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To give guidance on approved abbreviations to all health professionals who are required to document in maternity records.
Valid To: 11/04/2020
Publication Type: Guidelines
Guidance to all midwives on the process for admission of a woman to Delivery Suite and initial labour assessment in all care settings
Valid To: 01/06/2022
Publication Type: Guidelines
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 and when they should provide an obstetric/midwifery opinion
Valid To: 06/10/2021
Publication Type: Guidelines
This guideline applies to all health professionals caring for healthy, term newborn babies who may require expressed breast milk, or occasionally formula, to be given by a method other than by direct breastfeeding. Management of these babies includes promoting and protecting breastfeeding and aims to detect and prevent any deterioration in the baby's condition.
Valid To: 01/07/2022
Publication Type: Guidelines
To identify and optimally manage pregnancies affected by abnormalities of amniotic fluid (AF) volume
Valid To: 01/07/2022
Publication Type: Guidelines
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 and the postpartpartum period. This guideline gives the procedure for the administration of total dose iron
Valid To: 20/01/2020
Publication Type: Guidelines
Guidance to midwives on: how to book a pregnant woman; instigate the appropriate Antenatal Care Pathway and the information needed to be given to pregnant women throughout their pregnancy.
Valid To: 12/04/2021
Publication Type: Guidelines
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.
Valid To: 01/01/2022
Publication Type: Guidelines
This guidelines 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 and Isles of Scilly Foundation Trust. The purpose of the guideline is to ensure that all practitioners provide the best possible information and support for diabetic wormen to enable them to provide breast milk for their babies after birth
Valid To: 19/10/2019
Publication Type: Guidelines
To provide Midwives and Obstetricians guidance on the utilization of Anti-D immunoglobulin (Anti-D) to prevent Haemolytic Disease of the Newborn (HND).
Valid To: 16/01/2021
Publication Type: Guidelines
This guideline gives guidance to Midwives on the use of Aromatherapy and Massage in Pregnancy and Labour.
Valid To: 07/03/2022
Publication Type: Guidelines
Guideline for the Midwifery AND Obstetric Management of pregnancy conceived after assisted reproductive treatments
Valid To: 14/11/2021
Publication Type: Guidelines
Indications and referral process for BCG Vaccination in the newborn
Valid To: 14/02/2021
Publication Type: Guidelines
To provide midwives and obstetricians with guidance on the management of bladder care during labour and immediate post partum period. To give guidance for the correct documentation of bladder care.
Valid To: 07/10/2019
Publication Type: Guidelines
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.
Valid To: 14/02/2021
Publication Type: Guidelines
This guideline is for Midwives who are caring for women who have a precipitant labour and delivers outside of the birth setting without a health care professional in attendance
Valid To: 16/01/2021
Publication Type: Guidelines
Guidance designed to promote and protect the breastfeeding relationship when a breastfeeding woman is admitted to hospital for injury or illness in herself
Valid To: 04/04/2022
Publication Type: Guidelines
This 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
Valid To: 10/08/2021
Publication Type: Guidelines
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.
Valid To: 07/06/2021
Publication Type: Guidelines
This guideline has been developed to provide the multi-agency team with clear guidance to enable appropriate care for surrogate women in pregnancy but to appreciate the position of the commissioning (intended) parents and include them in the care if appropriate.
Valid To: 07/10/2019
Publication Type: Guidelines
To provide obstetric anaesthetists with guidance for using general anaesthesia for caesarian sections
Valid To: 17/05/2020
Publication Type: Guidelines
To provide community midwives with a list of equipment that they should carry individually and the availability of additional equipment
Valid To: 22/07/2022
Publication Type: Guidelines
Providing guidance to midwives and obstetricians on concealed pregnancies and women who book late.
Valid To: 12/06/2022
Publication Type: Guidelines
This is to give guidance to all midwives and obstetricians on the recognition and management of an umbilical cord prolapse
Valid To: 16/01/2021
Publication Type: Guidelines
The aim of this guideline is to give guidance to midwives, obstetricians and other health professions upon when and when not to refer women to the DAU. This guideline will enable staff to provide, in a timely manner, appropriate management for obstetric conditions, leading to improved outcomes for both the mother and her baby during the antenatal and postnatal period.
