Maternity Guidelines

Maternity Guidelines

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

A

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
Agency Onboarding in Maternity and the Local Induction Process SOP	Jul 23	Jul 26
Anaesthesia Guidelines: Anaesthesia and Analgesia for Breastfeeding Mothers Undergoing General Anaesthesia (Jul 20) Anaesthesia for Caesarean Section (May 19) Anaesthetic Antenatal Referral (Jan 22) Analgesia in Labour inc Accidental Dural Puncture (Aug 22) Antibiotic Prophylaxis for CS – see Antibiotic Guidelines via Microguide Elective CS List: An Anaesthetic SOP (Oct 20) Epidural Insertion and Care: Expected Standards of Practice (Aug 21) General Duties of the Obstetric Anaesthetist (Aug 21) Labour Neuraxial Pain Relief LocSSIP (Nov 21) Recognising the Deteriorating Pregnant Woman (Feb 22) Trigger List for calling an Anaesthetic Consultant (Aug 22)
Antenatal care including booking appointment, maternity care pathway and antenatal clinical risk assessment	Nov 21	Nov 23
Antenatal CTG (Cardiotocography)	Sep 23	Mar 24
Antenatal Screening Trisomy Samples SOP (May 22)	Apr 18	Apr 21
Antepartum Haemorrhage	Sep 21	Sep 25
Anti-D Prophilaxis, Fetal RH D Testing and Management of Maternal Antibodies	Mar 23	Mar 27
Aromatherapy Guideline	Oct 22	Oct 25
Aspirin in Pregnancy SOP Information for Women Taking Aspirin in Pregnancy (Mar 2023)	Apr 21	Apr 24
Assisted Vaginal Birth	Nov 21	Nov 24

B

Title	Last Review	Next Review
Baby / Child (Abduction) Security Policy – see TrustNet	Apr 21	Apr 24
Baby Friendly Initiative: 10 steps to successful breastfeeding	Nov 22	Nov 25
BadgerNet Guidelines – see TrustNet BadgerNet Guide Midwife Labour QRG (Aug 2018)
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
Birth Choices	Jun 23	Jun 26
Bladder Care	Oct 19	Oct 21
Blood Culture Policy
Blood Tranfusion Policy
Bobble Hat Pathway	Jul 23	Jul 26
Breech Presentation including External Cephalic Version	Feb 23	May 24

C

Title	Last Review	Next Review
Caesarean Section Guideline	Dec 22	Dec 25
Cardiovascular Diseases Management During Pregnancy (European Heart Journal)	Aug 18
Care and Storage of Deceased Baby SOP – see TrustNet	Jun 23	Jun 26
Care in Surrogacy (DHSC)	Jul 21
Complementary Therapies for Prolonged Pregnancy	Feb 23	Feb 26
Concealed Pregnancy – see TrustNet	Oct 22	Oct 25
Cooling and Cuddle Cot SOP – see TrustNet	Jun 23	Jun 26
Cord Prolapse	Oct 22	Oct 25
COVID-19 Resources and Guidelines – see TrustNet

D

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

E

Title	Last Review	Next Review
Early Pregnancy Support Scan Clinic SOP	Jul 22	Jun 25
Educational Strategy	Jun 23	Jun 24
Elective Caesarean Section in Main Theatres SOP	Dec 22	Dec 25
Entonox: Management within the Maternity Service – See TrustNet	Jun 23	Apr 26
EPU Guidelines – see Gynaecology guidelines
Extreme Prematurity – Delivery Guidelines – see Neonatal guidelines

F

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 23	Jun 26

G

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

H

Title	Last Review	Next Review
Herpes – See RCOG Guideline
HMP Bronzefield – Maternity Care of Women and Birthing People SOP	Jun 23	May 24
Home Blood Pressure Monitoring for Maternity SOP	Jul 23	Jul 26
Homebirth Guidelines	Aug 23	Aug 26
Hypertension in Pregnancy	Apr 23	Apr 26
Hypoglycaemia – see Neonatal guidelines
Hyponatraemia in Pregnancy: Prevention, Diagnosis and Management	May 23	May 26

