Obstetrics and Gynaecology Guidelines

All guidelines must be read in conjunction with the Disclaimer. 

New and Updated Guidelines (Feb) and January

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- see Social Work (Healthpoint only)
• 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 Birth (new amalgamation Feb 2019- pre-admission, transfer to and from theatre, post-op care, uterine tone, gastric aspriation prevention)
• Caesarean: Thromboprophylaxis After
• Caesarean: Uterine Tone and Caesarean Birth: Pharmacological management - see 'Caesarean Birth'
• 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
• 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 & 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 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- 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
• 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
• 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)

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L

• Labour (Second Stage): Management
• Labour (Second Stage): Management of Delay
• Labour Pain Management- see 'Pain Management'
• 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 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

• 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: Immediate Care for Babies
• Neonatal Care: Intramuscular injection (IMI)
• Neonatal Care: Intravenous (IV) Medication Administration on the Obstetric Ward- refer to new Pharmacy guideline: 'Medication Administration'
• 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)
• 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

• 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 Repair: Management of Third and Fourth Degree Perineal Trauma
• 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)
• Placenta Accreta Spectrum (previously called: Placenta: Abnormally Invasive)
• 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
• Pregnancy Loss in Children 13 and Under: Management of the Products of Conception
• 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 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 at

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S

• Sepsis and Septic Shock- Maternal- Refer to 'MR 283 Maternal Sepsis Pathway' >20 weeks / postpartum or 'MR 284 Adult Sepsis Pathway'
• 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
• 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

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

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