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Auckland DHB Women's Health - Gynaecology

Public Service

Description

Please visit the National Women's Health website for more information 
nationalwomenshealth.adhb.govt.nz

The Women's Health Information Unit is located in the Atrium area on level 9 at Auckland City Hospital.

Contact: Ph: (09) 307 8978  or email:  .

The general gynaecology service provides care to women residing within the ADHB catchment of Central Auckland (population - 400,000 approximately). National Women’s Health is also a major tertiary referral centre for Gynaecology Oncology, Urogynaecology and Fertility patients.

The service comprises:

  • One inpatient ward (Ward 97) at Auckland City Hospital (ACH)
  • Women’s Assessment Unit (WAU) at ACH for both Gynaecology and Obstetric patients
  • Day surgery at Greenlane Clinical Centre (GCC)
  • Outpatient services at GCC including:-
    • General and Specialty Gynaecology Clinics
    • Early Pregnancy Assessment Unit
    • Epsom Day Unit providing first trimester termination service
    • Colposcopy.

District Services

  • Secondary gynaecology, including menstrual disorders, pelvic floor dysfunction endometriosis, pelvic pain and sterilisation
  • Colposcopy and treatment of cervical and vulvo-vaginal epithelial abnormalities
  • Management of miscarriage and pregnancy failure
  • Complex hormone replacement therapy and family planning
  • Vasectomy consultation and procedures.

Regional Services

  • First and second trimester termination of pregnancy
  • Fertility services – Fertility Plus is one of three providers in the Auckland region. Services include reproductive endocrinology
  • Recurrent pregnancy loss diagnosis and management
  • Gynaecology Oncology
  • Vulval clinic provides an extended regional service for all vulval disorders. There are 3 centres in New Zealand – Auckland, Wellington and Christchurch
  • Female Multidisciplinary Clinics.

Wards and Clinics in the Gynaecology Service

Inpatient Services – Ward 97, Auckland City Hospital

Gynaecology inpatients is a 22 bed ward providing care for women with acute gynaecology problems, preoperative and postoperative care for General Gynaecology, Gynaecology Oncology and women following breast surgery . It also provides care to women with early pregnancy complications and medical terminations of pregnancy up to 20 weeks gestation.

The service has access to the ACH Level 8 High Dependency Unit (HDU) and the Critical Care Unit for those women requiring a higher level of care and monitoring.

Outpatient Clinics

The Gynaecological Outpatient Clinics are held at the Greenlane Clinical Centre and include:

  • General Gynaecology (i.e. menstrual disorders, pelvic floor dysfunction, sterilisation)
  • Hormone replacement therapy and family planning
  • Endometriosis and pelvic pain
  • Urogynaecology
  • Pre-admissions clinic
  • Colposcopy
  • Gynaecology Oncology

Early Pregnancy Assessment Unit (EPAU)

EPAU is a nurse-led outpatient service, with a social worker and medical support. This service is based at GCC and provided for women referred for the management of early pregnancy complications, including miscarriage, ectopic and molar pregnancy, and for consultation for second trimester termination. Women requiring surgical management of miscarriage are referred to Ward 97, Gynaecology Services, Auckland City Hospital.

Epsom Day Unit (EDU)

Epsom Day Unit (EDU) is the Auckland Regional Service for first trimester terminations (up to 12.6 weeks on day of referral) of pregnancy. The boundary for the Auckland region is from Mercer in the south to Warkworth in the north. EDU’s telephone contact is (09) 631 0740.
Abortion in New Zealand is legal under the provisions of the 1977 Contraception, Sterilisation and Abortion Act and 1961 Crimes Act. The law requires that two Medical Practitioners, designated Certifying Consultants appointed under the Act, agree to the request for termination of pregnancy and it fulfills the requirements of the Act. The Act also requires counselling to be offered to women.
Referral to EDU is made by a General Practitioner (GP) or from a Family Planning Clinic. The appointment is made by telephone with the scan and referral letter faxed through to the clinic. GPs and FPA clinics are aware of referral criteria to the clinic.
EDU provides a two-day service and it is important that women are aware of this before coming to the clinic. Please visit the National Women's Health website for additional information

