Latest Posts

Latest Posts

A very challenging pregnancy with a wonderful outcome

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

Catherine saw me at eight weeks gestation for management of her 4th pregnancy. Her first three pregnancies had been unsuccessful. She told me in her first pregnancy she had a placental abruption with threatened preterm labour at 23 weeks. At 24 weeks her membranes ruptured and then there was foetal distress. That prompted a decision […]

Read More...

Epidural and spinal anaesthetics

Posted by Dr Gary Sykes on - Latest Posts, Delivery

I am often asked questions about epidural and spinal anaesthetics. I have compiled the information below with these questions in mind. An epidural anaesthetic is a regional (not general) anaesthetic whether local anaesthetic medication is injected into the epidural space. This is usually done through a fine plastic tube (catheter) introduced into the epidural space via an […]

Read More...

When do I need my diabetes check in pregnancy?

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy concerns and questions

I am often asked early in the pregnancy about when to have gestational diabetes mellitus (GDM) screening, with the patient under the impression that is should be done as soon as possible. This is not the case. GDM screening is usually done at 26 to 28 weeks pregnancy. Sometimes, because of indications that a pregnant […]

Read More...

Do Epidurals Prolong Labour?

Posted by Dr Gary Sykes on - Latest Posts, Delivery

This popular question does not have a simple answer as there are different circumstances that need to be considered. First stage labour There is no reason an epidural block should prolong first stage labour. To the contrary epidural can result in a shorter first stage period of labour Pain can slow progress in first stage […]

Read More...

Why postnatal care is important

Posted by Dr Gary Sykes on - Latest Posts, Postnatal

Before answering this question, what is the postnatal period needs to be considered. Postnatal care considerations will vary for each postnatal time period. The postnatal period starts after third stage of labour (delivery of placenta) has been completed. It can be considered in three time periods: Immediately after childbirth while the new mother is still […]

Read More...

When Less is Better than More

Posted by Dr Gary Sykes on - Latest Posts, Delivery

It was Louise’s second pregnancy. In her first pregnancy she went into spontaneous labour at 40 weeks and 6 days. She had a spontaneous vaginal delivery of a baby girl weighing 3662gms. This second pregnancy was progressing well except her baby started measuring large for dates in the third trimester. At 38 weeks and 4 […]

Read More...

“I have itchy hands and itchy feet”

Posted by Dr Gary Sykes on - Latest Posts, Medical conditions in pregnancy

Bronwyn presented at 10 weeks pregnancy for management of her second ongoing pregnancy. Her first ongoing pregnancy had been complicated by preeclampsia (requiring medication to control her blood pressure) and intrauterine foetal growth retardation. She had a successful outcome of a little girl at 38 weeks with a birth weight of 2494gms. This pregnancy progressed […]

Read More...

Caesarean section delivery needed in second stage labour

Posted by Dr Gary Sykes on - Latest Posts, Delivery

The first time I met Fozia was at 12 weeks gestation in her second pregnancy. She told me she delivered her first baby in 2006. She told me she went into spontaneous labour at 40 weeks gestation and after a 17-hr labour had a spontaneous vaginal delivery of a girl baby who weighed 3.05Kg. She […]

Read More...

What is an obstetrician’s role during a pregnancy and birth?

Posted by Dr Gary Sykes on - Latest Posts, Obstetrics

I was recently asked the question: “What is an obstetrician’s role during pregnancy and childbirth?” Before answering that question, I should mention what an obstetrician is. This topic is covered in my website article ‘What is an obstetrician?’ An obstetrician is a specialist medical doctor. An obstetrician is a doctor who has had successfully undertaken, […]

Read More...

Checklist for when baby is almost due

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy

I am asked from time to time in advanced pregnancy: “Baby is almost due – what do I need to do?” Pack Your Bag. By about 36 weeks pregnancy have your hospital bags packed. Make a written note of last minute items you will need to add. It is better if you should have separate […]

Read More...