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Coronavirus statistics interpretation
When I went to the Birth Unit yesterday morning one of the midwives told me she had been distressed by what the on-call anaesthetist had told her was the predicted death rate from coronavirus for people of her age. I told her that I did not agree with what he said....
Caesarean sections and Govt announcement re surgery during coronvirus pandemic
The Federal Government has announced “all non-urgent elective surgery will be temporarily suspended” because of the coronavirus pandemic. Several patients have asked me: “Will this affect my planned Caesarean section?” The answer is: "DEFINITELY NOT". Caesarean...
Never quit
Catherine saw me at nine weeks gestation for management of her fifth pregnancy. Her first three pregnancies had been unsuccessful. I had not known her then. She saw me for the first time for management of her fourth pregnancy, which was successful. She told me in her...
Some of my thoughts about the coronavirus pandemic
Some of my thoughts about the coronavirus pandemic Every patient who attended for an antenatal visit quizzed me about coronavirus. They were all anxious, especially being pregnant. This was just a small sampling of the bigger Australian community. There is so much...
How to minimise your risk of getting coronavirus
How to minimise your risk of getting coronavirus Washing your hands often especially before eating, drinking and touching your face. Soap and water washing for 20 seconds and thorough drying is best. Otherwise use a hand sanitiser with at least 70% alcohol.* Cover...
Office coronavirus precautions
You can only attend for your appointment if you do not have now or have not had within the last 2 weeks a cold or flu like symptoms (such as fever, sore throat, nasal congestion, cough, shortness of breath). You can only attend for your appointment if you have not...
My holiday time
I will be away on holidays between Tuesday 23rd February 2021 and Tuesday 23rd March 2021. That means I will not be available to deliver your baby between those dates. You will not be able to book with me for pregnancy care if your EDC is in this time period. Working...
Coronavirus and pregnancy
Is a pregnant woman more at risk of being infected with coronavirus? In pregnancy a woman’s body has immunologic and physiologic changes which might make her more susceptible to viral respiratory infections. This logically would include coronavirus (COVID-19). But...
San – HCF Swaddle celebration evening
Last Thursday evening the Sydney Adventist (San) Hospital and HCF had an exciting evening to which I was invited. The meeting was to celebrate the launch of the new Swaddle Maternity Package. Swaddle (San Baby Bundle Maternity Package) is an Australian first. ‘No gap’...
Was the cervical suture necessary?
Stephanie’s first antenatal visit with me was at 7 weeks and 6 days gestation. It was her second pregnancy, but first ongoing pregnancy. She had had a miscarriage in 2016. She advised me she had had a cervical LLETZ operation and two cone biopsies for management of...
Using social media in my medical practice
I have recently been invited to participate in a survey about doctors’ business use of social media to communicate with patients. The same people who contacted me did a similar survey of doctors five years ago and concluded ‘most Australian doctors didn't have the...
I want an iron infusion
It is becoming more popular for pregnant women to request an iron infusion because of tiredness in pregnancy. The iron infusion will only benefit if there is an iron deficiency, which can be checked by a blood test. Most tiredness in pregnancy is not due to iron...
Trust
I was listening to a radio journalist in the car on the way home from the hospital. He said that he and his wife were very nervous with her first labour and childbirth experience as they didn’t really know what was going to happen. He said they were ‘way out of their...
I want to be a mummy
Many patients have told me they started thinking about what it will be like to be a mummy when they were young girls cuddling dolls and pretending their dolls were real babies. Becoming a mother has a very special place in a woman’s heart and for so many women is the...
How soon can I have my baby?
“How soon can I have my baby?” is a question I frequently get asked in advanced pregnancy. The question is asked because the pregnant woman who asks it is struggling to cope with the impact of advanced pregnancy on her body. I am happy to arrange induction of her...
Public vs private pregnancy care
A patient returned to see me for pregnancy management. Because she had discontinued her health fund membership, she told me this time I will not be delivering her baby, and she will be confined as a public patient. She will continue to see me throughout the pregnancy...
Solo vs group obstetric practices
I am a solo obstetrician practitioner. By that comment I mean I have my own rooms (office), my own secretarial staff, I see all patients who book with me for pregnancy at each antenatal visit myself, I manage all patients who book with me in labour (with the support...
Operative vaginal delivery changes during my time as an obstetrician
I recently wrote an article titled ‘Caesarean section changes during my time as an obstetrician’ in which I mentioned that there had been an increase in the Caesarean section rate over more recent times. One reason for this is that there has been a corresponding...
Caesarean section changes during my time as an obstetrician
When I started my training as obstetrician Caesarean section deliveries were done much less frequently than today. There were various reasons for this including… Caesarean sections were considered more dangerous for the mother than vaginal deliveries and so vaginal...
Another reason why not to go public for pregnancy care
Wendy had her first baby at a major public hospital as a public patient. She needed an emergency Caesarean section. She said the operation was done by a young female doctor who she had never met. She never saw this doctor again after the operation. Wendy said she had...
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*Saturday morning appointments are not available for initial antenatal visit.
