Location – Ground Floor, Christchurch Women’s Hospital
Midwifery Enquiry line (how to find an LMC)
Phone: 03 364 4419

Maternity Clinics

Phone: 03 364 4454
Fax: 03 364 4301

Diabetes Midwife

Phone: 03 364 4420 (answer machine available after hours)

Radiology Department

Phone: 03 364 0618

What we Offer

The Maternity Outpatients Department at Christchurch Women’s Hospital includes the Day Assessment Unit and Fetal Maternal Medicine.

Maternity clinics are held every weekday and include the General Obstetric Clinic, High Risk Obstetric Clinic, Core Midwifery Clinic, Methadone in Pregnancy Clinic and Anaesthetic Pre-admission Clinic.

Features and highlights

• baby feeding and change room
• Café Mon – Fri (7.30am – 3.00pm)
• Sat-Sun and Public Holidays (Closed)
• Public phones
• Free public Wi-Fi

Maternity clinics are held four times a week. Pregnant women are referred to these clinics by their LMCs and GPs. LMCs are welcome to be part of this consultation. The maternity clinics provide each LMC with a letter after each consultation.

Twice a week, obstetric physicians are available at the maternity clinics to see women with medical conditions prior to pregnancy and medical conditions developed during pregnancy.

Diabetes Education Clinics

This is a multi-disciplinary clinic held each Monday with an obstetrician, physician, midwife and dietician

Methadone in Pregnancy

These are held each Tuesday with a dedicated midwife and team from Community and Alcohol Services (CADS).

Core Midwifery Clinic

These are held each Wednesday for women who require interpreter services or whose social issues require extra input. Christchurch Women’s Hospital do not supply LMCs.

Birth after Caesarean Section Clinic

These are held each Thursday morning. You will be referred here by your LMC or GP early in your pregnancy to discuss mode of birth for this pregnancy. You will be seen by an obstetrician.

Anaesthetic Clinic

Prior to your caesarean section, you will be seen in this clinic by a midwife and anaesthetist to complete your pre-admission. These clinics are held on a Monday and Wednesday afternoon.

Provides care to pregnant women from 24 weeks gestation that have been identified by an obstetrician as requiring extra monitoring during pregnancy. This unit, containing three lazy boy chairs, allows you to remain at home with your family and attend the hospital for appointments to receive the extra monitoring required. This is a Monday – Friday service (08.00am – 4.30pm).

Your first point of contact for general enquiries and advice about your pregnancy is your LMC.

Following a consultation with an obstetric doctor/specialist obstetrician in the maternity clinics, or assessment on Birthing Suite/admission to the Maternity Ward, you may be referred to the DAU for increased monitoring of your pregnancy. Please remember to bring your pregnancy notes with you on every visit.

If you do need to visit the Day Assessment Unit, you will be assessed, examined, treated and advised by midwives where applicable or referred to an obstetrician if necessary. Visiting DAU can prevent an overnight or longer stay in hospital thus allowing you to remain at home longer during your pregnancy.

Location: The Day Assessment Unit is located on the ground floor of Christchurch Women’s Hospital.

It is easily accessible through the Radiology Department entrance that is to the right of Christchurch Women’s Hospital entrance. As your visit should always be pre-arranged, the reception staff will be expecting you.

Phone: 03 364 4272
Fax: 03 364 4471

Maternal Fetal Medicine is a branch of women’s health which includes high-risk pregnancy where the mother or baby or both has a problem. The expectation is that your pregnancy will be a happy time without any problems and you will not need fetal medicine services. However, if you do, these services are provided throughout New Zealand.

Visit New Zealand Maternal Fetal Medicine Network

The clinics are Monday to Friday, but not everyday. This is an acute service and therefore waiting times may vary.

Phone: 03 364 4557
Fax: 03 364 4411

Christchurch Women’s Hospital Outpatients holds specialist clinics every day. Your LMC midwife or GP will refer you if you have:

• a pre-existing medical condition
• a problem in a previous pregnancy
• a multiple pregnancy
• any type of pregnancy related problem

Before you attend an outpatient’s appointment, you will receive an appointment letter which will tell you the date and time of your appointment as well as the clinic team that will care for you.
If an ultrasound has been organised in the hospital for you, and you cannot attend, the staff or your LMC can organise an ultrasound in the community, with the surcharge paid by yourself.

If you are offered an ultrasound appointment at the hospital or you need to change. Please call the Radiology Department on 03 364 0618.

If you need to contact the hospital for any reason, please quote your hospital number which you will find on your letter. If you wish to change your appointment, please contact the Maternity Outpatients Department as soon as possible so that the appointment can be offered to another pregnant woman.

Sometimes you may need to attend a clinic appointment with your children. It is important to advise you that there are no childcare facilities available. If you are unable to attend without bringing your children with you, please remember that they are your responsibility.

A breastfeeding room and baby changing facilities are available in the reception area of Outpatients.

There is a small cafe available in the foyer of Christchurch Women’s Hospital. There is also a shop at Christchurch Hospital where you can buy newspapers, magazines etc.

There are public phones available in several areas of the hospital. Mobile phones are allowed in public areas, but not in the clinical areas.

Overview

Birthing Suite on the third floor of Christchurch Women’s Hospital and accessed via the front entrance on the ground floor. Please contact your lead maternity carer (LMC) in the first instance as your LMC will notify Birthing Suite when you are expected to arrive, so the Ward Clerk can welcome you at the reception desk and Birthing Suite can be prepared for your arrival.

The clinical team of doctors and midwives liaise closely with you and your LMC to ensure you are able to make informed choices about your care. Please ask to speak to the Acting Charge Midwife Manager at anytime if you wish to discuss your care during your time in the Birthing Suite, or the Charge Midwife Manager during business hours.

Features and highlights

• 13 self-contained rooms with en-suite bathroom
• Two of the rooms have a pool for water birth
• Five assessment rooms and two multi-purpose rooms
• Two operating theatres
• Garden room for women experiencing fetal loss in the latter half of pregnancy
• Acute Observation Unit (AOU) – two beds for women who are acutely unwell.
• Café Mon – Fri (7.30am – 3.00pm), Sat-Sun and Public Holidays (Closed)
• Public phones
• Free public Wi-Fi

Catering

Your partner and visitors are able to purchase meals from the Great Escape café on the ground floor of the public hospital, up till 7.30pm. Snacks can be purchased from the vending machines at any time or from the café, on the ground floor.

In Birthing Suite there are two small parent lounges that have tea and coffee making facilities, and a television. There are no cooking facilities. Meals are provided for women who are staying. It is recommended your support people bring their own food and drink.

Transfer from Birthing Suite

Well women and their babies are transferred to one of the CDHB primary birthing units for a postnatal stay, or to St George’s Maternity Centre when these facilities are full, commonly within 2-4 hours following a vaginal birth.

If you wish to discuss your care at any time during your stay, ask to speak to the Acting Clinical Midwife Manager or the Charge Midwife Manager.

The Neonatal Service provides 24-hour care for newborn babies with a variety of special needs at Christchurch Women’s Hospital. This includes prematurity, surgery, congenital abnormalities and babies who may have been compromised at birth.

Care is provided by a skilled and experienced multi-disciplinary team utilising current evidence based practice.

There are 11 intensive cots and 30 special care cots.

Overview

The Maternity Ward is a 45 bed antenatal / postnatal unit located on the fifth floor.

The length of stay postnatally on the Maternity Ward is assessed on an individual clinical basis of both mother and baby. Only women with complex needs (including caesarean section) or with babies with complex needs are admitted to the maternity ward.

Midwives are available throughout your stay on Maternity Ward, to offer support and advice for breastfeeding, and lactation consultants are available for specialised assistance.

If you wish to discuss your care at anytime during your stay, ask to speak to the Acting Charge Midwife Manager or the Charge Midwife Manager.

Features and highlights

Include icons for features

• 45 bed antenatal / postnatal unit
• Nine beds are multipurpose double rooms with a shared en-suite
• 27 rooms are single rooms with an en-suite used mostly after birth
• 2 isolation rooms

Transfer from the Maternity Ward

As soon as you are well you will need to transfer to a CDHB primary birthing unit for your postnatal stay, or to St George’s Maternity Centre if CDHB facilities are full. If you have had a caesarean section this will commonly occur between 24 – 48 hours.

If your baby is in the Neonatal Unit you will be admitted to Maternity Ward for 48 hours and maybe discharged home while your baby remains in hospital.

Catering

Your partner and visitors are able to purchase meals from the Great Escape café on the ground floor of the public hospital, up till 7.30pm. Snacks can be purchased from the vending machines at any time or from the café, on the ground floor.

Specialist Mental Health Services

Maternal mental health in the primary setting is managed by general practitioners. The CDHB specialist mental health service provides a secondary regional service for maternal mental health, which includes the Mother and Baby Unit located at The Princess Margaret Hospital. It is the only inpatient service for the South Island. Referral to this services is usually by a GP.

If you suffer an acute (emergency) mental health issue, you can be referred by an individual, family member, GP, Obstetrician, lead maternity care midwife or community service to the single point of entry (SPOE) service at Christchurch Hospital.

General Advice

Being pregnant and becoming a mother can be an anxious time for some women. If you have any concerns around your mental health during pregnancy, talk to your LMC or GP for support and advice.

The following links may also be helpful:
Perinatal Mental Health Resources New Zealand
Mothers Matter

Physiotherapy staff see women as outpatients and inpatients for individualised advice about looking after your body after childbirth. Referrals can be made by your LMC or GP to discuss any of the following:

• Pelvic floor muscle exercises
• Sitting and standing posture
• Lifting
• Separation of abdominal muscle
• After caesarean section
• Rest and exercise

Find more information at Women’s Health pages at Healthinfo

DHB nutrition service is staffed by NZ registered dieticians and is available for women, Monday to Fridays, who are using maternity services. Staff see women as outpatients and inpatients for individualised nutrition assessment and advice. Referrals can be made by your LMC or doctor to discuss any of the following:

• Early pregnancy nausea and vomiting management
• Healthy eating for pregnancy
• Food safety in pregnancy
• Nutrition for multiple pregnancy
• Guide to healthy weight gain in pregnancy
• Diabetes in pregnancy including gestational diabetes
• Healthy eating for breastfeeding
• Advice on nutritional supplements in pregnancy and breastfeeding

Find more information at Nutrition Services

A chaplain is available at Christchurch Women’s Hospital to respond to women, and their families/whanau. If you are giving birth at another facility you can request to be put in contact with a chaplain through the Charge Midwife Manager.

Interpreters

An Interpreter Service is available for people who are deaf or for whom English is not their first language. Please talk to your LMC or hospital midwife who can contact the interpreter / translator service.

Canterbury DHB’s interpreter service is available 24 hours a day and should be used whenever a lack of ability in the English language could restrict understanding of a patient’s needs, rights and obligations. The translation/interpreter service is provided FREE at no charge to patients and there are a large number of languages available, including NZ sign language.

If you wish to notify the interpreting service of your impending admission to hospital please email the service at interpreterbookings@cdhb.health.nz or phone 03 364 0669.

Ngā Ratonga Hauora Māori (The Māori Health Service) is available to help women and whānau through their hospital journey with culturally appropriate advice and support. Specially trained staff provide āwhina/help and tautoko/support with cultural issues, education on tikanga (values and beliefs) and referral to the appropriate resources available in the community for both Māori and mainstream organisations.

The Māori Health Worker, Kaiawhina Whaea me ngā Pēpi is part of the multi-disciplinary team at Christchurch Women’s Hospital and is available to all women admitted to hospital, to provide support and education on cultural issues, information sharing and referral.

Find more information at Māori and Pasifika Health

The Christchurch Women’s Hospital social work and counselling services provide support, information, referral to community agencies, assistance with decision making, advocacy and short and long term counselling services for a range of issues. Your LMC midwife can arrange a referral if needed.

As soon as your pregnancy is confirmed it is recommended that you find and register with a Lead Maternity Carer (LMC), if possible, by 9 weeks gestation. Maternity care in New Zealand is funded by the government for New Zealand citizens and permanent residents and those who meet Ministry of Health eligibility criteria. Your LMC will organise your first visit (before 12 weeks gestation) to review your general wellbeing, provide dietary advice and explain options for antenatal screening and tests.

• An LMC can be a:
• Midwife
• General Practitioner (GP) who provides maternity care
• Specialist Obstetrician

Visit the Find Your Midwife website for Midwives in your area

Find out more about the care a midwife LMC provides for your pregnancy, birth and after your baby is born

Further pregnancy information

A healthy lifestyle is important for you and your baby, the following links provide information on eating well and lifestyle changes you can make to improve you and your baby’s health

Healthy eating for pregnancy
Food safety and pregnancy
Alcohol, smoking and drugs in pregnancy
Looking after your body in pregnancy
Supplements during pregnancy breastfeeding
Vitamin D in pregnancy
Exercise during pregnancy

Mothers Matter is a comprehensive website offering advice and support with anxiety and depression that some women (and fathers) can have in pregnancy

During pregnancy your LMC will discuss screening and tests that you may consider at different stages of your pregnancy, further information can be found on the Healthinfo site antenatal tests and screening

Your LMC will complete a maternal history form with you. This form needs to be forwarded to the unit where you plan to give birth. If you have no complications detected, the option of birthing at a primary birthing unit should be offered and encouraged.

This website gives detail on the community units for birthing postnatal care and Christchurch Women’s Hospital located in Canterbury.

Further information is also available on the Healthinfo website and includes information on home birth where to give birth

Immunisation during pregnancy is the best way to protect both you and your baby from pertussis (whooping cough) and flu both are recommended antentally and vaccination is free

For information and helpful advice and further website links visit being a great Dad

Canterbury DHB provides a variety of free Pregnancy and Parenting Education Classes for new parents at a range of locations and days of the week. There are also specific Young Parent classes for those under 23 years of age (within Christchurch).

We recommend booking before 20 weeks so you are able attend the class of your choice. Your birthing partner/support person is welcome to attend with you.

Class locations and booking details

Plunket Email: PPE@Plunket.org.nz
Phone: 0800 291 658
Phone or Text: 027 275 8477
Plunket webpage: www.plunketppe.org.nz

Parent education classes are also available (there is a cost) through
Parents Centre
The birthing Room
Home Birth Canterbury 

Breastfeeding, lactation and infant feeding are supported by all the midwives working in Birthing Suite, and Maternity Ward and the nurses in the Neonatal Unit and all Canterbury maternity units are baby friendly accredited. We encourage all women and their supporters to come along to our antenatal breastfeeding classes

‘Preparing to breastfeed’ classes

Breastfeeding topics include:

• The importance of exclusive breastfeeding
• What to expect while establishing breastfeeding
• Aligning and latching your baby
• Hand expressing and storage of breast milk
• Breastfeeding beyond your hospital stay
• Note: Significant others are welcome to attend classes (e.g. partner or grandparent)

Download and print: Antenatal breastfeeding classes 2019 – 1 page poster
Bookings: Booking your class is required, call us on 03 364 4521 and then select option 1
Location: Classes are held at Burwood Hospital Outpatient’s Facility, accessed via Burwood Hospital Main Entrance then by lift or stairs to Level 1
Time: Classes are held from 10.30am to 12.30pm

Dates for ‘Preparing to breastfeed’ classes in 2019

Information about breastfeeding

Further Breastfeeding support and information is available on the canbreastfeed website

Baby Friendly Hospital Initiative – what does this mean?

The New Zealand Breastfeeding Alliance (NZBA) supports mothers and whanau to feed their babies. You can read the  Being Baby Friendly / Manaakihia nga kohungahunga hou 1 page poster to find out more about being being baby friendly, or you can find out more at www.babyfriendly.org.nz

Skin-to-Skin contact / Kiri ki te kiri

The New Zealand Breastfeeding Alliance (NZBA) has written a short leaflet called Kiri ki te kiri Skin to Skin Contact about the benefits of skin to skin contact for babies, and how and when to have skin to skin contact with your baby.

Paid Parental Leave (PPL) is government funded payment for eligible mothers and other primary carers to provide care for your new child.

How to take parental leave

You may be entitled to tax credits from the Government to help; see Working for families, Having a baby? and Working for families Tax Credit

Reviewing your budget is also a good way to ensure you are ready for your new arrival Baby on the way.

Immunisation during pregnancy is the best way to protect both you and your baby from pertussis (whooping cough) and flu both are recommended antentally and vaccination is free

Monitoring your baby’s movements doesn’t link to the pregnancy and baby’s movements page

Sleep in pregnancy can be difficult with your growing baby, there is new evidence that the position you sleep from 28 weeks can half your risk of stillbirth sleep on the side

Water exercises in Pregnancy classes are held every Wednesday and Friday from 11:00am to 12:00pm at Burwood Hospital Hydrotherapy Pool in Christchurch. Pregnant women can attend after 27 weeks gestation. No booking is needed. Find out more about water exercise classes, including a location map, fees and advice.

Further advice about exercising while pregnant

Health weight gain in pregnancy
Exercise during pregnancy
Stopping smoking

This website gives detail on the community units for birthing postnatal care and Christchurch Women’s Hospital located in Canterbury. Further information is also available on the Healthinfo site and includes information on home birth where to give birth

Labour and birth are a normal physiological process. You may have discussed options for pain relief already with your midwife or at antenatal classes. More information can be found here pain relief options for labour and birth

Day Wear

1. Comfortable clothes suitable for breastfeeding, which open at the front or separate at the waist
2. Bras – maternity bra or soft bra (as breast size can vary significantly)
3. Breast-pads
4. Underpants suitable for wearing a sanitary pad

Night Wear

1. Nighties or pyjamas, dressing gown (remember convenience for breastfeeding),
2. Slippers with good grip soles
3. Personal toiletries (toothbrush, toothpaste,shampoo and maternity pads)

