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WHAT NATIONAL
WOMEN's
CAN OFFER AS YOUR LEAD MATERNITY CARER ( LMC
)
Having a baby?
Table
of Contents
Looking for a
Lead Maternity Carer (LMC)?
What
National Women's can offer you
Having a baby? We wish you well
in your pregnancy and the birth of your baby or babies.
Pregnancy is a time for
considering a range of options and making choices. All pregnant women are
expected to choose a Lead Maternity Carer (LMC) to co-ordinate their care during
pregnancy, birth and after the baby is born. The LMC you choose may provide all
your maternity care, or may share your care with one, or more other
practitioners.
At National Women's we
recognise our partnership with Maori
in developing services which sensitively and effectively meet the needs of
Maori
women. We also have a commitment to providing a quality service for the many
different cultural groupings represented by women using the National Women's
maternity service.
National Women's staff are
available to support and assist women and to answer any questions.
Maternity Care at National Women's
If you choose a National Women's
midwife as your lead maternity carer (LMC) we can offer you a comprehensive
range of quality services and expertise based on choice, consistency and
continuity.
We strive to provide personalised
maternity care in a way that will suit you. The options range from midwifery
only care, to the full support of a specialist obstetric team.
Maternity
Walk-In Centre
No appointment necessary. Monday
and Friday 8.30am- 4.00pm
Tues, Wed, Thursday 9.30 - 2.00
Auckland callers 623-6455
or freephone 0800 424-784
Phone or drop in for free
midwifery advice and information.
At
National Women's our experienced staff have a range of skills and expertise
-
Midwives: provide care during
pregnancy, labour, birth and after the baby is born.
-
Obstetricians: doctors who
can provide care during pregnancy and birth but who specialise in the care
of women whose pregnancy, labour or birth becomes complicated.
-
Paediatricians: doctors who
specialise in the care of babies particularly those who are unwell or have
special needs.
-
Physicians: doctors who
specialise in medical complications during pregnancy, birth and postnatally.
-
Anaesthetists: doctors who
give anaesthetics including epidurals for childbirth.
-
Registrars: doctors training
to be obstetricians, paediatricians or anaesthetists under supervision from
a specialist.
-
House Officers: doctors
gaining experience in maternity care or paediatrics under specialist
supervision
-
Nurses: work with midwives in
some areas of the maternity service to provide care to women and babies.
-
Neonatal Nurses and neonatal
nurse practitioners: look after newborn babies requiring specialist care.
Social Workers:
provide couselling and assistance for individuals, couples and
families
-
Physiotherapists: provide
information on preparation for birth, postnatal exercises and training for
those wishing to use a TENS (transcutaneous electrical nerve stimulation)
machine for pain relief during labour.
Lactation
Consultants: provide education and support for staff who assist
women with breastfeeding, they also help mothers an babies
when there are feeding difficulties. for example a premature or
unwell baby
National
Women's Midwifery Services
The following midwifery services are available to women who choose a National
Women's midwife as their LMC. Please note some of these options may be available
only to women who live in the National Women's geographical boundary. In some
instances where closer monitoring is required to enhance the wellbeing of you
and your baby - a different midwifery option may be recommended for your care.
Team
Midwifery Care
Team Midwives work in all areas in the hospital. If you attend the National
Women's antenatal clinic or need to come into the hospital during your pregnancy
for medical treatment or assessment, Team Midwives will provide your midwifery
care. Team midwives will also care for you during and after the baby is born.
They will visit you at home 5-6 times after you leave hospital. Medical
expertise is readily available if required for either you or your baby( Delivery
unit midwives will care for you during labour and birth)
Domino
Midwives
Domino Midwives can provide your antenatal, labour, birth and postnatal care (
both in the hospital and when you go home). "Dominos" work in groups of 2
midwives with a specific geographical area. Each group is linked to a hospital
team so medical expertise is readily available if problems arise. If you require
more specialised care, your domino midwife can continue to provide midwifery
care as part of the hospital team. Pregnant women choosing this option are
assigned their own domino midwife. Other group members are available as backup
midwives.
Additional
Midwifery Services
-
The Diabetes Clinic midwives
provide care for women who have diabetes during pregnancy. They also provide
pre-conception counselling for women with diabetes seeking pregnancy
planning advice.
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The Medical Clinic midwives
specialise in antenatal care for women with complicated pregnancies.
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The Chinese Liaison Midwife
can also provide interpreting services for women who speak Mandarin,
Cantonese and Taiwanese. (This services is subject to her availability).
National
Women's Hospital offers the following clinical services for women requiring
specialist care:
-
a pre-conception service for
those seeking pregnancy planning advice.
- initial fertility assessment through
the National Women's gynaecology service.
