Initiatives & Guidelines

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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Clinical Handbook for Paediatric Asthma

Last updated on July 7, 2022 PCMCH, in partnership with Lung Health Foundation, updated the Clinical Handbook for Paediatric Asthma in November 2021. This handbook is a compendium of the rationale and clinical consensus for emergency department (ED) and in-patient management of paediatric asthma. The handbook: provides clinicians with evidence-based recommendations regarding management of paediatric …

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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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Clinical Handbook for Sickle Cell Disease Vaso-occlusive Crisis

Last updated on March 26, 2022 Sickle cell disease (SCD) causes intermittent and recurrent acute pain episodes as a result of vaso-occlusion. These episodes, referred to as ‘vaso-occlusive crises’ (VOC), are the most common reason for emergency department (ED) visits and hospitalizations for patients with SCD. Ensuring that patients receive timely, effective pain relief is …

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Transition to Adult Healthcare Services

Last updated on May 19, 2022 The transition to adult-oriented healthcare services for youth with a chronic and/or complex physical, developmental and/or mental health condition is a process that begins prior to the actual transfer and does not stop once the transfer has occurred. Youth, their families, paediatric healthcare providers and adult healthcare providers all …

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Retro-Transfer Implementation

Last updated on March 26, 2022 Retro-transfer refers to the transfer of pregnant patients and/or newborns who are no longer considered high-risk from a higher level of care (i.e. tertiary centre) to a lower level of care in order to meet their care needs at a centre closer to home. Healthcare providers and administrators can use …

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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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Paediatric Levels of Care

Last updated on September 1, 2022 Infants, children and youth have unique healthcare needs compared to adults; a range of paediatric expertise and resources is essential in hospitals to ensure that paediatric inpatients receive appropriate, safe and quality care throughout the continuum of inpatient care. PCMCH developed three distinct paediatric levels of inpatient care that …

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