He Hono Wāhine Hui
The 2020 He Hono Wāhine hui was held at Ōwhata Marae in Rotorua at the weekend and was attended by Fellows, trainees, PGYs, medical students and whānau! Feedback received so far has been really positive - more feedback in the next Pānui.
ACC update - new cover guidance and reassessment process for surgical mesh injuries
ACC has finalised new cover guidance for surgical mesh injuries. The cover guidance is based on the latest medical evidence and understanding of mesh injuries, and was developed with experts in urology, obstetrics and gynaecology, surgery, and pain.
People who have a declined claim for a surgical mesh injury will be able to ask ACC to reassess their cover decision based on the new guidance. Some claims could potentially get a different decision, and some might benefit from further investigation.
ACC will begin accepting reassessment requests from 28 October 2020. To request reassessment, ACC advises people to contact them on 0800 735 566 or email@example.com, visit their GP or discuss with their medical specialist at an upcoming appointment. ACC will reimburse people for the cost of an appointment with their GP or specialist. Clinicians or patients can contact ACC to start the reassessment process.
ACC: New cover guidance for surgical mesh injuries
Reminder: notify NZ Registry of COVID-19 in pregnancy
The New Zealand Registry of COVID-19 in Pregnancy includes all cases of COVID-19 infection since the first New Zealand case.
Lead Maternity Carers, including midwives and obstetricians, hospital clinical staff, and General Practitioners are asked to notify the Registry of any cases of Covid-19 in pregnancy by emailing firstname.lastname@example.org
. Further information can be found on the Registry website www.liggins.auckland.ac.nz/covid19
The COVID-19 Infection in Pregnancy in New Zealand Registry Information Sheet for Health Professionals
The COVID-19 Infection in Pregnancy in New Zealand Registry Information Sheet
RANZCOG NZ Webinar Updates
Recordings available on CLIMATE
You can access the recordings of the September RANZCOG NZ webinar updates on "Treatment of urinary incontinence in women"
and "Towards a safe, equitable cervical screening programme"
on CLIMATE at https://www.climate.edu.au/login/index.php
. Search for “NZ webinar updates 2020”. Video and audio are available for both webinars. Reading material is also available to supplement the cervical screening webinar.
Register for 3 November webinar on Fertility
The next RANZCOG NZ webinar update is on Fertility treatments in New Zealand
with Professor Cindy Farquhar on 3 November from 12:30pm to 1:30pm. This webinar will cover funding for fertility treatments in New Zealand, the basics of the fertility workup and treatment methods, including the use of add-ons, third party reproduction and some of the new clinical studies. For further information and to register go to https://ranzcog.eventsair.com/ranzcog-webinar-nz/
. Pre-reading material on female subfertility will be sent to registrants.
Last chance: 2 places left on MIHI course
The Māori/Indigenous Health Institute (MIHI) at Otago University has two places available on their post-graduate course Application of the Hui Process/Meihana Model to Clinical Practice
There is a face to face one day workshop on 23 November in Christchurch. A series of online modules need to be completed prior to the workshop. Fellows and trainees who have attended the course can apply skills and knowledge to implement immediately into their practice.
If you are interested in attending please contact Jude Kaveney urgently at email@example.com
MCNZ release report on cultural safety and health equity
Cultural Safety Baseline Data Report Release and Recommendations
The Medical Council of New Zealand, in partnership with Te Ohu Rata O Aotearoa (Te ORA), has released an independent report outlining findings of the current state of cultural safety and health equity delivered by doctors practicing in Aotearoa New Zealand and experienced by patients and whānau. Click here
to read the report.
Ministry of Health news
Consultation reminder: Primary Maternity Services Notice Review 2021
The Ministry of Health is consulting on proposed changes to the Maternity Services Notice. The draft notice plus a discussion document and feedback form are on the Ministry’s website
. The consultation period is until 13 November 2020.
Te Kāhui Oranga ō Nuku will be providing feedback and preparing a submission. If you’d like to be involved in developing our response please email New Zealand Manager Catherine Cooper on firstname.lastname@example.org
Notification of the Primary Maternity Services Amendment Notice 2020
The Ministry is increasing fees paid to LMC midwives for 12 of the 44 modules of care for complex cases and rural services. The new fee schedule was implemented on 1 October 2020, effective from 1 July 2020. See https://www.health.govt.nz/publication/primary-maternity-services-notice-2007
New Zealand 2018 Maternity Clinical Indicators published
New Zealand 2018 Maternity clinical Indicators have been published on the Ministry of Health website. The indicators are presented in a new format through a web based tool and a background document in word. Using the web based tool will ensure a more timely process for uploading the data in the future. See https://www.health.govt.nz/publication/new-zealand-maternity-clinical-indicators-2018
Further updates to Āwhina app for health workers
The Ministry of Health has made several further updates to the Āwhina app
for health workers. More information, including how to download the app, is on the Ministry’s website
. You can also email Awhina.email@example.com
or call 0800 855 066 for more information.
