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Women’s Health & Shared Maternity Care

What Gynaecological Outpatient services are available at Peninsula Health?

  • Colposcopy
  • Mirena/IUD Insertion

For information on these services as well as other Women’s Health and Antenatal clinics go to the Outpatients section .

NO  GENERAL GYNAECOLOGICAL Outpatient Services at Peninsula Health – referral options below

We would like to remind all our local GPs that Peninsula Health does not have a General Gynaecology outpatient service. Women who require gynaecology review and/or intervention have two options,

  1. Be referred to a private Gynaecologist and treated as a public patient at Frankston Hospital if surgery is required. A list of hospital specialists with private rooms who can refer patients to the Frankston Hospital Gynaecological  Surgery waiting list can be found on our website (Specialist Directory- see left hand menu)
  2. Be referred to another health service with public gynaecology outpatient services.

 

How can a pregnant woman book in for birth at Frankston Hospital ?

All women should be referred to the Booking In Clinic (around 12 weeks). Phone 9784 2600

 A GP referral is required for all women booking in at Peninsula Health

Referrals can be Faxed to 9784 2666

Antenatal Clinic Referral Form

The referral should include the following information

  • Relevant past medical and social history
  • Family history
  • Medications
  • Allergies
  • LNMP
  • Height
  • Weight
  • Ultrasound reports


What advice should pregnant women be given tests and screening in the first trimester?

  •  Ensure patients are given adequate information and pre-test counselling.

Women should be offered Maternal Serum Screening (MSST) and/or Non Invasive Prenatal Testing (NIPT)

MSST

  • The pregnant woman has a serum screen at 10 weeks (most pathology providers will do this blood test with the appropriate referral form).
  • This is  followed by a Nuchal Translucency Ultrasound between 11 weeks 1 day and 13 weeks 6 days.
  •  Ideally a pregnant woman should receive her results in person at 13 weeks.

Non Invasive Prenatal Testing (NIPT)- NIPT

Further information screening options can be found on the RANZCOG website- Prenatal Screening For Chromosomal Abnormalities

 If the test is abnormal;

Women who are identified as ‘Increased Risk’ after results of Maternal Serum Screening should be referred immediately to Frankston Hospital Obstetric Clinic (phone 9784 2647) or private obstetrician for counselling and discussion regarding further investigations.

Patients referred after an ‘Increased risk’ may be considered for Chorion Villus Sampling (usually between 11 and 13 weeks), Ultrasound or Amniocentesis (usually 15-16 weeks) as applicable in keeping with the patient’s wishes after full discussion of the risks associated with further testing

  • Referral Forms, Patient Information and Counselling Guidelines for antenatal Maternal Serum Screening can be found at www.vcgspathology.com.au

Supplements

Folic acid

  • Standard- 400mcg daily
  • High risk dose 5mg daily (includes BMI >30, DM, PHx of Neural Tube Defect)
  • 1 month preconception and for 1st Trimester

Iodine

  • 150mcg daily

Dietary Advice

Lifestyle Advice

  • alcohol
  • smoking
  • dental health

Immunisations

Discuss Screening

General History & Examination

  • Medical, reproductive, obstetric, family/genetic, medications, alcohol and drug, nutritional, psychosocial and demographic
  • Physical Exam (Medical Clearance): BP, CVS ( Heart murmurs), BMI (BMI ≥35-40 follow High BMI pathway , BMI ≤18 or ≥40 high risk not for Shared Care)

Establish Estimated Due Date EDD

Early Oral Glucose Tolerance Test (OGTT) for high risk GDM (high BMI or PH GDM)

  • If abnormal refer to Gestational Diabetes Mellitus Clinic and follow GDM pathway
  • If normal repeat 24-28 weeks

Standard First Trimester Antenatal Investigations

  • Blood group, Rhesus status Antibody Screen
  • Serum ferritin
  • FBE
  • Hepatitis B surface antigen
  • Hepatitis C Antibodies
  • Rubella Antibodies
  • RPR
  • HIV
  • Serum Vitamin D • MSU- microscopy and culture
  • Pap smear- if required (*cytobrush not to be used)
  • Discuss and/or organise Maternal Serum Screening Test (MSST)
  • Consider ; OGTT
  • Chlamydia, TSH, Varicella Screening


How can I make urgent referrals to Frankston Hospital for assessment of women with pregnancy complications ?

It is recommended that GP’s use the new Pregnancy Assessment- When & How to refer chart  to assist with the referral of women to Peninsula Health.

Pregnancy Assessment- When & How to refer


How do I organise Anti-D for Rhesus negative pregnant women routinely and after sensitising events?

Maternity Services Anti-D Information.

A new Routine Prophylaxis and Sensitising Event Pathway has been developed.

Anti-D Prophylaxis Pathway

Anti D Consent, Order and Administration

Additional resources and Patient Information from CSL & Australian Red Cross: