For Maternity Carers

Once and For All have quit coaches available in communities all over the Waikato region.

Hapū māmā are entitled to $300 of vouchers as an incentive to quit smoking. 

Referrals can be made from this link: https://www.onceand4all.co.nz/ 

K’aute Pacifica provide community quit coaches in Hamilton, Huntly, Ngaruawahia and Te Awamutu.

There is a $300 voucher incentive available for all Māori and Pacific to support their smokefree journey.

Referrals can be made https://kautepasifika.co.nz/referral-form/ or email info@kautepasifika.co.nz / phone 07 834 1482

All pregnant people being referred or over 14 weeks gestation require a Booking and Registration to be completed by the Lead Maternity Carer

Send to maternitybookingforms@waikatoDHB.health.nz

Subject line: NHI and surname of the patient

Acute – needing to be seen within 24 hours. Direct Call to CMM 0800 462 411

For a conversation with the On Call Obstetric Team phone 0800 387 9604

Semi acute – needing to be seen within 24-72 hours, send referral, all lab, scan and other results to wauacutereferrals@waikatodhb.health.nz

Subject line: NHI and surname of the patient

Non acute – for planned appointment send referral, all lab, scan and other results to RCC@waikatoDHB.health.nz

Subject line: enter the NHI and name of the service e.g. ABC1234, Obstetric

This clinic is specifically aimed at pregnancies up to 16 weeks gestation. The role of the clinic is to

• Establish a management plan following the diagnosis of a miscarriage (expectant, medical or surgical management)
• Establish a management plan where a confirmed presence of retained products of conception (RPOC) exists following a miscarriage in a symptomatic but stable person
• Coordinate molar pregnancy management and follow-up care
• Coordinate follow-up care for a person who has received methotrexate or expectant management as part of their ectopic pregnancy of unknown location treatment as per Waikato protocol

Women with a confirmed pregnancy demise >16 weeks should be discussed with the Gynaecology registrar through the switchboard 07 839 88 99

Appointments are booked with the patient once the referral form has been triaged and patients can expect to be called within 5 working days.  This is not an acute service.

If a clinical picture indicates acute/urgent assessment is required, the patient should be referred to the acute Gynaecology team to be seen urgently in the emergency department, not EPTC.

Appropriate Referral Criteria:

• Miscarriage diagnosed by ultrasound up to 16 weeks gestation
• Confirmed RPOC on USS in a woman that is symptomatic and stable
• Suspected or diagnosed Molar pregnancy by UUS/Histology/blood test
• Follow-up care for ectopic pregnancy/pregnancy of unknown location being managed expectantly or with methotrexate as per Waikato protocol

Referrals accepted from GP/LMC/ED/Gynaecology with all mandatory information provided and emailed to the referral centre.  They will be returned to the sender if not completed in full and the referral will not be triaged.

Mandatory information (in addition to the standard required referral information):

• Confirmed Diagnosis
• Gravity Parity, LMP, EDD, Current Gestation
• 1st Antenatal Bloods, Blood type, Serum bHCG
• Ultrasound provider name e.g. Hamilton Radiology, Pacific Radiology,
• Relevant Health History (Pain Bleeding, co-morbidities, emotional wellbeing)
• Eligibility documents for entitlement to funded public health care e.g. passport and visa
• Interpreter requirements – state language

Email referral to the referral coordination centre: rcc@waikatodhb.health.nz

Subject line: enter the patient NHI and name of the service and clinic e.g. ABC1234 Obstetric

This is not an acute clinic and is for people with a pregnancy or medical history that meet the following criteria and have not had a subsequent full term pregnancy

Referral is ideally made prior to 14 weeks resulting in a consultation by 16weeks gestation

Medical history:

• Congenital uterine or cervical anomaly
• Cervical surgery (at least one of the following)
  • LLETZ with depth excision ≥10mm, or if the depth is unknown
  • More than one LLETZ procedure
  • More than one cold knife cone biopsies
  • Trachelectomy

Previous pregnancy history:

