Shared Antenatal Protocol

Women's Health Au

Aboriginal Health

Adolescent Medicine

Anaesthetics

Complementary Medicine

Amniotic Fluid Embolism

Antenatal Diagnosis of Congenital Abnormality

Emotional aspects of menopause

Endoscopic Surgery in Gynaecology

IMB - Guidelines For Referral

LBH Antenatal Shared Care

Obstetric Emergencies - Antepartum

Obstetric Emergencies - Intrapartum

Obstetric Emergenies - Postpartum

Osteoporosis

Preventable Causes of Congenital Abnormalities

Shared Antenatal Protocol

The Principles of Antenatal Care

Shared Antenatal Care Protocol
6 - 12 weeks	General Practitioner	Confirmation of pregnancy History and full physical examination including Pap Smear* (up to 20 weeks) FBC and Platelets Blood group and antibodies VDRL & TPHA serology Hepatitis B screening MSU & urinalysis Rubella serology HVS/HIV/Hep C offered to high risk patients Referral letter to Antenatal Clinic Early visit if unsure of dates
	First Visit to Hospital Antenatal Clinic	Completion of administrative details Discussion of GP Shared Care/Maternity Care by Midwife VMO assessment of suitability for GP Shared Care program Referred back to GP with Yellow Card If unsuitable, GP will be informed by telephone or letter with the reason given. Discuss Triple Test (after 15 weeks) and Ultrasound (18 weeks)
16 weeks	General Practitioner	Routine check, review Triple Test if ordered
20 weeks	General Practitioner	Review ultrasound result. Change dates ONLY if ultrasound scan is > 10 days different to menstrual dates
24 weeks	General Practitioner	Routine check, consider nutritional supplements
28 weeks	General Practitioner	Routine check F.B.C. and Platelets Antibody screen Consider G.T.T.
32 weeks	General Practitioner	Routine check
34 weeks	General Practitioner	Routine check If Rhesus negative, antibody screen
** 36 weeks	Hospital/ANC	Confirm presentation, growth and review birth arrangements
41 weeks	Hospital/ANC	Plan delivery
6 weeks postnatal	General Practitioner	Mother - vaginal examination (Pap Smear if necessary) Infant - paediatric assessment - arrange immunisations

*Cytobrush not to be used. ** For primigravida patients weekly visits from 36 weeks are advised, multigravida patients are generally seen every 2 weeks

Return to top of page

This page was last built on 18/5/99; 7:45:33 AM.
It was originally posted on 12/4/98; 8:40:51 AM.
Webmaster:

lemlink@medicineau.net.au

Preventable Causes of Congenital Abnormalities

Index

The Principles of Antenatal Care

MedicineAu