Swansea Bay Maternity

 

 

DOCUMENT

ACTIVATION DATE REVIEW DATE PATIENT LEAFLET
A      
Abduction of Babies 08/05/2026 January 2029  
Acute Care Toolkit - Managing acute medical problems in pregnancy toolkit 2019 N/A  
Admin Process for Ratified Policies 2018 N/A  

Alpha-Thalassaemia

 

21/11/2025

10/10/2025

 

N/A

Sept 2028

 

Analgesia 

Obstetric Anaesthetic Trainee Guideline

Pain Relief in Labour

Patient Controlled Analgesia for labour - Remifentanil

 

06/03/2026

14/11/2025

10/04/2025

 

Dec 2027

Oct 2028

Dec 2027

 

Swansea Bay 2022 (Cym)

Swansea Bay 2022 (Eng)

Anaphylaxis in Obstetrics 10/04/2025 March 2028  

Antenatal Care

All Wales Midwifery-Led Criteria

Day Assessment Unit, NPTH

Antenatal Assessment Unit - Did not attend (DNA)

 

2023

27/10/2025

Mar 2024

 

Feb 2025

Oct 2028

Mar 2027

 
Antenatal Screening for Blood Group, RhD status and Antibodies Pathway 2024 N/A  
Anti D Administration in Pregnancy 2021 Jan 2024  
Aspirin in Pregnancy Sept 2024 Sept 2026

- English

- Welsh

Assessment Unit, Antenatal (AAU)

AAU Criteria

AAU Escalation Flowchart

 

12/12/2024

03/10/2025

 

Oct 2027

March 2028

 
Assessment Unit, Obstetric (In Singleton) 19/06/2026 April 2029  
B      
Bariatric, Patients Becoming Pregnant After Metabolic-Bariatric Surgery 12/09/2025 June 2026  
Bladder Care, Intrapartum 2024 June 2027  
Blood Glucose - Management following Steroids during Pregnancy 2022 Jan 2029  
Bloodspot Screening - Newborn Bloodspot Screening Wales 2023 Sept 2026  
BMI >30, Management 24.10.2024 Nov 2027  
BRAIN - Pregnancy choices decision aid 16/05/2025 N/A  
Breech Presentation, Management  November 2023  November 2026   
BSSOTS Maternity Triage -SOP 12/09/2025 Jan 2028  
C      

Caesarean Birth

Birth after Caesarean section

    Elective/ Maternal Request for Caesarean Section

    Midwifery facilitated discharge following C-section

    Use of Carbetocin in the Prevention of PPH at Caesarean and Assisted Vaginal Birth

    Techniques for Caesarean Section

    Appendix 1 - ChloraPrep

    Appendix 2 -

     

    14/08/2026

    Aug 2024

    April 2024

    24/09/2026

     

    2023

     

    July 2029

    Aug 2027

    April 2027

    Aug 2029

     

    Jan 2026

     
    Caesarean Section, SOP for Safe Positioning of Patients undergoing Lower Segment Caesarean section 17/07/2026 August 2028  
    Cardiac Arrest 2021 January 2025   
    Cell Salvage in Obstetrics 2024 Sept 2027  
    Cholestasis, Management of itching in pregnancy and obstetrics 2023 July 2026  
    Cord Blood Sampling 05/06/2026 May 2029  
    Cord Prolapse, Management 13/12/2024 July 2027  
    Critically Unwell Obstetric Patient, SOP 13/12/2024 Oct 2027  
    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 

    Sept 2025

    N/A

     
    DNA (Did not Attend) - Women who fail to attend their antenatal appointment 24/10/2025 16/10/2028  
    Domestic Abuse - Intranet Access Only  N/A N/A  
    Echogenic bowel (isolated) 2023 September 2026  

    Ectopic Fetal Heart or Irregular Fetal Heartbeat

     

    2023

    10/07/2026

     

    Dec 2026

    April 2029

     

