RCOG guideline. Clinical Director for Women s, Children s and Sexual Health Directorate

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "RCOG guideline. Clinical Director for Women s, Children s and Sexual Health Directorate"

Transcription

1 POSTNATAL OBSERVATIONS OF BABIES BORN WITH PROLONGED RUPTURE OF MEMBRANES (PROM), MECONIUM STAINED LIQUOR (MSL) AND INFANTS OF GBS+VE MOTHERS WHO RECEIVED IV ANTIBIOTICS IN LABOUR CLINICAL GUIDELINES Register no: Status: Public Developed in response to: Intrapartum NICE Guidelines RCOG guideline Contributes to Core Regulations 9 12 Consulted With Post/Committee/Group Date Anita Rao/ Alison Cuthbertson Madhu Joshi Alison Cuthbertson Paula Hollis Chris Berner Diane Roberts Sarah Moon Carole Hughes Clinical Director for Women s, Children s and Sexual Health Directorate Consultant for Obstetrics and Gynaecology Head of Midwifery/Nursing Lead Midwife Acute Inpatient Services Manager Lead Midwife for Clinical Governance Lead Midwife Community Services; Named Midwife Safeguarding Specialist Midwife Guidelines and Audit Community Midwife December 2015 Professionally Approved By Anita Rao Lead Consultant for Obstetrics and Gynaecology December 2015 Version Number 3.0 Issuing Directorate Women s and Children s Approved by Document Ratification Group Approved on 25 th February 2016 Implementation Date 1 st March 2016 Executive Management Board Date March 2016 Next Review Date February 2019 Author/Contact for Information Sarah Dunn, Senior Midwife Postnatal Ward Policy to be followed by Midwives, Obstetricians, Paediatricians Distribution Method Intranet & Website. Notified on Staff Focus Related Trust Policies Standard Infection Prevention (to be read in conjunction with) Hand Hygiene Guideline for the Management of Preterm Pre-Labour Rupture of Membranes Guideline for the Management of Term Pre-Labour Rupture of Membranes Guideline for the Management of Meconium Stained Liquor Examination of the Newborn Transfer of mothers and babies to different care settings Resuscitation of the Newborn Prevention of early onset neonatal group b streptococcal disease (EOGBS) in pregnancy and labour Prevention of neonatal group B streptococcal disease Document History Version No Author/Reviewed by Active Date 1.0 Sheena Smith October Equality and Diversity; audit and monitoring update January Clarification to the definition of meconium stained liquor May Dr Hassan April Alison Robertson clarification to Appendix A December Sarah Dunn, Senior Midwife Postnatal Ward 1 st March

2 INDEX 1. Purpose 2. Equality and Diversity 3. Definition of Meconium Stained Liquor 4. Grade of Meconium Stained Liquor 5. Meconium Stained Liquor (MLS) in the Community Setting 6. MLS Prior to Birth 7. Definition of Prolonged Rupture of Membranes (PROM) 8. Specific Observations Required for MSL & PROM 9. Infants of GBS+ve mothers who received IV antibiotics in labour >4 hours prior to birth 10. Infants of GBS+ve mothers who received IV antibiotics in labour <4 hours prior to birth or who did not receive IV antibiotics 11. Staff and Training 12. Infection Prevention 13. Audit and Monitoring 14. Guidelines Management 15. Communication 16. References Appendix A - Observation Chart for Babies Born with PROM, MSL and infants of GBS+ve mothers who received intravenous (IV) antibiotics in labour Appendix B - Meconium-stained Liquor Flow Chart 2

3 1.0 Purpose 1.1 To provide all staff with a guideline for the management of the newborn following birth requiring observations for meconium stained liquor and prolonged rupture of membranes. 2.0 Equality and Diversity 2.1 Mid Essex Hospital Services NHS Trust is committed to the provision of a service that is fair, accessible and meets the needs of all individuals. 3.0 Definition of Meconium Stained Liquor 3.1 Meconium Stained Liquor (MSL) is the passage of meconium by a fetus in utero during the antenatal period or in labour which can cause meconium aspiration syndrome (MAS) in the newborn. The incidence of MAS is 2-4% of all live births, and usually happens in utero prior to birth, but can happen following delivery. 3.2 All patients with MSL require continuous fetal monitoring in labour according to RCOG and NICE guidelines. 4.0 Grade of Meconium Stained Liquor 4.1 Non-significant MSL is defined as a thin greenish/yellow-tinged fluid. 4.2 Significant MSL is defined as: Liquor containing particulate matter in a thin green or yellow base Thick liquor defined as having pea soup characteristics and is usually dark green or brown in colour. (Refer to Appendix B for MSL flow chart) 5.0 MSL in Community Setting 5.1 When MSL occurs at home or in the Midwife-led Birthing Units, several factors must be considered as to whether it is necessary or safe to transfer in utero to the Consultant-led Unit. 5.2 The clinical situation should be reviewed, including risk factors such as grade of meconium, (every effort should be made to transfer the mother and baby to a Consultantled Unit if significant MLS is identified). 5.3 Identified risk factors such as oligohydramnious, small for gestational age, presentation of fetus in utero, any fetal compromise or distress noted and time factors when considering transfer. 5.4 If this is not possible to transfer a patient to the Consultant-led Unit in the case of advanced labour, where it is thought that the birth is imminent there should be two midwifery staff in attendance, and the Consultant-led Unit obstetric team and neonatal staff should be informed. 5.5 The midwives in attendance should prepare the equipment available for possible resuscitation. 1

