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
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 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
Anti-RH (D) Immunoglobulin Antenatal and Post Natal Administration
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/Safer Care Victoria
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
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
- 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.