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Women’s Health & Shared Maternity Care

Women's Health Services

  • Colposcopy
  • Mirena/IUD Insertion
  • Hysteroscopy

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 9788 1879

Referral Form- Antenatal Clinic

The referral should include the following information

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


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

Discuss Screening

Prenatal Screening

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

If the screening test is abnormal;

Fetal Diagnostic Service

The service allows women  to be seen locally for ultrasound opinions, diagnostic imaging, Amniocentesis and Chorionic Villous Sampling.

GP Referrals must be made on the referral form below and ALL the relevant information must be included with the referral. Incomplete paperwork will delay the appointment in this time-critical setting. All referrals are to be faxed and will be triaged by the by the Fetal Diagnostic Service Coordinator.

Women will be contacted and have an urgent antenatal clinic appointment at Peninsula Health to provide additional counselling before their ultrasound. Women should also be offered the option of genetic counselling where appropriate. This will be provided by Monash Genetic’s Services and referrals can be made following the link  www.monashhealth.org/page/Genetics

Referral Form Fetal Diagnostic Service

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

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 >35 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 First trimester Screening
  • Consider ; OGTT; (Fasting blood glucose as routine screening not recommended)
  • Chlamydia, TSH, Varicella Screening


Assessment of women with pregnancy complications - What are urgent referral pathways for women ?

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

Referral Fetal Diagnostic Service


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

Maternity Services Anti-D Information.

Anti-D Prophylaxis Pathway

Routine Prophylaxis and Sensitising Event Pathways

Anti D Consent, Order and Administration

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