CPlascott

O&G Programme

Document updated: 19.1.15

OBSTETRICS & GYNAECOLOGY NATIONAL CLINICAL

GUIDELINES

OVERVIEW & STATUS

OBSTETRICS AND GYNAECOLOGY

NATIONAL CLINICAL GUIDELINES

OVERVIEW AND STATUS

CPlascott

O&G Programme

Document updated 21.06.16

1

Contents

Published - Programme Guidelines Ultrasound Diagnosis of Early Pregnancy Loss ...................................................................................... 4

Obesity and Pregnancy .......................................................................................................................... 5

The Diagnosis and Management of Pre-Eclampsia and Eclampsia ...................................................... 6

Investigation and Management of Late Fetal Intrauterine Death and Stillbirth ................................. 7

Delivery After Previous Caesarean Section ………………………………………………………………………………………8

Intrapartum Fetal Heart Rate Monitoring ............................................................................................. 9

Menorrhagia ............................................................................................ Error! Bookmark not defined.

Management of Obstetric Anal Sphincter Injury ................................................................................ 11

Ovarian Hyperstimulation Syndrome (OHSS) – Diagnosis and Management .................................... 12

Management of Early Pregnancy Miscarriage .................................................................................... 13

Management of Urinary Tract Infections in Pregnancy ...................................................................... 14

Hyperemesis and Nausea/Vomiting in Pregnancy …………………………………………………………………………15

The Use of Anti-D Immunoglobin for the Prevention of RHD Haemolytic Disease of the Newborn 16

Management of Multiple Pregnancy ................................................................................................... 17

Antenatal Routine Enquiry regarding Violence in the Home ............................................................. 18

Management of Pelvic Girdle Pain in Pregnancy and Postpartum ..................................................... 19

Prevention and Management of Primary Postpartum Haemorrhage ................................................ 20

Listeriosis…………………………………………..……………………………………………………………………………………….….21

Chickenpox in Pregnancy ……………………………………………………………………………………………………………….22

Venous Thromboprophylaxis in Pregnancy ......................................................................................... 23

Methadone Prescribing and Administration in Pregnancy ................................................................. 24

Tocolytic Treatment in Pregnancy ....................................................................................................... 25

Antenatal Magnesium Sulphate for Fetal Neuroprotection ............................................................... 26

Pre-term pre-labour rupture of membranes (PPROM) ....................................................................... 27

The Irish Maternity Early Warning System (IMEWS) .......................................................................... 28

Investigation of Postmenopausal Bleeding ......................................................................................... 29

Nutrition for Pregnancy ....................................................................................................................... 30

Fetal Growth Restriction – Recognition, Diagnosis & Management .................................................. 31

Management of Second Trimester Miscarriage .................................................................................. 32

Guidelines for the Critically Ill Woman in Obstetrics .......................................................................... 33

Parovirus B19 Exposure / Infection during Pregnancy ....................................................................... 34

2

Resuscitation of the Pregnant Woman................................................................................................ 35

Ectopic Pregnancy ................................................................................................................................ 36

Bacterial Infections Specific to Pregnancy........................................................................................... 38

Cord Prolapse ....................................................................................................................................... 38

Oxytocin to Accelerate or Induce Labour ……………………………………………………………………………………… 39

The Management of Hypertension in Pregnancy …………………………………………………………………………..40

Published - Non Programme Guidelines Guidelines for the Management of Pre-gestational and Gestational Diabetes Mellitus .................. 42

Guidelines on Referral and Forensic Clinical Examination in Ireland ................................................. 43

Guidelines for Health Professionals working in a maternity setting in the care of a woman with

concealed pregnancy ............................................................................................................................ 44

National Infant Feeding Policy for Maternity and Neonatal Services ................................................ 45

Diagnosis, staging and treatment of patients with Gestational Trophoblastic Disease .................... 46

Preventing Perinatal Transmission …………………………………………………………………………………………………47

Adult Asthma and Pregnancy ..……………………………………………………………………………………………………….48

Commissioned Guidelines

Titles ……………………………………………………………………………………………………………………………………………….49

3

Published

HSE Clinical Programme Guidelines

4

Ultrasound Diagnosis of Early Pregnancy Loss

Author(s) Dr Peter McParland, Consultant Obstetrician, NMH

Reviewers

Dr Gerry Burke Dr Joseph Clarke Dr Sam Coulter-Smith Dr Valerie Donnelly Dr Liz Dunn Dr Chris Fitzpatrick Professor Richard Greene Dr Heather Langan Ms Oonagh McDermott Professor John Morrison Dr Meabh Ni Bhuinneain Dr Michael O’Dowd Dr Noreen Russell Ms Sheila Sugrue Professor Michael Turner

Limerick /Midwestern Maternity Hospital HSE Rotunda Previously Mt Carmel Wexford Coombe CUMH Sligo HSE Programme / Sligo Galway Mayo Institute JOGS HSE/ONMSD HSE Programme/Coombe

Consultant Obstetrician Primary Care Clinical Lead Master Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Unit Nursing Officer/Services Manager Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Clinical Midwifery Lead UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Owning Body IOG

Endorsed by CAG

Guideline Number 1

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published December 2010

Review By Date December 2013

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 18

Search terms ultrasound diagnosis of early pregnancy miscarriage first trimester spontaneous miscarriage ultrasound features of early pregnancy threatened miscarriage management of miscarriage

5

Obesity and Pregnancy

Author(s) Professor Michael Turner, UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Reviewers

Dr Michael Brassil Dr Joe Clarke Dr Liz Dunn Ms Fiona Dunlevy Dr Nadine Farah Dr Una Fahy Ms. Marguerite Hogan Professor John Morrison Ms Ann Mulhall Dr Vicky O‟Dwyer Dr Terry Tan The guideline was also reviewed by the Association of Improvements in the Maternity Services, Ireland (AIMS)

