RANZCOG NZ Pānui - 21 October 2020

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 surgical-mesh@acc.co.nz, 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 covid19@auckland.ac.nz.  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 for RANZCOG. 

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 jkaveney@ranzcog.org.nz.

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 ccooper@ranzcog.org.nz.  

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.info@health.govt.nz or call 0800 855 066 for more information. 

PHARMAC updates

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 martinsowter@xtra.co.nz.

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 Reviews

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 weeksGrowth factor-supplemented culture media for women undergoing assisted reproductionUse of fluids and pharmacological agents (medicinal drugs) to prevent the formation of adhesions (scar tissue) after surgery of the female pelvisAspirin (single dose) for relief of perineal pain after childbirthInterventions available during pandemics for heavy menstrual bleeding: an overview of Cochrane ReviewsInterventions 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 syndromeEndometrial injection of embryo culture supernatant for subfertile women in assisted reproductionTreatment for pelvic inflammatory disease; Number of embryos for transfer in women undergoing assisted reproductive technology (ART)Home versus inpatient induction of labourVitamins and minerals for subfertility in womenIn 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   

Fertility 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 karena.desouza@waikatodhb.health.nz. 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 jkaveney@ranzcog.org.nz.

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

See www.nzasm.org.nz for further information or contact Makiko Wimbush mwimbush@ranzcog.org.nz 


In addition to the following advertised vacancies please see the RANZCOG website for trainee and Fellow employment opportunities.

Obstetrics & Gynaecology Clinical Fellowship 


Applications close 27 October 2020
The Faculty of Medical and Health Sciences is currently seeking to appoint one or more Clinical Fellow(s) to its academic department of Obstetrics and Gynaecology. The purpose of this 12 month Fellowship is to provide an exciting research and/or teaching development opportunity for individual(s) who may be interested in considering a future university career, which could be a research or medical education career pathway.
The position would be suitable for middle to advanced year RANZCOG trainees or a GP with a special interest in Womens’ Health and/or medical education. The role would allow the successful applicant(s) to undertake supervised teaching of both undergraduate and postgraduate O&G students as well as carrying out a research project based on individual interests.
The Fellowship is available from registrar change over in February 2021 for 12 months and may be considered as a full time or part time job opportunity. 
A competitive remuneration will be offered with the potential to be topped up through additional agreed clinical duties as appropriate in agreement with the Head of Department.
In the case of RANZCOG trainees: If the Clinical Fellowship role is undertaken full time with the University, the 12 months will not be accredited for ITP or Advanced RANZCOG Training. It may be possible to configure the position as a jobshare between two people with 50% university and 50% clinical duties, sharing the University role and the same clinical job. If undertaken by an Advanced Trainee this should count for a full year of RANZCOG training but will require prospective approval from RANZCOG.
Expressions of interest should be sent to Professor Larry Chamley, Head of Department at l.chamley@auckland.ac.nz including a cover letter and current CV.

Maternal Fetal Medicine Fellow CCDHB 

Fixed term, starting 1 February 2021

Job no: MFM_01_2021
Applications close 4 November 2020

Further information and to apply

This is a fixed-term position available for a period of 6 or 12 months starting 1 February 2021 (earlier start can be discussed). Allocation available in Wellington Hospital.

This job is a designed for a RANZCOG Advanced Trainee who is looking to sub-specialise in Maternal Fetal Medicine towards the completion of their FRANZCOG training.

Experience and Eligibility

  • Suitable for Resident Medical Officers who are enrolled as a RANZCOG Advanced Trainee and are looking to sub-specialise in Maternal Fetal Medicine
  • Must have completed FRANZCOG part 1 and be close to completion of their FRANZCOG training;
  • Preference will be given to candidates who have 12 months or more experience in MFM;
  • You must have eligibility for general or provisional general registration with the Medical Council of New Zealand. Information on the process of application for this can be found on their website at http://www.mcnz.org.nz/ or http://www.mcnz.org.nz/get-registered/registration-self-assessment-tool/
  • You will need to be a NZ or Australian citizen or resident, or have an appropriate visa to be eligible to live and work in NZ. The immigration NZ website can be found at https://www.immigration.govt.nz/new-zealand-visas

What’s in it for me?

