Antenatal Shared Care at Erskineville Doctors

Pregnancy Care

A useful website for all things pregnancy related – compiled by a GP in Brisbane  – Maternity Matters

Planning for pregnancy

If you are thinking about trying to get pregnant, or just have questions about fertility, you should make a time to discuss these. Before pregnancy we can organise blood tests to check for immunity to some diseases, organise screening for some genetic conditions, make sure your cervical screening is up-to-date, give you advice about vitamins and supplements (folate/iodine), review any medications or medical conditions and discuss optimising your general health. 

First pregnancy visit

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. We suggest you use this checklist to prepare for your visit.

Your options for care during pregnancy include the public hospital clinics or Birth Centre,  private obstetric care, Midwife Group Practice, or shared care with the hospital and your GP.

Tests in early pregnancy

Your doctor will discuss the various tests available in the first trimester of pregnancy. These include blood tests, a urine screen and ultrasounds. Ultrasounds and first trimester screening are available at RPAH and at private facilities.

Screening tests in early pregnancy

Non-invasive prenatal testing

Nuchal translucency scan

Antenatal Shared Care

If you choose to have shared care with Erskineville Doctors and the hospital, you will have a booking visit at the hospital between 12-18 weeks, and an obstetrician will review you around 20 weeks to confirm your suitability for shared care, ie. that your pregnancy is low risk. Check ups will be with your GP or the hospital over the course of your pregnancy. Shared can can be with the Birth Centre or the Midwife/Doctor clinic. 

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.

Please don’t suffer in silence – if you are experiencing nausea and vomiting you should seek medical advice. Nausea and Vomiting in pregnancy

Pregnancy and COVID-19

Click here for updated advice from ATAGI about COVID vaccines in pregnancy and breastfeeding

We can continue to do regular shared care appointments, though you can discuss with your doctor if some of these can also be done over the phone.

General information – how to care for yourself during pregnancy

If you are caring for a toddler – be aware of avoiding CMV infection. Don’t share food or kiss them on the mouth! CMV

Supplements in pregnancy – a multivitamin should include iron, vitamin D, and iodine. Your iron levels will be checked early and late in the pregnancy. 

Foods to avoid (or eat!) in pregnancy.

Smoking and alcohol should both be stopped during pregnancy. If you need help to quit, please discuss with your doctor. 

Medications in pregnancy Mothersafe can be contacted to discuss any issues with medications. They also have a useful list of factsheets about managing coming problems in pregnancy that might require medication.

Safer baby bundle – preventing stillbirth, including a video

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

Mental Health

Centre of Perinatal Excellence – 

Mind the bump – mindfulness in pregnancy

Mental health strategies

Post-natal

Possums Online – resources for newborn care – breast-feeding, settling