ANSC June Update: St George and Sutherland Hospitals

 

Early Pregnancy Assessment Service (EPAS) 

Due to building work at the hospital, the EPAS service and Gynaecology ward have temporarily re-located to:

4 North, Ward Tower Block, St George Hospital

Signs have been posted in the lift and foyer area for patient information. It is anticipated that the building works will be completed within six months.

 

 Antenatal glucose testing

All women are to have a 75g OGTT during pregnancy. For women at high risk of GDM, screen in early pregnancy and at 26-28wks if normal in early pregnancy. Please refer to the GDM screening, diagnosis and referral flowchart for risk factors.

ANSC women with GDM must be diet controlled with normal home blood glucose monitoring results. Please review results at every consultation and refer back to the Diabetes Centre and ANC for further review if not well controlled or patient is being managed with medication or insulin.

 

Hospital Bookings - Online Antenatal Appointment Form

St George and Sutherland Hospitals have an online ‘Antenatal Appointment Form’ for women to book for their pregnancy.

Please ask women to book for the hospital appointment as soon as they have confirmed their pregnancy and had booking blood tests completed.

St George - https://www.seslhd.health.nsw.gov.au/contact/antenatal_appointment_form

Sutherland - https://www.seslhd.health.nsw.gov.au/contact/antenatal_appointment_form_suthe

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.

 

Maintaining your recognition as an Antenatal Shared Care GP

As 2019 concludes the current 2017-2019 RACGP triennium, GPs are reminded that to remain a recognised ANSC GP they are required to accrue at least 12 Category 2 points over this period.

These educational activities can be completed as face-to-face (CESPHN or external) or on-line activities.

Click here to view 2019 CESPHN Maternal Health events

Click here to view relevant on-line activities

Please note, CESPHN does not have access to individual GPs RACGP CPD statement, therefore confirmation of any external or on-line activities need to be forwarded to CESPHN for our records. Please contact Lauren Thomas, Maternal Health CPD Officer to clarify your CPD point status and/or to forward copies of completion certificates or your RACGP CPD credit statement.

 

GP reminders

The blood group antibody screen is to be completed at the booking and 28wk pathology as per the ANSC Protocol and in relevant HealthPathways.

Following a morphology ultrasound report of a low lying placenta (≤2cm from cervix), a repeat ultrasound is to be arranged at 32-36wk of pregnancy. If the placenta remains low, refer the woman back to ANC for discussion regarding mode of delivery.

 

Fetal movements

Fetal movements can be described as anything from a kick, flutter, poke, roll, sweep or squirm.

Encourage your woman to get to know her baby’s strength and pattern of movements. Encourage her to trust her instincts and call the hospital for advice if any changes occur. These could be frantic, excessive movements or lessened or softer movements. Remember that movements change in late pregnancy from kicks to rolls or squirms, but the frequency should remain the same.

Advise your woman to settle to sleep on either side from 28weeks. If she wakes on her back, don’t worry, just settle back to sleep on her side.

A video and factsheet translated into over 15 languages in available at:

Movements Matter

 

Increasing a woman’s supply of breastmilk

Breastmilk supply is a common cause of concern for new mothers. Gain a detailed history of the feeding schedule, baby output, previous success, partner/family support, emotional health, nipple damage.

Advice for the woman can be found on the CESPHN website. Consider referral to:

Hospital lactation service

Local Child and Family Health clinics - St George area and Sutherland Shire area

Australian Breastfeeding Association Helpline on 1800 686 268 (24 hours a day and free)

• Private Lactation consultant https://www.lcanz.org/find-a-lactation-consultant/

• Or check back of Bluebook for resources.