Day 2 | Session 5 | Concurrent | Charting the course - early pregnancy
Pre-pregnancy counselling
Advice regarding health optimization prior to pregnancy is becoming increasingly important. We will review best practice.
Dr Meghan Hill
Senior Lecturer
University of Auckland
Meg is an Obstetrician and Maternal-Fetal Medicine Specialist with experience working in three countries. She is a clinical and translational researcher. Most of her research focuses on preventing pregnancy complications and maximising the likelihood of safe births.
Recurrent miscarriage
This session will focus on the RANZCOG Recurrent Miscarriage Guideline, published in March last year, and explore its practical implications. We will examine the definition of recurrent miscarriage, outline evidence-based investigations, and discuss management strategies that have demonstrated benefit.
Dr Lucy Prentice
Senior Lecturer and Fertility Sub-Specialist
University of Auckland
Lucy is a Fertility Subspecialist and Senior Lecturer at the University of Auckland. She has a special interest in unexplained infertility and is currently completing a PhD looking into treatment options for couples with unexplained infertility.
Update on scar ectopic pregnancies
Diagnosis and diagnostic pitfalls. Case presentations. Management dilemmas.
Dr Sue Belgrave
SMO, Obstetrics and Gynaecology
Auckland and Waitematā Hospitals
Dr Sue Belgrave is a Senior Obstetrician and Gynaecologist working in Auckland. Sue's current role is mainly high risk obstetrics and obstetric and gynaecological ultrasound across several sites in Auckland.
Dr Belgrave has a long term interest in early diagnosis and management of placenta accreta spectrum. Along with long term involvement in improving safety in obstetrics and reviewing and reducing perinatal and maternal morbidity and mortality.
Abortion care
Abortion is one of the most commonly performed medical procedures, with around 73 million induced abortions taking place worldwide each year according to the World Health Organisation. Most of these abortions occur early in pregnancy and can be safely managed by medication or a surgical procedure. Despite these facts, early abortion remains quite stigmatised, with limited access in many parts of the country. Good evidence-based guidelines exist and can help make a potentially traumatic experience a positive one for our patients.
This talk will highlight guidelines put forth by both the New Zealand Ministry of Health and RANZCOG to ensure patients who desire abortion early in pregnancy receive safe, compassionate, and equitable care.
Dr Rachel Rapkin
Clinical Lead
Te Mahoe Unit, Te Whatu Ora
Rachel Rapkin is the clinical lead of Te Mahoe Unit and provides medical and procedural abortions to 20 weeks and beyond in Wellington Regional Hospital. In her role as clinical lead, she coordinates later abortions for patients throughout the region, including for those residing in Capital and Coast, Hutt Valley, Wairarapa and beyond, including Whanganui, Mid Central, Hawkes Bay, and Tairawhiti. She has also co-coordinated a feticide program in the hospital.
Rachel is the current Co-Chair of APGANZ (Abortion Providers Group of Aotearoa New Zealand.
Rachel completed her Obstetrics and Gynaecology and Complex Family Planning sub-specialty training, including surgical abortion provision to 24 weeks gestational age, in the US in 2011 and 2013, respectively.
Dr Anna Hudspith
SMO
Te Whatu Ora - Capital, Coast and Hutt Valley
Dr Anna Hudspith is a generalist Obstetrician and Gynaecologist in Hutt Valley, and an abortion provider in Wellington. She holds dual positions of Senior Clinical Lecturer and Senior Lecturer at University of Otago, Wellington, and is currently studying towards a masters in Clinical Epidemiology with support from ISTAR.
Anna is a passionate abortion advocate, working to improve timely and quality access to abortion in New Zealand. She has worked with RANZCOG to develop the clinical guideline on abortion, create an abortion workshop for rural GPOs in Australia, and NZCSRH on modules to train clinicians in later abortion procedures. Anna is the current Co-Chair of APGANZ (Abortion Providers Group of Aotearoa New Zealand.