Obstetrics and Gynaecology

Wait Time Benchmarks for Obstetrics and Gynaecology

Procedure Emergency cases* Urgent cases* Scheduled cases*
Obstetrics
Obstetrical consultation N/A N/A Within 4 weeks of positive pregnancy test
Obstetrical consultation for pregnant women with risk factors for adverse perinatal outcomes N/A N/A Within 1 week of referral from primary health provider
Maternal testing – integrated screening N/A N/A At 11-13 weeks
Maternal serum screening N/A N/A At 15-16 weeks
Maternal glucose screening N/A N/A At 28-30 weeks
Ultrasound for nuchal translucency N/A N/A At 11-14 weeks gestation
Ultrasound for full screening N/A N/A At 16-20 weeks gestation
Post-term delivery N/A N/A A woman at 41 completed weeks of gestation should have access to induction labour procedures within 1 week
Caesarean section Within 30 min. Within 2 hours At 39 weeks gestation
Gynecology  
Abnormal uterine bleeding or prolapse N/A N/A Within 12 weeks
Surgery for non-malignant disorders of the uterus or adnexa N/A N/A A woman who has tried conservative therapy without acceptable results should have a hysterectomy within 12 weeks of the decision to perform the procedure
Surgery for prolapse N/A N/A A woman who presents with advanced uterine prolapse and who has tried conservative therapy without acceptable results should have a hysterectomy and pelvic floor repair within 12-24 weeks of the decision to perform the procedures
Gynecologic cancer – consultation: pre-invasive disease of the genital tract N/A N/A Within 4 weeks
Gynecologic cancer – consultation: invasive disease N/A N/A Within 2 weeks
Investigation: colposcopy
HSIL N/A N/A Within 3 weeks
ASC-H N/A N/A Within 6-8 weeks
LSIL N/A N/A Within 6-8 weeks
Persistent LSIL N/A N/A Within 6 weeks
AGC N/A N/A Within 6 weeks
Urogunecology
Treatment of gynecological cancers Immediate Within 2-4 weeks Within 12 weeks (for indolent tumours)
Consultation for incontinence N/A N/A Women referred by a primary health care provider to a gynecologist or urogynecologist for the clinical assessment of lower urinary tract dysfunction and/or prolapse and associated problems, including incontinence, should be seen within 12 weeks
Surgery for incontinence N/A N/A A woman who is diagnosed as having incontinence and who has tried conservative therapy without acceptable results should receive surgical correction of stress incontinence within 12 weeks of the decision that surgery is required

* Priority or urgency levels are defined as follows:

  • Emergency = immediate danger to life, limb or organ;
  • Urgent = Situation that is unstable and has the potential to deteriorate quickly and result in an emergency admission;
  • Scheduled = Situation involving minimal pain, dysfunction or disability (also called “routine” or “elective”).

Future ultrasound for women with risk factors for adverse perinatal outcome as needed

Note: Unless specified, time refers to calendar days between decision to treat by specialist and the day treatment is received.

 

Related Items

SOGC Statement on Wait Times in Obstetrics and Gynaecology (2008)

Society of Gynaecologists and Obstetricians of Canada Website