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South Australian Perinatal Practice Guidelines

The South Australian Perinatal Practice Guidelines (SAPPG) outline the principles for managing pregnancy and newborn related conditions and/or performing a procedure related to pregnancy and/or the newborn.

The SAPPG are designed as a guide for the following clinicians:

  • obstetricians
  • general practitioners
  • trainee medical officers
  • registered midwives
  • pharmacists.

The SAPPG are intended for use throughout South Australia and govern only those aspects of pregnancy care that require medical authorisation. They provide clinicians state-wide access to a uniform process of clinical assessment, decision making and practice. Clinicians should use these guidelines within the context of offering individualised care for pregnant women and their babies.

Find Perinatal Practice Guidelines by category or by topic (below). 

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

Abdominal trauma in pregnancy (PDF 288KB)

Abdominal, vaginal and pelvic assessment (PDF 239KB)

Abnormal placentation (PDF 560KB)

Abruptio placenta (PDF 560KB)

Active management of third stage of labour (PDF 351KB)

Allo-immunisation (PDF 188KB)

Amniotic fluid embolism (PDF 237KB)

Anaemia in pregnancy (PDF 301KB)

Anaesthetic (local) toxicity (PDF 301KB)

Anaphylaxis (maternal) (PDF 573KB)

Anorexia nervosa and pregnancy (PDF 198KB)

Antenatal cardiotocography (PDF 315KB)

Antenatal care (PDF 351KB)

Antenatal care - drug use during pregnancy (PDF 5.3MB)

Antepartum haemorrhage (APH) or bleeding in the second half of pregnancy (PDF 560KB)

Anti-D prophylaxis (PDF 225KB)

Anticoagulation treatment in pregnancy and the puerperium (PDF 683KB)

Anxiety and depression (Perinatal) (PDF 236KB)

Assessment of fetal acid base balance (PDF 306KB)

Assessing parent infant relationship (PDF 209KB)

Asthma in pregnancy (PDF 306KB)

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B

Balloon catheter - cervical ripening (PDF 294KB)

Balloon tamponade and uterine packing for major PPH (PDF 198KB)

Birth in water: First Stage Labour and Birth in Water Policy (PDF 738KB)

Birth options after caesarean section (PDF 215KB)

Blood pressure monitoring in pregnancy (PDF 242KB)

Blood transfusion (PDF 237KB)

Blood transfusion consent (PDF 237KB)

Blood transfusion - women who decline (PDF 404KB)

BMI - women with a high body mass index (PDF 296KB)

Borderline personality disorder and pregnancy (PDF 201KB)

Breastfeeding for women with drug use during pregnancy (PDF 5.3MB)

Breech presentation (PDF 225KB)

Bulimia nervosa and pregnancy (PDF 198KB)

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C

Caesarean section: antenatal preparation and postnatal care (PDF 264KB)

Caesarean section: Standards for the management of Category 1 Caesarean Section in SA Policy (PDF 634KB)

Cardiac disease in pregnancy (PDF 472KB)

Cardiotocography (PDF 262KB)

Cardiotocography (antenatal) (PDF 315KB)

Cardiotocography - fetal surveillance (PDF 307KB)

Categories of drugs (PDF 203KB)

Cervical insufficiency and cerclage (PDF 459KB)

Chickenpox in pregnancy (PDF KB)

Cleft lip and palate in the neonatal period (PDF 320KB)

Collapse (maternal) (PDF 333KB)

Collection of Cord Blood in SA Public Health Services for the Purposes of Private Cord Blood Banking Clinical Guideline (PDF 213KB)

Concealed or denied pregnancy (PDF 214KB)

Cord presentation and prolapse (PDF 347KB)

Coxsackie (hand, foot and mouth disease) (PDF 204KB)

Cryptosporidiosis (PDF 185KB)

Cystic fibrosis in pregnancy (PDF 239KB)

Cytomegalovirus in pregnancy (PDF 254KB)

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D

Delays in the second stage of labour (PDF 341KB)

Depression and anxiety (Perinatal) (PDF 236KB)

