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Women’s Health & Shared Maternity Care

 

Women's Health Services

For Women’s Health and Antenatal Clinic information go to Outpatient Services.

There are 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

E-referral is available – see Outpatients page

Referral Form- Antenatal Clinic


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

 

Establish Estimated Date of Birth 

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

Vitamin D

  • Supplement if high risk

Dietary Advice

Lifestyle Advice

  • alcohol
  • smoking
  • dental health

Immunisations

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
  • MSU- microscopy and culture
  • Prenatal screening-discuss and/or organise 
  • Cervical Screening if required
  • Consider
  • Early Oral Glucose Tolerance Test (OGTT) for high risk GDM, high BMI, Advanced Maternal Age >40
    • Note patient is pregnant on pathology referral (Pregnant women have different reference ranges for fasting glucose and for OGTT)
    • If OGTT abnormal refer to Gestational Diabetes Mellitus Clinic and follow GDM pathway
    • If OGTT normal repeat at 24-28 weeks

 

  • TSH Note TFTs can be difficult to interpret in pregnancy, not a standard antenatal test and easier to interpret if planning pregnancy, 
  • Chlamydia screening
  • Varicella Screening

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

Discuss Fetal Movements

Movements Matter- brochure for consumers from Safer Care Victoria



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

Maternity Services Anti-D Information.

 Anti-D-Pathway-in-the-Community-2019

Routine Prophylaxis and Sensitising Event Pathways

Anti D Consent, Order and Administration

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