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Step 2 - Women's Health Service

Women's Health Service Information

Level 4 – Women’s Health Service (WHS)
South West Healthcare
25 Ryot Street, Warrnambool

WHS is located at South West Healthcare hospital on level 4, once inside the hospital, find your way to the central block lifts, in front of radiology and take these lifts to level 4.

What do I bring to an appointment?

  • Medicare card
  • A list of all medications that you are currently taking
  • Any relevant cards (Example Health Care Card)
  • For all antenatal or pregnancy appointments you must bring your hand held record (Victorian Medical Record or ‘VMR’ or “Orange book”). You will be given this at your first face to face appointment in the clinic.

Following your appointment with your midwife or doctor, please see the reception staff so they can organise further appointments as required.

Pregnancy models of care

WHS works very closely with the Maternity Unit to ensure we offer the best possible care for you, your baby and your family. Women’s Health Service is here to support women and their families with highly-skilled health professionals providing personalised care throughout pregnancy.

Pregnancy is an exciting and life-changing journey, we aim to equip both women and their families with the skills and knowledge they need around their pregnancy, the birth of their baby and the early weeks following.

What information we provide:
  • Your pregnancy and what to expect
  • How to optimise health and wellbeing
  • Referral to services available to help support you through the pregnancy, birth and beyond.
  • How to prepare for labour and birth
  • Information around giving birth specific to SWHC, including antenatal classes, birth suite, lactation services, special care nursery and much more.

The team of midwives and obstetric doctors at Women’s Health Service provide the following pregnancy services

  • Antenatal clinic

    Midwifery/obstetric led pregnancy care clinics. Your antenatal appointments will be shared between both midwives and obstetric doctors.

  • Continuity Midwife Program (CMP)

    Continuity Midwife Program (CMP) for women to have access to a known midwife during their pregnancy, birth and after baby care.

    The program is ran by a small team of four experienced midwives and is offered to women with both high and low risk pregnancies. Women also receive antenatal care from Obstetric doctors at 12, 28, 36 and 39 weeks during their pregnancy.  CMP have a capped capacity of 12 per month and priority is often with those women requiring extra assistance so please don’t be disappointed if you don’t get on the program.

    Learn more about the Continuity Midwife Program.

  • Early Pregnancy Assessment Service (EPAS)

    These are early pregnancy appointments referred by your GP with our obstetric doctors for women with high risk pregnancies (including severe nausea and vomiting in pregnancy). Your doctor will state that you require an early assessment on your antenatal referral.

  • Hyperemesis clinic

    Nausea and vomiting in pregnancy (NVP) or Hyperemsis Gravidarum (HG – a more serious form of NVP) can be an exhausting and upsetting experience and should not be ignored by family, friends or health professionals.

    At South West Healthcare we offer a hyperemesis clinic ran by our obstetric team to provide safe and timely management of your symptoms that may include a treatment regime of medications and regular booked IV fluid therapy if indicated.

    If you are experiencing NVP, please contact Women’s Health Service or your GP who will be able to refer you to the hyperemesis clinic for treatment.

    More information about NVP/HG can be found at Hyperemesis Australia.

  • Infant Feeding Support Service (IFSS)

    WHS has  qualified lactation consultants that provide free feeding (both breast and bottle) support and education to women both before and after your baby is born.

    It is a free service and referrals can be made by the women themselves or by any health professionals, and you don’t need to have birthed at SWH.

    Find out more about the Infant Feeding Support Service.

  • Maternity Assessment Unit (MAU)

    These are urgent self-referral or medically recommended appointments if there are concerns for you or your baby.

    Learn more about the Maternity Assessment Unit.

  • Shared care - Koori maternity service

    The Koori Maternity Service offered by Gunditjmara Aboriginal Cooperative delivers culturally responsive and high-quality care for Aboriginal and Torres Strait Islander women, babies, and families.
    KMS provides flexible, holistic, and culturally safe pregnancy and postnatal care for Aboriginal and Torres Straight Islander women, women having Aboriginal and Torres Strait Islander babies and their families.

    Our program consists of a partnership between the local hospital and the local Aboriginal Community Controlled Health Organization, with access to a midwife and Aboriginal Healthcare Workers, General Practitioners, Aboriginal Hospital Liaison Officers, and community-based services.

