What does Perinatal mean?
Perinatal means the period from the conception of a child through to the first year after birth. Antenatal means during pregnancy, postnatal means after birth.
How is Covid-19 affecting your services?
Face to Face consultations are currently available if you do not have Covid-19, have no current symptoms of Covid, are not considered a close contact and are not awaiting a Covid test result. Video Telehealth is a convenient, safe and effective option if desired. Home visit consultations are currently available and are organised on an individual basis, the availability is based on location, the current Covid-19 risk, restrictions and your individual circumstances.
Is this a normal GP service?
Thrive Perinatal specifically helps future, new and expectant mums through the perinatal period from pregnancy planning through to when your child is about 1 year of age, and focuses on addressing pregnancy and baby-related issues.
What makes Thrive Perinatal different from other services?
Thrive Perinatal is Dr Miranda Bradley's vision to provide a different and more comprehensive type of medical care to women and their new babies. She prides herself on offering longer consultations (often an hour +) which provide an opportunity to explore and address ALL issues of concern, often in a single visit.
Dr Miranda Bradley also offers perinatal Home Visits, an invaluable service which is particulary welcomed by many new mums and babies , especially in the first few weeks after birth.
As an accredited GP and with substantial experience and training in perinatal care and lactation, Dr Bradley provides a "one stop shop" type of service. She can assess the health of you and your baby, organise investigations if needed, make a diagnosis, create a management plan and provide advice on any perinatal issues, such as postnatal recovery, mental health concerns, infant health concerns, breast or bottle feeding advice and support, vaccination counselling etc. She can also prescribe medication, refer to specialists, organise referrals and arrange blood tests and investigations. Dr Bradley also offers relevant advice and guidance to women both before and during their pregnancy journey who may have any questions or concerns.
Because Dr Bradley is a GP, patients also have the benefit that they can claim a Medicare rebate on out of pocket expenses for Face to Face and Home Visit consultations and also some eligible Telehealth consultations. This may be up to 85% of the out of pocket fee if you have registered for and met the Medicare safety net threshold for that year.
Can I see you for other GP-related medical concerns?
Dr Miranda Bradley focuses on helping women with perinatal issues, mostly before pregnancy, during pregnancy and in the first year after birth. This medical service aims to complement your usual GP care. It is encouraged that you establish a relationship with a regular GP to provide ongoing healthcare for you and your family.
Do you offer "Shared Antenatal Care"? What is "Supplementary Antenatal Care"?
Dr Miranda Bradley is able to participate in Shared Antenatal Care with Eastern Health (Box Hill Hospital and Angliss). Due to Thrive Periantal being a new and unique service it is not currently accredited for Shared Care with other hospitals in Melbourne.
An alternative to Shared Care is a Thrive Perinatal service called "Supplementary Antenatal Care". This additional care is perfect for women who have their antenatal care managed by another provider such as a public hospital or private obstetrician, but want some extra physical and/or mental health support throughout their pregnancy.
Suggested consultations are as follows:
-Initial "Face to Face " 45 minute consultation at any stage during pregnancy (A consultation in early pregnancy is best)
-Review consultation at approx 24 weeks (30-45 min)
-"Preparation for birth and parenting" consultation at approx. 35 weeks (45-60 mins)
-Extra consultations as needed
Postnatal reviews/Home Visit and follow up is then planned if desired.
Do I need a referral to book an appointment?
No referral is required.
How long should I book my appointment for?
Thrive Perinatal has an online booking system that gives you different appointment options, please choose the most relevent appointment type to suit your needs.
Dr Miranda Bradley takes pride in offering longer consultations, spending more time with you to provide thorough, comprehensive and holistic care. If in doubt about which appointment to book, either send an email to enquire, or choose a longer consultation, you will only be billed for the time needed.
As a guide:
Pregnancy planning, confirming new pregnancy or other pregnancy issue: 30 mins (45 mins if significant past medical history or you feel you have lots to discuss)
Antenatal: Preparing for birth & parenting, preparing for breastfeeding : 45 mins
Postnatal: Initial Mother and Baby consultation: 60 mins
Postnatal: Initial consultation for 1 patient (ONLY mother OR baby) : 30 mins (or 45 mins if more than 2 issues)
Postnatal Mum and Baby breastfeeding consultation: 60 mins
Brief follow up: for existing patients only. Eg for a result or brief discussion: 15 mins.
Can I get prescriptions, referrals and tests done with this service?
Yes, if they are relevant to your perinatal concerns. If your consultation is a Video Telehealth consultation, and you need a prescription for medication, an "e-prescription" can be sent directly to you as an SMS. Referrals and pathology or imaging requests can be emailed to you or directly to the provider.
Please note Dr Miranda does not prescribe any Schedule 8 drugs (controlled drugs).
Can you organise Mental Health Care Plans?
Dr Miranda has a special interest in perinatal Mental Health and can assess, refer and help to formulate a management plan. A "Mental Health Care Plan" can be coordinated if you are eligible under current Medicare guidelines.
Do you give immunisations?
Dr Bradley welcomes the opportunity to discuss and advise you about vaccines that are available on the routine schedule and also those that are optional extras. Unfortunately she is not able to administer these vaccines, these can be given by your local council, Maternal & Child Health service or regular GP.
Do you see dads/partners too?
Dr Miranda welcomes the opportunity to get the dads or other partner involved. They are welcome to join the consultation, but with your consent of course! They will need to complete a separate registration form if they have any relevant medical issues that need to be attended to.
Can I get a Medicare rebate back for my consultation?
Home visits: YES
Face to Face consultations: YES
Medicare rebates apply for SOME Video Telehealth appointments, but not all. These criteria are changing frequently due to the current Covid-19 pandemic. A Medicare rebate is currently available if you fulfill one of the below criteria:
You have seen Dr Miranda Bradley for a face-to-face appointment within the last 12 months
Children under 12 months of age.
"for the provision of services related to blood borne viruses, sexual or reproductive health". Please note there is NO rebate available for routine antenatal/pregnancy care.
If you are currently in a Covid-19 Commonwealth declared hotspot, or are in isolation or quarantine because of a state public health order.
Some pregnancy counselling services and some mental health services.
**Please ensure you have registered with "Medicare Safety Nets" as a family, as you may be able to claim back up to 85% of the fee. **
What is "Medicare Safety Nets"?
NOTE: **Registering for Medicare Safety Nets is a separate process to having registered your baby for a Medicare card.**
When you spend over a certain amount in "out of pocket" medical expenses in a calendar year (which is often the case when you have a baby), Medicare give you a higher amount back for the rest of the calendar year. You may receive up to 85% of the fee back. This makes a consultation with Thrive Perinatal much more affordable.
The Safety Nets are calculated each calendar year, 1 January to 31 December.
You need to register and confirm your family members with Medicare to combine your costs. It is recommend you do this ASAP. Calling Medicare and speaking to someone in person is the best way to register and find out your eligibility. (Medicare phone number: 132 011, 7 days a week, 24 hours a day) It is highly recommended this is done BEFORE your first appointment with Thrive Perinatal.
Please see this website for more information https://www.servicesaustralia.gov.au/individuals/services/medicare/medicare-safety-nets