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Issue 3: September 2020

The Baby Monitor provides ANSC Providers with the latest updates and news about antenatal shared care in south western Sydney.

In this edition:

- COVID-19 Update
- Interactive case study: GDM
- Changing referral boundaries
Clinical Resource: Aspirin Guideline
- Yellow Cards
- GP Liaison Contact Details
- Twins
- Approved Providers Only
- Safer Baby Bundle Education Resources
- SWS HealthPathways Antenatal Evaluation

Quick links:

COVID-19 Update

Restrictions on visiting hours and number of support people & visitors have been implemented across SWSLHD hospitals.
Women of the district are being asked to ideally attend their antenatal appointments alone and to elect one support person for their labor and birth.

Postnatal ward visiting hours have been reduced at facilities and restrictions on the number of visitors have been changed to one person.
Children under the age of 16 are not permitted entry into the facilities as a visitor.

Women should be encouraged to contact their referral hospital to obtain facility specific visitor information.
Further advice can be found here.
Interactive Case Study: Gestational Diabetes
 
Welcome to our new feature! You will be presented with a case study (in this case it is related to GDM) and have answer questions along the way.
Will you get all of the questions correct or realise you may not completely understand the GDM policy?*
 
*To be fair, it has changed multiple times in the last few years
Twins
 
All woman identified as carrying a twin pregnancy should be:
  • referred for an ultrasound between 11-14 weeks gestation to identify the type of twin pregnancy
  • referred urgently for their booking appointment , ideally with it occurring between 10-14 weeks 
Monochorionic twin pregnancies are managed by the Liverpool Fetal Medicine Unit with fortnightly ultrasounds starting at 16 weeks and occurrign for the duration of their pregnancy.

To review the SWSLHD policy, click here.
Approved Providers Only

Only recognised GPs can practice Antenatal Shared Care in South Western Sydney. GPs who have not obtained recognition are unable to provide ANSC with women in SWSLHD even when a fellow GP in the surgery is recognised.

If a fellow GP would like to become a provider please complete the application form and return to Delena Bailey. Once an orientation session has been completed, the GP can be added to the SWSLHD ANSC Provider list.

GP Liaison Contact Details
 
SWSLHD CMC GP Liaison Midwives, Amanda & Tracy, are available for consultation and support Monday to Friday, 0730-1630.

If you have any issues, questions or queries do not hesitate to make contact with them.
Email:
SWS-CMCGPSC@health.nsw.gov.au
Phone: 0402 792 820 or 0484 627 228
Aspirin Guideline

Following from the hypertension case study last issue, a new clinical resource: aspirin guidelines have been developed. 
The information in the resource compliments the clinical guidance on HealthPathways.

You can download a copy of here.



 

Changing referral boundaries
 
There has been a further update to the referral boundaries of the district hospitals, which can be found here.

Additionally women pregnant with twins in the Bowral LGA need to book directly with Campbelltown and those living in the Fairfield LGA need to book directly with Liverpool. Please ensure that when you identify a twin pregnancy you specify the type of twins on your referral letter to the facility.
Yellow cards
 
All SWSLHD facilities will now be retaining a copy of all women’s yellow cards at the conclusion of their pregnancy to preserve any communication with external providers in the patients hospital medical record.

Please ensure you are documenting your consults clearly on the yellow card or providing a print out of your practice software of each of your antenatal consults.
Safer Baby Bundle Education Resources
 
In line with the roll out of the Safer Baby Bundle across SWSLHD, all women receiving antenatal care must be provided education and written information on the importance of smoking cessation, fetal movements and side sleeping in pregnancy.
The following brochures MUST be provided to ALL women by 28 weeks gestation.
Resource ordering information can be found at https://www.swsphn.com.au/antenatal

This will be audited by each facility and reported to the Clinical Excellence Commission. The district expectation is 100% of women are provided this information, education & brochures.

Education regarding these resources can be found at https://www.stillbirthcre.org.au/safer-baby-bundle/, or by contacting the CMC GP liaison midwives.
SWS Antenatal HealthPathways Evaluation
Win a $250 Visa Gift Card

 
HealthPathways is currently evaluating how its integration with the ANSC program has changed the experience of GPs providing antenatal care within south western Sydney. A short, 10 minute survey has been developed and we encourage all GPs to complete the survey.

At the end of the survey, you are able to submit an entry to win a $250 Visa Gift Card. This will be drawn in early 2021 (date and time to be advised). Please note that the competition entry is separate to the survey to ensure all survey information remains de-identified.

To complete the survey and enter the running, click here.
Last Chance to win Event Cinema Gift Cards worth $250

The Safer Baby Bundle Program aims to reduce the rate of stillbirths in Australia by 20 per cent by 2023. An online training package has been developed for healthcare professionals. These modules are eligible for 6 points of CPD (self-reported).

For GPs completing the training, two prizes are up for grabs.

GP Prize: One GP who provides proof of completion will win a $250 gift card
Practice Prize:  One practice will win five $50 gift cards for distribution within the practice*.
How to enter: Email proof of completion to Delena Bailey between now and 30 September, 2020.
Closing date and notification of winners: The competition will close on 30 September. The draw will occur on Thursday, 1 October 2020 and the winning GP and practice will be notified via email.
 
* Practices with multiple ANSC GPs, earn one entry per GP in the practice completing the course.
  ANSC GPs who work at multiple practices will receive one entry for each practice they work at.
Previous Article: Hypertension

A reminder of the flow chart for blood pressure monitoring and escalation.

Ensure blood pressure is checked at every consultation with the appropriate sized cuff and documented on the yellow card. Any woman that falls within the red zone should be transported to the hospital via ambulance. Women with a BP this elevated, should not drive themselves into the hospital.

 
Previous Article: Mackenzie's Mission recruiting patients

Mackenzie’s Mission is recruiting participants to be involved in this project of pre-pregnancy screening. If you are interested in being involved and recruiting your patients to take part in Mackenzie’s Mission, please contact the study team. Interested GPs would need to attend an education session with us (via Zoom) so they can upskill in how to offer this project to their patients, remembering that the majority of enrolment is completed by the couple at home online.

For more information, go to www.mackenziesmission.org.au/

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South Western Sydney PHN · Level 3, 1 Bolger Street · Campbelltown, NSW 2560 · Australia