• Women assessed as being suitable for inclusion by obstetrician.
• Indication in general practitioner's referral letter that he / she would be interested in shared care. (The woman understands the concept of shared care).
• Removal of patient from shared care only occurs if a complication arises that requires monitoring at the clinic. Antenatal clinic staff should inform the participating GP of this.

Protocol

• Early referral for assessment to specialist obstetrician at 18 weeks in his room with scan. (This referral will be required at 10- 12 weeks if genetic counselling is required)
• Standard routine consultations with GP.
• Review at the clinic at:

• Patient-held antenatal card flagged for share care and documentation of consultation and investigations on this card.
• Pathology / scans (standard and extra as indicated). Ordered by the clinic or GP with request for copies to be sent to both.
• Non-scheduled appointments as soon as practicable following abnormalities detected by the GP. (Urgent problems contact duty obstetrician)
• GP notified of patient's admission to hospital and record of this noted on antenatal card and in the patient's notes by RMO.
• Postnatal visit at six weeks with GP unless a complication makes hospital review advisable.
• All Practitioners to use yellow Health Department Antenatal Cards if possible.
• Women attending the ANC will be seen by a Midwife, RMO, Registrar or Obstetricians as per clinic guidelines.

Pathology Tests