Latest Posts

Latest Posts

Planning is important

Posted by Dr Gary Sykes on - Latest Posts, Delivery

Pregnancy and childbirth complications can happen irrespective of who is managing your pregnancy. But with considerable professional clinical experience that is consequence of having managed many thousands of pregnant women and with personalised patient care the likelihood of an adverse development can often be predicted and appropriate management steps taken so the adverse development can […]

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Do I look ok?

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

Physical appearance is an important matter to many women and being pregnant can cause major concern because of the associated changes in body shape. There are some pregnant women who enjoy the physical appearance changes that come with being pregnant, while others struggle with it and want to get their old body shape back. Common comments […]

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I am an obstetrician

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

My business / practice focus is now pregnancy and childbirth management. Over 90% of patients see me because they are pregnant and want me to be their obstetrician. Women phone my office to make appointments to see me about gynaecology problems. My secretary will say is it not appropriate to see me because of my […]

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Choosing public can be very costly

Posted by Dr Gary Sykes on - Latest Posts, Costs: How much will it cost to have a baby?

It is that time of year when health funds are about to increase their premiums. This year’s increase thankfully is quite modest. It is the least increase in nearly two decades. The average private health insurance premium will increase by 3.95% from 1st April 2018. There is lot in the media about which health fund […]

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Choosing your baby’s name

Posted by Dr Gary Sykes on - Latest Posts, General

I was chatting with a patient and her husband about whether they had thought of a name for their soon to be born baby. This lead to the husband telling me of a friend who knew of a child with the first name ‘Abcde’. The parents of Abcde obviously thought this was a fun idea […]

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Differences between Braxton Hicks and Labour Contractions

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

Braxton Hicks contractions are named after the English doctor John Braxton Hicks who first described them in 1872. He reported many women felt contractions without being near confinement. He said this process was usually painless, but caused women confusion as to whether they were going into actual labour. Braxton Hicks contractions are usually due to […]

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A very challenging pregnancy with a wonderful outcome

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

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 […]

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Epidural and spinal anaesthetics

Posted by Dr Gary Sykes on - Latest Posts, Delivery
epidural

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 […]

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When do I need my diabetes check in pregnancy?

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

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 […]

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Do Epidurals Prolong Labour?

Posted by Dr Gary Sykes on - Latest Posts, Delivery
epidurals and labour

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 […]

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