Obstetrics

Pregnancy is an exciting, but sometimes worrying time. Your GP at Pear Tree is well placed to care for you and your growing family.  After your positive pregnancy test, check in with your GP to work out the next step forwards.

Pregnancy can be uncomfortable – do you have morning sickness, fatigue or constipation? Your GP can help manage these symptoms.

Your GP knows you and your family best. Several of our GPs have additional training to care for you in your pregnancy (GP Shared Care) – Dr Niamh Devlin, Dr Emily Kilner and Dr Kristin McLaughlin.  Your GP knows you well, understands your family, and will care for you after your baby is born.  You can choose your appointment times and trust in seeing the same person each time. 

Some women choose to be seen by a private obstetrician. See your GP to arrange review and referral.

Shared Antenatal Care

During your pregnancy you can choose from several models of care.  GP Shared Antenatal Care is unique in that we can share your journey from before pregnancy, through your pregnancy and care for your family as they grow.  This longitudinal care and support builds healthy families.

Doctors Emily Kilner, Niamh, Kristy and Kristin are accredited providers of shared antenatal care.  They have all undertaken additional training and ongoing education in providing care in pregnancy.

The table below describes the typical pattern of investigations and GP antenatal appointments during your pregnancy. The schedule may vary depending on your medical history, clinical need and the hospital at which you are booked to give birth at.  You will be cared for by hospital midwives and doctors during

First visitGP appointmentAntenatal booking bloods and urine test, dating scan ordered (if required), discuss early pregnancy care, and prenatal screening for chromosomal and genetic conditions; with first trimester screening (SAMSAS) and Non-Invasive Prenatal Testing (NIPT)
10 weeksFirst trimester screeningBloods for prenatal screening for chromosomal and genetic conditions (SAMSAS/NIPT)
12 weeksFirst trimester screeningNuchal translucency scan
12 weeks (minimum 3-4 days after scan)GP appointmentDiscuss booking bloods and first trimester screening results, seasonal influenza (flu) vaccination, form given for 20-week morphology scan, hospital booking via the SA Pregnancy Referral Line on 1300 368 820.
12-18 weeksBooking appointment at hospitalBring your hand-held record (orange folder)
20 weeksMorphology ultrasound scanA scan to assess baby’s development and anatomy, the position of the placenta and volume of fluid around the baby.
21 weeks

 

(after scan)

GP appointmentReview mother and baby (blood pressure, fetal heart rate). Review results morphology scan.  Some women may be reviewed in the hospital clinic.
24 weeksGP appointmentReview mother and baby (blood pressure, fetal heart rate, fundal height).  Forms for bloods at 28 weeks.  Pertussis (whooping cough) vaccination from 20 weeks.
28 weeks Blood test to check haemoglobin, blood antibodies, glucose tolerance test (for diabetes in pregnancy) and vitamin D (if required).
28 weeks

 

(minimum 2 days after blood tests)

GP appointmentReview mother and baby (blood pressure, fetal heart rate, fundal height).  Discuss blood test results, Anti-D (if required).
32 weeksGP appointmentReview mother and baby (blood pressure, fetal heart rate, fundal height).
34 weeksGP antenatal appointmentReview mother and baby (blood pressure, fetal heart rate, fundal height). Anti-D (if required).
36 weeksHospital appointmentGroup B streptococcus swab
38 weeksGP appointmentReview mother and baby (blood pressure, fetal heart rate, fundal height).
40 weeksHospital appointment 
POSTNATAL  
1-2 weeks postnatalGP appointment1-2 week check of mother and baby
6 weeks postnatalGP appointmentMother and baby check, 6 week baby vaccinations.

Useful Resorces