4 5.6 If there are any concerns for the safety of the baby an ambulance with paramedic crew should be called to transfer the baby to the Consultant-led Unit as soon after birth for paediatric review. (Refer to the guideline entitled Transfer of mothers and babies to different care settings ; register number 06029) 6.0 MLS Prior to Birth 6.1 When significant MSL is identified the midwife should ensure the delivery room is equipped with resuscitation equipment (preferably in the same room or as near as possible) prior to the birth to avoid unnecessary delay in resuscitation. (Refer to the guideline for the Management of Meconium Stained Liquor ; register number and Resuscitation of the newborn ; register number 07070) 6.2 The appropriate staff obstetric and paediatric teams and the Labour Ward Co-ordinator informed in order that the appropriate skilled practitioner/s are present at the delivery. 6.3 Suctioning of the nasalpharynx prior to birth of the shoulders and trunk should not be carried out. 6.4 The upper airways should only be suctioned if the baby has thick or tenacious meconuim present in the oropharynx. 6.5 Asymptomatic term babies born in good condition with significant MSL should be observed closely for signs of respiratory distress. These observations should be performed at 1 and 2 hours of age and then 2 hourly until 12 hours of age. (Refer to Appendix A) 6.6 If there has been non-significant meconium staining, the well baby should be similarly observed by the healthcare professional at 1 and 2 hours and should be reviewed by a paediatrician if the baby s condition causes concern at any time. In such cases, these well babies can be discharged from 6 hours following birth by an N96 (Examination of the newborn) midwife, a paediatrician or advanced neonatal nurse practitioner (ANNP). (Refer to the guideline for Examination for the newborn ; register number 04225) 7.0 Definition of Prolonged Rupture of Membranes (PROM) 7.1 Pre-labour rupture of membranes is defined as spontaneous rupture of membranes before the onset of regular uterine contractions. Within the UK, pre-labour rupture of membranes occurs in 6-19% of all term births. When this occurs before 37 weeks gestation, this is referred to as preterm pre-labour rupture of membranes. 7.2 In both instances prolonged rupture of membranes is defined when the membranes have been confirmed as ruptured for 24 hours or more prior to birth of the fetus. The risk of serious neonatal infection is 1% rather than 0. 5% for patients with intact membranes % of patients with PROM will go into spontaneous labour within 24 hour. Induction of labour is appropriate approximately 24 hours after rupture of membranes within a consultant unit, where access to neonatal services is available, and are advised to stay for at least 12 hours following birth for observations for infection. 7.4 Guidelines for the management of PROM and Preterm Pre-labour Rupture of Membranes (PPROM) (Refer to the guidelines entitled Management of Preterm Pre-Labour Rupture of 2

5 Membranes ; register number 08048; and Management of Term Pre-Labour Rupture of Membranes ; register number 08049) 7.5 Asymptomatic term babies born to mothers with a history of PROM (more than 24 hours before labour) should be closely observed for signs of sepsis. These observations should be performed at 1 and 2 hours of age and then 2 hourly until 12 hours of age. (Refer to Appendix A) 8.0 Specific Observations Required for MSL & PROM 8.1 Observations should include the following as recommended by the NICE clinical guidelines. General wellbeing Chest movements and nasal flare Skin colour including perfusion, by testing capillary refill Feeding Muscle tone Temperature Heart rate and respiration 8.2 The Trust s Women s, Children s and Sexual Health Directorate have developed a neonatal observation chart to perform observations on the newborn infant with nonsignificant, significant MSL and PROM in accordance with the recommendations of the NICE guidelines. (Refer to Appendix A) 8.3 Babies born with the following, will be observed for a period of 12 hours from birth, and will be reviewed by paediatric team. Significant MSL Non-significant MSL; if the baby s condition causes concern at any time A history of PROM 8.4 Observations will commence 1 hour after birth, at 2 hours of birth and then every 2 hours for 10 hours. If after this time the baby s observations are within normal limits, these observations will be discontinued. 8.5 In addition, an infant born with a history of significant MSL should have their oxygen saturation levels monitored at 1, 2 and 4 hours of birth. (Refer to Appendix A and B) 8.5 Babies that are born in good condition with light MSL; and remain asymptomatic require observations (refer to point 8.1) at 1 and 2 hours of birth and can be discharge home at from 6 hours following delivery (Refer to point 6.6). Parents should be given an information leaflet regarding light meconium stained liquor and advised to contact the postnatal ward on (option1 then 6) or the midwife can highlight the pertinent contact numbers printed on the patient s discharge envelope. (Refer to the guideline for the Management of Meconium Stained Liquor ; register number 04259) (Refer to Appendix A, B) 8.5 Any baby with any symptoms of respiratory distress syndrome or possible sepsis will be referred immediately to a neonatal care specialist for paediatric review. 3

6 9.0 Infants of GBS+ve mothers who received IV antibiotics in labour >4 hours prior to birth (Refer to the guideline entitled Prevention of early onset neonatal group b streptococcal disease (EOGBS) in pregnancy and labour (04292); and Prevention of neonatal group B streptococcal disease (09160) 9.1 Observations will commence 1 hour after birth and then every 4 hours for 12 hours. If after this time the baby s observations are within normal limits, these observations will be discontinued Infants of GBS+ve mothers who received IV antibiotics in labour <4 hours prior to birth or who did not receive IV antibiotics (Refer to the guideline entitled Prevention of early onset neonatal group b streptococcal disease (EOGBS) in pregnancy and labour (04292); and Prevention of neonatal group B streptococcal disease (09160) 10.1 Observations will commence 1 hour after birth and then every 4 hours for 24 hours. If after this time the baby s observations are within normal limits, these observations will be discontinued Staffing and Training 11.1 All midwifery and obstetric staff must attend yearly mandatory training which includes skills and drills training, including neonatal resuscitation (Refer to Mandatory training policy for Maternity Services (incorporating training needs analysis. Register number 09062) 11.2 All midwifery and obstetric staff are to ensure that their knowledge and skills are up-todate in order to complete their portfolio for appraisal Infection Prevention 12.1 All staff should follow Trust guidelines on infection prevention by ensuring that they effectively decontaminate their hands before and after each procedure All staff should ensure that they follow Trust guidelines on infection control, using Aseptic Non-Touch Technique (ANTT) when carrying out procedures i.e. vagina examinations and conducting deliveries Audit and Monitoring 13.1 Audit of compliance with this guideline will be considered on an annual audit basis in accordance with the Clinical Audit Strategy and Policy and the Maternity annual audit work plan. The Women s and Children s Clinical Audit Group will identify a lead for the audit As a minimum the following specific requirements will be monitored: Prevention, detection and management of hypoglycaemia in the newborn Prevention, detection and management of hypoglycaemia in the newborn of women with diabetes Prevention, detection and management of hypothermia in the newborn 4

7 Management of a newborn with meconium-stained liquor present at delivery Management of a newborn where there is known group B haemolytic streptococcus present in either mother or newborn Management of the newborn of women known to have misused substances in pregnancy Documentation of all of the above Process for audit, multidisciplinary review of audit results and subsequent monitoring of action plans 13.3 A review of a suitable sample of health records of patients to include the minimum requirements as highlighted in point 13.2 will be audited. A minimum compliance 75% is required for each requirement. Where concerns are identified more frequent audit will be undertaken The findings of the audit will be reported to and approved by the Women s and Children s Clinical Audit Group and an action plan with named leads and timescales will be developed to address any identified deficiencies. Performance against the action plan will be monitored by this group at subsequent meetings The Women s and Children s Clinical Audit Group report will be reported to the Women s and Children s Directorate Governance Meeting and significant concerns relating to compliance will be entered on the local Risk Assurance Framework Key findings and learning points from the audit will be submitted to the Patient Safety & Quality Group within the integrated learning report Key findings and learning points will be disseminated to relevant staff Guideline Management 14.1 As an integral part of the knowledge, skills framework, staff are appraised annually to ensure competency in computer skills and the ability to access the current approved guidelines via the Trust s intranet site Quarterly memos are sent to line managers to disseminate to their staff the most currently approved guidelines available via the intranet and clinical guideline folders, located in each designated clinical area Guideline monitors have been nominated to each clinical area to ensure a system whereby obsolete guidelines are archived and newly approved guidelines are now downloaded from the intranet and filed appropriately in the guideline folders. Spot checks are performed on all clinical guidelines quarterly Quarterly Clinical Practices group meetings are held to discuss guidelines. During this meeting the practice development midwife can highlight any areas for further training; possibly involving workshops or to be included in future skills and drills mandatory training sessions Communication 15.1 A quarterly maternity newsletter is issued and available to all staff including an update on the latest guidelines information such as a list of newly approved guidelines for staff to acknowledge and familiarise themselves with and practice accordingly. 5

