Early Pregnancy Complications

Availability

North South North West Statewide

Pre-referral work-up

History

This clinic sees women with bleeding, abdominal cramps, suspected ectopic pregnancy and miscarriage who are haemo-dynamically stable under 20 weeks.

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

  • History of the pregnancy including gestation
  • History of bleeding or pain
  • Copies of investigations especially ultrasound report

Tests

  • Antenatal bloods if time
  • Pelvic ultrasound

Interim/GP management

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

Ensure that patient is haemo-dynamically stable.

For more information please see the Tasmanian Health Pathways website.

Emergency

Haemo-dynamically unstable patients

Suspected ectopic pregnancy

Urgent / category 1

Early miscarriage

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) 6348 7382
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