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 1

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

Failure to Attend Antenatal Care

- Impact Assessment

- Letter Template 

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

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 of 

Equality impact assessment 

Flowchart for management 

Pre MROP checklist 

Pre-Term Birth

- Local Guidance

- All Wales Guidance

- PeriPrem Baby Passport

- Early maternal breast milk leaflet

- Equality Impact Assessment 

Jan - 2024 - Jan 2027

Apr 2023 - Apr 2026

N/A

N/A

Jan - 2024 - Jan 2027

Preterm Pre labour PPROM

Appendix 1

Responsibility for care

Appendix 1

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

Appendix 1 - 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