AOM Clinical Practice Guidelines Program
Pregnancy beyond 40: A clinical backgrounder for midwives
This document provides a summary and discussion of select evidence related to key outcomes of interest to midwives caring for clients who are 40 and older. Unlike a clinical practice guideline, this document does not offer recommendations for care. Instead, it is meant as a reference to help midwives interpret evidence and to incorporate clinical research into informed choice discussions with clients, as appropriate.
CLINICAL PRACTICE GUIDELINES
The AOM's Value Based Approach to Clinical Practice Guideline Development was developed from member feedback in the Fall of 2006.
No. 1 - Physical Assessment of the Newborn
No. 2 - Physical Assessment of the Well Woman
No. 7 - Screening for Gestational Diabetes
No. 8 - Parvovirus B19 Infection in Pregnancy
No. 9 - Prevention and Management of Postpartum Hemorrhage
No. 10 - Management of the Uncomplicated Pregnancy Beyond 41+0 Weeks’ Gestation (2010)
No. 11 - Group B Streptococcus: Prevention and Management in Labour (2010)
No. 12 - The Management of Women with a High or Low Body Mass Index (2010)
No. 13 - Management of Prelabour Rupture of Membranes at Term (2010)
No. 14 - Vaginal Birth After Previous Low-Segment Caesarean Section (2011)
VBAC app for blackberry and android (web based)
No. 15 - Hypertensive Disorders of Pregnancy (2012)
HDP app for blackberry and android (web based)
CPG Summary: Hypertensive Disorders of Pregnancy
(2012) offers convenient access
to some of the most essential content of the above
clinical practice guideline. For a complete
analysis of the research relevant to HDP and midwifery practice along with citations, readers
to refer to the full guideline.
No. 16 - Group B Streptococcus: Postpartum Management of the Neonate (2014)
CPG Summary: Group B Streptococcus: Postpartum Management of the Neonate
offers convenient access to some of the most essential content of the above clinical practice guideline.
For a complete analysis of the research relevant to the midwife's management of Group B Streptococcus
in the postpartum period, along with citations, readers are encouraged to refer to the full guideline.
The GRADE Approach to CPG Development
Group B Streptococcus: Postpartum Management of the Neonate
is the first AOM CPG developed using
the GRADE methodology for guideline development. The above supplement describes the GRADE methodology
and offers guidance on interpreting recommendations made using GRADE.
Online Appendix: GRADE Tables
Three of the research questions developed to guide the CPG Group B Streptococcus: Postpartum
Management of the Neonate
addressed clinical findings that could be summarized in GRADE quality
of evidence and summary of findings tables.
The following CPGs are no longer in use. For access to these documents, please contact Anna Meuser,
Knowledge Translation and Research Specialist at email@example.com or 416-425-9974 x2242.
No. 4 - Guideline for Monitoring Blood Pressure in Pregnancy (Replaced by No. 15)
No. 5 - Vaginal Birth After One Previous Low-Segment Caesarean Section (Replaced by No. 14)
No. 6 - Antenatal Fetal Assessment
OTHER AOM PROFESSIONAL GUIDELINES:
No. 3 - Practice Guide to Peer Review - "Updated and incorporated into Management of Critical Occurrences"
Management of Critical Occurrences (May 2009)
OTHER PROFESSIONAL GUIDELINES:
The National Institute for Health and Clinical Excellence (NICE) Guideline on Intrapartum Care, UK
Canadian Patient Safety Institute (CPSI) Disclosure Guidelines
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