Day 2 | Session 4: Complex pregnancies

The rate of complications in neonates of Māori and Pacific Islander women with Diabetes in pregnancy attending the antenatal services at Te Whatu Ora - Lakes 

The goal of Diabetes in pregnancy management is to reduce the incidence of complications to the same rate that is seen in pregnancies not complicated by Diabetes. Although the rate of these complications has improved over the past several decades, there are still a greater number of negative outcomes for these pregnancies including pre-term delivery, macrosomia, hypertension in pregnancy, pre-eclampsia, neonatal hypoglycaemia, hyperbilirubinaemia, and cardiac malformations. These outcomes are known to occur more often when glycaemic control is suboptimal. The goal of this audit is to determine whether the rate of complications occurring in neonates born to our cohort of Māori and Pacific Islander women with Diabetes in pregnancy were greater than for those born to the other women attending our service.

Dr Esther O'Sullivan
Consultant Endocrinologist
Rotorua Hospital

Esther hails from the west of Ireland, having spent her early training and career at Galway University Hospitals. Her current role at Rotorua Hospital involves management of cases of Diabetes and Endocrinology mainly in the outpatient setting. Esther has a subspecialty interest in technology and sport for Type 1 Diabetes and lead the Diabetes in pregnancy service. She also participates in the General Medicine inpatient service and teaching of undergraduate medical students. 

Taonga Pūoro hai rongoā 

Taonga Pūoro cultural reclamation of indigenous instruments of healing and whānau voice

Libby Gray
Project Manager / Team Lead, Hapū Wānanga

He uri ia nō Ngāti Rēhia, Ngāti Uepōhatu, Tama Ūpoko ki te awa o Wanganui me Ngāti Tūwharetoa anō hoki. 

Libby’s passion for Taonga Pūoro is deeply rooted in her affections for Mātauranga Māori and her compassion for healing others. A practitioner of this ancient art, Libby is researching Taonga Pūoro and its traditional Rongoā use. Libby applied a variety of Taonga Pūoro as rongoā throughout her own unique parenting journey and is currently Project Manager / Team Lead for Hapū Wānanga where she incorporates Mātauranga Māori throughout pregnancy education.

Weight stigma in pregnancy - what do we need to do about it?

Over 50% of all pregnant women live in larger bodies.  Our consumer led research has highlighted that many women report appalling experiences of stigma and discrimination throughout their maternity and post partum care, due to their body size.  We know weight stigma contributes to adverse pregnancy and neonatal outcomes.  The issues and harms of weight stigma will be explored.  Suggestions for weight neutral and shame sensitive practice will be shared.

Professor Leonie Callaway

Director, Research Women's and Newborn Services
Royal Brisbane and Women's Hospital, Brisbane

Professor Leonie Callaway is a General and Obstetric Physician, with a long track record in clinical research and medical education.  She has authored >170 peer reviewed publications, received >15 million dollars in research funding, and supervised 20 research higher degree students. She holds several current leadership roles including Executive Director of the Women’s and Children’s Stream for Metro North Hospitals and Health Service.  In 2022, she was awarded the Women’s Health Australasia Medal of Distinction for her contribution to Women’s Health.