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Shared antenatal protocol
6 - 12 weeks General Practitioner
  • Confirmation of pregnancy
  • History and full physical examination including Pap Smear* (up to 20 weeks)
  • FBC and Platelets
  • Blood group and antibodies
  • VDRL & TPHA serology
  • Hepatitis B screening
  • MSU & urinalysis
  • Rubella serology
  • HVS/HIV/Hep C offered to high risk patients
  • Referral letter to Antenatal Clinic
Early visit if unsure of dates
First Visit to Hospital Antenatal Clinic
  • Completion of administrative details
  • Discussion of GP Shared Care/Maternity Care by Midwife
  • VMO assessment of suitability for GP Shared Care program
  • Referred back to GP with Yellow Card
  • If unsuitable, GP will be informed by telephone or letter with the reason given.
Discuss Triple Test (after 15 weeks) and Ultrasound (18 weeks)
 16 weeks  General Practitioner
  •  Routine check, review Triple Test if ordered
 20 weeks  General Practitioner
  •  Review ultrasound result. Change dates ONLY if ultrasound scan is > 10 days different to menstrual dates
 24 weeks  General Practitioner
  •  Routine check, consider nutritional supplements
 28 weeks  General Practitioner  Routine check
  • F.B.C. and Platelets
  • Antibody screen
  • Consider G.T.T.
 32 weeks  General Practitioner
  •  Routine check
 34 weeks  General Practitioner
  • Routine check
  • If Rhesus negative, antibody screen
 ** 36 weeks  Hospital/ANC
  •  Confirm presentation, growth and review birth arrangements
 41 weeks  Hospital/ANC
  •  Plan delivery
 6 weeks postnatal  General Practitioner
  • Mother - vaginal examination (Pap Smear if necessary)
  • Infant - paediatric assessment - arrange immunisations
*Cytobrush not to be used. ** For primigravida patients weekly visits from 36 weeks are advised, multigravida patients are generally seen every 2 weeks
This page was last built on 10/01/03. It was originally posted on 12/4/98; 8:40:51 AM.

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