals / Records	October 2008
3.1.6 Hypoglycaemia Management	October 2008
3.1.7 Diabetic Ketoacidosis (DKA) Management	October 2008
3.1.8 Gestational Diabetes Mellitus (GDM) and Type 2 Diabetes Not Requiring Insulin or Oral Hypoglycaemic Agents (OHA's) Management	October 2008
3.1.9 Pregnant Women with Diabetes Requiring Insulin or Oral Hypoglycaemic Agents (OHA's) Management	October 2008
3.1.10 Pregnancy Care / Tests Quick Reference Guide	July 2011
3.1.11 Medication in Pregnancy	October 2008
3.1.12 Intrapartum - Including Planning for Induction of Labour / Caesarean Section Plan	October 2008
3.1.14 Postnatal Care / Followup	October 2008
3.1.15 Blood Glucose Meter - Medisense Optimum	October 2008
3.1.16 Blood Glucose Meter - Access of Supplies	October 2008
3.1.17 Glucagon Education (Partners) - Diabetes Type 1	October 2008
3.1.18 Insulin Pen Devices
3.1.18.1 Novopen 3 for 3ml Cartridges	October 2008
3.1.18.2 Flexpen 3ml Disposable	October 2008
3.1.18.3 Innolet 3ml Disposable	October 2008
3.1.19 Management of GDM in team Obstetric Clinics	June 2009
3.2 Cardiac Disease in Pregnancy	July 2010

4. Pain Management in Labour
4.1 Relaxation/Comfort Measures
4.1.1 Water Therapy	August 2010
4.1.2 Hot/Cold Therapy	February 2010
4.1.3 Hypnotherapy	February 2010
4.1.4 Aromatherapy	March 2010
4.1.5 Music and Audio Therapy	February 2010
4.2 Therapeutic Touch
4.2.1 Reflexology	February 2010
4.2.2 Acupressure/Shiatsu	February 2010
4.2.3 Massage	February 2010
4.3 Transcutaneous Electrical Nerve Stimulation (TENS)	February 2010
4.4 Acupuncture	February 2010
4.5 Administration of Nitrous Oxide (N₂O + O₂)	February 2010
4.7 Administration of Intramuscular/Intravenous Narcotic Analgesia
4.7.1 Intramuscular Pethidine Administration in Labour	December 2009
4.7.2 Intramuscular Morphine Administration in Labour	December 2009
4.7.3 Intravenous Patient-Controlled Analgesia in Labour - Medical	July 2010
4.8 Neuraxial Blockade
4.8.1 Delegation of Care / Responsibilities of Registered Midwives / Nurses	April 2010
4.8.2 Epidural Analgesia in Labour - Medical	June 2010
4.8.3 Insertion of Epidural Catheter	June 2010
4.8.4 Administration Of Epidural Therapy in Labour	March 2010
4.8.4.1 Via Intermittent Top Ups	April 2010
4.8.4.2 Via PCEA	April 2010
4.8.5 Management of Common Problems Associated with Epidurals	April 2010
4.8.6 Testing Dermatomes	March 2010
4.8.7 Assessment of Motor Function	April 2010
4.8.8 Epidural Catheter Removal	April 2010
4.8.9 Epidural Therapy Side Effects	June 2010
4.8.10 Epidural Therapy Complications	June 2010
4.8.11 Guidelines For Ambulation	April 2010
4.8.12 Acute Pain Service	June 2010
4.8.13 Drugs used by the Anaesthetic Team In Obstetrics	March 2010