Portiuncula HSE Wexford Coombe Coombe Limerick Mullingar Galway Coombe JOGS Coombe

Consultant Obstetrician Primary Care Clinical Lead Consultant Obstetrician Dietician Consultant Obstetrician Consultant Obstetrician Senior Physiotherapist Consultant Obstetrician Midwifery Chair Obstetric Anaesthesia

Owning Body IOG

Endorsed by CAG and AIMS

Guideline Number 2

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published June 2011

Review By Date June 2014

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 39

Search terms gestational weight gain gestational diabetes mellitus oral glucose tolerance test venous thromboembolism thromboprophylaxis maternal obesity

6

The Diagnosis and Management of Pre-Eclampsia and Eclampsia

Author(s) Dr Clare O’Loughlin, Specialist Registrar, Galway Professor Louise Kenny, Consultant Obstetrician, CUMH

Reviewers

Prof Brian Cleary Ms Cinny Cusack Ms Fiona Dunlevy Dr Liz Dunn Dr Maeve Eogan Professor John Higgins Dr Mairead Kennelly Dr Caoimhe Lynch Ms Oonagh McDermott Dr Maire Milner Dr Meabh Ni Bhuinneain Dr Keelin O’Donoghue Dr Eddie O’Donnell Vicky O’Dwyer Professor Michael Turner

Coombe Rotunda Coombe Wexford Rotunda CUMH Coombe Coombe HSE Programme / Sligo Drogheda Mayo CUMH Waterford JOGS HSE Programme/Coombe

Pharmacist Physiotherapist Dietician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Unit Nursing Officer/Services Manager Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Owning Body IOG

Endorsed by CAG

Guideline Number 3

Published on HSE website Yes. Version 1.0

Published on App Yes. Version 1.0

Version 2.0

Date Published September 2011. Revised June 2016.

Review By Date June 2019

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 22

Search terms preeclampsia eclampsia hypertension in pregnancy magnesium sulphate HELLP syndrome

7

Investigation and Management of Late Fetal Intrauterine Death and

Stillbirth

Author(s) Dr Keelin O’Donoghue, Consultant Obstetrician, CUMH Ms. Anna Maria Verling (Chairperson, Miscarriage, Stillbirth and Neonatal Death Committee, CUMH) Dr. Roisin O’Loughlin, SHO, CUMH

Reviewers

Dr. Michael Gannon Dr. Emma Kilgarriff Dr Eddie O’Donnell Professor Michael Turner The guidelines were also reviewed by Féileacáin (Stillbirth and Neonatal Death Association of Ireland)

Mullingar Galway Waterford HSE Programme/Coombe

Consultant Obstetrician GP Consultant Obstetrician National Clinical Lead, HSE Programme

Owning Body IOG

Endorsed by CAG

Guideline Number 4

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published October 2011

Review By Date October 2014

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 64

Search terms fetal intrauterine death stillbirth intrapartum death, perinatal bereavement perinatal autopsies induction of labour after stillbirth

8

Delivery After Previous Caesarean Section

Author(s) Professor Michael Turner, UCD Professor of Obstetrics & Gynaecology, Coombe

Reviewers

Dr Fionnuala Breathnach Dr Sharon Cooley Professor Declan Devane Dr Jennifer Donnelly Dr Michael Gannon Dr Emma Kilgariff The guideline was also reviewed by the Association for the Improvement of the Maternity Services (AIMS)

Rotunda JOGS/Rotunda Galway JOGS/Rotunda Mullingar Galway

Consultant Obstetrician Consultant Obstetrician Midwifery Consultant Obstetrician Consultant Obstetrician GP

Owning Body IOG

Endorsed by CAG

Guideline Number 5

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published October 2011

Review By Date October 2014

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 14

Search terms delivery after previous caesarean section uterine dehiscence uterine rupture trial of labour after caesarean section VBAC

9

Intrapartum Fetal Heart Rate Monitoring

Author(s) Dr Orla Sheil, Consultant Obstetrician, NMH

Reviewers

Dr Liz Dunn Dr Mary Holohan Dr Emma Kilgarriff Dr Suzanne O’Sullivan Dr Soha Said Ms Sheila Sugrue

Wexford Rotunda Galway CUMH Limerick HSE/ONMSD

Consultant Obstetrician Consultant Obstetrician GP Consultant Obstetrician Consultant Obstetrician Clinical Midwifery Lead

Owning Body IOG

Endorsed by CAG

Guideline Number 6

Published on HSE website Yes

Published on App Yes

Version 1.2

Date Published June 2012

Review By Date June 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 15

Search terms intrapartum fetal heart rate monitoring electronic fetal monitoring pathological cardiotocograph CTG fetal blood sampling fetal distress intrapartum cord pH

10

Menorrhagia

Author(s) Dr Siobhan Corcoran, SpR, CUMH Dr Cathy Burke, Consultant Gynaecologist, CUMH

Reviewers

Dr Zelie Gaffney-Daly Dr Peter McKenna Dr Aoife O’Neill Dr Donal O’Brien Dr Ray O’Sullivan Dr John Bermingham Dr Una Fahy

GP Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician

Rotunda Coombe NMH Kilkenny Waterford Limerick

Owning Body IOG

Endorsed by CAG

Guideline Number 7

Published on HSE website No

Published on App Yes

Version 1.0

Date Published Nov 2015

Review By Date Nov 2018

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 26

Search terms Menorrhagia Heavy menstrual bleeding Hysteroscopy Endometrium Uterus

