OBSTETRICS AND GYNAECOLOGY

HOURS ON SITE 24/7

DECT 72232

- overnight a single registrar is on-call for both ED, birthing suite and admitted patients

OG trainees, SRMOs or GP trainees - all generally very helpful. Overnight the registrar is often busy in birthing or in operating theatre, but will usually answer the phone regardless.

In a time critical emergency when the registrar is unavailable a consultant is second on-call (via mobile)

BLEEDING IN EARLY PREGNANCY

Management of bleeding in early pregnancy has been fine tuned in Maitland ED and multiple helpful resources are available.

These can be found on the wall on the west wall of the fishbowl in the main department. These include:

  • Clinical pathway for pregnant women <20/40 gestation presenting with bleeding and/or abdominal pain. A very useful form to risk stratify and manage patients with this presenting complaint.

  • Bleeding in pregnancy handout

  • RhD information leaflet

  • Miscarriage patient information fact sheet

  • EPAS patient information handout

EARLY PREGNANCY ASSESSMENT SERVICE

  • An outpatient clinic for problems in early pregnancy

  • Frequently, patients with bleeding in early pregnancy are suitable for discharge home and follow up with EPAS.

  • The process is simple and effective.

    • complete a discharge or referral letter. Refer to EPAS Referral Form below.

    • email it to 49223909@fax.hnehealth.nsw.gov.au (number saved on machine in photocopy room)