Bookings, referral process and contacts


RPA Women and Babies and Canterbury Hospital have specific procedures for referring and booking a woman into the hospital for both routine and specialist pregnancy related clinics. Be aware that this process differs between hospitals. Specific referral forms may also be required to be completed by the referring GP.

All women should arrange their first hospital "booking in" appointment ASAP. This visit should be scheduled for ~ 12-14 weeks gestation.

It is important if you see a woman in the first trimester who you may consider a risk of complication of pregnancy that they can be referred for early review in pregnancy and do not have to wait until their booking in appointment. This is officially called a “consultation in pregnancy” and these consultations are seen in the various high-risk pregnancy clinics at the hospital. These women should be referred to the relevant hospital antenatal clinic (ANC) for triage. The hospital will determine the timing and clinic allocation.

How to refer a woman

How to refer a woman

Select the hospital and the pregnancy risk level to view the referral process:

Canterbury Hospital - low risk pregnancy

StepAction requiredRequired by
1 Check if the woman lives within the hospital postcode boundary. GP or woman
2 Assess if the woman has identifiable risk factors and needs to be referred for a specialist consult.
If yes, follow early or urgent high risk referral process.
GP
3 Phone the hospital on 9787 0250 or 9787 0560 to arrange first hospital appointment. GP or woman
4 The woman will be given her first hospital appointment date and time at the time of booking. Hospital staff
5

Complete the following and give to the woman to bring to her first hospital appointment:

DO NOT fax or post the form as it is not a booking request.
GP
6

Bring the following to the first hospital appointment:

  • Antenatal "yellow" record card
  • Canterbury Maternity Health and Pregnancy History Form
Woman

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RPA Women and Babies - low risk pregnancy

StepAction requiredRequired by
1 Check if the woman lives within the hospital postcode boundary. GP or woman
2 Complete the on-line interactive booking form. GP or woman
3 Assess if the woman has identifiable risk factors and needs to be referred for a specialist consult.
If yes, follow early or high risk referral process.
GP
4

Complete the following and give to the woman to bring to her first hospital appointment:

DO NOT fax or post this form as it is not a hospital booking request.

GP
5 The woman will be contacted via mail (~ 2-3 weeks) with a letter noting her first hospital appointment date and further information required to be brought to the appointment. Hospital staff
6 Bring all information outlined in the letter from the hospital together with completed pdf Obstetric Referral Form (336 KB)  and antenatal record card to the first appointment, otherwise the appointment may be rescheduled. Woman

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RPA Birth Centre

Women should contact the Birth Centre directly on 9515 6405 to arrange first information session.


Canterbury Hospital - early or high risk pregnancy

StepAction requiredRequired by
1 Check if the woman lives within the hospital postcode boundary. GP or woman
2 Phone Midwifery Unit Manager on 9787 0557 or GP Liaison Midwife on 0425 230 662 to discuss further (if required).

If urgent, page O&G Registrar through hospital switchboard on 9787 0000.
GP
3

Complete GP referral letter.

Ensure adequate clinical information is documented. This should include:

  • Reason for referral
  • Previous obstetric history
  • Gynaecological disorders
  • Medical conditions including treatment, medications, specialists (name and location) and attach any recent specialist letters
  • Any other issues
GP
4 Fax GP referral letter to antenatal clinic on 9787 0431 (only fax referrals for high risk or urgent referrals)

Upon assessment, women may be referred to RPA Women and Babies.
GP
5 Complete the antenatal "yellow" record card and give to the woman to bring with her to her specialist consult. GP
6 The woman will be contacted via phone of her specialist consult. Women will be informed about additional information required to be bought to the appointment. Hospital staff
7

Bring the following to the hospital appointment:

  • Antenatal "yellow" record card
  • Additional information as requested by the Hospital
Woman

If you are uncertain about the best approach for referring a woman, or if the woman requires urgent review, phone the GP Liaison Midwife (0425 230 662 or hospital's O&G Registrar).

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RPA Women and Babies - early or urgent high risk pregnancy

StepAction requiredRequired by
1 Check if the woman lives within the hospital postcode boundary. GP or woman
2 Complete the on-line interactive hospital booking form. GP
3 Phone GP Liaison Midwife on 0425 230 662 to discuss further (if required).

