03 Aug 2010

Induction of labour – pressing the “eject” button

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The term “Induction of labour” (or IOL for short) means medically intervening to start your labour before natural labour begins. Generally we induce labour when we consider the risk to the mother and / or the baby to be less with IOL than with waiting for spontaneous labour to occur. That said some women choose to have their labour induced because of the significant discomfort that goes with late pregnancy and rarely women have their labours induced for social reasons (ever wondered why those footy players’ wives miraculously give birth a few days before the Grand Final?). Read more

03 Aug 2010

Instrumental delivery – the sink plunger or the salad servers

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Although most vaginal deliveries result in the delivery of a healthy baby without any significant intervention by your obstetrician, there are some circumstances in which we need to deliver your baby before you can push it out without assistance. Generally speaking if we need to deliver your baby before your cervix is fully open we do so by caesarean. However if your cervix is open and your baby is well down the birth canal we can deliver your baby more safely (both for you and your baby) via the vagina than by caesarean. If we do intervene to deliver your baby vaginally we use either: Read more

03 Aug 2010

A word about iron in pregnancy

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I am seeing a lot of iron deficiency in pregnancy these days. It seems now to be a rare event to find a woman with normal iron levels when we do her routine twenty six week blood tests. Possible reasons for these low iron levels are: Read more

03 Aug 2010

Medicare safety net update

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And so it seems that the Government will go ahead and remove obstetrics from the Medicare Safety Net – in order to curb the “exorbitant” fees of private obstetricians – as Ms Roxon calls them. After December 30th it will not be possible to claim obstetric fees under the safety net. Read more

03 Aug 2010

Watch out, toxoplasma is about!

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I have become aware of a couple of recent cases of toxoplasmosis. We normally regard this infection as being extremely rare. Toxoplasmosis is an infection that causes minimal or no symptoms in the mother but – without going into details – can be devastating if it crosses the placenta and affects the baby. Read more

03 Aug 2010

See me on tv!

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I made a small appearance on the episode of Australian Story that aired on the ABC on the 27th of July. The story was about my brother and his efforts to improve patient safety (at some personal cost).

I am interviewed so if you haven’t met me you can check me out (including a couple of embarrassing childhood photos) on

www.abc.net.au/austory

You can watch previous complete previous episodes on line. The episode is called “Doctor in the house”.

03 Aug 2010

Healthy eating before, during and after pregnancy.

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Nutrition is essential to maintain healthy body function, and now more than ever, nutrition is essential to assist your growing baby. Stock your home with healthy fresh foods, remember, what is stored in your pantry is what your family and future children will eat.

From as early as a few months old, your baby will be watching what you consume!

Read more

03 Aug 2010

Diabetes In pregnancy – Gestational Diabetes Mellitus (GDM)

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Approximately 5% of pregnant women will develop Gestational Diabetes Mellitus (GDM) during their pregnancy. Left untreated, GDM may cause problems during the pregnancy, or for the baby. The diabetes usually goes away once the baby is born. Read more

03 Aug 2010

Coming out through the sunroof – Caesarean childbirth

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For those women planning on having a caesarean, the prospect of delivering your baby in the unfamiliar setting of an operating theatre can seem quite daunting.

Therefore it’s important to have some understanding of what goes on before, during and after a caesarean.  This also applies to women counting on a vaginal delivery, because although I aim to satisfy your wishes with regard to birth options, sometimes certain unforeseeable circumstances (such as fetal distress during labour) mean that the safest option is to head to the operating theatre for an unexpected caesarean. Read more

03 Aug 2010

Birth plans

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Many couples are happy to plan labour with a “wait and see how it goes” approach while others prefer to write a more formal birth plan. There is no right and wrong about this, it is simply a matter of personal preference.

I think birth plans – while far from compulsory – are quite a good idea for a couple of reasons: Read more