Maternity and Neonatal Clinical Guidelines

Short guides

• Short Guide: Epidural in labour (PDF, 91kB)
• Short Guide: Nitrous oxide and oxygen in labour (PDF, 87kB)
• Short Guide: Opioids in labour (PDF, 89kB)
• Short Guide: Remifentanil via PCA in labour (PDF, 92kB)

Guideline

• Clinical Guideline: Early pregnancy loss (PDF, 738kB)
• Guideline Supplement: Early pregnancy loss (PDF, 329kB)

Flowcharts

• Flowchart: Assessment of suspected early pregnancy loss (PDF, 104kB)
• Flowchart: Assessment of location and viability in suspected early pregnancy loss (PDF, 193kB)
• Flowchart: Ectopic pregnancy (PDF, 230kB)
• Flowchart: Stable intrauterine non-viable pregnancy (PDF, 105kB)

Education

• Presentation: Early pregnancy loss (PDF, 569kB)
• Knowledge assessment: Early pregnancy loss

Consumer information

• Ectopic pregnancy (PDF, 406kB)
• Pain and bleeding in pregnancy (PDF, 513kB)
• RhD negative blood type in pregnancy (PDF, 394kB)

Guideline

• Clinical Guideline: Early onset Group B streptococcal disease (PDF, 441kB)
• Guideline Supplement: Early onset Group B Streptococcal Disease (PDF, 526kB)

Flowcharts

• Flowchart: Maternal management of EOGBSD (PDF, 209kB)
• Flowchart: Neonatal management of EOGBSD (PDF, 125kB)

Education

• Presentation: Early onset Group B streptococcal disease (PDF, 642kB)
• Knowledge assessment: Early onset Group B streptococcal disease
• Videoconference recording: Early onset Group B streptococcal disease (Oct 2017)

Consumer information

• Group B Streptococcus (GBS) in pregnancy (PDF, 278kB)

ShortGUIDEs

• ShortGuide: Fetal movements (PDF, 179kB)
• ShortGuide Supplement: Fetal movements (PDF, 205kB)

Flowcharts

• Flowchart: Altered fetal movements (PDF, 106kB)

Additional resources

• Decreased fetal movements eLearning guide for health care providers—Clinician education (Stillbirth CRE)
• Your Baby’s Movements And What They Mean—Parent information (PSANZ Stillbirth and Neonatal Death Alliance)
• Your Baby's Movements brochure for women—Parent information (Stillbirth CRE)

Guideline

• Clinical Guideline: Gestational diabetes mellitus (PDF, 436kB)
• Guideline Supplement: Gestational diabetes mellitus (PDF, 176kB)

Flowcharts

• Flowchart: Screening and Diagnosis (PDF, 102kB)
• Flowchart: Intrapartum management for GDM requiring Insulin and/or Metformin (PDF, 96kB)
• Flowchart: Postpartum care (PDF, 96kB)
• Poster: Antenatal Schedule of care (PDF, 87kB)

Education

• Presentation: Gestational diabetes Mellitus (PDF,  566kB)
• Knowledge assessment: Gestational diabetes mellitus
• Videoconference recording: Gestational diabetes mellitus (Oct 2015)

Consumer information

The following consumer information was developed by the Statewide Diabetes Clinical Network, Queensland Health

• What is gestational diabetes (PDF, 611kB)
• Gestational Diabetes Mellitus booklet (PDF, 945kB)
• Gestational Diabetes Mellitus - Important postnatal information (PDF, 707kB)
• Health Eating for Gestational Diabetes Mellitus (PDF, 2.84MB)
• Commencing Insulin therapy (PDF, 800kB)
• Metformin information (PDF, 540kB)

Guideline

• Clinical Guideline: Hypertensive disorders of pregnancy (PDF, 406kB)
• Guideline supplement: Hypertensive disorders of pregnancy (PDF, 197kB)

