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Is the umbilical cord around my baby’s neck?
It is not unusual for a patient to ask: “Is the umbilical cord around my baby’s neck?” The reason for the question is the patient is anxious about this and is concerned the umbilical cord being around baby’s neck (nuchal cord) will adversely affect baby’s wellbeing....
Swaddle is ending
Sadly the very popular Swaddle program is ending. The last day for bookings for the HCF - San Swaddle program is 31 January, 2023. That means you must be pregnant and have registered through the San for the Swaddle program before the 1st February 2023. So if you are...
Covid – should you be concerned?
Today a nurse from a public hospital attended for routine antenatal visit. I asked about Covid cases at her hospital and whether see had to nurse these patients. She said there were many in-patients with Covid and that she did have to nurse patients with Covid. She...
My holiday away time 2023
I will be away overseas on holidays between Tuesday 20th June 2023 and Monday 17th July 2023. 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 away time period....
Ultrasound scans in pregnancy
This week a patient saw me for routine visit at 15 weeks pregnancy. I did an office ultrasound scan and sadly diagnosed her baby had anencephaly (absence of development a major portion of the brain, skull, and scalp). I had the findings confirmed by a specialist...
I want to have a baby
It is common for woman to be thinking about becoming a mother from a very young age. When she is playing with her dolls, when she is helping her mother with other siblings, the seed of becoming a mother one day is being planted. So having a baby is the fulfilment of a...
Anxiety and pregnancy
Many more women have anxiety in pregnancy today than in the past. This is not only my personal observation but also the opinion of midwives with whom I work and medical studies findings. This is not because pregnancy and childbirth are more dangerous today than in the...
The joy of pregnancy
For many women having a baby is the fulfilment of a lifelong dream When a little girl is playing with her dolls, she is starting to dream of becoming a mummy. She is typically very keen to help her mummy with the care of younger siblings. She is typically keen to...
“I don’t enjoy being pregnant”
This is a comment made to me by many pregnant patients. It is not that they don’t want to be pregnant. It is that they are struggling because of adverse symptoms of pregnancy that they are experiencing. There are many adverse symptoms that a woman can experience in...
Will I need another Caesarean section?
This is a common question. When I was training to become an obstetrician most women who had a Caesarean section had a vaginal delivery next pregnancy. This has changed. Now most women who had a Caesarean section have a Caesarean section next pregnancy. There are...
Proud parent baby photos
Patients frequently send me photos and sometime videos of their newborn baby that they have taken. Sometimes they share photos of themselves while pregnant and sometimes photos of their baby at it get older as an infant or child. I am very grateful and it gives me...
Three adverse pregnancy developments
Suzi booked with me for management of her first pregnancy. She was 30-year-old and had no significant medical history and surgical history. Her initial routine pregnancy blood test results were normal, including her platelet count which was 190 x 10^9/L. Suzi had the...
Internet and social media use in my medical practice
Before the popular use of the internet had I was giving patients at their antenatal first visit with me several pages of the most popular pregnancy questions and answers. This was motivated by a desire for my patients to have correct pregnancy knowledge, rather than...
Will I need an episiotomy?
On Friday I had four deliveries. In the afternoon at Norwest Hospital a patient in her first pregnancy had a normal delivery with an intact perineum. That evening at the San Hospital a patient in her first pregnancy had a normal delivery but needed an episiotomy. A...
Perineal tearing
Perineal tearing The goal with a vaginal delivery is an intact perineum. This does not always happen. There can be tearing, the commonest area of tearing is the perineum. Hopefully it is only minor tearing. Sometimes an episiotomy is needed. This could be to avoid a...
Cervical stretch and membrane sweep
Contents Cervical stretch and membrane sweep What happens in a cervical stretch and membrane sweep? Is a cervical stretch and membrane sweep uncomfortable? Does a cervical stretch and membrane sweep always work? What to expect after the procedure,...
Omicron – should you be concerned?
Many patients are asking me about Covid and should they be concerned. I suspect this is because of the increasing number of Omicron cases (22,577 new cases today in NSW) and the often-conflicting messages from politicians, journalists, and doctors and nonsense...
Happy New Year
CHANGES TO COVID checking OF PREGNANT WOMEN 31st Dec 2021
Both hospitals have updates their COVID check policies for pregnant women and their husbands/partners. SYDNEY ADVENTIST HOSPITAL (SAN) There have been some changes announced to the management of pregnant women which will take effect at the San, from today. Routine PCR...
Happy Christmas
b Wishing you and your family a wonderful and blessed Christmas
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*Saturday morning appointments are not available for initial antenatal visit.
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