If urgent, page O&G Registrar through hospital switchboard on 9515 6111.
GP
4

Complete GP pdf Obstetric Referral Form (336 KB) .

Ensure adequate clincial information is documented. This should include:

  • Reason for referral
  • Previous obstetric history
  • Gynaecological disorders
  • Medical conditions including treatment, medications, specialists (name and location) and attach any recent specialist letters
  • Any other issues 
GP
5 Fax Obstetric Referral Form to the antenatal clinic on 9515 3454 (only fax referrals for urgent or high risk consults).

All referrals will be triaged by the antenatal clinic and the hospital will determine the timing and allocation to specialist clinic/s. This will ensure that all women are booked to commence their antenatal care.
GP
6 Complete antenatal "yellow" record card and give to the woman to bring to her specialist consult GP
7 Woman will be contacted regarding her clinic appointment and any additional information required to be bought to the appointment. Hospital staff
8

Bring the following to the hospital appointment:

  • Antenatal "yellow" record card
  • Additional information as requested by the hospital
Woman

If you are uncertain about the best approach for referring a woman, or if the woman requires urgent review, phone the GP Liaison Midwife (0425 230 662 or hospital's O&G Registrar on call).

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Referral forms

How to import templates

These templates have been specifically made to be imported to your software or for use by printing out and handwriting in the form itself. The following documents can be downloaded to provide instructions on how to import these templates to your program of choice.

document-pdf-text  pdf Importing templates into Best Practice from CESPHN website (546 KB)

document-pdf-text  pdf Importing templates into Medical Director from CESPHN website (620 KB)

RPA Women and Babies

FormPDFBest Practice templateMedical Director template 

First Antenatal Appointment Booking Form

  • To be completed to arrange First Antenatal "Booking In" Appointment
  • Either a woman or GP can complete this online form. 
    The same form can be printed and faxed (if preferred option).
Book online Best Practice template download MedicalDirector template download

Obstetrics Referral Form (RPA Women and Babies)

  • To be completed by GP
  • For routine obstetrics: women to bring form with her to first hospital visit
  • For early or urgent high-risk obstetrics: Fax referral to ANC
    9515 3454. All early or urgent high risk referrals will be triaged by ANC and the hospital will determine the timing and allocation to specialist clinic

Note this is a standardised referral form and is not a hospital "booking in" form. Women are required to arrange their first hospital " booking in" appointment via First Antenatal Visit Booking Form (as above)

PDF document download Best Practice template download MedicalDirector template download

Gynaecology Referral Form

  • FAX ONLY: 9515 3454
  • Appointments are triaged into appropriate clinic upon referral
PDF document download bicon MedicalDirector template download

RPA Pathology Form –  Combined First Trimester Screening

  • To be completed by GP together with FMU Ultrasound Form to arrange First Trimester Screening
PDF document download bicon MedicalDirector template download
Reproductive Medicine Clinic
Fax referral to DREI 9515 7976
PDF document download bicon MedicalDirector template download

Obstetrics and Gynaecology Physiotherapy Referral Form

Referrals will be prioritised with higher priority given to patients with:

  • Pelvic girdle pain affecting rest of mobility
  • Severe pelvic floor dysfunction including incontinence or prolapse 

*Please note referrals for carpal tunnel syndrome can be made directly to RPA Hand Clinic by emailing referral form to rpahandreferrals@sswahs.nsw.gov.au 

Referrals will be prioritised according to severity/ urgency and may involve a telephone consult prior to face-to-face appointment 

PDF document download Best Practice template download MedicalDirector template download
Antenatal Thyroid Clinic Referral Form PDF document download bicon micon
Clinical Genetics/Medical Genomics Referral Form PDF document download Best Practice template download micon
EPAS Referral Form PDF document download bicon MedicalDirector template download
Hepatitis B Referral Form PDF document download Best Practice template download micon
Hepatitis C referral Form PDF document download Best Practice template download micon
Psychosocial Referral Form - to ensure referral is received contact Perinatal Mental Health
  • RPA on ph. 9515 5873
  • Canterbury Hospital on 9787 0000 page CNC or GP Liaison Midwife 0425 230 662
PDF document download Best Practice template download micon