Flowcharts and posters

• Flowchart: Management of eclampsia (PDF, 99kB)
• Flowchart: Management of hypertension in pregnancy (PDF, 111kB)

Education

• Presentation: Hypertensive disorders of pregnancy (PDF, 675kB)
• Knowledge assessment: Hypertensive disorders of pregnancy

Consumer information

• High blood pressure (hypertension) in pregnancy (PDF, 849kB)

Guideline

• Guideline: Induction of labour (PDF 389kB)
• Supplement: Induction of labour (PDF, 186kB)

Flowcharts and posters

• Flowchart: Methods of induction of labour (IOL) (PDF, 119kB)
• Flowchart: Balloon catheter (PDF, 117kB)
• Flowchart: Prostaglandin E2 (Dinoprostone) (PDF, 107kB)
• Flowchart: Artificial rupture of membranes (PDF, 106kB)
• Flowchart: Oxytocin (PDF, 106kB)

Education

• Presentation: Induction of labour (PDF, 670kB)
• Presentation: Oxytocin protocol update Mar 2017 (PDF, 157kB)
• Knowledge assessment: Induction of labour
• Videoconference recording: Induction of labour (May 2017)

Consumer information

• Induction of labour (IOL) (PDF, 751kB)

ShortGUIDE

• ShortGUIDE: Instrumental vaginal birth (PDF, 167kB)
• Supplement: Instrumental vaginal birth (PDF, 211kB)

Education

• Education Presentation: Instrumental vaginal birth (PDF, 371kB)
• Knowledge assessment: Instrumental vaginal birth

Consumer information

• Instrumental vaginal birth (PDF, 858kB)

Guideline

• Guideline: Intrapartum fetal surveillance (PDF, 337kB)
• Guideline Supplement: Intrapartum fetal surveillance (PDF, 182kB)

Flowcharts and posters

• Flowchart: Abnormal fetal heart rate (PDF, 115kB)
• Poster: Interpretation of CTG (PDF, 129kB)
• Flowchart: Mode of fetal heart rate monitoring (PDF, 132kB)

Education

• Presentation: Intrapartum fetal surveillance (PDF, 433kB)
• Knowledge assessment: Intrapartum fetal surveillance
• videoconference recording: Intrapartum fetal surveillance (May 2016)

Consumer information

• Fetal monitoring in labour (PDF, 512kB)

Guideline

• Guideline: Normal birth (PDF, 542kB)
• Guideline Supplement: Normal birth (PDF, 196kB)

Flowcharts and posters

• Flowchart: Initial assessment (PDF, 104kB)
• Flowchart: First stage (PDF, 117kB)
• Flowchart: Second stage (PDF, 106kB)
• Flowchart: Third and fourth stages (PDF, 105kB)

Education

• Presentation: Normal birth (PDF, 869kB)
• Knowledge assessment: Normal birth

Consumer information

• Early labour (PDF, 275kB)
• Vaginal examination in labour (PDF, 438kB)

Additional resources

• National Antenatal Care Guideline

Guideline

• Guideline: Obesity in pregnancy (PDF, 712kB)
• Supplement: Obesity in pregnancy (PDF, 192kB)

Flowcharts and posters

• Poster: Obesity in pregnancy (PDF, 409kB)
• Poster: Body Mass Index (BMI) Graph (PDF, 132kB)
• Poster: Nutrient requirements in pregnancy post bariatric surgery (PDF, 93kB)

Education

• Presentation: Obesity in pregnancy (PDF, 589kB)
• Knowledge assessment: Obesity in pregnancy
• Videoconference recording: Supporting healthy weight management in pregnancy (Feb 2016)

Consumer information

• Weight management in pregnancy (PDF, 420kB)

Guideline

• Perinatal substance use: maternal (PDF, 337 kB)
• Supplement: Perinatal substance use: maternal (PDF, 179 kB)
• See also Perinatal substance use: neonatal