11

Management of Obstetric Anal Sphincter Injury

Author(s) Professor Colm O’Herlihy, Consultant Obstetrician, NMH Dr Myra Fitzpatrick, Consultant Obstetrician, NMH

Reviewers

Dr Suzanne O’Sullivan Dr Valerie Donnelly Dr Maeve Eogan Dr Emma Kilgarriff Ms Marguerite Hogan Ms Margaret Mason

CUMH Previously Mt Carmel Rotunda Galway Mullingar Coombe

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician GP Senior Physiotherapist Physiotherapy Manager

Owning Body IOG

Endorsed by CAG

Guideline Number 8

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published April 2012

Review By Date April 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 20

Search terms obstetric anal sphincter injury perineal trauma faecal incontinence third degree tears fourth degree tears

12

Ovarian Hyperstimulation Syndrome (OHSS) – Diagnosis and

Management

Author(s) Dr Edgar Mocanu, Consultant Obstetrician, Rotunda

Reviewers

Michael Turner HSE Programme/Coombe

National Clinical Lead, HSE Programme

Owning Body IOG

Endorsed by CAG and Irish Fertility Society

Guideline Number 9

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published April 2012

Review By Date April 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 21

Search terms ovarian hyperstimulation syndrome polycystic ovarian syndrome cryopreservation thromboembolism and OHSS ovulation induction

13

Management of Early Pregnancy Miscarriage

Author(s) Dr Nadine Farah, Consultant Obstetrician, Coombe Dr Andrea Nugent, previously Mount Carmel/Coombe now in USA Dr Mary Anglim, Consultant Obstetrician, Coombe

Reviewers No evidence of peer review

Owning Body IOG

Endorsed by CAG

Guideline Number 10

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published April 2012

Review By Date April 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 24

Search terms early pregnancy miscarriage ectopic pregnancy pregnancy of unknown location management of miscarriage evacuation of retained products of conception

14

Management of Urinary Tract Infections in Pregnancy

Author(s)

Dr Richard Drew, Rotunda Dr Sharon Cooley, Rotunda

Reviewers No evidence of peer review

Dr Susmita Sarma Dr Paul Hughes Dr Declan Keane Ms Karn Cliffe Ms Cinny Cusack Prof Michael Turner

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Midwifery Physiotherapy HSE Clinical Lead

Galway Kerry Rotunda OLOL, Drogheda Rotunda Coombe

Owning Body IOG

Endorsed by CAG

Guideline Number 11

Published on HSE website No

Published on App Yes

Version 1.0

Date Published November 2015

Review By Date November 2018

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 26

Search terms Pyelonephritis Pregnancy UTI Urinary tract infection Cystitis

15

Hyperemesis and Nausea/Vomiting in Pregnancy

Author(s)

Fiona Dunleavy, Coombe Francis Richardson, Coombe Prof Brian Cleary, Rotunda Ms Laura Harrington, Coombe Ms Paula Byrne, Ms Mary O’Reilly,

Reviewers No evidence of peer review

Dr Carmen Regan Prof John Morrison Dr Maire Milner Dr Meabh Ni Bhuinneain Dr Orla Sheil Dr Sharon Cooley Dr Keelin O’Donoghue Dr Sam Coulter Smith Dr Joe Quigley Dr Bridgette Byrne Prof Louise Kenny Ms Triona O’Sullivan Ms Mary Doyle Dr Michael Brassil Dr Miriam Doyle Dr Niamh Hayes Dr Jennifer Donnelly Dr Ann McHugh

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician

Coombe Galway Drogheda Mayo NMH Rotunda Cork Rotunda Drogheda Coombe Cork Cork Limerick Portiuncula Portlaoise Rotunda Rotunda TCD

Owning Body IOG

Endorsed by CAG

Guideline Number 12

Published on HSE website No

Published on App Yes

Version 1.0

Date Published November 2015

Review By Date November 2018

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 26

Search terms Hyperemesis nausea and vomiting in pregnancy NVP

16

The Use of Anti-D Immunoglobin for the Prevention of RHD Haemolytic

Disease of the Newborn

Author(s) On behalf of Irish Anti-D Ig Working Group: Dr Joan Fitzgerald, Consultant Haematologist, NMH Eibhlinn Conneally, Consultant Haematologist, St James’ Hospital Professor John Morrison, Consultant Obstetrician, Galway

Reviewers

Institute of Obstetricians and Gynaecologists Clinical Advisory Group

Owning Body IOG

Endorsed by CAG

Guideline Number 13

Published on HSE website Yes

Published on App Yes

Version 2.0

Date Published June 2012

Review By Date June 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 18

Search terms haemolytic disease of the newborn feto-maternal haemorrhage antenatal anti D prophylaxis fetal RhD genotyping

17

Management of Multiple Pregnancy

Author(s) Dr Fionnuala Breathnach, Consultant Obstetrician, Rotunda

Reviewers

Dr Liz Dunn Professor Sean Daly Dr Michael Gannon Institute of Obstetricians and Gynaecologists Clinical Advisory Group

Wexford Coombe Mullingar

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician

Owning Body IOG

Endorsed by CAG

Guideline Number 14

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published June 2012

Review By Date June 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 14

Search terms multiple pregnancy twin twin transfusion syndrome fetal growth restriction preterm delivery assisted reproduction

18

Antenatal Routine Enquiry regarding Violence in the Home

Author(s) Dr Mary Holohan, Consultant Obstetrician, Rotunda Dr Emma Kilgarrif, GP, Galway Dr Richard Greene, Consultant Obstetrician, CUMH

Reviewers

Ms Sheila Sugrue Midwifery Lecturers of Ireland Network ISANDS ICGP Therapies Professions Committee Ms Olive Long Ms Joanne O’Hare