5. Intrapartum Care
5.1 Induction of Labour - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH	April 2011
5.1.1 Labour and Birth Suite Quick Reference Guide to Oxytocin Regimen for Induction of Labour	July 2008
5.1.2 Artificial Rupture of the Membranes (ARM)	August 2010
5.1.3 Oxytocin Infusion	July 2008
5.1.4 Transcervical Foley Catheter	February 2010
5.1.5 Vaginally Administered Prostaglandins - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH	April 2011
5.2 Assessment of the woman on admission to MFAU or Labour and Birth Suite
5.2.1 Assessment of the Woman in Labour	August 2009
5.2.2 Booked Admissions	April 2011
5.2.4 Moderate and High Risk Women Admitted to MFAU and Labour and Birth Suite-Medical review and Care Planning	January 2009
5.2.5 Protocol For Admission To Labour And Birth Suite For Women Booked On The Community Midwifery Program (CMP)	August 2011
5.3 Discharge of low risk women from Maternal Fetal Assessment Unit by midwives	December 2008
5.4 Maternal Fetal Assessment Unit Quick Reference Guide to Possible Early Labour at Term	July 2009
5.5 Cervical Suture: Removal of	April 2011
5.6 Intrapartum Fetal Heart Rate Monitoring	August 2010
5.6.1 Fetal scalp electrode application	May 2011
5.6.2 Labour and Birth Suite QRG Intrapartum fetal Surveillance	May 2009
5.7 Management Of Suspected Acute Fetal Compromise	September 2009
5.7.1 Amnioinfusion	February 2011
5.7.2 Fetal Scalp Blood Sampling	May 2011
5.8 First Stage of Labour
5.8.1 Care of a Woman During the First Stage of Labour	January 2010
5.8.2 Use of a Partogram	April 2011
5.8.3 Management of Delay in the First Stage of Labour	April 2009
5.8.4 Intra Uterine Catheter Tip Transducer	February 2011
5.8.5 Meconium Stained Amniotic Fluid	January 2009
5.9 Second Stage of Labour
5.9.1 Management of the Second Stage of Labour	June 2009
5.9.3.1 Infiltration of the Perineum and Cutting an Episiotomy	July 2011
5.9.4 Birth
5.9.4.1 Birth Management	June 2011
5.9.4.3 LBS QRG Attendance of paediatric medical staff attendance for 'at risk' births	December 2009
5.9.5 Shoulder Dystocia	July 2011
5.10 Management of the Third Stage
5.10.1 Active Management of the Third Stage	September 2010
5.10.2 Guidelines for the use of Syntometrine	June 2011
5.10.3 Expectant (Physiological) Management	June 2011
5.10.4 Care of the Woman with a Retained Placenta	August 2011
5.11 Instrumental vaginal delivery	January 2011
5.11.1 Forceps Delivery	January 2011
5.11.2 Vacuum Extraction Delivery	January 2011
5.11.3 Pudendal Nerve Block	January 2011
5.12 Vaginal Birth after Caesarean Section (VBAC) Intrapartum Management	May 2011
5.13 Mid Trimester Termination of Pregnancy - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH	October 2010
5.14 Post Birth Specimen Collection / Examination
5.14.1 Umbilical Cord Blood Collection / Analysis	June 2011
5.14.2 Indications for Pathological Examination of the Placenta	July 2011
5.14.3 Safe Handling of a Placenta being taken home	May 2011
5.14.4 Collection of Cord Blood for Stem Cell Harvest	April 2011
5.14.5 Collection of Cord Blood for Neonatal haemoglobinopathy Screening	August 2010
5.14.5.1 Cord Blood Screening Program for Sickle cell Disease	October 2011
5.14.5.2 Testing for Other Significant Haemoglobinopathies	October 2011
5.15 Perineal Repair
5.15.1 Suturing an Episiotomy/Genital Laceration	June 2011
5.16 Management of Third and Fourth Degree Perineal Trauma	August 2011
5.17 Notification of Birth	March 200
5.18 Photographs / Video during Birth	June 2008
5.19 Substance use management intrapartum	October 2010
5.20 Protocol for medication administration for labour and birth	June 2008
5.21 Prescription and Administration of Routine Medications for Labour and Birth in the Family Birth Centre	March 2009
5.21.1 Oxytocin injection for the Management of the third Stage of Labour (FBC)	February 2009
5.21.2 Ergometrine Administration for Primary Postpartum Haemorrhage (FBC)	March 2009
5.21.3 Misoprostol Administration for Primary Postpartum Haemorrhage (FBC) - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH	March 2009
5.21.4 Syntometrine Administration for the Third Stage of Labour (FBC)	March 2009
5.21.5 Lignocaine Administration prior to performing an episiotomy (FBC)	March 2009
5.21.6 Lignocaine Administration for Perineal Repair (FBC)	March 2009
5.22 Waterbirth	August 2010
5.23 Incarcerated women who present in early or spurious labour	February 2011

