ANSC August update: St George Hospital and Sutherland Hospital

  1. Early Pregnancy Assessment Service (EPAS)
  2. Maternity ward tours
  3. Update: new yellow card
  4. Sutherland Hospital update
  5. GP reminders
  6. Antenatal shared care CPD requirements
  7. Female genital mutilation/cutting (FGM/C) resources for clinicians
  8. Welcome to Keren David

Early Pregnancy Assessment Service (EPAS)

St George Hospital has an EPAS service Monday to Friday at 8am sharp. The location is the 1West Gynaecology ward. This is a drop in service, referrals are not required. Please bring blood or ultrasound results if available.

For Sutherland Hospital, all women are assessed by the O&G registrar in the Emergency Department.

Maternity ward tours

  • St George Hospital: Saturdays at 2:30pm, appointment required by calling 9113 2162, meet at Level 1 lifts, Gray Street entrance
  • Sutherland Hospital: Saturdays at 2:30pm, no appointment required, meet at Level 3 outside Maternity Unit door

Update: new yellow card

The yellow card has been updated to align with the most recent clinical guidance on screening, assessment and monitoring during pregnancy. This will be available soon. St George and Sutherland will continue to provide yellow cards to patients in their booking packs.

Sutherland Hospital update

A combined antenatal and diabetic clinic runs on Wednesdays in the Antenatal Clinic. This clinic incorporates obstetric and endocrine review, diabetes educator for dietary advice and a midwife for midwifery care. Women with GDM that are returning for antenatal care are advised to book in for this clinic. The 36 week check will be with a doctor in this clinic.

An antenatal education group for GDM women will be held on the first Wednesday of each month from 11am - 12pm in the Antenatal Clinic. No appointment is needed. In this group we will discuss EBM from 36/40 and give them all the information and equipment they will need. We will also talk about admission to delivery suite, access after-hours etc. and encourage them to attend a tour of the unit on Saturdays at 2:30pm. No appointment is needed.

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GP reminders

  • Women must live in the Kogarah, Hurstville, Rockdale or Sutherland municipalities to give birth at St George or Sutherland Hospital.
  • Complete and sign the back of the referral form and tick the hospital and ANSC. This is all that is required for booking referral.
  • Encourage the woman to phone for her first antenatal booking as soon as she has confirmed her pregnancy. Ideally we would like to schedule this appointment between 12-14 weeks of pregnancy.
  • Please arrange NT screening.
  • Ensure the yellow card is completed at all ANSC visits and results are recorded.
  • If a woman presents with an abnormal finding on palpation, ultrasound or blood results, please contact the medical staff in Delivery Suite immediately to establish follow-up care.
  • Women requiring Anti D to be given at 28 weeks need to have a copy of their current red cell antibody screen prior to administration.

Antenatal examination includes (access the current protocol online): 

  • BP
  • urinalysis (where indicated)
  • evidence of oedema
  • the foetal presentation after 26 weeks
  • the engagement of the head after 37 weeks
  • foetal heart rate - Doppler after 16 weeks
  • estimation of fundal height – Symphysial-fundal height to be measured after 20 weeks 

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Antenatal shared care CPD requirements

GPs are required to obtain at least 12 Category 2 points per triennium of approved antenatal training to maintain ANSC affiliation status. If you are unsure of your current point status, please email Belinda Ford or phone 9330 9938 and/or forward a copy of your RACGP QICPD credit statement, or evidence of attendance at RACGP approved pregnancy/post-natal related events and/or completion of online modules.

Female genital mutilation/cutting (FGM/C) resources for clinicians

Female genital mutilation/cutting (FGM/C) guidelines and educational resources are available on the NSW Office of Kids and Family website. These resources have been prepared to support clinicians provide appropriate antenatal care for women and families affected by FGM/C.

  • Guideline: Maternity-pregnancy and birthing care for women affected by female genital mutilation/cutting
  • Educational resource for clinicians (flipchart)

Welcome to Keren David

CESPHN are pleased to announce that we have a new staff member Keren David starting late in August who will provide ongoing support to the St George and Sutherland ANSC program. Keren can be reached via email or 8752 4967.

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