Obstetrics and Gynaecology Guidelines

All guidelines must be read in conjunction with the Disclaimer. 

New and Updated Guidelines 

Clinical guidelines under review remain the current endorsed clinical guideline until the review is complete.

A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z

A

• Abdominal Examination/Palpation
• Abdominal Pain: Non Specific Antenatal: MFAU QRG
• Abdominal Trauma
• Abnormalities of lie / presentation
• Acute Deterioration (Adult): Resuscitation and Life Support  (previously called 'Clinical Deterioration : Recognising and Responding to')
• Admission
• Adolescent Clinic [Procedure] (Healthpoint only) 
• Adoption: Relinquishment- see Social Work (Healthpoint only)
• Amnioinfusion
• Amnioreduction - refer to Imaging guidelines on Healthpoint
• Anaemia Management during Pregnancy and the Postnatal Period
• Antenatal Care Schedule
• Antepartum Haemorrhage
• Arterial Line

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B

• Birth After Previous Caesarean Section
• Bladder Management
• Blood Group & Clinically Significant Antibodies: Management: Rh D negative & Rh D positive women (previously called "RhD Negative Women")
• Blood Products and Transfusion: Refusal
• Body Mass Index (BMI) >40: Management of a Woman with
• Born Before Arrival- Admission Procedure
• Bowel Care
• Breastfeeding Aids: Nipple Shield
• Breastfeeding Aids: Supply Line to Supplement
• Breastfeeding Challenges: Baby of a Mother with Diabetes- see Neonatal Postnatal Ward guideline Hypoglycaemia
• Breastfeeding Challenges: Blocked Ducts
• Breastfeeding Challenges: Breast Abscess - see 'Breastfeeding Challenge: Mastitis and Breast Abscess'   
• Breastfeeding Challenges: Engorgement / Full, Lumpy Breasts
• Breastfeeding Challenges: Flat or Inverted Nipples
• Breastfeeding Challenges: Increasing Breast Milk Supply
• Breastfeeding Challenges: Mastitis and Breast Abscess Management
• Breastfeeding Challenges: Nipple Trauma
• Breastfeeding Challenges: Oversupply
• Breastfeeding Challenges: Preterm, Late Preterm, Low Birth Weight (LBW) or Small for Gestational Age (SGA) Baby
• Breastfeeding Challenges: Thrush in Lactation
• Breastfeeding Challenges: Weight Loss Beyond 10% of Birth Weight
• Breastfeeding: Antenatal Education and Counselling
• Breastfeeding: Artificial Teats Dummies
• Breastfeeding: Cup Feeding
• Breastfeeding: Discharge & Beyond
• Breastfeeding: Expressed Breast Milk (EBM) Identification & Storage on Postnatal Wards
• Breastfeeding: Expressing
• Breastfeeding: Feed According to Need
• Breastfeeding: Finger Feeding using a Fine Tube or Syringe
• Breastfeeding: First Feed
• Breastfeeding: Formula Feed when Medical Indication
• Breastfeeding: General Overview
• Breastfeeding: Rooming in
• Breastfeeding: Showing a Woman how to
• Breastfeeding: Skin to Skin Contact
• Breastfeeding:Suppression of Lactation
• Breech Presentation- see 'Abnormalities of Lie / Presentation'

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C

• Caesarean Birth (new amalgamation Feb 2019- pre-admission, transfer to and from theatre, post-op care, uterine tone, gastric aspiration prevention)
• Caesarean: Thromboprophylaxis After
• Caesarean: Uterine Tone and Caesarean Birth: Pharmacological management - see 'Caesarean Birth'
• Cardiac Disease
• Central Venous Catheter (CVC)- see 'Peripherally Inserted Central Catheter (PICC) & Central Venous Catheter (CVC)'
• Cervical Cerclage
• Cervical Suture : Removal
• Childbirth and Mental Illness Clinic (CAMI)
• Cholestasis in Pregnancy
• Clinical Deterioration: Recognising and Responding - see 'Acute Deterioration'
• Clinical Handover
• Complex Care: Planning for
• Consultant Responsibilities Flowchart [procedure- Health point only]
• Contraception [NEW amalgamation 2020]
• Cord Prolapse
• Corticosteroids: Use of
• CVP Measurement