6. Routine Postpartum Care
6.1 Immediate Care of Mother in Labour and Birth Suite Following Birth	September 2010
6.2 Care of Mother on the Postnatal Ward
6.2.1 Care on Admission to the Ward	April 2008
6.2.2 Subsequent Care	October 2008
6.2.2.1 Bladder Care	April 2011
6.2.2.2 Perineal Care	March 2009
6.2.2.3 Anti-D Immunoglobulin - refer to section A 9
6.2.2.4 Administration of Measles, Mumps and Rubella Vaccine	August 2009
6.2.2.5 Quick Reference Guide - Subsequent Care of the Woman in the Postnatal Ward	March 2009
6.2.2.6 The Kleihhauer Test - Refer to section A 1.9
6.2.3 Postpartum Discharge of the Woman
6.2.3.1 Transfer of a Postnatal Woman by a Midwife to Home / Visiting Midwifery Service / GP Care	February 2008
6.3 Substance Use Management Post Partum	July 2010
6.4 Not Used

7. Caesarean Section
7.1 Pre-Admission Clinics for Births by Elective Caesarean Section	March 2008
7.2 Pre-operative Management
7.2.1 Elective Caesarean Section	July 2010
7.2.2 Non-Elective Caesarean Section	August 2011
7.3 Prevention of Gastric Aspiration in Obstetrics	July 2009
7.4 Transfer of the Woman to the Operating Theatre	September 2014
7.5 Theatre Guidelines for Midwives Attending Caesarean Sections	August 2011
7.6 Transfer of the Woman from the Operating Theatre	August 2011
7.7 Post Operative Care	August 2011
7.8 Wound Care (See Section A)
7.9 Maternal Assisted Caesarean Section	September 2014
7.10 Thromboprophylaxis after Caesarean Birth

8. Newborn Feeding
8.1 Breastfeeding Guidelines
8.1.1 General Overview	January 2012
8.1.2 Professional Development requirements for staff	January 2012
8.1.3 Antenatal Education and Counselling	October 2008
8.1.4 Skin to Skin Contact	October 2008
8.1.5 The First Feed	October 2008
8.1.6 Showing the woman how to breast feed	January 2012
8.1.7 Expressing	March 2011
8.1.8 Storage and Thawing of Breast Milk	October 2008
8.1.9 Medical Indications for the Use of Formula Feeds	October 2008
8.1.10 Rooming In	October 2008
8.1.11 Feeding According to Need	October 2008
8.1.12 Use of Artificial Teats / Dummies	October 2008
8.1.13 Finger Feeding Using a Fine Tube or Syringe	October 2008
8.1.14 Cup Feeding	October 2008
8.1.15 Discharge	October 2008
8.2 Breastfeeding Challenges
8.2.1 Flat or Inverted Nipples	October 2008
8.2.2 Nipple Trauma	October 2008
8.2.3 Engorgement / Full, Lumpy Breasts	July 2010
8.2.4 Blocked Ducts	October 2008
8.2.5 Oversupply	October 2008
8.2.6 Mastitis	January 2012
8.2.6.1 Mastitis Management in the Home	October 2008
8.2.7 Breast Abscess	October 2008
8.2.8 Weight Loss Beyond 10% of Birth Weight	October 2008
8.2.9 Increasing Breast Milk Supply	October 2008
8.2.10 Thrush In Lactation	November 2008
8.2.11 Preterm, low birth weight or small for gestational age baby	October 2008
8.2.12 Baby of a mother with diabetes	February 2009
8.3 Breastfeeding Aids
8.3.1 Supply Line to Supplement Breastfeeding	October 2008
8.3.2 Use of Nipple Shields	October 2008
8.4 Suppression of Lactation	October 2008
8.5 Guidelines for a Formula fed Baby
8.5.1 Preparation Of Infant Formula	October 2010
8.5.2 Feeding Technique	October 2010
8.5.3 Fluid Requirements of the Formula Fed Baby	November 2008
8.5.4 Fluid Requirements of the Low Birth Weight, Preterm and Small for Gestational Age Baby	November 2008