Valid To: 10/10/2021
Publication Type: Guidelines
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.
Valid To: 14/02/2021
Publication Type: Guidelines
This guideline is for any health professional who may be asked for advice from non pregnant women with diabetes about future pregnancy planning
Valid To: 01/07/2022
Publication Type: Guidelines
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.
Valid To: 01/11/2021
Publication Type: Guidelines
Routine enquiry to enable identification and management of women who may be experiencing Domestic Abuse, Sexual Abuse or Sexual Exploitation
Valid To: 04/04/2022
Publication Type: Guidelines
This document gives guidance to Obstetricians, Anaesthetists, Midwives and Delivery Suite Nurses on the recognition and management of Eclampsia and Severe Pre-Eclampsia
Valid To: 07/02/2022
Publication Type: Guidelines
This gives guidance to obstetricians and midwives in the use of electronic fetal monitoring in labour, when to perform fetal blood sampling and in what circumstances paired cord samples should be taken
Valid To: 17/06/2022
Publication Type: Guidelines
This guideline is to give guidance to obstetric anaesthetists, obstetricians and midwives on when an epidural can be offered in labour. This guideline gives guidance to obstetric anaesthetists on the process for administering an epidural during labour.
Valid To: 17/05/2021
Publication Type: Guidelines
To give guidance to obstetric anaesthetists in the management of a failed intubation in an obstetric patient.
Valid To: 10/10/2021
Publication Type: Guidelines
This guideline gives guidance upon identification and management of FGM in the pregnant woman.
Valid To: 13/07/2021
Publication Type: Guidelines
This guideline describes the referral and communication process between the fetal medicine department, the neonatal team and any other relevant specialist services, when a fetal concern is identified
Valid To: 13/07/2021
Publication Type: Guidelines
Guideline for the Midwifery, Fetal Medicine and Neonatal care of fetuses and newborns with fetal heart irregularity
Valid To: 13/07/2021
Publication Type: Guidelines
This guideline applies to Midwife Sonographers on how to perform a presentation scan in the Fetal Medicine Assessment Centre
Valid To: 17/05/2021
Publication Type: Guidelines
To give guidance to all midwives, obstetricians and neonatal staff on the management of women who receive a diagnosis of GBS during pregnancy or have had a baby previously infected with GBS. To give guidance on the initial management of a baby at risk of GBS following birth.
Valid To: 10/08/2021
Publication Type: Guidelines
To give guidance to obstetric anaesthetist on the management of an accidental dural puncture in the obstetric patient.
Valid To: 14/03/2021
Publication Type: Guidelines
To give guidance to midwives, nurses, maternity support workers, obstetricians, anaesthetists and neonatal staff on the correct process for handing over of care between health professionals and between clinical areas
Valid To: 10/10/2021
Publication Type: Guidelines
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.
Valid To: 07/10/2019
Publication Type: Guidelines
To inform the obstetricians and midwives about the screening and management of HIV in pregnancy and the post partum period.To inform the multi professional team involved in the care of babies born to HIV positive mothers about the management and follow up
Valid To: 20/12/2021
Publication Type: Guidelines
This guidance applies to all midwives, support workers, obstetricians and anaesthetists who provide care to pregnant women in labout
Valid To: 19/10/2019
Publication Type: Guidelines
To inform midwives and obstetricians of care pathways and management for women suffering from Nausea and Vomiting in pregnancy (NVP) and Hyperemesis Gravidarum (HG).
Valid To: 07/06/2021
Publication Type: Guidelines
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.
Valid To: 20/01/2020
Publication Type: Guidelines
To provide guidance for the immediate care and examination of new-born infants for all clinical staff working in the Care Group of women, children & sexual health.
Valid To: 25/03/2022
Publication Type: Guidelines
To give guidance to midwives and obstetricians in the event of an in utero transfer from one obstetric unit to another
Valid To: 05/04/2021
Publication Type: Guidelines
Management of a woman with an increased body mass index
Valid To: 17/11/2020
Publication Type: Guidelines
To give guidance to midwives and obstetricians on induction of labour
Valid To: 05/04/2021
Publication Type: Guidelines
To ensure that all women and their families receive information about the health benefits of breastfeeding and potential risks of formula feeding, and that staff are able to provide appropriate support for infant feeding.