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D

• Deceased Patient Management  see also Perinatal Loss
• Decreased Fetal Movements
• Deterioration- see 'Acute Deterioration' 
• Diabetes
• Dimethyl Sulfoxide (DMSO): Nursing Care of Patient for Bladder Instillation using
• Discharge of a Patient
• Discomforts in Pregnancy: Common

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E

• Endorsed Privately Practicing Midwives: see WNHS Policy
• Emergency Centre (EC)
• Enteral tubes: Nasogastric (NGT)
• Episiotomy and Infiltration of the Perineum - refer to 'Perineal Care and Repair' 
• Episiotomy/Laceration: Suturing  - refer to 'Perineal Care and Repair' 
• Exclusion Criteria for Midwifery Group Practice birthing in the Family Birth Centre
• External Calls: Obstetric & Gynaecology Registrars Receiving

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F

• Falls: Risks Prevention and Management
• Family Domestic Violence (FDV): Screening
• Female Genital Cutting / Mutilation (FGC / FGM)
• Fetal Compromise / Distress (Acute)
• Fetal Heart Rate Monitoring
• Fetal Scalp Blood Sampling
• Formula Feed: Fluid Requirements
• Formula Feed: Fluid Requirements for Low Birth Weight (LBW), Preterm & Small for Gestational Age (SGA) Baby
• Formula Feed: Preparation
• Fundal Height: Measuring with a Tape Measure

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G

• Gastric Aspiration Prevention in Pregnant Women- see 'Caesarean Birth'
• Group B Streptococcal Disease
• Guidelines development, implementation, evaluation and review processes
• Gynaecology (Non-oncological)
• Gynaecology (Oncology) [link only to FIGO staging & patient resources]

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H

• Haemoglobinopathies: Cord Blood for Haemoglobinopathy Screening
• Haemoglobinopathies: Screening in Pregnancy
• Heat Local Application- see 'Pain Management'
• HIV Positive-Management of a woman and her neonate
• Home Visiting in Safety
• Hypertension in Pregnancy: Magnesium Anticonvulsant Therapy
• Hypertension in Pregnancy: Medical Management
• Hypertension in Pregnancy: Midwifery Care

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I

• Implanted Vascular Access Port
• Immunisations- see Vaccinations
• Induction of Labour [Access through Restricted Area Guidelines (Healthpoint intranet only) or contact the Clinical Guidelines Co-ordinator at KEMH]
• Infections: Postnatal: Treatment and Management
• Infections: Antibiotic Prophylaxis for Caesarean Section
• Infections: Urinary Tract Infection in Pregnant Women (previously called "Antibiotic Treatment for UTI")
• Infections: AntibioticTreatment for Vaginal Infections
• Infections: Antibiotic Prophylaxis for Gynaecological and Urogynaecological Surgery
• Infections: Obstetric & Gynae Antibiotic Prophylaxis: Hysterosalpingogram for Infertility
• Infections in Obstetrics: Hepatitis C
• Infectious Diseases in Pregnancy: CMV
• Instrumental Vaginal Delivery - see 'Operative Birth'
• Intercostal catheter
• Iron Therapy: Intravenous [NEW amalgamation Sept 2019]

