Obstetrical & Perinatal Guidelines

Guidelines & Protocols

  • Assessment of Fetal Lung Maturity Policy
  • Cervical Ripening Algorithm
  • Chorionic Villus Sampling
  • Contraception and the postpartum woman protocol
  • Corticosteroid for Fetal Lung Maturity
  • Delivery before 39 weeks
  • DKA protocol
  • DVT Prophylaxis for Cesarean Section
  • Elective Cesarean Delivery Induction Policy
  • EMERGENCY C-S protocol
  • External Cephalic Version
  • Fentanyl Sublimaze Use for Intrapartum Pain Relief
  • Fetal Alloimmune Thrombocytopenia Antenatal Treatment
  • Fetal Monitoring for Nonobstetric Surgery/Procedures
  • Fetal Surveillance
  • Fetal Vibroacoustic Stimulation Use guidelines
  • FHR Auscultation Guideline
  • GBS Early Onset Prevention
  • HIV Infected Patients Management - MMC
  • HIV Infected Patients Management
  • Hyperemesis Gravidarum guideline
  • Hypertensive Disorders in Pregnancy
  • Inherited Thrombophilias in Pregnancy
  • Low-Dose Aspirin Therapy Guideline
  • Maine Birthing Facilities
  • Maternal-Fetal Transport Guidelines
  • MFM Consultation Indications
  • Misoprostol Cervical Ripening
  • Narcotic Prescribing Guidelines in Pregnancy
  • Neuroprotection
  • Outpatient Management of Second Trimester PPROM
  • Oxytocin Protocol
  • Pain Management guidelines
  • Parvo Virus
  • Percutaneous Umbilical Blood Sampling Fetal Blood Transfusion
  • Placental Abruption
  • Placental Pathology Guideline
  • Polyhydramnios Guideline
  • Postpartum Hemorrhage Guideline
  • PPROM protocol
  • Preconception and Prenatal Care Following Bariatric Surgery guidelines
  • Preconception Counseling
  • Preterm labor
  • Retained Foreign Object Prevention in Vaginal Deliveries
  • Saline Amnioinfusion
  • Selective Termination protocol
  • Stillbirth Management 
  • Spontaneous Preterm Birth Prevention
  • Substance Abuse in Pregnancy guideline
  • Termination of Pregnancy guideline
  • Twins in Labor and Delivery Management
  • Ultrasound Redating
  • VBAC Guideline
  • Zika Virus Exposure
  • About These Guidelines

    The clinical guidelines and policies on this page assist clinicians in standardizing the evaluation, diagnosis, and care of patients, with the goal of achieving optimal outcomes. The guidelines translate national recommendations and the best available evidence into local context.

    • Adherence to these guidelines should limit unwanted or unintended variation in practice, but guidelines are not meant to be prescriptive. The clinician retains the responsibility to select the appropriate guideline for a particular patient and to use the guideline to the extent that it serves the individual patient.
    • Any given approach must be carefully considered with each individual patient to ensure that an effective Shared Decision Making process is in place, which reflects the patient's personal wishes, medical history, and family history.

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