№ lp_1_05435
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Character count: 26019
File size: 115 KB
Clinical guideline issued by a public health authority outlining definitions, risk factors, prevention strategies and clinical management pathways for postpartum haemorrhage across antenatal, intrapartum and postpartum care settings.
Year:
Not stated
Region:
Canberra, Australian Capital Territory
Thematic area:
Obstetric emergencies
Document type:
Clinical guideline
Issuing organisation:
Canberra Health Services
Clinical focus:
Postpartum haemorrhage (primary and secondary)
Definition of condition:
Blood loss ≥500 mL after childbirth
Target population:
Women during and after childbirth
Intended users:
Medical officers, registered midwives, nurses, midwifery students under supervision
Scope of application:
Antenatal, intrapartum and postpartum care
Care settings:
Vaginal birth and caesarean section
Related conditions:
Maternal morbidity and mortality
Includes sections:
Risk factors, prevention, management, resuscitation, postpartum care, evaluation, references
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Year:
2013
Region:
North West England
Topic:
Healthcare, Emergency Medicine, Haemorrhage Management
Document Type:
Guideline
Organization:
North West Regional Transfusion Committee (NW RTC)
Authors:
Steering group of NW RTC Major Haemorrhage Guidelines Group
Target Audience:
Healthcare professionals involved in transfusion and emergency care
Effective Period:
Ongoing
Approval Date:
December 2013
Revision Date:
June 2013
Year:
2023
Region / City:
Canberra
Topic:
Health, Medical Procedures
Document Type:
Clinical Procedure
Organization / Institution:
Canberra Health Services
Author:
Unknown
Target Audience:
Medical Professionals, Nurses, Allied Health Professionals
Period of Validity:
Ongoing
Approval Date:
Unknown
Date of Changes:
Unknown
Year:
2025
Region / City:
UK
Topic:
Healthcare, Medication Guidelines
Document Type:
Medical Protocol
Organisation:
National Ambulance Service Medical Directors (NASMeD)
Author:
Dr. Elizabeth Miller, Dr. Dave Macklin, Mr. Andy Curran, Rosie England, Cathryn James, Dan Haworth, Tracy Rogers, Jo Jenkins, Rosie Furner
Target Audience:
Registered healthcare professionals, Paramedics, Nurses, Midwives
Effective Date:
May 2023
Review Date:
October 2025
Expiry Date:
April 2026
Approval Date:
May 2025
Change History:
Includes updates to drug administration protocols and clinical guidelines
Year:
2020
Region / city:
United Kingdom
Subject:
Haematology, Transfusion Medicine
Document type:
Guideline
Organization:
British Society for Haematology
Author:
Simon J Stanworth, Kerry Dowling, Nikki Curry, Heidi Doughty, Beverley J Hunt, Laura Fraser, Shruthi Narayan, Juliet Smith, Ian Sullivan, Laura Green
Target audience:
Haematology and transfusion professionals, medical practitioners in the UK
Effective period:
From 2020 onwards
Approval date:
Not specified
Amendment date:
Not specified
Year:
2016
Region / city:
Global
Topic:
Maternal health, Post-partum haemorrhage
Document type:
Research review
Organization / institution:
British Journal of Haematology, St Bartholomew’s Hospital, London School of Hygiene and Tropical Medicine
Author:
Stephen P Hibbs, Ian Roberts, Haleema Shakur-Still, Beverley J Hunt
Target audience:
Healthcare professionals, researchers, policymakers
Period of validity:
Ongoing
Approval date:
Not specified
Date of revisions:
Not specified
Descriptor:
Urgent and out-of-hours CT brain undertaken to identify subarachnoid haemorrhage (SAH) or contraindications to subsequent lumbar puncture (LP)
Background:
National guidance requires LP following a normal CT brain in suspected SAH cases
Standard:
LP performed no sooner than 12 hours from symptom onset when CT does not reveal SAH or contraindication
Target:
100%
Indicators:
Percentage of eligible patients undergoing LP ≥12 hours after headache onset
Data Items:
Clinical details in request; time of CT; CT findings; contraindications; timing and result of LP; report timing
Suggested Number:
40 consecutive requests
Resources:
Review of request forms, patient notes, laboratory log books; radiologist time (8 hours)
References:
SIGN Guidelines 107 (2008); NICE CG68 (2008); RCP Stroke Guideline (2012); BMJ, Stroke, Neurologia and other cited journals
Submitted By:
Taken from Clinical Audit in Radiology 100+ recipes RCR 1996, updated by B Morrissey & L Narayanan
Published Date:
Monday 7 January 2008
Last Reviewed:
Thursday 9 January 2020
Reference:
25-J-054
Country:
Wales, United Kingdom
Region / City:
Morriston, South Wales
Institution:
Morriston Hospital
Network:
South Wales Trauma Network
Document Type:
Freedom of Information response
Legislation:
Freedom of Information Act 2000
Legal Framework:
General Data Protection Regulation (GDPR); Data Protection Act 2018
Subject:
Major haemorrhage protocols and clinical guidelines
Clinical Areas:
Trauma; Obstetrics; Surgery; Multispecialty hospital care
Attachments:
Four appendices containing protocol and guideline documents
Appendix 1 Scope:
Trauma cases within the South Wales Trauma Network
Appendix 2 Scope:
Obstetrics
Appendix 3 Scope:
Cross-specialty guidance on major bleeding management
Appendix 4 Scope:
Surgical settings
Information Limitations:
Staff names redacted under Section 40(2) of the Freedom of Information Act 2000
Audit Data:
Not available
Supporting Materials:
Clinical guidelines and standard operating procedures related to transfusion thresholds, blood products, coagulation factor concentrates, and escalation pathways
Year:
2026
Region / city:
International multicenter
Topic:
Cardiology, Hematology
Document type:
Supplementary tables and figures
Institution:
GARFIELD-AF and ORBIT-AF study groups
Authors:
Multi-center registry investigators
Target audience:
Clinicians, researchers
Study period:
2 years follow-up
Data collection:
Patient registries
Patient population:
Adults with atrial fibrillation receiving oral anticoagulants
Measured outcomes:
Incidence of intracranial hemorrhage, baseline characteristics, treatment type, comorbidities, vital signs
Data analysis:
Risk factor association with intracranial hemorrhage
Treatment types:
NOAC, VKA, concomitant antiplatelet therapy
Year:
2018
Period:
1 April 2018 to 30 March 2022 with option to extend once until 31 March 2024
Date of Review:
30 October 2021
Commissioner Lead:
Merton and Wandsworth CCGs
Provider Lead:
Subject to Any Qualified Provider Selection (AQP) Process
Population Needs:
National context and evidence base
Service Scope:
Diagnostic tests and clinical decision-making
Geographical Areas:
NHS Merton CCG, NHS Wandsworth CCG
NHS Merton CCG Population:
226,532
NHS Wandsworth CCG Population:
390,786
Total Population:
617,318
Local Context:
South West London Sustainability & Transformation Plan
Service Delivery Area:
London Borough of Merton and Wandsworth
Provider Participation:
Standardised referral form for MRI and Non Obstetric Ultrasound Scan
Framework:
AQP Direct Access Diagnostic Framework
AQP Framework Prices:
Public sector austerity considerations
Contract Review:
Year 3 of contract for price adjustments
Service Improvement:
Annual commissioner and provider diagnostic services forum, biannual audit programme
Outcomes:
NHS Outcomes Framework Domains & Indicators (Domain 1 to Domain 5)
Links to South West London Sustainability Transformation Programme:
Improved care standards, diagnostics, and financial sustainability
Year:
2019
Region / city:
Not specified
Theme:
Obstetric anaesthesia, research funding
Document type:
Application form
Author:
Not specified
Target audience:
Researchers in obstetric anaesthesia
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
Not specified
Region / City:
Not specified
Topic:
Health, Medical Consent
Document Type:
Consent Form
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Adult patients with capacity to consent or refuse treatment
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Publisher:
Te Whatu Ora – Health New Zealand
Location:
Wellington, New Zealand
Type of document:
Clinical referral guidelines
Target audience:
Maternity care providers, health practitioners, specialists
Related legislation:
Primary Maternity Services Notice 2021
Licence:
Creative Commons Attribution 4.0 International
Content:
Referral processes, consultation procedures, emergency transfer, cultural safety, Te Tiriti o Waitangi guidance
Format:
