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Gynaecology Services at National Women's
Contents
The gynaecology service includes inpatient care,
outpatient clinics and day surgery.
 Women's
Assessment Unit (WAU)
WAU is on the 9th floor of Auckland City Hospital.WAU provides assessment and
treatment for women with acute gynaecological problems. This includes early
pregnancy problems such as miscarriage, bleeding and ectopic pregnancies. A
Pregnancy Loss Counsellor is available as approximately 60% of the women
admitted to the Unit have early pregnancy related problems.
General
Gynaecology
The Gynaecology outpatients clinic is based at the Greenlane site. General
gynaecology clinics run by Gynaecologists are held twice a week. The majority of
women who attend are referred by their general practitioner. A smaller number
are referred by private specialists or from other parts of the hospital.
Referrals cover a wide range of women's health issues including menstrual
problems, pelvic pain, requests for tubal ligation and reconstructive surgery to
restore fertility.
The general gynaecology inpatient
service includes pre-operative, post operative and medical management
admissions. Other services include termination of pregnancy in the second
trimester for fetal abnormality; vaginoplasty for women with vaginal atresia;
and a multidisciplinary team for women with chronic pelvic pain.
Day
Stay Unit
This unit is the focus for the day surgery service. Women having elective
surgery have usually attended a pre-admission clinic before hand. Women recover
in the hospital until they are ready to return home or to a location within
close proximity to National Women's.
Family
Planning
A Family Planning Clinic is held every two weeks. A doctor and nurse who have a
strong educational focus on cervical smear and breast self-examination education
run the clinic. Referrals come from general practitioners and practice nurses.
Women are also able to self refer.
Urogynaecology
Gynaecologists and a nurse staff a Urogynaecology Clinic held every 2 weeks.
Treatment for women attending this clinic includes education, referral for
urodynamic studies, referral for physiotherapy as well as medical and surgical
treatments. This clinic provides a point of referral for women with continence
problems and to provide multidisciplinary care through attendance of
physiotherapists at the clinic.
Urodynamic/Bladder
Clinics
This weekly clinic is held at Auckland Hospital's Urology Outpatients
Department.
Vasectomy
The vasectomy clinic is run by a medical officer and requires two outpatient
visits. The first visit involves consultation and consent and the second is for
the procedure, which is carried out under local anaesthetic.
Menopause
This clinic is for women requiring information and assistance with peri
menopausal and postmenopausal issues. It also caters for women with premature or
surgical menopause. The clinic team includes gynaecologists, an endocrinologist
and a nurse.Clinical psychology input is also available.
Gynaecology
Oncology Service
The gynaecological oncology service is a multi-disciplinary service, which
functions as a tertiary referral service for the Auckland Northern Region.
Referrals are also accepted from other regions within New Zealand and from
various Pacific Islands. As well as providing
treatment for women with gynaecological cancers, the service also provides
advice to other practitioners on the management of cancers. Staffing includes
gynaecologists, nurses, a medical oncologist, radiation oncologists, a
dermatologist, social worker and a women's health psychologist. An expert
gynaecological pathology service is used for the management of women who have
their care provided by national Women's as well as the advisory role provided to
practitioners.
Oncology outpatient services
include a vulva clinic, colposcopy clinic, ovarian clinic and cervix clinic. A
gynaecological oncology ward within the hospital provides inpatient services for
those requiring admission. A Palliative Care Nurse provides support and advice
to women with cancer.
Womens
Health Psychologists
Women's health psychologists provide a service for
women to aid decision-making during medical consultations, as well as
psychological therapy for women having gynaecological treatment and procedures.
The psychologists are specifically trained to work with individuals, couples,
families and groups. The psychologists see both inpatients and outpatients
within the gynaecology area. Areas covered include pelvic pain, menopause, PMS,
radiotherapy and psychosexual counselling. patient information leaflets Anterior
and posterior repair Bartholins
abscess Breast
cancer Breast
screening Cancer
of the cervix Cervical
screening Cancer
of the uterus Cancer
of the ovary Colposcopy Cone
Biopsy Dilation
an curettage Endometriosis Fibroids Heavy
menstrual bleeding Herpes Hysterectomy Hysteroscopy Laparoscopy Laser
treatment of the cervix Lichen
Sclerosus Lletz
treatmentof the cervix Menstrual
disorders clinic Misoprostal
infomation sheet Molar
pregnancy Ovarian
Hyperstimulation Syndrome Pelvic
pain and pelvic congestion Punch
biopsy of the cervix Radical
hysterectomy and pelvic node dissection Tension
free vaginal tape Urodynamic
studies Uterine
Ballon therapy
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Ministry of Health