Flowcharts and Posters

• Flowchart: Perinatal substance use management (PDF, 81 kB)

Education

• Presentation: Perinatal substance use: maternal (PDF 891kB)
• Knowledge assessment: Perinatal substance use: maternal

Consumer information

• Using drugs in pregnancy (PDF,321kB)

Guideline

• Guideline: Perineal care (PDF, 683kB)
• Guideline Supplement: Perineal care (PDF, 465kB)

Flowcharts

• Flowchart: Antenatal and intrapartum perineal care (PDF, 88kB)
• Flowchart: Perineal assessment and repair (PDF, 82kB)

Education

• Presentation: Perineal care (PDF, 673kB)
• Knowledge assessment: Perineal care
• Video: Hands on or hands off? (5 min, 17MB) (New Dec 2018)

Consumer information

• Perineal tears (PDF, 676kB) (Updated Aug 2018)
• Third and fourth degree perineal tears (PDF, 811kB) (Updated Aug 2018)

ShortGUIDE

• ShortGUIDE: Preterm prelabour rupture of membranes (PPROM) (PDF, 120kB)
• Supplement: Preterm prelabour rupture of membranes (PPROM) (PDF, 210kB)

Education

• Education Presentation: Preterm prelabour rupture of membranes (PPROM) (PDF, 361kB)
• Knowledge assessment: Preterm prelabour rupture of membranes

Consumer information

• Preterm prelabour rupture of membranes (PPROM) (PDF, 820kB)

ShortGUIDE

• ShortGUIDE: Term prelabour rupture of membranes (PROM) (PDF, 141kB)
• Supplement: Term prelabour rupture of membranes (PROM) (PDF, 208kB)

Flowcharts

• Flowchart: Term prelabour rupture of membranes (PDF, 104kB)

Education

• Education Presentation: Term prelabour rupture of membranes (PROM) (PDF, 296kB)
• Knowledge assessment: Term prelabour rupture of membranes

Consumer information

• Term prelabour rupture of membranes (Term PROM) (PDF, 748kB)

Guideline

• Guideline: Preterm labour and birth (PDF, 339kB)
• Guideline Supplement: Preterm labour and birth (PDF, 175kB)

Flowcharts

• Flowchart: Assessment and management of preterm labour and birth (PDF, 94kB)

Education

• Presentation: Preterm labour and birth (PDF, 836kB)
• Knowledge assessment: Preterm labour and birth
• Videoconference recording: Preterm labour and birth (Aug 2016)

Consumer information

• Preterm labour and birth (PDF, 316kB)
• Transferring a sick or unwell baby (PDF, 429kB)

Guideline

• Guideline: Primary postpartum haemorrhage (PDF, 769kB)
• Guideline Supplement: Primary postpartum haemorrhage (PDF, 213kB)

Flowcharts and posters

• Flowchart: Initial response to PPH (PDF, 111kB)
• Flowchart: Massive haemorrhage protocol (PDF, 116kB)

Education

• Presentation: Primary postpartum haemorrhage (PDF, 935kB)
• Presentation: Oxytocin protocol update Mar 2017 (PDF, 157kB)
• Knowledge assessment: Primary postpartum haemorrhage

Consumer information

• Bleeding after birth (PDF, 525kB)
• Severe bleeding after birth (PDF, 403kB)

Guideline

• Guideline: Stillbirth care (PDF, 435kB)
• Guideline supplement: Stillbirth care (PDF, 234kB)

Flowcharts

• Flowchart: Summary management (PDF, 94kB)
• Flowchart: PSANZ investigations (PDF, 97kB)
• Flowchart: Reporting (PDF, 122kB)
• Flowchart: Scenario based reporting (PDF, 168kB)

Education

• Presentation: Stillbirth care (PDF, 462kB)
• Knowledge assessment: Stillbirth care

Consumer information

• Autopsy examination of a baby (PDF, 440kB)
• Grief after your baby dies (PDF, 200kB)
• What to expect after your baby dies(PDF, 387kB)