Also Bring

1. Birth plan
2. Breastfeeding Plan
3. Relaxation CDs / iPOD
4. Maternity notes
5. Nutritious snacks
6. Camera
7. Pen (for completing baby’s feed chart)
8. Breastfeeding booklet

Please leave valuables at home

Optional

1. Decaffeinated coffee or herbal tea
2. Biscuits, fruit, snacks
3. Lip balm
4. Headband/hair ties
5. Pillow / pillow case
6. Jandals for shower

For Baby in Hospital

1. Hat and booties (woollen)
2. Baby wrap – shawl or blanket
3. Baby clothes including singlets, gowns or ‘all in ones’
4. Something to wipe baby’s bottom e.g. soft cloths

To Take Baby Home

1. Nappies, singlet (woollen and cotton)
2. Gown or stretch ‘n’ grow
3. Woollen cardigan
4. Baby wrap – shawl or blanket
5. Hat and booties (woollen)
6. Car seat for baby

Your support person/family/friends `
(e.g. partner sleeping overnight)

Partners / a support person will usually stay overnight with you when you are in labour. It is important that another designated adult is available to supervise children if they come to the hospital.

Information on cafes and food services and overnight stays for your support person is available on each maternity unit information sites.

Hiring a car seat

Plunket no longer offers a car seat hire service, but there are a number of community groups, health providers and retailers who do. To find a local provider, just search online or ask at your local Plunket centre.

Buying a car seat

If you are planning to buy a car seat, check out Plunket’s advice on car seat safety and what to look for here.
Other providers

Immunisation during pregnancy is the best way to protect both you and your baby from pertussis (whooping cough) and flu both are recommended antentally and vaccination is free

While you still pregnant it’s an ideal time to prepare your home for baby’s arrival.

Safe sleep for baby
Safely wrapping your baby
Have a smoke free home and car
Stopping smoking

You can read a comprehensive article on induction of labour on the Kiwi Families website.

After the birth of your baby and once you are home your midwife LMC will continue to provide care for you and your baby and for 4-6 weeks after your baby is born. Baby’s care will then be transferred to the well child provider of your choice and continued care for both of you will be with your GP.

Make sure you are really prepared for going home and keep you and your baby safe and well.

Safe sleep for baby
Safely wrapping your baby
Have a smoke free home and car
Stopping smoking

Breastfeeding, lactation and infant feeding are supported by all the midwives working in Birthing Suite, and Maternity Ward and the nurses in the Neonatal Unit and all Canterbury maternity units are baby friendly accredited baby friendly accredited

A Lactation Consultant is an allied health professional who specialises in breastfeeding, taking into consideration the unique needs and values of each breastfeeding family. The Lactation Consultants provide education and advice about lactation to mothers as well as staff to ensure you receive consistent and appropriate advice about the initiation, establishment and maintenance of breastfeeding.

A referral to a Lactation Consultant can be made by either your LMC midwife or a core midwife/nurse. Please ask if you are experiencing problems and would like to be referred to a Lactation Consultant. The lactation consultant service is available 7 days a week from 07:30hrs till 16:00hrs.

Information on breastfeeding

Further Breastfeeding support and information
La Leche League

Registering your baby’s birth is important and required by law. It is easy to complete online just follow the prompts and it is free unless you want to order a birth certificate.

For advice and assistance on any financial help that you may be entitled to go to Smart Start and Best Start

Find useful information about coping with a crying baby on the Ministry of Health website

Your Midwife, GP and Wellchild provider will discuss with you Immunisations for your baby which start at six weeks of age.

If your baby has a hearing loss, finding it early will help their language, learning and social development.

The Universal Newborn Hearing Screening Programme aims to identify newborn babies with hearing loss early so they can access appropriate assistance as soon as possible. Screening is usually done before you and your baby go home from the hospital.

Find more information at Newborn Hearing Screening

Baby Blues are common for new mums at around 3 to 5 days after giving birth, but it is important to know the signs of postpartum depression

If you are worried or concerned please talk with you Midwife LMC, Well Child provider or GP they are there to help.

Well Child Tamariki-Ora services are offered free to all New Zealand children from birth to five years. They provide you with the knowledge and skills to respond to your child’s needs at the different stages of their development so you can give your child the best start in life to:

• Provide reassurance that your child is developing normally, through growth and development assessments.
• Provide you with health education and screening to detecting problems early and supporting you to access the most appropriate care.
• Support and help you to identify your needs as a parent, and link you with community and other services.
• From four-to-six weeks to three years, there are a number of Well Child health checks available from your well child provider at important stages in your child’s life.