Society of Obstetricians and Gynaecologists of Canada
Full Text Guideline
Evidence Supporting the Recommendations
The type of evidence supporting the recommendations is not specifically stated.
Implementation of the Guideline
An implementation strategy was not provided.
Foreign Language Translations
Benefits/Harms of Implementing the Guideline Recommendations
- Application of best practices in caring for the pregnant woman in order to minimize risk and maximize positive outcomes for both mother and infant
- Improved education of women about the difference between health-related and illness-related leaves of absence
Rating Scheme for the Strength of the Recommendations
This document reflects emerging clinical and scientific advances on the date issued, and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Local institutions can dictate amendments to these opinions. They should be well documented if modified at the local level. None of these contents may be reproduced in any form without prior written permission of the Society of Obstetricians and Gynaecologists of Canada (SOGC).
Searches of Electronic Databases
Searches of Unpublished Data
Published literature was retrieved through searches of PubMed or Medline, CINAHL, and The Cochrane Library in 2009 using appropriate controlled vocabulary (e.g., maternity benefits) and key words (e.g., maternity, benefits, pregnancy). Results were restricted to systematic reviews, randomized controlled trials/controlled clinical trials, and observational studies. There were no date or language restrictions. Searches were updated on a regular basis and incorporated in the guideline to December 2009. Grey (unpublished) literature was identified through searching the web sites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.
Expert Consensus (Committee)
A formal cost analysis was not performed and published cost analyses were not reviewed.
Internal Peer Review
This policy statement has been prepared by the Clinical Practice Obstetrics Committee, reviewed by the Family Physicians Advisory Committee, and approved by the Executive of the Society of Obstetricians and Gynaecologists of Canada.
Identifying Information and Availability
Leduc D. Maternity leave in normal pregnancy. J Obstet Gynaecol Can. 2011 Aug;33(8):864-6. [3 references] PubMed
Not applicable: The guideline was not adapted from another source.
Society of Obstetricians and Gynaecologists of Canada
Clinical Practice Obstetrics Committee
Principal Author: Dean Leduc, MD, Ottawa ON
Clinical Practice Obstetrics Committee: Dean Leduc, MD (Co-Chair), Ottawa ON; Glenn H. Gill, MD (Co-Chair), Williams Lake BC; Anne Biringer, MD, Toronto ON; Louise Duperron, MD, Kirkland QC; Ahmed M. Ezzat, MD, Saskatoon SK; Donna Jones, MD, Calgary AB; Lily Lee, MSN, Vancouver BC; Suzanne Muise, MD, St. Thomas ON; Barbara Mary Parish, MD, Halifax NS; Lexy Regush, MD, Saskatoon SK; Vyta Senikas, MD, Ottawa ON; Kathi Wilson, RM, Ilderton ON; Grace Yeung, MD, London ON
Family Physicians Advisory Committee: William Ehman, MD (Chair), Nanaimo BC; Anne Biringer, MD, Toronto ON; Andrée Gagnon, MD, Blainville QC; Lisa Graves, MD, Sudbury ON; Jonathan Hey, MD, Saskatoon SK; Jill Konkin, MD, Edmonton AB; Francine Léger, MD, Montreal QC; Cindy Marshall, MD, Lower Sackville NS
Disclosure statements have been received from all members of the committees.
This is the current release of the guideline.
Electronic copies: Available in Portable Document Format (PDF) from the Society of Obstetricians and Gynaecologists of Canada (SOGC) Web site. Also available in French from the SOGC Web site.
Print copies: Available from the Society of Obstetricians and Gynaecologists of Canada, La société des obstétriciens et gynécologues du Canada (SOGC) 780 promenade Echo Drive Ottawa, ON K1S 5R7 (Canada); Phone: 1-800-561-2416.
The NGC summary was completed by ECRI Institute on October 12, 2011. The information was verified by the guideline developer on November 14, 2011.
The NCG summary is based on the original guideline, which is subject to the guideline developer's copyright restrictions.
Obstetrics and Gynecology
Advanced Practice Nurses
To assist maternity care providers in recognizing and discussing health- and illness-related issues in pregnancy and their relationship to maternity benefits
Healthy Canadian women with uncomplicated pregnancies
Advising pregnant women on health- and illness-related issues in pregnancy and their relationship to maternity leave and maternity benefits
Recommendations for Obstetrical Care Providers
- Understand the difference between a health-related and an illness-related leave of absence.
- Initiate a routine discussion early in pregnancy about the issues that can present in an uncomplicated pregnancy (e.g., discomfort, poor sleep, fatigue, etc.) so that women can plan their cessation of work.
- Support women in taking health-related leave to prepare for labour and delivery.
- Advise women that they can begin maternity benefits up to 8 weeks before the onset of labour.
- Advise women that physicians cannot support an illness-related leave in an uncomplicated pregnancy and that this leave would be voluntary.
Institute of Medicine (IOM) National Healthcare Quality Report Categories
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