Urgent referral pathways for pregnant women

If a GP has an URGENT pregnancy concern, please contact the obstetric registrar via Switchboard on (03) 9784 7777.

When and how to refer

Women who require Emergency Treatment

  • Haemodynamically unstable/requiring fluid resuscitation
  • Heavy PV bleeding – more than two soaked sanitary pads in an hour or less
  • Severe Hyperemesis
  • Severe abdominal pain – not resolved by oral analgesia
  • Eclampsia
  • Likely ectopic pregnancy
  • Non-obstertric medical or surgical emergencies
  • Gynaecology emergencies
  • DVT/Pulmonary Embolus
  • Serious Infections Disease Exposure
  • Infection or partial dehiscence of perineum or abdominal wound not responding after one week of antibiotic therapy
  • Mastitis not responding to antibiotic therapy

Emergency Department

Frankston ED Consultant
Ph: (03) 9784 7196

Assessment and/or admission to Women’s Health Unit

  • For reduced fetal movements immediately contact WHU
  • > 16 weeks pain and/or PV bleeding < 50mls which does not require emergency referral
  • Pre-eclampsia or suspected preeclampsia
  • Pre-labour SROM assessment and follow up review
  • Labour assessment, regular contractions
  • Anti D (sensitising events only) if management plan not clear

Women’s Health Unit

Level 4,
Frankston Hospital
Ph: (03) 9784 7959
Fax: 9784 2326

*GP referral preferred

Early Pregnancy/Fetal or Postnatal Assessment

Antenatal

  • <16 weeks pain and/or bleeding which does not require emergency referral

Postntal

  • Suspected retained product of conception or endometriosis

Early Pregnancy and Perinatal Assessment Service

Outpatient Area 1,
Frankston Hospital
Ph: 0417 340 535
Fax: 9125 8935

Non-emergency Specialist Obstetric Consultation

  • FGR – fundal height more than 2cm below dates or slowing in fundal height growth trajectory
  • R/v and management of abnormal results
  • R/v of patients who may no longer be suitable for Share Care
  • Anti D (sensitising events only) urgent referral if antibody positive – see Anti-D Pathway in the community clinical practice guideline
  • Routine 34-36 weeks obstetric check
  • Fetal Diagnostic Service (see referral form Outpatients – Women’s Health and Antenatal Clinics)

Obstetric Clinic

Outpatient Area 1,
Frankston Hospital
Ph: (03) 9784 2626
Fax: (03) 9788 1880

Further resources

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