Self Referral

When you have had a positive pregnancy test you can self-refer to receive a booking appointment with the Maternity Unit of your choice. Maternity Units within the NHSCT are based at Antrim Area Hospital site or Causeway Hospital Coleraine.

Electronic form for Antrim Maternity

Electronic form for Causeway Maternity

The Electronic forms are the preferred method of referral to our Maternity Services. However, if you want to access a paper copy, please use the link below. Once you complete the form, you can either post or email it, to your hospital of choice.

Downloadable referral form

If you have any queries regarding these forms or if you have not received an appointment by the 11th week of your pregnancy please contact AAH OPD4 on 028 94424537 or Causeway Referrals Office on 028 70327022.

Please read the ‘Baby and U’ pregnancy journey information prior to your appointment.

Temporary arrangements during Covid-19 Pandemic

Pregnancy Advice Helpline

The Trust has established a helpline, staffed by midwives, to advise pregnant and postnatal women (including staff) on pregnancy related issues, workplace and to divert any COVID-19 concerns to the appropriate pathway.

It will also support managers to complete risk assessment for pregnant staff in the workplace.

The number is 028 9442 4859 and it will be available 9am to 5pm Monday – Friday.

Information for pregnant women

The Public Health Agency has launched a new Northern Ireland Maternity COVID-19 website to provide pregnant women with information about Trust services in all areas (including the Northern Trust) as well as useful information about COVID-19 and how it affects pregnancy.

Due to COVID-19 the way we deliver maternity services has had to change but it’s still the same professional, friendly staff delivering the service.

Other related links

Pregnancy and Diabetes


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