For referring doctors
Pelvic floor assessment with transvaginal ultrasound: New!
3D pelvic floor ultrasound is a dynamic imaging technique that allows us to look into the female pelvis and visualise the relationship between the pelvic organs and the pelvic floor in real-time. It provides information about the structure and function of the pelvic floor and documents the position of the bladder, urethra, uterus and rectum relative to the pelvic floor both at rest and when ‘pushing down’. It identifies the presence and extent of pelvic organ prolapse, and can detect other changes in the pelvic floor which may increase the risk of pelvic organ prolapse developing. The scan is not painful and is performed by resting an ultrasound probe on the external part of the vagina. It takes about 30 minutes.
Until recently this type of assessment was only performed in Melbourne by some specialists in urogynaecology. Recently Dr Andrew Edwards went interstate to learn this new technique from Prof Peter Dietz, a pioneer in the assessment of the pelvic floor. The assessment can now be requested by all our referring doctors, GP's and specialists, who can then organise further management. To make sure the correct appointment is booked with Dr Andrew Edwards please ask your patient to book for a "Pelvic Floor Assessment".
Lecture series: O&G Spring Meeting for GP's
The O&G Spring meeting provided an update on numerus O&G ultrasound topics such as NIPT, Preeclampsia Screening, Fetal Surveillance in the 3rd Trimester, Polycystic Ovarian Syndrome, Endometriosis, Pelvic Floor Assessment and Infertility. For those who missed it, the lectures can be viewed on YouTube by clicking on the image below.
New Fetal Growth Charts
Until recently we have been in a suboptimal situation when it comes to expressing an EFW in terms of a percentile that is relevant to our population. We have had access to fetal weight charts from foreign populations, or birth weight charts from an Australian population, but not the ideal combination of a fetal weight chart based on an Australian population.
The development of a new fetal weight chart based on Hadlock proportionality and GROW (Gardosi) methodology adapted to the Australian population using Nepean Hospital data as per Mikolajczyk et al., has offered a worthy solution. This chart, referred to as the ‘Australian Fetal Weight Chart’, has been supported at meetings of the Australian Association of Obstetric and Gynaecological Ultrasonologists (AAOGU) and Victorian Obstetric Sonologists (VOS) groups, and is believed to offer a more realistic set of normal range curves. Two of the tertiary obstetric hospitals in Melbourne, The Mercy Hospital for Women and Monash Health, along with many private ultrasound practices, have adopted this chart. The new chart is much more sensitive at detecting IUGR around the 26-34 week range, and an audit at Monash Health has shown that the EFW percentiles correlate very closely with newborn weight percentiles. We are expecting, therefore, an increase in scans reporting IUGR early in the third trimester. The EFW percentile will now also better align with the individual biometry measurements. You can download a copy of the Australian Fetal Weight Chart by clicking on the chart below.
You can order referral pads in A4 or A5 format by ringing the practice manager of the practice. We are also happy to personalise our referral forms by printing your practice and doctor details on the forms to save you time. You can download our referral below as well by clicking on the referral icon.
Camberwell Ultrasound for Women
You can order referral pads by ringing our practice manager Jennifer Wallis on 98823384, fax us a request on 98820543 or email us on firstname.lastname@example.org.
Peninsula Imaging Ultrasound for Women
You can order referral pads by ringing our practice manager Kathy Keown on 59259221, fax us a request on 59259222 or email us on email@example.com.
City Imaging Ultrasound for Women
You can order referral pads by ringing our practice manager Marnie Billinghurst on 96508833, fax us a request on 96501167 or email us on firstname.lastname@example.org.
We understand that you may need to contact one of our doctors to speak with them regarding an urgent appointment or a result. We have a silent line so referring doctors can easily contact us. Next time you ring our practices ask our practice manager for our silent number.