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Antenatal referrals - public patients

Purpose

This page contains information on how to refer to the antenatal clinic at Mater Mothers Hospital.

Service

The antenatal clinic provides various models of maternity care to women in the defined catchment area.

How to refer

If referral for care is indicated please list all of the General Referral Information a reason for request, and essential information as indicated below.

Please refer using the Mater Antenatal SmartForm or fill in the Mater Antenatal Referral Form, available to download and embed into most major Practice Management software applications.

These referrals can be sent by:

Secure messaging 

Medical Objects:   HM4101000R8

 

HealthLink EDI:    materref   

Fax   

07 3163 8053

 

 

 

 

Please note: Smart Referrals does not yet have an antenatal template. To use Smart Referrals it is essential to follow these guidelines and include all the indicated information.  

Emergency

If any of the following are present or suspected, phone 000 to arrange immediate transfer to the nearest emergency department or Pregnancy Assessment Unit or seek emergency medical advice if in a remote region.

See our Guidelines and Policies

Scope of service

Conditions in scope:

All antenatal conditions

Essential information (Referral will be declined without this)

  • LNMP, Gravida, Parity EDC
  • FBC, Ferritin (Antenatal screen should be requested by GP please cc Mater in results but do not delay referral)
  • Hepatitis B serology
  • Hepatitis C serology
  • HIV
  • Syphilis serology
  • Blood group and antibodies
  • Rubella
  • MSU

If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.

Additional referral information (useful for processing the referral)

  • Chlamydia investigation for patients 25 years or under
  • Dating and Morphology Ultrasound scans
  • Screening for fetal anomalies
  • HbA1c in first trimester for women with risk factors for gestational diabetes

Other useful information for management (not an exhaustive list)

Please see the Mater Guidelines and Policies for useful management information.

This section contains specific information for antenatal shared care:

Uncomplicated or low risk pregnancies

  • Ensure all minimum referral criteria are met including a copy of the required pathology tests
  • Refer privately for detailed scanning (screening for fetal anomalies discussed, accepted , referral given)
  • For low risk women expect the first hospital visit with the consultant to be offered after 20 weeks
  • Referring clinician will be responsible for care until the first hospital appointment

Complicated pregnancies

Please refer urgently to the Antenatal Clinic and specify the reason in the referral letter and include relevant specialist correspondence.

Please cc all results to the Antenatal Clinic.

High risk of gestational diabetes (GDM):

If there is a high risk, please request a HbA1C + glucose tolerance test (GTT) in the first trimester.

Risk factors for GDM* are:

  • BMI >30 (pre-pregnancy or on entry to care)
  • Ethnicity (Aboriginal and Torres Strait Islander, Pacific or South Sea Islander, Indian subcontinent, South East Asia, Middle Eastern or African)
  • Previous GDM
  • Previous elevated BGL
  • Maternal age > 40 years
  • Family history DM (1st degree relative or sister with GDM)
  • Previous macrosomia (birth weight >4500g or > 90th percentile)
  • Previous perinatal loss
  • Polycystic ovarian syndrome
  • Medications (corticosteroids, antipsychotics)
  • Multiple pregnancy

*Queensland Clinical Guideline: Gestational Diabetes Mellitus

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

 

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

 

 

 

Our specialists

Dr Paul Bretz Director of Gynaecology and Obstetrics Medicine
   
   

Bulk Billed clinics

Mater Health offers patients the opportunity to attend bulk billed clinics. To provide your patient with the opportunity to attend a bulk billed clinic, please provide a named referral to Dr Paul Bretz.

Contact us

If you would like to discuss a referral, including clinical criteria, or update the status of a current patient please contact our priority GP Liaison Midwife on 07 3163 1861

Referral guidelines development

These Mater Referral Guidelines have been developed locally by GPs and specialists to support safe and quality referral to publicly funded specialist outpatient services.

Content last reviewed: 10/08/2020

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