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Management of women with gestational diabetes

Hypothyroidism in pregnancy

Type 1 and Type 2 diabetes in pregnancy

Administration of Ferinject

Management of women who refuse blood products

Pregnant women with red cell antibodies

Pregnancy management of Rh negative women with ffDNA testing and Anti D prophylaxis

VTE in pregancy

Thromboprophylaxis in Pregnancy and Puerperium

Actim partus test of prediction of preterm labour

APH including massive obstetric Haemorrhage

Antenatal Fetal Monitoring, Cardiotocography (CTG) and Dawes Redman Analysis

Aspirin Guideline

Breech presentation including ECV

Bereavement

Bereavement Support following the death of your baby - patient Information

BUMP Pathway flowchart

Taking Your Baby Home from Hospital Patient Information Leaflet

Induction of Labour (IOL)

In Utero Transfer Record

What to Expect When Coming in for Medical Management of Induction of Labour - Patient Information Leaflet

Outpatient induction of Labour (IOL)

What you need to Know about Induction of Labour - Patient information

Booking form for outpatient IOL

Outpatient IOL - Telephone review

Management of FGR

Multiple pregnancy

Multiple Pregnancy Checklist

Maternal request for primary C/S

Management of cardiac arrest

Pathway for the management of Antepartum Haemorrhage

Pathway for the management of placenta accreta

Polyhydramnios guideline

Preterm Prevention Clinic Treatment Pathway

Guideline on the Histopathological assessment of placentas after an adverse pregnancy outcome

PPROM

PGD Management

Referral for obstetric anaesthetic clinic

Surrogacy

Spontaneous preterm labour

Spontaneous rupture of membrane (SROM)

Use of tocolysis in preterm labour

VBAC

West Midlands In Utero Transfer (ITU) Guideline

West Midlands Preterm Birth Symptomatic Assessment Pathway

Women with reduced fetal movements (RFM)

Care for the Hep C positive pregnant women

Care for the HIV positive pregnant women

CMV Diagnosis and Management

Group B Streptococcal infection

Inpatient maternal sepsis tool

Maternal sepsis

Maternal sepsis telephone triage tool

Suspected chorioamnionitis

Syphilis in pregnancy

Handover of care in the antenatal, intrapartum and postnatal periods

Management of obese women in pregnancy

Maternity Triage Operational Policy

Obstetric Antimicrobial Prophylaxis Guideline

Obstetric Fluid Administration Guideline

Pregnant and recently delivered women who attend ED and pregnant women seen in the hospital with non-obstetric emergencies

Referrals to maternity triage

Teenage Pregnancy Guideline

Welcome to the Antenatal Ward - For Partners - Patient Information

Antenatal DNA Policy- Follow up of Women who fail to attend their appointment for antenatal care

Homebirth

Membrane sweeping

Midwifery led antenatal care

Spontaneous rupture of membranes (SROM) not in labour after 37+ weeks and up to 42+ weeks gestation

Standard Operating Procedure: Women and Childrens Services WAHT and WVT

Epilepsy in pregnancy

Mental health issues in pregnancy

Cholestasis in pregnancy

Alcohol and illicit drug user

Domestic abuse

FGM

Obstetric and Midwifery Referral for Mental Health Services - Urgent Assessments

Amniocentesis

Amniocentesis- Patient information

Antenatal paediatric referral

Antenatal Chlamydia Screening for <25 year olds - Standard Operating Procedure

Chlamydia Screening Guideline

Fetal Anomaly Screening - Coverage for Down's, Edward's and Patau's Syndrome

Management of suspected/identified Fetal anomaly

Hepatitis B positive

HIV positive

Hepatitis C positive

Higher Chance Checklist

Invasive Testing in Fetal Medicine

Raised NT Checklist

Identification of low PAPP-A MoM and allocation of pregnant women to high risk care and serial growth scans

Newborn Blood Spot Screening Guideline

Syphilis

Sickle cell and Thalassaemia

SOP for Ultrasound Examination in the event of Suspected Intrauterine Death

Protocol for Third Trimester Ultrasound Scans

Protocol for the 18+0 - 20+6 week Anomaly Scan

Protocol for dating scans

Protocol for Viability Scans

Care in labour including risk assessment

Obstetric Eating and Drinking Guidance

Guidelines for midwives on the use of massage and aromatherapy

Homebirth

Intrapartum and postpartum bladder care

Latent Phase of Labour

Meadow birth centre

Management of women not in established labour

Perineal tears and repairs

Transfer of women and/or babies from the community and into consultant unit

Use of water during Labour and birth

Vaginal Cleansing at the time of Caesarean section

Bereavement Care Guideline for Management of Women and their Family Experiencing the Loss of a Baby

