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Christmas and New Year holiday season office open days

Christmas and New Year holiday season office open days

Because of the Christmas and New Year holiday season our office will only be open on Friday 28th December and Monday 31st December. Normal opening days will resume on Wednesday 2nd January. I (Dr Gary Sykes) am working during the entire Christmas and New Year holiday...

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Was it cervical incompetence?

Was it cervical incompetence?

Trish saw me with her husband for the management of her second pregnancy. Sadly, her first pregnancy ended at 20 weeks gestation (pregnancy). She said she had spontaneous rupture of membranes and light contractions before delivering a stillborn little girl. I had not...

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History of Caesarean section delivery

History of Caesarean section delivery

There are references to Caesarean section operations in ancient Hindu, Egyptian, Greek, Roman, Chinese and European stories, photos and ancient historical records. While it is commonly believed the name ‘Caesarean’ is from the surgical birth of Julius Caesar, this is...

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Preeclampsia presenting as liver pain and tenderness

Preeclampsia presenting as liver pain and tenderness

Carolyn had an uncomplicated first pregnancy until she was 35 weeks 6 days gestation (pregnancy). She phoned the Birth Unit as she had pain in her right upper abdomen.  She was asked to come in to be assessed. I attended to see her. She was slightly tender in the...

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I have an unpredictable life

I have an unpredictable life

Last week was very busy. So, my wife Robyn and I decided to relax and see a movie on Sunday afternoon. We decided to see ‘Mission: Impossible – Fallout’. In case a patient went into labour, I didn’t book the tickets until 10.00am on Sunday. I had to do an online...

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New ultrasound machine

New ultrasound machine

On Friday I took ownership of a new GE Voluson P8 ultrasound machine. Besides all the features of my previous GE ultrasound machine there is greater clarity in photos and now I can export to your USB 3D video clips of your baby moving and sound video clips of your...

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Please avoid getting pregnant in the next month

Please avoid getting pregnant in the next month

I will be away on holidays between Saturday 4th May 2019 and Saturday 1st June 2019.  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 time period. Working back...

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A sudden turn of events

A sudden turn of events

A patient booked with me for management of her 4th pregnancy management. The pregnancy progressed well until 38 weeks and 3 days gestation. That evening she became aware of painful vein swelling in her left thigh. Her GP arranged a doppler ultrasound scan the next...

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Planning is important

Planning is important

Pregnancy and childbirth complications can happen irrespective of who is managing your pregnancy. But with considerable professional clinical experience that is consequence of having managed many thousands of pregnant women and with personalised patient care the...

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Do I look ok?

Do I look ok?

Physical appearance is an important matter to many women and being pregnant can cause major concern because of the associated changes in body shape. There are some pregnant women who enjoy the physical appearance changes that come with being pregnant, while others...

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I am an obstetrician

I am an obstetrician

My business/practice focus is now pregnancy and childbirth management. Over 90% of patients see me because they are pregnant and want me to be their obstetrician. Women phone my office to make appointments to see me about gynaecology problems. My secretary will say is...

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Choosing public can be very costly

Choosing public can be very costly

It is that time of year when health funds are about to increase their premiums. This year’s increase thankfully is quite modest. It is the least increase in nearly two decades. The average private health insurance premium will increase by 3.95% from 1st April 2018....

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Choosing your baby’s name

Choosing your baby’s name

I was chatting with a patient and her husband about whether they had thought of a name for their soon to be born baby. This lead to the husband telling me of a friend who knew of a child with the first name ‘Abcde’. The parents of Abcde obviously thought this was a...

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Differences between Braxton Hicks and Labour Contractions

Differences between Braxton Hicks and Labour Contractions

Braxton Hicks contractions are named after the English doctor John Braxton Hicks who first described them in 1872. He reported many women felt contractions without being near confinement. He said this process was usually painless, but caused women confusion as to...

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A very challenging pregnancy with a wonderful outcome

A very challenging pregnancy with a wonderful outcome

Catherine saw me at eight weeks gestation for management of her 4th pregnancy. Her first three pregnancies had been unsuccessful. She told me in her first pregnancy she had a placental abruption with threatened preterm labour at 23 weeks. At 24 weeks her membranes...

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Epidural and spinal anaesthetics

Epidural and spinal anaesthetics

I am often asked questions about epidural and spinal anaesthetics. I have compiled the information below with these questions in mind. An epidural anaesthetic is a regional (not general) anaesthetic whether local anaesthetic medication is injected into the epidural...

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When do I need my diabetes check in pregnancy?

When do I need my diabetes check in pregnancy?

I am often asked early in the pregnancy about when to have gestational diabetes mellitus (GDM) screening, with the patient under the impression that is should be done as soon as possible. This is not the case. GDM screening is usually done at 26 to 28 weeks pregnancy....

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Do Epidurals Prolong Labour?

Do Epidurals Prolong Labour?

This popular question does not have a simple answer as there are different circumstances that need to be considered. First stage labour There is no reason an epidural block should prolong first stage labour. To the contrary epidural can result in a shorter first stage...

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When Less is Better than More

When Less is Better than More

It was Louise’s second pregnancy. In her first pregnancy, she went into spontaneous labour at 40 weeks and 6 days. She had a spontaneous vaginal delivery of a baby girl weighing 3662gms. This second pregnancy was progressing well except her baby started measuring...

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