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Maternal Fetal Medicine

Useful management information

The Metro South Maternal Fetal Medicine Service is under establishment at Logan Hospital, and able to provide limited tertiary services to patients within the catchment who meet criteria for Maternal Fetal Medicine Review.

Patients who meet criteria do not need to be booked for antenatal care at Logan Hospital prior to referral to Maternal Fetal Medicine, providing that criteria for referral are met.

Maternal Fetal Medicine offers consultation, tertiary ultrasound and diagnostic and therapeutic procedures in high risk pregnancies. This includes:

  • Known genetic condition requesting diagnostic testing in a pregnancy (CVS / amniocentesis)
  • High risk screening test (NIPT, CFTS) requesting consultation +/- diagnostic procedure (CVS, amniocentesis)
  • Suspicion of fetal structural anomaly on ultrasound
  • High risk of fetal growth restriction:
    • History of early onset fetal growth restriction (<K32) or early onset pre-eclampsia (<K32) in a prior pregnancy
    • Significant maternal medical condition which carries a high risk of growth restriction (e.g. essential hypertension, pre-existing diabetes, autoimmune condition)

See full Metro South Maternal Fetal Medicine Referral Guidelines for detailed explanation, or flowcharts below. Referral Guidelines Flowchart (PDF, 643.51 KB)

If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires sub-specialist review, a clinical override may be requested:

  • Please explain the indication for referral outside of Maternal Fetal Medicine Referral Criteria
  • Consider calling Logan Hospital On Call consultant for advice

Metro South Maternal Fetal Medicine does not have capacity to provide routine screening ultrasounds outside of the referral criteria. Referrals for low risk patients, or routine screening, will be declined.

Please note that your referral may not be accepted or may be redirected to another service based upon capacity and acuity

Minimum referral criteria (Does your patient meet the minimum criteria?)

Does your patient meet the minimum referral criteria?

Category 1
(appointment within 30 calendar days)

  • Known genetic condition requesting diagnostic testing (CVS, amniocentesis)
  • High risk screening test (NIPT, CFTS) requesting consultation or diagnostic procedure (CVS/amniocentesis)
  • Suspicion of fetal structural anomaly
  • Small for gestational age biometry or fetal growth restriction 
Category 2
(appointment within 90 calendar days)
  • High risk of fetal growth restriction based upon risk factors (see referral guidelines)
Category 3
(appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information can be found on a range of conditions at Brisbane South HealthPathways
  • Consider other treatment pathways or an alternative diagnosis
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Standard referral information (To be included in all referrals)

Reason for request

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • All conservative options that have been pursued unsuccessfully prior to referral
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
  • Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • A comprehensive capture of information in relation to MSH Referral Criteria

Clinical modifiers

  • The presence of clinical modifiers may impact the categorisation of the patient.
  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living functioning – low/medium/high
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander

Patient's Demographic Details

  • Full name (including aliases)
  • Date and country of birth
  • Residential and postal address including whether patient resides at an aged care facility
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Name of delegate and contact details (Department of Corrective Services)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

 

Essential referral information for Maternal Fetal Medicine referrals (Referral will be returned without this)

  • Indication for Tertiary Maternal Fetal Medicine ultrasound or consultation
  • Prior screening results – NIPT / CFTS / no screening
  • EDD
  • Copy of prior ultrasound reports

Additional referral information for Maternal Fetal Medicine referrals

  • BMI
  • Blood group (if referring for a procedure – amniocentesis / CVS) 
  • Prior pregnancy outcomes 

Metro South Health is responsible for providing public health services to the people who reside within its boundaries.  Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

 

Metro South Health GP Maternity Share Care Education Bridging Program 

Are you looking to be aligned to provide Maternity Share Care across all Brisbane South Maternity Services? In partnership with Brisbane South PHN (BSPHN), Metro South Health (MSH) is pleased to offer GPs enrolment in the MSH GP Maternity Share Care Education Online Bridging Program. Please email GPLO Maternity Share Care for further information.
 

Last updated 6 February 2024