Ngā Kaupapahere me ngā Aratohu | Policies and guidelines

Access Holders need to be aware of Te Toka Tumai policies and guidelines, particularly those relating to Women’s Health. A complete list is accessible via the Te Toka Tumai Policies and Guidelines Library on the intranet, but the following provides a selection:

Starship Newborn Services clinical guidelines 

• Delivery attendance by paediatric staff()
• Funded special immunisations()
• Hepatitis B immunisations()
• Hypoglycaemia Management in Neonates (external link) ()
• Management of neonatal jaundice()

• Neonatal Subgaleal Haemorrhage - Practice Recommendation()

• Pulse oximetry screenings in the newborn()
• Parent Information and decision aid [PDF, 604 KB]
• Previable Gestations NZ Consensus Statement()
• Previability Decision Aid poster()

Please note, all of the Starship and NICU guidelines can be found on their website: https://www.starship.org.nz/for-health-professionals/()

National Women's policies and guidelines

General

• Access Holders in Womens Health (NWH) [PDF, 370 KB]
• Admission to Maternity Complex Care Area [PDF, 729 KB]
• Admission to Womens Assessment Unit (WAU) [PDF, 487 KB]
• Iron Polymaltose Infusions in Adults [PDF, 790 KB]
• Methadone and other Opioid Substitution Treatment [PDF, 671 KB]
• Smokefree [PDF, 794 KB]

Standard Operating Procedures

• Antibiotic prophylaxis for women undergoing operative vaginal birth [PDF, 584 KB]

Maternity

• Caesarean Section (CS) - Pre, Peri and Post-Op Care [PDF, 562 KB]
• Group B Streptococcus (GBS) - Prevention of Early-Onset Neonatal Infection [PDF, 862 KB]
• Group and Screen Requirements in Maternity [PDF, 122 KB]
• Hypertension Antenatal, Intrapartum and Postpartum [PDF, 1.7 MB]
• Intra-Operative Cell Salvage (IOSC) in Obstetrics [PDF, 572 KB]
• Maternal Mental Health Liaison [PDF, 1.2 MB]
• Oral Intake and Gastric Acid Reduction - prophylaxis in labour [PDF, 503 KB]
• Registrars Guidelines for Support in O and G [PDF, 684 KB]
• Sepsis during pregnancy and postpartum [PDF, 535 KB]

Breastfeeding

• Artificial Feeding Policy for the Non Breastfeeding Mother and Infant [PDF, 764 KB]
• Breastfeeding after IV Administration of Contrast Media [PDF, 266 KB]
• Breastfeeding and Breastmilk Expression in the Workplace [PDF, 441 KB]
• Breastfeeding Policy [PDF, 567 KB]
• Collecting colostrum during pregnancy [PDF, 663 KB]
• Mastitis Prevention and Treatment [PDF, 564 KB]

Antenatal

• Antenatal Corticosteroids to Improve Neonatal Outcomes [PDF, 564 KB]
• Antenatal Fetal Heartrate Monitoring [PDF, 530 KB]
• Antepartum Haemorrhage (APH) [PDF, 527 KB]
• Anti-D administration [PDF, 990 KB] (click here for more information)
• Decreased fetal movements [PDF, 647 KB]
• Diabetes in Pregnancy [PDF, 1.9 MB]
• Fetal Surveillance Policy [PDF, 712 KB]
• HIV Screening in Pregnancy [PDF, 485 KB]
• Hepatitis B in pregnancy (RANZCOG guideline) [PDF, 374 KB]
• Hyperemesis in Gynaecology and Maternity Patients [PDF, 845 KB]
• Iron in Pregnancy and Postpartum [PDF, 1.2 MB]
• Magnesium Sulfate for pre-eclampsia and for neuroprotection in pre-term births [PDF, 913 KB]
• Rupture of Membranes in Pregnancy [PDF, 1.2 MB]
• Small for gestational age and fetal growth restriction from 34 weeks - detection and management [PDF, 1.6 MB]
• Vaginal Birth After Caesarean (VBAC) [PDF, 313 KB]
• Venous Thromboembolism in Pregnancy - Prevention [PDF, 1006 KB]

 Intrapartum

• Baby Born Before Arrival (BBA) at Labour and Birthing Suite [PDF, 305 KB]
• Breech Birth [PDF, 430 KB]
• HIV Management in Labour [PDF, 468 KB]
• Induction of Labour (IOL) - Ministry of Health()
• Induction of labour Te Toka Tumai policy [PDF, 358 KB]
• Induction of labour Te Toka Tumai clinical guidance [PDF, 510 KB]
• Intrapartum Care - Physiological Labour and Birth [PDF, 610 KB]
• Epidural analgesia in labour - management and care [PDF, 2.5 MB]
• Oxytocin (Syntocinon) for Induction and Augmentation of Labour [PDF, 769 KB]
• Perineal Tears - Third and Fourth Degree (OASIS) [PDF, 814 KB]
• Preterm Labour (PTL) - Management of Threatened and Active PTL [PDF, 486 KB]
• Ranitidine in Labour [PDF, 654 KB]
• Remifentanil Patient Controlled Analgesia (PCA) for a Woman in Labour [PDF, 840 KB]
• Retained Placenta Management [PDF, 175 KB]
• Shoulder Dystocia [PDF, 493 KB]
• Water for Labour and Birth [PDF, 350 KB]

Postnatal

• Bladder Care Postpartum and Management of Urinary Retention [PDF, 894 KB]
• Contraception after delivery [PDF, 427 KB]
• Discharge Less Than 12 Hours Postpartum [PDF, 299 KB]
• Immediate postpartum insertion of IUD [PDF, 826 KB]
• Iron in Pregnancy and Postpartum [PDF, 1.2 MB]
• Postpartum haemorrhage prevention and management [PDF, 2.8 MB]
• Perineal tears - third and fourth degree [PDF, 814 KB]

Neonatal

• Management of neonatal jaundice()
• Newborn metabolic screening [PDF, 1.4 MB]
• Newborn assessment: observation chart and early warning score [PDF, 1.3 MB]
• Resuscitation of Newborns [PDF, 126 KB]
• Shaken baby prevention education [PDF, 615 KB]
• Sleep - safe sleeping for babies [PDF, 540 KB]

Gynaecology

• Adolescent decision making - gynaecology and psychology services [PDF, 244 KB]
• Ectopic Pregnancy [PDF, 1.6 MB]
• Hyperemesis in gynaecology and maternity patients [PDF, 845 KB]
• Miscarriage - expectant, medical and surgical management [PDF, 1.1 MB]
• Pelvic inflammatory disease (PID) and tubo-ovarian abscess antimicrobial management [PDF, 633 KB]
• Registrars guidelines for support in Obstetrics and Gynaecology [PDF, 684 KB]