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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  
  Anaemia, Sickle Cell and Haemoglobin Carrier Results Flowchart (see also Sickle Cell Disease) 2017 N/A  
 

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

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)

 

2023

2016

2018

Mar 2024

 

Feb 2025

Nov 2019

Sep 2021

Mar 2027

 
  Anti D Administration in Pregnancy 2021 Jan 2024  
  Aspirin in Pregnancy 2023 Apr 2026   
  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

 

Elective Radiology in the management of a haemorrhage 

 

 

2023

 

 

 

 

 

 

 

2020

 

2022

 

2018

 

 

Jan 2026 

 

 

 

 

 

 

 

Nov 2023 

 

Mar 2025

 

Mar 2021

 
  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 2021    
  Day Assessment Unit Criteria, Neath 2016 October 2019  
  Diabetes, Management of Diabetes in Labour  2022 November 2025   
 

Diabetes, Management of Women

Appendix 1

Appendix 2

 

2021

2023

2023

March 2024  
  Domestic Abuse (link to SB webpage) 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 Policy, Maternity Services 2019 February 2022  
 

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  
  Feeding, Use of Nipple Shield 2019 August 2022  
  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 N/A  
  Fetal Movement, Altered (Swansea Bay) 2021 November 2021  
 

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  
  Haemorrhage - Management of Major Obstetric Haemorrhage 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

2023 February 2025  
  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  
  Intrauterine Death and Stillbirth Over 24 weeks Gestation. 2023 November 2025  
  Interpretor (link to SB webpage) 2020 N/A  
  Interventional Radiology in the Management of Major Obstetric Haemorrhage 2018 March 2021  
  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 Transfer Guideline, All Wales version (Maternity Network)   N/A  
  Jump call Procedure 2018 July 2021  
  Labour: Free Birthing (Unassisted) 2020 June 2023  
  Labour, Management of First Stage - NICE Guidance CG190 2017 N/A  
  Labour, Management of Second Stage - NICE Guidance CG190 2017 N/A  
  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  
 

Management of Staff K2 SOP

2023 August 2026  
  Maternal Collapse During COVID Pandemic 2021 May 2024  
  Maternal death, Policy in the event of 2019 June 2022  
  Mental Health 2022 April 2023  
  Mental Health - Maternity Mental Health Crisis Escalation (Flowchart) 2023 March 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  
   Midwifery Discharge Following Elective Caesarean 2017 January 2020  
  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, Midwifery Led 2018 November 2021  
  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  
  Opiate - Intrathecal guideline Sep 2023 Sep 2026  
 

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 - See All Wales Guidance  2023 Nov 2024  
  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  
  Pregnancy Information Sharing Pathway, Safeguarding_ Midwifery, Health Visitor, Primary Care (PIFS) 2010 December 2011  
  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  
  Sickle Cell and Haemoglobin Carrier Results Flowchart (see also Anaemia) 2017 N/A  
  Sonographers, Midwife for Growth Scan 2023 August 2025  
         
  Spontaneous Rupture of Membrane (SROM), Prelabour Management 2021 September 2024  
  Surrogate Pregnancy Guideline 2020 July 2023  
  Super-Obesity, Management of 2022 September 2025  
  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  
  Threshold of Viability, Management of Babies - 23 Weeks - Wales Neonatal Network Patient Leaflet   N/A 2016
  Threshold of Viability, Management of Babies - 24 Weeks - Wales Neonatal Network Patient Leaflet   N/A  2016
  Threshold of Viability, Management of Babies -25 Weeks - Wales Neonatal Network Patient Leaflet   N/A 2016
  Threshold of Viability, Management of Babies - 26 Weeks - Wales Neonatal Network Patient Leaflet   N/A 2016
  Transfers Around Time of Birth, COVID-19, SOP 2020 December 2021  
  Trigger List, Obstetric Clinical Incident 2022 N/A  
  Ultrasound Protocol 2019 January 2022  
  Umbilical Artery Doppler 2021 March 2024  
  Umbilical Cord Blood Banking - Guidance 2018 November 2021  
  Unbooked Women, Care of 2020 November 2023  
  Uterine Hyperstimulation, Management of 2018 November 2021  
  Uterine Inversion Recognition and Management of 2020 March 2023  
  Uterus, Ruptured, Management of 2020 March 2023  
  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