Guideline Detail

Guidelines for Maternity Care in South Africa

Source: South Africa National Department of Health
Publication Date: January 1, 2007

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Practice manual designed to guide healthcare workers providing obstetric and anaesthetic services for pregnant women in clinics, community health centres, and district hospitals in South Africa. Topics addressed include: maternity care in South Africa; maternal mortality; 10 recommendations from Saving Mothers 2002-2004; safe motherhood in South Africa; national strategy for maternity care; levels of maternity care, including the clinic, community health centre, hospital levels 1-3, and emergency transport; principles of antenatal care; the first and subsequent antenatal visits; Basic Antenatal Care Activities checklist; normal labour and puerperium; abnormalities in the first stage of labour; abnormalities of the second stage of labour; Caesarean section; emergencies during labour; immediate care of the newborn; abnormalities of the third and fourth stages; abnormalities of the puerperium; preanaesthetic evaluation; anaesthesia for Caesarean section; complications during obstetric anaesthesia; cardiopulmonary resuscitation in pregnancy; hypertensive disorders of pregnancy, including classification and grading, pathophysiology of pre-eclampsia, management of pre-eclampsia, management of eclampsia, labour care, delivery care, postpartum care, and chronic hypertension; intrauterine growth restriction; intrauterine death; antepartum haemorrhage; multiple pregnancies; breech presentation and transverse lie; preterm labour; prelabour rupture of membranes; chorioamnionitis; postterm pregnancy; induction of labour with a live baby; previous Caesarean section; rhesus incompatibility; poor obstetric history; birth defects and genetic disorders; medical disorders in pregnancy, including anaemia, diabetes mellitus, cardiac disease, asthma, thromboembolism, and epilepsy; infections in pregnancy, including abnormal vaginal discharge, genital ulcers, genital warts, syphilis, malaria, urinary tract infection, pneumonia and tuberculosis, and HIV; prevention of mother-to-child HIV transmission, including antenatal care, management of labour, post delivery, termination of pregnancy, and other considerations; risk factors for mother-to-child HIV transmission; collection of essential data; essential statistics; and maternal death notification.

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Keywords: HIV - Pregnancy, HIV - Prevention