Capital & Coast DHB Women's Health Obstetrics & Maternity Service
What is Obstetrics?
Obstetrics is the area of medicine concerned with the treatment of women during pregnancy (antenatal), labour and delivery, and the time after childbirth (postnatal). Once pregnancy has been confirmed, regular antenatal checks should be performed by a midwife, GP or obstetrician (a doctor who is specialised in obstetrics). In the first 28 weeks, these checks will be done every month but will increase as the pregnancy progresses.
CCDHB encourages well women with normal healthy pregnancies to consider having their babies in a primary birthing setting. There are known benefits to primary birthing for women and no differences in outcomes for babies based on New Zealand and international birthing outcomes. Evidence suggests that women’s experience and outcomes are better when a well women, with a healthy baby, chooses to labour and birth in a primary maternity facility.
This birthing option can be discussed with your Lead Maternity Carer and /or nearest primary birthing facility.
Primary birthing is when a woman with a healthy normal pregnancy chooses to have a natural birth without intervention, with a midwife in attendance. The woman and the midwife work together using massage, water or heat to manage the labour and birth.
Our virtual tour presents facility options. Both Kenepuru Maternity Unit and Paraparaumu Maternity Unit are primary birthing facilities for women in the Wellington region.
Primary birthing options in central Wellington are currently limited. Delivery Suite at Wellington Hospital has a Koru room which was developed to support women who want a primary birth.
Pain relief and gas are available at all CCDHB facilities.
For LMC practices that support home birthing please check the Find a Midwife section of the CCDHB internet website.
There are three maternity facilities within the Capital and Coast District Health Board.
Kenepuru and Paraparaumu Maternity Units are small primary units where Lead Maternity Carer/Midwives (LMCs) will book 'low-risk women' for labour, birth and postnatal stay. These units are 30 and 60 minutes drive from the Wellington Hospital in normal traffic conditions.
Wellington Hospital provides maternity facilities for all women, ranging from healthy low risk pregnant women under LMC care, to women requiring tertiary/specialist services for complex obstetric and/or medical needs in pregnancy. A tertiary Neonatal Intensive Care Unit (NICU) is on the same site.
Women who live close to Wellington, or those anticipating needs for obstetric or anaesthetic support in labour, are booked to labour and birth at Wellington Hospital. Others will transfer in from the primary units if the need arises in labour. Women will also be transferred to Wellington Hospital for tertiary obstetric and/or neonatal care from throughout the lower North Island and upper South Island.
Maternal Fetal Medicine (MFM) is a branch of Women’s Health which includes high-risk pregnancy where the mother or baby, or both, have a problem.
Maternal Green Prescription (MGRx) provides a free programme managed by Sport Wellington to promote the health and well-being of pregnant women through improved nutrition and increased levels of physical activity. Sport Wellington Healthy Lifestyle Co-Ordinators work with women to encourage positive healthy lifestyle changes that will benefit their growing baby and whole whānau.
For more information visit: http://www.sportwellington.org.nz/maternal-green-prescription/
If you are pregnant and would like to make a positive change for you and your whānau, speak to your lead maternity carer, CCDHB community midwife or General Practitioner to see if a Maternal Green Prescription is right for you. Please use the following links to access referral information regarding green prescriptions:
Referral Criteria: https://3d.healthpathways.org.nz/index.htm
Referral form: http://www.sportwellington.org.nz/assets/Healthy-Lifestyles/AF-Referral-Form-Fillable.pdf
Community Midwifery Team (CMT)
The CMT team is subdivided into 3 teams covering North, South and West of Wellington Hospital.
They provide complete antenatal care from booking for those women who are unable to access a Lead Maternity Carer (LMC). Once your baby is born the team of midwives will provide your care until your baby is six weeks old. The intrapartum (labour and birth) care is provided by the core midwives working in Delivery Suite.
The team provides ongoing midwifery care for those women who need consultant obstetrician secondary or tertiary level maternity care. These women will be receiving care from Maternal Fetal Medicine (MFM), antenatal diabetic, or one of the specialist antenatal clinic teams.
They will visit any CMT woman who has been admitted to the antenatal / postnatal wards.
Find a Midwife
Locally, CCDHB has Find a Midwife www.findamidwife.org.nz a regionally focused resource that helps women find a midwife within the Wellington, Porirua and Kapiti region. It offers a phone line 0800 Find MW (0800 346 369), as well as more detailed information about the resources available in the region. The midwife list is downloadable so you can provide this directly to clients should you wish and it is updated on a regular basis.
Nationally, the New Zealand College of Midwives has Find Your Midwife www.findyourmidwife.co.nz which shows midwife availability in all areas of New Zealand. The site has a due date calculator, midwife profiles and contact details, and information on New Zealand’s midwifery-led maternity care system.
Lists of LMCs are available in the telephone directory, www.wellingtonmidwives.com webpage or through 0800 mum 2 be (0800 686 223).