HSE/ ONMSD CUH UCD

Clinical Midwifery Lead A/Director of Midwifery Midwifery Lecturer

Owning Body IOG

Endorsed by CAG

Guideline Number 15

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published June 2012

Review By Date June 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 15

19

Management of Pelvic Girdle Pain in Pregnancy and Postpartum

Author(s) Marguerite Hogan, Senior Physiotherapist, Mullingar Shalini Wiseman, Physiotherapist, CUMH Lesley-Ann Ross, Senior Physiotherapist, NMH

Reviewers

Therapy Professions Committee CPWHC Committee Maeve Whelan SMISCP Obstetric and Gynaeocology Clinical Programme including the Clinical Advisory Group

Owning Body Therapy Professions Committee

Endorsed by IOG, CAG

Guideline Number 16

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published August 2012

Review By Date August 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 27

Search terms symphysis pubis pain symphysis pubis dysfunction pregnancy-related lumbo-pelvic pain oswestry disability index pelvic girdle questionnaire

20

Prevention and Management of Primary Postpartum Haemorrhage

Author(s) Professor Deirdre Murphy, Consultant Obstetrician, Coombe

Reviewers

Dr Dan McKenna Dr Ingrid Browne Dr Emma Kilgarrif Dr Catherine Flynn Ms Susan Kelly Ms Sheila Sugrue Institute’s Clinical Advisory Group

CUMH NMH Galway St James’ Coombe HSE /ONMSD

Consultant Obstetrician Anaesthetist GP Haematologist Risk Manager / Midwifery Clinical Midwifery Lead

Owning Body IOG

Endorsed by CAG

Guideline Number 17

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published October 2012

Review By Date May 2015

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 27

Search terms primary postpartum haemorrhage morbidly adherent placenta balloon tamponade uterine atony peripartum hysterectomy

21

Listeriosis

Author(s)

Dr Rupak Sarkar, SpR, Coombe Dr Mairead Kennelly, Consultant Obstetrician, Coombe

Reviewers

Dr Darina O’Flanagan Dr Nirmala Kondaveeti Dr Vicky O’Dwyer

HPSC Sligo SpR

Owning Body IOG

Endorsed by CAG

Guideline Number 18

Published on HSE website No

Published on App Yes

Version 1.0

Date Published Nov 2015

Review By Date Nov 2018

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 18

Search terms Listeria monocytogenes Pregnancy Listeriosis Neonate Food borne infection

22

Chickenpox in Pregnancy

Author(s)

Dr Bridgette Byrne, Consultant Obstetrician, Coombe Dr Richard Drew, Consultant Microbiologist, Rotunda

Reviewers

Dr Alan Finan Prof Amanda Cotter Prof Brian Cleary Dr Carmen Regan Dr David Waldron Ms Deirdre Naughton Dr Edward Aboud Dr Elizabeth Dunn Dr Gerry Burke Dr Heather Langan Dr Joe Quigley Prof John Morrison Dr Keelin O’Donoghue Dr Louise Kenny Ms Margaret Moynihan Ms Mary Doyle Dr Maebh Ni Bhuinneain Ms Michelle Flanagan Dr Miriam Daly Dr Miriam Doyle Dr Paul Hughes Ms Paula Barry Dr Rosemary Harkin Dr Una Fahy

Consultant Paediatrician Consultant Obstetrician Pharmacist Consultant Obstetrician Consultant Paediatrician Midwifery Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Midwifery Midwifery Consultant Obstetrician Surveillance Scientist GP Consultant Obstetrician Consultant Obstetrician Midwifery Consultant Obstetrician Consultant Obstetrician

Cavan Limerick Rotunda Coombe Kilkenny Galway Letterkenny Wexford Limerick Sligo Drogheda Galway Cork Cork Coombe Limerick Mayo Portiuncula Portlaoise Kerry Coombe Drogheda Limerick

Owning Body IOG

Endorsed by CAG

Guideline Number 19

Published on HSE website No

Published on App Yes

Version 1.0

Date Published Nov 2015

Review By Date Nov 2018

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 23

Search terms Chickenpox Varicella Pregnancy Fetal varicella syndrome Varicella vaccination

23

Venous Thromboprophylaxis in Pregnancy

Author(s) Professor John Higgins, Consultant Obstetrician, CUMH Dr Siti K Ismail, Anu Research Centre, UCC Dr Susan O’Shea, Comprehensive Coagulation Service, CUMH Dr Caroline Noone, Comprehensive Coagulation Service, CUMH

Reviewers No evidence of peer review. Guideline underwent further Consultatation with haematologists nationally.

Owning Body IOG

Endorsed by Irish Haematology Society (IHS), AIMS, CAG

Guideline Number 20

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published November 2013

Review By Date November 2016

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 28

Search terms low molecular weight heparin pulmonary embolism in pregnancy venous thrombosis in pregnancy thrombopropylaxis in pregnancy risk factors for pulmonary embolism

24

Methadone Prescribing and Administration in Pregnancy

Author(s) Professor Brian Cleary, Pharmacist, Coombe

Reviewers

Ms Victoire Hurley Ms Deirdre Carmody Dr Emma Kilgarrif

HSE HSE Galway

Drug Liaison Midwifery Service Drug Liaison Midwifery Service GP

Owning Body IOG

Endorsed by Drug and Therapeutics Committees, CAG

Guideline Number 21

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published April 2013

Review By Date April 2016

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 24

Search terms methadone in pregnancy opioid withdrawal methadone dose opiate overdose opiate withdrawal scale

25

Tocolytic Treatment in Pregnancy

Author(s) Dr Siglinde Mullers, Consultant Obstetrician, Rotunda Professor Fergal Malone, Consultant Obstetrician, Rotunda

