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 a time.

Whooping Cough Vaccination in Pregnancy

Pertussis is a leading cause of mortality in infants younger than two months. About 2% of hospitalised cases will die. About 80% of infants are infected by a household contact. The current Australian strategy to reduce morbidity and mortality from Pertussis in newborn infants is to vaccinate mothers with the diphtheria-tetanus-acellular pertussis vaccine immediately postpartum, and other close contacts (partner and grandparents) prior to birth. Recently American and UK guidelines have changed to vaccination during pregnancy. An article in the September 2013 Obstetrical & Gynaecological Survey suggested vaccination during the third trimester of pregnancy reduced infant hospitalisations by 38% and deaths by 49% compared with postpartum vaccination. This is thought to be due to earlier indirect protection and by providing some direct immunity to the infant through transplacental transfer of antibodies.

The current Australian Immunisation Handbook discusses the differing strategies, and is positive about increased benefit and the safety of pregnancy vaccination. Australian guidelines are being currently reviewed.

Until the new Australian guidelines are released, our practice at Hobart OBGYN has been to offer high risk women (health care workers, childcare workers etc) or those that request it, vaccination during pregnancy after 27 weeks, and to continue to offer vaccination to all postpartum women with encouragement for close contacts to be vaccinated during the pregnancy. We also strongly support influenza vaccination in pregnancy.

Book Review: The Vulva A Clinician’s Practical Handbook

This fantastic little guidebook is co-authored by a Dermatologist and a Gynaecologist and published by Family Planning NSW (www.fpnsw.org.au). I think vulval conditions top most of our lists of ‘heartsink’ conditions. It certainly is not very well taught in medicine and most of us learn by trial and error. This book is very practical and clinically orientated. Chapters include Red Vulval Rashes; Things That Look White; Things that Ulcerate/Blister/Erode; Lumps: Benign and Malignant; Vulval Pain and Dyspareunia, and Vulval Disease in Children. This means that it is exceptionally easy to look things up either during or after a consultation, based on the presenting condition. It then offers differential diagnosis, investigation and management. It has a section on ‘pearls’ and myths that is helpful. The only criticism is that the pictures are very small and sometimes don’t highlight the diagnostic features in what is predominantly a visual diagnosis. A great book to have on your desk.

Triaging of Referrals

We aim to see your patients in a timely and appropriate manner. Any referrals that are sent or faxed to us are triaged as to their urgency. If you would like a patient seen more urgently please mark the referral as urgent or give us a call. We endeavor to keep our waiting times as short as possible. When calling for an appointment, if the preferred Gynaecologist has a long waiting time, we will offer an appointment with another Gynaecologist with a shorter waiting time, or to be placed on the cancellation list if an earlier appointment becomes available. We will always make room to accommodate urgent issues.