Trimesterly Newsletter – April 2016

Welcome to Edition Six

Autumn is upon us and we are well in to 2016. It has been a challenging start to the year for us at Hobart OBGYN with the unexpected retirement of Dr James Brodribb. We are very appreciative to all of our staff, patients and to our colleagues for your support at this time. We are continuing to provide care for all of Dr Brodribb’s patients by the other specialists in our practice and hope we have minimised the disruption for you and your patients. We appreciate all the referrals you have changed and continue to change! If there are any concerns during this transition time please feel free to contact us.

Thank you to Dr James Brodribb
With 40 years of service to the women of Hobart through the Royal Hobart Hospital and as a private Obstetrician and Gynaecologist, Dr Brodribb has been involved in the lives of thousands of local families. He is a dedicated and competent professional, who is respected for his integrity, compassion and efficiency. His medical knowledge and ability to recall information are admired and his level-headed approach to situations is well appreciated.

We are also very thankful for the Hobart OBGYN structure he was instrumental in establishing. It was one of the first group obstetric practices in the country and has stood the test of time, managing to meet the needs of our patients with a safe, supported and balanced life for our obstetricians.

He has made a significant and positive impact on his patients and colleagues and is sadly missed.

Electronic Letters
Hopefully by now most practices are receiving correspondence from Hobart OBGYN electronically through Healthlink. This has allowed us to increase our efficiency and greatly reduce the length of time […]

Trimesterly Newsletter – October 2015

Welcome to Edition Five

Spring is here with the promise of warmer weather. School holidays are upon us again, and hopefully the end of the tsunami of viral infections that have characterised this winter.

At Hobart OBGYN we are proud to provide private obstetric care for both high and low risk pregnancies by a group of experienced obstetricians.We have the support of a dedicated team of midwives, high quality point-of-care ultrasound and a friendly administrative team, and provide our services at a reasonable cost. Our rooms are happy to provide nancial estimates of any out-of-pocket costs, including estimates for women who wish to deliver uninsured in a private hospital.

Vaccinations in Pregnancy
As you may be aware,the recommendation for PertussisVaccination in pregnancy changed earlier this year. Due to increasing evidence of the effectiveness and safety of the dTpa vaccination during pregnancy, it is now recommended as a single dose during the third trimester of each pregnancy. The optimal time is early in the third trimester between 28 and 32 weeks.This is regardless of the timing of the last immunisation. Transplacental transfer of pertussis antibodies from the vaccinated women to the foetus gives passive immunity to the newborn more effectively than postpartum immunisation. Antibody levels peak two weeks after immunisation and the most effective placental antibody transfer is from 30 weeks. Family members do not need to be re-immunised with each pregnancy if they are already up to date.

New: We are very pleased to be able to offer a vaccination service to our antenatal patients.We are now able to provide in our rooms the In uenza and Pertussis vaccinations suggested by the National Immunisation Program for all pregnant women, through the Immunise Australia Program.We have found that being able […]

Trimesterly Newsletter – April 2015

Welcome to Edition Four

2015 is well under way and we look forward to continuing to provide you and your patients with affordable obstetric and gynaecological care.

We continue to be able to provide timely access to consultations and please remember we are able to provide phone advice as required. If you would like your patients seen urgently please contact our rooms by phone, fax or email.

Iodine Supplementation in pregnancy
Iodine is required for the production of the thyroid hormones,T3 and T4.Thyroid hormones are required to promote brain and nervous system development starting from the first few weeks of embryonic life. Maternal thyroid hormone levels dictate thyroid levels for the first trimester. After the first trimester the fetal thyroid takes over, but still requires the transfer of iodine to make thyroid hormones.The concern with iodine deficiency in pregnancy is a negative impact on the nervous system development in the unborn child.

The World Health Organisation has declared Australia to be a mildly iodine deficient country (Tasmania has a history of iodine deficiency) and programs like fortification of bread with iodised salt have been implemented.

