Practice News

June 2013

November 2012

A number of clinical questions have been topical of late. Delayed clamping and/or milking of the umbilical cord have been proposed by some as being advantageous in term and near term infants.

Whilst the advantage of the increase in the haemoglobin level from these procedures is on balance helpful for premature infants, the evidence for benefit for more mature infants is still being evaluated as the increase in haemoglobin results in an increased chance of neonatal jaundice requiring phototherapy which may be disadvantageous for term infants and counteract any potential advantage. (Upadhyay et al Obstet Gynecol Survey 2013 68 (5):333 – 334)

Concerns with regard to vaccination of pregnant women with the influenza vaccine have once again become evident as winter is on us.

A large study from Norway (Haberg et al Obstet Gynecol Survey 2013 68 (5): 348 – 349) has demonstrated not only that the flu vaccine protected women from mortality and morbidity but also demonstrated a lower preterm birth rate, a reduced stillbirth rate, and no increase in the congenital abnormality rate – quite contrary to the anti-vaccination lobby’s concerns.

This study is another in an increasing collection of evidence that the flu vaccine is necessary in pregnant women. Nathaniel Johnson in his book All Natural nicely described vaccines as a way to commune with nature that we have lost contact and thus expose our immune system to components of the natural environment which will allow our natural immune system to help us fight off disease.

The zero tolerance position to alcohol in pregnancy shook a little with the recent statement by the Royal College of Obstetricians & Gynaecologists (RCOG) that light drinking in pregnancy is not linked to developmental problems in childhood.

As a consequence “the RCOG advises that if a woman falls pregnant, the safest option is to abstain from alcohol. However, if she would like to have a drink the current guidelines suggest that one or two units, not more than once or twice a week, is acceptable after 12 weeks of pregnancy.”

Members of Women’s Health Specialists staff have all been busy individually with activities which contribute to their professional expertise.

Midwives Jane and Deanna have attended the Annual Women’s and Children’s Health Update Seminar in keeping with their conscientious adherence to continuing medical education as health care professionals. Maria and Carol, our hardworking administrative staff, have attended a breakfast workshop on medical practice insurance issues organised by MIGA in order to ensure Women’s Health Specialists comply with contemporary standards.

Prof Svigos was the Convenor of the Third Annual Combined Clinical Meeting in Denpasar, Bali between the staff of Sanglah Hospital and the staff of Women’s & Children’s Hospital and Lyell McEwin Hospital. This was a three day meeting with senior and junior staff of all hospitals interacting in a very productive and instructive manner in sharing their clinical experience.

Prof Svigos took a number of his junior colleagues to visit Bali Kids after the meeting to visit this now completed state of the art orphanage situated in Badung. They were impressed and inspired by the holistic care given to the children by Brenton Whittaker and his staff.

 

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