Additional resources

• Clinical practice guideline for the management of women with decreased fetal movements—clinical guideline, parent information and clinician education
• PSANZ Stillbirth and Neonatal Death Alliance—Patient information

Guideline

• Guideline: Syphilis in pregnancy (PDF, 735kB)
• Supplement: Syphilis in pregnancy (PDF, 189kB)

Flowcharts

• Flowchart: Antenatal care - Syphilis in pregnancy (PDF, 109kB)
• Flowchart: Baby care - Syphilis in pregnancy (PDF, 80kB)

Education

• Presentation: Syphilis in pregnancy (PDF, 613kB)
• Knowledge assessment: Syphilis in pregnancy

Consumer information

• Syphilis in pregnancy (PDF, 402kB)
• Syphilis in pregnancy and Jarisch-Herxheimer reaction (JHR) (PDF, 402kB)

Additional resources

• Young Deadly Free website - Aboriginal and Torres Strait Islander sexual health resources (Developed by South Australian Health and Medical Research Institute)

Guideline

• Guideline: Termination of pregnancy (PDF, 423kB)
• Guideline Supplement: Termination of pregnancy (PDF, 217kB)

Flowcharts and posters

• Flowchart: Summary of termination of pregnancy (PDF, 78kB)
• Flowchart: Medical termination with MS-2 Step (PDF, 130kB)

Education

• Presentation: Termination of pregnancy (PDF, 731kB)
• Knowledge assessment: Termination of pregnancy

Consumer information

• Termination of pregnancy (PDF, 749kB)

Guideline

• Guideline: Trauma in pregnancy (PDF, 657kB)
• Guideline Supplement: Trauma in pregnancy (PDF, 267kB)

Flowcharts and posters

• Flowchart: Initial assessment and management (PDF, 61kB)
• Flowchart: Secondary assessment and management (PDF, 70kB)

Education

• Presentation: Trauma in pregnancy (PDF, 1489kB)
• Knowledge assessment: Trauma in pregnancy
• Videoconference recording: Trauma in pregnancy (Jun 2014)

Guideline

• Guideline: Vaginal birth after caesarean section (PDF, 289kB)
• Guideline Supplement: Vaginal birth after caesarean section (PDF, 195kB)

Flowcharts and posters

• Flowchart: Vaginal birth after caesarean section (VBAC) (PDF, 105kB)

Education

• Presentation: Vaginal birth after caesarean section (PDF, 351kB)
• Knowledge assessment: Vaginal birth after caesarean section
• Videoconference recording: Vaginal birth after caesarean section (May 2013)

Consumer information

• Vaginal birth after caesarean section (PDF, 786kB)

Guideline

• Guideline: Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium (PDF, 594kB)
• Guideline Supplement: Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium (PDF, 356kB)

Flowcharts and posters

• Flowchart: Antenatal assessment and management (PDF, 60kB)
• Flowchart: Postnatal assessment and management (PDF, 60kB)

Education

• Presentation: Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium (PDF, 351kB)
• Knowledge assessment: Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium
• Videoconference recording: Venous thromboembolism (VTE) prophylaxis in pregnancy and the puerperium (Oct 2014)

Guideline

• Guideline: Routine newborn assessment (PDF, 303kB)
• Guideline Supplement: Routine newborn assessment (PDF, 161kB)

Flowcharts and posters

• Flowchart: Routine newborn assessment (PDF, 95kB)

Education

• Presentation: Routine newborn assessment (PDF, 481kB)
• Knowledge assessment: Routine newborn assessment
• Videoconference recording: Routine newborn assessment (Feb 2015)

Consumer information

• Routine newborn assessment (PDF, 911kB)

Guideline

• Guideline: Establishing breastfeeding (PDF, 336kB)
• Guideline Supplement: Establishing breastfeeding (PDF, 179kB)

