Nau mai ki te kawerongo mo te marama o Hōngongoi/ Hereturikōkā. Welcome to the July/ August 2018 PEN NZ iVe newsletter
In this newsletter we celebrate the bestowing of the Gluckman Medal for 2018 to Professor Lesley McCowan for her contributions to perinatal medicine, maternal medicine and child health over the past three decades. The Gluckman Medal is the premier acknowledgement of excellence, awarded each year by the Faculty of Medical and Health Sciences at the University of Auckland.
A number of joint initiatives resulted from the six monthly face to face meeting between RANZCOG NZ and NZ College of Midwives in July. In August we completed the quarterly round of meetings for your committees - NZ Committee, He Hono Wāhine and NZTAC. The Clinical Directors' Network and Council of Medical Colleges meetings were also held.
Please contact the NZ office
(Jane, Jude, Makiko and Lynn) if you have any queries, suggestions for Fellowship Update topics or if you would like to contribute to the work of the NZ Committee and He Hono Wāhine. Your committees engage with sector stakeholders to get the best possible outcomes for excellence in women’s health.
Register now for He Hono Wāhine Hui
2018 Hui: 5-7 October, Onuku marae, Akaroa
He Hono Wāhine support Fellows and trainees culturally through tuakana teina and their annual hui. It also provides outreach to Māori Fellows and trainees, training in cultural competence and supports research on Māori women's health.
Please join komiti He Hono Wāhine at Onuku marae
on the weekend of 5–7 October 2018 for this year’s hui.
The hui will be a relaxed cultural experience – your whānau is welcome. There is no formal agenda but there will be kōrero around issues relating to Māori women’s health for He Hono Wāhine and the NZ Committee to prioritise in 2019 and cultural activities to participate in. These may include contributing to a waiata for use by RANZCOG committees, developing a Māori name for the NZ Committee of RANZCOG, input into design for a korowai (cloak), and looking at ways to encourage research on hauora wahine Māori.
Onuku marae is an hour’s drive from Christchurch airport. The only cost is your travel to Christchurch. Shuttles to and from the airport and all meals will be provided.
We hope you will join He Hono Wāhine for the 2018 hui. Please email Jude Kaveney
in the NZ office to register.
Celebrating Māori language - correct pronunciation of vowel groups in te reo
The following video link was given to all participants in the pilot cultural training course Utilising the Hui Process/Meihana Model in Clinical Practice.
It is an excellent brief guide
to correctly pronouncing Māori words. See https://www.youtube.com/watch?v=BI0ST3CtIkE
Ministry of Health news
Worker safety checking under the Vulnerable Children Legislation
A reminder that as of 1 July 2018, all core children's workers are to have had a safety check as per the Vulnerable Children Legislation. The Ministry has on file that 51 obstetricians who are claiming for primary maternity services under the Notice have yet to provide the Ministry with evidence that they have passed a safety check. To whom this is applicable please ensure the Ministry has this evidence as soon as practicable.
Please note that no claims for services delivered after 6 August 2018 will be paid unless the Ministry has evidence that the provider has had a safety check as at the date the services were provided.
In addition, authorisation to claim will be terminated at 21 September 2018 for any providers that remain without a safety check.
Hypertension guideline now on website
The clinical practice guideline on Diagnosis and Treatment of Hypertension and Pre-eclampsia in Pregnancy in New Zealand is now available on the MoH website. See https://www.health.govt.nz/publication/diagnosis-and-treatment-hypertension-and-pre-eclampsia-pregnancy-new-zealand-clinical-practice
National Maternity Monitoring Group Annual Report 2017 released
The National Maternity Monitoring Group (NMMG) has just released their Annual Report 2017 online. The NMMG provides a national overview of the quality and safety of New Zealand's maternity services. A summary of NMMG's recommendations for 2017 include:
- DHBs reviewing basic staffing for midwifery and medical workforces;
- DHBs supporting low-risk women to birth at primary facilities, and women who choose to birth at home;
- DHBs with high rates of induction of labour and caesarean sections for standard primiparae investigate why the rates of intervention for these women are above average.
- Connecting sector leadership - all DHBs should be working towards implementing recommendations made by the PMMRC and its sub-committees (Maternal Mortality Working Group, Maternal Morbidity Working Group, Neonatal Encephalopathy Working Group), and the Neonatal Encephalopathy Taskforce;
- equitable access for all women to the contraception of their choice;
- DHBs evaluating the use and effectiveness of maternal mental health pathways;
- Ministry of Health convening a national meeting with representatives from across the sector to discuss what can be done to support maternal mental health.
