Skip to main content

Swansea Bay Maternity

 

 

DOCUMENT

ACTIVATION DATE REVIEW DATE PATIENT LEAFLET
A      
Abduction of Babies, Policy for the Promotion of Safety/Prevention of 2021 May 2025  
Acute Care Toolkit - Managing acute medical problems in pregnancy toolkit 2019 N/A  
Admin Process for Ratified Policies 2018 N/A  
Anaemia in Obstetrics including Iron Infusion -  Management of Iron Deficiency Sep 2023 Sep 2024  

Analgesia 

Obstetric Anaesthesia Trainee Guidelines  (also available on COIN)

Pain Relief in Labour

PCA for labour, Guideline for Remifentanil

 

2020

2021

2021

 

Jan 2022

Oct 2024

Mar 2024

 
Anaphylaxis in Obstetrics 2021 Oct 2024   

Antenatal Care

AAU and ADAU Criteria 

All Wales Midwifery Led Care Criteria 

Day Assessment Unit, NPTH

DNA, Did not attend -Management of Women who fail to attend Appointments 

(SOP) Antenatal Assessment Unit - Did not attend (DNA)

 

Mar 2024

2023

2016

2018

Mar 2024

 

Mar 2027

Feb 2025

Nov 2019

Sep 2021

Mar 2027

 
Anti D Administration in Pregnancy 2021 Jan 2024  
Aspirin in Pregnancy Mar 2024 Jun 2027  
B      

Bereavement 

Care Pathway for Management of Intrauterine Death and Stillbirth over 24 weeks Gestation 

Care Pathway for Management of Neonatal Death on Central Delivery Suite 

Clinical Care Pathway for Management of Pregnancy Loss and Medical Termination of Pregnancy 12-23+6 weeks gestation 

Clinical Care Pathway for the Pregnancy Loss and Termination of Pregnancy for Fetal Abnormalities within Gynaecology Department within the First Trimester 

 

2023

 

February 2025

Information to support parents following the loss of a pregnancy in the First Trimester 

Information for Parents following the loss of your baby

Information to support parents following the decision to end their pregnancy for medical reason

Bladder Care Management During IP and PN Period 2018 November 2021  
Blood - Management of blood glucose following steriods during pregnancy - CID440a 2022 November 2025   
Bloodspot Screening - Newborn Bloodspot Screening Wales 2023 N/A (live link)  
BMI over 30kg/m2 Management of 2022 November 2025   
Breech Presentation, Management of November 2023  November 2026   
C      

Caesarean Birth Information 

 

Caesarean Section, Guideline Techniques of

Appendix 1 - ChloraPrep

Appendix 2 -

Impacted fetal head algorithm 1

Impacted fetal head algorithm 2

Impacted fetal head algorithm 3

Impacted fetal head algorithm 4  

 

Elective/ Maternal Request for Caesarean Section

 

Elective / Maternal Request of COVID Patients

 

Midwifery facilitated discharge following C-section

 

 

2023

 

 

 

 

 

 

 

Aug 2024

 

2022

 

Apr 2024

 

 

Jan 2026 

 

 

 

 

 

 

 

Aug 2027

 

Mar 2025

 

Apr 2027

 
Cardiac Arrest - Obstetric Adult Cardiac arrest algorithm guidelines,  see resuscitation  2021 January 2025   
Cell Salvage in Obstetrics, Guideline for the Use of 2020 May 2023  
Cholestasis, Management of itching in pregnancy and obstetrics 2023 July 2026  
Communication Through Maternity Services Pathways of Care 2013 October 2016  
Completion and Maintenance of Maternity Records and Record Keeping 2011 January 2013  
Cord Blood Sampling  2023 May 2026  
Cord Prolapse, Management of 2020 February 2023  
COVID19 emergency gynae pathway V8 21/04/2020 - SBUHB Intranet Access Only 2020 N/A  
COVID19 emergency gynae surgery V1 - SBUHB Intranet Access Only 2020 N/A  
CT Downtime at Singleton, SOP 2021 N/A  

Datix

See How to Report an Incident Below

Trigger List for Clinical Incident 

 

2021

2022

   

Diabetes in Pregnancy

Adult diabetic ketoacidosis treatment and monitoring chart

Adult Insulin administration record

Adult Variable Rate Insulin Infusion

Blood glucose monitoring chart for non-insulin treated patients

Diabetes in Labour 

Diabetes, Management of Women

Appendix 1

Appendix 2

Screening and management of gestational diabetes 

Self administration policy for inpatient

Steroids in Pregnancy

 

December 2015

February 2012

December 2015

June 2017

August 2024

September 2022

2023

2023

April 2023 

September 2022

August 2024 

 