Reviewers

Dr Paul Hughes Dr Alan Finan Prof Louise Kenny

Tralee General Hospital HSE/Cavan General Hospital CUMH

Consultant Obstetrician Clinical Director for Women’s & Children’s Services/ Consultant Paediatrician Consultant Obstetrician

Owning Body IOG

Endorsed by CAG & National Working Party

Guideline Number 22

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published May 2014

Review By Date May 2017

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 21

Search terms tocolytic treatment preterm labour chorioamnionitis antenatal corticosteroids neonatal respiratory distress syndrome contraindications to tocolytic therapy

26

Antenatal Magnesium Sulphate for Fetal Neuroprotection

Author(s) Dr Etaoin Kent, Consultant Obstetrician, Rotunda

Reviewers

Dr Geraldine Gaffney Dr Ulrich Bartels Dr John Bermingham Dr Eugene Dempsey Dr Karen McNamara

Galway University Hospital Regional Hospital, Castlebar Waterford Regional Hospital CUMH JOGS

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Neonatologist

Owning Body IOG

Endorsed by CAG

Guideline Number 23

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published April 2013

Review By Date April 2016

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 18

Search terms antenatal magnesium sulfate for fetal neuroprotection magnesium sulfate for preterm delivery dose schedule for antenatal magnesium sulfate neonatal seizures neonatal encephalopathy

27

Pre-term pre-labour rupture of membranes (PPROM)

Author(s) Dr Stephen Carroll, Consultant Obstetrician, NMH Dr Susan Knowles, Consultant Microbiologist, NMH

Reviewers

Prof Fergal Malone Dr Liz Dunn Prof Declan Devane Dr Paul Hughes Prof Michael Turner

Rotunda Wexford Galway Tralee General Hospital HSE Programme/Coombe

Consultant Obstetrician Consultant Obstetrician Midwifery Consultant Obstetrician UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Owning Body IOG

Endorsed by CAG & National Working Party

Guideline Number 24

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published April 2013

Review By Date April 2016

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 19

Search terms preterm prelabour rupture of membranes chorioamnionitis and PPROM tocolytic agent and PPROM corticosteroid prophylactic antibiotics erythromycin and PPROM preterm delivery and PPROM

28

The Irish Maternity Early Warning System (IMEWS)

Author(s) Professor Michael Turner, UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme Dr Karen Power, Programme Manager, Coombe Ms Anna O’Connor, Coombe Project Design Team Ms Ina Crowley, Chairperson Ms Mary Doyle, Limerick Ms Triona Cowman, Centre for Midwifery Education Ms Marie Horgan, NEWS Team Ms Una Carr, Galway Ms Anna O’Connor, Coombe Mr Mikey O’Brien, Rotunda Ms Eilish Croke, National Lead for NEWS Dr Paula Connolly, Anaesthetist

Reviewers

Ms Margurite Hogan Ms Eithne Coen Ms Mary O’Reilly

Therapy Professionals/ Mullingar HSE Rotunda

Senior Physiotherapist National Midwifery Planning and Development Unit (NMPDU) Midwifery

Owning Body IOG

Endorsed by CAG & National Working Party

Guideline Number 25

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published July 2014

Review By Date July 2017

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 27

Search terms IMEWS, Irish maternity early warning system obstetric early warning scores critically ill pregnant woman maternal sepsis

29

Investigation of Postmenopausal Bleeding

Author(s) Dr Aoife Mullally, Consultant Obstetrician, Coombe Dr Nadine Farah, Consultant Obstetrician, Coombe Dr Tom D’Arcy, Consultant Obstetrician, Coombe

Reviewers

Dr Donal O’Brien Dr Matt Hewitt Dr Ruaidhri McVey Dr John Stratton Dr Meabh Ni Bhuinneain

St Vincent’s Hospital CUMH JOGS Waterford Regional Hospital Mayo General Hospital

Consultant Gynaecologist Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician

Owning Body IOG

Endorsed by CAG & National Working Party

Guideline Number 26

Published on HSE website Yes

Published on App No

Version 1.0

Date Published July 2013

Review By Date July 2016

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 12

Search terms Postmenopausal Bleeding endometrial cancer hormone replacement therapy hysteroscopy endometrial curettage

30

Nutrition for Pregnancy

Author(s) Ms Fiona Dunlevy, Dietician, Coombe

Reviewers

Ms Laura Harrington Ms Sinead Curran Ms Sinead Ni Bhriain Dr Ciara McGowan Ms Ursula O’Dwyer Dr Sharon Cooley Ms Triona Cowman Dr Liz Dunn Dr Emma Kilgarrif Ms Aoife O’Gorman Professor Brian Cleary

Rotunda NMH Food Safety Authority Ireland St James’ Hospital Health Promotion Department Rotunda Hospital Coombe Wexford Regional Hospital Galway St James’ Hospital Coombe

Senior Dietician Senior Dietician Consultant Obstetrician Director of the Centre of Midwifery Education Consultant Obstetrician GP Occupational Therapist Pharmacist

Owning Body IOG

Endorsed by CAG & National Working Party

Guideline Number 27

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published August 2013

Review By Date August 2016

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy

No

# pages 48

Search terms nutrition for pregnancy folic acid pregnancy iron and pregnancy vitamin d and pregnancy iodine and pregnancy weight gain in pregnancy

31

Fetal Growth Restriction – Recognition, Diagnosis & Management

Author(s) Julia Unterscheider, Consultant Obstetrician, Perinatal Ireland & RCSI, Rotunda Dr Keelin O’Donoghue, Consultant Obstetrician, CUMH Professor Fergal Malone, Consultant Obstetrician, RCSI & Rotunda Hospital

Reviewers

Dr Aisling Martin Dr Mairead Kennelly Dr Paul Hughes Dr Noirin Russell Ms Mary Moran

