ANSC May Update: RPA Women and Babies/Canterbury Hospital

RPA Women and Babies – Changes in Combined First Trimester aneuploidy and pre-eclampsia screening and provision of Non-Invasive Prenatal Testing (NIPT)

RPA will be introducing some changes in their aneuploidy/pre-eclampsia screening including:

  • addition of a third biochemical marker for combined first trimester screening;
  • timing and process for blood collection for first trimester serology;
  • delivery of first trimester screening results;
  • “contingent” model for Non-Invasive Prenatal Testing (NIPT) and service provision;
  • pre-eclampsia risk assessment

Information pertaining to these changes is outlined in the pdf memo (663 KB) from Dr Ritu Mogra and Professor Jon Hyett.

As outlined in the memo, there are a number of new and/or updated resources relating to RPA prenatal screening service which are listed below:

RPA Early Pregnancy Assessment Service (EPAS) - New phone service for referral advice

The RPA EPAS has recently commenced a new mobile phone service available for health professionals to contact if they require advice/guidance regarding referrals to EPAS.

There is no requirement to contact the service for every referral to EPAS, only if you require further advice or are particularly concerned about a woman you are referring.

EPAS Ph: 0429 728 608
Mon-Sun: 8.00am - 4.00pm

The service will be staffed by EPAS CMC’s Jean Flynn or Bithia O'Brien and will operate between the hours Mon-Sun: 8.00am- 4.00pm. Staff will not be able to receive calls while they are attending patients but will return calls as soon as possible.

Please note, this number is for health professionals only and not for patients seeking advice.

Criteria for contacting the EPAS CMC on the mobile phone:
  • Advice regarding women with pain or PV bleeding in early pregnancy <20 weeks 
  • Inform hospital that a woman with an ectopic pregnancy is coming into ED
  • Advice about whether an outside scan meets the criteria for a miscarriage or an intrauterine pregnancy of uncertain viability (IPUV)
  • Complications following:
    • Salpingectomy for an ectopic pregnancy
    • D&C for miscarriage
    • Medical management of miscarriage
    • Expectant management of miscarriage
  • Assistance with the latter stages of a pregnancy of unknown location (PUL) when it is unlikely that this is an ectopic pregnancy
  • Latter stages of management of methotrexate for an ectopic pregnancy/PUL
  • Short cervix on a morphology ultrasound scan
  • PV bleeding/PV discharge from 12 weeks to 19 weeks and 6 days

For all other non-early pregnancy/gynaelogical issues, please contact hospital O+G registrar on 9515 6111.

Additional EPAS Information:

For further information and referral criteria for EPAS, please visit HealthPathwaysEarly Pregnancy Assessment Service (EPAS) username: connected; password: healthcare

Hospital referrals for early or high risk pregnancy review

If you are referring a women for an early or high risk pregnancy review, please remember you are required to complete the Obstetric Referral Form (RPA Women and babies) or general GP referral letter (Canterbury) ensuring that adequate clinical information is documented, including:

  • 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

This referral form needs to be faxed to the relevant hospital antenatal clinic. All referrals will be triaged by the antenatal clinic. The hospital will determine the timing and allocation to the specialist clinic/s. This will ensure that all women are booked to commence their antenatal care.

Visit www.cesphn.org.au for a step-by-step process on how to "refer a woman" to each hospital facility.

Introduction of Reproductive Medicine Clinic - RPA Women and Babies

The Department of Reproductive Endocrinology & Infertility (DREI) will be modifying its service and introducing a Reproductive Medicine Clinic from May 2018.

Where: Women & Babies Ambulatory Care, Level 1

When: Friday evening - From 4 May 2018

The aim of this clinic is to provide a tertiary consultation service for:

  • Disorders of sexual differentiation (transition from paediatric services i.e. Sydney and Westmead Children’s hospitals);
  • Pubertal disorders (primary or transition from paediatrics) and adolescent gynaecology (age ≥ 16yrs);
  • Polycystic ovary syndrome;
  • Hirsuitism and virilization;
  • Amenorrhoea and oligomenorrhoea;
  • Other menstrual disorders;
  • Female and male oncofertility.

Clinic referral – fax completed pdf referral form (85 KB) to DREI 9515 7976. An appointment for the patient will be organised and the patient informed.

For contact information, please view this pdf letter (138 KB) from Dr Anthony Marren. 

Do you know about Sydney Local Health District (SLHD) Child Health Information Link?

The Child Health Information Link connects parents, carers and health professionals with child and family health services, information and resources on child health development in SLHD.

Find out information on how your patients and families can access the right service in regards to child health including Child and Family Health Nursing, Child Nutrition services, Community Paediatrics, OT, and Speech Pathology.

Child Health Information Link (CHIL)
Ph. 9562 5400
Monday- Friday 8.30am - 4.00pm
If interpreter service required ph. 9515 0030
https://www.slhd.nsw.gov.au/chil/

Visit SLHD Child & Family Health to find out information about its services and location including breastfeeding support, developmental and well-being checks.

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