Fertility Plus

NWH Fertility Plus offers a range of secondary and tertiary reproductive endocrinology, infertility and sub-fertility services to the women of the Northern Region. Fertility Plus is one of three public providers in the Auckland region. Private investigation and treatment is also available. Fertility is accredited by the Australasian Reproductive Technologies Accreditation Committee.

Publicly funded fertility treatment is available to women under 40 years of age, who are non-smokers and have a BMI under 32. If couples do not meet the criteria for publicly funded fertility treatment, private treatment is available.

Gynaecology Oncology

NWH is the regional service provider for surgical gynaecology oncology, providing services to CMDHB, WDHB and Northland. An extended regional surgical service is offered to Gisborne, Waikato and the Bay of Plenty. This service has a close association with Blood and Cancer Services of ACH (chemotherapy and radiation therapy services).

Women’s Assessment Unit (WAU)

This service is open 24 hours a day, 7 days a week and provides acute care for women experiencing pregnancy and gynaecological complications.

If an acute situation occurs and assessment is required immediately, a woman will be referred to the Women’s Assessment Unit by her General Practitioner. In WAU the patient will be seen by the Gynaecology on-call team to determine the most appropriate mode of treatment and the necessary investigations will be carried out. 

Consultants

Referral Expectations

Referrals to the service are triaged by NWH gynaecologists so that patients are seen at the most appropriate clinic and in a timely way. Referrals can be urgent/acute or non-acute and may be from a General Practitioner (GP), from other hospitals in the region, or internally within Auckland City Hospital itself.

Urgent Referrals - If the problem requires immediate assessment, the patient is referred acutely to the Women’s Assessment Unit (as above).

Non-Urgent Referral - the GP requests an outpatient appointment with a gynaecologist and the patient is placed on the waiting list. Waiting times for different clinics vary, depending on the medical condition. 
 

Common Conditions / Procedures / Treatments

  • National Women's Health A-Z Fact Sheets

    A full A to Z listing of patient information leaflets can be found on the National Women's Health website http://nationalwomenshealth.adhb.govt.nz/health-information/a-to-z-fact-sheets More

  • Abortion/ Termination of Pregnancy

    Click on the following link for patient information about Abortion/Termination.… More PDF

  • Cervical Dysplasia

    Cervical dysplasia is the growth of abnormal cells around the cervix (entrance to the uterus).… More

  • Colposcopy


    A colposcopy is a detailed examination of the cervix (entrance to the uterus) with a specially lit microscope (colposcope).… More PDF

  • Endometriosis

    The endometrium is the name of the tissue that lines your uterus (womb).… More

  • Endometrial Ablation

    The endometrium is the lining of your uterus (womb). Endometrial ablation is the surgical removal or destruction of this lining.… More

  • Hormone Replacement Therapy (HRT)

    Hormone replacement therapy (HRT) is when female hormones (oestrogen by itself or with progesterone) are given to a woman during or after menopause when the production of oestrogen by the ovaries declines.… More

  • Hysterectomy

    A hysterectomy is an operation to remove your uterus (womb).… More

  • Hysteroscopy and Dilatation and Curettage (D&C)

    This is an operation where the cervix (entrance to the uterus) is dilated and a hysteroscope (small lighted mini telescope) is inserted into the uterus through the vagina and cervix so the specialist can see the inside of the uterus.… More

  • Infertility

    About one in every six couples in New Zealand will experience infertility.… More

  • Intra Uterine Device (IUD) or Mirena

    The letters IUD stand for Intra Uterine Device. “Intrauterine” means “inside the uterus” (womb).… More PDF