Coombe Coombe Tralee General Hospital CUMH UCD School of Medicine & Medical Science

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician O&G Ultrasound Programme

Owning Body IOG

Endorsed by CAG & National Working Party

Guideline Number 28

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published May 2014

Review By Date May 2017

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy

No

# pages 26

Search terms intrauterine fetal growth restriction small for gestational age doppler surveillance of umbilical artery sonograpic surveillance of fetal growth

32

Management of Second Trimester Miscarriage

Author(s) Dr Nadine Farah, Consultant Obstetrician, Coombe Women’s & Infants University Hospital Professor Michael Turner, UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Reviewers

Dr Anne Bergin Ms Mary Brosnan Ms Helen Byrne Professor Brian Cleary Dr Margaret Coohill Dr Sam Coulter Smith Dr Una Fahy Ms Mary Flynn Dr Chris Fitzpatrick Dr Geraldine Gaffney Dr Rhona Mahony Andrea McGrail Ms Deirdre Naughton Dr Maebh Ni Bhuinneain Dr Keelin O’Donoghue Deirdre Pierce McDonnell Dr Michael Robson Dr Sharon Sheehan Ms Sheila Sugrue Ms Anna Marie Verling

Coombe NMH HSE Coombe HSE Rotunda Limerick CUMH Coombe Galway NMH Mayo Mayo CUMH NMH Coombe HSE/ONMSD

Midwifery/ HSE Project Manager Pharmacy Pharmacy Master Consultant Obstetrician Midwifery Consultant Obstetrician Midwifery Master Midwifery Consultant Obstetrician Miscarriage Association of Ireland Consultant Obstetrician Master Clinical Midwifery Lead Midwifery

Owning Body IOG

Endorsed by CAG

Guideline Number 29

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published July 2014

Review By Date July 2017

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 30

Search terms second trimester miscarriage chorioamnionitis rescue cerclage cervical cerclage induction second trimester premature rupture of the membranes

33

Guidelines for the Critically Ill Woman in Obstetrics

Author(s) Guidelines for the Critically Ill Woman in Obstetrics Working Group. Members: Professor Richard Greene, Primary Developer Dr Paula Connolly, Anaesthetist Dr Michael Gannon, Obstetrics Ms Mary Godrey, National Programme Manager for National Clinical Programme in Anaesthesia Dr Bairbre Golden, Director, National Clinical Programme in Anaesthesia Dr Geoff King, Director, Pre-Hospital Emergency Care Council Brian Lee, Programme Manager, National Clinical Programme in Obstetrics and Gynaecology Professor Fionnuala McAuliffe, NMH Dr John Murphy, Clinical Lead, National Clinical Programme in Neonatology Dr Michael Power, Clinical Lead, National Clinical Programme in Critical Care Dr Mike Robson, NMH Ms Sheila Sugrue, National Lead Midwife Professor Michael Turner, Clinical Lead, National Clinical Programme in Obstetrics and Gynaecology

Reviewers

Name

Hospital Profession

Owning Body O&G and Anaesthesia Programmes, Clinical Strategy & Programmes Division

Endorsed by CAG

Guideline Number 30

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published August 2014

Review By Date August 2017

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 36

Search terms critically ill pregnant woman clinical deterioration of pregnant woman IMEWS Irish maternity early warning score critical care pathways

34

Parovirus B19 Exposure / Infection during Pregnancy

Author(s) Dr Mairead Kennelly, Consultant Obstetrician, Coombe

Reviewers

Dr Noirin Russell Dr Susan Knowles Dr Jeff Connell Dr Liz Dunn Dr Paul Hughes

CUMH NMH UCD National Virus Reference Lab Wexford Tralee General Hospital

Consultant Obstetrician Consultant Microbiologist Consultant Microbiologist Consultant Obstetrician Consultant Obstetrician

Owning Body IOG

Endorsed by CAG

Guideline Number 31

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published September 2014

Review By Date September 2017

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy

Yes

# pages 16

Search terms parovirus B19 and pregnancy myocarditis and B19V fetal infection and B19V fetal hydrops and B19V serology and B19V

35

Resuscitation of the Pregnant Woman

Author(s)

Dr Larry Crowley, Consultant Anaesthetist, NMH Dr Anil Kumar, Fellow in Obstetrical Anaesthesia, NMH

Reviewers

Dr Bairbre Golden Dr Liz Dunn Prof Fergal Malone Dr John Loughrey Dr Conan McCaul Dr Terry Tan Dr Niamh Hayes Deirdre Staunton Julia Henry Sile Gill Karen Cliffe Dr Fergus Walsh Dr Ingrid Browne

Wexford Rotunda Rotunda Rotunda Coombe Mater Private Sligo CUMH NMH

National Programme Director, Anaesthesia / Beacon Hospital Consultant Obstetrician Consultant Obstetrician Anaesthesia Anaesthesia Anaesthesia Anaesthesia Resuscitation Officer Nursing Midwifery Midwifery Anaesthesia Anaesthesia

Owning Body IOG

Endorsed by CAG

Guideline Number 32

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published October 2014

Review By Date October 2017

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 18

Search terms maternal resuscitation maternal cardiac arrest critically ill pregnant woman obstetric anaesthesia intensive care

36

Ectopic Pregnancy

Author(s) Professor Michael Gannon, Consultant Obstetrician, Mullingar

Reviewers

Dr Anne Bergin Professor Brian Cleary Dr Sam Coulter-Smith Dr Nadine Farah Ms Sile Gill Ms Caroline Keegan Ms Valerie Kinsella Ms Mairead McGuire Dr Mary Moran Dr Aoife Mullally Ms Janet Murphy Ms Mary O’Reilly Professor Michael Turner Dr Julia Unterscheider

