ANSC december 2024 Update: Royal Hospital for Women

Contact details for RHW

Email address for GP enquiries at RHW: SESLHD-RHWGPSCEnquiries@health.nsw.gov.au

Midwives Chantelle du Boisee Monday, Tuesday and Wednesday AND Hwee Ling Lim Thursday and Friday.

Contact the midwives for non-urgent clinical advice on 0417 995 153 between 8:00am-4:30pm, if no answer, please leave a voicemail or text message.

If you need to speak directly to the Obstetric doctors, please call ph.9382 6111 and ask the operator to page the on-call Obstetric Registrar for ANSC.

The Obstetric Medicine Physician Registrar can be contacted for advice Monday-Friday during business hours by calling 9382 6111. Advise the operator to page the Registrar.

For more urgent 7 day /24hr advice, contact Birth Unit ph. 0439 869 035 or 9382 6100 (from 20 weeks pregnancy).

Access the RHW Clinical Business Rules for useful clinical policies, procedures and guidelines at RHW in the following link.

Royal Hospital for Women Policies | South Eastern Sydney Local Health District (nsw.gov.au)

Engage outpatients – AN exciting change to the referral process

Thank you for your support and uptake of Electronic Referrals (eReferrals)

Faxed, mailed, and emailed referrals will no longer be accepted.

Please see the link below with further information on the process of electronic referrals, including the technical support contact details for Healthlink.

Electronic Referrals | South Eastern Sydney Local Health District (nsw.gov.au)

Important Reminders and Information on eReferrals

• Complete the eReferral  AFTER 6 weeks gestation of pregnancy, confirmed with a dating ultrasound or Beta hCG. Provide the EDD in the referral.
• The referral must be accompanied by routine antenatal pathology and +/- ultrasound reports.

Estimating Due Date

• Women with T1DM or T2DM will require an eReferral as soon as the pregnancy is confirmed and will need to be seen at 8 weeks gestation with the Diabetes in Pregnancy team.
• All referrals are triaged by a midwife to ensure women receive care at the appropriate time by the appropriate clinician. To facilitate the triage process please provide a detailed medical, surgical and obstetric history (including any history of LLETZ, cone biopsy, preterm birth or miscarriage) in the referral.
• Ensure that all results that accompany the eReferral have the womens identifying details on EVERY PAGE.
• Appropriate referrals should allow access to the model of care choice
• Pregnancy | South Eastern Sydney Local Health District

eReferral to the Medical Disorders in Pregnancy Clinics

Women with medical disorders will require a NAMED SECOND eReferral addressed to the relevant named specialists as indicated below.

Obstetric Medicine Doctors and Endocrinologists:

• Dr A Beech
• Dr H Barrett
• Prof. S Lowe

Endocrinologist:

• Dr S M Lau

Haematologist:

• Dr G Kidson-Gerber

Other Important Reminders

Fetal movements

Enquire and educate women about fetal movement at every antenatal visit from 20 weeks gestation. If the clinician determines any concerns with FM contact the birth unit triage midwife on 0439 869 035 to arrange for an urgent review. For further information refer to the following resources:

• Fetal movements
• Decreased Fetal Movements

Abnormal OGTTs

Women with abnormal OGTTs should be immediately referred to the Diabetes in pregnancy clinic. Women should be seen in the clinic within a week of diagnosis of GDM.  Please email the pathology results and referral to the diabetes educator on SESLHD-RoyalHospitalforWomen-DiabetesServices@health.nsw.gov.au 

Refer to the flowchart for screening, diagnosing and referring for GDM.

GDM Screening Flowchart

Refer to the management of GDM clinical business rule.

Antenatal Record – ‘The Yellow Card’

Updated documentation on the yellow card is the key to successful shared care. When investigations are performed by the GP ensure all results are documented on the front of the yellow card.  Document details of every antenatal visit on the back of the card. 

The yellow card becomes an important official hospital record, and it should be kept as complete as possible.

CALD and Cross-cultural Worker Information

• 2025 classes for CALD
• cross cultural worker

Preterm Birth Prevention Clinic Update

Preterm Birth Prevention Clinic GP Information

Termination of Pregnancy Clinic Update

Termination of Pregnancy Clinic

Pregnancy Day Stay Unit (PDSU): A Change to the referral process for iron infusions

Clinicians are now required to call the ANW MUM Rachel Halpin on 0499 825 682 to make a booking at the PDSU. 

Please refer to recently updated clinical business rule on iron Deficiency, Anaemia and Haemoglobinopathies

RHW Information sheets for your patients on dietary iron and Oral Iron Treatment in Pregnancy

• Oral Iron Treatment in Pregnancy
• dietary iron