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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 1: ANTENATAL, INTRAPARTUM, POSTPARTUM AND COMPLICATIONS OF PREGNANCY

 

 

 

 

 

 

 

 

 

 

 

 

        

  South Australian Pregnancy Policies
1. Preconception advice 
2a. Cardiotocography
2b. Cardiotocography (antenatal)
3. Fetal surveillance (intrapartum)
4. Induction of labour techniques
5. Normal pregnancy, labour and puerperium management
5a. Perineal repair
  Pregnancy standards
5b. Reduced fetal movements
5c. Vitamin D deficiency
5d. Vitamin and mineral supplementation in pregnancy
6. pH estimation (fetal scalp)
7. Prolonged pregnancy
8. Pre-labour rupture of the membranes (PROM) = 37 weeks
9. Second stage of labour complications
Including:
9a.

Delays in the second stage of labour

9b.

Shoulder dystocia

9c.

Operative vaginal deliveries

9d.

Female genital mutilation

10. Sepsis prevention (neonatal including group B streptococcal colonisation)
11. Third stage of labour complications
Including:
11a. Postpartum haemorrhage

11b.

11c.

Secondary postpartum haemorrhage

Uterine inversion

11d. Third and fourth degree tear management
11e. Puerperal genital haematomas 
12. Trauma in pregnancy (Abdominal)
12a. Electrical and lightning injuries in pregnancy
13. Vaginal examination and pelvic assessment
14. Obstetric emergencies
Including:
14a.

Cord presentation and prolapse 

14b.

Maternal collapse  

14c.

Seizures in pregnancy

14d.

Uterine rupture 

14e.

Amniotic fluid embolism  

15.

Management of ultrasound soft markers of aneuploidy 

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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 1 of 8 | SECTION 2: HIGH RISK PREGNANCY