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 and Massage in Low Risk Pregnancy Mar 17 Mar 20
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
Birmingham Symptom Specific Obstetric Triage System SOP May 20 May 23
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 May 21 May 24



Title Last Review Next Review
Caesarean Section: Preoperative Blood Investigations Mar 18 Mar 21
Caesarean Section Care Oct 17 Feb 19
Care in Surrogacy (DHSC)    
Concealed Pregnancy – see TrustNet Feb 18 Feb 21
Cord Prolapse Feb 18 Nov 21
COVID-19 Resources and Guidelines – see TrustNet    



Title Last Review Next Review
Delayed Cord Clamping – see Neonatal Guidelines    
Diabetes in Pregnancy Jul 22 Oct 23



Title Last Review Next Review
Early Pregnancy Support Scan Clinic SOP Jul 22 Jun 25
Educational Strategy Jun 21 Jun 23
Elective Caesarean Pathway SOP Sep 20 Sep 21
EPU Guidelines – see Gynaecology guidelines    
Escalation Policy – see TrustNet Dec 20 May 21
Extreme Prematurity – Delivery Guidelines – see Neonatal guidelines    



Title Last Review Next Review
Female Genital Mutilation (FGM): Management, Prevention and Detection in Women and Children – See TrustNet    
Fetal Growth Surveillance Pathway Mar 22 Mar 25
Fetal Pillow and Impacted Head Jun 20 Jun 23
Frenulotomy Guideline May 21 May 24



Title Last Review Next Review
Group B Strep Aug 21 Aug 24
Growth Scan SOP Mar 22 Oct 24



Title Last Review Next Review
Hepatitis B, C, and HIV Jun 21 Jun 24
Herpes Mar 18 Mar 21
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 Jul 22 Jul 25
Infant Feeding:

Jun 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 Aug 19 Apr 22
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 Assessment in Triage Feb 22 Feb 25
Meconium Stained Liquor in Labour Apr 19 Jul 22
Midwives Formulary Aug 21 Aug 24
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) Jun 21 Jun 24
Oral Glucose Tolerance Test (OGTT) SOP May 20 May 23
Outpatient Induction of Labour for Low Risk Pregnancy May 19 May 22
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 Framework May 21 May 23
Perinatal Mental Health Guideline – see TrustNet Jul 20 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 Analgesia Aug 18 Aug 21
Postnatal Care May 18 May 21
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:

Mar 20 Mar 23
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 22 Dec 24



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 Mar 18 Mar 21
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 Oct 21 Oct 22
Transitional Care:

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



Title Last Review Next Review
Ultrasound Protocol Oct 21 May 23
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 Jun 21 Jun 24



Title Last Review Next Review
Waterbirth: The use of the pool for labour and birth Feb 18 Nov 21
Weighing Baby Pathway Jun 22 Jun 24
Women that Decline Blood Products – see Blood Tranfusion Policy