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– Antenatal Clinic bookings are face-to-face for high risk or late bookings; and telehealth for the remainder
– From 36wks, the woman and partner are to have weekly Covid 19 swabs. For patients attending St George Hospital, one of these must be done at the screening clinic in Kensington St, Kogarah.
– One support person in Birth Unit
– Two visitors for Postnatal ward
– All must have a recent negative swab
Antenatal Booking investigations
As listed in the ANSC protocol, a reminder to complete the following routine investigations at the first visit:
· FBC
· Blood group and antibody screen
· Haemoglobin EPG (please refer to flowchart on CESPHN website and refer to partner testing)
· Rubella serology
· Syphilis screening
· Hepatitis B (surface antigen)
· Chlamydia <25yrs or high risk
· Varicella VZ IgG (if not sure of previous exposure)
· HIV antibody and Hepatitis C antibody screening (with informed consent)
· MSU for M/C/S
· 75g 2 hour Pregnancy OGTT (based on GDM high risk factors)
· Cervical screening test if due (safe at any time in pregnancy)
Strong FHx Diabetes (1st degree relative with diabetes; sister with GDM)
Thyroid Screening and Management
Consider thyroid screening and management using the pregnancy reference ranges as listed in this Thyroid Screening Table. St George Hospital has a thyroid clinic if the woman requires endocrine review. The referral form can be found on the CESPHN website
First 2000 Days Care Connect
Child, Youth and Family Service (CYFS) in partnership with UNSW has received Translational Research Grants Scheme (TRGS) funding for their project First 2,000 Days Care Connect (FDCC)
This research will compare the current model of care for women from migrant and refugee backgrounds transitioning from maternity to CYFS, with a model where women and families are linked with a local child and family hub towards the end of their pregnancy and actively followed up until their child is 12 months of age.
The research aims to increase the number of children completing their NSW Health growth and developmental early childhood development checks (blue book) and address other support needs to increase maternal and family wellbeing.
Eligibility criteria:
Pregnant (> 20 weeks gestation)
16 years of age or older
birthing at St. George Hospital
from a non-English speaking background and lived in Australia for less than 5 years or refugee living in Australia for less than 10 years
If you have any patients who meet the above eligibility criteria and are interested, please contact Mona Asghari (South Eastern Sydney LHD), on (P): 0400 390 859 (E): mona.ashgari@health.nsw.gov.au
Models of care
There are many models of care available at St George and Sutherland Hospitals to support woman during pregnancy, depending on their specific needs. This brochure outlines the different models of care available for your patients.
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