Antenatal and postnatal shared care
This course aims to assist general practitioners (GPs) in their role as members of a shared care team providing high quality care to women in the perinatal period. It covers a range of topics and challenges related to perinatal care in general practice including:
• clinical care in the first trimester (activity 1)
• first trimester screening (activity 2)
• Rh incompatibility and managing early bleeding (activity 3)
• obesity and diabetes in pregnancy (activity 4)
• hypertension in pregnancy (activity 5)
• perinatal mental health issues (activity 6).
Antenatal and postnatal shared care is when care of a pregnant woman is divided between the general practitioner (GP) and the hospital antenatal clinic. Shared care is an option for pregnant women with no adverse maternal or fetal pregnancy risk factors.
GPs involved in shared care have many responsibilities and require additional training to fulfil the role. GPs are usually responsible for the first antenatal visit, examination, organisation of blood tests, first trimester screening and providing advice on diet, use of supplements and medications during pregnancy.
The GP may be the first person a woman contacts if she experiences bleeding during her pregnancy, the first to identify elevated blood pressure, gestational diabetes or mental health issues. GPs must therefore have the knowledge and skills to advise the patient, take appropriate action and refer to specialist services as required.
D1. Communication skills and the patient-doctor relationship
D2. Applied professional knowledge and skills
D3. Population health and the context of general practice
D4. Professional and ethical role
D5. Organisational and legal dimensionsCurriculum Contextual Units
- Pregnancy care
- Women's health
- Sexual and reproductive health