Obstetric: Destination
 
See also:
Definitions  Assessment  Normal Values  Basic Care
 
Perinatal Emergency Referral Service (PERS)
24/7 – 1300 137 650
 
Ostetric:

Metropolitan:
When transporting a baby born out of hospital or a woman in labour:

Transport to a public hospital that has a Maternity Service bypassing hospitals that do not.

IF at term and the booking is for a private hospital, this hospital should be the default destination

IF pre-term and
    32 weeks to <37 weeks:
      consult with PERS/NETS for advice re destination
    <32 weeks gestation:
      The receiving hospital should be the closest of the RWH, Mercy Hospital for Women Heidelberg or Monash Clayton that have appropriate NICU facilities
Rural:
All pregnant women with complications of pregnancy/labour should be transported to the closest Regional Base Hospital

If birth appears imminent:
Default to the closest hospital with a Maternity Service

Uncomplicated labour > 37 weeks or normal delivery:
Transport to the hospital patient is booked into
Traums
Metropolitan:

All obstetric patients who meet the time critical trauma criteria should be transported to the Royal Melbourne Hospital in preference if within 30 minutes.

IF > 30 minutes to RMH:
  Transport to nearest alternative highest level of trauma service.

Transport all patients >24 weeks with any trauma of potential harm to the unborn child to the RMH

• Transport to highest designated trauma receiving centre within 30 minutes.
• In all cases of prolonged transport, consider alternative air transport
In all cases, appropriate consultations should occur and hospital notification provided
Severe medical complication Metropolitan
• Transport all obstetric patients who meet the medical time critical criteria to the nearest major hospital capable of accepting obstetric patients including RMH, Austin or Monash Clayton
Rural:
Transport to nearest designated hospital capable of accepting time critical medical and obstetric patients

In all cases of prolonged transport, consider alternative air transport

In all cases, appropriate consultations should occur and hospital notification provided
Severe Medical Complication:
Metropolitan:
Transport all obstetric patients who meet the medical time critical criteria to the nearest major hospital capable of accepting obstetric patients including RMH, Austin or Monash Clayton
Rural:
Transport to nearest designated hospital capable of accepting time critical medical and obstetric patients
• In all cases of prolonged transport, consider alternative air transport