Shared Maternity Care Updates October 2021
The Pfizer or Moderna COVID vaccines can be given at any stage of pregnancy or while breastfeeding.
Routine Schedule of Antenatal Care for Shared Maternity Care (Parkville):
COVID-19 Revised - October 2021: It is expected that all Shared Maternity Care Affiliates (SMCAs) will provide face to face care to pregnant women according to the schedule below.
Please notify the shared care office if you are unable to provide face to face care so that we can reallocate your patient(s) to another care provider.
|
GESTATION |
Rh+ve |
Rh-ve |
PREVIOUS CAESARIAN |
|
|---|---|---|---|---|
| 15-20 weeks | Hospital | Hospital | Hospital |
Telehealth+ |
|
15-20 weeks |
Hospital |
Hospital |
Hospital |
⇧ Face to Face* appointment or Telehealth+
⇩ |
|
16 weeks |
SMCA |
SMCA |
SMCA |
|
|
22 weeks |
SMCA |
SMCA |
SMCA |
|
| 28 weeks Review 26-28 week blood results^ Pertussis /Influenza vaccine if not had |
SMCA | Hospital (+ Anti D) | Hospital |
Face to face appointment
|
| 28-30 weeks – MAP# | Hospital Midwife | Hospital Midwife | Hospital Midwife | Telehealth or phone |
|
32 weeks |
SMCA | SMCA | SMCA |
⇧
Face to face appointment
⇩ |
|
34 weeks |
SMCA | SMCA | SMCA | |
| 36 weeks (plus GBS swab) |
Hospital | Hospital (+ Anti D) | Hospital | |
|
38 weeks |
SMCA |
SMCA |
SMCA | |
| 38/40 weeks | SMCA | SMCA | Hospital | |
| 41 weeks (if required) | Hospital | Hospital | Hospital |
# MAP = Midwife Antenatal Preadmissions
+Telehealth appointment: patient requires BP reading prior
*Face to face appointment: Examination required (BP, fundal height and fetal heart rate)
^Testing for Gestational Diabetes (GDM):
- The Glucose Tolerance Test (GTT) is the preferred test for GDM if this can be done safely. Testing using fasting BSL and HbA1c misses a number of women who would have been diagnosed with GDM based on GTT.
- If the woman cannot safely wait the two hours required for the GTT, please follow the ADIPS guidelines:
If a woman is positive for COVID-19, symptomatic, in isolation or in quarantine, the GDM screening should be delayed and a telehealth consultation for routine care should take place instead of a face to face in the first instance.
Please notify the hospital if you become aware that a pregnant woman, who is a patient of the Women’s, is COVID positive (and you believe the hospital is not aware of her COVID status) on Covid.preg@thewomens.org.au. Pregnant women are considered at high risk of complications of COVID and the hospital will contact the woman about her ongoing care.
If a pregnant woman tests positive to COVID, or is a close or primary contact of a positive case, care will be provided if they require urgent review (eg reduced fetal movements, high blood pressure) and should not be delayed. Please ask the woman to call ahead to the hospital (8345 2000) so that plans can be made for her arrival.