Obstetric red flags first
Reduced fetal movements, any bleeding, severe headache with visual disturbance, epigastric pain, and fluid loss each route directly to maternity assessment — no triage delay and no reassurance over the phone.
Specialty · Women's Health
Obstetric red flags recognised before anything else.
Obstetric and gynaecological triage with pregnancy-aware thresholds, antenatal and postnatal contact, screening recall, and contraception and menopause reviews.
- < 30s
- Obstetric red flag to escalation
- 64%
- Screening gaps closed per wave
- 2.9x
- Postnatal contacts completed
In the product
Women's health — inbound 20:47
EscalatedInbound 20:47 · Niamh D. · 29 · G2P1 · 34+2 weeks · low-risk pregnancy
Caller
I think the baby's been quieter today. She's normally really active in the evening and I've hardly felt her since teatime.
Reduced fetal movements at 34+2 → maternity assessment, no telephone reassurance permitted
Primum
Thank you for ringing straight away — that's exactly the right thing to do. You need to go to the maternity assessment unit now, tonight, not in the morning.
Caller
I didn't want to make a fuss over nothing.
Primum
It's never a fuss. They'd far rather see you and find everything is fine. I'm telling the unit you're on your way — take your notes with you.
Obstetric triage
- Gestation
- 34+2 weeks
- Presentation
- Reduced fetal movements
- Duration
- Since ~17:00 today
- Protocol
- No phone reassurance
- Destination
- Maternity assessment unit
- Unit
- Notified 20:49
Attendance advised · notes reminder sent · chart coded, midwife informed
Overview
Pregnancy changes what every symptom means.
- Pregnancy status and gestation established before any symptom is assessed.
- Reduced fetal movements and bleeding route to maternity assessment immediately.
- Postnatal depression screened at every contact, with the same escalation as any other risk.
Abdominal pain, headache, swelling and breathlessness are routine complaints on any triage line. In a pregnant woman they are pre-eclampsia, ectopic pregnancy, venous thromboembolism and cardiac disease until proven otherwise — and the thresholds that apply to everyone else are simply wrong.
Primum establishes pregnancy status and gestation before triage begins, then applies obstetric thresholds throughout: reduced fetal movements, bleeding, severe headache with visual disturbance, epigastric pain. Around that sit antenatal and postnatal contact, screening recall, contraception reviews and menopause care — with postnatal mental health screened at every contact.
Capabilities
Four areas, one threshold set that overrides the rest
Everything on this line is read differently once gestation is known.
Antenatal and postnatal contact
Blood pressure readings, symptom checks, appointment and scan scheduling, and postnatal contact covering bleeding, wound healing, feeding and mood at the intervals your pathway sets.
Postnatal mental health, screened
Mood and risk asked at every postnatal contact using your instrument, with any disclosure routing to a clinician immediately rather than into a routine follow-up.
Screening, contraception, menopause
Cervical and breast screening recall worked as conversations that book, contraception reviews with method-specific checks, and menopause reviews with symptom scoring and treatment tolerability.
How it works
Gestation first, then the symptom
The order matters: the same answer means different things at eight weeks and at thirty-eight.
- Arrives
- Decided
- Done
- Returned
01
Status established
Pregnancy status, gestation, parity, obstetric history and current pregnancy risk factors loaded before the first symptom question.
Gestation known
02
Obstetric flags checked
The red-flag set for that gestation evaluated before anything else, with movements and bleeding asked explicitly rather than waited for.
Gestation-specific
03
Assessment completed
Remaining symptoms assessed with pregnancy-aware thresholds, and mood screened where the contact is postnatal.
Pregnancy-aware
04
Routed or scheduled
Maternity assessment unit, same-day review, or the programme contact completed and the record updated.
MAU / write-back
01
Status established
Pregnancy status, gestation, parity, obstetric history and current pregnancy risk factors loaded before the first symptom question.
Gestation known
02
Obstetric flags checked
The red-flag set for that gestation evaluated before anything else, with movements and bleeding asked explicitly rather than waited for.
Gestation-specific
03
Assessment completed
Remaining symptoms assessed with pregnancy-aware thresholds, and mood screened where the contact is postnatal.
Pregnancy-aware
04
Routed or scheduled
Maternity assessment unit, same-day review, or the programme contact completed and the record updated.
MAU / write-back
Benefits
The thresholds that matter are applied every time
Obstetric deterioration is fast, and the window for acting is short.
Reduced movements are never reassured
Every report routes to maternity assessment. That is the protocol, and applying it without exception is the entire point.
Postnatal mood gets asked about
Screening at every contact rather than at a single six-week check finds what a single appointment misses.
Screening registers close
Recall conversations that can book, and that can answer the objection, move screening coverage in a way reminders do not.
In practice
Four contacts across the pathway
Two obstetric, two not, and the thresholds differ throughout.
Reduced movements, 34 weeks
MAU, immediatelyFewer movements since yesterday evening. Routed to maternity assessment with no attempt to reassure, and the unit is told she is coming.
Headache at 31 weeks
Pre-eclampsia pathwaySevere headache with visual flashes and epigastric discomfort. Urgent assessment arranged and the last blood pressure reading attached.
Postnatal day 12
Mood escalationWound healing and feeding fine; mood screening positive with intrusive thoughts. Routed to the perinatal mental health team the same day.
Smear overdue 3 years
BookedObjection about discomfort discussed, an extended appointment with a female clinician offered, and the screening booked.
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Start with the obstetric threshold set
Ask us to demonstrate reduced fetal movements, bleeding and pre-eclampsia first. Everything else on this line can wait until you are satisfied those three are right.