At the booking appointment, an urgent referral
must be made by the midwife to the appropriate
obstetrician, haematologist and anaesthetist as
well as the sickle cell specialist nurse. Early
antenatal booking before 10 weeks ensures that
an appropriate plan of care with the relevant
multidisciplinary team is in place at an early
stage. If for practical reasons care has to continue
at a non-specialist centre then a joint plan of care
should be agreed between the maternity unit and
the specialist centre (Sickle Cell Society, 2008).