Resources for general practitioners

GPs participating in the ANSC program are offered resources to promote consistent care for GP shared care patients.

GP Antenatal Shared Care Protocol

The GP Antenatal Shared Care Protocol is intended as a guide for general practitioners participating in the St George and Sutherland Antenatal Shared Care (ANSC) Program. GPs participating in the ANSC program will be expected to adhere to the agreed guidelines as outlined in the GP Antenatal Shared Care Protocol when caring for their antenatal shared care patients.

  pdf St George and Sutherland GP ANSC protocol (829 KB) (Dec 2018)
document pdf text St George and Sutherland GP ANSC pdf summary protocol (310 KB)
  document Hypertension policy update September 2017
(55 KB)
Anaemia in pregnancy

Breastfeeding and infant feeding

document pdf text  pdf Breastfeeding education and support (27 KB)
document pdf text NHMRC infant feeding guidelines 2012: comprehensive guidelines for health workers recommending breastfeeding and infant feeding
external link Search for a Certified Lactation Consultant: Lactation Consultants Association of Australia and New Zealand (LCANZ)

Fetal movements

Regular enquiry about fetal movements is an important aspect of ascertaining fetal wellbeing.

Decreased fetal movements in the third trimester: Guidelines - Ministry of Health NSW
external link PSANZ Stillbirth and Neonatal Death Alliance - Resources for both health professionals and women
external link Pregnancy - your baby's movements and what they mean - English language brochure
external link Fetal movement count - resources in languages other than English
Perinatal mental health

Screening and assessment screening tools: Psychosocial risk assessment (ANRQ/PNRQ) and assessment of depression and axiety (EPDS) includes D&A, D&FV questions 

The Edinburgh Postnatal Depression Scale - this is not a diagnostic tool and should be used in conjunction with clinical assessment

pdf The Edinburgh Postnatal Depression Scale translated and validated for 18 languages (4.00 MB)

Clinical Practice Guidelines for Mental Health Care in the Perinatal Period (October 2017)

external link Perinatal depression and anxiety: A guide for primary health care professionals - beyondblue (2016)
external link beyondblue - provides access to a variety of information regarding perinatal mental health

Psychological Support Services (PSS)

PSS provides FREE short term face-to-face psychological services to people living in the CESPHN region. Priority groups include women experiencing perinatal depression from conception to 12 months after birth.

For more information visit our PSS page or phone 9330 9999.

For dads

external link sms4dads - A free service that delivers three texts each week with tips, information and links to other services to help fathers understand and connect with their baby, support their partner and monitor their wellbeing. 
external link Dadvice - Beyond Blue tips, practical advice and support for fathers. 

Prenatal screening

external link Search for certified operators to perform nuchal translucency ultrasound scans - RANZCOG Nuchal Translucency: Ultrasound, education and monitoring program
external link First Trimester Sceening Learning Module: NSW Centre For Genetics: On-line education module 
document pdf text  pdf Thalassaemia screening in pregnancy
(503 KB)
Haemoglobin EPG screening flowchart 2015

Additional information on a range of genetic matters can be accessed from the NSW Health Centre for Genetics Education and the National Health and Medical Research Council - NHMRC.

Translated material regarding genetics, prenatal testing and pregnancy are located at the Multicultural Health Communication Service - NSW Health.

Translated information

Translated material regarding pregnancy related issues can be located at NSW Health: Multicultural Health Communication Sevice. Information available include maternity care options, planning a pregnancy, caring for a baby at home and depression during pregnancy and early parenthood.

Vaccinations and pregnancy

Pre pregnancy information

Women planning pregnancy should have their vaccination needs assessed as part of any pre-conception health check. In particular, consider vaccination for:

  • hepatitis B
  • measles
  • mumps
  • rubella
  • varicella

Influenza vaccination during pregnancy

Vaccination remains the best protection pregnant women and their newborn babies have against influenza. 

Influenza vaccination is available free to pregnant women on the National Immunisation Program. Pregnant women can have the vaccine at any time during pregnancy and they benefit from it all through the year. 

Influenza can be a serious disease, especially when you are pregnant. If you have influenza during pregnancy, you are at much higher risk than other adults of complications and possible hospitalisation. Immunisation not only protects you but also your baby. Babies under 6 months are too young to be vaccinated themselves but are at high risk of serious complications if they catch the virus. Influenza infection during pregnancy can lead to premature delivery and even death in newborns and very young babies.

The influenza vaccine is free for pregnant women as part of the National Immunisation Program (NIP).

The influenza vaccine is recommended during every pregnancy and at any stage of your pregnancy. 

Further Information:

For health professionals:

For pregnant women:

Pertussis vaccination during pregnancy

Vaccination remains the best protection pregnant women and their newborn babies have against whooping cough (pertussis).

In NSW, whooping cough vaccine is available free for pregnant women. The evidence around the timing of pertussis vaccination in pregnancy has recently been reviewed and the pertussis-containing vaccine is now recommended as a single dose between 20 and 32 weeks in each pregnancy (mid 2nd trimester to early 3rd trimester), including pregnancies that are closely spaced to provide maximal protection to each infant. This advice is reflected in the Australian Immunisation Handbook - pertussis chapter.

The vaccine should be given as early as possible (from 20 weeks) to women who have been identified as being at high risk of early delivery. It is available through antenatal clinics, general practitioners (GPs) and Aboriginal Medical Services (AMSs).

International studies have found that whooping cough vaccination during pregnancy is safe and effective for both the mother and baby. Vaccination is best given at 20-32 weeks to provide time for antibodies to be produced and passed on to the baby to provide protection until baby is able to have its own vaccinations from 6 weeks of age. Babies less than six months of age are at greatest risk of severe disease and death from pertussis. Maternal antibodies against pertussis provide protection to babies until they have received at least two doses of pertussis containing vaccines (at six weeks and four months of age).

Family members and carers who will have close contact with babies in their first weeks of life should receive a whooping cough vaccine, either from an appropriately trained pharmacist or on prescription from a GP, at least two weeks before having contact with the baby unless they have received a dose in the previous 10 years and all children should be up to date with their vaccinations.

Further Information

 Health professionals:

For pregnant women:

Childhood vaccinations

For more information see Immunisation for children (Department of Health)

 

 

 

Education options

external link First trimester screening training module
Developed by Centre for Genetics Education, Royal North Shore Hospital and the Royal Australian College of GPs. It is an online training module and you will receive CPD points as well as Antenatal Shared Care Points.

external link RACGP Courses
There are a number of face to face and online courses on the RACGP website that you can complete that can earn you both CPD points and Antenatal Shared Care Points. We just ask that the course that you complete has a component of Antenatal education included in them. Some suggested topics include pre-eclampsia and hypertension in pregnancy, common conditions in pregnancy, gestational diabetes, and miscarriage. If you are unsure whether the course is suitable please call Jane Miller on 9330 9943.

external link Think GP
If you do complete any other online courses please send any relevant documentation through to Jane Miller to receive your Antenatal points.

For health professionals:

2018 Influenza vaccination in pregnancy – Information for Health Care Professionals
For pregnant women:

2018 Influenza vaccination in pregnancy – free flu shots
2018 Influenza vaccination in pregnancy – part of good pregnancy care