To read the full NMMG Annual Report 2017 see https://www.health.govt.nz/publication/national-maternity-monitoring-group-annual-report-2017
New webpage on antimicrobial prescribing guidance
The Ministry of Health has set up a new webpage that has antimicrobial prescribing guidance with links to regional information.
The antimicrobial prescribing guidance webpage
was created to help address antimicrobial stewardship activities in the 2017 New Zealand Antimicrobial Resistance Action Plan
NZ Specialist International Medical Graduates (SIMG) Assessor Workshop
A workshop for NZ SIMG Assessors is being held on Friday 30 November 2018 from 12:00pm to 5:30 pm in Wellington. The workshop will be followed by dinner.
Dr Ben Bopp and Ms Melissa Brady will be joining us from the SIMG Committee in Melbourne. The workshop is an opportunity to share knowledge with colleagues and improve assessment procedures. All current assessors, and anyone interested in becoming an assessor in the future are welcome to attend. For further information and to register please contact Makiko Wimbush
by Wed 7 November 2018.
The NZ SIMG Assessment panel maintains the standard of care for women in NZ through assessing the overseas trained doctors in partnership with the Medical Council of NZ (MCNZ).
December Report Writing and Expert Witness Training workshop - register now
Please let Lynn Gestro
know if you wish to attend the 7 December 2018 Excellence in Report Writing and Expert Witness Training workshop in Wellington. An expert’s report is a vital element in litigation. An excellent report is also one of the most effective marketing tools that an expert will have in their career. The RANZCOG Excellence in Report Writing and Expert Witness Training workshops are facilitated by Claro Law
and explore what is expected and required from an expert’s report.
Update on infection in pregnancy and post puerperal sepsis
The next Fellowship Update to be held throughout the regions is about infections in pregnancy and post puerperal sepsis. This update will be held during February 2019. For further information please contact Makiko Wimbush
2019 Annual Scientific Meeting - Perspectives from the past, foundations for the future
The NZ 2019 Annual Scientific Meeting: Perspectives from the past, foundations for the future
will be held in Hamilton from Wednesday 22 to Friday 24 May with pre and post workshops on the Tuesday, Wednesday and Saturday. Reserve these dates in your calendars now.
The Women's Health Forum that was going to precede the ASM will now be held in the second half of 2019.
Launch of NZ Choosing Wisely campaign
The New Zealand Choosing Wisely campaign was launched by the Council of Medical Colleges during August. The campaign aims to encourage both patients and doctors to think twice about treatments which seem routine, but could be unnecessary.
RANZCOG NZ and NZCOM have contributed lists of tests, treatments and procedures that health professionals should question - see https://choosingwisely.org.nz/professional-resource/ranzcog/
Auckland Medical Research Foundation video on saving babies and improving their life-long health
The University of Auckland’s Faculty of Medical and Health Sciences has held a series of free public lectures during 2018 celebrating the educational, medical and research successes achieved over the past 50 years. Last month the lecture was on saving babies and improving their life-long health. See https://www.medicalresearch.org.nz/free-public-lecture-saving-babies-and-improving-their-life-long-health
. Speakers included Professor Lesley McCowan on ‘Maternal sleep position- a modifiable risk factor for stillbirth’
and Associate Professor Katie Groom on ‘Developing therapies for fetal growth restriction’
Pacific health news
Medal in recognition of service to society
Papua New Guinea Professor of Obstetrics and Gynaecology, Glen Liddel-Mola is to be awarded the third Geelong Grammar School
Medal for Service to Society during September.
Prof Mola is being awarded the medal for his dedication to improving women’s reproductive health and reducing the maternal death toll in Papua New Guinea, which has one of the highest rates of maternal mortality in the world.
The Geelong Grammar School Medal for Service to Society was established to recognise people who, by way of the excellence of their achievements, have made sustained contributions to the betterment of society. It is the highest honour the School can bestow on a member of the community.
Health Quality & Safety Commission news
PMMRC Practice Points
All Perinatal and Maternal Mortality Review Committee (PMMRC) Practice Points are listed in the link below. Each Practice Point relates to the PMMRC Annual Report in which they were published. Where resources have been updated the link to the new/amended resources has been added.
View PMMRC Practice Points.
