Dr Sean Holland, Specialist Obstetrician & Gynaecologist in Benowa, Queensland, Australia | Medical and health

Dr Sean Holland, Specialist Obstetrician & Gynaecologist

Locality: Benowa, Queensland, Australia

Phone: +61 7 5539 2797

Address: Suite 5, Pindara Place, 13 Carrara Street 4218 Benowa, QLD, Australia

Website: http://www.hollandgynaecology.com.au

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21.01.2022 A quick note for pregnant women regarding a recent measles alert that has been issued for the Gold and Sunshine Coast (see link below). If you have had the MMR vaccine (measles, mumps, rubella), in particular the 2 jab course (those who were 16 or younger in 1993), then you are most likely protected (a positive rubella result for your antenatal booking bloods would indicate almost certain measles immunity as well). For those who are not vaccinated, or uncertain as to their st...atus, you should monitor yourself for the described symptoms IF you have been in close proximity to the listed locations on the dates specified. Should you have any concerns then your local GP or obstetrician can provide you with appropriate advice. http://www.mygc.com.au/urgent-measles-alert-warning-after-/

17.01.2022 Further Covid 19 Update re Pregnancy: Recently it was brought to my attention that some of my colleagues are suggesting that there exists evidence of vertical transmission of Covid-19 (ie. to the foetus prior to birth). This is unfortunate in that it is not consistent with the current evidence or advice being provided by the relevant authorities. Admittedly, the evidence regarding Covid-19 and pregnancy remains limited. Of the available case reports, two potential concern...s do need to be acknowledged: 1) reported cases of preterm birth - the link with maternal Covid-19 infection remains unclear. Phsyiologically speaking, should the mothers have become very unwell this may well then precipitate the onset of labour and even evidence of foetal distress prior to delivery. Importantly, it remains unclear from the available reports whether the relevant patients were quite unwell with Covid-19 or otherwise had pre-existing risk factors for pre-term delivery; 2) potential transmission to the foetus at or shortly after delivery - two cases of newborn acquisition of Covid-19 have been reported. It remains unclear whether transmission occurred during or shortly after delivery. In neither case are the authorities suggesting pre-labour transmission and a number of other case reports have demonstrated no evidence of Covid-19 in the newborn or in analysis of amniotic fluid. Covid-19 obviously remains a stressful healthcare event for the Australian populace and, understandably, pregnant women are going to have a heightened level of concern. I have copied links to relevant information as provided by the US CDC, the US ACOG and the UK's RCOG - which all essentially say the same thing. Based upon the current expert advice, I would suggest the following for pregnant women: - avoid contact with unwell individuals (ie. respiratory illnesses); - be diligent with hand-hygiene; - limit large social gatherings; - as regards work - it is sensible to avoid "high risk" exposure. This applies predominantly to health-care workers and I have been advising any pregnant health-care workers that they should request not to be allocated to the care of potential Covid-19 patients. This is the same advice that I provide as regards influenza and as such not unique to Covid-19. Clearly this is an evolving issue. I will continue to post updates as new evidence and advice becomes available - including any advice contrary to the above. Relevant links (copy and paste to your browser): https://www.cdc.gov/coronavir//hcp/pregnant-women-faq.html https://www.rcog.org.uk//covid-19-virus-infection-and-pre/ https://www.acog.org//artic/2020/03/novel-coronavirus-2019

14.01.2022 Covid 19 Update: Just a quick note to reiterate some common advice and suggestions in the current pandemic - 1) Self cares Hand washing is key - soap and water. Particularly for pregnant women:... - all visitors should practice "social distancing" - no hugs, handshakes, kissing, etc, including of baby - all visitors who are at all unwell should stay away - avoid contact with any visitors from overseas or who have recently been overseas - I would advise visitor hand-sanitation on entering home. 2) Pregnant women with symptoms of Covid 19 (fever + respiratory illness) - present immediately to local fever clinic - Covid 19 is likely to be similar to previous flu pandemics with significant risk to pregnant women but minimal risk of transmission to the unborn foetus (though this remains an ongoing unknown given the lack of published data) 3) Visiting the rooms Gynaecology patients - if you are at all unwell please stay away until you are well and have been appropriately assessed, and cleared, for Covid 19 Pregnant patients - if you are unwell, in addition to attending your local fever clinic, please contact the rooms for advice. Reviews that can be delayed will be while arrangements are in place to safely facilitate necessary reviews without compromising your safety or that of our other patients. At all times, please do not hesitate to contact me or the rooms should you have any questions or concerns during the current pandemic.

14.01.2022 Further COVID-19 update - advice pertaining to pregnant healthcare workers and other "high risk" professions + update on vertical transmission risk. Apologies for the length of this post, however, the information is rather detailed and it is important to communicate it correctly. PREGNANT HEALTHCARE WORKERS...Continue reading

06.01.2022 IMPACT OF THE GOVERNMENT'S CANCELLATION OF ELECTIVE SURGERY: As many of you would be aware, the Government has announced a national cancellation of all elective surgery, other than urgent procedures. Obviously this will impact significantly upon the care that both the public and private sectors can offer. In terms of women's health, it is important to emphasise the following: 1) Certain surgeries will still go ahead - in particular procedures to treat potential and known pre...-malignant and malignant pathologies. Acute surgical emergencies, for example ovarian accidents, ectopics and miscarriage management will also obviously continue. Surgeries for chronic presentations - in particular investigations of pelvic pain, management of menstrual disturbances and treatment of pelvic organ prolapse - are going to be restricted and I anticipate will only be available where it can be demonstrated that delay poses a real and significant risk to health. For those who are requiring such procedures please know that we will ensure you are kept up to date on developments including as and when surgical availability returns to normal. 2) Obstetric care - there will be no impact upon the availability of obstetric care though my understanding is that the public sector are implementing strategies to cope with the potential impact of Covid-19 in terms of acute obstetric management - this is primarily focused upon strategies to ensure adequate PPE utilisation and quarantining of potential Covid-19 patients from the rest of the well maternity population. For those of you who are awaiting surgery and have had their procedures cancelled, we do apologise. As soon as normal service is resumed we will let you know. Stay safe.

05.01.2022 A little insight into yours truly :)

05.01.2022 Very timely statement from RANZCOG that addresses the primary concerns affecting pregnancy during the Covid-19 pandemic. Take home points: - still no evidence of harm to the unborn foetus; - no need to deliver purely because of Covid-19; - while pregnant women should exercise appropriate social distancing precautions, evidence of high risk remains lacking.

03.01.2022 This week is World Breastfeeding Week