Table 4 Assessment of the woman and newborn – comparison and level of agreement between NICE/WHO recommendations and Australian postnatal guidelines
Recommendations | Number of Australian guidelines mapped to each category | |||||
|---|---|---|---|---|---|---|
Agree | Partially agree | Modified | Disagree | Absent | Not in scope | |
Assessment of the woman | ||||||
1. Information provision: general | 3 | 19 | 0 | 0 | 0 | 9 |
2. Information provision: signs for care seeking | 1 | 6 | 1 | 0 | 2 | 21 |
3. Assessing emotional wellbeing | 11 | 2 | 2 | 1 | 0 | 15 |
4. Physical assessments in the first 24Â h | 1 | 2 | 0 | 0 | 0 | 28 |
5. Physical assessments after the first 24Â h | 2 | 10 | 0 | 0 | 1 | 18 |
6. Vaginal bleeding assessment and PPH risk factors | 1 | 1 | 2 | 0 | 3 | 24 |
7. Assessing perineal wound healing | 2 | 6 | 1 | 0 | 1 | 21 |
8. Validated pain scale for measuring perineal pain | 0 | 0 | 0 | 0 | 10 | 21 |
9. Responding to women’s concerns about perineal healing | 4 | 3 | 1 | 0 | 2 | 21 |
10. Assessment at 6–8 weeks after birth | 4 | 6 | 6 | 0 | 0 | 15 |
Assessment of the newborn | ||||||
11. Parental concerns and reviewing history | 7 | 11 | 0 | 0 | 1 | 12 |
12. Red flags for serious illness | 1 | 9 | 3 | 0 | 1 | 17 |
13. Significance of a change in behaviour/symptoms | 7 | 3 | 0 | 0 | 2 | 19 |
14. Actions after identification of red flags | 5 | 3 | 1 | 0 | 3 | 19 |
15. Information provision to parents: red flags and care seeking | 5 | 1 | 0 | 0 | 4 | 21 |
16. Actions when meconium not passed in the first 24Â h | 3 | 1 | 3 | 0 | 0 | 24 |
17. Identification and management of neonatal infection | 1 | 4 | 0 | 0 | 4 | 22 |
18. Fever not always present with neonatal infection | 0 | 0 | 0 | 0 | 9 | 22 |
19. Complete physical assessment | 4 | 9 | 0 | 0 | 0 | 18 |
20. Identifying serious illness: clinical patterns | 2 | 1 | 2 | 0 | 6 | 20 |
21. Developmental assessment at 6–8 weeks | 2 | 4 | 0 | 0 | 2 | 23 |
22. Weight and head circumference measurements | 4 | 4 | 4 | 2 | 0 | 17 |
23. Growth faltering identification and management | 2 | 11 | 0 | 0 | 1 | 17 |
24. Newborn bloodspot screening | 4 | 0 | 0 | 0 | 1 | 26 |
25. Universal newborn hearing screening | 8 | 3 | 2 | 0 | 1 | 17 |
26. Universal newborn screening for abnormalities of the eye | 5 | 2 | 0 | 0 | 2 | 22 |
27. Universal screening for hyperbilirubinaemia with TcB at discharge | 0 | 0 | 2 | 2 | 1 | 26 |
28. Insufficient evidence for or against universal screening with TSB at discharge | 3 | 0 | 0 | 0 | 2 | 26 |
29. Responding to parental concerns | 6 | 4 | 1 | 0 | 3 | 17 |
30. Communicating with parents using the Baby Check scoring system | 0 | 0 | 4 | 0 | 7 | 20 |