03 Aug 2010

GP information

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Making a referral

Please write me a referral and either give it to your patient or send it to me at:

Suite 26
Level 7
Prince of Wales Private Hospital
Barker St
Locked Bag 2
Randwick NSW 2031

Or fax it to:
(02) 9650 4898

Or email me at rbuist@gmail.com Read more

03 Aug 2010

Caffeine intake during pregnancy

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Caffeine is pretty much my favourite substance in the whole world. I try to start every day with a long black and after two double shot coffees I tend to move on to tea for the rest of the day.

The issue of caffeine use in pregnancy has been around for a while and many authorities advise women to reduce their caffeine intake or eliminate its use altogether. The scientific literature is a little conflicting on this topic however so I am a little more circumspect. Read more

03 Aug 2010

Air travel during pregnancy

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Travelling by air during pregnancy is a very important issue and one that generates many questions from pregnant women.

Travelling by air is very important during pregnancy because it is very hard to go to Port Douglas, Fiji or Noumea shortly after your baby (? babies) is (are) born.

The complication we wish to prevent is that of formation of blood clots in the veins of the legs (Deep Vein Thrombosis, or DVT) and movement of such clots to the lungs (Pulmonary Embolus, or PE). Because doctors love acronyms, we call DVTs and PEs VTE – Venous Thrombo-Embolism. Read more

03 Aug 2010

Pregnancy Information Sheet

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Congratulations on your pregnancy. The following information is provided as a guide to help you to plan the next few months.
Antenatal care
Your first visit will usually be between 6 and 12 weeks of pregnancy.

At this visit I will take a medical history and perform an examination. We will discuss arrangements for your antenatal care and the birth. I look after women at the Royal Hospital for Women and the Prince of Wales Private Hospital.

Subsequent visits are monthly until 28 weeks, fortnightly to 36 weeks, then weekly until the birth. If your pregnancy is complicated in any way I am likely to see you more frequently. If you would like me to share your antenatal care with your GP I am happy to do so. I’d be delighted if your partner or any other family members attended your visits. Read more

03 Aug 2010

Infant male circumcision – to snip or not to snip?

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Head to head: Is infant male circumcision an abuse of the rights of the child?

Hinchley G (Yes) and Patrick K (No). British Medical Journal 8th December 2007. Volume 335, page 1180.

Conclusion: Er, none.

Comment: Male circumcision attracts strongly held views from all parts of society as to the appropriateness or otherwise of this procedure. The operation’s advocates and critics can produce reams of scientific evidence that provide “conclusive” evidence of the operations health benefits and harms respectively. With the possible exception of the reduction transmission of HIV in sub Saharan Africa, many reputable medical authorities have produced statements to the effect that male circumcision confers no health benefits to the individual. Read more

03 Aug 2010

Caesarean Section – Game Over?

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Reference: Maternal and neonatal individual risks and benefits associated with caesarean delivery:
multicentre prospective study. Villar et al. British Medical Journal 17th November 2007. Volume 335, page 1025.

Conclusions:
“Caesarean delivery independently reduces overall risk in breech (bottom – first) presentations and risk of intrapartum (during labour) fetal death in cephalic (head – first) presentations but increases the risk of severe maternal and neonatal morbidity (harm) and mortality (death) in cephalic presentations.” Read more