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imgObstetrics

Your visits

I prefer to see you for the first time at around 8 weeks gestation to discuss care plan for your pregnancy and any early/lifestyle intervention necessary from early stage of pregnancy. A detailed history will be taken. Internal examination is not routine at antenatal visit unless clinically required. An ultrasound is usually performed.

It is helpful if you have the following:

  • A referral from your General Practitioner;
  • The results of any previous scans, blood tests and pap smears

Subsequent visits will be approximately at 12 weeks, 16 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 34 weeks, 36 weeks, 38 weeks and weekly thereafter. This could vary depending on your unique circumstances. For low risk women, alternate antenatal visits with our midwife Kris could be arranged.

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The birth of your baby/babies

I will discuss your plan and mode of delivery with you. With a few exceptions, I will attend, assess and deliver your baby/babies. I do share weekend on-calls with other experienced obstetricians. You will be notified well in advanced on my availability around your due date.

All deliveries will be performed at NorthWest Hospital. North West Hospital is equipped to care for babies over 33 weeks gestation. If you come into labour before then I will endeavour to continue your care as a private patient at The Royal Brisbane and Womens Hospital. Sometimes it is safer to hand your care over to an obstetrician who is based full time at the RBWH.

General Obstetric Advice

Antenatal Education

We would encourage you and your partner to learn as much as possible about your pregnancy and childbirth. You will be given information about antenatal classes at the hospital when you book in with the hospital around 24 weeks. A good book is What to Expect When You’re Expecting. You can purchase this online from Book Depository, Amazon or at any good bookstore.

General Health

It is normal to put between 10 and 12 kilograms during pregnancy. Excessive or minimal weight change does not necessarily indicate a problem with the baby.

It is advisable to take folic acid while you are trying to conceive and up to 20 weeks.

Exercise

It is important to maintain a generally healthy lifestyle with gentle, regular exercise. Walking, swimming and yoga are good.

We would strongly recommend you attend parenthood education classes at North West Private Hospital. You will need to book by 15 weeks gestation by calling 07 3353 7825 between 8:30am and 4:30 pm Monday to Friday.

Warning Signs

Do not hesitate to contact Min or the labour ward staff in the event of any of the following:

  • Any bleeding from the vagina at any time;
  • Rupture of the membranes – any clear watery persistent discharge especially if less than 36 weeks;
  • Any pain which is persistent or unresponsive to Panadol;
  • Any sudden decrease in the baby’s movements. In this case, rest quietly and feel the movements for one hour. If the movements remain poor, contact the labour ward.

Advice

Our registered midwife, Kris is available Monday to Friday mornings for phone advice, please call the office on 07 33536855. Alternatively, contact the North West Private Hospital labour ward on 07 3246 3163.
If you have a non-obstetric problem such as asthma, a respiratory tract infection or gastroenteritis please see your General Practitioner or Emergency Centre in the usual way unless there are particular obstetric concerns.

Medications

The following medications are safe to take during your pregnancy unless you are previously allergic to it:

  • Panadol;
  • Canesten (used internally for thrush and now available over the counter at pharmacies);
  • Maxolon (for nausea);
  • All Penicillin based antibiotics (Amoxil, Keflex);
  • Vicks inhalations (for colds);

Hospital Stay

Most women stay for four days maximum with a vaginal birth and five days maximum with a caesarean. This convention has been established by arrangements made between the hospitals and health insurers. Many women find it difficult to comply with these arrangements particularly if they deliver on a Monday afternoon and are expected to leave on the Thursday morning for example. You may wish to engage the services of a lactation consultant who can help you with the breast feeding. Lists of lactation consultants will be supplied to you at the hospital.

Cord Blood Storage

Some women choose to have their umbilical cord blood stored. This blood is drained from the placenta after the baby is born. It can be used as a source for bone marrow cells if your child should tragically develop leukemia or a similar cancer. The probability of needing this is around 1 in 2700. Storage costs are approximately $4000. Once the blood is stored it is only available to your family. Siblings have a 1 in 5 chance of being compatible if they should need a bone marrow transplant at a later date.

Paediatricians

It is conventional to have your baby checked by a specialist Paediatrician when he/she is born. The Paediatrician will also supervise the baby’s neonatal care and arrange for a six week check-up. I am happy to arrange a Paediatrician of your choice but otherwise refer your baby to the most suitable person available at the time.

When You Leave hospital

One in five women develops mastitis. This presents as a red tender breast and often a raging fever. Keep breastfeeding and seek antibiotics as soon as possible.
Please make an appointment for a six week postnatal visit. Contraception will be discussed at this visit.

Fees

Fee Out of Pocket
a.Initial Consultation and Scan Item 16401 55703 $175.00 $45.00 $130
b. Antenatal Doctor Visits Item 16500 $100.00 $65
c. Antenatal Midwife Visits $30.00 $30
d. Planning Consultation (Payable at 24 weeks Item 16590 $1500.00 $1290
e. Postnatal VisitPlease check with Medicare regarding eligible rebates Item 16404 $100.00 $70

2.Hospital Visits

Your Health Fund will be directly billed for all in-patient care. This includes your delivery and all visits in hospital before and after the birth.

When budgeting for your birth please also consider the possibility of needing an Anaesthetist for an epidural or caesarean and Paediatrician to care for your baby.

*NOTE: Fees are subject to change without notice, however, are usually minor. Contact our practice for any fee queries.

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