However, thyroid hormone production increases by 50% in pregnancy so to support this increased iodine requirement, the 2010 NHMRC guideline recommends pregnant and breastfeeding women take a daily iodine supplement of 150mcg. Note that the recommended dietary intake is 220 mcg for pregnant women and 270mcg of iodine for breastfeeding women so some iodine is still required from dietary sources. The best sources of iodine are fortified bread, dairy and seafood. Small amounts of iodine are stored in the thyroid gland and the excess intake is excreted.

Optimising maternal thyroid function is most important pre-conceptionally especially in high risk women, and advising all women considering pregnancy […]

Timesterly Newsletter June 2014

Welcome to Dr. Naomi Saunder
We are very pleased to have Naomi join our experienced team of Gynaecologists.

Dr Saunder is a recently elevated FRANZCOG fellow, finishing in 2012 with the Gynaecological Oncology Team at the Royal Hobart Hospital.  Originally from Melbourne, where she completed her MBBS at the University of Melbourne, Naomi undertook a post-fellowship position at Monash Medical Centre as a Urogynaecology fellow in 2013.

After Naomi and her family fell in love with Tasmania during their time in 2012, they have decided to return and resettle in Hobart, with Naomi working as a Staff Specialist at the Royal Hobart Hospital with a special interest in the pelvic floor.

Naomi is excited to join Hobart OBGYN, providing general gynaecology  services.  Her main interest is in the management of pelvic floor dysfunction including urinary incontinence, bladder pain, sexual dysfunction and prolapse.  She undertakes urodynamics, prolapse and incontinence surgery, laparoscopy, open surgery and operative hysteroscopy.

She is a member of the Urogynaecological Society of Australia (USGA) and actively participates in annual meetings and is looking forward to the combined international meeting in Washington later in the year.  Naomi is married with one daughter, and enjoys spending time with her family exploring Tasmania and trying to keep warm.

She is taking referrals now.  It is a pleasure to be able to reduce our waiting time for women waiting for gynaecological review.

Jane Barker (Pelvic Floor Physiotherapist) Consulting from Hobart OBGYN
Providing a comprehensive service to women with Pelvic Floor concerns is very important to us at Hobart OBGYN.  Physiotherapy is a vital component of treatment for incontinence, prolapse, dyspareunia and pelvic pain as well as issues that arise during pregnancy.

Jane graduated as a physiotherapist in 1988 and has worked in a variety of […]

Trimesterly Newsletter Feb 2014

Our Renovations are almost Complete
Thank you to you and your patients for your patience during our move. We are settling in very well to the ground floor of the Calvary Medical Centre. Our reception area is open and bright with a larger, more comfortable waiting room and terrific views of Mt Wellington and surrounds. Our doctors have beautiful new offices, with two procedure rooms to reduce waiting times for our patients, and our midwives have more space for education and support. These changes will allow more flexibility with scheduling and an ability to accommodate other specialists in our rooms, which will facilitate the complete care of our patients.

We look forward to offering a more streamlined and comfortable service.
Welcome to Dr Stephen Bradford Obstetrician and Gynaecologist
We are very pleased to welcome Dr. Stephen Bradford to our team.

Dr. Bradford is a new RANZCOG fellow, completing his final year in 2013 with the Gynaecological Oncology Team at the Royal Hobart Hospital. Stephen has also completed a Masters in Reproductive Medicine.

His interests include caring for high-risk obstetric patients; reproductive endocrinology including infertility, menopause and contraception; and advanced laparoscopic surgery including laparoscopic hysterectomies and endometriosis treatment.

Stephen will also be working with Tas IVF allowing him to provide complete fertility care – from achieving pregnancy to the postpartum period. He has a VMO appointment at Calvary Hospital, Hobart Private Hospital and the Royal Hobart Hospital.

Stephen, his wife and daughters have moved from Brisbane and have made a long-term commitment to Hobart. He is a keen sailor.

He is taking bookings now and will be starting to consult in March. He welcomes all new referrals. If you would like to meet him in person, please contact our Practice Manager, Vicki, to arrange […]