Clinical Practice Resources

The purpose of these bulletins is to share current information and Nova Scotia guidance about care for pregnant and childbearing persons and newborns during the COVID-19 pandemic. Our NS guidelines may differ from those of other countries and possibly from other Canadian provinces. Please consult with IWK and/or NSHA program leaders before adopting any guidance from outside of NS. The format of these documents is adapted with permission from bulletins produced by Vancouver Coastal Health Authority. Our thanks for their willingness to share with Nova Scotia.

Knowledge, understanding and terminology about COVID-19 is changing rapidly. Information in these documents will be modified in response to new data and evidence. NEW content added will be indicated as such. Please check to ensure you are referring to the latest Maternal Newborn Care Bulletin.

As of January 20, 2020, the Office of the Chief Medical Officer of Health for Nova Scotia has declared a provincial syphilis outbreak. Across Canada syphilis outbreaks have been declared in most provinces/territories, due to increasing rates of infection. Changes to recommendations for pregnant women and newborns are outlined in the documents below:

The Canadian Paediatric Society (CPS) has recommended moving from universal newborn ocular prophylaxis, to universal prenatal screening for Neisseriae gonorrhoeae (GC) and Chlamydia trachomatis (CT) and treatment of those with positive results in order to eradicate infection and prevent intrapartum transmission to the newborn.

As universal ocular prophylaxis is eliminated from routine newborn care, functions of the health system must be optimized and synchronized to prevent ON. RCP has partnered with clinical experts and stakeholders from across NS to produce these resources, which are designed to offer guidance for the prevention of ON:

Below are links to PDF documents from the Nova Scotia Health Authority (NSHA). You can find these documents on the NSHA patient information pamphlets listing using the keywords "loving care" and "tendres soins" or individually by searching the pamphlet numbers, given below.

Versions françaises:

In January 2002, the Department of Health, Public Health/Health Promotion, asked the Reproductive Care Program of Nova Scotia to "Develop ...Department of Health minimum acceptable standards for initial postpartum contact (0-6 weeks) in Nova Scotia". RCP established a Postpartum Services Review Working Group with representation from hospital and community nursing, nursing education, family practice, public health, obstetrics and pediatrics to assist them with this important task. This report represents the findings of the Postpartum Services Review Working Group and recommends a series of guidelines intended to ensure that postpartum/postnatal services are provided in an informed and consistent way across Nova Scotia.