ANSC September 2026 Update: Royal Hospital for Women
The Royal Hospital for Women (RHW) has provided updated information for GPs participating in Antenatal Shared Care (ANSC). This update includes changes to the GP Liaison Midwife service, updated contact and referral pathways, routine RhD NIPT screening information, vaccination recommendations during pregnancy, clinical placement opportunities and current research recruitment.
GP Liaison Midwife Service Update
We would like to advise that the dedicated GPSC Liaison Midwife role has now been integrated into the Clinical Coordinator portfolio. This change is part of an internal restructure and will not impact the support or communication provided to General Practitioners.
The service will continue to operate Monday to Friday, with the same contact details and mobile number remaining in use. There are no significant changes to referral pathways, communication processes or the support available to GPs.
Our preferred method of contact is via phone call or text message, which allows us to respond promptly to enquiries and facilitate timely communication.
We look forward to continuing to work collaboratively with you to support the care of our shared patients.
Contact Details for RHW
GP Enquiries
SESLHD-RHWGPSCEnquiries@health.nsw.gov.au
ANSC Midwife Contact
- Clinical Coordinator Midwife, available Monday to Friday
- For non-urgent clinical advice, contact the midwives on 0417 995 153 (8:00am-4:30pm)
- If no answer, please leave a voicemail or text message
To Speak with Obstetric Doctors
Phone: 9382 6111
Ask the operator to page the on-call Obstetric Registrar for ANSC.
Obstetric Medicine Physician Registrar
Available Monday to Friday during business hours.
Phone: 9382 6111 and ask the operator to page the Registrar.
Urgent Advice – 24/7 (from 20 weeks’ gestation)
Birth Unit: 0439 869 035 or 9382 6100
Referral Pathways: RHW Antenatal Service
When referring patients for ANSC, women are typically allocated to:
- Dr Louise Fay
- Dr Stephen Coogan
- Dr Sara Ooi
Midwifery Group Practice (MGP)
If a patient prefers MGP and capacity is available, please continue to refer to an ANSC obstetrician. Once the referral is received, RHW will allocate an appropriate MGP obstetrician internally.
Obstetric Medicine Referral
GPs are required to provide an additional electronic referral for women with medical conditions in pregnancy through the Antenatal Medical Clinic tab.
Women are typically allocated to:
- Professor Sandra Lowe
- Dr Amanda Beech
- Dr Ruby Chang
Haematology Referral
GPs are required to provide an additional electronic referral for women requiring haematology input in pregnancy through the Antenatal Haematology Clinic tab.
Women are typically allocated to:
Maternal Fetal Medicine (MFM) Referral
GPs should refer via the MFM tab on the electronic referral platform for women requiring high-risk obstetric care, fetal assessment, genetic counselling or specialist maternal fetal medicine input.
Women are typically allocated to:
- Dr Willem Gheysen
- Dr Rita Caldas
- Dr Antonia Shand
Perinatal Mental Health Referral
To qualify for Perinatal Mental Health input, women must be planning to birth at the Royal Hospital for Women.
GPs should send electronic referrals directly to the Antenatal and Perinatal Mental Health tab. The team also sees partners of babies admitted to NICU.
RhD NIPT
RHW Maternity Outpatients now offers routine non-invasive prenatal testing (NIPT) for fetal RhD status to all RhD negative women between 12 and 26 weeks’ gestation.
For optimal accuracy, testing is recommended from 18 weeks’ gestation onwards, as the concentration of circulating fetal DNA in the maternal bloodstream increases with advancing gestation. Samples collected earlier in pregnancy may yield an inconclusive result and require repeat testing.
To ensure results are available to guide antenatal Anti-D administration at 28 weeks, testing should be performed before 26 weeks’ gestation wherever possible.
This screening enables more targeted use of Anti-D prophylaxis by identifying women carrying an RhD positive fetus who will benefit from antenatal Anti-D administration.
Vaccinations During Pregnancy
Vaccination during pregnancy is an important part of protecting both mothers and their babies from serious illness.
Current recommendations include:
- Influenza (Flu) vaccine – Recommended at any stage of pregnancy and should be offered year-round, regardless of the season. Vaccination during pregnancy helps protect both the mother and newborn infant.
- Pertussis (Whooping Cough) vaccine – Recommended from 20 weeks’ gestation in every pregnancy to maximise passive antibody transfer to the baby.
- RSV vaccine (Abrysvo®) – Recommended from 28 weeks’ gestation to help protect newborns against severe RSV disease during the first months of life.
If vaccinations are not available in your practice, please encourage women to attend their local pharmacy, where eligible pregnancy vaccinations can be accessed free of charge, or to discuss vaccination at their next appointment with their RHW midwife.
Clinical Business Rules (CBRs) – RHW Guidance for GPs
ANSC General Practitioners (GPs) are required to utilise and adhere to the Royal Hospital for Women (RHW) Clinical Business Rules (CBRs) to ensure safe patient care and evidence-based clinical decision-making.
Access the RHW CBRs via the Royal Hospital for Women Policies and Publications page.
A Handy, Evidence-Based Antenatal Care Resource for GPs
The Australian Pregnancy Care Guidelines are a nationally endorsed set of evidence-based recommendations for pregnancy care in Australia.
Royal Hospital for Women – Clinical Placements 2026
Obstetric Clinical Placements
Time: 5:30pm–7:00pm
Location: Antenatal Ward, Level 4
Dates
- 14 October 2026
- 9 December 2026
Limit: 6 attendees
Neonatal Clinical Placements
Time: 9:00am–11:00am
Location: Newborn Care, Level 1
Date
Limit: 5 attendees
Registration
Antenatal Shared Care Clinical Coordinator
Phone: 0417 995 153
Email: SESLHD-RHWGPSCEnquiries@health.nsw.gov.au
Please note: Placement dates and maximum attendee numbers may be subject to change.
Menopause Hub GP Clinical Placements – 2026
ANSC GPs are invited to join the Royal Hospital for Women Menopause Hub GP Clinical Placements in 2026.
Session Times
- 8:30am–11:00am
- 1:30pm–4:00pm
Dates and Topics
- 13 October – Menopause After Cancer
- 3 November – Hormone & Mood
- 9 December – Medically Complex Menopause
Cost: Free
Registration
Gill Neil (CNC Menopause)
Phone: 02 9382 6359
Email: SESLHD-RHWmenohub@health.nsw.gov.au
Maximum two GPs per session. Participants must be ANSC registered.
For more information, view the Menopause Hub flyer.
TTAP Study Recruitment
GPs are encouraged to share information about the TTAP Study with pregnant women who are less than 17 weeks’ gestation, have a history of asthma and are booking in at the Royal Hospital for Women.
These women may be eligible to participate in the TTAP Study, which aims to improve asthma management during pregnancy.
Who Should Receive the Flyer?
- Women less than 17 weeks pregnant
- Women with a history of asthma
- Women booking in for maternity care at RHW
Contact Details
Research Midwife
Phone: 0409 702 263
Email: SESLHD-RHW-TTAP@health.nsw.gov.au
Please support recruitment by sharing the flyer during early pregnancy consultations.