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

Electronic Referral (eReferral)

All bookings for Antenatal Care at the Royal Hospital for Women are via Electronic Referral (eReferral).

For more information regarding eReferral please click here

Before you refer a pregnant woman to RHW please ensure you:

Confirm the pregnancy (preferably by ultrasound).
Organise routine blood tests.
Discuss genetic screening options.
Attach all results to the electronic referral.

Advice Line for Antenatal Shared Care GPs call

GP ANSC Advice Line

For non-urgent questions:

Weekdays between 08:00am and 4:30pm - ANSC Midwife - 0417 995 153

For urgent or complex medical questions:

Call RHW Switch and ask to speak to the Green Team Obstetrics Registrar - 9382 6111
If the registrar is not available, call Birthing Unit - 0439 869 035 or 02 9382 6100

Early Pregnancy Assessment Service (EPAS)

If your patient is less than 20 weeks pregnant and is experiencing bleeding or pain and needs to be reviewed by the Early Pregnancy Assessment Service (EPAS), please call:

Weekdays 07:30am-04:00pm - 02 9382 6701
Afterhours - RHW Switch and ask to speak to an Obstetrics Registrar - 9382 6111

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

Pregnancy Day Stay Unit (PDSU)

To be seen in PDSU, your patient must be more than 20 weeks pregnant. Reasons for referral include hyperemesis (severe nausea and vomiting) or iron deficiency anaemia that requires an infusion (as per RHW guidelines). Please note this service is by appointment only. Please call:

Weekdays 09:00am-05:00pm 02 9382 6417

Late Diagnosis of Pregnancy

If a woman presents late, perform routine screening and submit an electronic referral ASAP. Following this, contact the GP Shared Care Liaison Midwife to notify of the late referral.

Weekdays between 08:00am and 4:30pm - ANSC Midwife - 0417 995 153

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

Education

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 updates. To book contact CESPHN.
Antenatal Shared Care Program affiliation course Clinical tutorials are held throughout the year. To book contact CESPHN.

Antenatal Shared Care Protocol Document

Antenatal Shared Care Protocol Summary

Antenatal Shared Care Guidelines

Child and Family Health Centres (Baby Health Centres)

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)
Family Care Cottage Randwick	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 Parents Help Line - 1300 272 736 Website: tresillian.org.au KARITANE Phone: 02 9794 1800

Useful Web Addresses External Resources

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.
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

See the Royal Hospital for Women's Cross Cultural Worker in Maternity & Child & Family Health Services page for information on how you can access cross-cultural services at RHW.
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)