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Gynaecology


+ Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • Ectopic pregnancy
  • Ruptured haemorrhagic ovarian cyst
  • Torsion of uterine appendages
  • Acute/severe pelvic pain
  • Significant or uncontrolled vaginal bleeding
  • Severe infection
  • Abscess intra pelvis or PID
  • Bartholin’s abscess / acute painful enlargement of a Bartholin’s gland/cyst
  • Acute trauma including vulva/vaginal lacerations, haematoma and/or penetrating injuries
  • Post-operative complications within 6 weeks including wound infection, wound breakdown, vaginal bleeding/discharge, retained products of conception post-op, abdominal pain
  • Urinary retention
  • Molar pregnancy
  • Inevitable and / or incomplete abortion
  • Hyperemesis gravidarum
  • Ascites, secondary to known underlying gynaecological oncology

+ Urgent referrals

To request an urgent outpatient appointment, please phone the Ipswich hospital’s switchboard on 3810 1111 and ask to speak to the Gynaecology Registrar on-call.

Conditions seen at West Moreton Health

Please note this is not an exhaustive list of all conditions for outpatient services and does not exclude consideration for referral unless specifically stipulated in the CPC out of scope section. For conditions not listed please use the referral criteria under Other Gynaecological conditions.

+ Out of scope services

The following are not routinely provided in a public Gynaecology service.

  • Elective cosmetic surgery e.g. labiaplasty

NB labial hypertrophy in paediatric and adolescent patients: refer to Statewide Paediatric and Adolescent Gynaecology Services (SPAG) at LCCH/RBWH.

  • Elective tubal ligation but will be accepted as a category 3, if :
    • patient cannot use/trialled other contraceptive methods
    • patient does not want to pass on any genetic disorders or disabilities
    • indicated for women suffering from medical or obstetric conditions that would contraindicate future pregnancy

NB: Please indicate previous contraception trialed and any contraindications to pregnancy in the referral

    • Contraception e.g. Implanon
    • Routine Mirena®/progesterone-releasing IUD insertion for contraception
    • Primary menopausal care
    • Screening pap smear
  • Postnatal check-up
  • IVF services
  • Reversal of tubal ligation

From 3 December 2018 the Termination of Pregnancy Act 2018 ensures a termination of pregnancy is treated as a health issue rather than a criminal issue in Queensland. The Act supports a woman’s right to health and autonomy, provides clarity for health practitioners, and brings Queensland in line with other Australian jurisdictions.
Information for health practitioners can be found on the Clinical Excellence website (https://clinicalexcellence.qld.gov.au/priority-areas/service-improvement/termination-pregnancy) or by contacting 13HEALTH.

Queensland Termination of Pregnancy Clinical Prioritisation Criteria is currently under development and expected to be finalised early 2019.  In the interim, please refer to HealthPathways or local guidelines. West Moreton Health's local referral pathway is available. 

NB where available recommend referral to True – relationships and reproductive health (formerly known as Family Planning Queensland) or Women’s Health speciality primary care provider/service

+ Notes

  • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service. Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
  • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
  • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

 Out of catchment

West Moreton Health is responsible for providing public health service to people who reside within its boundaries. Due to high demand it is not possible to accept referrals from outside this catchment area. If your patient lives outside the West Moreton Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.



Last updated: Thursday, December 6, 2018

Send referrals to


Secure messaging:
Secure web transfer IQ43050005G

General Fax:
3810 1438

Priority Fax for urgent category 1 referrals:
3413 7277

Post:
Outpatients Referrals Centre
PO Box 73, Ipswich
Queensland, 4305

Patient Enquiries:
3810 1217

GP/Specialist Referral Enquiry:
3810 1869 or 3810 1858


Named referrals

If you would like to send a named referral, please address it to the specialist on the referral template, who will allocate a suitably qualified specialist to see the patient.

From July 1 2017 Commonwealth growth funding has been capped. This changes how WMHS can fund its growth as an organisation. Named referrals from GP’s help support hospital funding through a Medicare bulk-billing arrangement. The new federal funding model incorporates specific pricing for patients which removes concerns around ‘double dipping'. This benefits hospital and patient services.


Patient must bring

  • Medicare card
  • Any concession cards (e.g. Pension, Health Care, DVA, PBS Safety Net, ADF, etc)