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Home // Health Professionals // General Practice Liaison Unit // Women’s Health & Antenatal Care // Shared Maternity Care Program and Guidelines for General Practitioners

Shared Maternity Care Program and Guidelines for General Practitioners

Welcome to the Peninsula Health Shared Maternity Program 

The Antenatal Triage, Model of Care and Clinical Practice Guideline information below is provided to use as a general guide to the management of pregnant women booked for birth at Peninsula Health.

These guidelines can be helpful for any GP, not only Shared Maternity Care Program affiliates. For those GPs wishing to provided pregnancy care for women booked at Peninsula Health, it is recommended they apply to be accredited as affiliates with the Peninsula Health Shared Maternity Care Program. This program also provides ongoing education and communication for GPs to assist with providing the safest pregnancy care for women. 

Please also refer to Antenatal Clinic Referral information.

General public who are accessing this information are encouraged to speak to their doctor or midwife and are reminded that the information shown here may not be appropriate in every situation, and should not replace clinical discussion. 

Antenatal Triage and Models of Care

Antenatal Risk Assessment for Models of Care

Decisions about appropriate models of care should be guided by the Peninsula Health Risk Assessment for Model of Care document and made in consultation with patients.

Women with no risk factors (Group A) are considered low risk and suitable for GP Shared Maternity Care.  Women with medium risk (Group B) are suitable for GP Shared Care after Obstetric review and higher risk (Group C) women should be for Obstetric care only.

See Risk Assessment for Model of Pregnancy Care-1

Models of Care at Peninsula Health

  • Models of care are described here: Clinics we offer for pregnancy and postnatal care
  • Models of care may change according to need during pregnancy and/or labour
  • For urgent clinical advice please contact the Obstetric Registrar on duty via switch on 9784 7777 

 

Routine and Urgent Referral Pathways

Clinical Practice Guidelines

For Shared Maternity Care Providers essential Documents

Routine Pregnancy Care

Contains visits schedule, routine care and investigations recommended at each visit

COVID-19

COVID-19 Telehealth & Visit Schedules in Women’s Health Outpatients (COVID-19)

COVID-19 Care in Maternity

COVID-19 Treatment in Pregnancy 

All pregnant women with confirmed COVID-19 infection will be managed under the care of the Community Care Covid Positive Pathway and the Complex Pregnancy Clinic, The CPC team will assist in the outpatient care in collaboration with Community Health, the Infectious Diseases (ID) unit and the Maternal Fetal Medicine Unit at Monash Medical Centre

For care of COVID 19 positive Pregnant Women contact Community Care on 9788 1700

For urgent care of clinically unwell women please transfer to Emergency department and call Emergency Department Admitting Officer 9784 7196

If a GP has an URGENT pregnancy concern,  please contact the obstetric registrar 9788 1849

 

Peninsula Health Maternity Service Guidelines relevant for GP Providers

In alphabetical order

Abdominal Examination Palpation 

Advanced Maternal Age

Anti-RH (D) Immunoglobulin Antenatal and Post Natal Administration

Antepartum Haemorrhage (APH)

BMI Management of Women with a BMI ≥35 in pregnancy

Cervical Length Measurement of cervical length for prediction of preterm birth (ranzcog.edu.au https://ranzcog.edu.au/wp-content/uploads/2022/05/Measurement-of-cervical-length-for-prediction-of-preterm-birth-C-Obs-27_Board-approved-March-2022.pdf

Decreased Fetal Movements

Decreased-fetal-movements/Safer Care Victoria

Diabetes in Pregnancy

Group B Streptococcus Screening and Treatment

Hypertension in Pregnancy Pre Eclampsia and Eclampsia

Intrahepatic Cholestasis of Pregnancy

Iron Deficiency Anemia in Paregnancy, Intrapartum and Postpartum

Management of Ectopic Pregnancy

Management of the Small for Gestational Age or Growth Restricted Fetus

Nausea and Vomiting in Pregnancy Women’s Health

Pain and bleeding in Early Pregnancy

Post Partum Haemorrhage-information for GP’s on secondary PPH Management

Prelabour Repture of Membranes at Term Women’s Health

Prenatal Screening Tests Women’s Health

Progesterone Use in the second and third trimester of pregnancy for the prevention of preterm birth (ranzcog.edu.au) https://ranzcog.edu.au/wp-content/uploads/2022/05/Progesterone-Use-in-the-second-and-third-trimester-of-pregnancy-for-the-prevention-of-preterm-birth.pdf

Risk Assessment for Model of Pregnancy Care-1

Ultrasound – Indications for Antenatal Ultrasound

Vaginal Birth after Caesarian Section (VBAC)

Vitamin D deficiency during pregnancy and breastfeeding Women’s Health

VTE prophylaxis guideline

 

Other Resources

Department of Health-How to Quit smoking

National Health and Medical Research Council- Healthy Eating in Pregnancy

Safer Care Victoria – Accurate Pregnancy Dating (Estimated Due Date)

Safer Care Victoria – Table 4 Safe and effective excercise in pregnancy

Vaccinations in Pregnancy

  • Influenza – Recommended for all pregnant women at any stage of pregnancy, particularly those who will be in the 2nd or 3rd trimester during the influenza season
  • dTpa(diphtheria-tetanus-acellular pertussis) – Recommended as a single dose between mid 2nd trimester and early 3rd trimester of each pregnancy (ideally at 20–32 weeks)

 

See Maternity Services Consumer Page for additional information on safe sleeping, SIDS, PND and other information about the Peninsula Health Maternity Unit

 

External Guidelines

Safer Care Victoria Maternity ehandbook

Shared care guidelines | The Royal Women’s Hospital (thewomens.org.au)

Pregnancy Care Guidelines – Australian Government Department of Health

 

 

 

 

Disclaimer

These guidelines have been developed by the Peninsula Health GP Liaison Unit and the Peninsula Health Women's Services as a general guide to the management of women participating in the Peninsula Health Shared Maternity Care Program. They may not be applicable in every clinical case. They should not replace thorough clinical assessment and judgement.

Care should be taken when printing any information or Clinical Guidelines. Updates to these guidelines will take place as necessary. It is therefore advised that regular visits to this Website will be needed to access the most current information.