Counties Manukau Health Maternity Services
Click on link for information on Free Whooping Cough Booster
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 gender of the student. Please do not feel scared to let us know how you feel.
Who can provide Maternity Care?
- Lead Maternity Carer (LMC) Having a LMC is the best sort of care for women in New Zealand and you can find contact details from GP's, the internet or the lists we produce. If you have no luck yourself or if you prefer, we can help you find one in your area. Call the maternity administration team on (09) 276 0044 ext 8187. They will take your details and connect you with midwives from your area, who have a space at the time of your due date and send you a letter giving you the midwife's name and number. The LMC midwife will then give you a call. LMCs have easy access to specialists and to both primary birthing units and hospital facilities.
- Counties Manukau Health Caseloading Team These DHB employed midwives work as a team to 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. They are based at Botany primary birthing unit.
- Primary Maternity Services A midwife will contact you to arrange an appointment. Antenatal clinics are held in community clinics often at GP surgeries, at the three primary birthing units in Pukekohe, Papakura and Botany Downs or at your home if you have difficulty coming to a clinic. Your midwife 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.
Click on the following link to view A-Z on pregnancy and keeping healthy.
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
- Middlemore Hospital
Primary Birthing Units
We have three Primary 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 LMC 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.
- 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
The midwives work alongside Te Kaha Rangatahi Trust for mums who are under 20 - social and peer support services are provided by the Trust. We have a dedicated social worker and community health workers. You can refer yourself or be referred for care in complete confidence. We will arrange to see you at a location you prefer.
- 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 (if you have one) 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 basic midwifery care too.
It is a good idea to find a Lead Maternity Carer (LMC) to look after you throughout pregnancy, childbirth and the postnatal period as soon as you know you are pregnant.
What are my choices for pregnancy care in Counties Manukau Health (CM Health)?
- Self employed LMCs - (all are midwives)
- CM Health Community Midwives
- CM Health Caseloading Midwives (Team)
- Shared care between a small number of GPs and Community Midwives
If you would like to birth at one of the three Primary Birthing Units it is usually best to have a midwife (LMC or community) who uses that unit. Sometimes your GP will recommend a midwife, give you a list of names or refer you to CM Health.
You can call Maternity Administration at Middlemore or one of the Primary Birthing Units to refer yourself for maternity services. We also can help you find an LMC midwife in your area.
The contact numbers are:
- Maternity Administration at Middlemore Hospital: (09) 276 0187
- Botany Downs Primary Birthing Unit: (09) 534 6063
- Papakura Primary Birthing Unit: (09) 299 9102
- Pukekohe Primary Birthing Unit: (09) 237 0640
Pregnancy care is best started from around 10 weeks so early registration is strongly recommended.
All of your information will be kept confidential and will only be used to arrange the best possible care for you. This means that if you have not yet told your family you can still contact us.
Will I have to pay for pregnancy care?
Most women do not have to pay for their care. They are 'eligible' for care because they are:
- a resident or citizen of NZ
- married to a resident or citizen of NZ or in a long term partnership where you can prove you live together
- married or proven partner of person with a two year work permit.
There are other ways you can be eligible and sometimes you might be only eligible for maternity care but it is worth finding out. Some women do not engage in any care because they think they will need to pay but it turns out they were eligible. More information is available on the Ministry of Health Website www.moh.govt.nz/eligibility
You may receive a letter by post asking for the proof that you are eligible - even if you know you are eligible please provide the evidence it asks for. If you do not show us you may still be charged.
I am not eligible. What does this mean for my care?
If you are not eligible for funded care it means that you will need to pay for the care you have from CM Health. There are different packages depending on what care you have and what sort of birth you have.
You may not be able to find a LMC who will care for you as they cannot claim funding from the Ministry of Health and we do not agree to shared care with GP's in this case for the same reason.
Payments can be spread so this is more manageable for you. Click on the link to view the
Eligible and Pricing Structure pamphlet
Services / Procedures / Treatments
A-Z on pregnancy and keeping healthy
Please click on the following links for information pamphlets written by Counties Manukau Health maternity staff: More
Breastfeeding Support Videos
Breastfeeding Naturally is a DVD that follows 9 women on their breastfeeding journey.… More
Free Whooping Cough Booster Information
The whooping cough vaccine is available free for pregnant women living in the Counties Manukau region from 20 weeks gestation and new mothers up to two weeks after delivery.… More
HIV Testing in Pregnancy
The aim of HIV testing in pregnancy is to identify HIV infection in pregnant women.… More
Middlemore Hospital Maternity Wards - North and South
The Maternity wards are on the 4th floor of the Galbraith Building, two floors above the birthing unit.… More
After the birth of their baby many women feel sad or anxious; this is called the “baby blues”.… More
Support after the Loss of a Baby
Miscarriage Support Auckland Inc
Twin Loss NZ
Sands New Zealand
Trauma and Birth Stress… More
Many women and healthcare professionals do not understand the charges around healthcare. It is important to be clear as most women are eligible.
There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health. If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.
To check whether you meet the specified eligibility criteria, visit the Ministry of Health website.