 

Canterbury Hospital

FormPDFBest Practice templateMedical Director template

Maternity Health & Pregnancy History Booking Form 

  • To be completed by GP
  • Woman to bring to her first hospital appointment 
PDF document download Best Practice template download -

Endocrine Maternity Clinic Referral Form - Referral for  women with GDM or thyroid disease 

  • To be completed by GP
  • Fax to ANC 9787 0431 for review
PDF document download Best Practice template download MedicalDirector template download

 

Referral postcodes

Maternity bookings within Sydney Local Health District (SLHD)

For women who live in SLHD, bookings to RPA Women and Babies and Canterbury hospitals will be initially made according to hospital postcode boundaries. Transfers between hospitals will be according to existing hospital protocols.

Maternity bookings external to SLHD

There are currently no restrictions on bookings to either maternity hospital where place of residence is external to SLHD. This process will be monitored closely by the hospitals to ensure the needs of women requiring maternal care are met.

RPA Women and Babies referral postcodes

Suburbs (A-D)

Suburbs (E-N)

Suburbs (P-Z)

ABBOTSFORD

2046

ENFIELD

2136

PETERSHAM

2049

ANNANDALE

2038

ENMORE

2042

PYRMONT

2009

ALEXANDRIA

2015

ERSKINVILLE

2043

REDFERN

2016

ASHFIELD 

2131

FIVE DOCK

2046

RHODES

2138

BALMAIN

2041

FOREST LODGE

2037

RODD POINT

2046

BIRCHGROVE

2041

GLEBE

2037

ROZELLE

2039

BREAKFAST POINT

2137

HABERFIELD

2045

RUSSELL LEA

2046

BURWOOD

2134

HAYMARKET

2000

ST PETERS

2044

BURWOOD HEIGHTS

2136

HOMEBUSH

2140

STANMORE

2048

CABARITA

2137

HOMEBUSH WEST

2140

STRATHFIELD

2135

CAMPERDOWN

2050

LEICHHARDT

2040

STRATHFIELD NORTH

2137

CANADA BAY

2046

LEWISHAM

2049

STRAWBERRY HILLS

2010

CHIPPENDALE

2008

LIBERTY GROVE

2138

PROOF OF RESIDENCE REQUIRED

2012
(PO BOX ONLY)

CHISWICK

2046

LILYFIELD

2040

SUMMER HILL

2130

CONCORD

2137

MACDONALDTOWN

2042

SYDNEHAM

2044

CONCORD WEST

2138

MARRICKVILLE

2204

TAVERNERS HILL

2040

CROYDON

2132

MARRICKVILLE METRO

2204

TEMPE 2044

DARLINGTON

2008

MARRICKVILLE SOUTH

2204

ULTIMO 2007

DOBROYD POINT

2045

MORTLAKE

2137

WAREEMBA 2046

DRUMMOYNE

2047

NEWTOWN

2042 

WATERLOO 2017 

DULWICH HILL

2203

       

Canterbury Hospital referral postcodes

Suburbs (A-D)

Suburbs (E-N)

Suburbs (P-Z)

ASHBURY

2193

EARLWOOD

2206

PEAKHURST HTS

2210

BARDWELL PARK/
BARDWELL VALLEY

2207

ENFIELD SOUTH

2133

PUNCHBOWL

2196

BELFIELD

2191

HURLSTONE PARK

2193

RIVERWOOD

2210

BELMORE

2192

KINGSGROVE/
KINGSWAY WEST

2208

ROSELANDS

2196

BEVERLY HILLS

2209

LAKEMBA

2195

SOUTH BELMORE

2192

BEXLEY/
BEXLEY NORTH/SOUTH

2207

LUGARNO

2210

STRATHFIELD SOUTH

2136

CAMPSIE

2194

NARWEE

2209

UNDERCLIFFE

2206

CANTERBURY

2193

    WILEY PARK 2195
CLEMTON PARK 2206        
CROYDON PARK 2133        

 

Key contacts

document-pdf-text pdf Download PDF version (61 KB)