• Spontaneous preterm birth or pre-term rupture of membrane <36 weeks
• Second trimester loss (not intrauterine death)
• Pregnancy requiring either ultrasound, or emergency, cerclage
• Caesarean at full dilation, or complicated caesarean section with significant uterine or cervical team
• More than two uterine instrumentations, e.g. Surgical Termination of Pregnancy (sTOP) or Evacuation of Retain Products of Conception (ERPOC)

Current pregnancy:

• Incidental finding of a short cervix on ultrasound
• Emergency cerclage insitu

Email referral to: rcc@waikatodhb.health.nz

Subject line: enter the patient NHI and name of the service and clinic e.g. ABC1234. Obstetric

Criteria for referral, any pregnant or post-partum woman (up to 6 weeks postnatal), currently client or resident in the Waikato geographical area with any of the following:

• Concerns for care and / or safety of unborn child.
• Substance misuse concerns (drug and / or alcohol).
• Family violence concern.
• Oranga Tamariki history.
• Teenage parents.
• Mental health concerns.
• Concerns about parenting ability or life choices.
• Concealed or unwanted pregnancy.
• Transient lifestyle.
• Attachment concerns.
• Poor engagement with maternity services.
• Recent migrants, asylum seekers, refugees or clients who have difficulty reading and speaking English.
• Disabilities potentially affecting ability to access or provide care.
• Cognitive disabilities.

Email referral to vulnerableunbornwaikato@waikatodhb.health.nz

Subject line: enter the patient NHI and name of the service and clinic e.g. ABC1234, VUF

Waikato Hospital employs midwives, named Whānau Mai who care for pregnant and recently pregnancy people who have not been able to find an LMC, or for people who have a baby in the NICU but live in another town.  

Whānau Mai is not a LMC or caseload model. The midwives provide antenatal (pregnancy) and postnatal care (following birth) in the Waikato area. Labour and birth care is provided by the midwives on rostered shifts in the hospital delivery suite. Hauora Coordinators support whānau to link in with social supports and community agencies

All referrals for midwifery care will result in additional efforts to find an LMC to provide ongoing midwifery care, and the whānau mai midwives will provide antenatal and postnatal appointments as needed.

Referral criteria

• LMC who are unable to engage a person registered in their care with another LMC when they are no longer able to provide ongoing care
• People presenting to their GP at >14 weeks pregnant and report not being able to access an LMC (via BPAC)
• Acute presentation to Waikato Woman’s Assessment Unit and Delivery Suite where there is no LMC
• Other health and social agencies when a pregnant person known to them is unable to engage them with a LMC

Email referral to: WhanauMaiMidwife@waikatoDHB.health.nz 

Subject line: Patient NHI and surname

Iron infusion is provided on the hospital site when criteria is met. The infusion is an intravenous infusion of Ferric Carboxymaltose (Ferinject™). Iron infusion may also be available in Thames and Tokoroa following the same pathway below

Criteria for referral

• Iron deficiency anaemia
  • Hb <100g/L postpartum and ferritin <30ug/L
  • Gestation ≥36weeks or near planned birth with Hb ≤110 may be considered

And, at least one of the following

• Intolerance to oral iron having had an acceptable trial of oral iron therapy
• Malabsorption due to a diagnosed condition e.g. previous gastrtic surgery, IBS)
• Confirmed non-compliance, despite explanation of the importance of oral treatment and trialling for at least 2 weeks
• No response after 2-4 weeks of oral treatment

Do not send a referral for an iron in the following situations

• Anaemia not caused by iron deficiency e.g. thalassemia
• Iron overload e.g. hemochromatosis, previous iron infusion within 4 weeks
  • 1^st trimester of pregnancy
  • History of anaphylaxis to any form of parenteral iron preparations
  • Hypersensitivity to any of the injection excipients
  • Patient with severe inflammation or infection of the liver or kidney
  • History of atopia or multiple allergies are not suitable for infusion outside Waikato Hospital

Email referral to: rcc@waikatodhb.health.nz

Subject line: enter the patient NHI and name of the service and clinic e.g. ABC1234, Obstetric, Iron infusion

Referral for Fetal Medicine Services are sent to Auckland. Referral form is found more information is found here

Email: FetalMedicineScheduling@adhb.govt.nz

For urgent referrals phone: 09 307 4949 ext 29462

The goals of Obstetric Anaesthetic Clinic are:

