Hywel Dda Maternity Guidelines

Abduction of babies, Prevention of and promotion of Safety

Appendix 1 - Flow Chart

Appendix 2 - Trigger List

Appendix 3 - Audit Proforma 

Accidently Dropped Babies

Assessment and Management

Flowchart

Altered Fetal Movements 

- Local Guidance

- All Wales Guidance

- Equality Impact Assessment 

Oct 2022 - Oct 2025

Sep 2021 - Sep 2024

Oct 2022 - Oct 2025

Aspirin in Pregnancy (Low Dose)

Appendix 1 - Equality Impact Assessment

Appendix 2 - Letter Template

Appendix 3 - Booking Assessment Sticker

Appendix 4 - Information Leaflet 

Birth After Caesarean

Birth After Caesarean (BACS) Guideline

Equality Impact Assessment

Appendix 1: Birth After Caesarean (BAC) Checklist

Appendix 2: Care Pathway

Appendix 3: Discussion Tool for women planning a VBAC outside of recommended care

Bladder Care - intrapartum and postnatal 

Appendix 1

Appendix 2

Echogenic Bowel (Isolated)

Echogenic Bowel (Isolated) guideline

Equality Impact Assessment

Enhanced Monitoring Unit - Obstetric Management of women 

• Equality Impact Assessment 
• MEOW Trigger

Epilepsy in Pregnancy

• Appendix

Escalation of Clinical concerns / Conflict of Clinical Opinions (Jump Call)

Failure to Attend Antenatal Care

• Impact Assessment
• Letter Template 

Fetal Growth Surveillance

• Guidelines
• Equality Impact Assessment

Fetal Monitoring, Antenatal Electronic

• Guidelines
• Equality Impact Assessment

Fetal Monitoring, Continuous Intrapartum Electronic

• Appendix 1 - Equality Impact Assessment 
• Appendix 2 - CTG Classification Sticker
• Appendix 3 - Hyproxia Classification Chart
• Appendix 4 - Troubleshooting 

Use of Specific Green Identification Band for Women who have a Balloon Tamponade (Bakri) or a Vaginal Pack InSitu Guideline

• Equality Impact Assessment

Group B Strep

• Impact Assessment 

Haemorrhage, Antepartum Management 

• Appendix 1
• Appendix 2

Haemorrhage, Postpartum Management 

Hyponatraemia in
Labour and the Immediate Postpartum
Period - Prevention, Diagnosis and Management 

• Appendix 1 - Peripartum Sodium Monitoring Pathway
• Appendix 2 - Maternity Specific Fluid Balance Chart

Hypoxic Ischaemic Encephalopathy (HIE) - Therapeutic Hypothermia

• Guideline 
• Equality impact assessment 
• Pathway

Infant Feeding, Antenatal Hand Expressing of Colostrum 

• Appendix 1
• Appendix 2
• Appendix 3
• Appendix 4

Infant Breast Feeding 

• Appendix 1
• Appendix 2

Intrahepatic Cholestasis of Pregnancy (ICP) Guideline

• Impact Assessment 

Latent Phase of Labour

• Guideline
• Patient Information Leaflets

Maternal Death 

• Equality Impact Assessment 
• Appendix 1
• Appendix 2
• Appendix 3

Maternity Triage

• Guidelines
• Equality Impact Assessment

Miscarriage in second trimester

• Clinical Management Guideline
• Support Groups and Organisations 
• Patient Loss Leaflet
• Patient information 
• Neonatal Butterfly Project 
• Bereavement Discharge Form
• Certificate of Birth
• Gestational Referral Pathway + Criteria 

Management of Multiple Pregnancy

• Management of Multiple Pregnancy guidelines
• Equality Impact Assessment
• Appendix 1: Screening for selective growth restrictions in twins
• Appendix 2: Multiple Pregnancy Pre-eclampsia Risk Assessment
• Appendix 3: Monochorionic Diamniotic (MCDA) Pregnancy Care Pathway Proforma
• Appendix 4: Dichorionic Diamniotic (DCDA) Pregnancy Care Pathway Proforma
• Appendix 5: Twin Pregnancy Pathway Flow Chart for DCDA and MCDA
• Appendix 6: Ultrasound Monitoring Pathway Charts in uncomplicated Dichorionic twin pregnancy
• Appendix 7: Ultrasound monitoring pathway in uncomplicated Monochorionic twin pregnancy
• Appendix 8: MCA Vmax Chart

Neonatal Care

May 2021 - N/A

Placenta retained, management

• Equality impact assessment 
• Flowchart for management 
• Pre MROP checklist 

Pre-Term Birth

• Local Guidance
• PeriPrem Baby Passport
• Early maternal breast milk leaflet
• All Wales Guidance
• Equality Impact Assessment 

Jan - 2024 - Jan 2027

N/A

Apr 2023 - Apr 2026

Preterm Pre labour PPROM

Appendix 1

Responsibility for care

• Appendix

Rhesus Negative Women in Pregnancy

• Management
• Equality Impact Assessment

Safe Sleep for Infants 

• Guideline
• Poster 
• Information, from Lullaby Trust
• Information, Babies don't bounce
• Information, Caring for baby at night 
• Risk Assessment for infant falls 

Sharing Information in Pregnancy

• Appendix 1 Flowchart
• Appendix 2 SIP 1
• Appendix 3 SIP 2

Appendix 4 SIP 3

Substance Misuse in Pregnancy

• Equality Impact Assessment

Tears 3rd / 4th Degree, Perineal

• Appendix 1
• Appendix 2
• Appendix 3 ^awaiting
• Appendix 4

Thromboprophylaxis, Antenatal and Post Partum Period

• Appendix 1
• Appendix 2
• Appendix 3
• Appendix 4

Water, Use of for Labour and Birth

• Appendix 1
• Appendix 2
• Appendix 3
• Appendix 4

Weight loss in infants (breast and formula fed)

• Guideline
• Equality Impact Assessment 
• Milk intake by age (breastfed)
• Breastfeeding assessment form
• Supplement Guideline for Weight Gain