ANSC November Update: The Royal Hospital for Women

The RHW booking form: a tip on how to find it easily

Follow the steps below to create a shortcut on your computer to the RHW Antenatal Shared Care Booking form.

First, open the form.

Then, resize the browser so that you can see both desktop and browser.

RHW booking screenshot 1

Next, drag the small icon from the left of the address bar and place it on your desktop. This will create a shortcut to the RHW Booking form webpage, which you can access quickly and easily.

RHW booking screenshot 2

New credentialing requirements

The RHW ANSC credentialing requirements have recently been reviewed and updated in order to ensure all facets of the program meet the high standard of care expected within the Australian Healthcare Standards Framework and by the community.

The new credentialing process will occur twice a year to coincide with the May and November intake meetings that will be held during each calendar year. There will be no affiliation or credentialing approvals outside of these scheduled intake sessions.

The updated requirements are effective as of 2 November 2016, and all GPs currently affiliated or newly recognised within the program will need to comply with these requirements in order to maintain affiliation.

GPs affiliated with RHW will be contacted soon and provided with more information on the new RHW credentialing requirements.

New GPs can register now for the November GP Intake

In keeping with the new credentialing process and requirements for affiliation, there will be an Intake session on 12 Nov 2016 prior to the O&G Update.

Intake Meeting: New GPs wishing to become affiliated with the RHW ANSC program are required to attend the intake meeting.

Date: Saturday 12 November 2016, 10am-12pm, RHW.

To register your interest please email Keren David or Julie Davis

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Update on the Non-Invasive Prenatal Screening (NIPS) blood test

We receive many enquiries as to the best timing of the NIPS. Our usual advice is for women to start with the combined first trimester screen and use this to guide their decision regarding further screening or diagnostic testing. An ultrasound at this gestation is important as it determines viability, can diagnose multiple pregnancies, and can identify structural anomalies.

If all looks well on ultrasound at 12 weeks, women may like to pursue the NIPS for additional reassurance regarding the chance of Down Syndrome. However, if concerns arise at the nuchal scan, (e.g. increased nuchal translucency measurement or other structural anomalies) following counselling, women may consider a diagnostic test, such as CVS or amniocentesis, as the NIPS is a screening test and cannot provide a diagnosis. In the context of a structural anomaly a diagnostic test may provide more clinically relevant information than the NIPS, as a chromosome microarray is now routinely performed on all CVS and amniocentesis samples.

If women request an early NIPS (i.e. from 10 weeks gestation) we recommend an ultrasound at the time of blood collection, followed by a structural ultrasound at 11-14 weeks. The structural ultrasound can identify anomalies not detected by the NIPS-for example, neural tube defects.

Guidelines regarding the NIPS may change if a Medicare rebate becomes available in the future.

The Royal Hospital for Women local operating procedures regarding Genetic Counselling and First Trimester Screening can be found online:

PDF document download Genetic counselling following a high risk first trimester screen

PDF document download Trisomy 21 screening, including non-invasive prenatal testing (NIPT)

Author: Amy Howat, Associate Genetic Counsellor, Maternal Fetal Medicine, Royal Hospital for Women

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New 'yellow card' patient record

A new version of the yellow card will be available for all ANSC GPs to use with their patients. The new version offers a more comprehensive patient record including the following features:

  • Opportunity to confirm whether the patient identifies as Aboriginal or Torres Strait Islander
  • More information on lifestyle considerations
  • BMI and fields to better monitor weight gain
  • Edinburgh Perinatal Depression Scale (EPDS)
  • Prenatal testing
  • Infectious considerations

Fields relating to the educational background of the patient have been removed and there are a few subtle changes to the format of the yellow card.

Have your say! Let us know what topics matter to you

CESPHN together with The Royal Hospital for Women will be hosting the annual November Obstetrics and Gynaecology Perinatal Update Meeting for GPs on Saturday 12 November 2016 for GPs in the Antenatal Shared Care (ANSC) program. One of the topics for this year’s program will be "Common Issues and Incidents in GP Shared Care".

Please list any issues, incidents or troublesome areas that you would like the speakers to cover e.g. protocol interpretation issues, hospital communication issues, emergency treatment protocols, etc.

Click here to have your say.

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