Flowcharts and posters

• Flowchart: Breastfeeding sleepy baby (PDF, 106kB)

Education

• Presentation: Establishing breastfeeding part 1: normal pathway (PDF, 904kB)
• Presentation: Establishing breastfeeding part 2: pathway variances (PDF, 117kB)
• Knowledge assessment: Establishing breastfeeding
• Videoconference recording: Establishing breastfeeding (Aug 2016)

Consumer information

• Breastfeeding your baby (PDF,379kB)

Guideline

• Guideline: Newborn hypoglycaemia (PDF, 381kB)
• Guideline Supplement: Newborn hypoglycaemia (PDF, 195kB)

Flowcharts and posters

• Flowchart: Prevention and detection of newborn hypoglycaemia (PDF, 100kB)
• Flowchart: Management of newborn hypoglycaemia (PDF, 107kB)

Education

• Presentation: Newborn hypoglycaemia (PPT, 1607kB)
• Knowledge assessment: Newborn hypoglycaemia
• Videoconference recording: Newborn hypoglycaemia (Oct 2013)

Consumer information

• Newborn hypoglycaemia (PDF, 452kB)

Guideline

• Guideline: Hypoxic-ischaemic encephalopathy (PDF, 488kB)
• Supplement: Hypoxic-ischaemic encephalopathy (PDF, 231kB)

Flowcharts and posters

• Flowchart: Clinical features, investigations and management (PDF, 105kB)
• Flowchart: Criteria for therapeutic hypothermia (cooling)  (PDF, 146kB)
• Flowchart: Checklist for therapeutic hypothermia (cooling) (PDF, 223kB)
• Flowchart: Passive cooling (PDF, 257kB)

Education

• Presentation: Hypoxic-ischaemic encephalopathy (PDF, 658kB)
• Knowledge assessment: Hypoxic-ischaemic encephalopathy
• Videoconference recording: Hypoxic-ischaemic encephalopathy (Apr 2016)

Consumer information

• Hypoxic-ischaemic encephalopathy (PDF, 337kB)

Guideline

• Guideline: Neonatal jaundice (PDF, 786kB)
• Guideline Supplement: Neonatal jaundice (PDF, 203kB)

Flowcharts

• Flowchart: Management of neonatal jaundice (PDF, 112kB)
• Nomograms: Phototherapy and exchange transfusion graphs (PDF, 554kB)

Education

• Presentation: Neonatal jaundice (PDF, 570kB)
• Knowledge assessment: Neonatal jaundice

Consumer information

• Jaundice in newborn babies (PDF, 611kB)

Guideline

• Guideline: Perinatal care at the threshold of viability (PDF, 776kB)
• Guideline Supplement: Perinatal care at the threshold of viability (PDF, 467kB)

Flowcharts and posters

• Poster: Antenatal care where birth imminent or indicated at less than 25+6 weeks (PDF, 43kB)
• Flowchart: Consensus approach to resuscitation at the threshold of viability (PDF, 40kB)

Education

• Presentation: Perinatal care at the threshold of viability (PDF, 766kB)
• Knowledge assessment: Perinatal care at the threshold of viability
• Videoconference recording: Perinatal care at the threshold of viability (Mar 2015)

Guideline

• Guideline: Perinatal substance use: neonatal (PDF, 800kB)
• Guideline Supplement: Perinatal substance use: neonatal (PDF, 441kB)

Flowcharts and posters

• Management of neonatal abstinence syndrome (PDF, 229 kB)
• Morphine dosing and weaning schedule (PDF, 144 kB)
• Phenobarbitone dosing and weaning schedule (PDF, 106 kB)
• Management and follow up of baby of hepatitis C infected woman (PDF, 114 kB)

Education

• Presentation: Perinatal substance use: neonatal (PDF 788kB) (Updated May 2018)
• Knowledge assessment: Perinatal substance use: neonatal

Consumer information

• Neonatal (newborn) abstinence syndrome (NAS) (PDF, 301kB)