8 15.2 Approved guidelines are published monthly in the Trust s Focus Magazine that is sent via to all staff Approved guidelines will be disseminated to appropriate staff quarterly via Regular memos are posted on the guideline notice boards in each clinical area to notify staff of the latest revised guidelines and how to access guidelines via the intranet or clinical guideline folders 16.0 References National Institute for Clinical Excellence (2008) Induction of Labour. NICE: London. National Institute for Clinical Excellence (2014) Intrapartum Care NICE: London. 6

9 Neonatal observations for significant meconium stained liquor & prolonged rupture of membranes Appendix A Normal Values of Newborn in First Week of Life Heart rate: beats per minute Respirations: breaths per minute Temperature: Signs of Infection Rapid heart rate (above 160 beats per minute) or slow heart rate (less than 100 beats per minute) Rapid breathing (more than 60 breaths per minute/tummy breathing) or slow breathing (less than 25 breaths per minute) High temperature or low temperature (above 37.5 c) or low temperature (below 36.5 c) Changes in normal skin colour and feel: pale, cyanosis (blue skin), mottled appearance, jaundice yellow colour to skin and white of eyes or flushed/red appearance, appearance of spots, rash, discharge from nose, mouth, ears, eyes, umbilicus (naval), clammy (wet) or hot to touch Irritability (difficult to settle/crying too much/looks worried) Lethargy (very sleepy, floppy) Poor feeder: slow to feed, not interested in feeding Vomiting (being sick) 1

10 Appendix B Meconium-stained Liquor Flow Chart Non-significant meconiumstained liquor Significant meconium-stained liquor Transfer to consultant-led unit (CLU) Advise continuous EFM Consider continuous EFM based on risk assessment, stage of labour, volume of liquor, parity, FHR, need to transfer to CLU Baby born in good condition:- 1 and 2 hours, observe, General wellbeing Chest movement and nasal flare Skin colour (Capillary refill) Feeding Muscle tone Temperature Heart rate and respiration Discharge check: N96 Baby has depressed vital signs:- -Laryngoscopy and suction under direct vision by a healthcare professional trained in advanced neonatal life support Do not suction nasopharynx and oropharynx before birth of the shoulders and trunk Only suction upper airways if thick/ tenacious meconium in oropharynx Baby born in good condition, 1 hour, 2 hours then 2 hourly until 12 hours old. Observe, General wellbeing Chest movements and nasal flare Skin colour (capillary refill) Oxygen saturation levels at 1, 2 and 4 hours of birth Feeding Muscle tone Temperature Heart rate Respiration Discharge check: Paediatrician 1

11 Jason Dover Appendix C Postnatal Baby Observations Chart Date Day Name MEHT No NHS No DOB Birth Gest Weight Observations to be undertaken for Significant MEC / PROM Completed at; 1, 2, 4, 6, 8, 10, 12 hours of life - Apex - Temperature - Respiration Rate - Colour - Tone - Capillary Refill Time - O2 Saturation Levels - Chest Movements / Nasal Flaring - Feeding GBS With Maternal Antibiotics IV in Labour Completed at; 1, 4, 8, 12 hours of life - Temperature - Respiration Rate Without Maternal Antibiotics IV in Labour Completed at; 1, 4, 8, 12, 16, 20, 24 hours of life - Temperature - Respiration Rate Thin MEC Only at 1 and 2 hours of life unless baby symptomatic. Baby on IVABS Twice per day - Apex - Temperature - Respiration Rate - Colour - Tone - Capillary Refill Time - O2 Saturation Levels - Chest Movements / Nasal Flaring - Feeding IDDM / GDM Completed at; 2, 4, 6, 12, and 24 hours of life - Temperature - BM - Jitteriness - Heart Rate - Respiration Rate > If BM is less than 2.6 mmol/l on any occasion, follow hypoglycaemia protocol > Obs above if; - Macrosomic - Maternal Labetolol - Baby above 4.5 kg - Baby below 2.5 kg - Premature - Baby symptomatic of hypoglycaemia NAS OBs See Separate Chart Any observations in red; must be escalated to midwife in charge, or paediatric review 2

12 Resp Rate Date Commenced Time > <20 Time Commenced Resp Effort Normal Increased Working Hard O 2 Saturations Day 1 >90% After Day 1 >95% Heart Rate Behaviour > <60 Alert Jittery Blood Sugar (BM) Let / Floppy Output Oral fluids Colour Temp o C > <36 Pink Jaundice Dusky Oral Fluids Method Given Total PH Aspirate EBM Checked Breastfeed Time Vomit / Large aspirate PU BO ESCALATED INITIALS Any observations in red; must be escalated to midwife in charge, or paediatric review 3

ARTIFICIAL FEEDING IN THE POSTNATAL PERIOD Register no: Status: Public

ARTIFICIAL FEEDING IN THE POSTNATAL PERIOD Register no: Status: Public ARTIFICIAL FEEDING IN THE POSTNATAL PERIOD CLINICAL GUIDELINES Register no: 09110 Status: Public Developed in response to: Contributes to CQC Outcome No: 4 Intrapartum NICE Guidelines RCOG guideline Consulted

More information

CLINICAL GUIDELINES Register No: Status: Public GUIDELINE FOR DISCHARGE FROM THE NEONATAL UNIT

CLINICAL GUIDELINES Register No: Status: Public GUIDELINE FOR DISCHARGE FROM THE NEONATAL UNIT GUIDELINE FOR DISCHARGE FROM THE NEONATAL UNIT CLINICAL GUIDELINES Register No: 14030 Status: Public Developed in response to: Best practice Contributes to CQC Outcome 4 Consulted With Post/Committee/Group

More information

Gloucestershire Hospitals

Gloucestershire Hospitals Gloucestershire Hospitals NHS Foundation Trust TRUST POLICY NEONATAL UNIT and TRANSITIONAL CARE UNIT ADMISSIONS POLICY A0097 Any hard copy of this document is only assured to be accurate on the date printed.

