Talking O&G - a RANZCOG Podcast

In this episode of Talking O&G: a RANZCOG Podcast, host Dr Sarah Corbett speaks with O&G registrar Dr Moerangi Tamati and midwife Chloe Taylor about Māori birthing practices and how clinicians can provide culturally sensitive, wāhine-led care. 

They explore the role that pregnancy and birth play in the Māori cultural worldview, and how colonisation has impacted maternity care for Māori women. Dr Tamati and Ms Taylor outline some of the traditional tikanga (Māori birthing customs) and how these may be incorporated into maternity care today. They provide actionable advice and resources to support clinicians to create a safe, culturally responsive space when delivering maternity care for Māori women. 

🔗 Resources mentioned in this episode: 

Hapū Wānanga ki Taranaki 

RANZCOG Acquire: Application of Hui Process/Meihana Model to Clinical Practice 

Te Awa Atua: Menstruation in the Pre-colonial Māori World  

📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733  
This episode is eligible for CPD hours under the "Addressing health inequities" CAPE requirement. 

💬 If you found this episode valuable, please rate, review, subscribe, and share it with your colleagues. 

RANZCOG acknowledges the need for more inclusive terminology for gender diversity. In this podcast we aim to use inclusive language, and any use of the term “women” should be interpreted to include all people requiring gynaecological and obstetric care.   

The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).

In this episode of Talking O&G: a RANZCOG Podcast, host Conj A/Prof Tania Day speaks with A/Prof Natasha Frawley about hysterectomy for non-neoplastic indications. They draw on the results of A/Prof Frawley’s retrospective audit cohort study evaluating adherence to the Clinical Care Standard for Heavy Menstrual Bleeding in regard to benign hysterectomy at her hospital. 

Conj A/Prof Day and A/Prof Frawley explore aspects of the Clinical Care Standard, such as evaluating contributors to abnormal uterine bleeding, assessment for anaemia, access to quality pelvic ultrasound, and treatment options. They discuss when hysterectomy may be appropriate for non-malignant indications and advice for clinicians and health services that are implementing these standards locally. 

🔗 Resources mentioned in this episode: 

Retrospective Cohort Study of Low-Value Hysterectomy Before and After Publication of the National Heavy Bleeding Clinical Care Standard in Regional Victoria 

Heavy Menstrual Bleeding Clinical Care Standard 

NSW Government Agency for Clinical Innovation: Hysterectomy for heavy menstrual bleeding 

Atlas Focus Report: Heavy Menstrual Bleeding 

Menorrhagia Impact Questionnaire: assessing the influence of heavy menstrual bleeding on quality of life 

📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733  

💬 If you found this episode valuable, please rate, review, subscribe, and share it with your colleagues. 

RANZCOG acknowledges the need for more inclusive terminology for gender diversity. In this podcast we aim to use inclusive language, and any use of the term “women” should be interpreted to include all people requiring gynaecological and obstetric care.   

The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).

In this episode of Talking O&G: a RANZCOG Podcast, host A/Prof Roshan Zeirideen Zaid speaks to Dr Naomi Holbeach about the ethics of use of novel technology and surgical innovation in obstetric and gynaecological practice.  

Dr Holbeach is an obstetrician and gynaecologist who holds a law degree and a PhD in bioethics. A/Prof Zeirideen Zaid and Dr Holbeach examine the legal, professional, and moral obligations held by medical practitioners, and how to align these with clinical decision making in the use of innovative technology, techniques, or devices.  

Dr Holbeach shares advice for clinicians wishing to engage in novel technology and surgical innovation to continue to improve care and provide more options for their patients. She highlights the importance of instilling informed consent and collaboration into all stages of the innovation process. 

🔗 Resources mentioned in this episode: 

Good medical practice: a code of conduct for doctors in Australia 

Health Practitioner Regulation National Law 

Confidence-Based Surgical Innovation: A framework for responsible surgical innovation 

📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733  
This episode is eligible for CPD hours under the Educational Activities Domain as well as under the "Ethical practice" CAPE requirement. 

💬 If you found this episode valuable, please rate, review, subscribe, and share it with your colleagues. 

RANZCOG acknowledges the need for more inclusive terminology for gender diversity. In this podcast we aim to use inclusive language, and any use of the term “women” should be interpreted to include all people requiring gynaecological and obstetric care.   

The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).

In this episode of Talking O&G: a RANZCOG Podcast, host Dr Cecile Bergzoll speaks with Dr Silipa Naiqiso and Dr Sathana Ponnampalam about the rising rates of endometrial cancer in Aotearoa New Zealand.  

Cases of endometrial cancer are rising globally, and Aotearoa New Zealand has some of the fastest-rising rates in the world. However, there are significant barriers to care due to a lack of funding for areas such as diagnosis, molecular-directed care, and immunotherapy. Dr Naiqiso and Dr Ponnampalam examine these barriers, the strategies being developed to address the crisis, and advice for clinicians.  

They explore the changing demographic of women impacted by endometrial cancer and the equity gaps that exist for Māori and Pacific women. Dr Naiqiso and Dr Ponnampalam stress the need for a public awareness campaign in addition to advocating for funding to improve access to diagnosis and care in Aotearoa.  

🔗 Resources mentioned in this episode: 

NZMJ: National and regional projections of gynaecological cancers in Aotearoa New Zealand: a projection model to 2045 highlighting an opportunity for collective action 

ANZJOG: Increasing incidence of endometrial cancer in Aotearoa New Zealand: Health professionals’ perspective 

ANZJOG: ‘It's not a solution to keep telling me to lose weight!’ Exploring endometrial cancer survivors’ experiences of nutrition and well-being advice: A qualitative study 

ANJZOG: Increasing incidence of endometrial carcinoma in a high-risk New Zealand community 

Assessment and Management of Abnormal Uterine Bleeding (AUB) in Non-Pregnant Women of Reproductive Age 

📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733  

💬 If you found this episode valuable, please rate, review, subscribe, and share it with your colleagues. 

RANZCOG acknowledges the need for more inclusive terminology for gender diversity. In this podcast we aim to use inclusive language, and any use of the term “women” should be interpreted to include all people requiring gynaecological and obstetric care.   

The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).

In this episode of Talking O&G: a RANZCOG Podcast, host Dr Vijaya Karanam speaks to obstetrician Dr Penny Sheehan, consumer Yvonne Maringa, and midwife Deborah Pidd about the vital role informed consent plays in everyday clinical practice. 

They outline the fundamentals of the recently released signposting guideline Consent and provision of information to patients regarding proposed treatments (C-Gen 2). Dr Sheehan and Ms Pidd discuss the responsibilities of clinicians to ensure patients are informed, respected, and feel empowered to ask questions and engage in shared decision-making. They emphasise that consent is relational, not transactional, and establishing a relationship of trust is essential. 

Ms Maringa shares what good informed consent looks like and means to the patient, and how clinicians can help them to feel informed and safe even in high-pressure, time-sensitive situations.  

They all highlight the importance of patient-centred, culturally responsive, and individualised care as core aspects of embedding informed consent into practice.  

🔗 Resources mentioned in this episode: 

Consent and provision of information to patients regarding proposed treatment (C-Gen 2) Signposting Statement to National Guidance 

Safer Care Victoria: Respectful Maternity and Newborn Care Framework 

The Mothers on Respect (MOR) index: measuring quality, safety, and human rights in childbirth 

The Mother’s Autonomy in Decision Making (MADM) scale: Patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care 

📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733  

💬 If you found this episode valuable, please rate, review, subscribe, and share it with your colleagues. 

RANZCOG acknowledges the need for more inclusive terminology for gender diversity. In this podcast we aim to use inclusive language, and any use of the term “women” should be interpreted to include all people requiring gynaecological and obstetric care.   

The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).