Guideline

• Guideline: Neonatal respiratory distress including CPAP (PDF, 562kB)
• Guideline Supplement: Neonatal respiratory distress including CPAP (PDF, 199kB)

Flowcharts and posters

• Flowchart: Neonatal respiratory distress and CPAP ≥ 32 weeks GA (PDF, 128kB)

Education

• Presentation: Neonatal respiratory distress including CPAP (PDF, 482kB)
• Knowledge assessment: Neonatal respiratory distress including CPAP
• Videoconference recording: Neonatal respiratory distress including CPAP (Jul 2015)

Additional Resources

• Clinical skills workshops - Further information about workshops and the accompanying clinical learn resource

Guideline

• Guideline: Neonatal resuscitation (PDF, 720kB)
• Supplement: Neonatal resuscitation (PDF, 202kB)

Flowcharts and posters

• Neonatal resuscitation (PDF, 325kB)
• Neonatal resuscitation reference chart (PDF, 751kB)

Education

• Presentation: Neonatal resuscitation (PDF, 603kB)
• Knowledge assessment: Neonatal resuscitation
• Videoconference recording: Neonatal resuscitation (Feb 2017)
• Recorded videoconference: Neonatal resuscitation and oxygen saturation monitoring (31 Aug 2017)
• Education video: Neonatal resuscitation (Mar 2017)

Consumer information

• Newborn resuscitation (PDF, 422kB)

Additional resources

• NeoResus Training Program—Online courses:
• NeoResus First Response (PARROT-C MC53)
• NeoResus Advanced (PARROT-C MC54)
• Baby CPR video for parents—Video for parents and carers about how to resuscitate a baby. Developed by CPR Kids.

Guideline

• Guideline: Neonatal seizures (PDF, 351kB)
• Supplement: Neonatal seizures (PDF, 172kB)

Flowcharts and posters

• Flowchart: Assessment and management (PDF, 129kB)
• Flowchart: Investigations (PDF, 130kB)
• Flowchart: Abnormal movements in newborn babies (PDF, 167kB)

Education

• Presentation: Neonatal seizures (PDF, 166kB)
• Knowledge assessment: Neonatal seizures
• Videoconference recording: Neonatal seizures (Aug 2017)

Consumer information

• Seizures in newborn babies (PDF, 479kB)

Guideline

• Guideline: Neonatal stabilisation for retrieval (PDF, 413kB)
• Guideline Supplement: Neonatal stabilisation for retrieval (PDF, 189kB)

Flowcharts and posters

• Flowchart: Antenatal transfer or retrieval (PDF, 98kB)
• Flowchart: Postnatal stabilisation and retrieval (PDF, 98kB)
• Checklist: Preparation for neonatal retrieval (PDF, 102kB)
• Flowchart: Respiratory distress (PDF, 80kB) (updated Jul 2018)

Education

• Presentation: Neonatal stabilisation for retrieval (PDF, 483kB) (Updated Jul 2018)
• Knowledge assessment: Neonatal stabilisation for retrieval

Additional resources

• Online course: Neonatal Stabilisation (PARROT-C MC52)

Guideline

• Term small for gestational age baby (PDF, 1.8MB)
• Supplement: Term small for gestational age baby (PDF, 175kB)

Flowcharts and posters

• Term small for gestational age baby: Summary management (PDF, 108kB)

Education

• Presentation: Term small for gestation age baby (PDF, 895kB)
• Knowledge assessment: Term Small for gestational age baby

Consumer information

• Small for gestational age baby (PDF, 842kB)

• Guideline: Standard care (PDF, 233kB)
• Supplement: Standard care (PDF, 184kB)

• Maternity shared care (PDF, 142kB)
• Supplement: Maternity shared care (PDF, 110kB)

• Non-urgent referral for antenatal care (PDF, 214kB)
• Supplement: Non-urgent referral for antenatal care (PDF, 187kB)