Sydney North PHN in conjunction with Northern Sydney LHD had a very successful education event for GPs, particularly those participating in shared antenatal care. Information was presented by Family Planning NSW, the Get Healthy in pregnancy service and the project director from the Northern Beaches Hospital. Here is a summary of the information given:
Pills containing levonorgestrel or norethisterone in combination with ethinyloestradiol 35 microgram or less are considered first-line
First line options for progestogen only LARC related troublesome bleeding
- A combined hormonal contraceptive taken continuously or cyclically for three months
- Five day course of NSAID such as mefenamic acid 500mg bd-tds
- Five day course of tranexamic acid 500mg bd, particularly if bleeding is heavy
‘Get Healthy in Pregnancy' Project
A collection of data in 2017 showed 47% of Australian women exceed the recommended guidelines for gestational weight gained in pregnancy. Keeping within these guidelines has shown to reduce the risk of childhood overweight and obesity and many chronic diseases.
New Antenatal care Guidelines have been released by NHMRC in February 2018 changing how we prioritise care relating to pregnancy and healthy weight gain, with weighing women each antenatal visit back on the agenda.
The Free Get Healthy in Pregnancy Tailored program improves participant’s adherence to these guidelines, increasing awareness of the risks to themselves and their baby and benefiting their family unit as a whole.
Available Resources include pregnancy weight gain tracker, referral forms and stakeholder resource order form and can be found here, or to access this information via HealthPathways, see pregnancy pathways here. If you are not already using SNHP, you can request access by emailing the Team at firstname.lastname@example.org.
For further information contact: Senior Project Officer Get Healthy in Pregnancy | Office of Preventive Health/NSW Ministry of Health – Mob 0414 252 527 | Justine.Salisbury@health.nsw.gov.au
What's New in the Women’s Health Context?
The Pregnancy Care Guidelines have now been combined and updated to form a single set of consolidated guidelines that were renamed Pregnancy Care Guidelines and publicly released in February 2018.
The Pregnancy Care Guidelines are now publicly available at www.health.gov.au/pregnancycareguidelines, or to access the guidelines via HealthPathways, see pregnancy pathways here. If you are not already using SNHP, you can request access by emailing the Team at email@example.com
- Main updates are an update to the Australian Clinical Practice Guidelines for Antenatal Care recommend routine testing for hepatitis C, due to the availability of direct-acting antivirals that can offer a rapid post-partum cure.
- HbA1c or fasting blood glucose are suitable tests for diabetes in first trimester to assess for diabetes Recommended threshold is HbA1c ≥ 5.9% (NSLHD policy & audit level 5.4%)
- Recommendation that routine weighing may provide opportunities to engage women in important conversations about weight gain and diet.
- Provide counselling on the cell-free DNA screening test (non-invasive prenatal testing) for chromosomal abnormalities
Northern Beaches Hospital update
Women currently booked in to deliver at Manly or Mona Vale Hospital will deliver at the Northern Beaches Hospital if they are due at after the 1st November 2018
- Birthing services at Northern Beaches Hospital – able to provide a much larger, higher level service than Manly and Mona Vale Hospitals
- Midwifery or Obstetric led birth
- Care for women delivering early, from as early as 32 weeks, management of diabetic mums, management of placenta praevia
- 40 post natal beds in (20 public, 20 private)
- 10 purpose-built birthing suites (5 public, 5 private)
- birthing pools for women who want to give birth in water and pain relief baths
- 12 special care nursery cots (6 public, 6 private)
Comprehensive range of services includes:
- Early pregnancy assessment
- High risk clinics, including gestational diabetes management
- Specialist obstetric ultrasound services on site
- Antenatal education for pain management and breast feeding
- Lactation consultants
- Newborn testing
- Postnatal drop-in care – for help with feeding and other problems
- Psychology services provided by specifically qualified Clinical Psychologists
- Mental health consultation and liaison services
- Follow up care in the home post-delivery, as required
- Multidisciplinary care including allied health services during pregnancy and post-delivery
- Access to a full range of complementary specialist medical services
Tour for GPs through CPD event later this year
Public tours of birthing services will be available from August 2018
Excellent Obstetricians and Healthscope will add to the list:
- Dr Sean Burnet Dr Tony Bushati
- Dr Evelyn Chia Dr Jim Ferry
- Dr Paul Fowler Dr Fernando Infante
- Dr David Jollow Dr Chester Kent
- Dr Stephen Lyons Dr Adam Mackie
- Dr John Pardey Dr Mark Ruff
- Dr Abirami Thevakumar Dr Talat Uppal
- Dr Sarah Woodbury Dr Joyce Wu
For more information email firstname.lastname@example.org.