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To give guidance on approved abbreviations to all health professionals who are required to document in maternity records.

To give guidance to obstetric anaesthetist on the management of an accidental dural puncture in the obstetric patient.

To give guidance to staff in ED or the acute hospital on when to call for an obstetric/gynaecological opinion in a pregnant or post-partum woman, and to give guidance to Midwives and Obstetricians on when they should provide an obstetric/midwifery opinion.Keywords: Pregnant, woman, emergency, ED, department, CCU, HDU, maternity, admission, acute, Eden, birth.

To inform and support Midwives in caring for women who present with alcohol and/or substance use and to safeguard families.Keywords: Alcohol Use, Substance Use, Pregnancy.

To identify and optimally manage pregnancies affected by abnormalities of amniotic fluid (AF) volume.

The objective of this guideline is to provide health care professionals with clear and simple recommendations for the diagnosis and treatment of iron deficiency in pregnancy, labour, and the postpartum period.The guideline gives the procedure for the administration of IV iron. Keywords: Anaemia, iron deficiency, pregnancy, labour, postnatal period, postpartum, iron infusion, FBC, ferritin, Hb, Ferinject, iron.

Instructions for all staff working on Delivery Suite to contact a second anaesthetist as quickly as possible in the event that one is required.Keywords: Anaesthetic, anaesthetists, delivery suite.

Guidance to midwives on: how to book a pregnant woman/person; instigate the appropriate Antenatal Care Pathway and the information needed to be given to pregnant women/people throughout their pregnancy. Keywords: Pregnancy, booking, antenatal, care, leaflets, information, Vitamin, induction, IOL, notes, primigravida, multigravida, multip, primip, screening, bloods, scan, nuchal, Edward's, Patau's, PCP, Wren.

This guidance is to assist midwives and obstetricians in interpretation of antenatal Cardiotocograph (CTG). This includes understanding the situations where computerised CTG is indicated and how to interpret the Dawes/Redman Criteria.Keywords: Antenatal/ Cardiotocography/ CTG Computerised/ Dawes Redman/ Sonicaid Team/ FetalCare3

This guideline is applicable to all midwifery and health visiting team members caring for antenatal women with Type 1 or Type 2 diabetes or gestational diabetes within Royal Cornwall Hospitals Trust and Cornwall Partnership Trust. The purpose of the guideline is to ensure that all practitioners provide the best possible information and support for diabetic women to enable them to provide breast milk for their babies after birth.

The intent of this SOP is to provide the reader on process required to identify and action low PAPP-A results.Keywords: Antenatal, Screening, Low PAPP-A.

To provide Midwives and Obstetricians guidance on the utilisation of Anti-D immunoglobulin (Anti-D) to prevent Haemolytic Disease of the Fetus and Newborn (HNFD). Keywords: Anti D/ Rh/ negative/ HDFN/ haemolytic disease/ newborn/ fetus anaphylaxis/ immunoglobulin/ MMR/ antibodies/ blood/ NIPT/ rhesus

Operational activity within the Truro alongside Birth CentreKeywords: Birth centre, birth delivery, childbirth

This Standard Operating Procedure intent is to be able to inform the reader how to manage the birth reflections service on a day-to-day basis from patient care to communication, logistics and teamwork.Keywords: Birth trauma. Debrief. Listening. Reflection.

To provide guidance to midwives and obstetricians on the management of bladder care during labour and in the immediate postpartum period.To give guidance for the correct documentation of bladder care.

Management of Pregnant People of higher weight (> 130kg) or BMI 60 on Delivery Suite.Keywords: Morbid obesity in pregnancyBMI ? 60, weight > 130kgs.

This guideline gives guidance to Midwives caring for women with a BBA.Keywords: BBA, Homebirth, Community midwifery.

Guidance designed to promote and protect the breastfeeding relationship when a breastfeeding woman is admitted to hospital for injury or illness in herself.

This document outlines the process for the breech pathway.Keywords: Breech presentation, vaginal breech birth, breech clinic.

This guideline gives guidance to midwives and obstetricians on the management of a suspected breech presentation in the antenatal period, options for the management of a confirmed breech presentation including external cephalic version (ECV) and the management of a breech presentation in labour.

This guideline gives guidance to all Obstetricians, Obstetric Anaesthetists, Midwives and Delivery Suite Nurses on the process and procedure for all grades of Caesarean Section.

This guideline has been developed to provide the multi-agency team with clear guidance on care in surrogacy that ensures the safety and wishes of the surrogate are paramount while facilitating a safe, positive and rewarding experience for all.Keywords: Surrogacy host parent surrogate.

This document outlines a consistent approach to reviewing, assessing and responding to cardiotocographs viewed on the central monitoring screen on Delivery Suite.Keywords: Central monitoring, CTG cardiotocography, Fresh Eyes.

Description of process for community caseload supervision and health visitor liaison meetings.

Guidance for midwives about on calls. Keywords:Midwife, On calls, Guidance.

Providing guidance to midwives and obstetricians on concealed pregnancies and people who book late for maternity care.Keywords: booking/ concealed pregnancy/ late booker.

Provide guidance on escalating concerns and communicating effectively when conflict occurs.Keywords: Conflict, escalation.

This guideline gives guidance to Midwives and Obstetricians in the management of Optimal Cord clamping of the baby's umbilical cord at delivery.Keywords: Delayed, deferred, cord, clamping, DCC, new-born, physiological, placenta, 3rd, third, stage.

This is to give guidance to all midwives and obstetricians on the recognition and management of an umbilical cord prolapse.

This document outlines the operational function of the Maternity Day Assessment Unit (DAU).Keywords: Day Assessment Unit

Guideline for the care of women declining blood products.

To provide guidance to Midwives, Obstetricians and the Joint Obstetric/Diabetology Team on the management of a pregnant woman with Type 1 or Type 2 Diabetes. Keywords: Diabetes, pregnancy, Type 1 and Type 2, Metformin, breast, feeding.

This gives guidance to Midwives and Obstetricians in the identification of women who have booked late or women who did not attend for ante natal care. It gives guidance on the follow up and support of these women. Keywords: DNA/ attend/ fail/ late/ ante/ natal/ care/ appointment/ booking

Routine enquiry to enable identification and management of women who may be experiencing Domestic Abuse, Sexual Abuse or Sexual Exploitation.Keywords: domestic abuse/ sexual abuse/ sexual exploitation.

This document gives guidance to Obstetricians, Anaesthetists, Midwives and Delivery Suite Nurses on the recognition and management of Eclampsia and Severe Pre-eclampsia.Keywords: Eclampsia, Severe, Pre-eclampsia, PET, hypertension, hypertensives, pregnancy, blood, pressure, fit.

This document outlines the process for the completion of the Elective LSCS Calendar in Outlook or NHS Mail.Keywords: Elective, LSCS, Calendar.

To reduce the exposure of Entonox exposure to all staff, pregnant people and their birthing partners.Keywords: Entonox, exposure, Delivery Suite, Truro Birth Centre.

To give guidance to obstetric anaesthetists, obstetricians, and midwives on when an epidural can be offered and the process of administrating an epidural in labour.Keywords: Analgesia, dural, epidural, labour, sepsis, spinal, pain, tap, anaphylaxis.

This guideline gives guidance to obstetricians and midwives on the management of epilepsy in pregnancy.Keywords:Epilepsy, pregnancy.

Guidance for inspection, storage and disposal of placentas following delivery.Keywords: Placenta, storage.

To give guidance to obstetric anaesthetists in the management of a failed intubation in an obstetric patient.

This document outlines the process for family centred caesarean section

To provide guidance for healthcare professionals to ensure all pregnant women receive information about Fetal Anomaly screening, are offered access to the programme, receive results in a timely manner and that women with screen positive enter the appropriate care pathway.Keywords: Antenatal screening, fetal anomaly, FASP.

Fetal Growth Restriction (FGR) - Risk assessment, prevention, surveillance, and management of pregnancies at risk of FGR.Keywords:G estational, Small, Fetus, SGA, FGR, Growth restriction.

