Clinical Practice Resources

This document describes care and services for heathy populations and contains guidance in four key areas: Reducing Health Inequities; Promoting and Supporting Healthy Infant Development; Promoting and Supporting Parent Postpartum Physical and Emotional Well-Being; and Supporting Healthy Transitions and Follow-up.

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 http://rcp.nshealth.ca 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.

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