Valid To: 10/10/2021
Publication Type: Policies
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 (EFM).
Valid To: 01/06/2022
Publication Type: Guidelines
The purpose of this guideline is to inform obstetricians, anaesthetists, midwives and nurses working on delivery suite the procedures for contacting an interventional radiologist in the case of a massive obstetric haemorrhage or for their elective involvement in Caesarean section cases when heavy bleeding is anticipated.
Valid To: 14/03/2020
Publication Type: Guidelines
This guideline applies to all health professionals involved in the collection, storage and reinfusion of blood cell salvage in maternity
Valid To: 12/12/2020
Publication Type: Guidelines
This document gives guidance for obstetricians and midwives on the usage and interpretation of ST Analysis (using a STAN monitor) of intrapartum fetal electrocardiotocography
Valid To: 01/06/2022
Publication Type: Guidelines
This guideline is for all midwives providing care to a woman in labour and birth and how to identify and manage delay in the 1st and 2nd stage of labour, in a low risk woman
Valid To: 13/07/2021
Publication Type: Guidelines
To provide a framework for the best possible care for women in labour on the antenatal ward and facilitate the earliest practicable transfer to Delivery Suite.
Valid To: 17/02/2020
Publication Type: Guidelines
This guideline applies to all midwives assessing women in the latent phase of labour who are planning an expectant birth between 37- 42 weeks gestation.
Valid To: 03/11/2019
Publication Type: Guidelines
This aim of this guideline is to improve maternal and neonatal health outcomes by meeting the individual needs of parents who have a learning disability.
Valid To: 04/04/2022
Publication Type: Guidelines
This document has been produced to ensure that maternity health records (which includes hand held 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 processes for managing these issues
Valid To: 10/10/2021
Publication Type: Guidelines
To provide midwives, obstetricians and support workers with guidance in the provision of emotional support and clinical care following stillbirth
Valid To: 23/04/2022
Publication Type: Guidelines
To give guidance to midwives, obstetricians and obstetric anaesthetists on the management of a maternal collapse
Valid To: 14/03/2021
Publication Type: Guidelines
This Guideline gives Guidance to all Obstetricians and Midwives on the process and procedure for all maternal deaths.
Valid To: 14/11/2021
Publication Type: Guidelines
The purpose of this guideline is to ensure a timely and safe transfer of women by ambulance in emergency from the community setting to Royal Cornwall Hospitals Trust (RCH). Women may be transferred during homebirth or following unexpected birth away from the maternity unit, born before arrival (BBA).
Valid To: 13/07/2021
Publication Type: Guidelines
This guideline is to give guidance to obstetricians, anaesthetists, operating department practitioners, midwives and delivery suite nurses caring for women in the delivery suite theatre settings and delivery suite recovery areas
Valid To: 01/07/2022
Publication Type: Guidelines
This document combines both strategy and policy for the management of risk within RCHT maternity services
Valid To: 02/05/2022
Publication Type: Strategies
This Training Strategy is a tool to help drive education and training processes for for Royal Cornwall Hospitals NHS Trust Maternity Services
Valid To: 10/10/2021
Publication Type: Guidelines
The following is guidance RCHT Maternity Department theatre staff to assist in identifying those patients undergoing surgical procedure in maternity theatres who might benefit from the pneumatic compression devices e.g. flowtron boots
Valid To: 15/12/2019
Publication Type: Guidelines
This guidelines gives guidance to midwives, obstetricians and neonatal staff on teh 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 of the management of meconium aspirate syndrome (MAS)
Valid To: 20/01/2020
Publication Type: Guidelines
To provide guidance for staff within the maternity services on recognising and monitoring the obstetric patient using MEOWS. This will enable 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
Valid To: 14/03/2021
Publication Type: Guidelines
Guideline to support midwives when booking and caring for women who chose midwifery led care and community birth or have a BBA.