Coombe Coombe Rotunda Coombe Coombe Rotunda HSE Programme/Coombe Rotunda

Midwifery/ HSE Pharmacy Master Consultant Obstetrician Midwifery Midwifery Midwifery Pharmacy Midwifery Obstetrics Midwifery Midwifery UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme Consultant Obstetrician

Owning Body IOG

Endorsed by CAG

Guideline Number 33

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published November 2014

Review By Date November 2017

Includes Key Recommendations Yes

Includes Version Table No

Includes Qualifying Statement Yes

Includes revised Implementation Strategy No

# pages 24

Search terms ectopic pregnancy cornual pregnancy cervical pregnancy caesarean scar pregnancy ovarian pregnancy abdominal pregnancy anti-D rhesus prophylaxis

37

Bacterial Infections Specific to Pregnancy

Author(s)

Dr Patrick Maguire, UCD Centre for Human Reproduction, Coombe Ms Mairead McGuire, Project Manager, Medications in Pregnancy sub-group, Coombe Dr Karen Power, Project Manager, Perinatal Infections sub-group, Coombe Professor Michael Turner, UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Reviewers

Dr Ulrich Bartels Dr Michael Brassil Dr Joseph Clarke Ms Karen Cliff Dr Liz Dunn Dr Vida Hamilton Dr Robert Cunney Ms Siobhan Hourigan Dr Keelin O’Donoghue Dr Clare O’Loughlin

Mayo Portiuncula OLOL, Drogheda Wexford Waterford HPSC & Temple Street HSE CUMH CUMH

Consultant Obstetrician Consultant Obstetrician GP Midwife Consultant Obstetrician National Clinical Lead for Sepsis Microbiologist Midwife Consultant Obstetrician Specialist Registrar

Owning Body IOG

Endorsed by CAG

Guideline Number 34

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published February 2015

Review By Date February 2018

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 30

Search terms bacterial infections specific to pregnancy maternal sepsis maternal septicaemia maternal bacteraemia chorioamnionitis endometritis

38

Cord Prolapse

Author(s) Dr Mary Higgins, Consultant Obstetrician, NMH

Reviewers

Dr Seosamh O Coigligh Ms C Mc Cann Ms Sheila Sugrue Prof. Declan Devane Dawn Johnston Helen McHale

OLOL, Drogheda OLOL, Drogheda HSE/ONMSD Northwest Hospitals Group West Northwest Hospitals Group NMH

Consultant Obstetrician Assistant Director Of Midwifery Clinical Midwifery Lead Professor of Midwifery Group Director of Midwifery Clinical Midwife Manager

Owning Body IOG

Endorsed by CAG

Guideline Number 35

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published March 2015

Review By Date March 2017

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 15

Search terms cord prolapse emergency labour fetal distress

39

Oxytocin to Accelerate or Induce Labour

Author(s) Dr Michael Robson, Consultant Obstetrician, NMH

Reviewers

Prof Fergal Malone Dr Geraldine Gaffney Dr Peter Boylan Prof Michael Turner Dr Sharon Sheehan Dr Gerry Burke Dr Rhona Mahony Prof Brian Cleary Dr Keelin O’Donoghue Margaret Philbin Sheila Sugrue Dr Una Fahy Dr Miriam Doyle Mary Flynn Dr Maire Milner Dr Amanda Cotter Dr Bridgette Byrne Dr Clare O’Loughlin Dr Heather Langan Dr Liz Dunn Dr Katie Field Dr Ulrich Bartels

Rotunda Galway NMH CWIUH CWIUH Limerick NMH Rotunda CUMH Rotunda HSE Limerick Portlaoise Limerick Drogheda Limerick CWIUH Galway Sligo Wexford CUMH Mayo

Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Clinical Lead Master Consultant Obstetrician Master Pharmacy Consultant Obstetrician Midwifery Midwifery Consultant Obstetrician Consultant Obstetrician Midwifery Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician

Owning Body IOG

Endorsed by CAG

Guideline Number 36

Published on HSE website No

Published on App Yes

Version 1.0

Date Published April 2016

Review By Date April 2019

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 20

Search terms

40

The Management of Hypertension in Pregnancy

Author(s) Professor Louise Kenny, Consultant Obstetrician, CUMH. Dr Deirdre Hayes-Ryan, Research Fellow, CUMH. Dr Yoke Lim, Research Fellow, CUMH. Professor Richard Greene, Consultant Obstetrician, CUMH. Dr Keelin O’Donoghue, Consultant Obstetrician, CUMH.

Reviewers

Professor Brian Cleary Ms Fiona Dunlevy Dr Meave Eogan Professor John Higgins Dr Mairead Kennelly Ms Oonagh McDermott Dr Keelin O’Donoghue Dr Caoimhe Lynch Ms Cinny Cusack Dr Maire Milner Dr Meabh Ni Bhuinneain Vicky O’Dwyer Dr Liz Dunn Dr Eddie O’Donnell Professor Michael Turner

Rotunda Coombe Rotunda CUMH Coombe HSE Programme / Sligo CUMH Coombe Rotunda Drogheda Mayo JOGS Wexford Waterford HSE Programme/Coombe

Pharmacy Dietician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Unit Nursing Officer/Services Manager Consultant Obstetrician Consultant Obstetrician Physiotherapist Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician Consultant Obstetrician UCD Professor of Obstetrics & Gynaecology, Coombe/ National Clinical Lead, HSE Programme

