Obstetrics & Gynaecology
In House
Obstetric - talk to Midwife
GPwSI
| Name | Location | Tel | Referral Criteria | How to refer |
| Dr. Majella Okeaheim | Leylands |
Specialised Outreach Clinics
| Name | Location | Tel | Referral Criteria | How to refer |
| Termination Of Pregnacy 1 | Lilac Clinic
between 9am and 6pm every weekday except bank holidays. |
364623 During busy times you may be directed through to an answerphone, which will request that you leave your details, and they will call you back as soon as possible, within the next 24 hrs. |
►<11 weeks at the time of her initial consultation and likely to be so within 1-3 weeks of your phone call | ●phone |
| Termination Of Pregnancy 2 |
BPAS Actionline (very quick service) |
08457 30 40 30 |
►if you can't get an appointment with Lilac Clinic ►if your patient is >11 weeks |
●Phone. ●You must make them aware that this is a GP referral, ie the patient’s GP is aware of the referral ●BPAS will process the appointment and fax an approval request to the PCT. Assuming that all is in order, the PCT will then fax back approval within one working day |
| Termination of Pregnancy 3 | St James, Leeds | ►if the above two fail | ||
| Termination of pregnancy 4 | Marie Stopes International | 0800 716 390 0113 244 0685 |
click here to download the referral form | |
| Early Pregnancy Assessment Unit (EPAU) |
Ward 25 at BRI, Phone calls are taken by Ward 12 (Inpatient Gynaecology Ward) when the EPAU is closed. |
<20w: 01274 364325 >20w: 01274 364515
phone open 24h, 365 days and the sessions are every morning
|
►for booking of appointments or advice to Community Midwives, GPs or Nurse Practitioners ►for women who are < 20 weeks ►if >20 weeks refer to maternity on 01274 364515 ►Threatened miscarriage – the woman should be at least 7 weeks gestation and have a positive pregnancy test ►Suspected ectopic pregnancy - can be seen at any gestation. If patient unsuitable to wait until the next appointment then acute admission to Gynaecology |
●A referral letter will be required stating LMP and symptoms. ●Alternatively
if the maternity notes are available the need for referral and symptoms can
be recorded in those notes and the woman asked to take the notes to the
appointment ●They do not see women to provide reassurance scans only - must have symptoms of a threatened miscarriage or ectopic pregnancy ●Sexing of foetus will not happen at EPAU |
| Emergency Midwifery Service | Based at Windhill Green | 0830-1700
via community midwifery office 01274 364 533 1700-0830 via ambulance depot 01274 682 211 |
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| One stop Clinic for Drug Misusing Pregnant | St Lukes |
●Special Midwife ?Joe Kirk ●letter, ?via midwife ●Form |
||
| Direct Access Hysteroscopy | ►You have to have done your training before referring | ●Form | ||
| Direct Access Sterilisation | ||||
| Cosmetic Breast Surgery | ►refer to clinical priorities group | ●click "clinical priorities group" in main left hand menu | ||
| NHS Breast Screening Programme | Integrated Breast
Services Pennine Suite Horton Wing St Luke's Hospital Little Horton Lane Bradford BD5 ONA |
01274 365 521 01274 365 522 01274 365 523 |
►women 50-70 automatically invited ►women >=70 can request to stay on the programme via telephone |
●self refer via telephone |
Consultants
| Name | Location | Tel | Special Interest | How to refer |
| Dr. Calvert | continence problems | |||
| Dr. Jones | menopause | |||
| Dr. Beck | Infertility | |||
| Dr. Wright | ||||
| Dr. Beckett | general obs | |||
| Dr. Tuffnel | general obs |
Notes
EARLY PREGNANCY ASSESSMENT UNIT GUIDELINES
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Where possible an appointment will be given for the following day but on occasions it may be 48 to 72 hours for the next available appointment. |
| Threatened miscarriage – the woman should be at least 7 weeks gestation and have a positive pregnancy test. A scan performed earlier than 7 weeks is inconclusive and therefore of no benefit to the woman and it takes scan time unnecessarily, thereby reducing availability of appointments in the unit. |
| Suspected ectopic pregnancy – a woman with suspected ectopic pregnancy can be seen at any gestation. If the referring doctor is unsure of a patient’s suitability to wait until the next appointment the patient should be referred as an acute admission to Gynaecology. |
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All women must be seen by a Midwife, GP or Nurse Practitioner and their condition/symptoms assessed for their suitability to remain at home, before an appointment for EPAU can be booked. |
Starving instructions
Please inform the woman that she must not eat after midnight the night before the appointment but can continue to drink until 7am the day of the appointment. After 7am she must not drink anything. This is in case of the need of an operation later in the day.
Please note:
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We do not see women to provide reassurance scans, only if they have symptoms of a threatened miscarriage or ectopic pregnancy. If you have concerns regarding a woman’s previous obstetric history, an early referral to Obstetrics is appropriate. |
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Sexing of the fetus will not take place at the EPAU scan. |
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Women with hyperemesis should be managed according to the specific guideline and if needing referral should be referred to Maternity. |
TERMINATION OF PREGNANCY
I thought other GPs might find this useful: a patient of ours has just had a TOP at BPAS in Leeds, done without a GA. It was done at their premises in the Headrow, and she was given gas and air. This may be useful for women who are unable to tell anyone they are having a TOP, so can't be accompanied home, so can't have GA.
As far as I know all the TOPs at Bfd hospitals are done under GA. Before finding out about this patient I thought that all the women we sent to BPAS had to go to Doncaster to have a TOP under GA Comment from a North Bradford GP