More information

Intrapartum Guidelines. No.10 The monitoring of fetal well-being during labour

Intrapartum Guidelines. No.10 The monitoring of fetal well-being during labour Intrapartum Guidelines No.10 The monitoring of fetal well-being during labour 1. Patient information and discussion Women must be afforded a documented discussion re: fetal monitoring and options available

More information

Management of Pre-Labour Rupture of Membranes at Term (PROM)

Management of Pre-Labour Rupture of Membranes at Term (PROM) Management of Pre-Labour Rupture of Membranes at Term (PROM) Definitions Pre-labour rupture of membranes (PROM) at term is defined as a rupture of the membranes prior to the onset of labour for women over

More information

Risk stratification tool for children aged under 5 years with suspected sepsis

Risk stratification tool for children aged under 5 years with suspected sepsis Risk stratification tool for children aged under 5 years with suspected sepsis Category Age Behaviour No response to social cues Appears ill to a healthcare professional Does not wake, or if roused does

More information

Register No: RCOG guideline. Contributes to CQC Standards No

Register No: RCOG guideline. Contributes to CQC Standards No MANAGEMENT OF NEONATAL HYPERBILIRUBINIA CLINICAL GUIDELINES Register No: 09094 Status: Public Developed in response to: Contributes to CQC Standards No Intrapartum NICE Guidelines RCOG guideline C5a Consulted

More information

Neonatal Emergencies. Care of the Neonate. Care of the Neonate. Care of the Neonate. Student Objectives. Student Objectives continued.

Neonatal Emergencies. Care of the Neonate. Care of the Neonate. Care of the Neonate. Student Objectives. Student Objectives continued. Student Objectives Neonatal Emergencies After completing this section the student will be able to: 1. Identify three physiologic and/or anatomic features unique to the newborn 2. List three perinatal factors

More information

Oxytocin regime for augmentation or induction of labour guideline (GL925)

Oxytocin regime for augmentation or induction of labour guideline (GL925) Oxytocin regime for augmentation or induction of labour guideline (GL925) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Chair, Maternity Clinical 11 th July

More information

Management of Periorbital Cellulitis in Children. Type: Clinical Guideline Register No: Status: Public on ratification

Management of Periorbital Cellulitis in Children. Type: Clinical Guideline Register No: Status: Public on ratification Management of Periorbital Cellulitis in Children Developed in response to: Type: Clinical Guideline Register No: 16019 Status: Public on ratification Update and improve practice Contributes to CQC Regulation:

More information

Respiratory distress in the newborn

Respiratory distress in the newborn Respiratory distress in the newborn Respiratory distress is encountered frequently in newborns. respiratory distress in the newborn may be a potentially lifethreatening condition,. The key to successful

More information

Intrapartum Guidelines. No. 16 The management of second and third trimester termination of pregnancy

Intrapartum Guidelines. No. 16 The management of second and third trimester termination of pregnancy Intrapartum Guidelines No. 16 The management of second and third trimester termination of pregnancy 1. Patient choice Mid trimester induction of labour is associated with significant psychological and

More information

Your baby s care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2015 Annual Report

Your baby s care. Measuring standards and improving neonatal care. A guide to the National Neonatal Audit Programme 2015 Annual Report Your baby s care Measuring standards and improving neonatal care A guide to the National Neonatal Audit Programme 2015 Annual Report #86,000 Neonatal Unit Admission Approximately 1 out of every 8 babies

More information

THIRD STAGE OF LABOUR - CLINICAL GUIDELINE. Summary: Active Management of the Third Stage of Labour

THIRD STAGE OF LABOUR - CLINICAL GUIDELINE. Summary: Active Management of the Third Stage of Labour THIRD STAGE OF LABOUR - CLINICAL GUIDELINE Summary: Active Management of the Third Stage of Labour Skin to skin contact Administer appropriate Oxytocic Defer cord clamping unless there are concerns about

More information

Mid Cheshire Hospitals NHS Foundation Trust

Mid Cheshire Hospitals NHS Foundation Trust Version: 3.1 Mid Cheshire Hospitals NHS Foundation Trust Syntocinon Infusion Regime: Augmentation/Induction Use in 1 st & 2 nd stage of labour. Maternity Manual guideline Date of Issue: Jan 2011 Review

More information

Monitoring the condition of the mother during the first stage of labour

Monitoring the condition of the mother during the first stage of labour Before you begin this unit, please take the corresponding test at the end of the book to assess your knowledge of the subject matter. You should redo the test after you ve worked through the unit, to evaluate

More information

GUIDELINES FOR HOSPITALS WITH NEONATAL INTENSIVE CARE SERVICE : REGULATION 4 OF THE PRIVATE HOSPITALS AND MEDICAL CLINICS REGULATIONS [CAP 248, Rg 1] I Introduction 1. These Guidelines serve as a guide

More information

This information is for women who are pregnant and for those who have just had their baby. It tells you:

This information is for women who are pregnant and for those who have just had their baby. It tells you: Women and Children s Care Group Patient information Group B streptococcus (GBS) Preventing infection in newborn babies This information is for women who are pregnant and for those who have just had their

More information

What is an infection screen?

What is an infection screen? Oxford University Hospitals NHS Trust Newborn Care Unit, John Radcliffe Hospital, Oxford Neonatal Unit, Horton General Hospital, Banbury What is an infection screen? Information for parents This leaflet

More information

Information for you Obstetric cholestasis

Information for you Obstetric cholestasis Information for you Obstetric cholestasis Published in May 2012 This information is for you if you have been diagnosed with obstetric cholestasis or if you have persistent itching in pregnancy. It tells

More information

Maternity Information Leaflet. Care of You & Your Baby in the Immediate Postnatal Period. Version 2

Maternity Information Leaflet. Care of You & Your Baby in the Immediate Postnatal Period. Version 2 Maternity Information Leaflet Care of You & Your Baby in the Immediate Postnatal Period Version 2 Care of New Mothers and their Newborns This leaflet gives you information about the care of women and their

More information

Why is prematurity a concern?

Why is prematurity a concern? Prematurity What is prematurity? A baby born before 37 weeks of pregnancy is considered premature. Approximately 12% of all babies are born prematurely. Terms that refer to premature babies are preterm

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online. They are updated regularly as new NICE guidance is published.

