Antenatal Care at Alana Healthcare
Antenatal Care at Alana Healthcare

Congratulations on your pregnancy and welcome to Alana Obstetrics!
The Obstetricians at Alana Healthcare are an all female group who share a common philosophy on pregnancy care.  Dr Minke Burke, Dr Alejandra Izurieta and Dr Erin Nesbitt-Hawes work as a team in Sydney’s first all-female group obstetrics practice to provide you with 24-hour specialist care, expertise and support during your pregnancy.

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Continuity of care is important to us, as is sharing our knowledge and expertise. By booking your pregnancy with the Alana Obstetricians, you will be cared for by not one, but three specialist obstetricians, with regular case conferences and reviews for women with high risk or more complex pregnancies.

The Alana Obstetricians work on a roster system which means that the Obstetrician on call will manage all deliveries and emergencies during that 24 hour period.  This means that the familiar face that greets you in the delivery suite will also be fresh and rested!

Booking your Antenatal Care with Alana Obstetrics

Please contact our rooms on 02 9009 5255 to arrange your first appointment.  Ideally, your first appointment should take place when you are 8-12 weeks pregnant, but we are happy to acccomodate your needs.  As our doctors have a limited number of patients who they can deliver each month it is important to schedule your first appointment as soon as possible.

When calling Alana Healthcare for Women, having the following information will assist with making your appointment:

  • Date of last menstrual period (LMP) or expected date of confinement (EDC) or due date from dating scan
  • Medicare number
  • GP referral

Calculating your dates

Your estimated date of delivery is calculated using either your last menstrual period or a first trimester ultrasound for dating.  A normal pregnancy can last anywhere from 37-42 weeks duration, with only 5% of women delivering their baby on their due date.

A dating calculator can be used to estimate your due date if you know your last menstrual period.

If you are uncertain of your dates, or you have an irregular period, the most accurate way to assess your due date is a first trimester ultrasound scan.  If you have not already had a scan, your Alana Obstetrician will perform one on your first visit to help confirm your due date.

Routine Pregnancy Blood Tests

During your pregnancy, you will have a number of routine tests to ensure that the pregnancy is progressing well with no complications.

Antenatal screening blood tests:

Ideally, these blood tests are performed prior to pregnancy to identify any potential issues and things that can be remedied (e.g. rubella vaccination for women with low immunity). If your GP has not already organised for you to have antenatal blood tests, these will be arranged at your first visit.  These blood tests include screening for infections such as HIV, hepatitis B and C, syphilis, rubella, as well as your blood group and blood count

Glucose challenge test (GCT) and glucose tolerance test (GTT):

These blood tests are performed to determine whether you are developing gestational diabetes in the pregnancy. Usually performed at 26-28 weeks gestation, it requires you to drink a sugary liquid and wait at the pathology centre for an hour or two to measure your body’s response. This blood test usually requires an appointment. Be sure to take a good book or magazine!

Certain women have a higher risk of gestational diabetes in their pregnancy and may be recommended to have this test earlier, or on more than one occasion during your pregnancy.

Blood count and antibody screen:

This is performed at the start of the pregnancy and again at 28 and 36 weeks gestation to look for anaemia (low iron levels).  The antibody screen is particularly important for women who have a negative blood type and are at risk of rhesus isoimmunisation.

Delivering your baby with the Alana Obstetricians

Our patients are delivered at the Prince of Wales Private Hospital.  Please check with your private health insurer to make sure that you have the required level of cover and have completed any waiting requirements.  If you have any questions, our staff will be happy to assist you.

The Alana Obstetricians believe in choices when it comes to delivering your baby. During your pregnancy care, we are more than happy to discuss all of the options available to you.

Vaginal delivery:  Most women will have a vaginal delivery without requiring assistance from their Obstetrician.

Sometimes assisted delivery with the ventouse (vacuum) or forceps is required to ensure a safe delivery for you and your baby. Circumstances where this may be recommended include exhaustion, when the baby is coming down the birth canal in an awkward position, or if there is fetal distress while pushing.

Caesarean delivery (caesarean section):  Some women will require a caesarean to deliver their baby. This may be elective and booked prior to going into labour (for placenta praevia, breech presentation, some types of twins, previous caesarean delivery), or may be an emergency caesarean after going into labour.

If you require a caesarean delivery most commonly they are performed under a spinal or epidural block so you can be awake and meet your baby. Your partner is also welcome in the operating theatre to support you.

Frequently Asked Questions

How much does antenatal care at Alana Healthcare for Women cost?

Our full fee disclosure can be found here.  To determine your level of cover, if you are covered to deliver at the Prince of Wales Private Hospital, and what your out of pocket expense will be, you should speak to your health fund and reference our fee disclosure.

There are other costs associated with private antenatal care separate to your doctor and hospital fees, such as ultrasound and pathology, as well as charges after you deliver your baby, such as a paediatrician.  We have attempted to approximate these possible charges in our fee disclosure but they are a guide only.  It is not a comprehensive list and we cannot determine charges from third party providers, however our staff will happily assist you in finding out where possible.

Where will my baby be delivered?

The Alana Obstetricians deliver only at the Prince of Wales Private Hospital, where you will receive excellent and personalised birthing care.

Who will attend my delivery?

A familiar face!  The Alana Obstetrician on call will attend your delivery.  While this may be your primary Obstetrician who has cared for you throughout your pregnancy, it may also be one of the other Alana Obstetricians who you met at planned visits throughout the course of your antenatal care.  This means that you will never have a stranger attending you when you go into hospital.

How long will I be in hospital for when I deliver my baby?

If you give birth via vaginal delivery, your hospital stay will generally be 4 nights/5 days.  If you give birth via caesarean delivery, your hospital stay will generally be 5 nights/6 days.  If you are admitted after midnight that counts as day 1 not as night 1!

Following the birth of your baby at the Prince of Wales Private Hospital you do have the option of moving to the Crowne Plaza Coogee Beach as an alternative to in-hospital care to recover and get to know your newest family member.   There is a midwife on site 7 days a week, the rooms all have ocean views and your partner can stay with you.  For more information visit the Prince of Wales Private website.

What should I do if I need medical assistance during my pregnancy?

Once you have booked your antenatal care with us, you have access to medical assistance 24 hours a day, 7 days a week.  If at any stage you feel something is not right, telephone us at any time of the day or night on 02 9009 5255.  If it’s outside of business hours, simply follow the prompts and press 1 to be transferred to our after hours Obstetrician.  If you are beyond 24 weeks gestation telephone either us or the Prince of Wales Private Delivery Suite on 02 9650 4444.

 

We hope this answers your questions and look forward to seeing you at your appointment.  Please feel free to contact us should you have any further questions.

Related Information:

Antenatal and Postnatal Pelvic Floor Assessment

Antenatal Ultrasound

Early Pregnancy Care

High-risk Pregnancy Care

Natural Therapies in Pregnancy