Maternity Guidelines

Please note that some documents are only available via our intranet (TrustNet).



Title Last Review Next Review
A&E Attenders and Pregnant Inpatients Mar 18 Oct 21
Abbey Birth Centre: Clinical Guideline Oct 21 Oct 24
Abbey Birth Centre: Operational Policy Oct 21 Oct 24
Actim PROM SOP Nov 21 Nov 24
Anaesthesia Guidelines:

Antenatal care including booking appointment, maternity care pathway and antenatal clinical risk assessment Nov 21 Nov 23
Antenatal CTG (Cardiotocography) May 20 May 23
Antenatal Screening

Apr 18 Apr 21
Antepartum Haemorrhage Sep 21 Sep 25
Anti-D (RAADP) – see Blood Tranfusion Policy    
Aromatherapy Guideline Oct 22 Oct 25
Aspirin in Pregnancy SOP Apr 21 Apr 24
Assisted Vaginal Birth Nov 21 Nov 24



Title Last Review Next Review
Baby / Child (Abduction) Security Policy – see TrustNet Apr 21 Apr 24
BadgerNet Guidelines – see TrustNet    
Bariatric Surgery: Guideline for the management of pregnant women who have previously undergone bariatric surgery May 19 Dec 22
BCG Vaccinations for Neonates SOP Aug 21 Aug 24
Bereavement Care in Obstetrics, Gynaecology and Neonatalogy Jul 22 Jul 25
Bladder Care Oct 19 Oct 21
Blood Culture Policy    
Blood Tranfusion Policy    
Bobble Hat Pathway Jun 22 Dec 25
Breech Presentation including External Cephalic Version Feb 23 May 24



Title Last Review Next Review
Caesarean Section Guideline Dec 22 Dec 25
Cardiovascular Diseases Management During Pregnancy (European Heart Journal) Aug 18  
Care in Surrogacy (DHSC) Jul 21  
Concealed Pregnancy – see TrustNet Oct 22 Oct 25
Cord Prolapse Oct 22 Oct 25
COVID-19 Resources and Guidelines – see TrustNet    



Title Last Review Next Review
Delayed Cord Clamping – see Neonatal Guidelines    
Diabetes in Pregnancy Dec 22 Dec 25
DNA Policy (Maternity and Maternity Ultrasound) Mar 23 Mar 26



Title Last Review Next Review
Early Pregnancy Support Scan Clinic SOP Jul 22 Jun 25
Education Strategy Jul 22 Jul 24
Elective Caesarean Section in Main Theatres SOP Dec 22 Dec 25
EPU Guidelines – see Gynaecology guidelines    
Escalation Policy – see TrustNet Jan 23 Jan 26
Extreme Prematurity – Delivery Guidelines – see Neonatal guidelines    



Title Last Review Next Review
Failure of Maternity Doors SOP – See TrustNet Dec 22 Dec 25
Female Genital Mutilation (FGM): Management, Prevention and Detection in Women and Children – See TrustNet    
Fetal Anomaly Screening Programme Dec 22 Dec 25
Fetal Growth Surveillance Pathway Dec 22 Dec 25
Fetal Pillow and Impacted Head Jun 20 Jun 23
Frenulotomy Guideline May 21 May 24



Title Last Review Next Review
GBS3 Trial (Routine Enriched Culture Medium Testing for Group B Streptococcus) SOP Jan 23 Jan 25
Group B Strep Aug 21 Aug 24
Growth Scan SOP – see section 6 of the fetal growth surveillance guidelines    



Title Last Review Next Review
Hepatitis B, C, and HIV Jun 21 Jun 24
Herpes – See RCOG Guideline  
Homebirth Guidelines Sep 18 Sep 21
Hypertension in pregnancy Jun 20 Jun 23
Hypoglycaemia – see Neonatal guidelines    



Title Last Review Next Review
Immediate care of the newborn Jan 19 Nov 21
Induction of Labour Jan 23 Jan 26
Infant Feeding:

Sep 22 Jun 24
Information for Women Taking Aspirin in Pregnancy Jun 20 Jun 22
Intra-Uterine Transfer Guidance Jun 19 Jun 22
Intrahepatic Cholestasis of Pregnancy ICP Guideline May 20 May 23
Intrapartum Fetal Heart Rate Monitoring May 20 May 23
Iron Deficiency Anaemia (IDA) in Pregnancy Feb 22 Feb 25



Title Last Review Next Review
Jaundice – Neonatal Jan 22 Jan 25



Title Last Review Next Review
Labour – Care of Women Dec 22 Dec 25
Locum Doctors Induction – see TrustNet Sep 21 Sep 24