I

Title	Last Review	Next Review
Immediate care of the newborn	Jan 19	Nov 21
Induction of Labour	Jan 23	Jan 26
Infant Feeding: Infant Feeding Guideline (May 23) Feeding Management Pathway (May 23) Weighing Baby Pathway (May 23) Feeding and Nurturing Padlet	May 23	Apr 26
Infectious Diseases in Pregnancy: Hepatitis B, Hep C, HIV and Syphilis	May 23	May 26
In-Utero Transfer Principles – Southeast Regional Maternity Team NHS England	Jan 23	Jan 25
Intrahepatic Cholestasis of Pregnancy ICP Guideline	Jun 23	Jun 26
Intrapartum Fetal Heart Rate Monitoring	May 20	May 23
Iron Deficiency Anaemia (IDA) in Pregnancy	Jun 23	Jun 26

J

Title

Last Review

Next Review

Jaundice:

Jaundice – Neonatal (Jan 2022)
Jaundice Management Quick Reference Sheet (Nov 2022)

Jan 22

Jan 25

L

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

M

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
Marsden Manual – see TrustNet
Maternal Death – see TrustNet	Aug 21	Aug 24
Maternity Day Assessment Unit (MDAU) – Clinical and Operational SOP	May 23	May 26
Maternity Operational Co-ordinator (MOC) SOP – See TrustNet	Jul 23	Jul 26
Medical Staffing Escalation Policy	Sep 23	Sep 26
Midwives Formulary	Aug 21	Aug 24
Moxibustion for Breech Presentation	Feb 23	Feb 26
Multiple Pregnancy Guideline	Jun 23	Jun 26

N

Title	Last Review	Next Review
Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum	Sep 23	Sep 26
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

O

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)	Nov 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

P

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
Perinatal Post Mortem Consent	Aug 23	Sep 26
Perineal Trauma Management and Repair Retained swabs after vaginal birth and perineal suturing can lead to harm Local Safety Standards for Invasive Procedures (LOCSSIP) – Repair of vaginal and or perineal trauma in the birthing environment	Feb 18	Feb 21
Placental Histology and Obstetric Clinical Follow-up SOP	Jun 23	Jun 26
PlGF in the Assessment and Management of PET	Jul 20	Jul 23
PlGF Flowchart	Jul 20	Jul 23
Point of Care Testing for Urine Drugs of Abuse SOP	Aug 23	Aug 26
Postnatal Care: Postnatal Care Guideline (Mar 23) Postnatal Community Care Leaflet (Mar 23)	Mar 23	May 26
Postnatal Review by Doctors on Postnatal Ward (SOP)	Dec 20	Dec 23
Pregnancy Loss – Post 24 Weeks	Sep 23	Sep 26
Pregnancy Loss – Pre 24 Weeks	Sep 23	Sep 26
Preterm Labour and Birth: Prevention and Management	Mar 22	Mar 25
PAUSES Buddy Review	Nov 22	Nov 25

R

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: Reduced Fetal Movement Guideline (Jan 2023)	Jan 23	Jan 26
Reportable Perinatal Incidents to External Organisations – see TrustNet	Jun 23	Jun 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

S

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 Inpatient Maternal Sepsis Tool	Sep 23	Sep 26
Shoulder Dystocia Guidelines	Jun 23	Jun 26
Sickle Cell: Antenatal and Newborn Sickle Cell and Thalassaemia Screening Programme Guideline	May 23	May 26
Sickle Cell Disease in Pregnancy (RCOG)	Jul 11
Spontaneous Rupture of Membranes (SROM) at Term	Apr 23	May 26

T

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	May 23	May 25
Transfer of Deceased Babies to the Mortuary – see TrustNet	Jun 23	Jun 26
Transfer to SPH Maternity and Neonatal Unit – Leaflet	Jan 23	Jan 25
Transitional Care: Management of Neonates on Transitional Care and the Postnatal Ward (May 2023) Jaundice – Neonatal (Nov 2021) Jaundice Management Quick Reference Sheet (Nov 2022) Weighing babies and well baby clinic pathway (May 2023) Patient leaflet:Transitional Care Unit Patient leaflet:Transitional Care Unit (for Joan Booker Patients)
Triage Operational and Job Roles SOP	Jun 23	May 26
Triage and BSOTS Clinical Guideline	Jun 23	Jun 26
Triage Standardised Telephone Advice	Apr 23	Apr 26

U

Title	Last Review	Next Review
Ultrasound Protocol	May 23	Nov 25
Unit Escalation Policy – see TrustNet	Aug 23	Jun 26
Uterine Inversion	Feb 22	Feb 25

V

Title	Last Review	Next Review
Vaginal Birth after Caesarean Section	Dec 18	Dec 21
Varicella Management in Pregnancy UK HSA	Nov 22
Venous Thromboembolism: Investigation and Treatment of Pregnant and Postnatal Women	Jan 23	Jun 24

W

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