Table 6 Timing of referral to tertiary MDT, secondary MDT or named link clinician
Once pregnant, at what point during a women’s pregnancy is the first referral usually made to the MDT? | ||||||
|---|---|---|---|---|---|---|
Cardiac conditions N (%) | Diabetes N (%) | |||||
Tertiary MDT | Secondary MDT | Named Link clinician | Tertiary MDT | Secondary MDT | Named link clinician | |
First contact with health services when pregnant (i.e. GP pre-booking visit) | 15 (40) | 6 (25) | 7 (29) | 33 (81) | 65 (89) | 11 (73) |
Booking visit (8–12 weeks) | 13 (34) | 12 (50) | 8(33) | 8 (20) | 5 (7) | 2 (13) |
First scan (12 week scan) | 1 (3) | 5 (21) | 2(8) | |||
First hospital appointment with medical lead for the condition | 4 (11) | 0 | 6(25) | 1 (7) | ||
Anomaly scan (18–20 weeks) | 0 | 1 (4) | 0 | |||
Other (please describe) | 3 (8): varies according to complexity of condition. Some women self-refer. | 1 (4): at any point between booking and delivery with obstetricians decide to refer) | 3 (4) variable depending on practice; patients can self-refer and usually seen same day; referrals from CMW, GP, DSN and self-referral often 4–8 weeks, occasionally 8–12 weeks | 1 (7) ad hoc, sometimes community midwife refers at booking or GP routine referral | ||