Antenatal
Adult

Antenatal and Maternity

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Emergency Referrals

Useful Management Information

Expect the first hospital visit to be offered between 16-20 weeks unless there are issues requiring more urgent review.

GP will be responsible for the care until review by maternity service
Discuss the Maternity model of care options available across Queensland, these are site specific.
Document woman’s preferred model of care – if known or provide information and time for woman to consider options
Advise earlier referral if woman requesting midwifery group practice model of care
Advise if woman requesting GP Shared Care Model
- Advise if GP prepared to participate in the GP shared care model (GP’s wanting to participate in a shared care model will need to meet local training and CPD requirements).
Advise antenatal, lactation and parenting education preparation and support
Recommend routine vaccinations for pertussis and influenza
Physiotherapy – indications for referral, consider community referrals or local health pathways
- Urinary/faecal incontinence
- Pelvic organ prolapse
- Significant pelvic joint pain
- Significant back pain
- Carpal tunnel syndrome/de Quervain’s Syndrome
- Inpatient on prolonged bed rest referred by medical team
- Varicosities
Dietitian – indications for referral -– consider community referrals or local health pathways
- Gestational diabetes mellitus [no additional referral once referred to the diabetic clinic].
- Hyperemesis gravidarum (in-patient only)
- History of Bariatric surgery
- Body mass index (BMI) <18
- BMI ≥ 35 (pre-pregnancy BMI >30)
- Excessive weight gain during pregnancy (10 kg or more at 20 weeks)
- Young women aged < 17 years
- Nutrient deficiencies
- Multiple Pregnancy
- History of eating disorders
- History of previous or current alcohol and/or drug abuse
Social Work – indications for referral consider community referrals or local health pathways
Domestic and family violence
Child Protection involvement (current and relevant past history)
Substance abuse / drug & alcohol issue
Unwanted pregnancy (refer to Termination of Pregnancy CPC)
Consistent poor attendance for pregnancy care
Multiple social concerns (i.e. a combination of poor social supports, housing and financial issues, significant
relationship concerns)
New serious health diagnosis for mother or baby during pregnancy
Anticipated significant difficulties coping with the baby

Clinical resources:

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	Antenatal care requiring review within 30 days
Category 2 (appointment within 90 calendar days)	Antenatal care requiring review within 90 days
Category 3 (appointment within 365 calendar days)	No category 3 criteria
If your patient does not meet the minimum referral criteria Assessment and management information may be found on a range of conditions at HealthPathways If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

Current pregnancy (*ensure early referral if risk factors identified, all referrals preferred by twelve weeks where possible)
- Gravidity, Parity
- LNMP (Last normal menstrual period),
- EDB (Estimated Date of Birth)
- Single or multiple pregnancy
- Confirmation of pregnancy (positive urine or serum B-HCG)
- BMI
- BP
Past Obstetric history (if known) - for each previous pregnancy please provide details of outcome:
- Date of birth, gestation, mode of birth, birth weight, place of birth
- Any pregnancy complications e.g. GDM (Gestational Diabetes Mellitus), fetal growth
- restriction, pre-eclampsia, APH (antepartum haemorrhage)
- Any birth complications e.g. PPH (Postpartum Haemorrhage), preterm birth, stillbirth, pre existing birth trauma
- Previous neonatal admission to SCN/NICU and reason
- Miscarriage
- Ectopic pregnancy
- Termination of pregnancy
Summary of relevant medical, surgical, and psychosocial history including details of any risk factors/co-morbidities (e.g. diabetes, obesity, bariatric surgery, asthma, cardiac, renal or liver disease, hypertension, anaemia, eating disorders, mental health concerns etc)
Current medications including psychotropic drugs such as Sodium Valproate, Lithium and other medication with recognised fetal implications
Indigenous status, Ethnicity and language spoken (identify if interpreter is required)
Drug, alcohol, and smoking history
Routine antenatal bloods: FBC, blood group and antibody screen, rubella antibody screen, hepatitis B serology, hepatitis C serology, HIV serology, syphilis serology, Mid-Stream Urine for MCS

Additional Referral Information

History and Examination

Method of conception (either spontaneous or assisted)
First trimester early OGTT (preferred) or HbA1c - if risk factors for gestational diabetes
- BMI > 30 kg/m2 (pre-pregnancy or on entry to care)
- Ethnicity (Asian, Indian subcontinent, Aboriginal, Torres Strait Islander, Pacific Islander, Maori, Middle Eastern, non-white African)
- Previous GDM
- Previous elevated Blood Glucose Level (BGL)
- Maternal age ≥ 40y
- 1st degree relative with DM or sister with GDM
- Previous macrosomia (birth weight > 4500 g or > 90th percentile)
- Previous perinatal loss
- Polycystic Ovarian Syndrome
- Medications (corticosteroids, antipsychotics)
- Multiple pregnancy

Pathology and Test Results

Prenatal screening and diagnostic testing for fetal chromosome and genetic conditions e.g. combined first
trimester screen, NIPT, CVS, amniocentesis, genetic carrier screening
Ferritin
TSH – if > 30y or other thyroid risk factors (family history, autoimmune disease including coeliac disease, T1DM etc)
ELFT’s and Urine protein/creatinine ratio if indicated e.g. women with BMI >30, pre-existing hypertension, diabetes
Chlamydia investigation for women ≤30y or if risk factors
STI screen result as indicated
Cervical screening reports if >25y or indicated

Imaging and reports

Dating, Nuchal Translucency and Morphology Ultrasound scans

Other considerations

Refugee status
Social history including domestic violence, living situation, drug and alcohol use
Identification of Gillick competence and intellectual capacity (where appropriate)
Recognition of sexual orientation i.e. Lesbian, Gay, and Bisexual (LGB)
Woman's preferred model of care
- GP Shared Care (Is the GP aligned?)
- Midwifery care
  - Birth centre
  - Midwifery Group Practice (MGP)
  - Other
- Obstetric Care

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Medical Objects Account: GQ4215000B3
Healthlink EDI: qldgcuha

Internal Referrals

Not Available

Fax

(07) 5687 4497

Post

Antenatal and Maternity
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 744 284

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

Dr Benjamin Bopp

Medical Director Obstetrics

Facilities

Gold Coast University Hospital

Tugun Satellite Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

AntenatalAdult