Management of abnormal findings

 

It is the primary responsibility of the maternity provider ordering an investigation to ensure appropriate follow up and management. However, all providers should check that any incomplete or abnormal investigation results or findings have been followed up. This should be clearly communicated and documented on the handheld record.

All providers of maternity care have a responsibility to appropriately manage problems arising during a woman’s pregnancy. If the pregnancy deviates from normal, the community provider should consider referring the woman for hospital assessment or additional clinical consultation.

For immediate clinical advice, GPs are recommended to refer in the following manner according to hospital site.
 

URGENT REFERRALS

 Non-Obstetric or Less than 20 weeks pregnant 

• Emergency Department 
Any woman less than 20 weeks gestation should present to the Emergency Department (at the booking site) for assessment. This includes first trimester bleeding or pain that cannot be appropriately diagnosed and managed in the community.

Any pregnant woman presenting with an urgent non- obstetric condition (eg chest pain, undiagnosed abdominal pain, seizures, unusual migraine) should be referred to the Emergency Department in the first instance for assessment.

More than 20 weeks pregnant:

DANDENONG HOSPITAL 
On-Call obstetric registrar via switchboard:
P: 9554 1000
OR
Birth Suite
P: 9554 8180

CASEY HOSPITAL 
On-Call obstetric registrar via switchboard:
P: 8768 1200
OR
Birth Suite (Ward G)
P: 8768 1755

CLAYTON – Monash Medical Centre (MMC) 
On-Call obstetric registrar via switchboard:
P: 9594 6666
OR
Pregnancy Assessment Unit
P: 9594 5032 (Select Option 3)

 
NON URGENT REFERRALS

Our Maternity Shared Care Co-ordinator is Ms Claudia Clark who is the key contact person for any non-urgent situation. She will ensure that non-urgent queries are responded to in a timely manner.

This may include:
  • Organising extra outpatient appointments for additional clinical consultation.
  • Advice on referral to allied health or psychiatry services.
  • Arranging non-urgent reassessment of community ultrasound and other pathology results.
  • Discussion of correct hospital site allocation if the community provider believes the woman has been booked in a site that is not appropriate for her care.