Guideline for the Midwifery, Fetal Medicine and Neonatal care of fetuses and newborns with fetal heart irregularity.

This guideline describes the referral and communication process between the Fetal Medicine Unit (FMU), the Neonatal Team and other relevant specialist services, when a fetal anomaly is identified.Keywords: Fetal, Medicine, anomaly, neonatal, communication, scan, perinatal, morbidity.

Guidelines for general anaesthesia for caesarean sections.Keywords: General anaesthesia, caesarean section, GA, airway, difficult, intubation, fluid, resuscitation, RSI, Rapid Sequence Induction.

Guideline described the antenatal, intrapartum and postnatal care of women with suspected or proven genital herpes. It also described the management of the neonate in these cases. The aim is to minimise the risk of neonatal herpes which is a potentially life-threatening infection. Keywords: Genital Herpes, antenatal, neonatal.

Guidance for Midwives, Obstetricians and the Joint Obstetric/Diabetology Team on the management of Gestational Diabetes Mellitus (GDM).Keywords: Gestational, Diabetes.

To give guidance to all midwives and obstetricians on the management of women who receive a diagnosis of GBS during pregnancy or have had a baby previously infected with GBS.Keywords: GBS, Group B Strep, labour, antenatal.

To give guidance to all healthcare professionals working within the RCHT Maternity Department on the correct process for handing over and/or escalating care.

To inform Obstetricians and Midwives about the screening and management of HIV in pregnancy and post-partum period.Keywords: HIV, pregnancy, delivery, post, partum, Human immunodeficiency, virus, viral, anti, antiretroviral, HAART, AZT.

To inform midwives and obstetricians of care pathways and management for women suffering from Moderate - Severe Nausea and Vomiting in pregnancy (NVP) and Hyperemesis Gravidarum (HG). Keywords: Hyperemesis, Gravidarum, nausea, sickness, pregnancy, vomiting, severe.

Management of hyponatraemia in labour and immediate postpartum period.Keywords: Pregnancy, labour, hyponatraemia, sodium, electrolytes.

This document provides advice in the event of an in-utero transfer from one obstetric unit to another. In the event of a woman presenting to a free-standing midwifery led unit, the woman should be transferred to the locally agreed obstetric unit for initial assessment.Keywords: In utero. Transfer.

Management of a woman with an increased body mass index.

This guideline gives guidance to midwives and obstetricians on induction of labour.Keywords: Induction of labour. Propess. ARM. Balloon.

Informed consent in maternity settings.

To give guidance to all Midwives on the process of intermittent auscultation of the fetal heart in labour and when to transfer to continuous electronic fetal monitoring (CEFM).

To outline the processes, responsibilities, and standards for accessing and delivering translation and interpreting services within maternity care.Keywords: Interpreter, interpretation, translation, translate, translator, maternity, obstetrics, Google, language, community, Porth, non-English, speaking, antenatal, postnatal, intrapartum, pregnancy, neonatal.

This gives guidance to obstetricians and midwives in the use of CEFM in labour, ST analysis and in what circumstances paired cord samples should be taken.Keywords: CTG, CEFM, cord, labour, neoventa, fetal, STAN.

This guideline is for all midwives providing care to a woman in labour and birth and how to identify and manage delay in the first and second stage of labour, in a low risk woman.Keywords: Labour, first, second, vertex, latent, established, antacids, oral, intake.

To provide a framework for the best care for women in labour on the antenatal ward and facilitate the earliest transfer to Delivery Suite.Keywords: Labour, birth, antenatal, ante-natal, latent phase, early labour, 4cm, transfer, monitoring.

This guideline aims to support clinical decisions around suspected fetal macrosomia for obstetricians and midwives. Keywords: macrosomia/ large for gestational age/ shoulder dystocia/ gestational diabetes/ labour/ birth

This guideline applies to all midwives assessing women on the telephone and face to face in the latent phase of labour who are planning an expectant birth between 37 to 42 weeks gestation.Keywords: Latent Labour Stage, Childbirth, Labour onset, Pregnancy.

