ANSC March Update: St George and Sutherland hospitals

St George Pelvic Floor Unit

St George Hospital Pelvic Floor Unit provides assessment and management of women with obstetric and sphincter injury in the postpartum period. The unit includes a multidisciplinary team with consultant urogynaecologist, colorectal consultant, colorectal nurse, physiotherapist, registrar and nurse.

Common women’s health issues post-partum include:

  • urinary incontinence
  • overactive bladder syndrome
  • prolapse
  • dyspareunia and vaginismus, pelvic pain
  • anorectal disorders - faecal incontinence, defecation disorders, flatal incontinence.

All women with third and fourth degree vaginal tears are referred for assessment. Follow-up includes:

  • a six week postpartum physiotherapist assessment of bladder and bowel function, assessment of pelvic pain, pelvic floor muscle strength, education and pelvic floor muscle relaxation techniques (if required)
  • a six month postpartum review including anorectal physiology and scanning

The Perineal Clinic assessment involves review of:

  • the causative factors
  • preventative action
  • management of subsequent deliveries

Questions you can ask your women:

  • Do you go to the toilet four to six times each day?
  • Do you sleep through or get up only once through the night?
  • Do you have dry pants all the time?
  • Do you leak when you cough or sneeze, or is it when you need to get to the toilet in time?
  • Do you pass water easily, without straining or stopping and starting?
  • Do you get any feeling of heaviness or dragging in the vagina?

At the GP six week postpartum check:

  • Explain the technique and importance of pelvic floor muscle exercises (PFME)
  • A digital or visual assessment of the PFME is helpful
  • Advise women to eat a healthy diet, avoid constipation, drink plenty of water

1 in 3 women wet themselves after having a baby, up to 1 in 10 experience faecal incontinence.

Contact or refer to the Pelvic Floor Unit: ph. 9113 2272/fax 9113 3546

To view contact details for antenatal and allied health services available at St George Hospital and Sutherland Hospital download the list

Early Pregnancy Assessment Service (EPAS)

St George Hospital has an EPAS service Mon-Fri at 8am sharp. The location is the 1West Gynaecology ward. This is a drop-in service; referrals are not required. Please bring blood or ultrasound results if available.

At Sutherland Hospital all women are assessed by the O&G registrar in the Emergency Department

Maternity Ward Tours

St George- Saturdays at 2.30pm, appointment required, Ph. 9113 2162. Meet at Level 1 lifts, Gray St entrance.
Sutherland- Saturdays at 2.30pm, no appointment required. Meet at Level 3 outside Maternity Unit door

GP reminders

  • Women must live in South Eastern Sydney Local Health District
  • Complete and sign the back of the referral form and tick the hospital and ANSC. This is all that is required for booking referral.
  • Encourage the woman to phone for her 1st antenatal booking as soon as she has confirmed her pregnancy. Ideally we would like to schedule this appointment between 12-14weeks of pregnancy.
  • Please discuss/arrange NT and NIPT screening.
  • Ensure the yellow card is completed at all ANSC visits and results are recorded.
  • If a woman presents with an abnormal finding on palpation, ultrasound or blood results, please contact the medical staff in Delivery Suite immediately to establish follow-up care.
  • Women requiring Anti D to be given at 28 weeks need to have a copy of their current red cell antibody screen prior to administration in ANC.
  • Women with diet controlled GDM may remain on ANSC. Women who are medicated or on insulin must return to ANC for remainder of the pregnancy.
  • The ANSC protocol and GP resources can be accessed on CESPHN website