Obs Anaesthesia Guidelines

Caesarean birth

Care planning when blood/blood products are declined in pregnancy and the postnatal period

Eating and drinking in high risk labour, antacid prophylaxis and pre-operative fasting prior to caesarean birth

Epidural analgesia in labour

Inadvertent dural puncture (IDP)

Intraoperative cell salvage (ICS) during caesarean birth

Management of difficult and failed intubation in obstetric patients

Patient controlled analgesia (PCA) in labour using remifentanil

Placenta accreta spectrum (PAS)

Platelet thresholds for use in obstetrics

Postnatal analgesia after operative birth and other operative procedures

Preoperative fasting times for adults undergoing regional or general anaesthesia for operative or investigative procedures

Recommendations for maternal safety with Neuraxial Anaesthesia for obstetric patients with Chiari 1 Malformation or Previous Foramen Magnum Decompression

Referral to the antenatal anaesthetic assessment clinic

Regional and parenteral analgesia for late intrauterine fetal death (IUFD) and stillbirth

Viscoelastic haemostatic assays (TEG6s) for major obstetric haemorrhage

Proforma for declined blood products in pregnancy and the postnatal period

Cardiac Disease in Pregnancy

Care for women and birthing people with body mass index (BMI) <18.5 or ≥30 in pregnancy, labour and postnatally

Diabetic ketosis / ketoacidosis (DKA) in pregnant women with pregestational diabetes

Eclampsia

Epileptic seizures during labour

Hypertension in pregnancy, labour and the postnatal period

Intrahepatic cholestasis of pregnancy

Maternal thromboprophylaxis care planning: pre-pregnancy, early pregnancy, antenatal and postnatal

Prevention and management of hyponatraemia during labour and the immediate postnatal period

Postpartum haemorrhage (PPH) and major obstetric haemorrhage

Recognising and managing sepsis in pregnancy, labour and the puerperium

Recovery following procedures in Rosie theatres

Red cell transfusion for women and birthing people in the Rosie Hospital

Retained placenta

Rosie theatres and recovery: birth partners and visitors

Severe pre-eclampsia

Sickle cell disease (SCD) and pregnancy

Thromboembolic disease in pregnancy and the puerperium, acute management

Uterine rupture