Dermatophytosis dermatomycosis tinea (ringworm) (PDF 185KB)

Diabetes mellitus and abnormal glucose tolerance (PDF 439KB)

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E

Early pregnancy loss (PDF 450KB) (Restricted - password required)

Eating disorders and pregnancy (PDF 198KB)

Eclampsia (PDF 277KB)

Ectopic pregnancy (PDF 264KB)

Electrical and lightning injuries in pregnancy (PDF 294KB)

Epilepsy and pregnancy management (PDF 287KB)

Epstein-Barr virus (glandular fever) in pregnancy (PDF 206KB)

Ergot derivatives: prophylaxis for third stage management and postpartum haemorrhage (PDF 219KB)

Expectant (physiological) management of third stage of labour (PDF 351KB)

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F

Female genital mutilation (PDF 261KB)

Fetal growth - accelerated (PDF 226KB)

Fetal growth - restricted (PDF 249KB)

Fetal acid base balance (PDF 306KB)

Fetal surveillance (intrapartum) (PDF 307KB)

First Stage Labour and Birth in Water Policy (PDF 738KB)

First trimester medical and surgical termination of pregnancy (PDF 519KB)

Fluid management and monitoring in severe preeclampsia (PDF 189KB)

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G

Genital herpes simplex (HSV) infection in pregnancy (PDF 490KB)

Genital haematomas (PDF 276KB)

Giardiasis in pregnancy (PDF 186KB)

Glandular fever (Epstein-Barr virus) in pregnancy (PDF 206KB)

Glyceryl trinitrate spray (sublingual) for uterine hypercontractility (PDF 340KB)

Group B streptococcal colonisation (in sepsis prevention) (PDF 537KB)

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H

Haemorrhage / shock / collapse (PDF 333KB)

Hand, foot and mouth disease in pregnancy (Coxsackie) (PDF 204KB)

Head lice (Pediculosis) (PDF 184KB)

Heparin infusion (unfractionated) (PDF 200KB)

Hepatitis B in pregnancy (PDF 241KB)

Hepatitis C in pregnancy (PDF 236KB)

HIE including neonatal hypothermic neuroprotection (PDF 688KB)

Hip screening and managment (neonatal) (PDF 267KB)

HIV in pregnancy (PDF 244KB)

Home birth: Planned birth at home in South Australia Policy (PDF 1MB)

Hydralazine infusion regimen (PDF 191KB)

Hyperemesis in pregnancy (PDF 223KB)

Hypertensive disorders in pregnancy (PDF 495KB)

Hypoglycaemia (neonatal) (PDF 333KB)

Hypoxic ischaemic encephalopathy including neonatal hypothermic neuroprotection (PDF 688KB)

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I

Induction of labour techniques (PDF 742KB)

Infants of drug dependent women (PDF 296KB)

Infection precautions when managing women who are pregnant (PDF 223KB)

Iodine supplementation in pregnancy (PDF 229KB)

Instrumental delivery (PDF 341KB)

Insulin infusion regimen (PDF 208KB)

Intent to harm fetus (PDF 198KB)

Intragam infusion (PDF 275KB)

Intravenous immunoglobulin infusion (PDF 275KB)

Intrathecal morphine (PDF 207KB)

Investigation of stillbirths (SA protocol) (PDF 197KB)

Iron deficiency anaemia (PDF 301KB)

Iron infusion (PDF 191KB)

IUGR (PDF 249KB)

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J

Jaundice (neonatal) (PDF 605KB)

Jehovah's witness (women who decline blood transfusion) (PDF 404KB)

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L

Labetalol infusion regimen (PDF 222KB)

Labour and birth in water: First Stage Labour and Birth in Water Policy (PDF 738KB)

Large for gestational age (PDF 226KB)

Lice (pediculosis) (PDF 184KB)

Lightning and electrical injuries (PDF 294KB)

Listeria in pregnancy (PDF 222KB)

Local anaesthetic toxicity (PDF 301KB)

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M

Magnesium sulphate infusion regimen (PDF 219KB)

Magnesium sulphate for neuroprotection of the fetus in women at risk of preterm birth (PDF 224KB)

