Required information
In order for us to be able to accept your patient for review and treatment, referring GP’s/Medical Specialists are required to provide the following detail in your referral.
Essential information
- full name
- address
- date of birth
- referring GP details
- Medicare number
- previous patient
- cultural considerations
- preferred language and Interpreter
requirements.
Clinical information
Current history:
- LNMP
- EDD
- parity and gravida
- multiple pregnancies
- height and weight
- pap smear
- BMI female circumcision.
Past history:
- preeclampsia
- stillbirth
- small baby <2800g at term
- preterm birth
- foetal abnormality
- GDM
- placental abruption
- rhesus isoimmunisation PPH >=1000mls
- number of previous caesareans
- mid trimester loss or miscarriage.
Risk factors:
- diabetes
- pre-pregnancy Cervical surgery >2
- LLETZ procedures
- familial genetic disease
- asthma
- anaemia
- epilepsy
- DVT or pulmonary embolus
- haemoglobinopathy
- psychiatric disorders
- hepatitis B or C
- hypertension
- renal disease
- SLE Thyroid disease
- alcohol and other drugs
- smoking
- past medical and surgical history
- medications
- allergies
- ahared care request
- social history.
Investigations and results
Required:
- FBE
- HIV serology
- syphilis serology
- ferritin
- MSU/urinalysis
- Hb electrophoresis
- hepatitis B and C
- thalassemia
- blood group and antibodies
- morphology ultrasound requires separate referral.
Consider:
- dating ultrasound
- chlamydia
- vitamin D
- early GTT.
Aneuploidy Screening
Discussion occurred
First trimester combined
Second trimester MSST
None invasive prenatal
screening.
Referral process
Fax to Werribee Mercy Hospital Outpatient Department on 03 8754 3467.
Step 1
Essential referral content will be checked.
You will be contacted if further information is
required.
Please indicate the patient’s preferred model
of care on the referral form.
If requesting an urgent review please include
relevant details and results.
If you wish to speak to a doctor to determine
urgency, phone Werribee Mercy Hospital on
03 8754 3448 and ask to speak to the obstetric
registrar.
Step 2
The referral will be triaged by the specialist
unit according to clinical criteria and patient
preference.
This determines how long the patient will have
to wait for their first antenatal appointment.
Step 3
Patients with urgent conditions are scheduled
to be seen within seven–10 days.
Patients are allocated an antenatal clinic
appointment.
The date for the appointment will depend on
the model of care and clinical acuity.
Both the referrer and patient are notified.
Contact details
Referral contact details
Werribee Mercy Hospital
Maternity
300 Princes Highway
Werribee Victoria 3030
Phone: 03 8754 3400
Fax: 03 8754 3467
Outpatient appointments: 03 8754 3467
General practitioners: 03 8754 3400
Fax: 03 8754 3467
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