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What is Maternity and Obstetric care?
This is the care of women during pregnancy (antenatal), labour and birth, and the 6 weeks after childbirth (postnatal).
Regular pregnancy checks by a midwife, GP or obstetrician (specialist) are the best way to get a healthy baby.
We are a teaching hospital and there are usually student midwives and doctors working with the staff. It is your choice if you have a student help take care of you, what that student does and the sex of the student. Please do not feel scared to let us know how you feel.
Options for Maternity Care:
- Lead Maternity Carer (LMC) Because we think that having a LMC is the best sort of care for women in New Zealand, we can help you find one in your area. We will take your details then see if any of the midwives in the area have a space at the time of your due date. The LMC midwife will then give you a call. We provide this service for any woman who has a low risk pregnancy. LMCs have easy access to specialists and to the hospital facilities.
- Counties Manukau Health LMC Team These employed midwives provide continuity of care throughout your pregnancy, labour and postnatal period. A team midwife is available 24 hours per day, 7 days per week. The midwives have easy access to the specialists.
- Shared Care A small number of family doctors (GPs) provide some of the care during your pregnancy. You visit your GP in pregnancy and have 3 scheduled appointments with a CM Health midwife at 31, 34 and 36 weeks pregnant. You birth at the unit of your choice. The unit staff will care for you and you are then visited at home after the baby is born, by the same midwife you saw during your pregnancy.
- Primary Maternity Services A midwife will contact you to arrange an appointment. Antenatal clinics are held in community clinics often at GP surgeries or at the three primary birthing units in Pukekohe, Papakura and Botany Downs. Your midwife may be able to visit you at home for some of the appointments. She will make sure you have her contact details.
Birthing at one of the primary birthing units is a safe and home-like choice for low-risk women. If you live near to Middlemore Hospital you can still choose to birth at one of the units.
Pregnancy Services Provided by Counties Manukau Health
Counties Manukau Health maternity services are located at
- Botany Downs Primary Birthing Unit
- Papakura Primary Birthing Unit
- Pukekohe Primary Birthing Unit
- Dawson Road Maternity Drop in Clinic (antenatal care only)
- Middlemore Hospital
Primary Birthing Units
We have three birthing units; Botany Downs, Papakura and Pukekohe. They all have pregnancy clinics, labour and birthing facilities and provide postnatal care.
Labour/birth care is provided by experienced midwifery staff in the unit or by your lead maternity carer midwife. These midwife-led units offer pools for labour and/or water birth as an option.
If you choose to birth at Middlemore, or are advised to, you can still transfer to one of the units soon after birth for your post natal stay. All units have BFHI accreditation and all the staff, including lactation consultants, are very experienced in helping with establishing breastfeeding.
Dawson Road Maternity Clinic
This Maternity clinic is open Monday to Friday 8.30am - 4pm.
Women can come along and have a free pregnancy test or a pregnancy check up by a Counties Manukau Health midwife or get advice on how to find a lead maternity carer midwife. The clinic midwife offers free pregnancy testing, contraception advice, assistance with finding a self employed midwife or can help you to access maternity services at CM Health. No appointment is necessary.
Telephone: (09) 265 4960 Monday to Friday 8.30-16.00hrs
Directions to Maternity Clinic at 124 Dawson Rd, Flat Bush
From Manukau: at the petrol station on Te Irirangi Drive, turn left into Dawson Road.
From East Tamaki: on Preston Road, turn left into Dawson Road.
- Birthing and Assessment (B & A) - a 24-hour unit for emergency antenatal/postnatal problems and labour and birth.
- Maternity Floor - antenatal and postnatal inpatient services for those who have risk factors or a baby requiring hospital care.
- Neonatal Unit - intensive or special care for babies requiring assistance after birth.
- Gynaecology Care Unit and Early Pregnancy and Assessment Clinic (EPAC) - provides assessment and care for women up to 20 weeks pregnant.
- Community Midwifery Service providing you with continuity before and after the birth of your baby.
Specialised Pregnancy Services
- Specialist Appointment
An obstetrician is a specialist doctor who provides care for women with complications from the last pregnancy, during this pregnancy, childbirth or the postnatal period. Your midwife/GP will discuss referral with you. You may see the obstetrician once or a number of times depending on the reasons. Clinics are held at Manukau SuperClinic™ as well as Pukekohe and Papakura Maternity Units.
Women who have higher risk pregnancies will usually be advised to birth at Middlemore Hospital.
- Young Mums Pregnancy Service
If you are 18 and under when you tell us about your pregnancy you will be included in this service. The midwives work alongside Te Kaha Rangatahi Trust; you see the same people and get social and peer support services provided by the Trust. There are dedicated social workers and community health workers. You can refer yourself or be referred for care in complete confidence.
- Obstetric Medical Clinic (OMC)
Women with very complex medical problems before or during pregnancy are seen by this service. Some women are seen by a specialist team all through pregnancy but others only once or twice. You can often continue with your LMC midwife or this service will provide midwifery care along with the obstetricians and physicians (medical doctors).
- Diabetes in Pregnancy Service
If you have diabetes or if it is found during your pregnancy this service will manage this side of your care. Midwives, obstetricians, diabetologists, and dietitians all work to help you control your diabetes. Your LMC or community midwife will usually provide care too.