Re: [ozmidwifery] Obs first visits

[Mh]

Where I work women are booked in by midwives. There are about a thousand questions asked, covering physical, medical, gynaecological, obstetric, social and psychiatric history and a check of weight and height and BMI. Models of care are discussed at this appointment which is purely administrative.  The choices are: midwives clinic, team midwifery programme, doctor's clinic, high risk doctor's clinic, GP shared care and private obstetric care.    If the woman chooses (and there is room available) to go to the midwives clinic/ TMP they do not see a doctor unless the midwife identifies problems. All women not going to a private OB have a risk assessment file review within a couple of weeks of booking in but this involves the registrar looking over the file only.   There is no listening to FHR at this appt. Women have previously been to GP to get a referral to book in. Many have had an early USS. They are offered a dating USS if haven't already had one, given forms for booking in bloods if not already done and as many of our women book in around 20 weeks they are offered morphology scans. The waiting list in house for these is many weeks so often they are advised to have them externally. If there is indication for Amnio or mother requests it that would be an indication for referral to obs. registrar or consultant to discuss.   The regime for ANC has recently changed here and it is now, roughly: Book in about 12-14 weeks. Next visit (or book in) around 20 weeks. "        "     about 26 weeks. "        "         "    32 then 36 then 39/40 then 41 assess Cx at this visit, offer IOL from 41+3. This is probably way more information than you wanted! Hope it helps. Monica ----- Original Message ----- From: Sonja & Barry To: ozmidwifery@acegraphics.com.au Sent: Saturday, October 22, 2005 11:02 AM Subject: [ozmidwifery] Obs first visits   Dear all, I am hoping for some information about midwifery/maternity units that don't require women to be seen by an obstetrician at any stage throughout their pregnancy.  Info I need is do the midwives listen for heart sounds etc, do they see a GP, or is this all quite irrelevant and thus no needs to do any of these checks?  Some places call this a first visit, whilst others may use these checks to "allow" women access to birth centres etc.  I hope this makes sense. Regards Sonja