Maternity Guidelines

Guidance for             
Community-based Midwives

COVID-19 Use of PPE for LMC
COVID-19 Positive Mothers – Taking Whenua (Placenta) and Pito (Umbilical Cord) Home After Birth
Ear Anomalies and Plastics Intervention​PPNHS16
Prioritisation Tool: Caesarean Section​​2409129
Prioritisation Tool: Induction of Labour
Breastfeeding Information (Covering the Basics)
Breastfeeding Your Baby
Breastfeeding Your Baby when there are Challenges
Feeding Your NICU Baby
Feeding Your Baby Infant Formula



​Introduction to CDHB Management Guidelines for Secondary/Tertiary Maternity and Newborn Care

On this page:
Maternity Guidelines
Infant Feeding Policy and Guidelines
Maternity Blood Optimisation Pathways
NZ Resuscitation Guidelines
Newborn in Maternity Care Guidelines

Maternity Guidelines

WCH No.​

ACC Maternal Birth Injuries​Ref.​2409745
Admission to Primary Birthing UnitGLM0044​
Analgesia Prescribing After Child Birth ​GLM0069
Antenatal Corticosteroid Therapy​GLM0065
Antenatal Ultrasound for Obstetric Indications: Recommended Scan Frequency ​GLM0006​
Antenatal Obstetric Ultrasound: Indications for Doppler ​GLM0059
Antepartum Haemorrhage​GLM0052
Anti D - Use of Rh(D) Immunoglobulin in Unsensitised Rhesus Negative Women​GLM0047​

Birth After Previous Caesarean Section


Bladder Care: Intrapartum and PostnatalGLM0038​​
Breech BirthGLM0048​
Caesarean Section: Antibiotic ProphylaxisGLM0050​​
Caesarean Section Assisted Deliveries in TheatreGLM0040​​
Cervical Insufficiency​GLM0055

Cholestasis - Obstetric                     


Cord Prolapse


​​COVID-19 Clinical Management in Hospitalised Adults (including in Pregnancy)​Ministry of Health
​Screening, Diagnosis and Management of Gestational Diabetes in New Zealand: A Clinical Practice Guideline​Ministry of Health
Diabetes - Gestational 


Diabetes - Gestational Antenatal Outpatient​GLM0071

Diabetes - Type 1 


Diabetes - Type 2 


Diabetic Ketoacidosis Management in Pregnancy​GLM0061
Insulin Infusion following Betamethasone Injections for Women with Diabetes in Pregnancy (C260117)​Ref.6466
Dural Puncture AccidentalGLM0008​
Epidural Analgesia in Labour


External Cephalic Version


Fetal Heart Monitoring

Fetal Movements​GLM0045
Group-B Streptococcus - Management and Prophylactic Antibiotics in LabourGLM0032

Herpes in pregnancy

17th ed. 2017​

Histological Examination of the PlacentaGLM0031​

HIV Infected Women During Pregnancy and Childbirth 


Hypoglycaemia of the Newborn​GLM0056
Induction of Labour under review but Misoprostol updated Nov 2020


​        Oral Misoprostol Induction of Labour
​      Induction of Labour Patient Information​2400320
​      Misoprostol Induction of Labour Pathway2407461
In-Utero Transfer Between HospitalsRef.7208​

Magnesium Sulphate for Neuroprotection in Preterm-Births

Management of Suspected Small for Gestational Age Singleton Pregnancies After 34 Weeks Gestation​NZ Maternal Fetal Medicine Network
Maternal Blood Optimisation Pathways (MBOP) Guideline and Practice Improvement Strategy
(also see MBOP section below)
Maternal Mental Health Pathway: Referral and Support Services in Canterbury​2406554

Newborn Screening Guidelines

NSU website​
Notifiable Diseases​HealthPathways
Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding PracticeRef.6537​
Opioid Use in Labour​GLM0053
Periviability Consensus Statement ​Starship
Placenta Praevia and Placenta Accreta



Postpartum Haemorrhage


Pre-Eclampsia and Eclampsia

​        Hypertension and Pre-eclampsia in Pregnancy in NZ​National guideline

Pre-Labour Rupture of Membranes at Term 


Preterm Labour/Birth


​      Periviability Consensus Statement

      Checklist: Antenatal care plan if at high risk of birth at 23 weeks to 24 weeks + 6 days

      Parent Information: Shared decision making at 23 weeks and 24 weeks gestation




Preterm Pre-Labour Rupture of M​embranes

Progress in Labour​GLM0062
Referral/Transfer to Christchurch Women's Hospital from West Coast​GLM0063

Registrar Supervision


Maternity ReferralsHealthPathways
Remifentanil Patient Controlled Analgesia for LabourGLM0042​
Sexually Transmitted Infection Guidelines
​Just the Facts website

Shoulder Dystocia


Substance Abuse in Pregnancy​GLM0067
SUDI Prevention Safe Infant Sleep Policy​2404926
Swab and Instrument Counting Outside Theatre in the Maternity Setting ​GLM0068
​Syphilis in Pregnancy​NZSHS
Tears: Third and Fourth Degree 
Timing of Birth Obstetric Indications (TOBA) 
Treating adults who decline blood products (including Jehovah's Witnesses)Red book​
Twin Pregnancy and Birth​GLM0064
Venous Thromboembolism Prevention in the Postpartum​GLM0046

Water for Birth and Labour


Zika Virus - Interim Guidance Information for LMC's, GP's and Other Health Professionals

 Infant Feeding Policy and Guidelines

Breastfeeding Policy​2401341
​      Breastfeeding Marketing Breastmilk Substitutes​GLB01a
​      Breastfeeding Policy Communicated​GLB01b
​      Breastfeeding Ongoing Monitoring​GLB01c
​      Breastfeeding Education and Training​GLB02
​      Breastfeeding Antenatal Information​GLB03
​      Breastfeeding Skin-to-Skin​GLB04
​      Breastfeeding Support​GLB05
​      Breastfeeding Breastmilk for Newborns​GLB06
​      Breastfeeding Rooming In​GLB07
​      Breastfeeding Responsive Feeding​GLB08
​      Breastfeeding Bottles Teats and Pacifiers


​      Breastfeeding Post Discharge Support


  Maternal Blood Optimisation Pathways (MBOP)

   See guideline above: Maternal Blood Optimisation Pathways Guideline and
   Practice Improvement Strategy (GLM0070)

Maternal Blood Optimisation Pathways​Ref.2404751
Intravenous Iron Infusion Prescription (Obstetric)​Ref.2402506
Red Cell Transfusion for Postpartum Patients​Ref.2406444
Recommended Oral Iron Preparations​Ref.2311353



  NZ Resuscitation Guidelines




Newborn in Maternity Care Guideline

WCH No.​

Hypoglycaemia of the Newborn​GLM0056
Care of Infants Requiring PhototherapyPPN48
Neonatal Clinical Resource​Ref.2403289
Newborn Metabolic Screening Programme​Ref.2403574
Newborn Screening GuidelinesNSU Website​
LMC/Paediatrician Referral to UNHSEIP for Hearing Surveillance for Babies​PPNHS14

Periviability Consensus Statement 

      Checklist: Antenatal Care Plan if at High Risk of Birth from 23 Weeks to 24 Weeks + 6 days

      Parent Information: Shared Decision Making at 23 Weeks and 24 Weeks Gestation        





Risk Factors for Hearing Loss Requiring SurveillanceRef.​234842
Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding PracticeRef.6537​
Transcutaneous Bilirubin (TcB) Measurements in Maternity ​GLM0058
Umbilical Cord Clamping GLM0049​


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Page last reviewed: 07 November 2022