    Escalation Policies

    - Obstetric Unit

    - Community Intrapartum Services 

    February 2024  February 2027  

    Epilepsy – Management of women in pregnancy

    2023

     

     

    May 2026 

     

     

     
    External Cephalic Version Protocol 2020 February 2023  
    Feeding Infants and Associated Guidelines 31/01/2025 Jan 2028 Antenatal Expressing Leaflet
    Female Genital Mutilation Nov 2024 Oct 2027  

    Fetal Heart

     

    24/07/2026

    22/05/2026

     

    July 2029

    N/A

     

    Fetal Loss, Stillbirth, Neonatal Death

    Care Pathway for Management in Intrauterine death and Stillbirth over 24 weeks

    Care Pathway for Management of Neonatal Death on Central Delivery Suite

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

    Clinical Care Pathway for the Pregnancy Loss and Medical Termination of Pregnancy 12-23+6 Weeks Gestation

    Policy for the Management of Fetal loss, Stillbirth and Neonatal Death

    Sept 2022 Sept 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

    Fetal Movement, Altered (All Wales)

    2021 Jan 2026  

    Fetal Monitoring

    Guideline

    Intermittent Auscultation Guideline

    Intermittent Auscultation Assessment Tool

     

     

    2024

    2024

    22/05/2026

     

    Aug 2027

    Mar 2027

    2027

     
    Friends, Midwives wishing to provide midwifery care to a friend or relative August 2025 July 2028  
    Group B Streptococcus during Pregnancy, Policy for Management 13.07.2021 May 2027  
    Headache in Pregnancy, Flowchart 2021 May 2027  
    Hepatitis B Pathway, Neonatal & Infant 2021 January 2024  
    Herpes in Pregnancy 16/01/2026 N/A  
    HIV in the Pregnant Woman December 2023 November 2026  
    Hyperemesis Gravidarum, Nausea and Vomiting in Pregnancy 14/08/2026 November 2028  

    Hyperstimulation, Management of Uterine

    Apri 2024 Apr 2027  
    Hypertension in Pregnancy 16/01/2026 Oct 2028  
    Hyponatraemia in Obstetrics 04/04/2025 March 2028  
    I-P      

    Induction of Labour

     

    2024

     

    16/05/2025

    25/09/2026

    Aug 2027

     

    March 2028

    N/A

    Infections and Rashes in Pregnancy (Antenatal Screening Wales) 2019 N/A  
    Information sharing in pregnancy - pathway Dec 2023 Dec 2027  
    Intrauterine Death and Stillbirth Over 24 weeks Gestation August 2025 August 2028  
    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

     
    Iron Deficiency, Anaemia in Pregnancy 28/08/2025 August 2028  
    Jump Call Procedure 2024 May 2027  
    K2 SOP - Escalation of system issues  2023 NA  

    Labour Guidelines

    Labour, Eating and Drinking Guideline

    Freebirth (Unassisted Birth)

     

    Apr 2024

    14/11/2025

     

     

    Apr 2027

    May 2028

     

     

    Large for Gestational Age Fetus (in a non-diabetic pregnancy)

    04/11/2025 Nov 2028  
    Late Booking in Pregnancy 2023 July 2026  
    Latent Phase of Labour 18/07/2025 May 2028  
    Latex Allergy Guideline for Obstetric Theatre Guideline for Singleton Hospital Site 23/01/2026 Dec 2028  
    Lift Failure in West Ward Block, Singleton SOP 2022 N/A  
    Magnesium Sulphate, Administration for Neuroprotection of Fetus 2021 Nov 2027  
    Maternal death, Policy in the event of Feb 2024 Feb 2027  
    Maternity Early Warning Score (MEWS) 12/06/2026 July 2028  
    Mental Health Pathway 2022 Sept 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 N/A  
    Multiple Pregnancy, Management 05/06/2026 Dec 2028  
    Neonatal Examination, Midwife led  2024 June 2028  
    Obesity/Super-obesity (Class IV and V) Obesity in Pregnancy 27/10/2025 Sept 2028   
    Obstetric Led Care - Booking for Obstetric Led Care 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)