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L

• Labour: First Stage
• Labour: First Stage: Management of Delay
• Labour: Second Stage
• Labour: Second Stage: Management of Delay
• Labour: Third Stage
• Labour: Third Stage: Syntometrine QRG
• Labour: Third Stage: Retained Placenta
• Labour: Birth Notification
• Labour: Cord Blood Collection Analysis at Birth
• Labour: Indications for Pathological Examination of a Placenta
• Labour: Intrauterine Pressure Transducer Insertion
• Labour: Meconium Stained Amniotic Fluid
• Labour: Moderate and High Risk Women Presenting at MFAU & Labour and Birth Suite
• Labour: Neonatal Team Attendance at Birth (prev. called "Paediatrician Attendance for 'at risk' Births)
• Labour Pain Management- see 'Pain Management'
• Labour: Partogram
• Labour: Photographs / Video during Birth
• Labour: Placenta Being Taken Home: Safe Handling
• Labour: Shoulder Dystocia
• Latex Sensitivity
• Low PAPP-A or Raised Nuchal Translucency with Normal Chromosomes: Management of

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M

• Measles Mumps and Rubella (MMR)- see Vaccinations
• Menopause and Menopausal Symptoms
• Menstrual Bleeding: Heavy
• Midwifery Care Flowchart
• Multiple Pregnancy

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N

• Neonatal Care
• Neonatal Care: Hepatitis B Vaccine and Hepatitis B Immunoglobulin- see Vaccinations
• Neonatal Care: Intravenous (IV) Medication Administration on the Obstetric Ward- refer to new Pharmacy guideline: 'Medication Administration' 
• Nicotine Dependence
• NIPT Screening: Prenatal Testing for Fetal Aneuploidy

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O

• Operative Birth (previously called Instrumental Vaginal Delivery)
• Ovarian Hyperstimulation Syndrome- see Healthpoint
• Oxygen Therapy
• Oxytocin: Prophylactic and Therapeutic Administration / Infusion Regimens- see Postpartum Complications 

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P

• Pain Management [New amalgamation Feb 2019]
• Palliative (Neonate)- refer to Neonatology guideline: 'End of Life Care: Palliative Care, Grief and Loss'
• Palliative Care
• Palliative: Niki t34 Syringe Pump: Continuous subcutaneous infusion management
• PalliativeCare: Intrathecal Administration of Medications
• Pathology and Ultrasound Ordering by Midwife/Nurse/Nurse Practitioner
• Patient Identification- see WNHS Policy
• Perinatal Loss (including management of FDIU)
• Perinatal Loss in Children 13 and under- see 'Pregnancy Loss in Children 13 and under'
• Perineal Care and Repair (including episiotomy, suturing, third fourth degree tears)
• Perineal Repair: Management of Third and Fourth Degree Perineal Trauma - refer to 'Perineal Care and Repair' 
• Perioperative: Preparation & Management (previously known as Surgical Patient Management)
• Peripheral Intravenous Cannula Insertion and Management- see statewide Mandatory Policy 0038/16
• Peripherally Inserted Central Catheter (PICC) and Central Venous Catheter (CVC)
• Pertussis - see Vaccinations
• Placenta Accreta Spectrum (previously called: Placenta: Abnormally Invasive)
• Postnatal Care: Immediate Maternal Care in Labour & Birth Suite
• Postnatal Care: MMR- see Vaccinations
• Postnatal Care: Perineal Care - refer to 'Perineal Care and Repair' 
• Postnatal Care: Postnatal Care on Admission to the Ward
• Postnatal Care: Postnatal Care QRG
• Postnatal Care: Postnatal: Subsequent Care
• Postnatal Care: Transfer of a Postnatal Woman to Home / Visiting Midwifery Service / GP Care
• Postnatal Infection- see 'Infection: Postnatal: Treatment & Management'
• Postpartum Complications (PPH, oxytocin regimes, uterine inversion)- See Restricted Area Guidelines on Healthpoint 
• Pregnancy beyond 41 weeks gestation- refer to 'Prolonged Pregnancy'
• Pregnancy Care: First Trimester Complications
• Pregnancy Loss in Children 13 and Under: Management of the Products of Conception
• Pre-labour Rupture of Membranes at Term - refer to 'Rupture of Membranes- Spontaneous'
• Pressure Injury - see Department of Health WA: WA Pressure Injury Prevention and Management Clinical Guideline & WNHS Pressure Injury Policy (Healthpoint only)
• Preterm Birth Prevention: High Risk women
• Preterm Birth Prevention: Low Risk women
• Preterm Birth Prevention: Moderate Risk women
• Preterm Birth Prevention: Progesterone for
• Preterm Labour
• Preterm Labour: Magnesium Sulphate for Neuroprotection of the Fetus
• Preterm Prelabour Rupture of Membranes (PPROM)- refer to 'Rupture of Membranes- Spontaneous'
• Previable Rupture of Membranes (mid-trimester)- refer to 'Rupture of Membranes- Spontaneous'
• Prolonged Pregnancy: Care Beyond 40 Weeks Gestation

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R

• Referral to Maternal Fetal Assessment Unit (MFAU)
• Referral to Silver Chain
• Resuscitation Trolley: Equipment and Checking (Adult & Neonatal)
• Review at Another Hospital: Obstetric and Gynaecology
• RhD Negative Women- Refer to 'Blood Group & Clinically Significant Antibodies: Management: Rh D negative & Rh D positive women'
• Ronald McDonald House: Accommodation - refer to Patient Flow Unit Healthpoint hub page (access to WA Health employees through Healthpoint)
• Rupture of Membranes- Spontaneous (Pre-viability, Preterm and Term)

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S

• Safe Infant Sleeping- refer to Department of Health WA Safe Infant Sleeping Policy
• Sepsis and Septic Shock- Maternal- Refer to 'MR 283 Adult / Maternal Sepsis Pathway'
• Sexually Transmitted Infections (STI)
• Sexually Transmitted Infections: Chlamydia in Pregnancy
• Sexually Transmitted Infections: Hepatitis B in Pregnancy
• Sexually Transmitted Infections: Hepatitis C - refer to 'Infections in Obstetrics: Hepatitis C'
• Sexually Transmitted Infections: Herpes Simplex
• Sexually Transmitted Infections: Syphilis
• Small for Gestational Age (SGA) & Intrauterine Growth Restriction (IUGR): Management of
• Stoma Care
• Surgical Patient Management- see 'Perioperative Preparation & Management'

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T

• Total Parenteral Nutrition (TPN)
• Transfer from home to Hospital (VMS / MGP / CMP) [NEW 2018]
• Transfer of a Critically Unwell Patient to an ICU at Another Hospital
• Transfer of a Patient
• Transfer of a Patient to Agnes Walsh Lodge/House

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U

• USS in MFAU for fetal wellbeing-Basic US scanning competent midwives- see Pathology & Ultrasound Ordering

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V

• Vaccinations (Adult pertussis, influenza and MMR.  Neonatal Hepatitis B and HBIG)
• Vaginal Procedures
• Venous Thrombosis and Embolism (VTE): Graduated Compression Stockings
• Venous Thrombosis and Embolism: Heparin Therapy (Intravenous)
• Venous Thrombosis and Embolism: Prophylaxis Gynaecology Risk Assessment
• Venous Thrombosis and Embolism: Prophylaxis: Prior Thrombotic Event with NO Thrombophilia
• Venous Thrombosis and Embolism: Prophylaxis: Prior Thrombolitic Event WITH Thrombophilia 
• Venous Thrombosis and Embolism: Thrombosis in Pregnancy
• Venous Thrombosis and Embolism: Warfarin: Pre & Post Operative Management for Patients on Therapeutic Warfarin
• Visiting Midwifery Service (VMS): Readmission of a Baby/Babies to KEMH
• Visiting Midwifery Service (VMS): Referrals
• Vitamin B12 Deficiency: Management
• Vitamin D: Deficiency in Pregnancy

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W

• Water for Pain Management during Labour and/or Birth
• Women and Newborn Drug and Alcohol Service (WANDAS)
• Wound Care

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