Maternity Services

Self- referral - Badger Notes

Patients can now use Badger Notes to Self-refer their pregnancy in BNSSG

Antenatal Booking

Patients can use the link above if they are pregnant and wish to refer for antenatal maternity care at either NBT (Southmead or Cossham) or UHBW (St Michael's or Weston General Hospital). Patients should complete the self-referral form on the link and a member of the team will be in touch to book their first appointment with the community midwife. They recommend patients complete the form as soon as they know they are pregnant; it should take approximately 10 minutes to complete. If a patient needs help completing the form, they can contact the booking team Monday to Friday 8am – 4pm on 0117 414 6743 (NBT) or 0117 342 0850 (UHBW).

Please note:  with effect from 1st July 2024, all maternity blood bookings will include an opt out Hepatitis C test. This is initially a two year programme, to identify mothers who potentially will require Hep C treatment post delivery if the test is positive, and to reduce the risk of mother to baby transmission during delivery. Existing children of mothers found to have an active infection will be offered testing through the paediatric infectious diseases team at UHBW. No treatment for Hepatitis C will be possible during pregnancy or whilst breastfeeding. Children over 18 months can receive treatment through the paediatric infectious diseases team. For further information around treatment of Hepatitis C, please follow this link Viral Hepatitis (Remedy BNSSG ICB).

UHBW (Bristol) - Maternity Services

St Michaels

Please see the UHBW website for details of services and contacts - Maternal Medicine

Referrals

For patients who are booked for delivery under the care of St Michael's Hospital, GPs should send referrals via email to:

obstetricmedicalsecretaries@uhbw.nhs.uk

(referral route using eRS has been closed - December 2023)

Indications for referral include:

• Pregnancy with a history of medical conditions or mental health illness.
• Pregnancy with a history of problems in previous deliveries.
• Pre-Pregnancy counselling for women with medical conditions.

A GP Referral is required for confirmation and communication of the exact medical details if the pregnant woman is:

• Under the care of a hospital other than UHBristol
• Not under hospital care for the medical disorder
• Has an undiagnosed or suspected medical disorder, in which case the GP should refer to the appropriate specialty (if not obstetric).

This is not required if  a direct community midwife (CMW) referral is indicated and this will be accepted if the pregnant woman: 

• Has been under St Michael's medical obstetric team in a previous pregnancy
• Had pre-pregnancy counselling by St Michael's medical obstetric team
• Has been seen by UHBW consultant (for the medical disorder in question)
• Has type 1 or type 2 diabetes.

UHBW (Weston) - Maternity Services

Weston General Hospital

Midwives at the Ashcombe Birth Centre can be contacted through the midwives office.

Midwives office Mon-Fri 08.30- 12.30

Tel: 01934 881064 (there is an answerphone in operation outside of these hours).

Referrals

Referrals for secondary care pre-conception or antenatal clinics should be e-mailed directly to AshcombeAdminStaff@uhbw.nhs.uk (not available via eRS).

NBT - Maternity Services

Contact details for NBT maternity services:

Contact Maternity Services | North Bristol NHS Trust (nbt.nhs.uk)

Referrals

Referrals for secondary care pre-conception or antenatal clinics should be sent directly to Maternityreferrals@nbt.nhs.uk (not yet available via eRS).

The Midwives at NBT Antenatal Clinic can be contacted on 0117 4146929

Uncomplicated pregnancy

There are CKS guidelines on management of uncomplicated pregnancy and managing common minor ailments in pregnancy:

Antenatal care - uncomplicated pregnancy

Medical Disorders in Pregnancy

Women who are pregnant with pre-existing medical conditions or who develop medical conditions during pregnancy should be referred to their local ante-natal clinic.

This can sometimes be done by a midwife in certain circumstances but often a GP referral is required so that information from the GP record can be obtained. See referral sections above.

Please also see the following sections in Remedy for more specific advice:

• Hypertension in Pregnancy - includes advice on indications for low dose aspirin in pregnancy.
• Diabetes in Pregnancy
• Thyroid Disease and Pregnancy
• Folic Acid and Vitamin B12 in Pregnancy

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.