Malaria in pregnancy (PDF 218KB)

Management of cleft lip and palate in the neonatal period (PDF 320KB)

Management of ultrasound soft markers of aneuploidy (PDF 1.4MB)

Managing women in distress after a traumatic birth experience (PDF 235KB)

Massive blood transfusion (PDF 559KB)

Maternal anaphylaxis (PDF 573KB)

Maternal collapse (PDF 333KB)

Maternal and Neonatal Services in SA 2010 (Standards for) (PDF 577KB)

Measles and measles contacts in pregnancy (PDF 435KB)

Medical induction for 2nd trimester TOP and miscarriages (PDF 242KB) (Restricted - password required)

Medical management of later intrauterine fetal death (PDF 232KB) (Restricted - password required)

Methylergometrine: prophylaxis for third stage management and PPH (PDF 242KB)

Miscarriage (PDF 450KB) (Restricted - password required)

Misoprostol for postpartum haemorrhage (PDF 230KB)

Multiple pregnancy (PDF 425KB)

Mycobacterium tuberculosis in pregnancy (PDF 235KB)

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N

Neonatal hip screening and management of developmental dysplasia of the hip (PDF 267KB)

Neonatal hypoglycaemia (PDF 333KB)

Neonatal jaundice (PDF 605KB)

Neonatal Resuscitation Newborn Life Support

Neonatal sepsis (including Group B streptococcus) (PDF 537KB)

Newborn Life Support algorithm (PDF 33KB)

Nifedipine for preterm labour (PDF 280KB)

Normal pregnancy, labour and puerperium management (PDF 352KB)

Notifiable diseases in SA (PDF 205KB)

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O

Obese obstetric women: Standards for the Management of the Obese Obstetric Woman in SA Policy (PDF 1.4MB)

Obstetric cholestasis (PDF 240KB)

Obstetric emergencies (PDF 212KB)

Operative vaginal deliveries (PDF 341KB)

Ovarian hyperstimulation syndrome (PDF 215KB)

Oxytocin (formerly Syntocinon®): augmentation and induction of labour infusion regimens (PDF 227KB)

Oxytocin (formerly Syntocinon ®) high dose regimen for IUFD (PDF 214KB)

Oxytocin (formerly Syntocinon ®): prophylaxis for the 3rd stage of labour and PPH management (PDF 242KB)

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P

Parent infant relationship (assessment of) (PDF 209KB)

Parvovirus (slapped cheek syndrome) in pregnancy (PDF 204KB)

Pediculosis (head lice) (PDF 184KB)

Perinatal advice and emergency transport (PDF 212KB)

Perinatal anxiety and depressive disorders (PDF 236KB)

Perinatal care at the threshold of viability (PDF 831KB)

Perinatal loss (PDF 429KB) (Restricted - password required)

Perineal repair (PDF 242KB)

Peripartum prophylactic antibiotics (PDF 206KB)

Personality disorders and pregnancy (PDF 201KB)

Phenytoin infusion regimen (PDF 192KB)

pH and lactate estimation (fetal scalp) (PDF 306KB)

Placental abruption (PDF 560KB)

Placenta accreta, increta, percreta (PDF 575KB)

Placenta praevia (PDF 560KB)

Planned home birth: Planned birth at home in South Australia Policy (PDF 1MB)

Planned home birth consumer brochures:

Postpartum bladder dysfunction (PDF 339KB)

Postpartum haemorrhage (PDF 575KB)

Postpartum haemorrhage (secondary) (PDF 343KB)

Prelabour rupture of the membranes (PROM) ≥ 37 weeks (PDF 404KB)

Preconception advice (PDF 261KB)

Pregnancy policies in SA

Preterm labour management (PDF 228KB)

Preterm prelabour rupture of membranes (PPROM) management (PDF 228KB)

Prolonged pregnancy (PDF 276KB)

Prostaglandin analogues for postpartum haemorrhage (PDF 230KB)

Prostaglandin F2 alpha (dinoprost) for major PPH (intramyometrial) (PDF 230KB)

