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@ranzcog

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Advocating for women's healthcare across AUS & Aotearoa NZ. Leading training body of obstetricians and gynaecologists, & GP obstetricians.

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In this week’s edition of Healthy Horizons, we’re talking about something that affects about 1 in 6 Australians: sexually transmitted infections, also known as STIs.

#sti #sexualhealth #womenshealth #womenshealthwednesday #healthyhorizons #migrantwomen #refugeewomen #women #health #infographic #migrantwomen #refugeewomen

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In this week’s instalment of Healthy Horizons, we’re talking about something that impacts many migrant and refugee women but is rarely talked about: unwanted pregnancy and abortion.

SWIPE LEFT to read more ➡️➡️➡️➡️

#migrantwomen #abortion #abortionrights #feminism #intersectionality #womenofcolour #woc #migrant #refugeewomen #infographic #women #womenshealth #womenshealthwednesday #healthyhorizons

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Let us introduce you to our incredible line up of medical panellists for the 2021 Endometriosis Australia Symposium:

🟡 Prof. Jason Abbott
🟡 Dr. Erin Nesbitt-Hawes
🟡 Dr. Amani Harris
🟡 A/Prof. Anusch Yazdani
🟡 Dr. Danny Chou
🟡 Dr. Emma Readman

In this session, we will be delving into some hot topics including “Surgery for endometriosis and its extremes. Can it ever be too far?” Covering multiple surgeries; hysterectomy, ultra-radical surgery and who should be doing the surgery.

Have you got your tickets yet?
Tickets are $19 for the 1 in 9 women and those who identify as gender diverse in Australia who live with endometriosis.

Learn more about our panellists and get your tickets here!
https://www.endometriosisaustralia.org/endomarch-high-tea
(Link in our bio!)

#EndometriosisAustralia #EndoMarchAust #EndometriosisAustraliaSymposium

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For anyone wondering why there are some women out there who choose to have a homebirth after experiencing a caesarean, and are after an insight as to why the VBAC rate in Australia is only 12.7%, have a listen to Kate☝️

Kate switched from hospital to homebirth at 35 weeks pregnant for her next birth after caesarean. We are looking forward to bringing you her empowering and healing VBAC journey tomorrow. Stay tuned 🎧

#gestationaldiabetes #highbmi #fragmentedmaternitycare #continuityofmidwiferycare #birthtime #onewomanonemidwife #covidbirth #birthinthetimeofcovid #choiceinbirthmatters #vbacmatters #whyvbacmatters #birthtraumaprevention #vbac #hbac

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#repost from our #womenshealthwednesday as there were two identical slides.

SWIPE LEFT TO READ ➡️➡️➡️➡️

We’re talking about changing pads, using feminine washes, dealing with PMS and more in this week’s instalment of Healthy Horizons.

#infographic #migrantwomen #refugeewomen #health #periods #cramps #pms #periodsexplained #womenshealthwednesdays

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Women’s health is an everyday priority but starting this Wednesday we have teamed up with @ranzcog to re-launch Healthy Horizons, a weekly series focused on migrant and refugee women’s health.

We know that women from migrant and refugee backgrounds can struggle to get accurate information on health topics, particularly sexual and reproductive health. So we’ve asked doctors to share their advice and thoughts on #periods, #menopause, #contraception and more.

Stay tuned for #womenshealthwednesdays

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Tell me you sang Ariannas song when you read that 😉
Sleeping while pregnant feels much less sensual than Lycra and spin bikes, but it deserves just as much attention!

It’s *really* important that when we go to sleep, we do so laying on our sides (for mamas in their third trimester - 28 weeks and beyond)

Good news: research now suggests there’s no need to lay solely on your left - which means you can give those hips a break and switch sides as often as you please!

Bad news: as comfy as it may feel, laying supine (flat on your back) has physiological effects on your body.
In supine rest, the uterus compresses some major blood vessels and can see a reduction of 80% blood flow in the Inferior Vena Cava and 30% reduction in flow through the Aorta.
Now, our bodies are clever and try to compensate for this with an increase in heart rate and blood flow back to the heart from other veins below the blockage. But, this isn’t as effective as our usual cardiac output.
This leaves bub getting a little less oxygen and they become less active to try and compensate for this - something to keep in mind if you’re monitoring movements or bub feels less active!
There’s also the risk that this pressure alters our pattern of breathing, again resulting in less oxygen flowing through the body.
All of these risks combined can be associated with an increased risk of stillbirth.

Heavy, right?
But it’s ok! If you wake and you’re on your back, don’t fret. Readjust to which ever side you feel comfortable and try and get some more sleep. If your hips or back are struggling with the side sleeping, I always find propping myself up on the couch (so long as you’re not flat on your back) can be a good change to get another few hours rest 😴

#sleeponside #pregnancyhealth #sleeponsidewhilstbabysinside #thirdtrimester #babymama #pregnancyhealthawareness #ranzcog #saferbaby

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END OF AN ERA!
Rounding out my final shifts as a registrar with the best night shift buddy I could ask for!
🎉 I’M DONE! 🎉
#FRANZCOG

Thanks and gratitude for all my colleagues, friends and family to come!...(Once I’m out of night shift zombie haze)

💁🏻‍♀️ @philippa87
📸 @lauraprior17

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B R E E C H

Did your breech baby do this after they were born? 🥰 📸 by @kendalblackerphoto

Today in Australia most breech babies at term are born via a planned 'elective' caesarean. Talia whose story we feature in our 28th episode was told by her local hospital she would need another caesarean if her baby remained breech. However Talia's hopes of VBAC were not completely dashed as she was made aware of alternative options which she was willing to pursue, resulting in a vaginal breech birth (VBB).