RPA Women and Babies

Clinic/ServicePhoneFaxPager
(Call 95156111 to page)
General enquiries and/or
paging medical and nursing staff
9515 6111    
Faxing results to antenatal clinic (ANC)   9515 7452  
Access and submit on-line "booking in" appointment https://www.slhd.nsw.gov.au/rpa/WomenAndBabies/pdf/FirstVisitAppointment.html
Faxing High risk/Urgent referrals   9515 3454  
Aboriginal Liaison Midwife  9515 6586   # 87292
Birth Centre 9515 6405    
Delivery Ward General Enquiries
Direct Line for GPs
9515 8420 
9515 8444
   
Diabetes Centre 9515 5888 9515 5820   
Genetic Counselling  9515 5080 9515 5490  
Gynaecology Clinic   9515 3454 ONLY   

Early Pregnancy Assessment Service (EPAS)
Early pregnancy bleeding (< 20 weeks pregnant) 
Advice line

0429 728 608
(Mon-Sun 8.00-4.00pm)
   
Executive Unit – RPA Women and Babies
Director of Women's Health, Neonatology and Paediatrics
9515 8356    
Fetal Medicine Unit 
cFTS, NIPT, CVS, Amniocentesis, Ultrasound
9515 6042 9515 6579  
Hepatitis B (HBV) 9515 6228 9515 5182  
Hepatitis C (HCV) 9515 7049 9515 5182  
Lactation Consultant  9515 8422    
Midwifery Unit Manager 9515 7935    
Midwives Desk 9515 8090    
Parent Education 9515 5284    
Perinatal Mental Health 9515 5873    
Physiotherapy  9515 9853 9515 9751  
Physiotherapy (Hand) 9515 9829 9515 9751  
Sexual Health Clinic 9515 3131    
Social Work 9515 6616     
Thyroid Clinic 9515 7225 9515 8728  

Canterbury Hospital

Clinic/ServicePhoneFaxPager
(Call 97870000 to page)
General enquiries and/or
paging medical or nursing staff
9787 0000    
Faxing results to ANC   9787 0431  
Antenatal appointment bookings 9787 0250
9787 0560
   
Birthing Unit 9787 0555
9787 0554
   
Diabetes Educator CNC  9787 0248     
Midwife Practitioner 9787 0572   # 82220
Midwifery Unit Manager 9787 0577   # 81569
Midwives Desk 9787 0183    
Perinatal Mental Health 9787 0000    # 82062
Social Work 9787 0121    

 

Hospital clinics and services

All referrals for specialist consults will be triaged by the antenatal clinic and the hospital will determine the timing and allocation to specialist clinic/s. This will ensure that all women are booked to commence their antenatal care.

The Obstetric Referral Form is required to completed for all referrals ensuring adequate clinical information is documented including:

  • Reason for referral
  • Previous obstetric history
  • Gynaecological disorders
  • Medical conditions including treatment, medications, specialists (name & location)and attach any recent specialist letters
  • Any other issues

Routine clinics

Clinic/Service  PurposeDay and time
Antenatal Booking Clinic This clinic is the first contact women have with the hospital. Held regularly
Birth after Caesarean (BAC) For women who have had a previous Caesarean Section for review for possible vaginal birth. Women with known:
  • uterine fibroids
  • placenta praevia
pdf Referral Form (336 KB)  is required to be completed
Thursday PM
Midwives Antenatal Clinic

Low risk antenatal women are encouraged to attend. Patients are seen by a doctor at the VMO visit and may be referred back to Registrar or high risk clinics if required.

GP ANSC women are seen at 30 weeks.

Monday, Tuesday, Wednesday, Thursday, Friday and Saturday
Registrars Antenatal Clinic Shared Care patients are seen at 37 and 41 weeks or as required clinically. Women with a breech presentation from 34 weeks gestation 35 week external cephalic version review. Monday AM
Wednesday AM
Thursday PM
VMO Visit Clinic  Women with low risk pregnancies are referred to this clinic from the midwives booking clinic for obstetric review and confirmation of care option for the remainder of their pregnancy Monday AM/PM
Wednesday PM
Thursday PM

Specialist pregnancy related clinics and services

Clinic/ServicePurpose

Diabetic Clinic

Women identified with:
  • re-existing diabetes (including pre-conception) or newly diagnosed
  • Patients identified as Gestational Diabetic by either SGTT/FGTT will be seen at this clinic as per protocol.
  • Other endocrine disorders
Women with pre-existing diabetes or newly diagnosed GDM should be referred by GP directly to Diabetic Centre (Phone: 9515 5888 or Fax: 9515 5820). These women can be seen prior to their first antenatal hospital appointment.

Fetal Medicine:
Antenatal Assessment Unit

Offered as an outpatient service.

An antenatal assessment comprises: Urinalysis, PET bloods, 3 x blood pressure readings at 1 hr intervals, CTG (>28 weeks), USS - either Growth & Wellbeing or Wellbeing, Medical review.

Follow the steps below for booking:
  1. Contact Fetal Medicine Unit on 9515 8258.
  2. Complete pathology form (mark urgent) and arrange blood collection prior to assessment.
  3. Complete ultrasound/CTG form (include referring doctor and type of USS, if required) and give to patient.
  4. Patient to bring antenatal record card, ultrasound/CTG referral and Medicare card to FMU at time of appointment.

Genetics Service

Women identified with:
  • Personal or family history of genetic conditions (e.g. mental retardation, consanguinity, cystic fibrosis)
  • Chromosomal disorders (e.g. trisomy, translocations)
  • Congenital abnormalities or physical malformations
  • Personal or family history of genetic haematology conditions (e.g. thalassemia, sickle cell disease, haemophilia, coagulation or platelet disorders)
Referral Form is required to be completed

Hypertensive/
Renal Disorders of Pregnancy Clinic (HDP)

Women identified with: 
  • Booking BP 140/90 or greater
  • Known renal disease
  • History of recurrent UTI’s in childhood or in pregnancy
  • History of essential /chronic hypertension
  • Previous pregnancy complicated by hypertension
  • Family history of eclampsia
  • Follow-up from hospital e.g. prescribed antihypertensives
When to admit:
  • symptomatic hypertension
  • biochemical abnormalities
  • neurological symptoms
  • pharmacological treatment refinement 

There are options for referral depending on clinical urgency:

  • Urgent: Day Stay Unit – same day
  • Semi-urgent: Day Stay Unit – ring O&G Registrar on call
  • Elective: next HDP Clinic

pdf Referral Form (336 KB) is required to be completed

Medical Obstetric Clinic

Women identified with:

Pre-pregnancy conditions
  • Anomalies- uterine, acquired, congenital
  • Pre-existing medical condition (other than hypertension or diabetes)
Previous pregnancy complications
  • 2nd trimester M/C, TOP or neonatal death 
  • Previous spontaneous pre-term delivery < 34 weeks,
  • no subsequent term delivery (these women need to be seen by 12 weeks to offer cervical assessment)
Current pregnancy
  • Complex fetal anomaly
  • Ante partum haemorrhage (APH)

All pregnant women satisfying one or more criteria will be transferred for review and/or management by this clinic.

pdf Referral Form (336 KB) is required to be completed

Perinatal Psychiatry Service Women identified with:
  • pre-existing mental illness or at risk of developing a perinatal mental health problem
Referral Form is required to be completed
Perinatal and Family
Support Clinic
Women identified with:
  • substance use risk for this pregnancy and/or other psychosocial issues
or women sharing care between RPA Women and Babies and AMS
Thyroid Antenatal Clinic Referral Form is required to be completed
Twin + pregnancies Women identified with: 
  • Twin + pregnancy
Women should be referred at the time of diagnosis or by 12 weeks. This allows maximum time for appropriate assessment, counselling and discussion of management (including consideration of multifetal reduction).
Young Parent’s Clinic Women identified:
  • Aged <21 years and/or vulnerable i.e. intellectual disability, social difficulties
pdf Referral Form (336 KB) is required to be completed

Specialist womens clinic

pdf Gynaecology Referral Form (333 KB)  is required to be completed. Fax referral to 9515 3454 ONLY. Women will be triaged into appropriate clinic upon referral. 

Note: Women requiring a Colposcopy should be refer to RPA Lifehouse NOT RPA Women and Babies.

ClinicServiceDay and time
Abnormal Uterine Bleeding Clinic Women with:
  • bleeding irregularities
  • post hysteroscopy follow up.

Wednesday AM

Endometriosis Clinic

Initial assessment of:

  • Endometriosis

Monday PM
once/month

Gynaecology Clinic

Women with:

  • pelvic masses
  • other noncancerous gynaecological conditions.

Monday PM
Wednesday PM 

Pelvic Floor

Initial assessment of:

  • pelvic floor weakness/prolapse
  • postnatal follow up of 3rd and 4th degree tears.

Friday AM
twice/month

Recurrent Miscarriage

Women who have had:

  • recurrent miscarriages (usually three or more)
  • previous stillbirth (one or more) who are pregnant.

Seeking pre-conception advice and investigations.

Tuesday PM
once/month

Specialist Contraception Clinic

GP referral or referral from other RPAH specialty units.

Women with:

  • complex medical conditions requiring contraceptive advice and management
  • requiring intrauterine device insertion that is not able to be undertaken in the community setting.

Tuesday PM

Canterbury Hospital

Women requiring complex or specialised care may be transferred to RPA Women and Babies. Contact Midwifery Unit Manager on 9787 0558 to discuss further.

Women with BMI >50 or weight ≥150kg, pre-existing Type 1 diabetes, MC twins or a major medical problem would be referred directly to RPA Women and Babies.

Routine Clinics

Clinic/ServicePurposeDay and time

Birth after Caesarean (BAC)

For women who have had a previous Caesarean Section for review for possible vaginal birth.

BAC Education Sessions are available and women can be seen by a specialist BAC midwife

Thursday AM, PM
Friday AM  

Monday PM (fortnightly)

Doctors Clinic (RMO, SRMO, VMO)

Women with low risk pregnancies are referred to this clinic for obstetric review and confirmation of care option for the remainder of their pregnancy.

GP ANSC patients are seen at 41 weeks or as required clinically.

Monday AM

Wednesday AM (Arabic and Bengali interpreter available)

Thursday AM

Endocrine Clinic

Women identified with:
  • pre-existing Type 1 diabetes (including pre-conception) should be referred directly to RPA Diabetic Centre ph. 9515 5888  Fax:9515 5820
  • Women newly diagnosed as GDM or " Diabetes Mellitus in pregnancy" as per protocol.

Referral Form is required to be completed and Fax 9787 0431 

  • Women newly diagnosed with Thyroid issues in preganncy as per protocol 

Referral Form is required to be completed and Fax 9787 0431 

Wednesday AM, PM

GDM Education Clinic

Small group education for women newly diagnosed with GDM facilitated by Diabetes Educator and Dietitian

Low risk women with well controlled GDM may be seen by the Low Risk Midwife after inital consultation with the Endocrinologist  

Friday AM

Genetics Service

Women identified with:
  • Personal or family history of genetic conditions
  • Consanguinity
  • Chromosomal disorders (e.g. trisomy, translocations)
  • Congenital abnormalities ( eg cystic fibrosis) or physical malformations
  • Personal or family history of genetic haematology conditions (e.g. thalassaemia, sickle cell disease, haemophilia, coagulation or platelet disorders)
Referral Form is required to be completed

Referrals to RPAH 

Tuesday PM once/month (non-urgent ) 

Urgent Prenatal referrals contact
RPAH Ph: 9515 5080 

Midwives Clinic

Includes antenatal booking visit. Low risk antenatal women are encouraged to attend. Women are seen by a medical practitioner in the "Doctors Clinic" at least once during pregnancy. 

Midwives will see the ANSC women at 30 and 37 weeks gestation unless there is a clinical need for them to see a doctor.

Monday PM
Tuesday AM, PM
Wednesday PM
Thursday AM
Friday AM, PM

Preconception – Endocrine Clinic

Preconception advice for women with pre-existing diabetes, thyroid conditions, polycystic ovaries.

Outpatient Clinic

Midwifery Group Practice  This is a continuity of care model were the woman has her antenatal, intrapartum and postnatal care provided by a small group of midwives. Women will be referred for medical review if clinically indicated  

 

 

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