Dunedin and Southland hospitals provide outpatient and inpatient obstetrics and gynaecology care to the region. This service provides elective and 24-hour acute care.
Gynaecology services
Main areas of care are:
- gynaecology outpatients
- colposcopy clinic
- urogynaecology clinics
- gynaecology oncology clinics
- inpatient services
- early pregnancy clinic
- termination of pregnancy services.
The rural hospitals in Otago offer outpatient clinic services from the Dunedin Hospital service. A gynaecologist visits Oamaru, Balclutha and Dunstan once a month.
Laparoscopy
Many gynaecological investigations are performed by laparoscopy. This is a procedure to view the inside of the stomach (abdomen) through a specially lit type of mini telescope (laparoscope) that is inserted through a small cut in the abdomen. The laparoscope also contains a small camera that sends pictures to a screen that the doctor can watch. Sometimes surgical procedures (keyhole surgery) can be performed at the same time. A laparoscopy is performed under a general anaesthetic (you are asleep).
Obstetrics services
Once pregnancy has been confirmed, regular antenatal checks should be performed by a midwife, general practitioner or obstetrician (doctor who is specialised in obstetrics). In the first 28 weeks, these checks will be done every month but will increase as the pregnancy progresses. Services include:
- cervical screening
- colposcopy
- menopausal hormone therapy
- bladder sling procedures
- hysterectomy
- oophorectomy
- hysteroscopy and dilatation and curettage
- gynaecology assessment clinic
- obstetric ultrasound
- amniocentesis
- chorionic villus sampling
- toxaemia of pregnancy (pre-eclampsia)
- gestational diabetes
- intrauterine growth restriction (IUGR)
- epidural
- induction of labour
- caesarean section
- foetal distress
- premature baby
- postpartum depression
- infertility
- in vitro fertilisation.
Obstetrics services are delivered at Dunedin and Oamaru hospitals. Services are also available at Clutha Health First, Dunstan Hospital, and Wanaka Lakes Health Centre using telehealth.