ANSC October Update: St George and Sutherland Hospitals

Early Pregnancy Assessment Service, St George Hospital (EPAS) 

The EPAS service has returned to the Gynaecology ward at St George Hospital.

Time: Mon-Fri at 7.30am – 8.30 am please arrive on time

Location:

1 West Gynaecology ward

1st Floor Tower Block, Gray St entrance                                                                                         

Fax: 9113 3183 for ultrasound and blood results for woman to attend EPAS 

Anaemia in Pregnancy 

https://www.cesphn.org.au/news/latest-updates/2868-anaemia-in-pregnancy

The St George and Sutherland Hospitals protocol for management of anaemia outlines that the first line of treatment is with oral supplementation and an increase dietary iron and vitamin C. A follow-up blood review of FBC and ferritin levels after 4-6weeks should then be reviewed.  The use of an iron infusion should only be considered if the woman does not tolerate the medication or there has not been an increase in the blood results. The infusion process needs to be closely monitored within the hospital setting (usually the Ambulatory Care unit) followed by fetal surveillance in the Delivery Suite. Due to the risk of an adverse reaction, it is recommended that it is not performed in the community setting.

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. To assist with accruing your ANSC points, please view relevant online modules  or see these remaining events for 2019:

  • Click hereto register for RHW Obstetrics and Gynaecology Update on 9th November

If have completed external pregnancy-related CPD events, please forward a copy of your QICPD statement to Lauren Thomas at l.thomas@cesphn.com.au. Please also contact Lauren to check your current point status.  

In February 2020 any GP without the 12 points required will be removed from the list. Exceptions will only be given to GPs who registered within the last 18 months of the triennium.

Early pregnancy care? How to ensure you are providing up-to-date support and care

Most women will see a general practitioner to confirm their pregnancy. It is therefore important that all GPs, whether participating on a hospital GP ANSC program or not, are aware of current practice regarding early pregnancy care, available models of antenatal care and hospital booking in processes.

Ideally women should be having their hospital booking in appointment scheduled for ~ 12- 14 weeks gestation. Early antenatal care allows assessment of any conditions that may affect the pregnancy or the woman’s health and social and emotional wellbeing as well as an opportunity to discuss the woman’s preference for how her antenatal care is provided.

All GPs are recommended to familiarise themselves with HealthPathways “First antenatal consult” which provides comprehensive information and navigation regarding early pregnancy care and hospital booking in processes. Viewing this pathway will ensure you are providing the most up to date care for your patient.

For women planning delivery at St George or Sutherland Hospital or RHW - view South Eastern Sydney HealthPathways.

Only GPs actively participating on a hospital GP ANSC program will continue to provide collaborative antenatal care with a relevant hospital throughout a woman’s pregnancy upon assessment of risk factors and the woman’s wishes.

Not yet logged onto South Eastern Sydney HealthPathways? Use these details:

Username: sesydney

Password: healthcare

Reminders

 

  • All women are to have Antibody screen at 28wks regardless of Blood group.
  • Boostrix for women with a high risk for premature birth can be given from 20 weeks gestation.
  • ANSC women with GDM must be diet controlled with normal home blood glucose monitoring results. Please review results at every consultation and refer to the Diabetes Centre and ANC for further review if not well controlled or patient is being managed with medication or insulin.
  • FHR is monitored from 16wks gestation. All findings are recorded on the yellow antenatal record card, including fluvax and Boostrix vaccinations. Please remind your women to bring the card to all antenatal appointments