ANSC March Update: St George Hospital and Sutherland Hospitals

Bangladeshi and Nepali Cross Cultural Workers

We are very pleased to welcome and open referrals to our new Nepali and Bangladeshi Cross Cultural Workers in Maternity & Child & Family Health Services for St George & Sutherland:

  • Bandana Karki - Nepali Cross Cultural Worker
  • Rubina Huq - Bangladeshi Cross Cultural Worker

Bandana and Rubina’s roles are to:

  • Support and encourage women and families to access and maintain ongoing engagement through the continuum of maternity, child and family, and allied health services (until a child is 5 years of age)
  • Link women and families to pregnancy, child and family health services and community supports
  • Provide culturally appropriate information and education to women and their families, including language specific information, pregnancy and parenting programs.

Rubina and Bandana are available to receive referrals for the Nepali and Bangladeshi women and families you are working with, please find attached pdf interactive referral form (192 KB) .

Promotional fliers in pdf English (245 KB) , pdf Bangla (369 KB) and pdf Nepali (321 KB) are attached.

Please do not hesitate to contact Rubina or Bandana if you have any questions.

Antenatal bookings

Currently there is a wait time for an antenatal booking of 5-6 weeks at St George and 6-8 weeks at Sutherland.

Please advise the woman to make her booking appointment at the hospital ASAP.

Women booking for birth at Sutherland and St George Hospitals can now access an online antenatal booking service for both Sutherland Hospital and St George Hospital.

The woman will be sent a booking pack with the appointment letter and hospital information.

The current Centralised Booking System is still available on 9113 2162 or 13 14 50 for interpreter support. This is a queuing telephone system so wait times may apply.

Aspirin for the Prevention of Preeclampsia

High risk women need to start low dose Aspirin 150mg daily at night (half a ‘Solprin’), ideally prior to 16 weeks gestation.

There is no increase in bleeding complications for women on low dose Aspirin in pregnancy

Pregnant women considered to be at high risk of preeclampsia are those with:

  • Previous history of PE
  • Pre-existing diabetes (Type 1 or 2)
  • Antiphospholipid syndrome
  • Chronic hypertension
  • Chronic kidney disease

Other risk factors include:

  • BMI >30
  • Assisted Reproduction Therapy

Women with a combination of other risk factors: nulliparity, multiple pregnancy, family history of PE, obesity, age ≥40, can be considered for aspirin prophylaxis.

Aspirin may be ceased at 37 weeks but is safe to continue longer. 

GP reminders

Women must live in the SESLHD.

Encourage the woman to phone for her 1st antenatal booking as soon as she has confirmed her pregnancy. Ideally we would like to book this appointment for 12-14 weeks of pregnancy.

Please discuss/arrange NT and NIPT screening.

Please ensure all bloods are requested at booking including: Vit D, Ab screen for Rh positive women, HIV (informed consent only required for testing), VZ IgG

Ensure the yellow card is completed at all ANSC visits and results are recorded.

If a woman presents with an abnormal finding on palpation, ultrasound or blood results, please contact the medical staff in Delivery Suite immediately to establish follow-up care.

Women requiring Anti D to be given at 28 weeks need to have a copy of their current red cell antibody screen prior to administration in ANC.

Women with diet controlled GDM may remain on ANSC. Women who are medicated or on insulin must return to ANC for remainder of the pregnancy.

Upcoming professional development Tuesday 10th April ‘Breastfeeding and formula feeding: challenges and how to support families’

Come along to an evening tackling infant feeding issues with the following experienced clinicians from St George Hospital:

  • Kirstin Lock, Clinical Midwifery Consultant
  • Katelyn Vanos, Paediatric Speech Pathologist
  • Lauren Gladman, Paediatric Dietitian

4 ANSC point have been allocated to this event, which is being organised by Women’s and Children’s Health, St George Hospital and Central and Eastern Sydney PHN.