NSW Perinatal Advice Line (PAL)

The Perinatal Advice Line supports existing tiered maternity networks with the provision of expert clinical advice for the management of women with complications of pregnancy who may require transfer to higher role delineated hospitals.

NSW Pregnancy and newborn Services Network (PSN) is responsible for providing state-wide perinatal advice for the management of women with complications of pregnancies requiring transfer.  This advice supports and enhances existing tiered maternity networks with the aim that each woman births in the most appropriate setting, with the most appropriate care provider within the most appropriate time frame.

Information on the Perinatal Advice Line for Maternity Units within NSW
This information is to be read and used in conjunction with the Information Bulletin distributed to the Local Health Districts (LHD) by the Ministry of Health (MoH) October 2013 (IB2013_045) http://www0.health.nsw.gov.au/policies/ib/2013/IB2013_045.html and PD 2010_069 Critical Care Tertiary Referral Networks (Perinatal) http://www0.health.nsw.gov.au/policies/pd/2010/PD2010_069.html

  • The Perinatal Advice Line - PAL - recommenced with a limited service in July 2013. The service is now fully operational following release of the NSW MoH Information Bulletin.
  • One of the midwives employed by PSN is rostered to cover PAL 24/7. This is in addition to their role and duties, in normal business hours Monday to Friday for PSN, as a Clinical Midwifery Consultants. After business hours and on weekends the midwife rostered to the PAL is ‘on call’.
  • The midwife is not located in an office with the sole duty of answering calls. They could be on the road travelling and during the night, sleeping.
  • The PSN midwives manage all PAL calls through their mobile phones and this can lead to drop out of the calls and reception difficulties. If you drop out of a call or the midwife requests you to phone back when it is safe to receive the call please phone back on 1300 362 500.
  • Each Maternity Unit is still expected to escalate calls relating to maternal care in the first instance through their Tiered Maternity Network. The midwife’s role on PAL is to assist LHDs solve issues that arise when the Tiered Maternity Network fails to find a solution to a maternal problem.
  • The calls to PAL are received through an automated system independent from the NETS service. Therefore NETS are unaware of calls to PAL (click on the link below for the tree diagram)
  • The PAL Obstetricians are on call ONLY afterhours from 5pm to 8am weekdays and for 24hrs over weekends and public holidays. The midwives will escalate to a PAL Obstetrician when further advice is required.
  • During work hours the PSN midwives will escalate PAL calls to the appropriate consultant within the caller’s tiered maternity network for assistance to manage any maternal issue.

pdf Click here for information on the automated calling service for PAL (313 KB)