      N/A  
    Pelvis,  Renal pelvis dilatation (isolated) 2023 September 2026  
    Perineal Trauma, Guideline for the Management and Repair 2023 July 2026  
    Placenta, Pathway for Low-Lying, at Anomaly Scan in Midwifery Led Care  2022 June 2025  

    Polyhydramnios, Management of

    Appendix 1

    2022 September 2025  

    Postpartum Haemorrhage

     

    02/05/2025

    10/04/2025

    24/09/2026

     

    April 2028

    Dec 2026

    Aug 2029

     
    Pre-eclampsia (Severe), Management 18/07/2025 July 2028  
    Pregnancy Associated Plasma Protein-A (PAPP-A)    

    - English

    - Welsh

    Pregnancy - Loss and Termination of Pregnancy for Fetal Abnormalities within Gynaecology Department within the First Trimester - (Care pathway) August 2025 August 2028  
    Pregnancy - Loss and Medical Termination of Pregnancy 12-23+6 Weeks Gestation August 2025 August 2028  
    Preterm birth: Prevention, Preterm Labour and Preterm Prelabour Rupture of Membranes 30/05/2025 October 2027  
    Prevention and Management of Third & Fourth Degree Tears 2023 October 2026  
    Proteinuria in Pregnancy 10/07/2026 April 2029  
    PV Bleeding, Management of Women with Vaginal Bleeding from 14 -16+6 weeks and >17 weeks Gestation 10/07/2026 April 2029  
           
    R-Z      
    Records (Maternity), Completion and Maintenance 16/05/2025 May 2028  
    Responsibilities of the Team on Duty for Obstetrics and Gynaecology 2020 March 2023  
    Safeguarding Children Jan 2026 Dec 2026  
    Safeguarding, for children who become pregnant prior to their 13th birthday 19/06/2026 N/A  
    Safer Infant Sleep Policy  2023 September 2026  

    Second Operating Theatre in Labour ward at Singleton Hospital

    May 2024 

    May 2027

     

    Sepsis

     

    14/11/2025

    2018

     

    May 2028

    N/A

     
    Shoulder Dystocia, Management 2024 September 2027  
    Smoking Cessation 13/12/2024 August 2027  

    Sonographer (Midwife)

    10/07/2026

    March 2027

     
    Speculum Examination 27/03/2026 N/A

    Cymru

    English

    Speculum Examination by Midwives, under 37 weeks Gestation 17/10/2025 September 2028  
    Spontaneous Rupture of Membrane (SROM), Prelabour Management 2021 September 2024  
    Substance Misuse, Care of Pregnant Women who use Substances 10/07/2026 April 2029  
    Surgery, Pregnant Patients presenting for Emergency Non-obstetric surgery 12/06/2026 June 2029  
    Surrogate Pregnancy 16/05/2025 November 2027  
    Third and Fourth degree tear, Prevention and  Management of  Oct 2023 Oct 2026  
    Third (3rd) Stage of Labour, Management 2024 July 2027  
    Thyroid Disorders in Pregnancy, Management 2024 September 2027  
    Transfers from Community and FMU - All Wales Guidance Apr 2023 Nov 2026  
    Ultrasound, Women Declining Antenatal Screening Wales Ultrasound protocol 29/05/2026 April 2029  
    Ultrasound Growth Assessment Protocols (Obstetric) 23/01/2026 March 2028  
    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 17/04/2026 March 2029  
    Uterus, Management of Ruptured Uterus 17/10/2025 July 2030  
    Vaccines in Pregnancy 2023 Live link - no expiry  
    Vaginal Birth, Assisted 17/04/2026 March 2029  
    Ventriculomegaly (isolated) 2023 September 2026  
    Water Immersion for Labour and Birth 26/08/2025 July 2028  
    Zika Virus Infection and Pregnancy 2023 June 2029