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Pregnancy: Other Services

The vast majority of women have normal, uncomplicated pregnancies and births. Unfortunately, women can experience some complications during pregnancy and these may be totally unexpected. Some of the major components of good antenatal care are identification and early intervention of medical problems, guidance with available treatments and access to supportive services.

Early Pregnancy Clinic - EPC

The Early Pregnancy Clinic (EPC) assists in the management of women experiencing bleeding, pain or ultrasound abnormalities in the first trimester in pregnancy. Approximately one in five women experience bleeding in early pregnancy with most of these pregnancies continuing with no further problems,however sometimes bleeding may be a sign of pregnancy loss.

This clinic is specifically for women who experience problems in early pregnancy and have presented to the Emergency Department (ED) or their GP and have been referred for interpretation and follow up of blood and ultrasound results.

The initial appointment may take an hour and the doctor will review these results with you at this time. It is not always possible to come to a conclusion at that first visit and further tests and appointments may be required. This clinic is located within the Antenatal Clinic, referral and appointments are essential.

Counselling Clinic

This clinic is a service that covers many aspects of preconceptual and early pregnancy care, reasons for referral are:

  • Previous high risk pregnancy
  • Abnormal or high risk Non Invasive Prenatal Test (NIPT) nuchal translucency or morphology ultrasound
  • Medical conditions which may affect your pregnancy
  • Further investigations such as Amniocentesis or Chorionic Villous Sampling (CVS)

This clinic is located within the Antenatal Clinic, referral and appointments are essential.

Amniocentesis:

This is not a routine test and its risks must be balanced against the need. This is a matter for discussion with the Obstetric Team.

It is offered to women who:

  • Have an increased risks based on their Nuchal Translucency scan
  • Have previously had a baby with a chromosomal abnormality
  • Know they carry an abnormal gene that could cause sick or abnormally developed child e.g. Cystic Fibrosis
  • Are at risk of other abnormalities e.g. Spina Bifida
  • Have developed abnormal blood group antibodies during a pregnancy

The test is performed by an Obstetric Consultant at 16 weeks, therefore it is very important to see the Clinic early in your pregnancy.

Chorionic Villous Sampling:

This test is performed earlier than Amniocentesis but has different risks. Again this is a matter for discussion with the Obstetric Team. This test is performed at 11 – 12 weeks in Townsville and for some of the reasons already cited for Amniocentesis.

Day Pregnancy Assessment Service - DPAS

The Day Pregnancy Assessment Service is located within the Antenatal Clinic and is staffed by an experienced midwife. It is linked closely with the Antenatal Clinic (ANC) and Birth Suite and is where women with high risk pregnancies are closely monitored under the Obstetric and Medical teams.

Should there be any concerns or complications with your pregnancy you may be referred from the Antenatal Clinic, Birthing Suite or your GP or midwife.  Appointments are necessary.

To best care for you and your baby, if complications arise in your pregnancy, careful monitoring of your baby, ultrasounds and/or blood tests may be required. These may take several hours and regular ongoing appointments may be necessary (you may wish to organise babysitting). Coming into DPAS may reduce the need for time-consuming overnight ward admissions.

Common complications                                            

  • Slowed or restricted growth of your baby
  • High blood pressure
  • Slowed movements of your baby
  • Diabetes/gestational diabetes
  • Itching during pregnancy
Last updated: 19 May 2017