ANSC July Update: RPA Women and Babies/Canterbury Hospital

Changes to referral pathways to RPA Antenatal Thyroid Clinic

Referrals to the RPA Thyroid Clinic will now use a cut-off TSH ≥ 4mIU/L. Further information regarding revised referral criteria is outlined in the document updated guidelines and flowchart (390 KB) . A modified document referral form (180 KB) has been created with both MD and BP templates available shortly.

Combined First Trimester Screening (cFTS) - Timing and process for blood collection

As previously advised, RPA women and Babies has introduced changes in the timing and process for blood collection for women undertaking Combined First Trimester screening at RPA Hospital.

NB: Referrals for blood collection need to be requested on the specific pdf RPA Pathology Form (157 KB) (MD and BP template available) and the blood must be collected at an RPA Pathology Centre. Canterbury patients may have blood collected (requested on same form) at Canterbury Hospital Pathology Department.

Blood can be collected from 10 weeks until three days prior to ultrasound appointment. These processes have been introduced is to ensure that results will be available to the woman at the time of her ultrasound appointment.

Information pertaining to these changes was outlined in the pdf memo (663 KB) from Dr Ritu Mogra and Professor Jon Hyett included in the May ANSC eNewsletter.

Phasing out of obstetric second visit for 'low risk' women at RPA Women and Babies

As of Monday 2 July 2018, any woman who is identified as being at ‘low risk’ for developing pregnancy complications will no longer require a second visit with an obstetric medical officer (scheduled ~ 20-22 weeks).

Following the hospital booking in an appointment with a midwife, women in this ‘low risk’ group will be triaged as ‘Category A’ in accordance with the National Midwifery Guidelines for Consultation and Referral.

Depending on the preferred model of care, women triaged as Category A should see their midwife or shared care GP for routine antenatal care in place of the second visit and then continue the usual schedule of appointments for antenatal care. In the event that any complications develop, the woman’s category may change and consultation and referral will be required (see document Determining need for second visit Flow Chart (57 KB) ).

ANSC GPs will continue to be notified by the hospital of the woman’s preferred option of care and the schedule of antenatal visits. This will occur once a woman’s booking and category have been checked and confirmed.

An updated ANSC Protocol including this change will be available shortly.