May 2024

July 2023

May 2024

July 2023 

N/A

September 2025

March 2024

March 2024 

April 2026 

September 2025

N/A

 
Domestic Abuse - Intranet Access Only  N/A N/A  
Echogenic bowel (isolated) 2023 September 2026  
Echogenic bowel, Management of Women diagnosed with 2019 December 2022  
Ectopic Fetal Heart or Irregular Fetal Heartbeat 2023 December 2026  

Escalation Policies

- Obstetric Unit

- Community Intrapartum Services 

February 2024  February 2025   

Epilepsy – Management of women in pregnancy

Epilepsy Care in Pregnancy - antenatal - Appendix 4

2023

 

2023

May 2026 

 

May 2026

 
External Cephalic Version Protocol 2020 February 2023  
Family and Friends, Midwives Providing Care to 2019 January 2021  
Feeding - Guideline for Alternative Methods in the full term breastfed infant  2019 August 2025  
Feeding, Antenatal Expressing of Breast Milk 2021 September 2023  
Feeding, Antenatal Expressing of Breast Milk     2022
Feeding, Breastfeeding Support for Mothers Admitted to Hospital SOP January 2023 January 2025   
Feeding, Cleaning and disinfecting of breast set kits and breast pumps (GUIDELINE) 2023 June 2026  
Feeding, Loan of Breast Pumps in the Community 2021 September 2024  
Feeding, Infant 2018 March 2021  
Feeding, Support of parents who use Nipple Shields - (Guideline) 2023 September 2026  
Feeding, Reluctant Feeding in Healthy Babies >37 weeks 2023 September 2026  
Female Genital Mutilation (FGM) (link to SB webpage) N/A N/A  
Fetal Heart, Computerised CTG (cCTG) 2023 July 2026  
Fetal Loss, Stillbirth and Neonatal Death 2023 December 2023  
Fetal Movement, Altered (All Wales) 2021 Sep 2024  

Fetal Monitoring

Intermittent Auscultation 

Fetal Monitoring

 

2024

2018

 

Mar 2027

May 2024 

 
Group B Streptococcus - Policy for Management of women with GBS during pregnancy 2021 May 2024  
Haemorrhage - Antepartum Dec 2023 Dec 2026  
Haemoglobin Carrier Results, Pathway to Providing to Women 2018 September 2021  
Headache in Pregnancy, Flowchart 2021 May 2024  
Hepatitis B Pathway, Neonatal & Infant 2021 January 2024  
HIV in the Pregnant Woman, Guidelines for the Management of December 2023 November 2026  
How to Report an Incident Through Datix, A Short Guide 2022 n/a  
Hyperemesis, Nausea and Vomiting in Pregnancy Guideline 2023 May 2026  

Hyperstimulation, Management of Uterine

Apri 2024 Apr 2027  
Hypertensive Disorders, Management of during Pregnancy 2023 January 2025  
I-P      
Induction of Labour 2020 June 2023  
Induction of Labour at Home Patient Leaflet   N/A 2020
Induction of Labour Summary of Care Form 2020 June 2023  
Infections and Rashes in Pregnancy (Antenatal Screening Wales) 2019 N/A  
Influenza, Seasonal in Pregnancy and Postpartum Period, Management of 2018 July 2021  
Information sharing in pregnancy - pathway Dec 2023 Dec 2027  
Intrauterine Death and Stillbirth Over 24 weeks Gestation. 2023 November 2025  
Intrapartum Care – First stage of labour (link to external site) NICE Guideline N/A  
Intrapartum Care – Second stage of labour (link to external site) NICE Guideline N/A  

In-Utero Transfers 

In-Utero Communication Form

 

2023

 

N/A

 
Jump call Procedure 2018 July 2021  
K2 SOP - Escalation of system issues  2023 NA  

Labour Guidelines

Labour, Eating and Drinking Guideline

Labour: Free Birthing (Unassisted)

Labour, Management of First Stage - NICE Guidance CG190

Labour, Management of Second Stage - NICE Guidance CG190

 

Apr 2024

2020

2017

2017

 

Apr 2027

Jun 2023

NA

NA

 
Late Booking in Pregnancy 2023 July 2026  
Latent Phase, Policy for Management of the 2019 July 2022  
Latex Allergy, Obstetric Theatre (Singleton) 2022 April 2025  
Lift Failure in West Ward Block, Singleton SOP 2022 N/A  
Magnesium Sulphate, Administration of for Neuroprotection of Fetus 2021 November 2024  
Maternal death, Policy in the event of Feb 2024 Feb 2027  
Mental Health Pathway 2022 April 2023  
Mental Health - Maternity Mental Health Crisis Escalation (Flowchart) 2022 Sep 2025  

Midwifery Led Care - for Swansea Bay please see the Exception Brief.  