For any applicable charges, please phone the Accounts Receivable Office on (09) 276 0060.
During your pregnancy, if you are eligible, you will still be required to pay GP costs for care which is not pregnancy related.
- Eligibility and Cost of Maternity Services (PDF, 36.9 KB)
- CMDHB Community Maternity Unit Consumer Information (PDF, 53.4 KB)
- Mothers Guide to the Breastfeeding Policy (PDF, 13.7 KB)
Visiting times are between 2.00pm and 8.00pm. Partners may visit during daylight hours, in the postnatal wards. Visitors are restricted to two at a time.
During labour and birth, we recommend up to 3 support people be in the room with the woman. Only relatives you want in the birthing room at the time of labour and birth should come to the hospital with you.
Children are welcome but must be supervised by an adult. Please ensure that anyone with illness, particularly influenza, measles or chickenpox, does not visit.
Counties Manukau Health provides patients and visitors with a number of convenient shopping facilities. On the ground floor, by the main entrance of the Hospital you will find ‘Paataka Place’which includes the Haumanu Pharmacy, Send-a-Basket (florist) and a variety of food and beverage options.
For more information, visit Counties Manukau Health website.
Middlemore Hospital is signposted from the following motorway exits:
From the North: Princes Street, Otahuhu
From the South: Papatoetoe/Otara (East Tamaki Road) Exit
From either direction: Massey Road.
Middlemore Hospital is on the main southern train line and is serviced by many bus routes.
Access to public transport is available outside the Staff Entrance (Galbraith) on Hospital Road. There is a train station and bus stop. Timetables for these are available from the Information Desk at the Main Entrance.
Bus stops are situated just outside the Staff Entrance (Galbraith) on Hospital Rd.
For further bus information, see AT website, or phone (09) 366 6400 or toll-free on 0800 10 30 80 if outside the local calling area.
Middlemore Hospital is located next to the railway line with trains stopping frequently at the station outside the hospital. Timetables are available on the station and via AT website.
There are always taxis available from the main entrance.
There is a very small number of parking spaces at the entrance to the Galbraith Building - these are for dropping off women in labour only. At Birthing & Assessment reception you will be given a pass which allows the driver time to settle the labouring woman into the room before having to move the vehicle.
All other parking is pay parking - this is enforced at all times.
Autopay stations are located throughout the carpark and hospital main entrance. After validating your ticket you have 15 minutes to exit the carpark otherwise extra payment is required
Daily Parking Charges:
0 - 15 minutes
15 minutes - 1 hour
1 - 2 hours
2 - 3 hours
3 - 4 hours
Over 4 hours
Lost ticket fee
Free parking for 30 minutes between 2pm - 8pm
Between 2pm - 8pm visitors can park for 30 minutes with no charge. The visitor must leave within the 30 minutes otherwise normal rates apply.
Mobility Parking spaces can be located near most of the entrances around the hospital. Please ensure you display an authorised mobility parking pass at all times.
Most of the facilities are now single or double rooms. We do not usually have visitors/whanau to stay overnight although there are some circumstances in which this is possible - speak to staff.
Medicines prescribed while patients are in hospital are supplied by the Hospital Pharmacy.
The Hospital Pharmacy does not fill prescriptions when patients are discharged. The closest community pharmacy is located at Middlemore Hospital near the Main Entrance.
All of our inpatient facilities have locking doors - please assist us by not holding them open for people you do not know. In Middlemore facilities, all visitors must check in with the receptionist at the front desk on arrival.
All employees and contractors must display their identification card whilst in the facilities. If babies are required to have tests etc a parent will accompany him/her. Only allow people you know or who are displaying their ID to handle your baby.
Automatic Teller Machines (ATM)
There are two ATMs available to make cash withdrawals and deposits. These machines are serviced by the National Bank and the ASB. Most cards are accepted. These machines are located in the Hospital's Main Entrance foyer.
Good hand hygiene reduces the risk of spreading germs. When you come into the hospital please use the free hand gel that is installed outside the lifts, patient areas and wards.
Items to bring with you for your stay in hospital:
- Your maternity booklet
- Cold drinks/drink bottle
- Food for supporters (at night the cafe is closed)
- Change for vending machines and parking
- MP3 or radio (optional), watch or small clock
- Book, magazines, pens
- Toilet bag with soap, toothbrush, toothpaste
- Hair brush, shampoo, face cloth, lip balm
- Nightdress and underwear
- Maternity pads
- Phone card or coins for phone or own cellphone
- A hat for baby
- (If not intending to breast feed) Bottles, teats and formula
To take baby home, you will need:
- Warm baby clothes - hat, cardigan, night dress or stretch and grows, singlet, vests, booties, blanket (in winter, woollen garments)
- Safety approved car seat - click here for more information on car seat rental.
PLEASE DO NOT BRING LARGE AMOUNTS OF MONEY OR ANY VALUABLES WITH YOU AS THERE IS NOWHERE SAFE TO LEAVE THEM.
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This page was last updated at 1:25PM on March 16, 2017. This information is reviewed and edited by Counties Manukau Health Maternity Services.