Practice News

December 2013

April 2011 image

Most recently we have witnessed with some concern in the Public Teaching Hospitals in Adelaide an early discharge policy for postnatal patients with women delivering their babies at term going home within 12 – 24 hours with possibly a single home visit from a domiciliary midwife as backup.

Sadly this has been driven by financial pressures due to a shrinking health budget which is occurring in all states of Australia including South Australia. The safety of such a policy is controversial with opponents of early discharge citing increased risks to the newborn (jaundice, feeding problems and infections) and mothers (post natal depression) while supporters believing that it is beneficial by allowing mothers to recover in the home environment and thereby facilitating bonding between mother and baby.

This practice has been assessed by a Cochrane Review of the available evidence (Brown et al 2009 – 10 trials involving 4489 women) and has been selectively misquoted by some to infer that there was no evidence of harm when the reality is that the study did not assess enough women to show benefit or harm and hence the evidence is insufficient to support the policy. Further well designed studies are required.

Fortunately for private patients delivering at public teaching hospitals, such as the Women’s and Children’s Hospital, they are entitled per their private health funds to a stay of 4 nights and 5 days after a uncomplicated vaginal birth and a stay of 5 nights and 6 days after a complicated delivery which is the norm at private hospitals such as Calvary North Adelaide, Ashford and Burnside hospitals.

Women’s Health Specialists is excited and proud to announce that in the New Year Dr Mojgan Vatani will be working in association with Professor Svigos.

Dr Vatani graduated in 1992 from the prestigious Karolinska Institute in Stockholm, Sweden and after gaining experience in various subspecialities as an intern she began her specialty training in Obstetrics and Gynaecology in 1995. In 1998 she moved to Adelaide with her Australian born partner, Michael Lardelli, a medical scientist of international repute. She resumed her specialty training in 2001 whilst bearing their two children, Isabella and Marcus, working with distinction at the major teaching hospitals in Adelaide and Darwin and ultimately became a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

Since 2010 Dr Vatani has worked as a Staff Obstetrician at the Women’s and Children’s Hospital and as a Consultant in Reproductive Medicine at Repromed Fertility Clinic since 2008. As a generalist Dr Vatani offers a full complement of obstetrical and gynaecological services for her patients with special interests in high risk obstetrics, infertility and medical education.

Dr Vatani and Professor Svigos will provide cover for each other’s patients should either be required to be away from the practice for family or professional reasons.

In October Dr Vatani joined Professor Svigos and 6 other designated Masters at a Birth Masterclass Workshop to teach 20 junior obstetricians the art of complex vaginal birth for twins, breech and Kjelland’s forceps thereby ensuring that women in these situations can have a choice of the mode of delivery. This is an ongoing initiative by the above group which is being conducted twice per year in Australia and New Zealand.

Our midwives Jane and Deanna have recently incorporated a fetal DNA detection test in maternal blood (Verifi) into their counselling of women with regard to the prenatal detection of certain chromosomal anomalies.

With a 99.8% accurate detection rate of Trisomy 21 and 18 in high risk women and with no miscarriage risk this may be a useful test to employ in women who might be considering a safer alternative to an invasive test (amniocentesis or chorionic villus sampling) with their virtually 100% accuracy but a 1- 2% miscarriage rate.

More recently we have been fortunate to recruit another experienced midwife, Jaqui Aikens, to work as a locum for Jane or Deanna during their absence on leave. Jaqui brings with her a cheerful disposition and great knowledge having worked in senior positions at Modbury Hospital and the Women’s and Children’s Hospital.

Adelaide Pathology Partners, who have a collection centre on site, continue to provide an excellent service for our patients through the agency of Jacqui Casey.

Specialist Imaging Partners, with rooms adjacent to our rooms, continue to provide an excellent ultrasound service for our patients both in obstetrics and gynaecology and also provide a convenient venue for patients to have amniocenteses or chorionic villus samplings performed by our obstetricians.

Our administrative staff, Maria, Carol and Shirina have been bolstered by the addition of Faye Limberis who looks after some of their administrative tasks and spoils us all with her culinary creations!

The staff of Women’s Health Specialists would like to take this opportunity to wish all our patients and their families our best wishes for the coming Festive Season and a Happy New Year.

Past Newsletters
April 2011
September 2011
March 2012
November 2012
June 2013
December 2013
September 2014