GP Shared Care – Inclusion and Exclusion Criteria
Director of Obstetrics:
Telephone Number:
Mr Paul Davey
03 5320 4000 (please ask switch to page)
Booking Inclusion Criteria:
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GP is a BHS shared maternity affiliate
Women requests shared antenatal care
Parity < 5
Body Mass Index (BMI) >17 and <35 at booking
Age: <42 years at booking
Women need to be assessed by BHS specialist obstetrician before they can be confirmed for ongoing GP –
shared pregnancy care.
Booking Exclusion Criteria:
Patients will be assigned a risk category by considering their previous medical or obstetric history an
current medical condition. The assessment is performed by the Maternity team.
The patient should default to the high risk category allotment if there is any uncertainty. During th
pregnancy the category risk may change if clinical developments dictate. Category changes should on
occur after reassessment at Specialist consultation.
Medical/Surgical:
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Alcohol abuse
Anaemia (Hb<90g/l not responding to treatment)
Severe Asthma
Autoimmune disorders (including antiphospholipid antibodies)
Bleeding disorders and/or haemolytic disease
BMI>35
Cardiac disease
Diabetes Mellitus, types I and II
Drug abuse
Endocrine disorders
Epilepsy requiring drug therapy in the past 12 months
Gastroenterological disorders (subject to obstetric review)
Major Haemoglobinopathies
HIV
Hypertension
Infectious diseases of clinical significance (eg acute onset Hep C)
Neurological disorders
Psychiatric illness (subject to psychiatric advice)
Renal disease
Respiratory disease
Thrombo-embolic disease
Thyroid disease (uncontrolled)
Obstetric/Gynaecological:
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Absence of antenatal care in a woman who is 28 weeks gestation or more at first
presentation
Antepartum haemorrhage (subject to obstetric review)
Birth weight <2500gms or >4500gms (previous baby)
Foetal abnormality requiring specialised care
Grand multiparity >5
Intrauterine Growth Restriction (IUGR) in last pregnancy
Multiple pregnancy
Recurrent Miscarriage x 3
Recurrent mid trimester loss x 2
Rhesus Isoimmunisation or other significant blood group antibodies
Severe Pre-Eclampsia (PE) in previous pregnancy
Still birth or neonatal death
Please note:-Certain clinical situations may allow for variations to these criteria and the
patient’s status will require further discussion with the Obstetric Director or Registrar on a
case by case basis.