If you are planning pregnancy or are now pregnant you are probably doing a lot of internet searching. A GP in Queensland has put together a great website for her patients which she is happy to share. Maternity Matters is full of information for about the whole pregnancy process and is being updated constantly.
First pregnancy visit
Your options for care during pregnancy include the public hospital clinics or Birth Centre, private obstetric care, or shared care with the hospital and your GP.
Most of our doctors can manage your pregnancy care in conjunction with RPAH or RHW. We will explain the process for shared care in consultation during early pregnancy.
Regardless of the care you decide on for your pregnancy, you should see your GP in early pregnancy, by about 7 weeks from your last period, to organise some early tests, make the relevant referrals, advise you on managing early pregnancy symptoms and check on your general health. It’s a good idea to make a long appointment for this first visit.
Making and preparing for your appointments during your pregnancy
It is helpful for us if you let our receptionist know that you are booking an Antenatal appointment.
If you have any pregnancy problems or concerns (or other health issues), please do book a longer appointment with us (30 mins) for your antenatal care. All pregnancy appointments involve testing your urine. There are specimen jars in our bathroom, so collecting your urine while you are waiting really helps your appointment to run more smoothly. Don’t forget to bring your yellow card (this will be given to you in your first few appointments with us).
Antenatal Shared Care at Erskineville Doctors
Antenatal shared care is where your GP looks after you in pregnancy, shared with public hospital care at RPA, Canterbury or occasionally the Royal Hospital for Women, depending on your home address. (You will not be accepted by a hospital unless you live in their designated area.) Your labour and delivery occur at the relevant hospital.
All GPs providing shared care are accredited with the hospital and undertake ongoing training and education in pregnancy and post-natal care.
Shared care is for women likely to have an uncomplicated pregnancy. This will be formally assessed and approved at one of your initial hospital visits. If complications arise, your GP can confer with or refer to the Obstetricians at the relevant hospital.
Please click the link Antenatal-Shared-care for more detail on shared care at Erskineville Doctors.
Booking in to your Shared Care Hospital
To book in at RPA for shared care with the Midwife Clinic or Birth Centre, complete the online form found on their website: https://www.slhd.nsw.gov.au/rpa/WomenAndBabies/infoPregnant.html
For the Royal Hospital for Women: http://www.seslhd.health.nsw.gov.au/RHW/Antenatal_Form/AntenatalForm_RHW.asp
For Canterbury Hospital call 9787 0250 or 9787 0560
Problems in early pregnancy
If you are less than 20 weeks pregnant and experiencing pain or bleeding you can attend the Early Pregnancy Unit located in the RPAH Emergency Department at any time or the Early Pregnancy Assessment Service on Level 5 at RPAH, at 7.30am on Monday to Friday.
Medications in pregnancy
Nausea and vomiting is a common problem and you shouldn’t just put up with it. This helpful fact sheet RPAH ED Nausea and Vomiting also gives you good tips including advice on over-the-counter supplements and medications. We recommend the ginger/B6/doxylamine combination. Please check with your doctor if you are still having symptoms
Diet and exercise
Mental Health screening in pregnancy
Pregnancy is associated with higher rates of anxiety and depression. It is an important part of our care to include questions relating you how you are feeling. At 28 weeks and at your 6 weeks post baby check (and sometimes at other times) we will offer you a screening questionnaire relating to mental health and any stressors you are experiencing. If you mention to reception that you are 28 weeks pregnant (or just over) or here for your 6 weeks post baby check, they can give you the questionnaire to complete whilst waiting.
Some mental health resources:
- NSW Health Having a Baby
- RPAH Women and Babies – includes online booking form for first antenatal appointment.
- RPAH patient resources
- Royal Hospital for Women patient resources