More information

CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC)

CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) 1. Aim/Purpose of this Guideline 1.1. Due to a rise in the caesarean section rate there are increasing numbers of pregnant women who

More information

Midwife led Obstetric Triage Reducing waiting time in maternity emergency department

Midwife led Obstetric Triage Reducing waiting time in maternity emergency department Midwife led Obstetric Triage Reducing waiting time in maternity emergency department Anitha Baby AMP candidate(obg ED) RN, RM, RNP, BSc, MSc, Grad cert in Obstetric and Gynecological Ultrasound Grad cert

More information

Trust Guideline for the use of the Modified Early Obstetric Warning Score (MEOWS) in detecting the seriously ill and deteriorating woman.

Trust Guideline for the use of the Modified Early Obstetric Warning Score (MEOWS) in detecting the seriously ill and deteriorating woman. A clinical guideline recommended for use In: By: For: Key words: Written by: Supported by: Maternity Services. Obstetricians, Midwives and Midwifery Care Assistants. All women receiving care from maternity

More information

NHS FORTH VALLEY. Weighing Guidelines for newborn infants

NHS FORTH VALLEY. Weighing Guidelines for newborn infants June 2008: Review June 2010 or Sooner Anne Paterson June 2008: Review June 2010 or Sooner Anne Paterson NHS FORTH VALLEY Weighing Guidelines for newborn infants Approved 23 March 2010 Version 3.0 Date

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME standard topic: Specialist neonatal care Output: standard advice to the Secretary of State

More information

Obstetrical Emergencies

Obstetrical Emergencies Date: July 18, 2014 Page 1 of 5 Obstetrical Emergencies Purpose: To provide the process for the assessment and management of the patient with an obstetrical related emergency. Pre-Medical Control 1. Follow

More information

NHS FORTH VALLEY. Infant Feeding Policy Breastfeeding and Infant Formula Milk Feeding

NHS FORTH VALLEY. Infant Feeding Policy Breastfeeding and Infant Formula Milk Feeding NHS FORTH VALLEY Infant Feeding Policy Breastfeeding and Infant Formula Milk Feeding Date of First Issue 1/08/2005 Approved 27/9/2016 Current Issue Date 1/09/2016 Review Date 1/08/2018 Version 4.3 EQIA

More information

Management of Neonatal Jaundice GL382

Management of Neonatal Jaundice GL382 Management of Neonatal Jaundice GL382 Approval and Authorisation Approved by Job Title Date Paediatric Clinical Governance Chair of Paediatric Clinical Governance Nov 2014 Change History Version Date Author

More information

Newborn Life Support. Resuscitation Council (UK) Introduction. Physiology

Newborn Life Support. Resuscitation Council (UK) Introduction. Physiology Newborn Life Support Introduction Passage through the birth canal is a hypoxic experience for the fetus, since significant respiratory exchange at the placenta is prevented for the 50-75 sec duration of

More information

Intrapartum fetal surveillance

Intrapartum fetal surveillance Department of Health Translating evidence into best clinical practice Translating evidence into best clinical practice Intrapartum fetal surveillance Clinical Guideline Presentation V2.0 45 minutes Towards

More information

GENITAL HERPES IN PREGNANCY - CLINICAL GUIDELINE

GENITAL HERPES IN PREGNANCY - CLINICAL GUIDELINE GENITAL HERPES IN PREGNANCY - CLINICAL GUIDELINE Summary. Algorithm for management of herpes in pregnancy and care of neonate Recurrent genital herpes Primary acquisition of herpes in first or second trimester

More information

Summary of Changes: References/content updated to reflect most current standards of practice.

Summary of Changes: References/content updated to reflect most current standards of practice. Alaska Native Medical Center: Mother Baby Unit Guideline: Neonatal Hypoglycemia Subject: Neonatal Hypoglycemia REVISION DATE: Jan 2015,12/2011, 02/2009, 11, 2007, 07/2007,04/2001, 04/1999 REPLACES: NSY:

More information

Clear the Airway. Assess Breathing. Assess Heart Rate

Clear the Airway. Assess Breathing. Assess Heart Rate 200 CHAPTER 9: Emergency Delivery and Newborn Stabilization oxygen consumption. Thoroughly dry every infant, healthy, or depressed. Remove wet towels or blankets from around the baby after drying and replace

More information

Neonatal Abstinence Syndrome (NAS) The care your baby may need

Neonatal Abstinence Syndrome (NAS) The care your baby may need Neonatal Abstinence Syndrome (NAS) The care your baby may need Patient information Welcome to the Norfolk and Norwich University Hospitals NHS Foundation Trust The aims of this leaflet are to: Help you

More information

This leaflet sets out the range of maternity services available for women and their families across Barnet, Enfield and Haringey.

This leaflet sets out the range of maternity services available for women and their families across Barnet, Enfield and Haringey. 2 This leaflet sets out the range of maternity services available for women and their families across Barnet, Enfield and Haringey. It describes what care you can expect to receive and the choices you

More information

CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE

CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE CROSS HEALTH CARE BOUNDARIES MATERNITY CLINICAL GUIDELINE Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Obstetric Early Warning Score Guideline Implementation

More information

RISK FOR INFECTION IN THE LATE PRETERM INFANT

RISK FOR INFECTION IN THE LATE PRETERM INFANT RISK FOR INFECTION IN THE LATE PRETERM INFANT Late preterm infants are at greater risk of having an infection caused by bacteria. An infection in the uterine environment is sometimes the reason for early

More information

Neonatal Herpes Simplex Infection

Neonatal Herpes Simplex Infection August 2011 Neonatal Herpes Simplex Infection Revision Dates Case Definition Reporting Requirements Remainder of the Guideline (i.e., Etiology to References sections inclusive) August 2011 August 2011

More information

After your waters break

After your waters break Oxford University Hospitals NHS Trust After your waters break Choosing between a planned early birth, or waiting when your waters break but labour does not start (37 weeks or more) Choosing between a planned

More information

MINI - COURSE On TEMPERATURE CONTROL IN THE NEWBORN

MINI - COURSE On TEMPERATURE CONTROL IN THE NEWBORN MINI - COURSE On TEMPERATURE CONTROL IN THE NEWBORN Instructions: Read each sheet and answer any questions as honestly as possible The first sheets have four questions to allow you to give your thoughts

More information

Maternity - Fetal Heart Rate Monitoring

Maternity - Fetal Heart Rate Monitoring Guideline Maternity - Fetal Heart Rate Monitoring Document Number GL2016_001 Publication date 06-Jan-2016 Functional Sub group Clinical/ Patient Services - Maternity Ministry of Health, NSW 73 Miller Street