Online Tour - Maternity Facilities
Wellington Regional Hospital Maternity Unit:
Paraparaumu Maternity Unit:
Kenepuru Maternity Unit:
For after-hours access there is a bell to the right of these doors, which will be answered by the security orderlies. For Delivery Suite access, see below under "Delivery Suite level 4 South".
Common Conditions / Procedures / Treatments
Information for Midwives and other LMCs (Referral Guidelines and Forms)
Please click on the following link to register with Healthpoint: https://www.healthpoint.co.nz/register/… More
Kenepuru Maternity Unit
Kenepuru Maternity Unit is located in the Kenepuru Community Hospital – Te Hohipera o Kenepuru.… More
Paraparaumu Maternity Unit
Paraparaumu Maternity Unit is situated in a wing of the Kapiti Health Centre, Warrimoo St, Paraparaumu.… More
Community Midwifery Team (CMT)
Geographical boundaries of the CMT
The CMT do not provide care for women living north of Whitby or in the Hutt Valley.… More
Finding a Lead Maternity Carer (LMC)
All pregnant women are encouraged to register with a Lead Maternity Carer (LMC).… More
Women's Clinics - Acute Assessment
The Acute Assessment Unit acts as a front door to the Women's Health Service for women requiring acute assessment for obstetric and gynaecological conditions.… More
Women's Clinics - Maternal Fetal Medicine
Maternal Fetal Medicine (MFM) is a branch of Women’s Health which includes high-risk pregnancy where the mother or baby, or both, has a problem.… More
Women's Clinics - Ultrasound
Ultrasound provides a comprehensive scanning service for obstetrics, prenatal diagnosis and treatment, and gynaecological scanning.… More
Delivery Suite Ward 4 South
Delivery Suite is a modern, purpose-built, maternity ward catering for the needs of women and their families.… More
Antenatal/Postnatal Inpatient Ward 4 North Pods B, C and D
The antenatal/postnatal ward area is divided into three pods.
Pod B is an antenatal pod. Six of the rooms are single, including the Pohutakawa room dedicated only for women who have unfortunately experienced the loss of their baby/babies.… More
Accidental Dural Puncture & Postdural Puncture Headache
Antenatal and Newborn Screening in New Zealand
Pregnant women in New Zealand currently have access to three antenatal and newborn screening programmes and one quality improvement initiative.… More
Antenatal Blood Tests
Having blood tests early on in your pregnancy can help protect you and those close to you.… More
Antenatal Diabetes Clinic
Anti-D Immunoglobulin for Rh Negative Women
Anti-D immunoglobulin for Rh negative women who have miscarried or have had a sensitising event is prescribed and ordered by the GP or LMC from the Blood Centre during working hours Monday to Friday.… More
This is a procedure used to evaluate the health of your unborn baby and identify any problems that may exist.… More
Baby Movements - Patient Information
Birth Trauma and Post Traumatic Stress Disorder (PTSD) Following Childbirth - Patient Information
Breastfeeding Classes 2018
Breastfeeding Classes and Breastfeeding Information - Chinese Mandarin
Free breastfeeding classes in Chinese Mandarin are being held at Johnsonville Plunket Family Centre – for people living in the greater Wellington and Hutt regions More
Choosing to breastfeed your new baby is an important decision for both you and your baby.… More
The Community Breastfeeding Team (CBT)
The CBT comprises of the Community Lactation Consultant and the Pacific BF Service.… More
Breastfeeding Support in your Community for the Capital & Coast District
Breastfeeding Support in your Community for the Capital & Coast District
If you need help with latching your baby or just need reassurance and support, then please let us help you.… More
A caesarean section is the name of the operation done to deliver a baby through a cut in your stomach and uterus (womb).… More
Calculating your BMI
Chorionic Villus Sampling
Chorionic villus sampling (CVS) is used to test for genetic disorders, such as Down’s syndrome, and involves taking a small sample of the chorionic villi, which are the tiny units that make up the placenta.… More
Coping with a Crying Baby
Discharge Advice for Families after the Loss of a Baby
Disinfection of Expressing Equipment
Developmental Dysplasia of the Hip (DDH)
DDH describes a variety of conditions in which the ball and socket of the hip do not develop properly.… More
An epidural is a type of anaesthetic (medication that stops pain and feeling) that makes your lower body numb without putting you to sleep.… More
External Cephalic Version (ECV)
About 3 - 4% of babies will remain in a breech position near term.… More
Gestation is the length of a pregnancy from conception to birth (usually 40 weeks in humans).… More
Group B Streptococcus and Pregnancy
Group B streptococcus (GBS) is a common bacterium that lives in the body without causing harm to healthy people.… More
Healthy Weight Gain in Pregnancy
HIV Screening in Pregnancy
Recommended routine HIV screening in pregnancy for women
Pregnant women should be offered an HIV test along with their first antenatal blood tests. Women have the option to decline the test.… More
How to Prevent Shaken Baby Syndrome
Nausea and vomiting are the most common symptoms experienced in early pregnancy, with approximately 50 - 80% of women experiencing nausea and 50% of pregnant women experiencing vomiting.… More
Induction of Labour
Induction of labour is the process of starting labour artificially.… More
Infant Formula Feeding
