Hywel Dda Maternity Guidelines

Abduction of Babies

• Audit Proforma
• Flowchart
• Maternity Trigger List

Accidently Dropped Babies

• Assessment and Management
• Equality Impact Assessment
• Flowchart Pathway for Management
• Paediatric Neurological Observation Chart
• Proforma

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)

• Equality Impact Assessment
• Information Leaflet 

Bariatric Surgery

• Pregnancy following Bariatric Surgery
• Equality Impact Assessment
• Dietary advice

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 Period

• Appendix
• Maternity Physiotherapy Referral

Caesarean (Planned) Birth

• Planned Caesarean Birth Pathway
• Equality Impact Assessment
• Appendix 1 - Antenatal Discussion
• Appendix 2 - Booking Form

Divert Criteria for Gwenllian Ward, Bronglais Hospital

• Guideline
• Equality Impact Assessment (EqIA)

Echogenic Bowel (Isolated)

• Echogenic Bowel (Isolated) guideline
• Equality Impact Assessment

Epidural Analgesia for Maternity Patients

• Guideline
• Equality Impact Assessment
• Appendix 1
• Appendix 2
• Appendix 3
• Appendix 4
• Appendix 5

Epilepsy in Pregnancy

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

• Appendix 1
• Appendix 2

Haemorrhage, Postpartum

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, Therapeutic Hypothermia

Infant Feeding - Antenatal Hand Expressing of Colostrum

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

Infant Feeding, Breastfeeding

• Appendix 1
• Appendix 2

Information Sharing in Pregnancy Procedure (Safeguarding Children)

• Appendix 1 Flowchart
• Appendix 2 SIP 1
• Appendix 3 SIP 2
• Appendix 4 SIP 3

Intrahepatic Cholestasis of Pregnancy (ICP) Guideline

• Impact Assessment 

Latent Phase of Labour

• Guideline
• Patient Information Leaflets

Maternal Collapse

• Guideline
• Equality Impact Assessment

Maternal Death 

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

Maternity Triage

• Guidelines
• Equality Impact Assessment

Midwifery-Led Care

• Guideline
• Equality Impact Assessment
• All Wales Guideline

June 2025 - Nov 2027

Aug 2022 - Aug 2025

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 

MRSA Screening in Pregnancy

• Equality Impact Assessment
• MDRO Risk Management Screening Tool

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

 Paediatrician Present at Birth

• Conditions Necessitating Presence of Paediatrician at Birth Guideline
• Equality Impact Assessment

Placenta Examination, Histological Investigation and Disposal of Placenta following Birth

• Guideline
• Equality Impact Assessment
• Release of Placenta and Umbilical Cord only Form

Placenta (Retained)

• Equality impact assessment 
• 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

• Flowchart for Suspected PPROM

Responsibility for Care throughout all Stages of Pregnancy

Rhesus Negative Women in Pregnancy

• Guideline
• Equality Impact Assessment
• Appendix 1
• Appendix 2
• Appendix 3
• Pathway 1
• Pathway 2
• Pathway 3
• Pathway 4

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 

Sepsis, Early Onset Risk Assessment

• Equality Impact Assessment
• Risk Assessment Form

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

Transfers from Community and Freestanding Midwifery Units

• Guideline
• Equality Impact Assessment

Transitional Care for Babies in Postnatal Ward

• Equality Impact Assessment
• Escalation Flowchart of the unwell Newborn

Umbilical Cord Presentation and Prolapse

• Guideline
• Equality Impact Assessment

Vaginal (Assisted) Birth

• Assisted Vaginal Birth
• Equality Impact Assessment
• Local Safety Standard for Invasive Procedure Checklist

Vitamin K Administration

• Guideline
• Equality Impact Assessment

Water Birth

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