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Born Before Arrival

This policy outlines procedures for neonates born before arrival at the Queen Victoria Maternity Unit (QVMU). It defines a neonate born before arrival as one delivered prior to admission at QVMU. It aims to ensure proper assessment and care for the woman and neonate. The policy specifies that if a planned home birth, the woman and baby are admitted to the postnatal ward, while all other cases are admitted to the delivery suite with the baby remaining with the mother unless their condition requires admission to the neonatal nursery. It provides steps for monitoring and care of both the mother and baby, including documentation and necessary treatments.

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1K views2 pages

Born Before Arrival

This policy outlines procedures for neonates born before arrival at the Queen Victoria Maternity Unit (QVMU). It defines a neonate born before arrival as one delivered prior to admission at QVMU. It aims to ensure proper assessment and care for the woman and neonate. The policy specifies that if a planned home birth, the woman and baby are admitted to the postnatal ward, while all other cases are admitted to the delivery suite with the baby remaining with the mother unless their condition requires admission to the neonatal nursery. It provides steps for monitoring and care of both the mother and baby, including documentation and necessary treatments.

Uploaded by

Ywagar Ywagar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Born Before Arrival : LGH Policy 2.

16-08WACS
SDMS ID: P2010/0527-001 Description: Neonate that is delivered prior to admission / arrival at QVMU. Audience: Midwifery and Medical Staff, Queen Victoria Maternity Unit Approved By: Director of WACS Custodian: Northern Area Health Service, Launceston General Hospital Version: Effective Date: 2008-10-01 Review Date: 2011-10-01 Replaces: Born Before Arrival : LGH Policy 2.16-02

Definition
Neonate that is delivered prior to admission / arrival at QVMU.

Aim
To ensure that the woman and neonate are transferred to the appropriate area for assessment of ongoing care.

Specific Points
Admit to postnatal ward if a planned home / birth centre delivery being admitted for postnatal care. All other instances, admit the woman to the delivery suite. Neonate to remain with mother unless condition warrants admission to the neonatal nursery.

Method
Mother Monitor vital signs on admission. Check vaginal loss. Palpate fundus if placenta delivered. Give oxytocic drug as per protocol if required. Deliver placenta if still in situ. Assess presence and extent of perineal trauma and the need for repair. Review antenatal history (GBS status, blood group, Hb). Document findings in history, (ie; EBL T.O.B.). Complete appropriate paperwork (perinatal data form, obstetric & neonatal summary, birth register).

BABY Monitor vital signs and instigate resuscitation measures as per QVMU protocol 4.1 Maintain a warm environment. Label neonate appropriately. Administer Konakion and Hep B immunisation as per QVMU protocols 4.2 & 4.3. Complete appropriate documentation in history. Transfer mother and neonate to postnatal ward when appropriate.

Sue McBeath ASSISTANT DIRECTOR OF NURSING WOMEN'S & CHILDREN'S SERVICES Date: October 2008

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