Prostaglandins - cervical ripening (PDF 742KB)

Pruritic urticarial papules and plaques of pregnancy (PUPPP) (PDF 186KB)

Psychosis in pregnancy and postpartum (PDF 231KB)

Psychotropic drug use in pregnancy and breastfeeding: A guide to guidelines (PDF KB)

Puerperal genital haematomas (PDF 276KB)

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R

Red cell allo-immunisation (PDF 188KB)

Reduced fetal movements (PDF 272KB)

Resuscitation of newborn

Ringworm (dermatophytosis dermatomycosis tinea) (PDF 185KB)

Rubella infection (maternal) in pregnancy (PDF 239KB)

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S

SA GP Obstetric Shared Care Protocols 2011 (PDF 5.93MB)

Salbutamol regimen for preterm labour (PDF 266KB)

Salbutamol for emergency tocolysis (PDF 340KB)

Scabies (Sarcoptes scabiei) (PDF 185KB)

Screening for perinatal anxiety and depression (PDF 1.5MB)

Secondary PPH (PDF 343KB)

Seizures in pregnancy (PDF 277KB)

Sepsis prevention (neonatal including group B streptococcal colonisation) (PDF 537KB)

Sepsis in pregnancy (PDF 413KB)

Sexual abuse in childhood: Care considerations for women who are pregnant (PDF 206KB) (Restricted - password required)

SFGA (PDF 249KB)

Shoulder dystocia (PDF 348KB)

Slapped cheek syndrome (Parvovirus) in pregnancy (PDF 204KB)

Standards for Maternal and Neonatal Services in South Australia 2010 (PDF 577KB)

Standards for the management of Category 1 Caesarean Section in SA Policy (PDF 634KB)

Standards for the Management of the Obese Obstetric Woman in SA Policy (PDF 1.4MB)

Standards for the Management of Termination of Pregnancy in South Australia (PDF 591KB)

Stillbirths (investigation SA Protocol) (PDF 197KB)

Substance use in pregnancy (PDF 5.3MB)

Suicidal ideation and self harm (PDF 198KB)

Syntometrine®: prophylaxis for 3rd stage management and PPH (PDF 242KB)

Syphilis in pregnancy

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T

Terbutaline for uterine hypercontractility (PDF 340KB)

Termination of Pregnancy in South Australia (Standards for the Management of) (PDF 591KB)

Term PROM (PDF 404KB)

Third and fourth degree tear management (PDF 225KB)

Third stage of labour complications (PDF 575KB)

Thromboprophylaxis and thromboembolic disease in pregnancy (PDF 683KB)

Thrombophilia in pregnancy (PDF 258KB)

Thyroid disorders in pregnancy (PDF 190KB)

Tocolysis for uterine hypercontractility (PDF 340KB)

Toxoplasmosis in pregnancy (PDF 254KB)

Trauma in pregnancy (abdominal) (PDF 288KB)

Traumatic birth - managing women in distress after a traumatic birth experience (PDF 235KB)

Twin pregnancy (PDF 425KB)

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U

Ultrasound soft markers of aneuploidy (PDF 1.4MB)

Unstable lie of the fetus (PDF 185KB)

Urinary tract infections in pregnancy (PDF 693KB)

Uterine inversion (PDF 289KB)

Uterine rupture (PDF 216KB)

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V

Vaginal, abdominal and pelvic assessment (PDF 239KB)

Vaginal birth after caesarean section (PDF 215KB)

Varicella-zoster (chicken pox) in pregnancy (PDF 275KB)

Vasa praevia (PDF 560KB)

Venous thromboembolism prophylaxis in pregnancy (PDF 683KB)

Ventouse delivery (PDF 341KB)

Vitamin D deficiency (PDF 196KB)

Vitamin and mineral supplementation in pregnancy (PDF 229KB)

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W

Water birth policy (PDF 738KB)

Women who decline blood transfusion (PDF 404KB)

Women with a high body mass index (care of) (PDF 296KB)

Women with significant psychosocial needs (care of) (PDF 209KB)

Worms (PDF 185KB)

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