Bladder Care in Labour - Patient Information Leaflet

Care in labour including risk assessment

Eating and drinking in labour

Emergency caesarean section

Enhanced Care for the Severely Ill Obstetric Patient

Foetal blood sampling

Guidelines for in-utero transfer from Worcester Royal Hospital

Group B Streptococcal infection/guidelines for prevention of neonatal infection

Induction of labour (IOL)

Investigation of Thrombocytopenia in pregnancy and the management of gestational thrombocytopenia

Intrapartum Fetal Surveillance

Intrapartum and postpartum bladder care

Induction of Labour - Previous Caesarean VBAC with Foley Catheter

Management of breech presentation including external cephalic version

Multidisciplinary care of the pregnant woman known to be HIV positive

Multidisciplinary care of the pregnant women known to be Hepatitis C positive

Multidisciplinary care of the pregnant woman known to be Hepatitis B

Management of women with gestational diabetes

Multiple pregnancy

Management of obese women in pregnancy

Multidisciplinary guideline for the management of Pelvic Girdle Dysfunction (PGD)

Management of women who refuse blood transfusion including blood products in pregnancy and postnatal periods

Management of women with ruptured uterus

Protocol for Third Trimester Ultrasound Scans

Protocol for the 18+0 - 20+6 week Anomaly Scan

Protocol for dating scans

Protocol for Viability Scans

Guideline for Prenatal Diagnosis and Management of Vasa Praevia

Spontaneous preterm labour

sFLt/PIGF Ration in the Management of Suspected Pre-eclampsia

Thromboprophylaxis in Pregnancy and Puerperium

Worcestershire Obstetric Warning WOW chart

Amniotic fluid embolism

Cord prolapse

Detection,investigation and management of maternal sepsis

Health professional involved with cases of maternal death

High dependency care for severely ill obstetric patient

Intrauterine tamponade balloon for postpartum haemorrhage

Management of HELLP/AFLP/E clampsia

Significant hypertension and pre-eclampsia in pregnancy

Shoulder dystocia

Cell salvage in maternity guidelines

Elective caesarean section

Emergency caesarean section

Intrauterine tamponade balloon for postpartum heamorrhage

Inverted uterus

Management of breech presentation including External Cephalic Version (ECV)

Management of retained placenta

Management of postpartum haemorrhage (PPH) including massive obstetric haemorrhage

Perineal tears and repairs

Worcestershire Obstetric Warning WOW chart

Vaginal operative delivery

Obstetric Pre-Operative Checklist

Planned Caesarean Delivery at WRH with Enhanced Recovery - Patient Information for Mothers and Birth Partners

After your Caesarean section - patient information

Pain relief after your Caesarean section - patient information

After your Epidural/ Spinal Anaesthetic - patient information

Clinical supervision of temporary and locum members of junior clinical staff

Partners staying overnight on the maternity unit

Safe staffing levels - maternity department

Safe staffing levels - Obstetrician

Antacid prophylaxis in Obstetrics using omeprazole

Dural puncture - Management of headache

Post Dural Puncture Headache Follow Up

Epidural analgesia in labour

Failed Intubation on Obstetrics

Obstetric theatre and intervention room policy

Obstetric theatre recovery

Use of main theatres for Obstetrics

Remifentanil Patient Controlled Analgesia Guideline

Pregnancy management of Rh negative women with ffDNA testing and Anti D prophylaxis

Perineal tears and repairs

Postnatal re-admission

Perineal tears and repairs

Pregnancy management of Rh negative women with ffDNA testing and Anti D prophylaxis

Worcestershire Obstetric Warning WOW chart

Detection, investigation and management of maternal sepsis

HDU care of severly ill obstetric patients

Management of HELLP/AFLP/Eclampsia

Maternal death

Postpartum haemorrhage (PPH) including massive obstetric haemorrhage

Significant hypertension and pre-eclampsia in pregnancy

Hypothyroidism in pregnancy

Investigation of thrombocytopenia in pregnancy and the management of gestational thrombocytopenia