Ethinyloestradiol 35 mcg with norethisterone 500 mcg (Norimin): Supply issue
The supplier, Pfizer, has advised that Norimin stock has run out. Supply is not expected to be restored until mid-February 2021. See https://pharmac.govt.nz/medicine-funding-and-supply/medicine-notices/norimin/
Several alternative funded contraceptives are listed on the Pharmaceutical Schedule including other oral contraceptives, barrier and long acting reversible contraceptives. See https://pharmac.govt.nz/pharmaceutical-schedule/updates/
Decision to list medical devices supplied by Olympus New Zealand Limited
PHARMAC has approved the non-exclusive listing agreement with Olympus New Zealand Limited (“Olympus”) for the supply of obstetrics and gynaecology, and endomechanical and electrosurgical medical devices. Olympus’ range of obstetrics and gynaecology, and endomechanical and electrosurgical medical devices will be listed on the Pharmaceutical Schedule from 1 November and will be available on PHARMAC’s website from that date.
Health Quality & Safety Commission news
Te Rā Haumaru Tūroro o Aotearoa | Aotearoa Patient Safety Day on 17 November 2020
The theme for Aotearoa Patient Safety Day on 17 November is Getting through together | Whāia e tātou te pae tawhiti
. The focus is on thanking health care workers for their efforts and dedication through responding to recent crisis events and the COVID-19 pandemic. Aotearoa Patient Safety Day is supported by ACC and PHARMAC.
HQSC are hosting a webinar focusing on mental health and wellbeing on 17 November - for further information and to register see https://www.hqsc.govt.nz/our-programmes/patient-safety-day/news-and-events/event/4133/
NZ PROMPT continuing in 2021
After six to nine months of COVID shutdown PROMPT courses are up and running again in several units across NZ. RANZCOG is no longer the local provider for PROMPT in Australia and NZ. In individual Australian states and in NZ, local faculty (www.promptnz.org
) are working directly with PROMPT-UK (www.promptmaternity.org
) to continue running PROMPT Train The Trainer courses and support individual units running PROMPT courses.
A third local edition of the PROMPT course manual and Trainers Pack are now available. The first NZ run PROMPT Train The Trainers course is planned for 25th and 26th March 2021 in Christchurch with a second course in Auckland in September 2021. For further details please contact Martin Sowter firstname.lastname@example.org
NZ Annual Scientific Meeting 2021 – new dates and venue
The dates of the 2021 NZ ASM are confirmed for Monday 21 – Tuesday 22 June at Museum of New Zealand Te Papa Tongarewa in Wellington. On the Sunday preceding the ASM there will be a cultural event hosted by He Hono Wāhine and a trainees’ day. The theme is He Kakari Taurite mo te Oranga Wāhine │Campaigning for Equity in Women’s Health.
There will be Fellowship elevation and a conference dinner on Monday 21 June.
Your report matters │ #MedSafetyWeek 2-6 November 2020
From 2 to 6 November 2020, medicines regulators around the globe will be joining forces to launch a social media campaign that raises awareness of adverse drug reactions. The theme for 2020 is ‘Your report matters’. If you think your patient has had an adverse reaction to a medicine, report it to CARM (Centre for Adverse Reactions Monitoring). Online reporting is easiest: https://nzphvc.otago.ac.nz/reporting/
Keep up to date with medicine safety issues by subscribing to Prescriber Update: www.medsafe.govt.nz/profs/subscribe.asp
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
Breast Cancer Research Review
In issue 30 of the Breast Cancer Research Review
there are articles on: Pembrolizumab + neoadjuvant chemotherapy; Adjuvant chemotherapy in TNBC; Abemaciclib, fulvestrant and trastuzumab for mBC; QoL comparable for T-DM1 vs trastuzumab; DCIS and risk of invasive breast cancer; Breast cancer incidence and mortality with HRT; Non-inferiority of shorter breast radiotherapy; Mammography screening decision aid.
Educational Series on Long Acting Contraceptives
This review on Long Acting Contraceptives
outlines the benefits, as well as any potential management considerations associated with the use of the LARCs currently available in New Zealand. In addition, the use of LARCs in specific patient populations is briefly reviewed.
GP Research Review
In issue 160 of the GP Research Review there is a relevant article on: Ondansetron use in the first trimester of pregnancy and the risk of neonatal ventricular septal defect.
Midwifery Research Review
In issue 22 of the Midwifery Review
there are articles on: The use of video technology for early labour support; Pelvic floor muscle exercises during pregnancy; The information needs of mothers who want to express breast milk; What are women’s mode of birth preferences and why?; Maternal iodine status and birth outcomes in a UK birth cohort; Neonatal outcomes after maternal cannabis use during pregnancy; Impact of a second degree perineal tear during childbirth on daily life; Use of macrolide antibiotics during pregnancy; Enablers and barriers to universal newborn pulse oximetry screening in NZ; Mental wellbeing of midwifery students.