Valid To: 17/11/2020
Publication Type: Guidelines
To provide midwives and obstetricians with guidance of the management of multiple pregnancies in the ante natal and intrapartum period
Valid To: 17/05/2021
Publication Type: Guidelines
This guideline is for all birth unit and obstetric unit staff to use in the identification and labeling of all new born babies
Valid To: 14/03/2020
Publication Type: Guidelines
Newborn Life Support guidance for Hospital and Community settings, staff responsibilities and equipment required
Valid To: 04/04/2022
Publication Type: Guidelines
To give guidance on the management of a woman with obstetric cholestasis (OC)
Valid To: 01/06/2022
Publication Type: Guidelines
This guideline is for health care professionals and gives guidance on the identification and management of ante partum APH ,Post-Partum Haemorrhage PPH and Massive Obstetric Haemorrhage MoH.
Valid To: 07/06/2021
Publication Type: Guidelines
To give guidance to obstetricians on identifying when an operative vaginal delivery is safe and how it should be safely conducted
Valid To: 19/07/2022
Publication Type: Guidelines
This guideline gives guidance to Midwives and Obstetricians in the management of DCC of the baby's umbilical cord at delivery
Valid To: 10/10/2021
Publication Type: Guidelines
This guideline is intended give guidance to Midwives and Obstetricians on the outpatient induction of labour (IOL). The guideline will apply to women with uncomplicated pregnancies and at low risk of developing intrapartum complications.
Valid To: 10/10/2021
Publication Type: Guidelines
This guideline is for obstetricians and midwives and gives guidance on the use of Syntocinon in the first and second stage of labour, including assessment prior to the commencement of Syntocinon, dose schedule, monitoring arrangements for the woman and the fetus and on-going management of a woman with Syntocinon in labour.
Valid To: 14/03/2020
Publication Type: Guidelines
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
Valid To: 17/11/2020
Publication Type: Guidelines
Operational activity within the Truro alongside birth centre
Valid To: 28/02/2022
Publication Type: Guidelines
This guideline is to support midwives who may care for women 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.
Valid To: 07/03/2021
Publication Type: Guidelines
This gives guidance to obstetricians, anaesthetists and midwives on the identification and management of perineal or genital tract trauma following childbirth
Valid To: 01/07/2022
Publication Type: Guidelines
Postnatal care is a continuum of pregnancy and birth. The care aims to empower the woman to care for herself and new baby, promotins 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.
Valid To: 04/04/2022
Publication Type: Guidelines
This guideline gives guidance to Obstetricians and Midwives on identifying those at risk of preterm labour, 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
Valid To: 07/02/2022
Publication Type: Guidelines
To provide midwives, obstetricians and support workers with guidance in the provision of emotional support and clinical care following stillbirth
Valid To: 30/12/2019
Publication Type: Guidelines
To provide guidance to obstetricians and midwives on the management of a pregnant woman with pre labour rupture of membranes at term (PROM)
Valid To: 07/02/2022
Publication Type: Guidelines
This guideline gives guidance to obstetricians and midwives on the diagnosis and management of preterm prelabour rupture of membranes (PPROM).
Valid To: 04/04/2022
Publication Type: Guidelines
give guidance to Midwives and Obstetricians on the management of a woman who reports reduced fetal movements (RFM).
Valid To: 01/06/2022
Publication Type: Guidelines
This guideline applies to all health professionals caring for healthy, term newborn babies that are reluctant to breast feed. Management of these babies includes promoting and protecting breastfeeding and aims to detect and prevent any deterioration in the baby's condition.
Valid To: 07/03/2022
Publication Type: Guidelines
1.1. To give guidance to obstetric anaesthetists, obstetricians and midwives on when a remifentanil PCA can be offered in labour. To give guidance to obstetric anaesthetists on the process of administering a remifentanil PCA in labour.
Valid To: 14/02/2021
Publication Type: Guidelines
This guideline gives guidance to all hospital and community based midwives, Obstetricians and obstetric anaesthetists in the diagnosis and management of a retained placenta
Valid To: 17/05/2020
Publication Type: Guidelines
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 levels or high activity
Valid To: 03/11/2019
Publication Type: Procedures
This guideline is designed to give guidance on child protection/safeguarding children issues and compliment Cornwall and Isles of Scilly local safeguarding policies and procedures.