Management of mental health issues in pregnancy

Multidisciplinary care of pregnant women known to be Hepatitis C positive

Multidisciplinary care of the pregnant women known to be HIV positive

Management of women with epilepsy in pregnancy

Management of women with gestational diabetes

Multidisciplinary care of pregnant women known to be Hepatitis B positive

Management of syphilis in pregnancy

Management of obese women in pregnancy

Pregnant women with red cell antibodies

Type 1 and Type 2 diabetes in pregnancy

Thromboprophylaxis in Pregnancy and Puerperium

VTE in pregnancy

Dural Puncture - Management of Headache

Care of the pregnant alcohol and illicit drug user

Domestic abuse

Obstetric and Midwifery Referral for Mental Health Services- Urgent Assessments

Handover of care in antenatal, intrapartum and postnatal period

Intrapartum and postpartum bladder care

Postnatal care planning and provision of information

Transfer of mothers/babies to community care

Transfer of postnatal mother to join sick baby in another hospital

Transfer of sick postnatal mother to another hospital

Transfer of women and/or babies from community to consultation unit

Criteria for Obstetric Consultant review on Postnatal Ward

Postnatal Contraception Leaflets

Postnatal Health and Wellbeing Guide

Maternity Self administration of Medicines scheme

When did you last discuss contraception? - NHS Poster

Infant feeding policy

Expressing and storage of breast milk

Tongue tie in breast feeding

Tongue Tie post procedure leaflet

Guideline for babies who are reluctant to breastfeed

Diabetes and Feeding Your Baby - Patient Information leaflet

Feeding Your New Baby Whilst in Hospital - Patient Information leaflet

Feeding Support after discharge for Hospital or Home birth during COVID-19 - Patient Information leaflet

Care of the pregnant and illicit drug user

Domestic abuse

Criteria for admission of babies to the neonatal unit

Postnatal re-admission

Security of newborn infants

Transfer of postnatal mothers/babies to community care

Transfer of women and/or babies from community to consultation unit

Worcestershire safer sleeping

Badgernet Electronic Fetal Monitoring Review Flowchart

Clinical supervision of temporary or locum members of junior clinical staff

CPE Screening for Obstetric Patient Group

Continuity of Carer Meet the Midwives Ruby Team - Patient Information

Considering Giving Consent for Post Mortem - Patient Information Leaflet

CTG and Fresh Eyes System

Enhanced Support Pathway Overview

Enhanced Support Pathway Overview Band 5 and 6 Midwives

Enhanced Support Pathway Overview Band 7 and Obstetrics Doctors

Intra-uterine transfer requests

Mandatory Fetal Monitoring Training K2 Standard Operating Procedure (SOP)

Maternity training

Maternity health records

Maternity and neonatal services escalation

Meadow Birth Centre SOP

Partners staying overnight on the maternity unit

Red Blankets Questionnaire

Safe staffing levels - maternity department

Safe staffing level - Obstetrician

Use of Fetal Pillow for Failed Trial of Instrumental Delivery

Standard Operating Procedure for Midwife Receiving Baby in Theatre

Smoking Cessation and Carbon Monoxide Testing Guideline

Dogs Trust - Tips and Advice for Expecting a Baby

Women in A&E/DAU Requiring Transfer to Worcestershire Royal Hospital for further review /care SOP

SOP Caseload Team Midwifery Practice

Standard Operating Procedure Women and Children's Services WAHT and WVT

SOP Registration Information Miscarriages, Stillbirth and Neonatal Death

SOP Ward Rounds within Maternity

Standard Operating Procedure for Screening for Gestational Diabetes (GDM) during COVID-19 Pandemic

Standard Operating Procedure for Maternity Antenatal and Postnatal Visiting (inc Community and Homebirth)

Standard Operating Procedure in for Antenatal Screening and Ultrasound in Pregnancy in the evolving COVID-19 Pandemic (includes fetal medicine advice)

Standard Operating Procedure for Maternity Community Visiting and Clinic Advice

Standard Operating Procedure for the Swabbing of Admissions

Standard Operating Procedure for the Management of and Timing of Delivery in COVID-19 or Suspected COVID-19 Women with Significant Respiratory Compromise

Flow chart for the management of women with COVID in pregnancy

Adult Antimicrobial Guide

Key Document Supporting Information

Owner: Dr Hillman

Approval date - 15th November 2019

Review date - 15th November 2022

These are the most up to date and should be used until a revised version is in place.

Version 6.5

If you require any information not currently available, please contact Key Document owner

Supporting Information -

Obstetric Key Amendment Table

Obstetric Key Document Monitoring Tool

Royal College of Obstetrics and Gynaecology

Page last updated: 05 September 2022

Obstetrics Key Documents Page

Contents Page

Antenatal

Endocrine

Haematological

High Risk Obstetrics

Infections

Miscellaneous

Midwifery-Led Care

Neurological

Psychiatric

Other Medical Problems

Safeguarding

Screening

Intrapartum

Midwifery Led Care

Consultant Led Care

Obstetric Emergencies

Operative Procedures

Miscellaneous

Theatres and Anaesthetic related

Postnatal

Mother

Midwifery Led Care

Consultant Led Care

Obstetric Emergencies

Medical Disorders

Operative Procedures

Safeguarding

Miscellaneous

Baby

Feeding

Safeguarding

Miscellaneous

Miscellaneous

Maternity SOPs - COVID 19

Adult Antimicrobial Guide

Key Document Supporting Information