Latest Posts

Latest Posts

Checklist for when deciding to have a baby

Posted by Dr Gary Sykes on - Latest Posts, General
Checklist

I am asked from time to time: “How can I prepare to have a baby”. So, I have put this checklist together which covers the points that are relevant before you start trying. Health fund. Make sure you have appropriate health fund cover that covers you for confinement in private hospital. Usually there is a waiting […]

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IVF twins, possible weak cervix, severe maternal heart racing sometimes to over 230 beats per minute

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications

Sam saw me recently for her postnatal visit. She had had an extremely eventful pregnancy with an excellent outcome. Sam had two earlier pregnancies with me as her obstetrician. The first delivery was by Caesarean section because of lack of progress in labour. The second delivery was by Caesarean section because of breech presentation and […]

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Fantastic outcome despite a rare pregnancy complication and three previous pregnancy losses

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Adrianna

Adriana saw me with her husband for a pre-pregnancy consultation. She saw me for second opinion. She wanted to discuss her obstetric history and my thoughts as to what could be done so she had a good pregnancy outcome next time. She had a history of three unsuccessful pregnancies and no successful pregnancies. She had […]

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Her uterus was adherent to her anterior abdominal wall!

Posted by Dr Gary Sykes on - Latest Posts, Caesarean section

A new patient saw me for management of her third pregnancy. Her first delivery had been in Pakistan. It was an emergency Caesarean section at 36 weeks because of foetal distress. Her second delivery was in the United Kingdom. It was an emergency Caesarean section at 40 weeks because of lack of progress in labour. […]

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Two cases of suspected appendicitis in pregnancy with very different management

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications

Acute appendicitis can be a very difficult diagnosis to make in pregnancy. Because of this there can be a delay in making the diagnosis and surgically dealing with the inflamed appendix. With delay, there is an increased morbidity risk. Appendiceal rupture occurs more frequently in pregnant women, especially in the third trimester, possibly because of […]

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Why you should not quit your health fund

Posted by Dr Gary Sykes on - Latest Posts, General

At this time of year there is a lot of media attention given to private health insurance and premiums going up. While the media ads are trying to encourage you to join /change to a fund the ads and media attention can have the opposite impact and some people will decide to quit having private […]

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Foetal distress in first stage labour

Posted by Dr Gary Sykes on - Latest Posts, Delivery

I have had two patients recently where despite foetal distress in first stage pregnancy were able to have vaginal deliveries. The first patient was in her second pregnancy with the first pregnancy ending as a miscarriage because of the baby having a chromosomal abnormality. This pregnancy was complicated by gestational diabetes (managed by diet with […]

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Management of an occipito-posterior positioned baby

Posted by Dr Gary Sykes on - Latest Posts, Delivery

It was Shannon’s third pregnancy. Her first was on 2015. That pregnancy had been uneventful. She ruptured her membranes at 40 weeks. As she did not go into labour a Syntocinon infusion was commenced. She had a vaginal delivery of a healthy girl weighing 3.1Kg. Her perineum was intact. I needed to give her a […]

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Just in time

Posted by Dr Gary Sykes on - Latest Posts, Caesarean section

Vanessa saw me for her first antenatal visit of her second pregnancy when she was 8 weeks pregnant. She told me her first pregnancy was uneventful. She went into spontaneous labour at 37 weeks. Labour lasted about 15 hours. There was lack of progress in second stage despite one hour of pushing. Forceps were used […]

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Repeat Caesarean section had unexpected surprises

Posted by Dr Gary Sykes on - Latest Posts, Caesarean section

A patient said to me at her first antenatal visit of her second pregnancy that she wanted an attempt at a VBAC (Vaginal Birth After Caesarean section). She was ten weeks pregnant at the time. I had not met her prior and I was not the obstetrician for her first pregnancy and I did not […]

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