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Laboratory Updates for Referrers

We publish regular Laboratory operations newsletters to keep you informed of any changes in the laboratory. If further information is required, please e-mail This email address is being protected from spambots. You need JavaScript enabled to view it.

HbA1c testing at Labtests

5 November 2015

Please consider postponing  non-urgent, non-antenatal HbA1c testing due to temporary reduction in capacity.

For full details follow link

Message from Dr Janet Rowan (National Woman's Hospital) to General Practitioners

15 October 2015

Re: First antenatal bloods and screening for diabetes - PINTO

We all know there are increasing rates of obesity and diabetes, which means that a significant number of women enter pregnancy with high glucose levels that have not been previously recognised.

At ADHB, for the past 5 years, we have recommended screening women with risk factors in early pregnancy by recommending an HbA1c and referring if the result is 41mmol/mol or greater. Recent National GDM Guidelines have recommended offering all pregnant women an HbA1c with their booking bloods (you will need to tick the HbA1c box if woman is agreeable). They suggest referring women with HbA1c of 50mmol/mol or greater until further research confirms whether early treatment of women with lower levels is of benefit.

We are collaborating with Christchurch to perform a feasibility trial to start to answer this question, aiming to follow on with a larger trial to give clear answers.  Please read the the referral flow diagram carefully. You might want to print it out, as this is the new referral pathway while the trial is running. See also our patient information sheet, which you may want to read and give to your women if they have an HbA1c result of 41-46mmol/mol. These women may be eligible for the trial.

Please refer according the flow diagram. We will contact eligible women and explain the trial. We will let you know the outcome of our discussion so that you are clear about how your woman is to be managed.

Please contact me if you have specific queries: This email address is being protected from spambots. You need JavaScript enabled to view it. or 0211662988

Dr Janet Rowan

National Women's Hospital

Laboratory Update

12 October 2015

Follow link to view laboratory update containing information on the following:

  • New Chlamydia/Gonorrhoea molecular test
  • Children presenting with a rash
  • Rotavirus
  • ESBL/AmpC prospective case-control study
  • New Aptima Specimen Collection tube guidelines

Important message for all maternity practitioners

24/8/15

The request form for the Harmony pre-natal non-invasive pregnancy test (NIPT) has been updated.  The updated form is required for all Harmony requests as of the 22nd August 2015.

Please follow link to download request form.

Instructions for completing the request form are also now available.  This is important information to ensure the testing is not delayed.  Please follow link to download.

For full information on this safe and effective tool for screening in the pre-natal period follow link.

Please contact me if you require any further information.

Wayne Dawn
Customer Services Manager
Labtests

This email address is being protected from spambots. You need JavaScript enabled to view it.

09 574 6306 // 021 407 300