More information

Gail Naylor, Director of Nursing & Midwifery. Safety and Quality Committee

Gail Naylor, Director of Nursing & Midwifery. Safety and Quality Committee Report to Trust Board of Directors Date of Meeting: 24 June 2014 Enclosure Number: 5 Title of Report: Author: Executive Lead: Responsible Sub- Committee (if appropriate): Executive Summary: Clinical Negligence

More information

NEONATAL ABSTINENCE SYNDROME (NAS)- THE CARE YOUR BABY MAY NEED

NEONATAL ABSTINENCE SYNDROME (NAS)- THE CARE YOUR BABY MAY NEED NEONATAL ABSTINENCE SYNDROME (NAS)- THE CARE YOUR BABY MAY NEED Information Leaflet Your Health. Our Priority. Page 2 of 8 Welcome to Stepping Hill Hospital Women's Unit The aims of this leaflet are to:

More information

Mother s blood test to check her unborn baby s blood group

Mother s blood test to check her unborn baby s blood group Mother s blood test to check her unborn baby s blood group This leaflet explains why it is important to have a blood test to check the baby s blood group, so that only those who need it, receive anti-d

More information

STILLBIRTH OR NON-VIABLE FETUS IN THE COMMUNITY SETTING - CLINICAL GUIDELINE FOR MANAGEMENT

STILLBIRTH OR NON-VIABLE FETUS IN THE COMMUNITY SETTING - CLINICAL GUIDELINE FOR MANAGEMENT STILLBIRTH OR NON-VIABLE FETUS IN THE COMMUNITY SETTING - CLINICAL GUIDELINE FOR MANAGEMENT 1. Aim/Purpose of this Guideline 1.1. This guideline is to support midwives who may care for a woman who has

More information

Guideline for the use of Oxytocin in Labour

Guideline for the use of Oxytocin in Labour Guideline for the use of Oxytocin in Labour The following guideline is approved only for use at University College London Hospitals NHS Foundation Trust. It is provided as supporting information for the

More information

Electronic copy to all appropriate staff Intranet Notification in Staff Focus Related Trust Policies (to be read in conjunction with)

Electronic copy to all appropriate staff Intranet Notification in Staff Focus Related Trust Policies (to be read in conjunction with) Diabetes Management for Children and Young People undergoing Surgery (0-16 yrs) Clinical Guideline Register No: 10096 Status: Public Developed in response to: Updated national guidelines Contributes to

More information

Open and Honest Maternity Care in your Local Hospital

Open and Honest Maternity Care in your Local Hospital Open and Honest Maternity Care in your Local Hospital The Open and Honest Care: Driving Improvement programme aims to support organisations to become more transparent and consistent in publishing safety,

More information

Title Telemetry Management of High Risk Women in Labour and Birth using Water/Birthing Pool and Telemetry Standard Operating Procedure

Title Telemetry Management of High Risk Women in Labour and Birth using Water/Birthing Pool and Telemetry Standard Operating Procedure Document Control Title Telemetry Management of High Risk Women in Labour and Birth using Water/Birthing Pool and Telemetry Standard Operating Procedure Author Therese Chapman Directorate Surgical Author

More information

Neonatal Jaundice. Paediatrics

Neonatal Jaundice. Paediatrics What is neonatal jaundice? Jaundice is the medical term used when a baby s skin looks slightly yellow. The yellowing can also be seen in the whites of their eyes. Jaundice is very common in newborns it

More information

Sepsis: recognition, diagnosis and management

Sepsis: recognition, diagnosis and management Sepsis: recognition, diagnosis and management NICE guideline: short version Draft for consultation, January, 0 This guideline covers the recognition, diagnosis and early management of sepsis for all populations.

More information

Women, Children s and Sexual Health Division Maternity Services. MMR / Rubella Vaccine for Postnatal Woman

Women, Children s and Sexual Health Division Maternity Services. MMR / Rubella Vaccine for Postnatal Woman Women, Children s and Sexual Health Division Maternity Services Guideline: MMR - Rubella Vaccination for Postnatal Woman 1. Introduction Rubella vaccine is usually given in childhood along with the measles

More information

Blood glucose homeostasis in the neonate. Julia Petty

Blood glucose homeostasis in the neonate. Julia Petty Blood glucose homeostasis in the neonate Julia Petty Glucose homeostasis in the neonate Constant supply is vital Requirements are high in utero and in the neonatal period compared with adult Rate of glucose

More information

Neonatal respiratory distress including CPAP

Neonatal respiratory distress including CPAP Department of Health Neonatal respiratory distress including CPAP Clinical Guideline Presentation v2.0 45 minutes Towards your CPD Hours Great state. Great opportunity. References: The Queensland Clinical

More information

HIV in pregnancy: information for you. Contents. Page number

HIV in pregnancy: information for you. Contents. Page number HIV in pregnancy: information for you Published February 2005 by the RCOG Due to be reviewed in 2007 Contents Page number Key points 2 About this information 3 About HIV 4 What could it mean for my baby?

More information

Neonatal Resuscitation -Golden first minute. Dr Ameet Patki MD,DNB,FCPS,FICOG,FRCOG Chairperson FOGSI Perinatolgy Committee

Neonatal Resuscitation -Golden first minute. Dr Ameet Patki MD,DNB,FCPS,FICOG,FRCOG Chairperson FOGSI Perinatolgy Committee Neonatal Resuscitation -Golden first minute Guidelines Dr Ameet Patki MD,DNB,FCPS,FICOG,FRCOG Chairperson FOGSI Perinatolgy Committee On Behalf of the Committee FOGSI Statement for Neonatal Resuscitation:

More information

Pregnancy Terminology

Pregnancy Terminology Pregnancy Terminology Here is a little worksheet to help you understand some pregnancy terms we use in Ultrasound. Go ahead and get started. A Amniotic fluid: or waters are what the baby floats around

More information

Infant feeding policy (health visiting)

Infant feeding policy (health visiting) Infant feeding policy (health visiting) Policy Reference 030114 Date of issue: March 2014 Prepared by: Karen Mackay, Date of Review: Infant Feeding Advisor March 2015 Lead Reviewer: Karen Mackay Version:

More information

Clinical Pathways: Neonatalogy. September 2014

Clinical Pathways: Neonatalogy. September 2014 Clinical Pathways: Neonatalogy September 2014 1 Contents 1 Unexpected Poor Condition at Birth/Early Postnatal Problems in Non-NNU sitea&e (RSH) Out of Hours 2 Unexpected Poor Condition at Birth/Early Postnatal

More information

NHS FORTH VALLEY. Administration of VZIG in close contact with chicken pox or shingles in a pregnant woman. Unit Clinical Governance

NHS FORTH VALLEY. Administration of VZIG in close contact with chicken pox or shingles in a pregnant woman. Unit Clinical Governance NHS FORTH VALLEY Date of First Issue 01/04/2006 Approved 05/05/2012 Current Issue Date 18/09/2012 Review Date 18/09/2016 Version 1.2 EQIA Yes 01/04/2012 Author / Contact Group Committee Final Approval

More information

Bedford Hospital s Maternity Department

Bedford Hospital s Maternity Department Bedford Hospital s Maternity Department A photo guide for expectant mothers and their families This online tour is designed to give you and your family the opportunity to familiarise yourselves with the

More information

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE

SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: MAGNESIUM SULFATE ADMINISTRATION FOR ANTEPARTUM AND INTRAPARTUM PATIENTS WITH PRE-TERM LABOR DATE: REVIEWED: PAGES: 6/92 08/11 1 of 6 ISSUED FOR: Nursing

More information

Guidance on the development of policies and guidelines for the prevention and management of Hypoglycaemia of the Newborn

Guidance on the development of policies and guidelines for the prevention and management of Hypoglycaemia of the Newborn Guidance on the development of policies and guidelines for the prevention and management of Hypoglycaemia of the Newborn www.babyfriendly.org.uk Guidance on the development of policies and guidelines for

More information

Maternity Information Leaflet

Maternity Information Leaflet Maternity Information Leaflet Jaundice Information for Parents Jaundice in newborn babies Jaundice is the name given to yellowing of the skin and the whites of the eyes. Jaundice in newborn babies is very

More information

Pediatric Newborn Assessment, Treatment and Resuscitation

Pediatric Newborn Assessment, Treatment and Resuscitation Date: May 31, 2012 Page 1 of 5 Pediatric Newborn Assessment, Treatment and Resuscitation This protocol should be followed for all newly born infants. Pre-Medical Control MFR/EMT/ 1. As the infant is being

More information

Gloucestershire Hospitals

Gloucestershire Hospitals Gloucestershire Hospitals NHS Foundation Trust TRUST NON CLINICAL POLICY MATERNITY SERVICES HEALTH RECORDS B0556 Any hard copy of this document is only assured to be accurate on the date printed. The most

More information

CARE OF THE HIGH RISK INFANT ON THE POSTNATAL WARD

CARE OF THE HIGH RISK INFANT ON THE POSTNATAL WARD CARE OF THE HIGH RISK INFANT ON THE POSTNATAL WARD INTRODUCTION This document covers the recommended care and assessment of high risk infants on the postnatal ward. It covers observations, feeding, hydration

More information

The Community Midwives at St George s have a long and happy tradition of providing a home birth service for women with uncomplicated pregnancies.

The Community Midwives at St George s have a long and happy tradition of providing a home birth service for women with uncomplicated pregnancies. The Community Midwives at St George s have a long and happy tradition of providing a home birth service for women with uncomplicated pregnancies. To help you decide if this option would be right for you,

More information

Persistent Pulmonary Hypertension of the Newborn (PPHN)

Persistent Pulmonary Hypertension of the Newborn (PPHN) Persistent Pulmonary Hypertension of the Newborn (PPHN) Information for families Great Ormond Street Hospital for Children NHS Foundation Trust 2 This information sheet from Great Ormond Street Hospital

More information

AHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings

AHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings AHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings Resuscitation step Recommendations (2005) Recommendations (2010) Comments/LOE

More information

Monitoring your baby during labour.

Monitoring your baby during labour. Monitoring your baby during labour. This information leaflet has been produced by Gateshead Health NHS Foundation Trust Maternity Unit to provide information to pregnant women about monitoring their baby

More information

NEONATAL NURSE PRACTITIONER MODEL OF CARE REPORT NOVEMBER 2011

NEONATAL NURSE PRACTITIONER MODEL OF CARE REPORT NOVEMBER 2011 NEONATAL NURSE PRACTITIONER MODEL OF CARE REPORT NOVEMBER 2011 A report prepared by Kelvin Hicks, RN (Project Officer for the Southern Health Nurse Practitioner Program) For the Victorian Department of

More information

General and Objectives Clinical Skills for. Nursing Students in Maternity and Gynecology. Nursing Department

General and Objectives Clinical Skills for. Nursing Students in Maternity and Gynecology. Nursing Department General and Objectives Clinical Skills for Nursing Students in Maternity and Gynecology Nursing Department Objectives and clinical skills of Antenatal unit Provide antenatal care to woman during normal

More information

Consulted With Post/Committee/Group Date Mr Kennedy

Consulted With Post/Committee/Group Date Mr Kennedy THE MANAGEMENT OF DOMESTIC ABUSE IN MATERNITY PATIENTS CLINICAL GUIDELINES Register No: 06040 Status: Public Developed in response to: Intrapartum NICE Guidelines RCOG guideline Contributes to CQC Outcome

More information

Responsibility for Neonatal Resuscitation at Birth

Responsibility for Neonatal Resuscitation at Birth The Royal Australian and New Zealand College of Obstetricians and Gynaecologists Responsibility for Neonatal Resuscitation at Birth This statement has been developed and reviewed by the Women s Health

More information

Premature Infant Care

Premature Infant Care Premature Infant Care Introduction A premature baby is born before the 37th week of pregnancy. Premature babies are also called preemies. Premature babies may have health problems because their organs

More information

Wagh S Amargeet and Jain Naveen / JPBMS, 2012, 15 (9) Available online at Research JPBMS article

Wagh S Amargeet and Jain Naveen / JPBMS, 2012, 15 (9) Available online at  Research JPBMS article Available online at www.jpbms.info Research JPBMS article ISSN NO- 2230 7885 CODEN JPBSCT JOURNAL OF PHARMACEUTICAL AND BIOMEDICAL SCIENCES Comparison of neonatal morbidities of late preterm with term

More information

SOUTHERN WEST MIDLANDS NEWBORN NETWORK

SOUTHERN WEST MIDLANDS NEWBORN NETWORK SOUTHERN WEST MIDLANDS NEWBORN NETWORK Hereford, Worcester, Birmingham, Sandwell & Solihull Title Person Responsible for Review Delayed Umbilical Cord Clamping Dr Andrew Gallagher Date Guideline Agreed:

More information

Chickenpox in pregnancy: what you need to know

Chickenpox in pregnancy: what you need to know Chickenpox in pregnancy: what you need to know Published December 2003 Contents Page number Key points 1 About this information 2 What is chickenpox? 2 What should I do if I come into contact with chickenpox?

More information

35-40% of GBS disease occurs in the elderly or in adults with chronic medical conditions.

