Royal Hospital for Women - ANSC newsletter update

9 April 2019 

New contact details for affiliation with RHW for GP shared care

All enquiries related to becoming affiliated with RHW to do GPSC are now to be directed to Jane Miller of Central and Eastern Sydney PHN. Jane’s details are as follows:

Jane Miller
Maternal and Child Health Program Officer (Monday and Wednesday)
Central and Eastern Sydney PHN
PH: 1300 986 991 ext 8643
j.miller@cesphn.com.au

GPSC Intake meeting for 2019 are as follows:
Saturday, 4 May 2019 and Saturday, 9 November 2019

New ANSC Liaison Midwife

Chantelle du Boisee is the newly appointed liaison midwife replacing Julie Davis. Chantelle has been a midwife at RHW for 20 years and has worked in various roles at the hospital including midwifery clinics within the GPSC program, postnatal ward, antenatal clinical midwifery educator and infection control.
Contact details are 9382 6016 or 0417 995 153
Or Email Chantelle.DuBoisee@health.nsw.gov.au

New antenatal schedule of visits

In alignment with the Clinical Practice Guidelines: Pregnancy Care, 2018 edition - there have been changes to the number of visits and the order in which women share their antenatal care between RHW and their GP. These will be effective from 1 January 2019.
Please refer to list below:

  • 6 - 12 weeks (GP)
  • Booking visit 14 – 16 weeks gestation (RHW)
  • 20 weeks (GP) *
  • 26 weeks (RHW)
  • 29 weeks (GP) *
  • 31 weeks (RHW) ANTI-D GIVEN TO RH NEGATIVE WOMEN
  • 34 weeks (GP)
  • 36 weeks (RHW) ANTI-D GIVEN TO RH NEGATIVE WOMEN
  • 38 weeks (GP)
  • 39 weeks onwards (RHW)
  • 6 weeks postpartum  (GP)

* Please remember to check results and act on them accordingly at these appointments – morphology results and blood results

New email address for RHW diabetes service 

Please use the NEW email address below to contact the RHW Diabetes Educator.

SESLHD-RoyalHospitalforWomen-DiabetesServices@health.nsw.gov.au

Please click here for the RHW easy to follow Flowchart for Screening, Diagnosis and Referral of Gestational Diabetes Mellitus (GDM).

Removal of RHW postcode cap

Please note there is no postcode cap for women wishing to birth at Royal Hospital for Women.

Women are accepted for antenatal care and delivery from all postcodes across Sydney.

The postcode cap was lifted in 2017.

The Antenatal Clinic can be contacted on 9382 6048.

Antenatal resources 

The following Antenatal resources are available to order through Stream Solutions.
Please contact Stream Solutions to set up an account on 1300 786 075 or via email StreamDirectHelpdesk@stream.net.au

Having a Baby book (Product Code: KF110001), free of charge
Antenatal Yellow Cards (Product Code: NH612060), free of charge
Antenatal Referral forms (Product Code: S0741). $24. 26 per pad

Stream Solutions do have a minimum order requirement and will charge a postage & handling fee.

Antenatal pathology and ultrasound screening 

When ordering antenatal blood screening please follow the RHW GPSC Protocol.

Mumps, Measles & Thyroid Function Tests are not routine antenatal bloods.

Only order Thyroid Function Tests if indicated, as per protocol summary

Antenatal blood screening needs to be done for current pregnancies. There have been a number of incidents recently whereby antenatal blood screening has not been ordered by the GP either because:

1. The woman has gone through IVF and antenatal bloods were done pre-pregnancy; or
2. The woman has had antenatal blood screening in a previous pregnancy which resulted in a miscarriage but then fell pregnant within 3 months of miscarriage.

Ensure that all antenatal bloods ordered are for the current pregnancy.

Provide referral for morphology ultrasound after review of early genetic screening.

A 12 week structural ultrasound is required in addition to NIPS.

Advise women to do 26 - 28 week bloods AFTER 26 weeks gestation

24 hour designated triage service within RHW birthing services 

Background / Rationale

We recognised a need for a triage system within our birthing service as we have a large number of women who present for clinical review or telephone for advice. Some of these women will have already been seen in the community and are being referred on for more specialist review; others are self-referrals with clinical concerns. In addition to these women we have labouring women to accommodate.

To safely meet the needs of all these women we require a triage process that allows prioritisation of the most urgent cases. Some women can be seen and assessed and referred to a less acute service, other may require admission. We receive a large number of phone calls for advice and at present there is no designated triage person to take these calls. This can lead to the same women speaking to different staff members if she calls 2-3 times within a few hours and potentially receiving inconsistent advice.

We also wish to prioritise our labouring women and ensure we have adequate delivery rooms available to manage our delivery suite efficiently. We are aiming for 1:1 midwifery care for women in labour. This will be more achievable if other clinical reviews are under taken by a separate team.

Clinical Care arrangements

  • A designated midwife will be allocated 24/7 to answer calls from pregnant women or other health care providers regarding acute obstetric concerns.
  • This midwife will also assess and triage women on their arrival to Delivery Suite.
  • One extra full time midwife per shift will be allocated for this position. This midwife will carry a mobile phone which will be dedicated to this purpose.
  • Medical staff will see women as required, after initial assessment by the midwife and according to established guidelines.
  • Women who have non urgent reasons for medical or midwifery review may be redirected to an outpatient clinic for review or to their nominated GPSC provider.

Expected benefits

  • Safer care for women through effective triage processes
  • More efficient flow of women through Birthing Services
  • Increased opportunity for core staff to provide 1:1 care in labour- including access to Birth Centre for more women
  • Consistency of advice to women who call DS for clinical advice

If you have any questions about this process please contact the triage no: 0439 869 035

Have your say - Cervical screening during the antenatal and postnatal periods 

You are invited to complete an online survey for a study from CESPHN, SESLHD and Cancer Institute NSW that aims to increase rates of participation in cervical screening of never screened and under screened women from priority populations during the antenatal and postnatal periods.

Click here to complete the survey or click here for more information.

 

 

 

 

 

 

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