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Shared Maternity Care Guidelines and Visit Schedules

Welcome to the Peninsula Health Shared Maternity Care Guidelines 2014

These guidelines have been developed by the Peninsula Health GP Liaison Unit and Peninsula Health Women’s Services as a general guide to the management of women participating in the Peninsula Health Shared Maternity Care Program. The Guidelines describe what to do at any week of gestation for a woman at with a normal pregnancy, high BMI pregnancy or Gestational Diabetes Mellitus pregnancy

The information is designed to be used by local GPs who are caring for women who are or will be booked for birth at Frankston Hospital. These guidelines can be helpful particularly in the first trimester for any GP, not just those accredited with the Shared Maternity Care Program.

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 this discussion. 

Antenatal Triage and Models of Care

Antenatal Triage for Models of Care

Decisions about appropriate models of care should be guided by Peninsula Health Risk Categories for Maternity Care and made in consultation with patients.

Women with NO risk factors are considered LOW risk and suitable for GP Shared Maternity Care.  The following two documents should be used to triage women into MEDIUM risk (suitable for GP Shared Care AFTER Obstetric review) and HIGH risk (for Obstetric care only)

Peninsula Health Risk Categories for Maternity Care- Past Medical and Obstetric History

Peninsula Health Risk Categories for Maternity Care-Current Pregnancy Complications

Models of Care at Peninsula Health

  • 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
  • For information on referral pathways for Urgent or Semi urgent clinical pregnancy assessment please refer to – Pregnancy Assessment- When & How to refer
  • Medical Clearance: A physical examination confirming a woman is suitable for low risk pathway care (GP or Midwife); BP, CVS , (BMI ≥ 18 or ≤ 35), pap smear (if due, no cytobrush).

 

Pregnancy Assessment - When and How to Refer

Use this chart to determine when and how to refer for

  • emergency treatment
  • assessment and/or admission to the Women’s Health Unit
  • early pregnancy, fetal or postnatal wellbeing assessment, or
  • women who require non-emergency specialist obstetric consultation

Please see Assessment of Women with Pregnancy Complications

 

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.