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 […]
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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
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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
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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
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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
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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. PCMCH and Health Quality Ontario collaborated on the development of these standards. Read the VBAC Quality Standard (updated 2024) The VBAC quality standard outlines the following opportunities to improve care
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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
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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 take into consideration the acuity of
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Please note: The content on this webpage may contain outdated information and was accurate at the time it was published. Healthcare providers are encouraged to consult current evidence and resources on the topic. Substance use during pregnancy is a risk factor for negative pregnancy and neonatal outcomes. Infants at risk for neonatal abstinence syndrome (NAS)
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Complex Care for Kids Ontario (CCKO) is a provincial program led by the Provincial Council for Maternal and Child Health (PCMCH) to improve care continuity, collaboration, and service delivery in keeping with the needs and requirements of children/youth with medical complexity (CMC) and their families. The program aims to provide integrated and coordinated care across
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