Hypertensive disorders carry significant risks to maternal health and remain one of the leading causes of maternal mortality; they also carry a risk for the baby in terms of perinatal mortality, pre-term birth and low birth weight. This guideline aids the diagnosis and classification of the hypertensive disorders of pregnancy and guides management of these.

To provide pre, peri and post operative standards and guidance to anaesthetists of all grades and other stakeholders as to how to manage pain during Caesarean section.Keywords: Pain, LSCS, Caesarean section, failure, conversion.

To assist midwives in ensuring the correct procedures are undertaken when a temporary resident presents for maternity care either in the community or acute maternity setting.

Guideline for the care of maternal collapse in pregnancy.

This Guideline gives Guidance to all Obstetricians and Midwives on the process and procedure for all maternal deaths.Keywords: Death, Maternal.

SOP setting out guidance for pregnant or postpartum women requiring care in a speciality other than Maternity services who require care within a maternal medicine clinic.

SOP setting out guidance for Maternity Safety Champions and Governance and Safety pathways.

Communication between the transferring multidisciplinary team, receiving multidisciplinary team and the ambulance service is essential for ensuring optimal care for women and their babies during emergency transfer by ambulance.Keywords: Transfer, Maternal, Ambulance.

Pathway for people choosing maternity care outside of recommended guidelines.Keywords: Maternity, consent, birth choices.

The aim of this guideline is to improve maternal and neonatal health outcomes by meeting the individual needs of parents who have a learning disability.Keywords: Disability, safeguarding, needs, appointments, screening, learning, MARU.

This document outlines the process for the Safety Huddle, Obstetric Ward Round and Escalation.Keywords: Safety, ward round, escalation, huddle.

To provide guidance for staff within the maternity services on recognising and monitoring the obstetric patient using MEWS to promote early recognition of deterioration, advice on the level of monitoring required, facilitate better communication with the multi-disciplinary team and ensure prompt management of any woman who is deteriorating.Keywords: Pregnancy complications, MEWS.

This document has been produced to ensure that maternity health records, (which includes handheld maternity records) are managed in accordance with the Royal Cornwall Hospitals NHS Trust, Policy for managing health records and to identify the specific issues associated with maternity records and the process for managing these issues.Keywords: Maternity Health Records Notes Patient.

A SOP to outline MOSS, a safety signal system capable of monitoring routinely collected maternity and neonatal outcomes to detect potential declines in safe care in a timely way.Keywords: MOSS, Safety system, signal, escalation.

To promote well-being of post-operative patients while preventing potential complications resulting from the surgery and/or anaesthesia.Keywords: Recovery, operative, operation, MEWS, anaesthetic, anaesthesia, maternity, observations.

This document sets out the strategic framework and governance arrangements for the management of clinical and organisational risk within Maternity Services at Royal Cornwall Hospitals NHS Trust. It describes the systems, processes, responsibilities and assurance mechanisms used to identify, assess, manage, escalate and learn from risks, incidents, complaints, claims and safety intelligence in order to improve patient safety and quality of care.Keywords: Maternity, Risk Management, Governance, Patient Safety, PSIRF, PSIRP, Risk Register, Learning, Assurance, Safety Intelligence.

Maternity Triage Standard Operating Procedure.Keywords: BSOT's, maternity triage, triage.

To provide midwives, obstetricians, and support workers with guidance in the provision of emotional support and clinical care following a neonatal death.

This guideline gives guidance to midwives, obstetricians and neonatal staff on the management of meconium stained liquor in labour and the initial management of a baby born through meconium. This does not cover care on the neonatal unit or the management of meconium aspirate syndrome (MAS).Keywords: Meconium, meconium stained, liquor, MSL, aspiration, newborn, new born, observation.

Guidance to midwives on how to book a pregnant woman/person; instigate the appropriate Antenatal Care Pathway and the information needed to be given to pregnant women/people throughout their pregnancy.

To provide midwives, obstetricians, and support workers with guidance in the provision of emotional support and clinical care following stillbirth.

This document outlines the admission pathway for pregnant and post-natal people. This document outlines: Isolation procedures, PPE requirements, Testing, Discharge/transfer if confirmed positive.Keywords: Monkeypox/ Mpox Maternity SOP

To provide Midwives and Obstetricians with guidance of the management of multiple pregnancies in the ante natal and intrapartum period.Keywords: Multiple pregnancy, In utero, Transfer, Twin.

The intent of this SOP is to provide the reader on how to bring unexpected outcomes to the Fetal Neonatal MDT meeting.Keywords: Antenatal, Neonatal, unexpected outcomes, Screening.

Clinical Guideline for Maternity Staff describing best practice in the care of Family Units experiencing Neurodivergence whilst receiving Maternity Care.Keywords:Neurodiversity, Neurodivergence, Neurodivergent, Autism, ASC, ASD, ADHD, Maternity.

This guideline is for all birth unit and obstetric unit staff to use in the identification and labelling of all newborn babies.Keywords: Identification, newborn, security, labelling, baby labels, label, neonate, baby.

To provide the Trust with assurances of the consultant cover for the obstetrics and gynaecology departments in the Royal Cornwall Hospital.Keywords: Consultant, on-call, attendance, must attend, escalation.

To give guidance to obstetricians and midwives on the management of women with Obstetric Cholestasis (OC).Keywords: Cholestasis, intrahepatic, pregnancy, obstetric.

This guidance is for obstetricians, obstetric anaesthetists, midwives, nurses and maternity support workers and gives guidance on the management of Obstetric Haemorrhage. Keywords:Massive Obstetric Haemorrhage, post-partum haemorrhage, PPH, ante partum haemorrhage, APH, praevia, abruption, vasa praevia, accrete, maternal collapse, bleeding, MOH, FFP, Bakri, embolization, cell salvage, oxytocin, platelets, Ergometrine, Misoprostol, Carboprost, interventional radiologist, B Lynch

To be used in relation to the Safe Staffing Levels: Maternity Management and Escalation Plan for Midwifery, Nursing and Support Staff Policy.Keywords:Safe Staffing Levels, Maternity Services, Maternity Management, staffing, Escalation Plan, Workforce, Safe, Safety, Midwives, Escalation, Opel Tool.

To give guidance to Obstetricians on identifying when an operative vaginal delivery is safe and how it should be safely conducted.Keywords: Forceps, operative, vaginal, ventouse, theatre, sequential, instrumental, caesarean, section, kiwi, manual, rotation.

This guideline is for obstetricians and midwives and gives guidance on the use of Oxytocin in the first and second stage of labour, including assessment prior to the commencement of Oxytocin, dose schedule, monitoring arrangements for the woman and the fetus and on-going management of a woman with Oxytocin in labour.Keywords: Oxytocin, oxytocin, augmentation, induction, labour, stage, first, second, first, second.

This guideline is to help healthcare professionals in both primary and secondary carer in the management of a pregnant woman who may have been exposed to parvovirus infection.

Operational activity within the Truro alongside Birth Centre.Keywords: Birth Centre SOP

This guideline is to support midwives who may care for birthing people with pre-existing or newly diagnosed mental health concerns through their pregnancy, delivery and postnatal period. This guideline offers advice for referral during critical situations.Keywords: Perinatal, mental, postnatal, depression, antenatal, crisis, Whooley, emotional, complex, CAMHS, substance, abuse.

This gives guidance to obstetricians, anaesthetists and midwives and allied health professionals on the identification and management of perineal or genital tract trauma following childbirth and how to refer women sustaining perineal or pelvic health trauma into the Perinatal Pelvic Health Service or Muskuloskeletal Pelvic Floor Dysfunction Service.Keywords: Perineal, repair, perineum, suturing, 3rd/4th, 1st/2nd, degree tears, perineal, first, second, third, fourth, 1st, 2nd, 3rd, 4th, Vicryl.

This document gives guidance to clinicians to aid care planning when caring for women with placenta praevia, vasa praevia and abnormally invasive placenta.Keywords: Placenta praevia, vasa praevia, low-lying placenta.

This Standard Operating Procedure is to ensure the reader understands the role of the Porth Team midwives and specifically, how the role differs from Community Midwives. Keywords: Porth team, community, midwives.

Postnatal Care is a continuum of pregnancy and birth. The care aims to empower the women to care for herself and new baby, promoting optimum physical and emotional wellbeing. Postnatal care is undertaken in partnership with women and is individualised to meet the specific needs of women and their baby. Keywords: Postnatal, care, planning.

To provide guidance to obstetricians and midwives on the management of a pregnant woman/person with pre labour rupture of membranes at term(PROM).Keywords: PROM, term, spontaneous rupture of membranes, pre labour rupture, membranes.

This guideline gives guidance to Obstetricians and Midwives on the recognition of pre-term labour and the management of established pre-term labour and delivery should this arise.This guideline also provides guidance for the use of magnesium sulphate prior to pre-term Caesarean Section.Keywords: Pre-term labour, premature birth, fetal Fibronectin, Atosiban, Magnesium Sulphate, neuro protection, steroids.

This guideline gives guidance to obstetricians and midwives on the diagnosis and management of preterm prelabour rupture of membranes (PPROM). Keywords: rupture/ membranes/ PPROM/ PROM/ SROM/ ruptured/ membranes/ prolonged/ speculum/ erythromycin/ steroids/ premature/ betamethasone

This guideline gives guidance to Obstetricians and Midwives on identifying those at risk of preterm labour, and prevention of preterm delivery.Keywords:Preterm, Prevention, Cervical suture.

Information for midwifery staff when considering requests to care for friends and or family during any stage of pregnancy, labour or the postnatal period. Keywords: Caring, friends and family, labour, antenatal, postnatal.

Standard Operating Procedure (SOP) to provide a broader range of support for tobacco dependency. Treating Tobacco Dependence (TTD).Keywords:E-Cigarettes, Vape, Nicotine Replacement therapy,Smoking cessation in Pregnancy.

To give guidance to Midwives and Obstetricians on the management of a woman who reports reduced fetal movements (RFM).

Procedure for the release of a baby from the Maternity Unit directly to home or a Funeral Director.Keywords:Deceased baby, Release, Funeral Director.

Remifentanil is an ultra-short acting opiate that has been used safely in labour for many years, although this use is outside its product licence. It is only used in women who are in established labour, as an alternative to Pethidine if an epidural is contraindicated.Keywords:Remifentanil, PCA, Labour Ward.

This guideline gives guidance to all hospital and community based midwives, Obstetricians and obstetric anaesthetists in the diagnosis and management of a retained placenta.Keywords: Placenta, 3rd stage of labour, PPH, retained, active, physiological, management.

This document governs safe staffing levels for all midwives, nurses and support workers employed within the maternity services, RCHT.It describes the process for an annual review of staffing levels and what circumstances may trigger an immediate review. Maternity Internal Management and Escalation Plan (Appendix 4) details what action is to be taken in the event of below minimum staffing level or high activity.Keywords: Maternity services, staffing, workforce, safe, safety, midwives, escalation.

To provide guidance for healthcare professionals to ensure all pregnant women receive information about Fetal Anomaly screening, are offered access to the programme, receive results in a timely manner and that women with screen positive enter the appropriate care pathway.Keywords: Antenatal screening, fetal anomaly, FASP.

To give local guidance on the screening programme for sickle cell/thalassaemia in pregnancy.

To give local guidance on the screening programme for Hepatitis B Screening in pregnancy.Keywords: Infectious diseases in pregnancy, antenatal screening, Hepatitis B

To give local guidance on the screening program for HIV Screening in pregnancy.Keywords: Infectious diseases in pregnancy, antenatal screening, HIV.

To give local guidance on the screening programme for Syphilis Screening in pregnancy.Keywords:Infectious diseases in pregnancy, antenatal screening, Syphilis.

This procedure documents the responsibilities and steps to be followed to ensure a clearly auditable and a sensitive, respectful disposal of pre-24 week fetal tissue.Keywords: Sensitive disposal; fetal tissue; products of conception (POC); termination of pregnancy (TOP); miscarriage; consent.