(For all Wales Guideline - click here) 

Antenatal Care Assessment - All Wales Guidance 

Place of Birth Assessment - All Wales Guidance 

2022 December 2025  
Midwife Guidance, Caring for friends or family  2023 November 2025  
Midwife Sonographers - SOP for growth scan referrals 2022 July 2024   
Multiple Pregnancy, Management of 2022 December 2025  
Neonatal Death on Central Delivery Suite (Care pathway management) 2023 November 2025  
Neonatal Examination, Midwife led  2024 June 2028  
Obesity - Super obesity, Management of  2022 September 2025   
Obstetric, Adult obstetric cardiac arrest algorithm guidelines, see resuscitation  2021 January 2025  
Obstetric, Led Care - Booking for  2023 July 2026  
Oligohydramnios - Management of 2022 September 2025  

Opiates guidelines

 Intrathecal guideline

Post-neuraxial 4 hour Recovery 

 

Sep 2023

Apr 2024

 

Sep 2026

Apr 2027

 

Pain Relief in Labour Patient Leaflet (CYM)

Pain Relief in Labour Patient Leaflet (ENG)

    2022
PELVIS,  Renal pelvis dilatation (isolated) 2023 September 2026  
Placenta, Pathway for Low-Lying, at Anomaly Scan in Midwifery Led Care  2022 June 2025  

Polyhydramnios, Management of

Appendix 1

2022 September 2025  

Post Partum Haemorrhage

 All Wales Guidance 

Management of Major Obstetric Haemorrhage

 

2023

Dec 2023

 

Nov 2024

Dec 2026

 
Perineal Trauma, Guideline for the Management and Repair 2023 July 2026  
Pre-Eclampsia, Guideline for Management of Severe or Fulminating 2020 February 2023  
Pre-Term Labour, Management of 2018  November 2021  
Pre-Term Pre-Labour Rupture of Membranes (PPROM) 2018 May 2021  
Pregnancy - Loss and Termination of Pregnancy for Fetal Abnormalities within Gynaecology Department within the First Trimester - (Care pathway) 2023 November 2025  
Pregnancy - Loss and Medical Termination of Pregnancy 12-23+6 Weeks Gestation 2023 November 2025  
Prevention and Management of Third & Fourth Degree Tears 2023 October 2026  
PV Blood Loss 14-20 Weeks, Flowchart 2021 March 2024  
       
Q-Z      
Responsibilities of the Team on Duty for Obstetrics and Gynaecology 2020 March 2023  
Resuscitation, Obstetric Adult Cardiac Arrest algorithm, see Cardiac Arrest  2021 January 2025   
Safeguarding Children within the Maternity Services 2016 May 2019  
Safeguarding Children within the Maternity Services (Appendices Only) 2016 N/A  
Safer Infant Sleep Policy  2023 September 2026  
Substance Misuse, Care of Pregnant Women 2020 November 2023  
Maternity Sepsis Screening and Management Guidelines - Wales Maternity Network 2018 N/A  
Sepsis, Screening and Management - Hyperlinks for Antibiotic Use (external site) 2018 N/A  
Shoulder Dystocia,Guideline for the Management of 2021 September 2024  
Sonographers, Midwife for Growth Scan 2023 August 2025  

Swansea Bay Maternity SOP's 

The use of the second Operating Theatre in Labour ward at Singleton Hospital

 

May 2024 

 

May 2027

 
Spontaneous Rupture of Membrane (SROM), Prelabour Management 2021 September 2024  
Surrogate Pregnancy Guideline 2020 July 2023  
Third and Fourth degree tear, Prevention and  Management of  Oct 2023 Oct 2026  
Third (3rd) Stage of Labour, Guideline for Management of 2020 February 2023  
Transfers from Community and FMU - All Wales Guidance Apr 2023 Nov 2026  
Ultrasound Protocol 2019 January 2022  
Umbilical Artery Doppler 2021 March 2024  
Umbilical Cord Blood Banking - Guidance 2018 April 2027  
Unbooked Women, Care of 2020 November 2023  
Uterine Inversion Recognition and Management of 2020 March 2026  
Uterus, Ruptured, Management of 2020 July 2025  
Vaccines in Pregnancy 2023 Live link - no expiry  
Vaginal Birth after a Caesarean Section, VBAC 2019 July 2022  
Vaginal birth, assisted 2022 May 2025  
Vaginal birth, assisted documentation sheet 2022 May 2025  
Ventriculomegaly (isolated) 2023 September 2026  
VTE - Assessment Prophylaxis and Treatment of VTE in Pregnancy and Puerperium 2022 March 2025  
VTE - Standard Operating Procedure Maternity Risk Assessment 2022 January 2025  
Water Immersion for Labour and Birth 2021 January 2024  
Zika Virus Infection and Pregnancy final v2 05.07.23. 2023 April 2026