Breadcrumbs

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)

Allo-immunisation (PDF 188KB)

Amniotic fluid embolism (PDF 237KB)

Anaemia in pregnancy (PDF 301KB)

Anaphylaxis (maternal) (PDF 573KB)

Antenatal cardiotocography (PDF 315KB)

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

Anti-D prophylaxis (PDF 225KB)

Assessing parent infant relationship (PDF 209KB)

Asthma in pregnancy (PDF 306KB)

^ Back to top

B

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 145KB)

Blood Pressure Monitoring in Pregnancy (PDF 340KB)

Blood transfusion (PDF 237KB)

Blood transfusion - women who decline (PDF 404KB)

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

Breech presentation (PDF 220KB)

^ Back to top

C

Caesarean section (PDF 182KB)

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)

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 174KB)

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

Cryptosporidiosis (PDF 185KB)

Cystic fibrosis in pregnancy (PDF 239KB)

Cytomegalovirus in pregnancy (PDF 254KB)

^ Back to top

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 gestational diabetes (PDF 689KB)

^ Back to top

E

Eating disorders and pregnancy (PDF 143KB)

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)

^ Back to top

F

Female genital mutilation (PDF 261KB)

Fetal acid base balance (PDF 306KB)

Fetal growth - accelerated (PDF 226KB)

Fetal growth - restricted (PDF 249KB)

Fetal movements - reduced/decreased (PDF 272KB)

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) (Restricted - password protected)

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

^ Back to top

G

Genital herpes simplex infection in pregnancy (PDF 490KB)

Genital haematomas (PDF 276KB)

Gestational diabetes and diabetes mellitus (PDF 439KB)

Giardiasis in pregnancy (PDF 186KB)

GP Obstetric Shared Care (PDF 1185KB)

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

^ Back to top

H

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)

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

Histopathology management of the placenta (PDF 820KB)

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)

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

^ Back to top

I

Induction of labour techniques (PDF 742KB)

Infants of drug dependent women (PDF 296KB)

Infection prevention and control in perinatal practice (PDF 589KB)

Insulin infusion regimen (PDF 208KB)

Intent to harm fetus (PDF 198KB)

Intrathecal morphine (PDF 207KB)

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

Iron infusion (PDF 191KB)

^ Back to top

L

Labetalol infusion regimen (PDF 222KB)

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

Listeria in pregnancy (PDF 222KB)

Local anaesthetic toxicity (PDF 301KB)

^ Back to top

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 the Release of a Placenta for Private Use (PDF 182KB)

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

Management of women with a low PAPP-A and normal chromosomes (PDF 248KB)

Managing women in distress after a traumatic birth experience (PDF 150KB)

Massive blood transfusion (PDF 559KB)

Maternal anaphylaxis (PDF 161KB)

Maternal collapse (PDF 333KB)

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 154KB) (Restricted - password required)

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

Multiple pregnancy (PDF 425KB)

^ Back to top

N

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

Neonatal hypoglycaemia (PDF 876KB)

Neonatal jaundice (PDF 605KB)

Neonatal Resuscitation Newborn Life Support

Neonatal sepsis (including maternal group B streptococcal colonisation) (PDF 311KB)

Newborn Life Support algorithm (PDF 33KB)

Nifedipine for preterm labour (PDF 194KB)

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

^ Back to top

O

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

Obstetric cholestasis (PDF 240KB)

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)

^ Back to top

P

PAPP-A: Management of women with a low PAPP-A and normal chromosomes (PDF 248KB)

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

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

Perinatal advice and emergency transport (PDF 212KB)

Perinatal anxiety and depressive disorders (PDF 236KB)

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

Perinatal emergency education

Perinatal loss (PDF 881KB) (Restricted – password required)

Perineal care (PDF 243KB)

Perineal repair (PDF 242KB)

Peripartum prophylactic antibiotics (PDF 463KB)

Personality disorders and pregnancy (PDF 201KB)

Phenytoin infusion regimen (PDF 192KB)

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)

Preeclampsia (PDF 495KB)

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

Preconception advice (PDF 261KB)

Pregnancy policies in SA

Preterm labour (PDF 377KB)

Preterm prelabour rupture of the membranes (PDF 423KB)

Prolonged pregnancy (PDF 276KB)

Prostaglandin analogues for postpartum haemorrhage (PDF 197KB)

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)

^ Back to top

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)

^ Back to top

S

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)

Shoulder dystocia (PDF 348KB)

Standards for Maternal and Neonatal Services in South Australia 2015 (PDF 1.2MB)

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 (investigations SA Protocol) (PDF 197KB) 

Substance use in pregnancy (PDF 5.3MB)

Suicidal ideation and self harm (PDF 245KB)

Syphilis in pregnancy (PDF 580KB)

^ Back to top

T

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

Third and fourth degree tear management (PDF 183KB)

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)

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

Tuberculosis in pregnancy (PDF 219KB)

^ Back to top

U

Ultrasound soft markers of aneuploidy (PDF 1.4MB)

Umbilical cord blood gas sampling (PDF 551KB)

Unstable lie of the fetus (PDF 145KB)

Urinary tract infections in pregnancy (PDF 693KB)

Uterine inversion (PDF 289KB)

Uterine rupture (PDF 163KB)

^ Back to top

V

Vaccines recommended in pregnancy (PDF 587KB)

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)

Vitamin D deficiency (PDF 196KB)

Vitamin and mineral supplementation in pregnancy (PDF 229KB)

^ Back to top

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)

^ Back to top

^ Back to top