Information for General Practitioner (GP)

Aim

The Antenatal Shared Care Program aims to provide a high standard of antenatal care for women who have a low risk pregnancy.
 
The women are cared for by the Antenatal Services at the Hospital in conjunction with their General Practitioner (GP).

Objectives

The objectives of the General Practitioners Antenatal Shared Program (GPANSC) are:

  • To enable registered (GP's) to provide a high standard of antenatal care to women who are considered suitable for Antenatal Shared Care
  • To provide choice, continuity of care and greater accessibility for women by seeing their GP during pregnancy
  • To provide GP's with a recommended 'Best Practice' standard of antenatal care

RHW Advice Line for Antenatal Shared Care GPs call 
+61 417 995 153

The types of calls we are expecting on the GP advice line are those that require specialist clinical advice and not calls about unstable patients or emergency situations.

  • Urgent obstetric / medical advice Delivery Suite 02 9382 6100
  • Non-urgent clinical questions Weekdays 8am – 4pm +61 417 995 153
  • After-hours and weekends 02 9382 6111 and ask switch to page the O & G Registrar, if not available then page the Nursing Supervisor on 44020

If the mobile phone is unattended the call will be diverted to switch, please ask to speak to the “Team 2” Obstetrics Registrar for Doctors Lette, Horrowitz or Coogan.

If the registrar is unavailable then please ask switch to page the nursing supervisor.

The nursing supervisor will take your message and identify an appropriate staff member to answer your question as soon as possible

Early Pregnancy Assessment Service (EPAS)

If you need advice for women who are less than 20 weeks pregnant, bleeding or have pain and you wish your patient to be reviewed by the Early Pregnancy Assessment Service (EPAS) call 02 9382 6111 and page 46520, or if out of hours page the Nursing Supervisor on 44020.

This is an appointment only service and you will need to provide a referral.

Refer women to the Prince of Wales Emergency Department if clinically indicated.

Pregnancy Day Stay

Your patient should be greater than 20 weeks pregnant and indication for referral includes: IUGR, hypertension, spontaneous rupture of membranes (preterm-term), ambulatory BP monitoring, cholestasis, diabetes, hyperemesis* or if generally concerned.  This is an appointment only service and you will need to provide a referral

Please call  02 9382 6417 

*For initial presentation of hyperemesis please advise your patient to attend POW Emergency Department for assessment, notify the RHW gynaecology resident via switch as this assists with your patient being seen quickly. For subsequent management the patient will be seen in PDS.
 

Late diagnosis of pregnancy

If a woman presents late, perform routine screening and arrange an antenatal appointment ASAP mobile 0417 995 153 and also notify the GP Liaison Midwife on 02 9382 6016

If  the woman presents too late to offer the “Nuchal translucency plus” genetic screening test, they should be counselled according to their age related risk and offered referral togenetic counselling depending on their age, risk and wishes

 

Eligibility 

To be eligible to be a member of the Antenatal Shared Care Program for Royal Hospital for Women the GP must:

  • Be known to Central and Eastern Sydney PHN (CESPHN)
  • Fulfil the requirements for affiliation

Affiliation 

GPs wishing to practice Antenatal Shared Care need to be affiliated in the program. 
 
Affiliation for ANSC requires:

  • Satisfying the current requirements of SESLHD for appointment as an affiliated General Practitioner at the RHW
  • Attendance at a RHW and CESPHN Antenatal Shared Care Program affiliation course
  • 12 POINTS of endorsed Antenatal Shared Care educational activities for each triennium.  CESPHN and RHW will monitor the number points achieved by each GP.  CESPHN will record the names of the GPs attending the activities they run, but if GPs attend an activity run by another PHN, GPs must inform CESPHN so the points can be recorded

Quality Assurance

Quality assurance activities will be conducted periodically by CESPHN and RHW

Application Forms for GP ANSC at the RHW can be downloaded from the RHW web site, please contact GP liaison at the RHW for further details 02 9382 6016 or 0417 995  153

Royal Hospital for Women is committed to providing regular and comprehensive educational events to support GPs providing ANSC, which attract both ANSC and RACGP category 1 and 2 points.

Royal Hospital for Women provides the following :

  • Clinical Placements for GPs in Obstetrics and Neonatology.  Spaces are limited to five GPs per session.
     
  • Hosts biannual Obstetrics, Gynaecology and Neonatal updates.  To book contact Royal Hospital for Women or CESPHN  www.cesphn.org.au 
     
  • Antenatal Shared Care Program affiliation course Clinical tutorials are held throughout the year.  Details are available at CESPHN  www.cesphn.org.au 

Eastern Suburbs PlayGroup : 1800 171 882

Child and Family Health Centres provide a free service to parents of children from 0-5 years. They provide mothercraft advice, counselling for the parents and to monitor the growth and development of babies and toddlers.

For first appointment phone 02 9382 0933
(For services outside Eastern Sydney see the White Pages)

Centres Phone Number
Early Bird Group at Clovelly ECHC 02 9665 1357 
Bondi Beach 02 9130 2838 
Double Bay 02 9327 4649
Eastgardens 02 9314 0521
King Cross 02 8374 6311
Mascot 02 9667 2666
Paddington 02 9380 4295
Randwick 02 9398 3815
Waverly 02 9387 1981

 

KARITANE and TRESILLIAN
Family Care Cottage Randwick Day stays for feeding, settling, parenting issues, regular sleep and settling groups for babies 0-3 months. Phone: 02 9399 6999 (Phone to book)
Karitane @ home (private health insurance) Phone: 0433 777 491 or 02 9399 6999
Postnatal Depression Group Eight week program, childcare available, group and individual counselling / therapy. Referral from GP or C&FHC needed. Phone: 02 9399 6999
Tresillian Residential Service
  
Karitane Residential Service
Residential care for mothers who need more than day care programs.  Usually mother and baby admitted for 5 days.  Located out of Eastern Sydney area.

