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Obstetric protocols

Anaemia and iron therapy

Principles and Practical Considerations for IV iron dextran prescriptions  🆕
Monitoring Observation Chart for IV iron dextran infusion 🆕
Standardised script for IV iron dextran 🆕 
The management of anaemia in pregnancy at TBH O&G- protocol (coming soon) 

Diabetes in pregnancy

Diabetes in pregnancy
DKA management
Individualised subcutaneous insulin corrections
OGTT in High Risk clinic
Postpartum follow up and referral pathways

Hypertension pregnancy

Hypertensive disease in pregnancy
MgSO4 administration
Nepresol infusion

Preterm delivery

Preterm labour
PPROM
Reducing the risk of preterm labour 
Periviable birth policy (Tygerberg)
Periviable birth policy (Western Cape)
MgSO4 for fetal neuroprotection 🆕

Ultrasound

Anomaly scan

Growth Abnormalities

Growth scans
Abnormal Doppler
SGA with normal UAD

Induction of labour

IOL protocol 🆕
Prescription for misoprostol- antenatal ward 🆕
Prescription for misoprostol in the labour ward 🆕
IOL after previous IUD
Termination of pregnancy after 20 weeks

Additional protocols

Abdominal trauma
BMI protocol
DCDA twins shared care management
Epilepsy in pregnancy
Indications for placental histology
Lithium use in pregnancy and the puerperium
Tachycardia in pregnancy workup
Vertical Transmission Prevention
VTE in pregnancy and the puerperium



These protocols have been developed using the best available evidence tailored to the local context. They are designed as general guidance to support clinical decision-making for clinicians at Tygerberg Hospital. Obstyger assumes no responsibility for changes in circumstances or new information arising after publication and recognizes that local resource constraints may impact certain recommendations. These protocols should not be relied upon in isolation or used as a substitute for evaluating the individual needs of each patient. The online version (available at www.obstyger.co.za) is always the most current.