9. Complications of the Postnatal Period
9.1 Postpartum Haemorrhage (PPH)
9.1.1 Primary Post Partum Haemorrhage - For access to this guideline please contact the Clinical Guidelines Co-ordinator at KEMH	September 2010
9.1.2 Uterine Inversion	December 2010
9.1.3 Therapeutic and Prophylactic Oxytocin Infusion Regimens	August 2011
9.1.4 Secondary Post Partum Haemorrhage	December 2009
9.1.5 Selective Pelvic Arterial Embolisation in the Management of Obstetric Haemorrhage	June 2009
9.1.6 Removal of an intrauterine haemostatic balloon	February 2009
9.2 Infections
9.2.1 Puerperal Pyrexia	September 2010
9.3 Management of Urinary Catheters Postpartum (See Section A)

10. Care of the Neonate
10.1 Care of the Neonate in Labour and Birth Suite
10.1.1 Immediate Care of the Neonate	September 2010
10.2 Routine Care of the Neonate in the Ward
10.2.2 Neonatal Observations	March 2011
10.2.3 Rooming in	April 2009
10.2.4 Neonatal Care	April 2009
10.2.5 Strategies to Reduce Sudden Infant Death Syndrome (SIDS)
10.2.5.1 Bed-sharing / Co-sleeping
10.2.6 Circumcision	April 2009
10.2.7 Management of the Neonate with a Temperature < 36.5	March 2010
10.2.8 Baby Identification	April 2011
10.3 Neonatal Screening
10.3.1 Examination of the Neonate	April 2011
10.3.2 Quick Reference Guide to Examination of the Neonate	March 2009
10.3.3 Blood – Collection from a Neonate	February 2009
10.3.3.1 Capillary Blood Collection (Heel Stab)	August 2010
10.3.3.2 Newborn Screening Test (Guthrie)	August 2010
10.4 Medication Administration to the Neonate
10.4.1 Intramuscular Administration to the Neonate	December 2009
10.4.2 Vitamin K₁ Administration	April 2009
10.4.3 Neonatal Hepatitis B Vaccine	October 2014
10.4.4 Neonatal Hepatitis B Immunoglobulin	October 2014
10.4.5 Administration of Neonatal Intravenous Medications on the Obstetric Wards	May 2010
10.5 Complications of the Neonate
10.5.1 Neonatal Sepsis
10.5.1.1 Eye Infections in the Neonate	April 2009
10.5.2 Neonatal Jaundice	April 2009
10.5.2.1 Phototherapy	May 2009

11. Emergency Procedures
11.1 Resuscitation in Late Pregnancy	July 2010
11.3 Cord Prolapse
11.3.1 Cord Prolapse on the Obstetric Wards	January 2008
11.3.2 Cord Prolapse in the Labour and Birth Suite	April 2011
11.6 Neonatal Resuscitation
Neonatal Resuscitation Neonatal Resuscitation Procedure Algorithm The Neopuff Air or Oxygen Administration of Drugs and Fluids Post Resuscitation Care When to Cease Resuscitation Attempts / Special Circumstances
11.6.1 Neonatal External Cardiac Massage	January 2010
11.6.2 Airway Management and Mask Ventilation	January 2010
11.7 Anaphylaxis - Refer to section A 11

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