Owning Body IOG

Endorsed by CAG

Guideline Number 37

Published on HSE website No

Published on App No

Version 1.0

Date Published June 2016

Review By Date June 2019

Includes Key Recommendations Yes

Includes Version Table Yes

Includes Qualifying Statement Yes

Includes revised Implementation Strategy Yes

# pages 32

Search terms

41

Published

Non-Programme Guidelines

42

Guidelines for the Management of Pre-gestational and Gestational

Diabetes Mellitus

Author(s) Office of Nursing & Midwifery Services Director

Reviewers

Professor David R. McCance Dr Martin McNamara

Royal Victoria Hospital, Belfast UCD Health Sciences Centre

Consultant Physician/Honorary Professor of Endocrinology Head of Teaching & Learning/ Fellow in Teaching & Academic Development

Owning Body Office of Nursing & Midwifery Services Director

Endorsed by

Guideline Number n/a

Published on HSE website Yes

Published on App Yes

Version

Date Published July 2010

Review By Date July 2013

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 88

43

Guidelines on Referral and Forensic Clinical Examination in Ireland

Author(s) Dr Mary Holohan, Consultant Obstetrician, Rotunda Dr Maeve Eogan, Consultant Obstetrician, Rotunda

Reviewers Could find no evidence of review

Owning Body National SATU Guidelines Development Group

Endorsed by

Guideline Number n/a

Published on HSE website Yes

Published on App Yes

Version 2.0

Date Published 2010

Review By Date 2013

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 170

44

Guidelines for Health Professionals working in a maternity setting in

the care of a woman with concealed pregnancy

Author(s)

Catherine Conlon, Social Researcher (WERRC), UCD

Reviewers

Dr Meabh Ni Bhuinneain Dr Ulrick Bartels Dr Anne Flood Rosemary Grant Geraldine Keohane Loretto Reilly Anne Marie Staunton

Mayo General Hospital Mayo General Hospital St Conal’s Hospital, Letterkenny CWIUH CUMH NMH Mayo General Hospital

Consultant Obstetrician Consultant Obstetrician Centre for Nurse/Midwifery Education Principal Medical Social Worker Directory of Midwifery Head Medical Social Worker Assistant Director of Nursing/Midwifery

Owning Body Crisis Pregnancy Agency

Endorsed by

Guideline Number n/a

Published on HSE website Yes

Published on App Yes

Version

Date Published September 2011

Review By Date September 2014

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 60

45

National Infant Feeding Policy for Maternity and Neonatal Services

Author(s) Dr Genevieve Becker, National BFHI Co-Ordinator Maureen Fallon, National Breastfeeding Co-ordinator

Reviewers No evidence of peer review. Policy was circulated to all maternity hospitals/units for feedback.

Owning Body National BFHI Co-ordinator & National Breastfeeding Co-ordinator

Endorsed by National Breastfeeding Strategy Implementation Monitoring Committee

Guideline Number n/a

Published on HSE website Yes

Published on App Yes

Version 1.0

Date Published January 2012

Review By Date January 2015

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 20

46

Diagnosis, staging and treatment of patients with Gestational

Trophoblastic Disease

Author(s) NCCP

Reviewers

Name Hospital Guideline

Owning Body NCEC

Endorsed by Guideline Development Group Gynaecology Tumour Group NCCP CAG

Guideline Number n/a

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published November 2015

Review By Date November 2018

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 95

47

Preventing Perinatal Transmission

Author(s) The Rainbow Clinic

Reviewers

Prof Karina Butler Ms Nicola Boyle Ms Orla Cunningham Ms Lisa Clooney Dr Mary Dennehy Dr Richard Drew Dr Maeve Eogan Dr Wendy Ferguson Dr Catherine Fleming Dr Patrick Gavin Ms Michele Goode Prof Richard Green Dr Jack Lambert Ms Mairead Lawless Dr Fiona Lyons Dr Nicola Maher Ms Sinead Mc Donagh Dr Edina Moylett Prof Fiona Mulcahy Dr Brendan Murphy Ms Sinead Murphy Dr Michael O‟Connell Dr Maura O‟Connor Dr M. Gabriella Rizzo Ms Annette Rochford

OLCHC & TCUH

UCHG CWIUH Rotunda Waterford Rotunda Rotunda Rotunda UCHG OLCHC OLCHC CUMH Rotunda Rotunda SJH & CWIUH SpR OLCHC UCHG SJH & CWIUH CUMH SJH CWIUG OLCHC CUMH OLCHC

Owning Body The Rainbow Clinic

Endorsed by Guideline Writing Committee, National Virus Reference Laboratory CAG

Guideline Number n/a

Published on HSE website Yes

Published on App Yes

Version 1.1

Date Published August 2015

Review By Date August 2018

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 83

48

Adult Asthma and Pregnancy

Author(s) National Clinical Programme for Asthma (NCPA)

Reviewers

Dr Carmen Regan Irish Thoracic Society ICGP PHECC Emergency Medicine Programme

CWIUH

Consultant Obstetrician

Owning Body NCEC

Endorsed by Guideline Development Group Working Group CAG

Guideline Number n/a

Published on HSE website No

Published on App Yes

Version 1.0

Date Published November 2015

Review By Date November 2018

Includes Key Recommendations No

Includes Version Table No

Includes Qualifying Statement No

Includes revised Implementation Strategy No

# pages 168

49

Commissioned Guidelines: Programme and Non Programme

Title

Alcohol and Pregnancy

Antenatal Corticosteroids

Cancer of Cervix

Group B Streptococcal Infection and Pregnancy

Instrumental Vaginal Delivery

Management of Spontaneous Vaginal Delivery

Ovarian Cysts in Postmenopausal Women

Placenta Accreta

Shoulder Dystocia

Treatment of Pulmonary Embolism

Ultrasound and Pregnancy T2

Urinary Retention

Uterine Body (Endometrial and Sarcoma) Cancer

Vaginal Breech