The day assessment unit is an outpatient clinic for people who need increased maternal or fetal surveillance or treatment. It is run by midwives in collaboration with the relevant obstetric team or private obstetrician.

Day assessment unit hours are Monday to Friday 7am to 3:30pm.

Inpatient admission to the day assessment unit may be considered when outpatient services cannot meet the needs of the patient, and they need 24-hour care.

Clinical indications for a referral

The unit provides a service for women with the following obstetric indications:

GPH
small for gestational age
intrauterine growth restriction
breech assessment and external cephalic version
cholestasis
prolonged premature rupture of membranes
postdates via virtual consult system
other noted post-term surveillance requirements
iron infusion
diabetes as an indication for increased surveillance with clear plan of follow
liquor abnormalities
multiple pregnancies
increased monitoring for previous still births.

How to refer to the day assessment unit

In an emergency, call the day assessment unit for a consultation and admission directly to the unit.

All woman needing an obstetric review for one of these conditions must have a comprehensive referral sent by their LMC to the community clinic at Greenlane (09 630 9781). Please ensure woman’s details, LMC and contact persons details are included and correct.
After this visit, the obstetrician will write the management plan prior to making the appointment with DAU. The risk sheet will be updated on Healthware.
The clinic will contact the referring LMC by phone or by letter.
The electronic or written referral from clinic will be faxed or emailed to DAU with a follow-up phone call to make the initial appointment time.
All patients will have an electronic discharge summary sent after review via Healthware.
The exception are women with a breech presentation requiring an ECV when a midwife may refer directly to the unit.

If a woman with a breech presentation needs an ECV their midwife may refer them directly to the day assessment unit.

Referral forms

Contact

Contact the day assessment unit on:

phone 09 307 4949 (extension 25907)
fax: 630 9814 or ext 25908

Pathways, guidelines, policies, checklists

Maternal Mental Health Liaison Policy [PDF, 1.2 MB]

Funded NIPT PATHWAY [PDF, 431 KB] [PDF, 431 KB]

Mental health pathway [PDF, 303 KB]

LGA referral guideline [PDF, 509 KB]

Hepatitis B flowchart [PDF, 202 KB] [PDF, 202 KB]

Te Toka Tumai Induction of labour policy [PDF, 358 KB]

Te Toka Tumai Induction of labour clinical guidance [PDF, 510 KB]

Preterm Clinic referral guidelines [DOC, 3.4 MB]

Induction of Labour in Aotearoa New Zealand: A Clinical Practice Guideline 2019 (external link)

Pathway for Iron Supplementation in Pregnant Women [PDF, 316 KB] [PDF, 316 KB]

Iron Polymaltose MAG [PDF, 790 KB]

Iron in Pregnancy and Postpartum Guideline [PDF, 1.2 MB]

Fetal growth chart [PDF, 136 KB]

Other forms and guidance

Guidance on the Guidelines for Consultation with Obstetric and Related Medical Services [PDF, 144 KB] (external link)

Newborn hearing screening - home birth notification form [DOC, 701 KB] (external link)

Newborn hearing screening - notification of change of caregivers (external link) (external link)

Gestational weight gain guide [PDF, 407 KB] (external link)

High risk handover template [PDF, 53 KB] (external link)

SUDI prevention

You should attend your SUDI prevention training at the start of your employment at Te Toka Tumai Auckland, and thereafter at annual COMBO sessions.
contact sudiprevention@adhb.govt.nz.

Hāpai te Hauora SUDI prevention (external link)

Plunket Safe Sleep information (external link)

Pregnancy and parenting classes

Free pregnancy and parenting classes for all women expecting their first baby, their partners and whānau.

Pregnancy and Parenting classes referral form [PDF, 632 KB]

The Pregnancy and Parenting Healthpoint page (external link)

Contact Leah Broughton-Couch, Pregnancy & Parenting Education Service Manager, lbroughton@adhb.govt.nz