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Counties Manukau Health Obstetrics & Gynaecology

Public Service

Description

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 (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.

What is Gynaecology?
Gynaecology is the area of medicine that deals with health issues and conditions that are specific to women's reproductive organs and genitalia, excluding breast disease.  The reproductive organs consist of: the ovaries that release an egg every month, the fallopian tubes that lead from the ovaries to the uterus (womb) which is where a baby will grow if the egg is fertilised during sexual intercourse, the cervix (opening of the uterus), the vagina and vulva. 

Obstetrics & Gynaecology Services Provided by Counties Manukau Health
Counties Manukau Health Obstetrices & Gynaecology services are located at Middlemore Hospital, Manukau SuperClinic™ and Botany SuperClinic™. 

Consultants

Referral Expectations

Your GP will need to complete some examinations and tests before you are referred to the clinic (except in emergency situations). All patients require a history to have been taken and examination, including pelvic (internal), performed.  If a smear test has not been performed recently and is due, this needs to have been completed by the GP prior to you being seen in the hospital.  Blood tests may also be required depending on which type of problem you have.

When a referral is received, a specialist will grade it to ensure that people with serious or life-threatening conditions are seen soon.  Sometimes, if there is not enough information to make this decision, the referral will be sent back to the GP with a request for more information.

Once grading has been completed the urgent cases are allocated a clinic time and the patient is notified.  When demand for services is high, all patients cannot be seen as there is inadequate resource to do so.  When this happens some patients will not be offered an appointment and they will be notified, along with their GP.  The GP may have been given advice about further treatment with his notification.  If your symptoms change or worsen then your GP can re-refer you. 

What other options do you have if surgery is not available in the public system?

If your surgery has been declined due to lack of resource there are some other options:

  • other ways of treating your condition - these can be discussed with the specialist or with your GP
  • waiting for symptoms to worsen at which time your GP can re-refer you to the hospital
  • seeking a private option for your surgery.  The information about health providers in the private sector is included on this Healthpoint website.

Common Conditions / Procedures / Treatments

  • Amniocentesis


    This is a procedure used to evaluate the health of your unborn baby and identify any problems that may exist.… More

  • Bladder Sling Procedures

    Sling procedures are common surgical operations to stop stress incontinence.… More

  • Caesarean Section

    A caesarean section is the name of the operation done to deliver a baby through a cut in your stomach and uterus (womb).… More

  • Cervical Dysplasia

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

  • 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

  • Colposcopy - Examination of the neck of the womb with a microscope.

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

  • Endometrial Ablation

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

  • Endometriosis

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

  • Epidural


    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

  • Fetal Distress

    A fetus is the name given to an unborn baby after the eighth week of pregnancy until birth.… More

  • Fibroids

    Fibroids are noncancerous growths or tumours on the muscular part of the uterus (womb); sometimes they are also called myomas.… More

  • Gestational Diabetes

    Gestation is the length of a pregnancy from conception to birth (usually 40 weeks in humans).… More

  • Gynaecological Cancer

    Gynaecological cancer refers to cancer anywhere in a woman’s reproductive system or genital area.… More

  • HIV Testing in Pregnancy

    Click here for more details about HIV testing in pregnancy. 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

  • Induction of Labour


    Induction of labour is the process of starting labour artificially.… More

  • Infertility


    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

  • Laparoscopy

    Many gynaecological investigations are performed by laparoscopy. This is a procedure to view the inside of the abdomen (tummy) through a specially lit type of mini telescope (laparoscope) that is inserted through a small cut in the abdomen.… 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

    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

  • Obstetric Ultrasound

    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

  • 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 ovary 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

  • Postpartum Depression


    The postpartum (also called postnatal) period is the time after the birth of a baby.… More

  • Premature Baby

    A premature baby is one that is born before 37 weeks’ gestation (the length of a pregnancy from conception to birth).… 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

  • Toxaemia of Pregnancy (pre-eclampsia)

    Toxaemia of pregnancy or pre-eclampsia is a condition that occurs in some women during the second half of pregnancy.… More

  • Tubal Ligation

    A tubal ligation is permanent sterilisation for women with a completed family.… More

  • Urinary Incontinence

    A person with urinary incontinence is unable to control the release of urine from their bladder.… More

  • Uterine or Bladder Prolapse

    If the uterus (womb) or bladder slips out of position, this is referred to as a prolapse.… 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

Charges

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.

Patients requiring Mirena may in some cases be expected to fund this if they do not meet national guidelines for their free provision.  Some medicines will require a small fee.

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.

Other

Clinics

Early Pregnancy Assessment Clinic (EPAC)

Gynaecology Care Unit (GCU)

Contact Details

Middlemore Hospital

South Auckland

More details…

Botany SuperClinic™

East Auckland

More details…

This page was last updated at 11:50AM on June 4, 2019. This information is reviewed and edited by Counties Manukau Health Obstetrics & Gynaecology.