Antenatal Care

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Gestation – preferably referred before 12 weeks when possible
  • Specific conditions needing early appointment should be highlighted – advanced maternal age, request for counselling re amniocentesis/chorionic villus sampling, diabetes
  • Abnormal investigations must be highlighted
  • Consider 11-13+6 week nuchal screening
  • Consider GTT – gestational diabetes, BMI >40, ethnic background of Aboriginal, Torres Strait Islander, Pacific Islander, previous macrosomic baby. Nb. Indicate on the request form that a POGTT is requested

Tests

See antenatal share care resource

Must include as a minimum:

  • FBE
  • Blood group and antibodies
  • Hep B & C serology
  • HIV serology
  • Rubella serology
  • Syphilis serology
  • MSU

Interim/GP management

To refer a patient with this condition, please see the Obstetrics clinic page for the full referral process and templates.

Options for care include:

  • GP antenatal share care
  • Midwifery care including Know your Midwife, midwifery group practice, outreach services
  • Antenatal Clinic care, including the specialist high risk clinics where appropriate

Please note: The Obstetric Unit offers a Young Mum's Clinic, Antenatal-Endocrine Clinic, Drug and Alcohol Pregnancy Service.

For more information please see the Tasmanian Health Pathways website.

Emergency

Signs of severe pre-eclampsia

Urgent / category 1

Late gestation referral

Advanced maternal age

Diabetes

Semi-urgent / category 2

Previous complications of pregnancy

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6777 5201
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment