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 and some specialist clinics may require additional referral forms 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. Woman should contact the hospital to arrange this appointment after their first GP visit.

GPs should discuss the various pdf models of antenatal care (210 KB) and pregnancy pathway based on a woman's individual needs.

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 and do not have to wait until their first hospital "booking in" appointment. These women should be referred promptly to the hospital antenatal clinic (ANC) for triage. The ANC will determine the timing and clinic allocation.

There may be specific indications for discussion, consultation and/or transfer of care when first discussing a woman’s needs during initial visits. These indications are outlined in the National Midwifery Guidelines for Consultation and Referral. These cover medical conditions, pre-existing gynaecological disorders, previous obstetric history and indications developed during pregnancy. The main purpose of the indication list is to provide a guide for risk-selection.

How to refer a woman

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

Canterbury Hospital - Low risk pregnancy
Canterbury Hospital - Early or high risk pregnancy
RPA Women and Babies - Low risk pregnancy
RPA Women and Babies - Early or high risk pregnancy
RPA Birth Centre
Midwifery Group Practice - RPA 9515 8864, Canterbury 0467 721 622
Concord Hospital Midwifery Group Practice. New service commencing April 2021. See GP referral form below for more details. (02) 9767-9021.

Suitability for antenatal shared care

GP ANSC is an option of antenatal care for all women who have been assessed by the hospital as healthy and with a low risk pregnancy. It is the hospital’s responsibility to establish a woman’s suitability for this model of care.

Women will be triaged at their hospital booking in appointment according to their risk of developing pregnancy complications.Women triaged as Category A “low risk”, will see a midwife or ANSC GP for their second visit according to their model of care. Women triaged as Category B or C may require a 2^nd hospital visit to determine responsibility of care.

Recognised ANSC GP will receive a letter from the relevant hospital confirming this ongoing model of care.

Please reinforce with Practice Staff that women who have opted for GP ANSC must have ALL scheduled antenatal visits attended by the Recognised ANSC GP. If ANSC GP is away, the woman should be seen by another Recognised ANSC within the practice or referred to the hospital for the scheduled visit.

Antenatal Record Cards

RPA Women and Babies and Canterbury Hospital will now be using the NSW Health Antenatal Record Card. These cards can be ordered through Stream Solutions.

Antenatal Yellow Cards (Product Code: NH612060), free of charge

Stream Solutions do have a minimum order requirement and will charge postage and handling costs. Minimum order is 1 pack = 250 cards P&H costs = $16.50 (incl gst). 1-2 packs ( 250-500 cards) = $16.50 , 3-4 packs (750-1000) = $33.00

Please contact Stream Solutions on 1300 786 075 / 02 8398 2660 or email streamnswh_sales@stream.net.au to order cards.

Canterbury Hospital - low risk pregnancy

Step	Action required	Required 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 early 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: Antenatal "yellow" record card pdf (109 KB) pdf Obstetric Referral Form (451 KB) . A clinical software summary can accompany this form 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 Obstetric Referral Form	Woman

RPA Women and Babies - low risk pregnancy

In response to COVID- 19 . #Completed Obstetric Referral Form + relevant results must be FAXED to ANC (9515 3454) prior to first hospital booking in appointment

Step	Action required	Required by
1	Check if the woman lives within the hospital postcode boundary.	GP or woman
2	Complete the on-line interactive booking form. NB This is a request for booking in appointment. It is not a referral form and should be completed by all women regardless of any risk factors	GP or woman
3	Assess if the woman has identifiable risk factors and needs to be referred for early 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: # Antenatal "yellow" record card Obstetric Referral Form. This must be completed to commence antenatal care. A clinical software summary can accompany this form In response to COVID- 19 . #Completed Obstetric Referral Form + relevant results and/or clinical software summary must be FAXED to ANC (9515 3454) prior to first hospital booking in appointment	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

RPA Birth Centre

Women should contact the Birth Centre directly on ph. 9515 6405 ( Mon- Fri 8.00am- 4.00pm) to arrange first information session.

In response to COVID- 19 . Completed GP Referral letter + relevant results must be FAXED to BC (9515 6791) prior to first Birth Centre appointment

Canterbury Hospital - early or high risk pregnancy

Step	Action required	Required 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 pdf Obstetric Referral Form (451 KB) . This must be completed to commence antenatal care. A clinical software summary can accompany this form. Ensure adequate clinical information is documented. This should include: Reason for referral Weeks gestation /EDB - to assist with triage urgency Parity and 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 Obstetric Referral Form 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, contact relevant hospital O&G registrar on call or contact GP Liaison Midwife (0425 230 662

RPA Women and Babies - early or urgent high risk pregnancy

Step	Action required	Required by
1	Check if the woman lives within the hospital postcode boundary.	GP or woman
2	Complete the on-line interactive hospital booking form. NB This is a request for a booking in appointment. It is not a referral form and should be completed for all women regardless of any risk factors	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) . This must be completed to commence antenatal care. A clinical software summary can accompany this form Ensure adequate clincial information is documented. This should include: Reason for referral Weeks gestation/EDB - to assist with triage urgency Parity and 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, contact hospital's O&G Registrar on call or contact GP Liaison Midwife ph. 0425 230 662

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)

Antenatal Record Cards

RPA Women and Babies and Canterbury Hospital will now be using the NSW Health Antenatal Record Card. These cards can be ordered through Stream Solutions.

Antenatal Yellow Cards (Product Code: NH612060), free of charge

Stream Solutions do have a minimum order requirement and will charge postage and handling costs. Minimum order is 1 pack = 250 cards P&H costs = $16.50 (incl gst)

Please contact Stream Solutions on 1300 786 075 / 02 8398 2660 or email StreamDirectHelpdesk@stream.net.au or streampmunswh@stream.net.au to place order.

RPA Women and Babies

Form	PDF	Best Practice template	Medical Director template
First Antenatal Appointment : Booking In Form NB This is a request for "booking in appointment " only . It is not a GP referral form . All women are require to have an Obstetric Referral Form completed by GP ) To be completed to arrange First Hospital "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
Obstetrics Referral Form (RPA Women and Babies) A clinical software summary can accompany this form To be completed by GP: For routine obstetrics: women to bring form with her to first hospital visit. In response to COVID- 19 . Completed Obstetric Referral Form + relevant results and/or clinical summary must be FAXED to ANC (9515 3454) prior to first hospital booking in appointment For early or urgent high-risk obstetrics: Fax referral to ANC 9515 3454 to arrange review. All early or urgent high risk referrals will be triaged by ANC and the hospital will determine the timing and allocation to specialist clinic . Ensure adequate clinical information is documented including reason for referral, weeks gestation /EDB, parity and previous obstetric history, gynaecological and/or medical conditions. Note this is a standardised referral form to commence antenatal care. It is not the hospital booking in form. For hospital bookings, women are required to complete the First Antenatal Visit On-line Booking Form (as above)
Ultrasound and Fetal Medicine Referral Form ( RPA Women and Babies) To be completed by GP for all ultrasounds and prenatal screening requests For administration requests/follow-up, FMU can be contacted at: rpafmu@health.nsw.gov.au	(Aug 20)
Gynaecology Referral Form FAX ONLY: 9515 3454 Appointments are triaged into appropriate clinic upon referral
RPA Pathology Form – Combined First Trimester Screening To be completed by GP together with Ultrasound and Fetal Medicine Referral Form ( for U/S) to arrange First Trimester Screening
Reproductive Medicine Clinic Fax referral to DREI 9515 7976
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
Antenatal Thyroid Clinic Referral Form		-	-
Clinical Genetics/Medical Genomics Referral Form
EPAS Referral Form
Hepatitis B Referral Form
Hepatitis C referral Form
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

Canterbury Hospital

Form	PDF	Best Practice template	Medical Director template
Obstetric Referral Form A clinical software summary can accompany this form 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 9787 0431 for review All early or urgent high risk referrals will be triaged by ANC and the hospital will determine the timing of review appointment. Ensure adequate clinical information is documented including reason for referral, weeks gestation /EDB, parity and previous obstetric history, gynaecological and/or medical conditions.
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
Other
St John of God Free Medicare Funded Psychiatric Service . The clinic provides short term assessment, therapy, and treatment plan. The woman is referred back to the GP for ongoing management. This clinic is designed for low income families and requires that the GP means test the patient prior to referral

Concord Hospital

Form	PDF	Best Practice template	Medical Director template
Midwifery Group Practice GP Referral Form This service is available to women living in the SLHD region with a low-risk pregnancy. Women will give birth at either RPA Women and Babies or Canterbury Hospital. Advise patients to call the service on (02) 9767-9021 to book an appointment Referral form to be completed by GP Give the patient a copy of the referral form along with copies of recent relevant investigations and pathology to bring with her to first hospital visit This is a popular model of care with limited capacity at any given time. For this reason, patients desiring this model of care should contact the service as soon as the pregnancy is confirmed to increase their chances of obtaining a position. For further queries about the program, please contact the service on (02) 9767-9021.

Form

PDF

Best Practice template

Medical Director template

Midwifery Group Practice GP Referral Form

This service is available to women living in the SLHD region with a low-risk pregnancy. Women will give birth at either RPA Women and Babies or Canterbury Hospital.

Advise patients to call the service on (02) 9767-9021 to book an appointment
Referral form to be completed by GP
Give the patient a copy of the referral form along with copies of recent relevant investigations and pathology to bring with her to first hospital visit

This is a popular model of care with limited capacity at any given time. For this reason, patients desiring this model of care should contact the service as soon as the pregnancy is confirmed to increase their chances of obtaining a position.

For further queries about the program, please contact the service on (02) 9767-9021.

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	SYDENHAM	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 (274 KB)

RPA Women and Babies

Clinic/Service	Phone	Fax	Pager (Call 95156111 to page)	Referral Form
Antenatal Clinic (ANC) The ANC serves as the centralised intake for a number of specialty clinics, including: Antenatal Diabetes Clinic Birth after Caesarean Clinic (BAC) Hypertensive/Renal disorders of Pregnancy Clinic Medical Obstetrics Clinics (MOC) Midwives Antenatal Clinic Perinatal and Family Support Clinic (PAF) Registrars Antenatal Clinic Twin Plus Pregnancies Clinics Young Parents Clinic If you wish to refer a woman to a specific specialty clinic, please indicate on the Obstetric Referral Form. The ANC will arrange further referral as required	95157101	95153454 (early/urgent referrals) 95157452 (faxing results)		On-line Booking Form to arrange first hospital appointment pdf Obstetric Referral Form (336 KB)
ANSC GP Liaision Midwife (Clare Jordan) - For clinical questions and concerns.	0425230662
Aboriginal Liaison Midwife ( Mon-Thurs)	95156586 0436649008 (Rowena Lee)		# 87292
Birth Centre	95156405 ( Mon- Fri 8.00am-4.00pm)	9515 6791
Midwifery Group Practice	95158864
Delivery Ward General Enquiries Direct Line for GPs	95158420 95158444
Diabetes Centre	95155888	95155820
Genetic Counselling	95155080	95155490		pdf Referral Form (77 KB)
Gynaecology Clinic	95157101	95153454 ONLY		document Referral Form (46 KB)
Early Pregnancy Assessment Service (EPAS) (< 20 weeks pregnant)	0429728608 (Advice line for GPs ONLY) (Mon-Sun 8.00-4.00pm)			Referral Form
Fetal Medicine Unit (Ultrasound Dept) cFTS, NIPT, CVS, Amniocentesis, Ultrasound rpafmu@health.nsw.gov.au	95156042	95156579		pdf Referral Form (298 KB)
Hepatitis B (HBV)	95156228	95155182
Hepatitis C (HCV)	95157049	95155182
Lactation Consultant	95158422
Midwifery Unit Manager	95157935
Midwives Desk	95158090 (msg bank)
Parent Education	95155284
Perinatal Mental Health	95155873			Referral Form
Physiotherapy	95159853	95159751		pdf Referral Form (77 KB)
Sexual Health Clinic	95153131
Social Work	95156616
Thyroid Clinic	95157225	95158728		document Referral Form (180 KB)

Canterbury Hospital

Clinic/Service	Phone	Fax	Pager (Call 9787 0000 to page)
GP Liaison Midwife	0425230662
Faxing results to ANC		97870431
Antenatal appointment bookings	97870250 97870560			pdf Obstetric Referral Form (451 KB)
Birthing Unit	97870555 97870554
Midwifery Group Practice	0467721622
Diabetes Educator CNC	97870248
Midwife Practitioner	97870572		# 82220
Midwifery Unit Manager	97870577		# 81569
Midwives Desk	97870183
Perinatal Mental Health	97870000		# 82062
Social Work	97870121