  • In Vitro Fertilisation (IVF)

    This is the process of fertilising the woman’s egg with the male’s sperm outside of the woman’s body in the laboratory.… More

  • Menopause

    Menopause is also called the “change of life” and is the time when your periods will become irregular and stop.… More

  • Menstrual Problems (Period Pain or Bleeding)

    Menstruation is the medical name for your monthly period. This is when blood and tissue from the lining of the uterus (womb) is shed through the vagina and out of the body.… More

  • Oophorectomy

    An oophorectomy is an operation to remove one or both ovaries.… More

  • Ovarian Cysts

    An ovarian cyst is a fluid-filled sac or pouch in the ovary.  In most cases, the cyst grows as a result of ovulation (when the egg is released from the ovary), and it will usually shrink over time.… More

  • Pap Smear

    A Pap smear is a test to check for signs of cancer on the cervix (entrance to the uterus).… More

  • Polycystic Ovarian Syndrome (PCOS)

    Polycystic ovarian syndrome (PCOS) is a hormonal disorder that can cause you to have a variety of symptoms, including no periods or irregular periods, increased hair growth on the face and body, acne (pimples) and increased bodyweight.… More

  • Premenstrual Syndrome (PMS)

    Many women experience feelings of tension, anger, fatigue and depression just before and during the first days of their menstrual period.… More

  • Sterilisation Reversal

    Couples presenting with sterilisation reversal requests need to undergo standard scoring to determine their eligibility for publicly funded treatment.… More

  • Vaginal Infections

    The most common vaginal infections are yeast infections (also called candidiasis or thrush), trichomoniasis, or bacterial infections (also called bacterial vaginosis).… More

  • Urogynaecology - Urodynamics Bladder Test

    This is a test to assess female urinary incontinence and lower urinary tract dysfunction.… More

  • Urogynaecology - Burch Colposuspension

    This operation requires a transverse incision below the pubic hairline or 3 small incisions of keyhole surgery.… More

  • Urogynaecology - TVT (tension - free vaginal tape)

    This is minor surgery and is performed as a day procedure.… More

  • Urogynaecology - Anterior Repair (Colporrhaphy)

    Anterior repair is the most common surgery used for repair of cystocele, which is when the bladder is dropping down onto the front of the vagina, making a weakness or bulge.… More

  • Urogynaecology - Posterior Repair

    Posterior repair is a surgery used for repair of rectocele.… More

  • Urogynaecology - Vaginal Repair with Mesh

    Prolapse is a weakness of the supporting structures of the vagina, allowing the pelvic organs to press against the vaginal wall, producing a bulge.… More

  • Fibroids

    Fibroids are benign tumours that grow in the muscle wall of the uterus.… More

Charges

Gynaecology services are free for New Zealand citizens/residents. Those that are not eligible for publicly-funded services, i.e. non-residents, can phone the Finance Department on (09) 638 0420 to find out the cost of services.

Proof of eligibility for free healthcare will be required (by all) at the first appointment e.g. New Zealand passport and/or a passport of country of origin with current working or residency visas for New Zealand.
 

Document Downloads

Other

Interpreters

If an interpreter is required the GP should request one in the referral letter, so an interpreter can be arranged by the service at the time of the appointment. This is a free service for eligible patients.
 

For more information about National Women’s please visit the website  http://www.adhb.govt.nz/nwhealthinfo/ OR click on the following links for other aspects of Women’s Health:

Auckland DHB Women’s Health – Maternity/Pregnancy Care
Auckland DHB Women’s Health – Fertility PLUS

 

www.silverribbon.co.nz - a very helpful site for women with Gynae-Cancers

Contact Details

Greenlane Clinical Centre

Central Auckland

More details…

Auckland City Hospital

Central Auckland

More details…

This page was last updated at 9:49AM on February 21, 2017. This information is reviewed and edited by Auckland DHB Women's Health - Gynaecology.