Sandringham referrals

The Women’s at Sandringham provides maternity care for low-risk women and limited gynaecology services. Alfred Health continues to provide radiology, pathology and operating theatre services. 

Booking requests for maternity and gynaecology services at the Women’s (Sandringham) should be faxed to the Women’s Access Centre Fast Fax Referral line. Referral booking forms are available online. 

Completing a referral form

The information required: 

  • Must be directed to a named specialist: Dr Len Matthews. (This is a requirement as the clinics at Sandringham Hospital are MBS.) The nformation must be sufficient to triage women and include:
    • the presenting problem
    • EDC (if pregnant) 
    • medical, genetic, obstetric and mental health history
    • BMI
    • Medication
    • investigations
  • Interpreter or disability requirements
  • The woman’s address and date of birth
  • Your practice details and provider number

NOTE: If referrals do not contain sufficient information, including ALL of the above, they will NOT be able to be processed.

If a patient is ineligible for a Medicare card, and requires maternity care, please refer her to the Women’s Access Centre as described above.

Patients requiring gynaecology care should be referred to the Monash Medical Centre.

Clinical pathways

Maternity

If a woman is high risk, refer to their closest tertiary hospital, eg Monash Medical Centre, Mercy Hospital or the Women’s (Parkville).

If a woman is low risk and Sandringham is their closest maternity hospital, fax the referral to the Women’s Access Centre (on 8345 3036), which will triage to the Women’s (Sandringham).

Inclusion criteria for the Sandringham campus:

  • Ambulant
  • Singleton or dichorionic twin pregnancy
  • Parity: < 5
  • Age: > 16 years and < 42 years at date of referral
  • Body Mass Index (BMI) > 17 and < 35 at date of referral

If a booked woman accepted for care at Sandringham then requires tertiary care during her pregnancy, she will be cared for at an appropriate tertiary facility. This will be arranged by the Women’s.

If a pregnant woman presenting at the Sandringham Hospital Emergency Department, or admitted to Sandringham, will not automatically become a patient of the Women’s. The medical facility will depend on the clinical care required at the time. A woman who accesses Sandringham’s ED or is admitted at the Women’s (at either Parkville or Sandringham) will be discharged back to an appropriate maternity facility.  

Gynaecology

The Women’s (Sandringham) offers general gynaecology services for women without significant comorbidities where Sandringham Hospital is their closest hospital with a gynaecology service. There are no specialist gynaecology services at Sandringham Hospital.

General gynaecology services provided at the Sandringham campus include:

  • assessment and management of heavy menstrual bleeding, pelvic pain ovarian cysts, post-menopausal bleeding, uncomplicated prolapse
  • Implanon insertion and removal
  • IUD insertion for contraception only
  • Vulval biopsies
  • Vaginal pessary fitting and changeover
  • Mirena insertion for management of heavy menstrual bleeding.

Referral of women who need specialist gynaecology services or have significant comorbidities 

Refer to closest hospital that performs specialist gynaecology services, eg Monash Medical Centre, Moorabin, Caulfield, Dandenong, the Women’s (Parkville).

Significant comorbidities include obesity (BMI >40), moderate to severe pulmonary cardiac, renal or liver disease, insulin-requiring diabetes

Women should be referred to their closest hospital with specialist gynaecology services, eg Monash Medical Centre, Moorabin, Caulfield, Dandenong or the Women’s (Parkville) for any of the following:

  • Urodynamics
  • Breast abnormalities
  • Complex gynaecology care requiring tertiary level service, which includes complicated urogynaecology, infertility oncology

Queries about patient pathways should be addressed to the Women’s GP Liaison Office on 8345 2064.

Exclusion criteria

Obstetric / gynaecology related:

  • Monochorionic twin pregnancy or higher order multiple pregnancy
  • Recurrent miscarriage x 3
  • Recurrent mid trimester loss x 2
  • Significant cervical conditions (i.e. previous cone biopsy, cervical incompetence, cervical anomalies)
  • Previous extreme premature birth (<33 weeks gestation)

General:

  • Anaemia (Hb <90g/L & not responding to treatment)
  • Auto-immune disorders (including antiphospholipid antibodies)
  • Blood disorders, such as major haemoglobinopathies, haemolytic disease, thrombo embolic disease
  • Cardiac disease
  • Neurological disorders
  • Diabetes mellitus, type 1
  • Unstable endocrine disorders
  • Unstable epilepsy
  • HIV or other infectious diseases of clinical significance (e.g. acute onset Hepatitis C)
  • Chronic hypertension on medication
  • Puerperal psychosis

Conditions subject to review

Obstetric / gynaecology related:

  • Previous placental abruption in past pregnancy (Risk of recurrence 5-10%)
  • Previous significant post partum haemorrhage (subject to anaesthetic review)
  • Previous stillbirth
  • Absence of antenatal care in a woman who is 28 weeks gestation or more at first presentation
  • Uterine myoma or malformation, abdominal or adrenal masses
  • Uterine surgery (eg. myomectomy & tubal reanastomosis involving the cornua)

General:

  • Alcohol and drug abuse
  • Rhesus isoimmunisation
  • Gastroenterological disorders
  • Renal disease
  • History of significant anaesthetic difficulties (subject to anaesthetic review)
  • Asthma, respiratory disease or chronic bronchitis requiring hospitalisation within the last 12 months (subject to medical and obstetric consultant review)
  • Diabetes mellitus type 2 (subject to review by the Sandringham Endocrine Clinic)
  • Unstable psychiatric illness (subject to psychiatric advice)
  • Women who refuse blood products
  • Other factors (not listed formally here) may also constitute reason for exclusion.

Referral forms

More information and downloadable referral forms.

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