The Northern Beaches Maternity Service endeavours to support the individual birth choices you and your partner have made for your pregnancy. The service assists in obtaining evidence-based information to inform your decisions.
The service provides several options of care for your pregnancy, birth and postnatal period.
- Midwives Clinic - For the majority of well women, their pregnancy is uncomplicated. For these women their care is provided by our experienced midwives in adherence with the Australian College of Midwives guidelines for Consultation and Referral 2013. If there are any concerns or problems at any stage of your pregnancy, the midwives will consult with the obstetricians and you may need to have some or all of your visits with our doctors.
- Obstetric and Medical Specialist Clinic – Some women have more complex pregnancy needs. If you require medical input during your pregnancy, you will be seen in the Doctors Clinic. A variety of doctors, supported by midwives, will provide care for you throughout your pregnancy birth and postnatal period.
- Midwifery Group Practice (MGP) – This is a primary health, continuity of care model, that offers care to well, low risk women. The midwives providing care in MGP work together as a group, but you will be allocated a primary or 'known' midwife. The majority of your care is provided by your 'known' midwife. They will care for you throughout your pregnancy, labour, birth and the beginnings of parenthood, supported by the other midwives within the group.
- GP Shared Maternity Care – Some GPs are accredited to participate in GP shared care program for women with low-risk pregnancies. During your pregnancy you may be able to see your trusted GP for most of your antenatal visits. There are three scheduled hospital visits.
More information on the various options of care is available by contacting the antenatal clinic on 02 99769758.
A GP referral is required to book in for antenatal care. Prior to seeing the GP, please ring our clerical staff on 02 99769727 at approximately 10 weeks to arrange your booking appointment for 14 – 16 weeks. They will post or email you an information package to take to your GP. Your GP will arrange initial pregnancy blood tests and early pregnancy ultrasounds (if required).
Tours of the maternity units may be arranged through the antenatal clinic or by ringing the unit on 02 99769624 at the weekend.
Preparation for Parenthood Classes
Parenting Education classes are led by our experienced midwives. Our program consists of an informative and interactive series of classes run over either six consecutive weeknights or two consecutive Saturdays.
Through a very simple program of self-hypnosis, women learn to release fear and see birth as normal. They learn to trust their bodies and bring their babies in to the world in a calm and gentle way. The classes run on a weeknight over six consecutive weeks.
All women in labour are cared for by the midwives in consultation with the medical team. Women from 34 weeks gestation may birth in the unit. Should you go into labour prior to 34 weeks of pregnancy we will arrange for your care to be transferred to a tertiary unit – usually Royal North Shore Hospital (RNSH) Maternity Service. Similarly if you develop complications during pregnancy you may need to have some or all of your care at a tertiary unit.
The Northern Beaches Maternity Service supports Ministry of Health –'Towards Normal Birth in NSW' policy directive. The use of water during labour is encouraged. Both Manly and Mona Vale maternity units have a birthing bath and support water immersion births for women whose pregnancy is uncomplicated.
Special Care Nursery
The Special Care Nurseries at Manly and Mona Vale provide specialised care for unwell babies and babies born prematurely from 34 weeks of gestation. Should your baby arrive before 34 weeks and birth at RNSH or elsewhere, they may be transferred back to our special care nurseries at 34 weeks to grow up.
How Long will I stay?
You can expect to stay for up to 48 hours after a vaginal birth and 72 hours after a caesarean section; however the length of your postnatal stay will depend on the health of you and your baby. If everything is well with you and your baby and you wish to return home, you may do so after four hours.
Following your return home, a midwife from the maternity unit will visit you at home regularly up until your baby is a week old. Care will then be transitioned to the Child and Family Health Service.
Northern Beaches Gynaecology Service
Gynaecology outpatients' clinic is also run by the maternity service. A GP referral is required to be faxed to the clinic on 02 99769880.
We routinely review women who need:
- Contraceptive advice and assistance to organise the desired option including insertion of Intrauterine devices, implanon insertion and tubal ligation
- Investigation and treatment of pelvic pain, irregular or heavy menstrual bleeding
- Management of abnormal Pap smears
- Management of infertility
- Management of early pregnancy complications including miscarriage and ectopic pregnancy.