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  Perinatal Practice Guidelines 

The South Australian Perinatal Practice Guidelines (SAPPG) are clinical guidelines. They are based on systematic research and identification of the best available evidence. They have been developed in cooperation with the major metropolitan public hospitals, and will supersede previously used obstetric guidelines. Their development for use throughout South Australia has been approved by the South Australian Department of Health (DH).

   

SECTION 1: COMPLICATIONS OF PREGNANCY
SECTION 2: HIGH RISK PREGNANCY
SECTION 3: INFECTION IN PREGNANCY
SECTION 4: MEDICAL COMPLICATIONS
SECTION 5: NEWBORN
SECTION 6: SPECIFIC TREATMENTS
SECTION 7: ANAESTHETIC GUIDELINES
SECTION 8 PERINATAL MENTAL HEALTH GUIDELINES

SECTION 2: HIGH RISK PREGNANCY

16.

Red cell allo- immunisation

17. Antepartum haemorrhage (APH) or bleeding in the second half of pregnancy
18. Anti-D prophylaxis
19. Breastfeeding guidelines for women with alcohol, tobacco or other drug dependencies
20. Breech presentation
21. Caesarean section: antenatal preparation and postnatal care
22. Birth options after caesarean section
23. Cervical insufficiency and cerclage
24. Fetal growth (accelerated)
25. Fetal growth (restricted)
26. Investigation of stillbirths (SA protocol)
27. Perinatal advice and emergency transport
28. Perinatal loss
29. Perinatal service organisation
30. Preterm labour management
31. Preterm prelabour rupture of membranes (PPROM) management
32. Sexual abuse (in childhood): Care considerations for women who are pregnant
33. Substance use in pregnancy
  Including
General principles 
Specific drugs in pregnancy
Antenatal care
Labour and birth
Postnatal care
Breastfeeding
Vertical transmission of blood-borne viruses
Management of neonatal abstinence syndrome (NAS) 
References and glossary
Appendices
34. Twin pregnancy
35. Unstable lie of the fetus
36. Women with a high body mass index (care of)
37.

Women with significant psychosocial needs (care of)

38.

Early pregnancy loss

  Including
38a. Triage flow chart
 

Miscarriage

Ectopic pregnancy

Gestational trophoblastic disease

Ovarian hyperstimulation syndrome

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SECTION 1: COMPLICATIONS OF PREGNANCY | SECTION 2: HIGH RISK PREGNANCY  | SECTION 3: INFECTION IN PREGNANCY  | SECTION 4: MEDICAL COMPLICATIONS  | SECTION 5: NEWBORN  | SECTION 6: SPECIFIC TREATMENTS  | SECTION 7: ANAESTHETIC GUIDELINES  | SECTION 8 PERINATAL MENTAL HEALTH GUIDELINES
 

SECTION 1: COMPLICATIONS OF PREGNANCY | Page 2 of 8 | SECTION 3: INFECTION IN PREGNANCY