New and updated Cochrane summaries for COVID-19 and O&G
Please see the latest summaries for COVID-19 from the Cochrane Library at www.cochranelibrary.com
on: What is the diagnostic accuracy of antibody tests for the detection of infection with the COVID-19 virus?; Is plasma from people who have recovered from COVID-19 an effective treatment for people with COVID-19?
; How accurate are rapid tests, performed during a health-care visit (point-of-care), for diagnosing COVID-19?.
Please see the latest summaries for obstetrics and gynaecology from the Cochrane Library at www.cochranelibrary.com
on: Induction of labour in women with normal pregnancies at or beyond 37 weeks; Growth factor-supplemented culture media for women undergoing assisted reproduction; Use of fluids and pharmacological agents (medicinal drugs) to prevent the formation of adhesions (scar tissue) after surgery of the female pelvis; Aspirin (single dose) for relief of perineal pain after childbirth; Interventions available during pandemics for heavy menstrual bleeding: an overview of Cochrane Reviews; Interventions for treating intrahepatic cholestasis of pregnancy (ICP); Do different settings and techniques for measuring blood pressure during pregnancy help to improve outcomes for women and babies?; Metformin versus the combined oral contraceptive pill for excessive facial/body hair, acne, and menstrual disorders in polycystic ovary syndrome; Endometrial injection of embryo culture supernatant for subfertile women in assisted reproduction; Treatment for pelvic inflammatory disease; Number of embryos for transfer in women undergoing assisted reproductive technology (ART); Home versus inpatient induction of labour; Vitamins and minerals for subfertility in women; In IVF, does transferring the embryo in media containing high concentrations of hyaluronic acid result in more live births?.
Upcoming NZ and online events
RANZCOG NZ Webinar Update
3 November 2020, 12:30pm - 1:30pm, online
With Professor Cindy Farquhar.
For further information and to register go to: https://ranzcog.eventsair.com/ranzcog-webinar-nz/
Advanced Laparoscopy Workshop
6-7 November 2020, Hamilton
Run by the Department of Obstetrics and Gynaecology at Waikato Hospital, the two-day practical workshop will provide both dry and wet laboratory-based practice of advanced laparoscopy skills ranging from suturing to endometriosis treatment and total laparoscopic hysterectomy. Aimed at Senior Registrars, Fellows and Consultants with sound open suturing and basic laparoscopic skills. There are 12 places available to maintain a low ratio of supervision. The course aims to:
- refine laparoscopic suturing technique
- improve confidence in laparoscopic operating
- elevate minimal surgical skills to manage some of the surgical complications
The faculty will include Dr Tavaziva Mudzamiri, Dr Tarek Saleh, Dr VP Singh, Dr Lakshmi Ravikanti, Dr Pip Walker, and Dr Emily Twidale.
For details on how to register and process payment for this workshop, please contact Dr Karena de Souza at email@example.com
. Proof of payment is necessary to confirm registration.
Aotearoa Patient Safety Day webinar
17 November 2020 12:00pm - 1:00pm, online
The Health Quality & Safety Commission is hosting a webinar focusing on mental health and wellbeing, as part of activity for Te Rā Haumaru Tūroro o Aotearoa | Aotearoa Patient Safety Day 2020.
To register: https://hqsc.zoom.us/webinar/register/3016019445387/WN_G3Hytf1iS-WD6qLA2spssA
NPM International Indigenous Research Conference 2020
A Gathering of Indigenous Minds
18-20 November 2020, online
Ngā Pae o te Māramatanga are holding their 2020 Indigenous Research Conference online to enable Indigenous researchers and scholars worldwide to share their research via an interactive programme with live audiences and opportunities for Q&A, chats and social connections.
Register at http://indigenousresearchconference.ac.nz/
RANZCOG NZ Cultural Competency Course
Online modules followed by face to face workshop 23 November 2020.
Post-graduate course: Utilising the Hui Process/Meihana Model in Clinical Practice by MIHI (University of Otago)
Further information: Utilising the Hui Process/Meihana Model in Clinical Practice
or contact Jude Kaveney firstname.lastname@example.org
Cancelled: Counties Manukau Health’s 2020 Women’s Health Update Day
25 November 2020
Preterm Birth - The goalposts are changing and so are the approaches
RANZCOG NZ Annual Scientific Meeting
21-22 June 2021, Museum of New Zealand Te Papa Tongarewa, Wellington
He Kakari Taurite mo te Oranga Wāhine / Campaigning for Equity in Women's Health
for further information or contact Makiko Wimbush email@example.com
In addition to the following advertised vacancies please see the RANZCOG website
for trainee and Fellow employment opportunities.