Perinatal & Newborn Health

Standards of Postnatal Care

Last updated on August 11, 2022 The Standards of Postnatal Care report was released in 2018 to articulate the standards of postnatal care for mothers/parents and newborns in the first seven days following birth. Approximately 140,000 babies are born in Ontario each year. With the trend towards earlier discharges and in the context of rising …

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Safe Administration of Oxytocin

Last updated on September 22, 2022 The Safe Administration of Oxytocin guideline report, developed by PCMCH in 2019, outlines best practice recommendations for the safe management of pregnant patients whose labour is induced or augmented with the medication oxytocin. The objective of the report is to reduce the risk of misuse and/or mismanagement of oxytocin …

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Perinatal Mental Health

Last updated on October 27, 2022 Maintaining mental health is important to the well-being of pregnant and postpartum individuals. PCMCH’s Care Pathway for the Management of Perinatal Mental Health (July 2021) and accompanying Guidance Document (July 2021), support healthcare providers in identifying pregnant or postpartum patients who may be experiencing mental health issues, assess the severity …

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Neonatal Abstinence Syndrome

Last updated on March 26, 2022 Substance use during pregnancy is a risk factor for negative pregnancy and neonatal outcomes. Infants at risk for neonatal abstinence syndrome (NAS) are also at increased risk for pre-term birth, low birth weight and intrauterine growth restriction. Substance use in pregnancy is also a marker for social and environmental …

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Ontario Neonatal Follow-Up Program

Last updated on August 5, 2022 Neonatal follow-up plays a critical role in Ontario’s healthcare system, monitoring and offering early intervention for high-risk infants with varying diagnoses. The Neonatal Follow-Up Program (NFUP) refers to neonatal follow-up clinics collectively that are part of a larger collaborative provincial system. PCMCH has developed NFUP resources with the aims …

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Maternal-Newborn Gap Analysis

Last updated on March 26, 2022 In 2018, PCMCH reviewed low-volume, rural and remote intrapartum services and completed an analysis of access to safe and high-quality intrapartum care services in lower-volume centres (less than 500 births a year) across Ontario. The gap analysis used a mixed-methods approach, including: An environmental scan Interviews with representatives from …

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Levels of Maternal-Newborn Care

Last updated on October 19, 2022 Currently, Ontario has 96 hospitals that provide maternal and newborn care and services. Of these,  49 hospitals have Neonatal Intensive Care Units (NICUs) or Special Care Nurseries (SCNS). Working in partnership with the regional and local health organizations, each hospitals works to deliver services within a standardized levels of …

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Ontario Perinatal Record (OPR)

Last updated on September 13, 2022 The OPR replaces the Ontario Antenatal Record 1 and 2. Please order the new OPR and destroy remaining Antenatal 1 and 2 forms. The updated Ontario Perinatal Record is the 5th revision and replaces the 2005 version. The OPR update and User Guide development was undertaken in 2017 by a provincial …

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