Valid To: 10/10/2021
Publication Type: Guidelines
To give local guidance on the screening programme for sickle cell/thalassaemia in pregnancy.
Valid To: 10/10/2021
Publication Type: Guidelines
This guideline is for all health care professions involved in providing care for pregnant women. All health professions should ensure they are giving high quality information on screening, in a format to suit the individual woman's needs. They should ensure that all eligible pregnant women are offered screening to assess the chance of their baby being born with Downs syndrome (T21), Edwards syndrome (T18) and Pataus syndrome (T13) or a number of structural abnormalities that may affect the developing fetus
Valid To: 28/01/2022
Publication Type: Guidelines
To give local guidance on the screening programme for Infectious Diseases Screening in pregnancy
Valid To: 02/05/2022
Publication Type: Guidelines
Information for staff when caring for women who are performing Newborn Blood Spot screening.
Valid To: 01/01/2022
Publication Type: Guidelines
To give guidance to healthcare professionals performing a newborn examination, using the NIPE Smart database system, referral pathways, NIPE clinics
Valid To: 07/03/2022
Publication Type: Guidelines
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.
Valid To: 04/04/2022
Publication Type: Procedures
Guidance for obstetricians, anaesthetists, midwives and nurses to enable prompt diagnosis and management of sepsis in antenatal and postnatal women.
Valid To: 12/06/2022
Publication Type: Guidelines
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
Valid To: 07/06/2021
Publication Type: Guidelines
To give guidance to obstetricians, midwives and maternity support workers on the identification and management of a shoulder dystocia
Valid To: 07/06/2021
Publication Type: Guidelines
This guideline offers guidance to Midwives, Ultrasonographers and Obstetricians on how to identify and optimally manage small and growth restricted fetuses.
Valid To: 17/11/2020
Publication Type: Guidelines
To create an environment where women with problematic drug or alchohol use will have the knowledge of and confidence in a team who manage them sympathetically in pregnancy and help to minimise harm to woman and baby.
Valid To: 11/04/2020
Publication Type: Guidelines
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.
Valid To: 07/02/2022
Publication Type: Guidelines
This guideline is for Obstetricians and Midwives and gives guidance on the management of the third stage of labour.
Valid To: 13/07/2021
Publication Type: Guidelines
This guideline gives guidance on bilirubin measurement of the neonate by Transcutaneous Bilirubinometer (TCB) within the community setting.
Valid To: 10/01/2022
Publication Type: Guidelines
This guideline applies to Obsetrics and midwifery staff, Paediatric and Neonatal staff and community midwives/GPs wish to arrange admission of a sick newborn to Royal Cornwall Hospitals (RCH) Neonatal Unit. The Guidelines does not cover admission from other acute hospitals.
Valid To: 17/10/2021
Publication Type: Guidelines
To support midwives when caring for low risk women in the Truro birth centre.Operational activity within the Truro alongside birth centre
Valid To: 04/04/2022
Publication Type: Guidelines
This guideline informs obstetricians and midwives on the management of a woman who has had a previous caesarian section during pregnancy and labour and who is requesting a vaginal birth
Valid To: 01/06/2022
Publication Type: Guidelines
This gives guidance to any Obstetrician or midwife who is caring for a pregnant or newly deivered woman with a suspected thrombembolic disease. To give guidance to any clinician within RCHT who is caring for a pregnant or newly delivered woman with a suspected thromboembolic disease e.g Emergency Department (ED) Medical Admissions Unit (MAU) and any other clinical setting
Valid To: 14/11/2021
Publication Type: Guidelines
This gives guidance to midwives and obstetricians in the timing of risk assessments for venousthromboembolism (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.
Valid To: 14/11/2021
Publication Type: Guidelines
This guideline is to inform all midwifery staff and doctors on the appropriate management of the use of water during labour and birth and algorithm for evacuation from pool
Valid To: 06/09/2021
Publication Type: Guidelines
This guideline gives guidance on Infant Feeding and what to do in the event of significant neonatal weight loss.
Valid To: 16/01/2021
Publication Type: Guidelines
Guideline to inform midwifery staff and doctors on the appropriate management of women declining blood products.
Valid To: 14/09/2020
Publication Type: Guidelines