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Useful Management Information
Expect the first hospital visit to be offered between 14-20 weeks unless there are issues requiring more urgent review.
- GP will be responsible for the care until review by maternity service
Discuss the Maternity model of care options available across Queensland, these are site specific. - Document woman’s preferred model of care – if known or provide information and time for woman to consider options
- Advise earlier referral if woman requesting midwifery group practice model of care
- Advise if woman requesting GP Shared Care Model
- Advise if GP prepared to participate in the GP shared care model (GP’s wanting to participate in a shared care model will need to meet local training and CPD requirements).
- Advise antenatal, lactation and parenting education preparation and support
- Recommend routine vaccinations for pertussis and influenza
- Recognition of sexual orientation i.e. Lesbian, Gay and Bisexual (LGB)
- Physiotherapy – indications for referral, consider community referrals or local health pathways
- Urinary/faecal incontinence
- Pelvic organ prolapse
- Significant pelvic joint pain
- Significant back pain
- Carpal tunnel syndrome/de Quervain’s Syndrome
- Inpatient on prolonged bed rest referred by medical team
- Varicosities
- Dietitian – indications for referral -– consider community referrals or local health pathways
- Gestational diabetes mellitus [no additional referral once referred to the diabetic clinic].
- Hyperemesis gravidarum (in-patient only) See: Pregnancy induced vomiting and hyperemesis gravidarum
- History of Bariatric surgery
- Body mass index (BMI) <18
- BMI ≥ 35 (pre-pregnancy BMI >30)
- Excessive weight gain during pregnancy (10 kg or more at 20 weeks)
- Young women aged < 17 years
- Nutrient deficiencies
- Multiple Pregnancy
- History of eating disorders
- History of previous or current alcohol and/or drug abuse
- Social Work – indications for referral consider community referrals or local health pathways
- Domestic and family violence
- Child Protection involvement (current and relevant past history)
- Substance abuse / drug & alcohol issue
- Unwanted pregnancy (refer to Termination of Pregnancy CPC)
- Consistent poor attendance for pregnancy care
- Multiple social concerns (i.e. a combination of poor social supports, housing and financial issues, significant relationship concerns)
- New serious health diagnosis for mother or baby during pregnancy
- Anticipated significant difficulties coping with the baby
Clinical resources:
- Pregnancy Health Record
- Maternity Booking Referral
- Gold Coast GP Antenatal Shared Care Process (Quick guide, 1 page)
- RANZCOG Guidelines
- Queensland Clinical Guidelines – Maternity shared care
- Queensland Clinical Guidelines – Maternity care for mothers and babies during the COVID-19 pandemic
- Safer Baby Bundle Resource
Minimum Referral Criteria
Does your patient meet the minimum referral criteria?
| Category 1 (appointment within 30 calendar days) |
|
|---|---|
| Category 2 (appointment within 90 calendar days) |
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| Category 3 (appointment within 365 calendar days) |
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If your patient does not meet the minimum referral criteria
| |
Essential Referral Information
- Current pregnancy (*ensure early referral if risk factors identified, all referrals preferred by twelve weeks where possible)
- Gravidity, Parity
- LNMP (Last normal menstrual period),
- EDB (Estimated Date of Birth)
- Single or multiple pregnancy
- Confirmation of pregnancy (positive urine or serum B-HCG)
- BMI
- BP
- Cervical length (after 16 weeks, if known)
Additional Referral Information
- Advise if new partner with this pregnancy
- Prenatal screening and diagnostic testing for fetal chromosome and genetic conditions e.g. Genetic carrier screening, Combined first trimester screen, NIPT, CVS, amniocentesis
- TSH – if > 30y or other thyroid risk factors (family history, autoimmune disease including coeliac disease, T1DM etc)
- ELFT’s and Urine protein/creatinine ratio if indicated e.g. women with BMI >30, pre-existing hypertension, diabetes
- Chlamydia investigation for women ≤30y or if risk factors
- STI screen result as indicated
- Cervical screening reports if >25y or indicated
- Include pathology relevant to any medical history i.e. known cardiac renal or liver disease
- Dating, Nuchal Translucency and Morphology Ultrasound scans
- Include imaging relevant to any medical history i.e. known cardiac, renal or liver disease
- Social history including domestic violence, living situation, drug and alcohol use
- Identification of Gillick competence and intellectual capacity (where appropriate)
- Recognition of sexual orientation i.e. Lesbian, Gay, and Bisexual (LGB)
- Preferred model of care
- GP shared care
Send Referrals To
Smart Referrals
Preferred Method
About Smart Referrals
Secure Web Transfer
Medical Objects Account: GQ4215000B3
Healthlink EDI: qldgcuha
Internal Referrals
Not Available
Fax
(07) 5687 4497
Post
Antenatal and Maternity
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215
Enquiries
1300 744 284
Service Availability
Dr Bridget Gilsenan
Medical Director Obstetrics
Facilities
Gold Coast University Hospital
Tugun Satellite Health Centre
If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.