Care for women at Sandringham
The Women’s at Sandringham provides maternity, neonatal and gynaecology services at Sandringham Hospital.
From 6 February 2023, the management of these services will transition from the Women’s to Monash Health. There will be no change to these services and patients will not be affected. The team will remain in place and they will continue to provide the same high quality care as they do now.
Referring a patient from the Sandringham area
Up until 6 February 2023, referrals for maternity and gynaecology services at the Women’s (Sandringham) should be faxed to the Women’s Access Centre Fast Fax Referral line. Referral forms can be downloaded from the Referrals web section.
From 6 February 2023, referrals for care at Sandringham should be sent directly to Monash Health via Monash Health’s Healthlink eReferral system. Referral guidelines for Maternity and Gynaecology services are available on the Monash Health Women’s Referrals webpage.
Please note: Monash Health Specialist Clinics do not accept faxed referrals. If you are not already familiar with referring via Healthlink eReferral, please find available resources on the Monash Health Secure eReferrals webpage.
Women living in the Sandringham area who have needs not met met by the services at Sandringham should be referred to the closest tertiary hospital to their home. This may be Monash Health, Peninsula Health or the Women’s at Parkville.
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
- Age: < 18 years and > 45 years
- Body Mass Index (BMI) in early pregnancy: < 17 and > 35
- 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
- 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.
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
- cancer care
Monday to Friday