At PCMCH, we start meetings with a Land Acknowledgement. Land Acknowledgments show recognition of Indigenous lands, treaties and peoples, and encourage us to think about what happened in the past, what can be done in the future to help build positive relationships, and that we are all accountable for building these relationships. PCMCH recognizes that …
PCMCH has developed resources to support patients, families and healthcare providers during the COVID-19 pandemic. PCMCH’s resources on this page include: general care guidelines for healthcare providers to standardize clinical care of pregnant or breastfeeding individuals and their newborns during the pandemic; webinars on a range of COVID-19-related subjects; and tools that will support decision-making …
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 by addressing risk factors that have contributed to …
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 asthma for the ED, in-patient episodes …
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 of their symptoms, determine appropriate care …
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 one of the most important elements …
Clinical Handbook for Sickle Cell Disease Vaso-occlusive Crisis Read More »
The Vaginal Birth after Caesarean (VBAC) Quality Standard provides information about caring for people who have had a Caesarean birth and are planning their next birth. These quality standards aim to improve access to safe vaginal birth after Caesarean delivery and promote informed shared decision-making. PCMCH and Health Quality Ontario collaborated on the development of …
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 have an important role to play …
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 the following tools to coordinate timely …
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 risks that contribute to mental, physical …
