Obstetrics and Gynaecology Guidelines

This page contains Obstetrics and Gynaecology Guidelines. 

New and Updated Guidelines:  August    September

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
• Admission
• Adolescent Clinic [Procedure] (Healthpoint only) 
• Adoption: Relinquishment
• Amnioinfusion
• Amnioreduction [link only]
• 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 NCCU Postnatal Ward guideline Hypoglycaemia
• Breastfeeding Challenges: Blocked Ducts
• Breastfeeding Challenges: Breast Abscess
• Breastfeeding Challenges: Engorgement / Full, Lumpy Breasts
• Breastfeeding Challenges: Flat or Inverted Nipples
• Breastfeeding Challenges: Increasing Breast Milk Supply
• Breastfeeding Challenges: Mastitis: Management of
• 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 Section: Caesarean Birth: Elective
• Caesarean Section: Caesarean Birth: Non-Elective
• Caesarean Section: Pre-Admission Clinic for Births by Elective Caesarean Section
• Caesarean Section: Transfer to the Operating Theatre
• Caesarean: Postoperative Care
• Caesarean: Thromboprophylaxis After
• Caesarean: Transfer from the Operating theatre
• Caesarean: Uterine Tone and Caesarean Birth: Pharmacological management of
• Cardiac Disease
• Central Venous Catheter (CVC)
• Cervical Cerclage
• Cervical Suture : Removal
• Childbirth and Mental Illness Clinic (CAMI)
• Cholestasis (Confirmed): MFAU QRG
• Cholestasis (Suspected): MFAU QRG
• Cholestasis in Pregnancy
• Clinical Deterioration : Recognising and Responding to
• Clinical Deterioration in the Community (Recognising & Responding) (VMS MGP CMP)
• Clinical Handover
• Communication Guidelines and Flowchart
• Complex Care: Planning for
• Consultant Responsibilities Flowchart [procedure- Health point only]
• Contraception : Implanon Insertion
• Contraception : Implanon Removal Non Routine
• Contraception : IntrauterineDevices
• Contraception : Postpartum
• Contraception : Sterilisation
• Contraception :BarrierMethods
• Contraception :Combined Oral Contracetive Pill
• Contraception- Emergency
• Contraception: DepoProvera
• Contraception: Progesterone Only Pill
• Contraception:Implanon (Etonogestrel)
• Cord Blood for Stem Cell Harvest: Collection of
• Cord Prolapse
• Corticosteroids: Use of
• CVP Measurement

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D

• Deceased Patient Management  see also Perinatal Loss
• Death That Occurs in the OperatingTheatre
• Decreased Fetal Movements
• Diabetes in Pregnancy
• Diabetes: Gynaecology: Surgery (Elective)
• Diabetes: Gynaecology: Surgery (Emergency)
• 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
• Episiotomy/Laceration: Suturing
• Exclusion Criteria for Midwifery Group Practice birthing in the Family Birth Centre
• External Calls: Obstetric Registrars Receiving

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F

• Falls: Risks Prevention and Management
• Family Domestic Violence (FDV): Screening
• Female Genital Mutilation (FGM)
• Fetal Compromise / Distress (Acute)
• Fetal Growth Assessment using a Customised Fetal Growth Chart
• 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
• Formula Feed: Technique
• Fundal Height: Measuring with a Tape Measure

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G

• Gastric Aspiration Prevention in Pregnant Women
• Group B Streptococcal Disease
• Guidelines development, implementation, evaluation and review processes
• Gynaecology (Non-oncological)
• Gynaecology (Oncology)

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H

• Haemoglobinopathies: Cord Blood for Haemoglobinopathy Screening
• Haemoglobinopathies: Screening in Pregnancy
• Heat Local Application
• 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
• 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
• Infectious Diseases in Pregnancy: CMV
• Infectious Diseases in Pregnancy: Measles
• Infectious Diseases in Pregnancy: Rubella
• Infectious Diseases in Pregnancy: Varicella
• Instrumental Vaginal Delivery - now called Operative Birth
• Intercostal catheter
• Iron Carboxymaltose Therapy
• Iron Infusion (Booking)
• Iron Infusion: Adverse Reaction: Midwifery / Nursing Management
• Iron Infusion: Infiltration Extravasation Managment
• Iron Infusions: Referrals for Obstetrics and Gynaecology patients deemed high risk for iron infusions within non-tertiary care
• Iron therapy: IV polymaltose (Ferrosig)
• IV Infusion Rate Calculation

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L

• Labour (Second Stage): Management
• Labour Medications: Medications (Routine) in Labour & Birth Suite: Guidelines for Prescribing
• Labour Pain Management_Acupressure Shiatsu
• Labour Pain Management_Acupuncture
• Labour Pain Management_Aromatherapy
• Labour Pain Management_Hot Cold Therapy
• Labour Pain Management_Hypnotherapy
• Labour Pain Management_Massage
• Labour Pain Management_Morphine
• Labour Pain Management_Music Audio Therapy
• Labour Pain Management_Nitrous Oxide
• Labour Pain Management_Pethidine
• Labour Pain Management_Reflexology
• Labour Pain Management_TENS
• Labour: (First Stage) Care of the Woman
• Labour: (First Stage) Management of Delay
• Labour: (Possible/Early) at Term
• Labour: (Third Stage) Retained Placenta
• Labour: (Third Stage) Syntometrine QRG
• Labour: Assessment
• Labour: Birth Management
• Labour: Birth Notification
• Labour: Cord Blood Collection Analysis at Birth
• Labour: Indications for Pathological Examination of a Placenta
• Labour: Intrauterine Pressure Transducer Insertion
• 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: Partogram
• Labour: Photographs / Video during Birth
• Labour: Placenta Being Taken Home: Safe Handling
• Labour: Shoulder Dystocia
• Labour: Third Stage
• LabourAdmissionToLBS
• Latex Sensitivity
• Low PAPP-A or Raised Nuchal Translucency with Normal Chromosomes: Management of
• Labour: Meconium Stained Amniotic Fluid

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M

• Menopause and Menopausal Symptoms
• Midwifery Care Flowchart
• Multiple Pregnancy
• Multiple Pregnancy: Intrapartum Planned Vaginal Birth

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N

• Nebulisations
• Neonatal Care on the Ward
• Neonatal Care: Blood Collection
• Neonatal Care: Blood Collection Capillary (Heel Stab)
• Neonatal Care: Eye Infections
• Neonatal Care: Hepatitis B Immunoglobulin Administration
• Neonatal Care: Hepatitis B Vaccine
• Neonatal Care: Hypothermia: Management if Temperature <36.5C
• Neonatal Care: Intramuscular injection (IMI)
• Neonatal Care: Intravenous (IV) Medication Administration on the Obstetric Ward
• Neonatal Care: Observations
• Neonatal Care: Sudden Unexpected Death in Infancy (SUDI): Strategies to Reduce
• Neonatal Care: Vitamin K Administration
• Neonatal Examination
• Neonatal Examination: Quick Reference Guide (QRG)
• Neonate: Immediate Care for Babies born in Labour and Birth Suite
• Neonate: Immediate Care for babies NOT born in Labour and Birth Suite
• Newborn Bloodspot Screening
• 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

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P

• Palliative (Neonate): Immediate Care of the Palliative Neonate & Followup of the Postnatal Woman
• 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
• Perinatal Loss Baptism and PastoralCare
• Perinatal Loss Deceased Baby Care and Management
• Perinatal Loss Flexmort Cuddle Cot Cooling System
• Perinatal Loss Funeral Arrangements for Deceased Babies
• Perinatal Loss: Fetal Death in Utero (FDIU) above 20 weeks-Intrapartum Management
• Perinatal Loss: Fetal Death in Utero >20 weeks- Antenatal Management
• Perinatal Loss : Legalities
• Perineal Repair: Management of Third and Fourth Degree Perineal Trauma
• Perioperative: Preparation & Management (previously known as Surgical Patient Management)
• Peripheral Intravenous Cannula Insertion and Management
• Peripherally Inserted Central Catheter (PICC)
• Placenta: Abnormally Invasive (previously Placenta Accreta)
• Postnatal Care: Immediate Maternal Care in Labour & Birth Suite
• Postnatal Care: Measles, Mumps and Rubella (MMR) Vaccine Administration
• Postnatal Care: Perineal Care
• 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 Complication: Intrauterine Haemostatic Balloon Removal
• Postnatal Complication: PPH (Secondary)
• Postnatal Complication: Selective Pelvic Arterial Embolisation
• Postnatal Complication: Uterine Inversion
• Postnatal Infection- see 'Infection: Postnatal: Treatment & Management'
• Pregnancy beyond 41 weeks gestation: Midwifery assessment
• Pregnancy Beyond 41 weeks: Management of
• Pregnancy Care: First Trimester Complications
• Pre-labour Rupture of Membranes at Term
• 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)
• Previable Rupture of Membranes (mid-trimester)

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R

• Referral to Maternal Fetal Assessment Unit (MFAU)
• Referral to Silver Chain
• Resuscitation : Paediatric Trolley Checking of
• Resuscitation Neonatal Trolley:Checking of
• Resuscitation Trolley (Adult) :Equipment and Checking
• 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 at

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S

• Sepsis and Septic Shock- Maternal
• Sexually Transmitted Infections (STI)
• Sexually Transmitted Infections: Chlamydia in Pregnancy
• Sexually Transmitted Infections: Hepatitis B in Pregnancy
• Sexually Transmitted Infections: Hepatitis C
• Sexually Transmitted Infections: Herpes Simplex
• Sexually Transmitted Infections: Syphilis
• Small for Gestational Age (SGA) & Intrauterine Growth Restriction (IUGR): Management of
• Stem Cell Harvest- Cord Blood Collection
• Stoma Care
• Surgical Patient Management- see 'Perioperative Preparation & Management'

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T

• Total Parenteral Nutrition (TPN)
• Total Parenteral Nutrition (TPN) Adult QRG
• 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

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V

• Vaccination: Antenatal- Petussis and Influenza
• Vaginal Procedures
• Venous Thrombosis and Embolism (VTE): Graduated Compression Stockings
• Venous Thrombosis and Embolism: Prohylaxis with Proven Thrombophilia
• Venous Thrombosis and Embolism: Prophylaxis Prior to Thrombolitic Event
• Venous Thrombosis and Embolism: Thrombosis in Pregnancy
• 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
• VTE: Heparin Therapy (Intravenous)
• VTE: Prophylaxis Gynaecology Risk Assessment
• VTE: Warfarin: Pre & Post Operative Management for Patients on Therapeutic Warfarin

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W

• Waterbirth
• Waterbirth: Evacuation Procedure - Labour and Birth in Water
• Women and Newborn Drug and Alcohol Service (WANDAS)
• Wound Care

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