Online publication, ISBN 978-1-99-106708-1
Year:
2019
Region / city:
Wellington, New Zealand
Theme:
Obstetric Ultrasound
Document Type:
Guidelines
Organization / Institution:
Ministry of Health
Author:
Ministry of Health
Target audience:
Healthcare professionals, Obstetricians, Radiologists, Sonographers
Period of validity:
Not specified
Approval Date:
March 2019
Amendment Date:
Not specified
Year:
2026–2027
Subject:
ICD-10-CM diagnosis code changes and CPT obstetric coding revisions
Type of document:
Coding update bulletin
Relevant specialties:
Maternal Fetal Medicine (MFM), Obstetrics
New ICD-10-CM Codes (2026):
487
Revised ICD-10-CM Codes (2026):
38
Deleted ICD-10-CM Codes (2026):
28
Effective date (ICD-10-CM changes):
October 1, 2026
Approved changes (CPT Editorial Panel):
September 2025
Effective date (CPT obstetric changes):
January 1, 2027
Issuing/related organizations:
Centers for Medicare & Medicaid Services (CMS); American Medical Association (AMA); Society for Maternal-Fetal Medicine (SMFM); American College of Obstetricians and Gynecologists (ACOG)
Audience:
Maternal Fetal Medicine clinicians and coders
Referenced resources:
2026 ICD-10-CM Addendum; September 2025 CPT Editorial Panel Summary of Actions
Year:
2020
Organization:
The Leeds Teaching Hospitals NHS Trust Print Unit
Document type:
Referral form
Target audience:
Pregnant or post-partum patients
Contact email:
[email protected]
Referral code:
WQN1327
Eligibility:
Less than 12 weeks pregnant or within 12 months post-delivery
Required information:
Full name, NHS number, address, date of birth, phone number, email, reason for referral, relevant medical history, interpreter requirement
Year:
2015
Region / City:
United Kingdom
Document Type:
Educational Resource
Organization / Institution:
Pelvic, Obstetric and Gynaecological Physiotherapy (POGP)
Author:
Pelvic, Obstetric and Gynaecological Physiotherapy (POGP)
Target Audience:
Physiotherapists working in pelvic, obstetric, and gynaecological fields
Period of Validity:
2015-2019 (reviewed in 2019)
Date of Approval:
2015
Date of Changes:
2019
Year:
2023/24
Organisation:
Scottish Obstetric Cardiology Network (SOCN)
Country:
Scotland
Type of document:
Annual report
Subject:
Obstetric cardiology and cardiac disease in pregnancy
Reporting period:
1 April 2023 – 31 March 2024
Lead Clinician:
Vacant
Programme Manager:
Gillian Kinstrie
Programme Support Officer:
Aneta Gorczynski
Established:
1 September 2018
Related publication:
MBRRACE-UK report “Saving Lives, Improving Mothers’ Care” (December 2016)
Key activities:
Development of clinical guidelines, care pathways, patient information materials, education events, data collection initiatives
Collaborating bodies:
Network for Inherited Cardiac Conditions Scotland (NICCS), National Services Division (NSD), NHS Health Boards in Scotland
Events held:
SOCN Symposium (16 June 2023, Edinburgh); Virtual Clinical Case Discussion (3 November 2023)
Target audience:
Healthcare professionals involved in cardiac obstetric care in Scotland
Year:
2026
Region / City:
Salisbury, Wiltshire, UK
Topic:
Obstetric Anal Sphincter Injury follow-up care
Document Type:
Survey questionnaire
Organization:
Salisbury Maternity Unit, SDH
Target Audience:
Maternity service managers and clinicians
Service Area:
Perinatal period
Departments Involved:
Maternity/Obstetrics, Gynaecology, Colorectal, Physiotherapy
Clinic Frequency:
Weekly, Fortnightly, Monthly, Ad Hoc
Assessment Tools:
Wexner score, ICIQ-B, PROMs, EPAQs
Diagnostics:
EAUS, Anal manometry, TPUS, MRI
Staff Roles:
Obstetrician, Colorectal surgeon, Sonographer/Physiologist, Specialist Midwife, Physiotherapist, ACP
Multidisciplinary Clinic:
MDT, Midwife & Physio, Obstetrician & Physio, Obstetrician & Midwife
Training Requirements:
Professional Qualification, Accredited Course, In-house training, On the Job training
Audit and Governance:
Competency assessments, routine data auditing
Year:
2012
Region / City:
Birmingham
Subject:
Obstetric Anaesthesia
Document Type:
Handbook
Organization / Institution:
Birmingham Women’s Hospital
Author:
Selwyn Crawford Department of Anaesthetics
Target Audience:
Anaesthetists
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified