SOMANZ Written Guidelines
Approval Process of Written Guidelines by SOMANZ
There are two proposed methods of guideline development processes as detailed below:
- Guidelines written on behalf of SOMANZ
Please click on the link to Download the pdf. - Guidelines written by other societies and requesting SOMANZ endorsement
Please click on the link to Download the pdf.
SOMANZ recognises that there is huge diversity amongst the pregnant and breastfeeding population, including but not limited to ethnicity, First Nations status, migrant and refugee status, sociocultural background, and gender identity. The terms “woman” and “women” (and where appropriate “patient”) are used throughout SOMANZ documents as the general/unifying terms. SOMANZ affirms that maternity care for individuals should be inclusive and respectful of the terms that are preferred by individuals.
SOMANZ Endorsed Guidelines
The following Guidelines, Position Statements, and Consensus Statements have been written for, or in consultation with SOMANZ, and endorsed by the SOMANZ Council.
SOMANZ Hypertension in Pregnancy Guideline 2023
We are pleased to announce the launch of the updated SOMANZ Hypertension in Pregnancy Guideline 2023, which represents a comprehensive update of the previous 2014 version. The updated version been approved by the National Health and Medical Research Council (NHMRC) under section 14A of the National Health and Medical Research Council Act 1992, reflecting its alignment with NHMRC’s clinical practice guideline standards.
Developed with academic rigor, the guideline adheres to NHMRC’s Guideline for Guidelines and employs the ‘Grading of Recommendations Assessment, Development, and Evaluation’ (GRADE) approach. It encompasses thirty-nine recommendations across eight sections, addressing key aspects such as screening, prevention, diagnosis, and management of hypertensive disorders in pregnancy.
Updates based on the latest data include recommendations on combined first-trimester screening for identifying women at risk of preeclampsia and sixteen preventative interventions. The guideline also provides insights into the clinical utility of angiogenic biomarkers and guidance on the long-term care of women who have experienced a hypertensive disorder during pregnancy. To enhance accessibility, six multilingual patient infographics are included to assist health care professionals counsel their patients.
To view the guidelines please CLICK HERE
SOMANZ Position Statement For Management Of Nausea And Vomiting Of Pregnancy And Hyperemesis Gravidarum (updated October 2023)
The 2019 version has recently been updated. Please CLICK HERE to view the Executive Summary or CLICK HERE to view the Full Version.
Intrahepatic Cholestasis of Pregnancy – Diagnosis and Management: A Consensus Statement of the Society of Australia and New Zealand (SOMANZ) (2023)
Please CLICK HERE to view the full consensus statement. An executive summary of this statement has also been published in the Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG). (12 August 2023). Use this LINK to view the executive summary now.
The SOMANZ Position Statement on Pulmonary Embolism in Pregnancy and Post Partum (2021)
Please CLICK HERE to view the full position statement.
SOMANZ Guidelines For The Investigation And Management Sepsis In Pregnancy (2017)
Please note that these guidelines are currently undergoing review.
In 2017 SOMANZ published a multi-disciplinary guideline for the management of sepsis in pregnancy and the post-partum period. We took the broadest definition of sepsis, including the investigation of viral and non-infectious sepsis. We have included three short easy diagnostic criteria for the triage of the acute patient: Respiratory rate, Systolic Blood Pressure and Alert/non-alert which trigger a management pathway.
A briefer version of the guideline was published in ANZJOG and the full guideline is available to download here. By popular demand we have attached a check-list tick sheet, to make it easy for all those of you presented with a septic patient at 2 am. We hope this will help reduce maternal mortality and morbidity for women presenting with sepsis in Australia and New Zealand.
Teaching Slides
SOMANZ have also produced the following teaching slides to support the implementation of these guidelines. Please feel free to download and use these slides with due acknowledgement of the source. Click here to view or download the Powerpoint slides.
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Guidelines and Position Statements Currently Under Development or Review by SOMANZ
SOMANZ Guidelines for the Investigation and Management Sepsis in Pregnancy (2017) – currently under review.
Other Guidelines supported or endorsed by SOMANZ
Patient Blood Management Guidelines
The Patient Blood Management Guidelines progress update is now available on the National Blood Authority website http://www.blood.gov.au/pbm- guidelines-updates. A pdf version of the update is also attached for your convenience. This information is provided to keep our members informed of progress and to encourage wider clinical input into the review, update and development of the guidelines. Any questions about these updates should be sent to guidelines@blood.gov.au.
Recommendations for the diagnosis and treatment of deep venous thrombosis and pulmonary in pregnancy and the postpartnum period 2012
http://onlinelibrary.wiley.com/doi/10.1111/j.1479-828X.2011.01361.x/full
Recommendations for the prevention of pregnancy-associated venous thromboembolism 2012
http://onlinelibrary.wiley.com/doi/10.1111/j.1479-828X.2011.01357.x/full
The Australian guideline for the prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease (3.2 edition) March 2022
https://www.rhdaustralia.org.au/arf-rhd-guideline