Hospital clinics and services

All referrals for specialist consults should be first referred to antenatal clinic (ANC). The ANC will triaged referrals 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
Weeks gestation/EDB to assist triage
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	Purpose	Day and time
Antenatal Booking Clinic	This clinic is the first contact women have with the hospital. Women will be triaged according to their current clinical risk utilising the National Midwifery Referral Guidelines. Women triaged as Category A "low risk", will either see a midwife or ANSC GP for routine second visit ~ 20-22 weeks. Women triaged as Category B or C may require a 2nd visit to determine responsibility of care.	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. GP ANSC women are seen at 30 weeks.	Monday, Tuesday, Wednesday, Thursday, Friday and Saturday
Registrars Antenatal Clinic	GP ANSC patients are seen at 37 and 41 weeks or as required clinically. Women with a breech presentation detected at 36-37 weeks are referred to breech clinic directly for review to discuss external cephalic version (ECV)/ birth options with Obstetrician and CMC.	Monday AM Wednesday AM Thursday PM
VMO Visit Clinic	Women triaged as Category B or C from Booking Visit are referred to this clinic from Booking visit for obstetric review. Confirmation of care option for the remainder of their pregnancy	Monday AM/PM Wednesday PM Thursday PM

Specialist pregnancy related clinics and services

Clinic/Service	Purpose
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.
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: Contact Fetal Medicine Unit on 9515 8258. Complete pathology form (mark urgent) and arrange blood collection prior to assessment. Complete ultrasound/CTG form (include referring doctor and type of USS, if required) and give to patient. 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. Pre-conception assessment is available for women who have have pre-existing conditions outlined above or women who have experienced previous poor pregnancy outcomes. Referrals will be triaged. pdf Referral Form (336 KB) must be completed and faxed to 9515 3454.
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.

Clinic	Service	Day 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 3^rd 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 0577 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/Service	Purpose	Day and time
Antenatal Booking Clinic	This clinic is generally the first contcat women have with the hopsital. Women will be triaged according to their current clinical risk utilising the National Midwifery Referral Guidelines. Women triaged as Category A: ‘low risk’ will have either midwifery or ANSC model of care. If Midwife care, the woman will see a midwife for routine second visit 20 – 22wks. If ANSC, the women will see an obstetrician for 2^nd antenatal visit. Women triaged as Category B or C will require an obstetrician for 2^nd antenatal visit to determine a management plan and responsibility of care
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 Antenatal Clinic (O&G Staff specilaists, RMO, SRMO, VMO, Registrars)	Women triaged Category A/B , B B/C & C are seen through these clinic. Review and assessment of responsibiity of care at 2nd visits by Obstetrician. Futher discussion ~ 36 weeks if women has had a previous Caesarean and is wanting a vaginal birth by senior obstetrician. Consents for elective C/S. ANSC women are reviewed at 40-41 weeks or as clinicalled required.	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
Diabetes Education Clinic	Small group education for women newly diagnosed and those with pre-existing diabetes. These must be prior booked and will be arranged following processing of the endocrine referral form and results	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 Urgent Prenatal referrals contact RPAH Ph: 9515 5080
Midwives Clinic	Low risk antenatal clinic. ANSC women are seen by midwife at 30 and 37 weeks hospital visit during routine doctors clinic (to utilise the variety of interpreters)	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

Antenatal Shared Care (ANSC)

Bookings, referral process and contacts

How to refer a woman

Suitability for antenatal shared care

Antenatal Record Cards

Canterbury Hospital - low risk pregnancy

RPA Women and Babies - low risk pregnancy

RPA Birth Centre

Canterbury Hospital - early or high risk pregnancy

RPA Women and Babies - early or urgent high risk pregnancy

Antenatal Record Cards

RPA Women and Babies

Canterbury Hospital

Other

Concord Hospital

Maternity bookings within Sydney Local Health District (SLHD)

Maternity bookings external to SLHD

RPA Women and Babies referral postcodes

Suburbs (A-D)

Suburbs (E-N)

Suburbs (P-Z)

Canterbury Hospital referral postcodes

Suburbs (A-D)

Suburbs (E-N)

Suburbs (P-Z)

RPA Women and Babies

Canterbury Hospital

Routine clinics

Specialist pregnancy related clinics and services

Specialist womens clinic

Canterbury Hospital

Routine Clinics