For Referring Doctors
O&G Spring Meeting for GP's at St Vincent's Private
The O&G Spring meeting provided an update on numerous O&G Ultrasound topics such as NIPT, Preeclampsia screening, Fetal assessment in the Third Trimester, Polycystic Ovarian Syndrome, Endometriosis, Pelvic Floor Assessment and Infertility. For those who missed it, the lectures can be viewed on You Tube by clicking on the image below.
Pelvic Floor Assessment: New!
3D pelvic floor ultrasound is a dynamic imaging technique that allows us to look into the female pelvis and visualise the relationship between the pelvic organs and the pelvic floor in real-time. It provides information about the structure and function of the pelvic floor and documents the position of the bladder, urethra, uterus and rectum relative to the pelvic floor both at rest and when ‘pushing down’. It identifies the presence and extent of pelvic organ prolapse, and can detect other changes in the pelvic floor which may increase the risk of pelvic organ prolapse developing. The scan is not painful and is performed by resting an ultrasound probe on the external part of the vagina. It takes about 30 minutes.
Until recently this type of assessment was only performed in Melbourne by some specialists in urogynaecology. Recently Dr Andrew Edwards went interstate to learn this new technique from Prof Peter Dietz, a pioneer in the assessment of the pelvic floor. The assessment can now be requested by all our referring doctors, GP's and specialists, who can then organise further management. Currently the assessment is only done at Camberwell Ultrasound for Women, not at our other sites. To make sure the correct appointment is booked with Dr Andrew Edwards please ask your patient to book for a "Pelvic Floor Assessment".
New Fetal Growth Charts
Until recently we have been in a suboptimal situation when it comes to expressing an EFW in terms of a percentile that is relevant to our population. We have had access to fetal weight charts from foreign populations, or birth weight charts from an Australian population, but not the ideal combination of a fetal weight chart based on an Australian population.
Recently, however, the development of a new fetal weight chart based on Hadlock proportionality and GROW (Gardosi) methodology adapted to the Australian population using Nepean Hospital data as per Mikolajczyk et al., has offered a worthy solution. This chart, referred to as the ‘Australian Fetal Weight Chart’, has been supported at meetings of the Australian Association of Obstetric and Gynaecological Ultrasonologists (AAOGU) and Victorian Obstetric Sonologists (VOS) groups, and is believed to offer a more realistic set of normal range curves. Two of the tertiary obstetric hospitals in Melbourne, The Mercy Hospital for Women and Monash Health, along with many private ultrasound practices, have recently adopted this new chart. The Royal Women's Hospital is currently reviewing growth charts, but in the meantime is using a Hadlock growth chart which is quite similar to the new chart. We are phasing in the new chart at Women's Ultrasound Malvern now. The new chart is much more sensitive at detecting IUGR around the 26-34 week range, and an audit at Monash Health has shown that the EFW percentiles correlate very closely with newborn weight percentiles. We are expecting, therefore, an increase in scans reporting IUGR early in the third trimester. The EFW percentile will now also better align with the individual biometry measurements. You can download a copy of the Australian Fetal Weight Chart by clicking on the chart below.
We have updated our stationery and logo. We have printed new A4 referral forms and A5 referral pads with the new logo. You can continue to use the old referral pads as the location has not changed but if you want to order new referral pads, you can do so by ringing our practice manager Jennifer Wallis on 98823384, fax us a request on 98820543 or email us on firstname.lastname@example.org. We are also happy to personalise our referral forms by printing your practice and doctor details on the forms to save you time. You can download our referral here as well by clicking on the referral icon.
Information brochures can be downloaded by clicking on the relevant images or can be ordered by ringing our practice manager at Camberwell Ultrasound for Women on 9882 33 84.
We understand that you may need to contact one of our doctors to speak with them regarding an urgent appointment or a result. We have a silent line so referring doctors can easily contact us. Next time you ring Camberwell Ultrasound for Women ask our practice manager for our silent number.