  • Home to the NZ Government, Wellington is a vibrant place to live and work and has repeatedly been voted as New Zealand’s top lifestyle city. Wellington is considered cultural and creative hub of the country and hosts numerous cultural events as well as live theatre, music and festivals. We are renowned for our café culture, nightlife, fantastic restaurants, sparkling harbour, surf spots, amazing views, outdoor activities and close proximity to vineyards ensuring you are never short of activities to do outside of working hours. For more information about living in Wellington, visit the Discover Wellington website
  • You will love working with us as you will have the opportunity to rotate across our three Regional DHBs and includes the possibility of Rural attachments without having to leave the region
  • As we are a large employer and include a tertiary hospital, there are vast career progression opportunities available due to the high number of Registrar positions and wide range of specialties across the region. We also ensure that formal and informal teaching sessions are available to all of our RMOs

Our Hospitals and Services

Join our fellow 535 Resident Medical Officers employed by the 3 District Health Boards of the Wellington Region (Capital & Coast, Hutt Valley and Wairarapa DHBs) to gain leading experience, medical supervision and training.
CCDHB – Wellington Regional and Kenepuru Hospitals
You’ll love working with us. We have a great team, a culture that values and involves people and a reputation for our relationships with our community and our willingness to take the initiative. The multidisciplinary team in Wellington Regional Hospital’s Women’s Health Service is dedicated to ensuring excellence in Obstetric and Gynaecological care. The service provides an integrated mix of inpatient/outpatient/day patient and domiciliary services. Services are delivered in Wellington and Kenepuru Hospitals, Kāpiti Health Centre, outreach clinics and domiciliary Midwifery services.

Queries about the position contact Dr Jay Marlow at jay.marlow@ccdhb.org.nz
Queries about the process, or for a copy of the run description for this role contact RMO_recruitment@ccdhb.org.nz quoting the vacancy reference number and job title in the subject..

O&G Registrar/Advanced Trainee Post 

Rotorua Hospital, Lakes DHB

Commencing December 2020
In line with the National Recruitment Programme, we have an Advanced training O&G Registrar position available from  2 August 2021. We are very keen to hear from Obstetric & Gynaecology Registrars who are looking for a new challenge in an idyllic setting.

You will enjoy a high level of support and training from the O&G Consultants and other senior medical staff, and will also have the opportunity to teach SHOs and students. As the advanced trainee you will undertake directly and indirectly supervised clinics, and attend at least two theatre sessions per week to consolidate experience in major and advanced Gynaecological procedures (including abdominal, vaginal and minimal access surgery), as well as undertaking general ward work.

The after hours on-call component of this role will be aligned to the O&G consultant’s on-call roster with the appropriate consultant support, and on call is one in five nights and week ends.

Your roster is such that you will have plenty of time off to enjoy all that Rotorua has to offer.  Beautiful lakes, world class mountain biking trails, mineral pools and loads of outdoor adventure activities are what make Rotorua a fantastic lifestyle choice. Only 1 hour from the most beautiful beaches in NZ and 2.5 hours from the ski slopes.
All applications should include:-
  • Up-to-date CV and completed Lakes DHB online application
  • 3 x referee reports (one of whom must be your most recent supervisor). Reports must be received by the above-stated closing date.  
  • References should be attached to your application.
 Unfortunately, incomplete applications cannot be considered
Please see attached Application Referee's report form - NZ based applicants
This is classified as a children's worker role, and is therefore subject to the safety check requirements of the Vulnerable Children Act 2014
Any queries, please contact: Carleen Dahya, Medical Staff Recruiter +64 7 3438711: carleen.dahya@lakesdhb.govt.nz or Dr Simon Ewen, Head of Department, O&G +64 7 348 1199: simon.ewen@lakesdhb.govt.nz.

Staff Contacts

phone +64 04 472 4608

Catherine Cooper
ccooper@ranzcog.org.nz or 021 137 0748

Jude Kaveney
Training Coordinator

Makiko Wimbush
Events & SIMG Coordinator

Lynn Gestro
Communications Coordinator

Katie McFetridge

RANZCOG NZ webpage

RANZCOG Covid-19 Information Hub

For advice on local matters, please contact the RANZCOG New Zealand office in the first instance. If you wish to contact the Australian office an 0800 number is available: 0800 170 133
Our mailing address

Royal Australian and New Zealand College of Obstetricians and Gynaecologists
PO Box 10611
The Terrace
Wellington 6143
New Zealand

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