    Acknowledging the deep connection to country and culture and trying to ensure that each individual’s unique cultural identity is respected, and their needs meet by offering flexible and tailored appointments.

    Please see Koori Maternity Service flyer for more information.

  • Shared care (your GP - our obstetric team)

    This is shared care between your GP and our obstetric team. Care can be shared between your GP and our obstetric doctors if your doctor is accredited to do so.

    This needs to be requested when your GP is making your antenatal referral. If you are undertaking shared care with your GP will also receive antenatal care from SWH Obstetric doctors at 12, 28, 36 and 39 weeks of your pregnancy at Women’s Health Service.

    Shared maternity care is an option for all women who have been assessed by the hospital as healthy and with a normal pregnancy. It is South West Healthcare’s responsibility to establish a woman’s suitability for shared maternity care, but it is valuable if shared maternity care has been discussed prior to referral and a woman’s preference indicated on the referral to the hospital.

    Exclusion criteria for routine shared maternity care

    Medical and social history
    • ≥42 years of age at the time of booking (≥ 40 years at WH)
    • pre-pregnancy BMI is ≥35 or ≤ 18.5
    • cardiac disease, including hypertension
    • renal disease
    • diabetes and some endocrine disorders
    • major psychiatric disorders
    • haematological disorders, including thromboembolic disease
    • history of obstetric cholestasis
    • epilepsy requiring anticonvulsant drugs
    • malignant disease
    • severe asthma
    • chemical dependency
    • human immunodeficiency virus (HIV) positive
    • Hepatitis B or C with abnormal liver function
    • auto-immune disorders
    • a cone biopsy or ≥2 loop excisions of the transformation zone (LETZ)
    • drug abuse

    Previous obstetric history
    • a stillbirth or neonatal death (unexplained or recurrent reason)
    • recurrent (3 or more) miscarriage
    • fetal growth restriction (birth weight <2800 g at term)
    • pre-term birth (≤32 weeks)
    • severe pre-eclampsia
    • Rhesus isoimmunisation or other significant blood group antibodies
    • placental abruption
    • cervical insufficiency
    • congenital abnormalities
    • uterine rupture

    Current pregnancy
    • multiple pregnancy
    • some congenital abnormalities
    • pregnancy associated plasma protein-A (PAPP-A) Multiples of Median (MoM) <0.4 on first trimester early combined screening test. This is a blood marker utilised in the first trimester early combined screening test that is combined with other markers to generate an aneuploidy risk; however, a low level in itself may predict poorer obstetric outcomes.

    Note that previous lower uterine segment caesarean section (LUSCS), in vitro fertilisation (IVF) and other assisted conception, treated thyroid disease, subclinical hypothyroidism and previous gestational diabetes do not preclude shared maternity care.

     

  • Student midwife continuity of care experience

    This is a teaching/learning strategy where a midwifery student follows a woman through her pregnancy, labour and birth, and the time after birth in a partnership approach.

    Following women throughout their journey provides both the students and women the opportunity to experience continuity of care. Midwifery students are required to undertake these experiences as a formal requirement of midwifery education in Australia. If you choose to participate in this partnership, you will continue to receive your usual care from doctors and midwives during this time.

    Deakin Flyer – Continuity of Care Experience.

Meet our staff

Below is a list of Consultant Obstetricians that you may meet during your antenatal appointments at WHS.

Consultants

Dr Rosy Buchanan
Obstetrician and Gynaecologist, Clinical Director O & G

Dr Surange Kumarapperuma
Obstetrician and Gynaecologist

Dr Liz Uren
Obstetrician and Gynaecologist

Dr Kristen Cornell
Obstetrician and Gynaecologist

Dr Samuel Newbury
Obstetrician and Gynaecologist

There are also locum obstetricians and Registrars working in the clinic regularly.  You may see any one of these doctors at your appointments for antenatal and postnatal care. For gynaecology appointments Dr Buchanan, Dr Surange, locums and registrars are available for your care.

COVID & Women's Health

During the current pandemic, we have to follow all directives from the Health Department. This means that sometimes you will not be able to bring any support people and other children to appointments. As you can appreciate, this is done to reduce any spread of infection and to limit exposure times.

We understand this is frustrating for all concerned, but we ask that you please follow the directives of the Health Department at all times. Current visiting restrictions.

Page last updated: 29 July 2022

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