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
For Maternity Carers
Find your midwife website
www.findyourmidwife.co.nz is a site where LMC can advertise its availability and the geographical areas it covers along with a profile.
Direct pregnant people to access this site and contact the midwife directly to engage them as an LMC.
Drop in clinics
Early Pregnancy Clinic held at the River Ridge Hub is for people in their first trimester of pregnancy who have not found an LMC yet. The clinic can provide a clinical assessment and referrals to other practitioners and agencies. This is not an LMC service
Monday mornings from 8am until 12noon
35 Puutikitiki St, Hamilton East
When a LMC can’t be accessed
People presenting to their GP who have been unable to access an LMC can be referred to the hospital via BPAC.
Waikato Maternity Services accepts referrals in line with the Guidelines for Consultation with Obstetric and Related Medical Services (Referral Guidelines). You will find the process for referrals under each sub heading below.
Due to the nature of Maternity referrals there are differing pathways to reflect the urgency of the referral. Please familiarise yourself with this and ensure that the correct pathway and contact method is used for the type of referral.
Consultations may involve the woman/person and/or the baby being seen by the specialist; however, a discussion between health practitioners is often appropriate on its own. Consultation can take place in person, by telephone, videoconference, email or by other means as appropriate in the situation.
Important notes:
- Fax referrals are no longer accepted
- All referrals require a patient NHI contact details, reason for referral with background medical and obstetric history. Also a copy of laboratory reports, ultrasound reports, related to this pregnancy
Please do not re-send referrals, if you have not had a response within 7 days for non-acute referrals contact 078398899 ext96159, and for semi-acute the Delivery Suite CMM on 0800 462 411
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
Information to come
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
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
- 1st 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
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Condition |
Examples |
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Obesity |
BMI > 45 |
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Significant coagulation disorders |
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Significant neurological or spinal disease |
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Significant cardiac disease |
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Significant respiratory disease |
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Significant obstetric bleeding risk |
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Previous or potential anaesthetic difficulties |
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Traumatic birth experience |
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Other |
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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.
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
Long Acting Reversible Contraception (LARC). Long-acting reversible contraceptives include progestogen (levonorgestrel) implants and copper or levonorgestrel intrauterine contraceptives. These are the most effective forms of reversible contraception and are recommended as a preferred option in patients who do not wish to become pregnant for a number of years. Long-acting contraceptives provide a “fit and forget” approach to contraception.
The following information is where LARC can be accessed at no cost for postpartum people in Waikato.
LARC in Primary Care - GP
General Practices can offer insertion and removal of LARC for free for people who meet the following:
- Women aged 15-44 who are at risk of an unplanned pregnancy who reside in the Waikato Region. This includes women living in quintile 5 areas and/or community services card holders and/or any patients determined to be at risk by the practice.
- This program is also funded for casual patients who may be referred to a GP that is not their own.
LARC in Primary Maternity Facilities
Insertion of Jadelle™ is available at Tokoroa Birthing.
Criteria for referral
- Less than 6 weeks postpartum
- Does not use enzyme-inducing medication (usually medication to control epilepsy)
Referral by phone 07 8850659, ideally following the birth so an appointment can be arranged before 6 weeks
LARC in Hospital Care
Insertion of LARC, by means of Jadelle™ is available for those admitted for postnatal care, in Waikato Hospital for anyone requesting this.
Insertion of LARC, by means of Mirena™ is available for those having a planned cesarean at the time of the surgery in the following scenarios:
- where discussion and consent for inserting the Mirena™ has occurred before the surgery
Perinatal Mental Health is a team of experienced, specialised health professionals skilled in helping mothers with mental health conditions related to having a baby. Our team offers assessment, treatment and advice for women who have developed a mental illness during the perinatal period or have an ongoing or previous mental health disorder.
We do not provide an urgent or crisis service. If the situation is urgent, please contact:
Crisis Assessment and Treatment Service
Available 24/7 - 0800 50 50 50
For more information, visit this page here
Notification is an automatic process for newborns born in a Primary Maternity Facility or Waikato District hospitals.
Process for homebirth referrals
For babies born at home, the LMC must notify the New Born Hearing Screening team as soon as possible following the birth.
Referral to include:
Newborn: name, DOB, NHI, gestational age at birth, weight at birth, time of birth
Parental/Guardian: name and address, contact details
*Indicate if there are any risk factors for hearing loss.
Referrer: Name, role, and contact details
Send referrals to NewbornHearingScreening@waikatodhb.health.nz
This email can also be used to query any babies that may have missed screening.
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Facility |
Address |
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Pohlen maternity service |
56 Rawhiti Avenue, Matamata |
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River Ridge Birth Centre |
37 von Tempsky St. Hamilton East |
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Taumarunui Birth Unit |
Taumarunui Hospital, Kururau Road, Taumarunui |
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Te Awamutu Birthing |
670 Cambridge Rd, Te Awamutu |
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Thames Birthing Unit |
412 Mary Street, Thames https://www.waikatodhb.health.nz/locations/thames-birthing-unit/ |
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Tokoroa Birth Unit |
Tokoroa Hospital Gate 1, 55-75 Maraetai Road, Tokoroa https://www.waikatodhb.health.nz/locations/south-waikato-primary-birthing-unit/ |
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Waikato Home Birth Association |
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Waterford Birth Centre |
27 Tisdall Tce, Hamilton City |
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Waikato Hospital |
Pembroke St, Hamilton City |