For more information on formula feeding, safely making up, storing and giving formula please watch the following video;… More
About one in every six couples in New Zealand will experience infertility.… More
Intrauterine Growth Restriction (IUGR)
In a very small number of pregnancies, the baby may not grow as well as in a normal pregnancy.… More
In Vitro Fertilisation
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
Low Iron in Pregnancy
Low iron - or anaemia - can lead to an increased risk of heavy bleeding after birth, needing a blood transfusion, low birth weight for baby, pre-term delivery or low iron stores for baby.… More
Keeping your Baby Warm
Latent Labour - Information for Hospital Midwifery Services- Community Midwifery Team women
Latent labour is the early first stage of labour and does an important job preparing your body for the active stages of labour that will follow. More
Managing Pain in Labour
Antenatal preparation for labour will help you gain confidence in your own ability to give birth.… More
Mastitis and Breast Thrush
Mastitis is inflammation of the breast. It can be caused by a blocked duct or by an infection in the breast.… More
Maternal Green Prescriptions
Maternal Green Prescription (MGRx) is a free programme to promote the health and well-being of pregnant women (and their child) through improved nutrition and increased levels of physical activity.… More
Maternal Mental Health (MMH) and Associated Support Groups in the Wellington Region
Mifegyne & Misoprostol Information Following a Spontaneous 2nd Trimester Intrauterine Death (IUFD)
Membrane Sweep and Cervical Stretch
Mothers with Babies in NICU Staying in NICU or Ronald McDonald House
Neonatal Jaundice & Phototherapy
Jaundice is a common and normal finding in newborn babies.… More
Newborn Hearing Screening
The aim of the New Zealand Universal Newborn Hearing Screening and Early Intervention Programme (UNHSEIP) is for early identification of babies with hearing loss so that they can access timely and appropriate interventions, thereby improving the outcomes of these children, their families and Whanau, communities and society, and reducing inequalities… More
Observation of Mother and Baby in the Immediate Postnatal Period: Consensus Statements Guiding Practice MOH
Ultrasound imaging, also called ultrasound scanning, is a method of obtaining pictures from inside the human body through the use of high frequency sound waves.… More
Planned Caesarean Section Delivery
Postnatal Advice and Exercises - Patient Information
Postnatal Depression (PND)
The postpartum (also called postnatal) period is the time after the birth of a baby.… More
Pre-eclampsia is a serious condition that occurs in some women during the second half of pregnancy.… More
A premature baby is one that is born before 37 weeks’ gestation (the length of a pregnancy from conception to birth).… More
Pregnancy Loss Counselling Support Service
Pulse Oximetry Screening
Pulse oximetry screening is a safe and painless way to measure the oxygen levels in your baby's blood.… More
Third Stage of Labour
The third stage of labour is defined as the time immediately after the birth of your baby until the time your placenta (afterbirth or whenua) has been delivered.… More
Third and Fourth Degree Perineal Tears
What is a perineal tear?
Tears can occur in the perineum, the area between the vagina and the anus (back passage).… More
Tongue-tie or ankyloglossia is a condition where a thin piece of membrane under the baby’s tongue, called the lingual frenulum, is abnormally short.… More
Vitamin K Prophylaxis and your Baby
Vitamin K is essential to the clotting of blood, but levels of the vitamin are very low in newborn babies.… More
Venous Thrombosis in Pregnancy
Thrombosis is a blood clot in a blood vessel (a vein or an artery).… More
Wellington Miscarriage Support Group
Support and information for women and their families who have lost a baby through miscarriage or ectopic pregnancy.… More
New Zealand citizens or those who have obtained permanent residence are entitled to publicly funded healthcare.
Non-residents may be required to pay for their healthcare. If you were not born in New Zealand and have not previously shown evidence of residency you should bring your passport with you on your first visit to the hospital for verification.
To check if you will need to pay visit the Ministry of Health website www.moh.govt.nz/eligibility
For information about visiting hours, please visit the CCDHB website.
For information about available meal options, please visit the CCDHB website.
For maps of our hospital sites, please visit the CCDHB website.
For information about public transport to, and parking at, each hospital please visit the CCDHB website.
For information about hospital parking, please visit the CCDHB website.
For information about accommodation for outpatients, family and whānau, please visit the CCDHB website.
Medications are dispensed to inpatients while they are in hospital by the hospital pharmacy.
Retail pharmacies can be located in various locations throughout the Wellington region.
Security orderlies are on duty 24 hours a day. They patrol all of the facilities on the hospital site.
For information about all available services, please visit the CCDHB website.
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This page was last updated at 10:29AM on September 3, 2018. This information is reviewed and edited by Capital & Coast DHB Women's Health Obstetrics & Maternity Service.