- assessment and support for women who
have experienced a number of miscarriages.
- Gynaecology Assessment Unit for
treatment of early pregnancy problems (miscarriage, bleeding and
ectopic pregnancy).
- Women's Assessment Unit for
specialised care and monitoring of your pregnancy should you need
it.
- Medical and Diabetes Clinics for
women with specific medical needs or complicated pregnancies.
-
Referral to Lactation
Consultants fo advice and assistance with breastfeeding problems.
-
Midwives and medical staff with
particular expertise in assisting women with psychological issues and
alcohol or drug dependency.
-
Teams led by experienced
Obstetric and Paediatric Specialists.
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Paediatric and Newborn Services
including Special Care and Intensive Care Baby Units for premature and sick
babies.
-
Maternal Mental Health Team to
assist with mental health needs related to the experience of pregnancy,
childbirth and parenting in the first year after giving birth.
Women
using a National Women's service can also have access to:
- Maori Health services that provide
accommodation for whanau of patients from out of town who need
support and care throughout their stay, as well as support for
women' who are patients in the hospital.
- Chaplains (Maori and non Maori)
- Interpreters
- the Chinese Liaison Midwife and
Interpreter
- The smokechange programme
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The Women's Health Information Unit
- the Complaints Co-ordinator
- the Privacy Officer
- Physiotherapists
- Nutrition Services and dietitians
- Maori Health Advisor
National
Women's
A Centre for Excellence in Women's and Neonatal Health
As a centre for excellence committed to the wellbeing of women and babies,
National Women's is also the base for:
- Antenatal Diagnostic Services, based
in the Scanning Department carry out specialised ultrasound scans,
amniocentesis, chorionic villus sampling (CVS), cordocentesis and
doppler studies for suspected or existing problems such as
chromosomal abnormalities or poor foetal growth.
- The University of Auckland's
Department of Obstetrics and Gynaecology coordinates teaching and
training of medical students as well as doctors training in
obstetrics and gynaecology.The Department also runs an active
research programme investigating problems which affect mothers and
babies.
-
Parentcare, a support group for families who have or have had a
baby in intensive, or special care.
- The Research Centre in Reproductive
Medicine which undertakes, encourages and supports research into
problems that affect women and their babies.
The
University of Auckland's Department of Paediatrics
coordinates teaching and training of medical students and also doctors training
in paediatrics and in the care of the newborn. It also runs an active research
programme.
The
Department of Anaesthesia and Pain Service
provides pain relief in labour with epidurals, as well as anaesthesia for
caesarean sections. It also provides treatment for women requiring
particular pain management expertise.
Additional
National Women's Services
Staff from the Genetic Service, (based at Grafton) visit National Women's to
see families requiring counselling and advice on hereditary conditions and
suspected foetal abnormalities.
National Women's has an active security service.
Security Officers are on duty 24 hours a day, and security cameras are
situated both within and around the outside of the hospital.
All staff you meet will introduce themselves and be wearing an
identification badge with a photograph.
Identification bracelets are given to each woman and baby while in hospital.
On these are the women's name and National Health (NHI) number. Babies have
their own NHI number.
You can be dropped off at the hospital in labour and for a clinic appointment
and not receive a parking charge. However if you are parking your car in the
hospital grounds you will need to bring money with you as you will be charged
for the time you stay.
Hospital
Fees
Most maternity care provided by National Women's is
free to New Zealand citizens and those with permanent residence.
If you are not eligible for free
maternity care, contact the National Women's Revenue Department, phone 6309943
extn 3302 for details about hospital charges. A guide for charges
Non-Resident Price List
is available on this website.
There is a charge if you choose to
have your care provided by a private obstetrician or private anaesthetist. You
may also be charged for procedures such as an ultrasound if you choose to have
one when it is not medically indicated. If
you transfer to a private hospital such as Birthcare, you may be charged a fee
for some facilities (eg. if you want a single room or to stay for a longer
period of time).
Teaching
and Research National Women's is a
teaching hospital for doctors, midwives, nurses and other health professionals
in training. Practical experience is important for these students and you may be
asked to allow a student to assist with your care. We hope you will agree, but
you have the right to say no if you are asked
A number of research studies are
carried out at National Women's. Research has a key role in the development and
provision of health care services. All research at National Women's has had
ethical approval. Women and/or their baby may be invited to take part in a
research study. Women have the right to refuse to participate or allow their
baby to take part in any research study. If a woman is approached and chooses
not to participate her care will not be affected neither will the care provided
to her baby ( if applicable)
For quality
personalised care during pregnancy, labour, birth and after your baby is born,
choose National Women's as your Lead Maternity Carer (LMC).
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