Antenatal Care

This condition is treated in the Obstetrics clinic.

Pre-referral work-up

History

Referrals should be completed and forwarded as soon as possible.  Please highlight specific concerns that may require triage to specialty clinics or more urgent appointments.

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

• Gestation - LMP and EDD, Gravidity and Parity
• Highlight abnormal investigations or clinical concern
• Past medical and obstetric history
• Note outcome of discussion of aneuploidy screening/dating
• Medications
• Co-morbidities
• Physical examination including mandatory Height, Weight and BP
• Smoking, alcohol and other drug history
• Allergies
• Whether an interpreter is required
• Social and cultural needs or concerns
• Indicate if a perinatal and mental health referral is required
• An indication of the mother's preferred model of care (midwifery/GP/Specialist).

Tests

Must include as a minimum:

• FBE
• Blood group and antibodies
• Rubella Titre
• Hep B & C serology
• MSU
• Syphilis serology
• HIV serology
• Chlamydia (North, North West)
• Fasting BSL (if no risk factors) or Early GTT if risk factors/clinical need
• Results of any ultrasound and indicate if aneuploidy screening is arranged or if patient declines
• If clinically indicated include Vit D, Hb electrophoresis, TFT, Chlamydia testing (South)

Interim/GP management

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

Options for care include:

• Midwifery care models
• GP Shared care - At the first appointment the GP should explain the obstetric shared care protocols, including the timing and nature of the antenatal visits shared between the participating hospital and GP.
• Collaborative care models including, high risk clinic, complex care, obstetric endocrine and general antenatal doctors clinic.

North

Information about available maternity services in the South can be found on the Tasmanian Department of Health website (Pregnancy, Birth and Early Parenting)

South

Information about available maternity services in the South can be found on the Tasmanian Department of Health website (Pregnancy, Birth and Early Parenting)

North West

The THS deliver Antenatal and Extended Care Midwifery Services to the North West Regional Hospital and the Mersey Community Hospital with inpatient and birthing services provided by the North West Private Hospital and the Launceston General Hospital.

There are midwifery, obstetric, gynaecology and extended care midwifery services delivered to King Island, West Coast and Smithton.

North West currently does not have the option of GP shared care.

Consider descriptors from North and North West

For more information please see:

• Australian Clinical Practice Guidelines - Pregnancy Care - 2019 Edition

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

Signs of severe pre-eclampsia

North West Private Hospital - Phone: 03 6432 6031

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)

Late gestation referral

Advanced maternal age

Diabetes

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.

Semi-urgent (Category 2)

Previous complications of pregnancy

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