35-40% of GBS disease occurs in the elderly or in adults with chronic medical conditions. What is Group B Strep (GBS)? Group B Streptococcus (GBS) is a type of bacteria that is found in the lower intestine of 10-35% of all healthy adults and in the vagina and/or lower intestine of 10-35% of

More information

NEWBORN LIFE SUPPORT - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

NEWBORN LIFE SUPPORT - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline NEWBORN LIFE SUPPORT - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline This guideline applies to obstetric, midwifery, paediatric, and neonatal staff who may be involved in the resuscitation or stabilisation

More information

GESTATIONAL DIABETES (DIET/INSULIN/METFORMIN) CARE OF WOMEN IN BIRTHING SUITE

GESTATIONAL DIABETES (DIET/INSULIN/METFORMIN) CARE OF WOMEN IN BIRTHING SUITE GESTATIONAL DIABETES (DIET/INSULIN/METFORMIN) CARE OF WOMEN IN BIRTHING SUITE DEFINITION A disorder characterised by hyperglycaemia first recognised during pregnancy due to increased insulin resistance

More information

Policy for Screening Patients for MRSA Colonisation

Policy for Screening Patients for MRSA Colonisation Policy for Screening Patients for MRSA Colonisation To whom this document applies: All staff in Colchester Hospital University Foundation Trust screening Patients for MRSA Procedural Documents Approval

More information

RELUCTANT TO FEED - CLINICAL GUIDELINE FOR MANAGEMENT OF HEALTHY NEWBORN BABIES AT TERM 1. Aim/Purpose of this Guideline

RELUCTANT TO FEED - CLINICAL GUIDELINE FOR MANAGEMENT OF HEALTHY NEWBORN BABIES AT TERM 1. Aim/Purpose of this Guideline RELUCTANT TO FEED - CLINICAL GUIDELINE FOR MANAGEMENT OF HEALTHY NEWBORN BABIES AT TERM 1. Aim/Purpose of this Guideline 1.1. This guideline applies to all health professionals caring for healthy, term

More information

Fetal (FBS) / paired cord blood sampling guideline (GL839)

Fetal (FBS) / paired cord blood sampling guideline (GL839) Fetal (FBS) / paired cord blood sampling guideline (GL839) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Mr Mark Selinger, Consultant

More information

GUIDELINE FOR RESUSCITATION OF NEWBORN INFANTS

GUIDELINE FOR RESUSCITATION OF NEWBORN INFANTS GUIDELINE FOR RESUSCITATION OF NEWBORN INFANTS This guidance does not override the individual responsibility of health professionals to make appropriate decision according to the circumstances of the individual

More information

Transferring children to and from theatre. RCN position statement and guidance for good practice

Transferring children to and from theatre. RCN position statement and guidance for good practice Transferring children to and from theatre Acknowledgements The RCN Children s Surgical Nurses Community would like to thank Joanna Smith and Dr Annette Smith for their contribution and Ipswich Hospital

More information

NEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS

NEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS NEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS NEONATAL FLOW ALGORITHM.2 INTRODUCTION 3 ANTICIPATION OF RESUSCITATION 4 TEMPERATURE CONTROL.4 CLEARING THE AIRWAY OF MECONIUM 5

More information

MIDWIVES BOARD MALAYSIA THE CODE OF PROFESSIONAL CONDUCT AND PRACTICE OF A MIDWIFE

MIDWIVES BOARD MALAYSIA THE CODE OF PROFESSIONAL CONDUCT AND PRACTICE OF A MIDWIFE MIDWIVES BOARD MALAYSIA THE CODE OF PROFESSIONAL CONDUCT AND PRACTICE OF A MIDWIFE INTRODUCTION The fundamental responsibility of a midwife is three-fold, to conserve life, to alleviate suffering and to

More information

Bachelor s degree in Nursing (Midwifery)

Bachelor s degree in Nursing (Midwifery) Tbilisi State Medical University Faculty of Physical Medicine and Rehabilitation The first level of academic higher education Bachelor s degree in Nursing (Midwifery) TBILISI 2012 Name of qualification

More information

Feeding in the Neonatal Unit. Julia Petty

Feeding in the Neonatal Unit. Julia Petty Feeding in the Neonatal Unit Julia Petty Normal feeding Act of feeding is a complex process Structure and function closely related 2 important elements essential for normal feeding 1= acquisition of adequate

More information

TRANSFER AND ADMISSION OF THE SICK NEWBORN TO THE NEONATAL UNIT (NNU) AND SUPPORT FOR PARENTS - CLINICAL GUIDELINE

TRANSFER AND ADMISSION OF THE SICK NEWBORN TO THE NEONATAL UNIT (NNU) AND SUPPORT FOR PARENTS - CLINICAL GUIDELINE TRANSFER AND ADMISSION OF THE SICK NEWBORN TO THE NEONATAL UNIT (NNU) AND SUPPORT FOR PARENTS - CLINICAL GUIDELINE Summary. Flow chart for transfer and admission to NNU and parental support Criteria for

More information

NHS FORTH VALLEY. Varicella Care Pathway for GPs

NHS FORTH VALLEY. Varicella Care Pathway for GPs NHS FORTH VALLEY Date of First Issue 01/04/2006 Approved 05/05/2012 Current Issue Date 28/04/2014 Review Date 28/04/2016 Version 1.2 EQIA Yes 01/04/2012 Author / Contact Debbie Forbes Group Committee Unit

More information

LUPUS. and Pregnancy LUPUSUK 2015

LUPUS. and Pregnancy LUPUSUK 2015 7 LUPUS and Pregnancy LUPUSUK 2015 LUPUS and pregnancy Is pregnancy possible when you have lupus? Yes, many lupus patients have successful pregnancies however lupus may sometimes affect fertility and lupus

More information

Diabetes in Pregnancy: Management in Labour

Diabetes in Pregnancy: Management in Labour 1. Purpose The standard management of labour applies to women with diabetes, and includes the following special considerations: Timing of birth. Refer to guideline: Diabetes Mellitus - Management of Pre-existing

More information

Policy Clinical Guideline South Australian Perinatal Practice Guidelines neonatal sepsis (including maternal group B streptococcal colonisation)

Policy Clinical Guideline South Australian Perinatal Practice Guidelines neonatal sepsis (including maternal group B streptococcal colonisation) Policy Clinical Guideline South Australian Perinatal Practice Guidelines neonatal sepsis (including maternal group B streptococcal colonisation) Policy developed by: SA Maternal & Neonatal Clinical Network

More information

Antenatal Guidelines. No.2 Referral Guidelines for Ante- & Postnatal Mental Health

Antenatal Guidelines. No.2 Referral Guidelines for Ante- & Postnatal Mental Health Antenatal Guidelines No.2 Referral Guidelines for Ante- & Postnatal Mental Health 1. Introduction Mental health disorders during pregnancy and the postnatal period can have serious consequences for the

More information