Guidance for obstetricians, anaesthetists, midwives and nurses to enable prompt diagnosis and management of sepsis in antenatal and postnatal women.Keywords: Sepsis, infection, MEWS.

To provide Obstetricians, Anaesthetists, Midwives and Nurses guidance on early recognition and management of the severely ill obstetric women. This guideline also outlines the care for obstetric patients requiring Enhanced level 1 care or referral for critical care and the criteria for when these patients should be referred to the Critical Care Unit. Also outlined are the minimum monitoring requirements for enhanced level 1 care in the maternity unit and staff responsibilities and training

To give guidance to obstetricians and midwives on the identification and management of a shoulder dystocia and subsequent care of a baby following a shoulder dystocia.

Guidance on supply of NRT and description of the maternity treating tobacco dependency service.Keywords: Nicotine, Nicotine Replacement Service, Nicotine Replacement Therapy, NRT, Pregnancy, Smoking in Pregnancy.

Standard Operating Procedure for the TR11 Shared Drive.Keywords:TR11, Shared Drive, Maternity Safeguarding.

To provide midwives, obstetricians and support workers with guidance in the provision of emotional support and clinical care following stillbirth.

SOP to facilitate the dignified care and storage of a fetus or stillborn baby on the maternity unit.Keywords: dignified care/ stillborn/ fetus/ cooling.

To give guidance to Midwives and Obstetricians for supporting patients in maternity wanting to self-discharge against medical advice.Keywords: woman/ discharge against medical advice/ discharge/ mental capacity

This guidance applies to all health professionals working outside of Maternity Theatres within the maternity setting to ensure that all swabs, instruments, and needles are accounted for by the end of a procedure.Keywords: Swab, needle, counting, theatre, instrument, reconciling, lost, count.

A document to support midwives undertaking telephone triage.Keywords: Triage, Telephone, Netcall.

To provide midwives, obstetricians, and support workers with guidance in the provision of emotional support and clinical care when parents decide to end pregnancy due to fetal anomaly or maternal medical condition.

SOP for the management of people with a risk of violence and aggression in a maternity setting. Aggression; Maternity

Ensure safe and correct procedure for the opening of theatre 2 on Delivery Suite when the service needs requires.Keywords: Theatre, delivery suite.

To give guidance to all midwives and obstetricians on the management of the third stage of labour.

The purpose of the guideline is to help practitioners provide the best possible information and support for antenatal and post-partum women with thyroid disorders.Keywords: Thyroid, pregnancy, Graves' disease.

This guideline informs obstetrics and midwives on the management of a woman who has had a previous caesarean section during pregnancy and labour and who is requesting a vaginal birth. Keywords: VBAC, vaginal birth after caesarean section.

This is to give guidance to any Obstetrician or midwife who is caring for a pregnant or newly delivered woman with suspected thromboembolic disease.To give guidance to any clinician within RCHT who is caring for a pregnant or newly delivered woman with suspected thromboembolic disease. E.g. Emergency department (ED), medical admissions unit (MAU) and any other clinical setting.

This gives guidance to midwives and obstetricians in the timing of risk assessments for Venous Thromboembolism (VTE) during pregnancy, labour and post-natal period and the referral pathway for those women identified as being at risk. This gives guidance to obstetricians on the planning and prescribing of thromboprophylaxis for women who have an intermediate or high risk of VTE in pregnancy, labour and post-natal period.

This guideline is to inform all Midwifery staff and doctors on the appropriate management of the use of water during labour and birth.

This document is aimed at knowing what support is available to staff following clinical patient safety incidents that have the potential to cause psychological harm and could lead to significant effects on performance, health and wellbeing. Keywords:Wellbeing, Support, Incidents, Investigations.

This document outlines the process for Wren referral and ongoing care.Keywords: Safety, Ward Round, Escalation.

Young Parents Pathway. Joint Pathway with Together for Families service and Wild Young Parents.Keywords: Young, Parent, Pathway, Teenage, WILD, Core Parenting.