Title Last Review Next Review
Management of Blood and Microbiology Test Results SOP Jul 21 Jul 24
Management of Screening Incidents SOP May 21 May 23
Managing Clinical Practice Concerns for Midwives – see TrustNet Aug 17 Aug 18
Marsden Manual – see TrustNet    
Maternal Death – see TrustNet Aug 21 Aug 24
Maternity Triage – Clinical and Operational Feb 23 Aug 23
Meconium Stained Liquor in Labour Apr 19 Jul 22
Midwives Formulary Aug 21 Aug 24
Moxibustion for Breech Presentation Feb 23 Feb 26
Multiple Pregnancy Guideline Jul 20 Jul 23



Title Last Review Next Review
Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum Jun 20 Jun 23
Neonatal Resuscitation at Birth on Labour Ward – see Neonatal guidelines    
Newborn Bloodspot Screening Mar 21 May 23
Newborn Security Policy incorporating Baby Abduction – see Baby / Child (Abduction) Security Policy Apr 21 Apr 24
NIPE – Newborn and Infant Physical Examination Apr 21 Apr 24
Non-Attendance at clinic appointments or non-access visits for children under 18 years of age – see Paediatric guidelines    



Title Last Review Next Review
Obesity in Pregnancy Guidelines Sep 18 Sep 21
Obs and Gynae Ultrasound Guidelines – see TrustNet    
Observation Bay, Labour Ward Apr 19 Jun 22
Obstetric Haemorrhage Jun 19 Jun 22
Obstetric Referral Indications to Antenatal Clinic (SOP) Dec 22 Oct 25
Oral Glucose Tolerance Test (OGTT) SOP May 20 May 23
Ovarian Cysts in Pregnancy SOP Jun 21 Jun 24
Oxytocin (Syntocinon) to induce / augment labour Jun 21 Jun 24



Title Last Review Next Review
Pandemic Flu – see TrustNet    
Patient Safety Intelligence Framework Jan 23 Jan 26
Perinatal Mental Health Guideline – see TrustNet Nov 22 Jul 23
Perineal Trauma Management and Repair

Feb 18 Feb 21
Placental Growth Factor:

Jul 20 Jul 22
Placental Histology and Obstetric Clinical Follow-up SOP May 21 May 23
Postnatal Care:

Mar 23 May 26
Postnatal Review by Doctors on Postnatal Ward (SOP) Dec 20 Dec 23
Pregnancy Loss – Post 24 Weeks Jul 22 Jul 25
Pregnancy Loss – Pre 24 Weeks Jul 22 Jul 25
Preterm Labour and Birth: Prevention and Management Mar 22 Mar 25



Title Last Review Next Review
Ratification of Clinical Guidelines in Maternity SOP Jun 20 Jun 23
Recognising the Deteriorating Pregnant Woman Feb 22 Feb 25
Reduced Fetal Movement:

Jan 23 Jan 26
Retained placenta Feb 22 Feb 25
Role of Obstetric Team in Relation to Covid-19 Positive Cases SOP Jan 21 Jan 23
Roles and Responsibilities of the Consultant providing acute care in Obstetrics and Gynaecology SOP Jan 23 Jan 26



Title Last Review Next Review
Safe Sleeping Guidance for Babies (Bed Sharing / Co-sleeping) Jul 21 Jul 24
Safeguarding Maternity Policy – see TrustNet    
Sensitive Disposal Form 12-23+6 weeks – see TrustNet Nov 21 Nov 24
Sepsis Guidelines and Intrapartum Pyrexia

May 20 May 23
Shoulder Dystocia Guidelines Feb 18 Aug 21
Sickle Cell Disease in Pregnancy (RCOG) Jul 11  
Spontaneous Rupture of Membranes (SROM) at Term Apr 19 May 22



Title Last Review Next Review
Taking a Deceased Baby Home Leaflet Nov 21 Nov 23
Thyroid Disease in Pregnancy Mar 22 Mar 25
Tommy’s Application SOP Feb 23 Feb 25
Transfer to SPH Maternity and Neonatal Unit – Leaflet Jan 23 Jan 25
Transitional Care:

Trigger List and Flow Chart for Maternity Escalation Nov 19 Nov 21



Title Last Review Next Review
Ultrasound Protocol Dec 22 Nov 25
Uterine Inversion Feb 22 Feb 25



Title Last Review Next Review
Vaginal Birth after Caesarean Section Dec 18 Dec 21
Venous Thromboembolism: Investigation and Treatment of Pregnant and Postnatal Women Jan 23 Jun 24



Title Last Review Next Review
Waterbirth: The use of the pool for labour and birth Feb 23 Feb 26
Weighing Baby Pathway Jun 22 Jun 24
Women that Decline Blood Products – see Blood Tranfusion Policy