• Planning for and optimisation of significant medical, obstetric, or anaesthetic conditions
• Provide information and education to pregnant people and their whānau
• Diagnose and manage any potential complications of previous anaesthetic interventions

Referrals are accepted from a range of health professionals:

• Midwives (community and hospital based)
• Obstetric doctors (SMOs and RMOs)
• Anaesthetic doctors
• Other medical specialists e.g. haematology, maternal fetal medicine
• General practitioners

Recommended Referrals

Email referral to: rcc@waikatodhb.health.nz

Subject line: enter the patient NHI and name of the service and clinic e.g. ABC1234. Obstetric, Anaesthetic Clinic

For urgent reviews, please call switch board on 07 839 88 99 and request the Delivery Suite anaesthetic phone.

This clinic is for pregnant people with diabetes, either pre-existing or gestational diabetes. The aim is to manage the glycaemic control of pregnant people with diabetes during the antenatal, intrapartum and post-partum periods to minimise the pregnancy complications of diabetes.

Referral criteria

• At confirmation of gestational diabetes
• Pregnant people with pre-existing diabetes at 12 weeks gestation

Email two copies of the referral

1. RCC@waikatoDHB.health.nz  Subject line: enter the patient NHI, Obstetric Clinic
2. DiabtetesinPregnancy@waikatoDHB.health.nz Subject line: enter the patient NHI,

Additional information:

For those with recently diagnosed (before being seen by the specialist service) with gestation diabetes, or any person unable to have a GTT e.g. bariatric surgery, provide a prescription for:

Rx: CareSens N Blood Glucose meter kit

Mitte: 1 OP

and

Rx: CareSens Blood Glucose diagnostic test strip

Sig: Pregnancy exemption. Gestational Diabetes Testing up to 8 times daily ‘Pregnant, please provide education’

 Mitte: 3 months

Gestation has exceeded 40 weeks and the woman consents for her labour to be induced (IOL) following a discussion with her LMC

Between 40+3 and 40+6 weeks gestation send the referral

Referrals are graded within 72 hours, the referrer will be notified of the IOL booking or the requirement for the person to attend a postdates consultation

Note: Obstetric recommendation is that a CTG and scan is arranged for 41+ weeks for assessment of fetal wellbeing including AFI.

If the ability to have a 41+ week ultrasound scan is restricted due to financial constraints indicate this on the referral so a scan and consultation can be booked within the hospital

Email referral to wauacutereferrals@waikatodhb.health.nz

Subject line: enter the patient NHI and name of the service and clinic e.g. ABC1234, Obstetric Prolonged Pregnancy

Wai Ū Community Lactation Consultation Service

Support is available for mothers with babies. Provided by Wai Ū Waikato Lactation Consultants.

Lactation consultants cover Waikato, Hauraki, Thames, Matamata Piako, Waipa, Otorohanga, Waitomo and South Waikato. Coromandel and Taumarunui will predominantly have an audio-visual service with the option of face to face visits as needed.

Referrals accepted from LMC, GP and Plunket/Tamariki Ora nurse, Whānau Ora, Pasifika provider or Maternal/Baby hub.

• Lactation consultants provide
  • Early intervention for breastfeeding issues
  • Assessment and care planning in conjunction with the primary practitioner
  • Education and support, including pregnancy breastfeeding classes
  • Mostly home visits
  • Support by phone, text, or email
  • tongue tie assessment with referral to the tongue tie service if needed.

Referral information:

• Mother’s details: Name, NHI, DOB, address and contact number
• Baby details: Name, NHI, ethnicity
• Presenting Issue:
• Background: Parity, pregnancy summary, gestation at birth, birth events, Vitamin K
• Relevant medical history
• Alerts: (allergies, dogs on the property, FV etc.)
• Management to date:
• Urgency: Urgent, Semi Urgent, Non urgent

Email referral to waiuwaikato@waikatodhb.health.nz

Subject line: locality

Please include a return email address

or call/text 027 247 9379 / 021 761 935

Please note – all referrals will be triaged, and a referral is not guaranteed of acceptance. Please call/text if not sure.