Early Pregnancy Assessment Service

This condition is treated in the Obstetrics clinic.

Pre-referral work-up

History

For the South and North: This clinic sees women with recurrent presentations for hyperemesis gravidarum, PV bleeding, abdominal cramps, suspected ectopic pregnancy and miscarriage who are haemo-dynamically stable and under 14 weeks gestation.   If 14+ weeks and haemodynamically stable, please refer to the Pregnancy Assessment Centre.

Please note that patients who require an operative procedure are not guaranteed to have it on the day of attendance.

For the North West: Women who experience early pregnancy complication are seen by their GP who can then refer to the Gynaecology Outpatients Clinic at Mersey Community Hospital or the North West Regional Hospital. If urgent women can present to the nearest emergency department.

This clinic sees women with bleeding, abdominal cramps, suspected ectopic pregnancy and miscarriage who are haemo-dynamically stable under 20

All referrals should comply with the referral standards and specifically include:

• History of the pregnancy including gestation
• Details of the history of the presenting complaint including any treatment.
• Note if Anti D was given.
• Copies of investigations especially ultrasound report.
• Details of relevant physical findings including speculum examination if appropriate
• Indicate if an O & G Registrar has been contacted.

Tests

• Antenatal bloods (if time) especially group and rhesus factor
• Consider quantitative BHCG
• Consider pelvic ultrasound

Interim/GP management

To refer a patient with this condition, please see the Obstetrics clinic page for the full referral process and templates.

To refer a patient, please utilise Primary Health Tasmania's Standard Referral Templates.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency

Haemo-dynamically unstable patients

Suspected ectopic pregnancy

If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.

Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.

Urgent (Category 1)

Early miscarriage

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Availability

North

Launceston General Hospital (Womens + Level 5)
Phone:  1300 977 694
Fax: 03 6777 5214

North West

Fax: 1800 027 538

Mersey Community Hospital
Phone: 1800 940 766

North West Regional Hospital (North West Regional Hospital) Outpatient Clinic
Phone: 1800 940 747

Burnie Maternity enquiries
Phone: 03 6432 6110 Monday to Friday, during the day (8:00am - 4:30pm)
Phone: 03 6432 6031 Night time, weekends, and public holidays.

Various sites - to be confirmed at time of booking

South

Phone: 03 6166 0000
Fax: 03 6173 0473

Antenatal appointments:
Wellington Clinics (Level 8)
Midwife Antenatal Outreach Services available.

Postnatal appointments:
Mistral Place
Phone: 03 6166 0462

Pregnancy Assessment Centre:
Royal Hobart Hospital (Level 7, K Block - East)
Phone: 03 6166 8352

Mental Health Services Helpline:
Phone: 1800 332 388