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Avoiding stitches with a vaginal delivery

Avoiding stitches with a vaginal delivery

A patient asked me this week: “How can I avoid stitches with my delivery?” It is the wish of every woman who is planning a vaginal delivery to have no stitches. There are many factors that relevant in determining the likelihood of this. These are considered in this...

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Hope

Hope

Marelle had first trimester miscarriages in 2018 and 2019. Later in 2019 she had a pregnancy loss at  22weeks because of spontaneous rupture of membranes with umbilical cord prolapse. In 2021, Marelle had a successful pregnancy. Her pregnancy was complicated by...

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Ransomware attack

Ransomware attack

I have a new patient who told be at her first antenatal visit that she works in cyber security. Cyber security is of increasing importance.  Cyber security protects an organisation and its employees and assets against cyber threats. I told her that my computer system...

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How Are We Different?

How Are We Different?

It is very important for you and your unborn baby that you choose the right pregnancy and childbirth support. Many pregnant women and their husbands/partners assume pregnancy care is the same irrespective of who provides it. This is certainly not the case. There are...

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Which hospital should I book to have my baby?

Which hospital should I book to have my baby?

I am often asked: Which hospital should I book to have my baby? I will start answering this question by writing about my personal experiences as an obstetrician in private practice. When I started in private practice, I had appointments at the San Hospital (Sydney...

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An unusual presentation of HELLP Syndrome

An unusual presentation of HELLP Syndrome

Emma presented to the Birthing Unit at 9.00pm with epigastric pain. She was 39 weeks 1 day gestation in her first pregnancy. There was no uterine tenderness of pain, no uterine contractions, and no vaginal bleeding. She was otherwise well.  Her baby’s heart rate...

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Financially planning for your pregnancy

Financially planning for your pregnancy

We are getting an increasing number of calls from uninsured women asking how much it will cost to have their babies as private patients. This was expected. More people are dropping out of health funds or not taking up health insurance because of increasing financial...

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Baby’s head did not engage until in 2nd stage labour

Baby’s head did not engage until in 2nd stage labour

A common question in advanced pregnancy is: “Has my baby’s head engaged?” Patients are often of the belief that baby’s head must be engaged before they go into labour. That is not true. Engagement of baby’s head means the widest diameter of baby’s head (biparietal...

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Our phones are down

Our phones are down

Our phones are down Please contact the office by email office@obstetricexcellence.com.au Sorry for the inconvenience Thank you

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Preparing for pregnancy

Preparing for pregnancy

Below are some useful guides for when you are deciding to have baby. Decide if you will be private or public patient. There are huge differences between private and public pregnancy and childbirth care, with public being the inferior quality, poor cousin of private...

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I will be vlogging soon.

I will be vlogging soon.

I have always been keen for my patients to have good quality, accurate information about pregnancy and childbirth. As well, I have always been keen to help my patients avoid believing nonsense on pregnancy topics. Before the internet incorrect information was conveyed...

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What can I do to bring on labour?

What can I do to bring on labour?

Towards the end of pregnancy, a woman is typically very excited to meet her baby, but also she is very uncomfortable because of pregnancy changes and her baby being a good size. She is usually very keen to go into labour sooner rather than later. As well most women...

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When will my baby come?

When will my baby come?

This is a popular question as a woman approaches her due date. It can be prompted by her excitement and being very keen to meet her baby. It is sometimes triggered by her increasing pregnancy discomfort and her adverse symptoms. Sometimes it is because family members...

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My ultrasound scanning accuracy.

My ultrasound scanning accuracy.

I compared my baby weight estimate from ultrasound scan measurements at the last antenatal visit for patients over a 3-month period with actual birth weights. My scan estimates of weight averaged only 8.14% variation from actual birth weights. In 89% of cases my scan...

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We can’t afford to have a baby.

We can’t afford to have a baby.

The cost of essentials has been increasing dramatically. That is putting considerable financial pressure on couples. So many are now struggling to pay their mortgage, rent, electricity and gas bills, food, other essential household goods, etc. It is very difficult...

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No need for facemasks

No need for facemasks

As it is no longer mandated by NSW Health that face masks must be worn for patients and doctors for consultations in private practice we have decided to cease advising patients and their husbands/ partners that’s face masks must be worn for consultations. I have for a...

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Mum’s diet shapes child’s future

Mum’s diet shapes child’s future

Below is an article by Ellen Connolly of the Sunday Telegraph January 27, 2008 I had it saved on my computer. I could not find the original online. But as it is has very information and has already been in the public domain I have decided to share it on my website....

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