Why are most of us only offered a caesarean though, particularly after an unsuccessful ECV? Because of the Term Breech Trial study published in 2000, which deemed a caesarean section to be the safest option for breech presenting babies at term. The results were met with some criticism back then but today the study has been shown to be flawed by more recent publications. VBB can be just as safe as cephalic (head-down) and could outweigh the risks of a caesarean section.

1 in 25 Australian mothers have breech babies at term. Our hope is for more care providers to become confident with VBB so those who would like to explore this option do have that support. It's important to also consider that there may be times where a breech birth is going to be a surprise, and should a care provider find they are observing someone in labour with a breech presenting baby they are confident in identifying when it's not necessary to suggest intervention, and when it is for safety. A caesarean is sometimes safer depending on individual circumstances, but an automatic emergency caesarean may not be. As always mothers should be fully informed on the risks and benefits of either proceeding with a vaginal breech birth or having a c-section, and she should choose the pathway which feels right to her ❤️

Special thanks to @sarah_studentmidwife_mumof4 for her help with this post 💖
Sources: Australian mothers and babies 2018. BMC Pregnancy & Childbirth Article 89 (2015), Term Breech Trial M E Hannah et al. Lancet, 2000. Flaws: BMJ.2004 Dec 11;329(7479):1385, Marek Glezerman. Am J Obstet Gynecol. 2006 Jan.

For information on breech birth check out: @breechwithoutborders @breech101

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Pregnancy loss is the worst thing possible. Joy and hope ripped from underneath you. I talk to the Herald Sun about this important topic #pregnancyloss #miscarriage #melbourneivf @melbourneivf_official

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Guidance around the COVID-19 Vaccination in Pregnant and Breastfeeding Women was released today by RANZCOG. I have included the salient points below.

➖ The COVID-19 vaccine.........
The six major vaccines that have undergone clinical trials do not contain live virus and cannot transmit COVID-19. It is uncertain as to how effectively they prevent acquiring the disease or limit transmission, but initial data has demonstrated reduction in the length and severity of disease if a person becomes infected.

➖ The vaccine in pregnancy.........
Based on data from other similar vaccines, it is unlikely that COVID-19 vaccines pose a risk to a pregnant woman or her fetus. However, as pregnant and breastfeeding women have not been included in initial trials, data is limited.

Although the available data does not indicate any safety concern or harm to pregnancy, there is insufficient evidence to recommend routine use during pregnancy.

However, if a pregnant woman is particularly vulnerable, then she should discuss the option of COVID-19 vaccination with her care provider. This includes women with:
- Significant pre-existing medical conditions eg. diabetes
- Solid organ transplants
- Chronic respiratory conditions
- Homozygous sickle cell disease
- Conditions requiring immunosuppressive therapies sufficient to significantly increase risk of infection
- Advanced chronic kidney disease or receiving dialysis
- Significant congenital or acquired heart disease

➖ The vaccine and breastfeeding.........
There is no data on the safety of COVID-19 vaccines in lactating women. These vaccines are not thought to be a risk to the breastfeeding infant.

➖ The vaccine preconception.........
There is no evidence that women who become pregnant after receiving the vaccine are at increased risk of teratogenicity, miscarriage or maternal illness. Pregnancy need not be delayed after receiving the vaccine.

➖ General advice.........
In the absence of evidence on the safety or efficacy of the COVID-19 vaccines in pregnant women, the decision to receive vaccination should be individualised and rests solely with the pregnant woman following informed consultation with her care provider.

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Let's talk about it: Can you exercise in pregnancy, even if you have 𝘯𝘰𝘵 been exercising before?

And in most cases the answer is a big YES!

I wrote an article with @drbronwynhamilton (Obstetrician and Gynaecologist), to give you the best advice from a medical perspective about exercise during pregnancy. I'd highly recommend you read it (link in bio).

You see The Royal Australian and New Zealand College of Obstetricians @ranzcog recommends pregnant women in the absence of pregnancy complications engage in 30 minutes of physical activity most days of the week. If not all days of the week.

If previously inactive, it is recommended to start with 15-20 minute blocks and work up to 30 minutes at a time.

The key to safely exercising when pregnant is to pay attention to what your body is telling you.

Keep your exercise at a moderate level. Avoid over-heating and stay well-hydrated by drinking plenty of water.

It's exactly why my pregnancy workouts are designed specifically for the stage of pregnancy you are at. I don't just guide you by trimester, I guide you week by week through your pregnancy.

And of course, if you have any questions, ask! It's so important you speak up rather than shy away unsure and scared of exercising. Head to my stories to ask me a question.

As always, be guided by your health care professional for your individual situation.

#babybump #maternitystyle #babyontheway #mommytobe #pregnantbelly #pregnantlife #bump #babybelly #bumpstyle #preggers #pregnancyexercise #prego #momtobe #pregnancyphoto #babyonboard #babyinside #mumtobe #stylethebump #preggo #bumpchic Pregnancy exercise recommendations

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