Care for women at Sandringham

The Women’s at Sandringham provides maternity care for low-risk women and limited gynaecology services. Alfred Health continues to provide radiology, pathology and operating theatre services.  

Booking requests for maternity and gynaecology services at the Women’s (Sandringham) should be faxed to the Women’s Access Centre Fast Fax Referral line. Referral booking forms are available online. 

Referring a patient from the Sandringham area

Women living in the Sandringham area who have needs not met by the services at Sandringham should be referred to the closest tertiary hospital to their home. This may be Monash Hospital, Peninsula Health or the Women’s Parkville campus.

All referrals for the Women’s (both Sandringham and Parkville) are processed at the Parkville site. Please fax referrals to the Women’s Access Centre Fast Fax Referral line. 

Clinical services

Maternity

The Women’s at Sandringham provides maternity care for low-risk women. If a woman is high risk, refer her to the closest tertiary hospital to their home e.g. Monash Medical Centre or the Women’s (Parkville campus).

Maternity services available to women at the Women’s at Sandringham:
  • Pregnancy, labour & birth care in the hospital 
  • Immediate postnatal care in hospital and home domiciliary service
  • Breastfeeding service 
  • Childbirth education
Exclusions

General:

  • Age: < 18 years and > 45 years 
  • Body Mass Index (BMI) in early pregnancy: < 17 and > 35 

Obstetric:

  • Parity  > 5 
  • Multiple pregnancy
  • Recurrent miscarriage x 3
  • Recurrent mid trimester loss x 2
  • Significant cervical conditions/dysplasia etc.
  • Isoimmunisation or positive blood antibodies
  • Placenta praevia 
  • Previous premature birth <33 weeks gestation
  • Previous massive post-partum haemorrhage (1.5L) or 2 previous PPH
  • Previous puerperal psychosis

Maternal Medical:

  • Anaemia (Hb <90g/L & not responding to treatment) 
  • Significant thrombocytopenia (platelet count <80
  • Auto-immune disorders (including antiphospholipid antibodies) 
  • Blood disorders, such as major haemoglobinopathies, haemolytic disease, thromboembolic disease 
  • Cardiac disease 
  • Respiratory disease requiring hospitalisation within last 2 months
  • Poorly controlled epilepsy or other neurological disease 
  • Diabetes and unstable endocrine disorders 
  • HIV or other infectious diseases of clinical significance (e.g. newly diagnosed  Hepatitis B or C) 
  • Severe Mental Health or drug and alcohol issues
  • Refusal of blood products

If a pregnant woman presents to the Alfred Health Sandringham Hospital Emergency Department, or is admitted to Sandringham, she will not automatically become a patient of the Women’s. The medical facility for follow-up care will depend on the clinical care required. A woman who accesses Sandringham’s ED or is admitted at the Women’s Parkville campus or the Women's at Sandringham will be discharged back to an appropriate maternity facility. 

Postnatal length of stay

Women with an uncomplicated vaginal birth at the Women's Parkville campus and the Women's at Sandringham are usually be discharged home with their baby the day after birth. Women are provided with further support from midwives visiting the home for several days after discharge. 

Women who have had a caesarean or instrumental birth are usually discharged home with their baby after two days.  Women are provided with further support from midwives visiting the home for several days after discharge. 

Gynaecology

The Women's at Sandringham (at Sandringham Hospital) provides general gynaecology care.

General gynaecology services provided at the Women’s at Sandringham include:

  • Assessment and management of:
    • heavy menstrual bleeding 
    • intermenstrual and postcoital bleeding 
    • pelvic pain, 
    • ovarian cysts 
    • post-menopausal bleeding 
    • uncomplicated prolapse 
  • Implanon insertion and removal
  • IUD insertion and removal
  • Vulval biopsies
  • Vaginal pessary fitting and changeover

As the following services are not provided by the Women’s at Sandringham, women with the following should be referred to the closest hospital to their home with specialist gynaecology services eg Monash Health or the Women’s (Parkville campus) for any of the following:

  • Cervical Dysplasia or need for Colposcopy 
  • Breast lumps and other problems 
  • Complex gynaecology care requiring tertiary level service, including:
    • all urogynaecology 
    • infertility  
    • cancer care 
Frequency

Monday to Friday

Referral forms

More information and downloadable referral forms.

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