Fellow appointed to PMMRC Committee
RANZCOG Fellow Sarah Tout was successfully appointed to the obstetrician vacancy on the Perinatal & Maternal Mortality Review Committee (PMMRC). The Perinatal and Maternal Mortality Review Committee is an independent committee that reviews the deaths of babies and mothers in New Zealand.
Call for nominations for the Maternal Mortality Review Working Group
The Health Quality & Safety Commission board is seeking nominations and applications for a Māori member to join the Maternal Mortality Review Working Group (MMRWG).
The applicant will have expertise in the areas of maternal and perinatal care, and primary care, and with knowledge and experience in health service provision to Māori.
Applications close at 5pm on Friday 14 September 2018. For further information see www.hqsc.govt.nz
Amethyst Smith, an OBGYN resident in her third year of training at the University of Utah has made a request for a one month internship as part of her elective rotation. She would be interested in doing some level of patient care, either in general OB/GYN, Urogynecology, or rural medicine. Dr Smith is interested in international medicine as well as experiencing other health care systems. She has NZ family in Northland. If you can be of assistance to Dr Smith please email her at Amethyst.Smith@hsc.utah.edu
Research Review publications are intended for NZ health professionals. To subscribe for free to receive a research review on a regular basis go to www.researchreview.co.nz
Women's Health Research Review
In issue 26-2018 of the Women's Health Research Review there are articles on: Vaginal oestradiol vs vaginal moisturiser vs placebo; Hormone therapy not recommended for prevention of chronic conditions; Hormonal contraception and the risk of breast cancer; Amenorrhoea rates during LNG-IUS use; Safety of vaginal oestrogen use; Progestogen-only pill for migraine treatment in women; Morbidity after hysterectomy with ovarian conservation; Conservative surgery vs colorectal resection for deep endometriosis; Outcomes after hysteroscopic vs laparoscopic sterilisation.
New and Updated Cochrane summaries for O&G
Please see the latest summaries for obstetrics and gynaecology from the Cochrane Library at www.cochranelibrary.com
on: Intramuscular and intravenous opioid pain relieving drugs in labour; Managing the end of childbirth (placenta delivery) with ergot alkaloid medications (e.g. ergometrine); Direct injection of corticosteroids into the fetus compared with injection into the mother for improving fetal outcomes when the mother is at risk of preterm birth; Medications for reducing contractions during labour for excessively strong/frequent contractions or where the unborn baby is thought to be distressed;Vaginal cleansing with antiseptic solution before cesarean delivery to reduce post-cesarean infections; Metformin for women with obesity or who are overweight during pregnancy for improving health for women and their babies; Corticosteroids for preventing respiratory complications in the newborn after caesarean section at term.
Please see the Events section of the RANZCOG website
for information on all local and international events. Highlighted events are listed below.
2018 VCA Speaker Series
September/October, Auckland, Wellington, Christchurch, Dunedin.
Topic: Tragedy, Trauma and Grief: How Can I Help?
Speakers: Vicki Culling, Jane Weekes
For further information about the workshop see http://vca.co.nz/workshops/speaker-series-workshops-2018/
. For information on Vicki Culling Associates (VCA) – see http://vca.co.nz/about/
RANZCOG 2018 Aboriginal and Torres Strait Islander Women’s Health Meeting Turning Tides
15-16 September 2018, Adelaide
The RANZCOG 2018 Aboriginal and Torres Strait Islander Women’s Health Meeting Turning Tides
includes workshops and presentations designed to provoke discussion and upskill in evidence-based obstetric and gynaecological issues specific to Aboriginal and Torres Strait Islander women.
The meeting brings together Aboriginal health workers, midwives, general practitioners and obstetricians & gynaecologists working within the Indigenous community, with the aim to improve the health outcomes of Aboriginal and Torres Strait Islander women.
For further information about the meeting and to register see https://www.ranzcogasm.com.au/atsiwhm2018/
7th International Conference on Fetal Growth
3-5 October, Milan, Italy
For further details, please visit www.fetalgrowth.org
Patient Deterioration NZ Conference
29-30 November, Auckland
Jointly hosted by the Health Quality & Safety Commission and the Australia New Zealand Intensive Care Society (ANZICS), this two-day conference will explore patient deterioration in the New Zealand context, including the New Zealand early warning score, communication skills for difficult conversations, and patient, family and whānau escalation.
for further information and to register.
PSRH Biennial Conference
6-11 July 2019, Papua New Guinea
Theme: “Pacific Experience for Pacific Solutions in Reproductive Health”
In addition to the following advertised vacancies please see the RANZCOG website
for trainee and Fellow employment opportunities.