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Maternity Services:

Gyanecology Services:

Maternity Services

Wellington Hospital provides primary, secondary and tertiary maternity services with two satellite units located at Kenepuru Hospital (Porirua) and the Kapiti Health Centre (Paraparaumu). C&C DHB has approximately 3800 births per year. Primary maternity services are almost exclusively provided by independent Lead Maternity Carers (LMCs), with Women’s Health Service providing the facility, consultation and emergency back-up. The Wellington campus has a Hospital Midwifery Service that cares for high-risk obstetric patients. Secondary and tertiary antenatal clinics are available at the Wellington , Kenepuru and Paraparaumu campuses.

Antenatal
Congratulations on your pregnancy. Primary maternity services in Wellington are provided by independent Lead Maternity Carers (LMC’s) who might be a specialist obstetrician, a GP or Midwife. More information about finding a LMC can be found on the Ministry of Health’s Maternity Services Information Kit or alternatively you can contact the nationwide information service for maternity consumers on: 0800 MUM 2 BE (0800 686 223).

Some women with high risk obstetric problems are referred to the Women’s Health Hospital Midwifery Service. We have midwives who care for women experiencing complex pregnancies and they work in consultation with obstetric specialists at the hospital.

Women’s Health Assessment Unit
The WHAS acts as the front door to the Women’s Health Service for women requiring acute assessment for obstetric and gynaecological conditions. Women seen in this unit are referred by their primary healthcare provider eg: GP, LMC. Women’s Health provides acute assessment services 24 hours a day, 7 days a week. During the hours of 8am – 6pm women are seen at the WHAS Unit, and outside these hours the Obstetric and Gynaecology Registrar can be contacted and women will be seen in the appropriate inpatient area.

Perinatal Ultrasound Unit
This Unit provides a comprehensive scanning service for obstetrics, prenatal diagnosis and treatment, and gynaecological scanning.

Materno-fetal medicine (MFM) services
C&C DHB is one of only two Materno-fetal medicine (MFM) services in New Zealand comprising subspecialist materno-fetal medicine specialists, paediatric surgery, perinatal pathology, medical genetics and tertiary neonatal care. At present Wellington is unique in having the full range of medical and technical services for the care of all complex perinatal medicine on a unified site.

Labour and Birth
C&C DHB has labour and birth facilities at Wellington, and two satellite maternity units located at the Kenepuru and Paraparaumu sites. Women who are expected to have a normal vaginal birth are generally booked at the Kenepuru or Paraparaumu maternity units due to the size and facilities available, therefore women who are booked at either site are carefully screened for risk factors.

Postnatal
Women can choose to have their postnatal stay at either of the three maternity sites. Most women can generally stay in the postnatal ward for 48 hours after a normal vaginal delivery while they rest, recuperate and spend time with their new baby.

Gyanecology Services

Assessment – WHAS
The Women’s Health Assessment Unit (WHAS) acts as the front door to the Women’s Health Service for women requiring acute assessment for obstetric and gynaecological conditions. Women seen in this unit are referred by their primary healthcare provider eg: GP, LMC. Women’s Health provides acute assessment services 24 hours a day, 7 days a week. During the hours of 8am – 6pm women are seen at the WHAS Unit, and outside these hours the Obstetric and Gynaecology Registrar can be contacted and women will be seen in the appropriate inpatient area.

Gynaecology Inpatients – Ward 14
Women who are undergoing gynaecology surgery spend time in the gynaecology inpatient area.

Gynaecology Outpatients
The Women’s Health service provides a general gynaecological service offering surgery at Wellington and Kenepuru sites and outpatient services at Wellington , Kenepuru and Paraparaumu. Other specialist services include endometriosis clinics, Post Menopausal Bleeding clinics, complex pelvic floor reconstructive surgery and urogynaecology, and secondary and tertiary infertility services linked with Fertility Associates.

A cancer screening and prevention service provides colposcopy clinics, high-risk familial ovarian screening, and a chronic at-risk vulval skin disorder clinic.

The Gynaecology Oncology service offers treatment for cervical, ovarian, vulval and endometrial cancer, with peripheral clinics performed in the Hawkes Bay.

Termination of pregnancy and counselling services

Level J Unit provides a pregnancy termination and counselling service. Its mission is to provide safe, legal and ethical abortion services, within the frame work of New Zealand law.

Pre-decision and post-abortion counselling are offered as part of our services. If a woman is uncertain about her options, or would like additional support while making her decision, a prompt appointment can be made for them to see one of Level J Unit counsellors/social workers. A referral is not required for counselling.

A referral to the unit can be made by via a GP. If a woman chooses not to see their usual GP, or feel they may not be supportive of her decision she can contact another GP for a referral or visit a local Family Planning clinic. t this appointment the GP will confirm the pregnancy, order bloods, swabs, and possibly a scan, and will send/fax a letter of referral to Level J Unit.

The appointment with Level J Unit will be on two separate days. Counselling and the first visit with the doctor for certification takes place on day 1. On Day 2, the second certifying doctor will be seen and the abortion will take place. If having a medical termination, the first medication maybe started on Day 1.

The following methods of pregnancy termination are available at Level J Unit:

  • Medical Abortion (using medication, not surgery) from 5-9 weeks and 16-19 weeks
  • Surgical Abortion under local anaesthesia from 6-14 weeks
  • Surgical abortion under general anaesthesia may be recommended for women that are not able to terminate with the above
  • The most suitable method of termination will be determined by the date of the pregnancy, past medical history and other factors that will be discussed between the woman and the certifying doctor.

Level J Unit does not do terminations over 19 weeks of pregnancy. You will need to contact services outside of New Zealand for this option.