TRESILLIAN
Phone:02 9787 0800
 
KARITANE
Phone: 02 9794 1800

 

Psychiatric services

Sydney Uni Psychology Clinic (free CBT)    02 9351 2629 Glebe
UNSW Psychology Clinic (free CBT)    02 9385 3042 Kensington
Waverley D & A Team (public)   02 9387 6788  Waverley
SESLHD Mental Health Teams (24 hours / home visit)    

Crisis Team Triage Number         1800 011 511  

St Vincent’s O’Brien Centre         02 8382 1300  

RHW Clinical Midwife Consultant Perinatal Mental Health  0457 733 554

Parenting Telephone Helplines (Telephone support for parents)

Support for Parents Phone Number
Tresillian (run by registered nurses 24 hours) 02 9787 0855
Karitane  (run by registered nurses 24 hours) 02 9794 1852

Breastfeeding Helpline (ABA – 7 days/24 hours)

  • Run by volunteer counsellors who have training in all aspects of breastfeeding. They are also mums who have breastfed their own
    child(ren)
  • Offers local mothers’ groups, up-to-date breastfeeding info and
    reduced rate breast pump hire

1800 686 2 686
 
(recorded message with phone numbers of women rostered on that day)

Parentline (Centacare)
•   Telephone counselling for parenting issues.

132 055
(9:00 am – 4:30 pm)

Royal Hospital for Women - Telephone Helplines
Paddington / Oxford Postnatal Wards 02 9382 6398
Paddington 02 9382 6348
Lactation Consultant 02 9382 6341
Social Work 02 9382 6670

Mumsense
Mothers group (babies 0-4 months). 
Held every Thursday morning

Jane Svensson co-ordinates Mumsense and antenatal classes

02 9382 6700

MotherSafe
Telephone counselling service for women and their healthcare providers about exposure to drugs in pregnancy / lactation. 
10:00 am – 12:00 noon each Thursday

02 9382 6539
Occasional Care and Mother Support Programs

Women and Children’s Deli

  • Offers playgroup for children, mothers group, and occasionally offers parent education courses and exercise classes while children are minded
02 9667 4664
8:30am – 4:30pm
Mon – Thurs

Bondi Beach Cottage Family Support

  • Offers occasional childcare and family support, support group
02 9365 1607

Relationship Australia

  • Individual, couple and group counselling
  • Lane Cove, Bondi Junction, Edgecliff
1300 364 277

Well Women Clinic

  • Family Planning (Area Women’s Health)
02 9382 8321
(Helen Wilmore)

Holdsworth St Centre, Woollahra

  • Parenting Education
02 9302 3600

Mum for Mum

  • Free in-home support
02 9363 0257

Baby Shed

  • Workshop for new  fathers
02 9382 0245

Pregnancy

The Australian Government
Australian Health Ministers’ Advisory Council 2012, Clinical Practice Guidelines: Antenatal Care – Module 1.  Australian Government Department of Health and Ageing, Canberra.

NSW Ministry of Health
NSW Ministry of Health has produced number of publications that provide pregnant women with advice on all aspects of pregnancy.

Thinking of Having a Baby - Planning pregnancy and becoming pregnant
Having a Baby - This is given to all women who receive care at a public maternity unit
Early Pregnancy - When things go wrong

These documents can be sourced from The Better Health Centre on 02 9887 5450 or e-mail bhnc@nsccahs.health.nsw.gov.au or by downloading them at:  http://www.health.nsw.gov.au/pubs/a-z/a.asp

Non English Pregnancy Resources
Pregnancy and Parenting resources are also available in other languages and can be sourced at http://www.mhcs.health.nsw.gov.au/ (under Publications and Resources)

Baby Hearing and Child Health

SWIS-H publications to help inform families about the program have been developed, these are:

  • Why does my baby need a hearing check
  • Why does my baby need a repeat hearing test
  • Hearing loss and your baby – the next steps  

Can be sourced at: http://www.health.nsw.gov.au/topics/child_health.asp

A brochure titled Hearing Loss is available in seven community languages:   http://www.mhcs.health.nsw.gov.au/topics/hearing_loss  

Other useful Publications and Factsheets from NSW Health: www.health.nsw.gov.au/pubs/main_index.asp

Infectious Diseases

Hepatitis B
A brochure B positive – All you wanted to know about Hepatitis B: a guide for primary care providers
http://www.ashm.org.au/
www.hepatitisaustralia.com

For links to State Hepatitis Councils and information for people affected by Hepatitis B and C and those who work to support them
www.hepatitisc.org.au

NSW Multicultural Health Communication Service.  Resources are available by topic and language

Herpes
www.ahmf.com.au
Australian Herpes Management forum

 
HIV
www.ashm.org.au
A comprehensive directory of health services relating to HIV, viral hepatitis and related areas

Pamphlets and brochures for clients as well as information provided through the website or helpline.  The helpline can also assist in locating clients’ nearest service.

www.gesa.org.au

The Gastroenterological Society of Australia – Patient Factsheets in multiple languages