Antenatal Endocrine Clinic

Availability

North South North West Statewide

Pre-referral work-up

History

This clinic sees patients with pre-existing Diabetes Mellitus (Type 1 and 2), gestational diabetes and thyroid disease.

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

  • Personal and family history of auto-immune diseases – thyroid disease, diabetes

Tests

Interim/GP management

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

Women with pre-existing diabetes mellitus are not suitable for GP shared care or low risk midwifery care clinics.

Full thyroid function tests should be ordered for pregnant women with a past or family history of thyroid disease, Type 1 diabetes or other auto immune disease.

NB: High levels of hCG may cause transient hyperthyroidism.

For more information please see the Tasmanian Health Pathways website.

Urgent / category 1

Pregnancy and pre-existing diabetes

Hypothyroidism (Raised TSH in pregnancy)

Semi-urgent / category 2

New gestational diabetes

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

Antenatal Shared Care Information

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