Dr Peter England in Fitzroy, Victoria | Obstetrician-gynaecologist

Dr Peter England

Locality: Fitzroy, Victoria

Phone: +61 3 9415 9088

Address: Level 1, 59 Victoria Parade 3065 Fitzroy, VIC, Australia

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

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• Medical and health
• Medical centre
• Pregnancy care centre
• Obstetrician-gynaecologist
• Womens health clinic

25.01.2022 In today's women's health information post, I am discussing gestational diabetes. If you are needing an appointment to discuss managing your GDM and Pregnancy, call the rooms on 03 9415 9088. What is Gestational Diabetes Mellitus (GDM)?... Gestational diabetes mellitus (GDM) is a complication of pregnancy that affects approximately 5-8% of pregnancies. When this condition occurs, the average levels of glucose in the blood are higher on average than they should be. The developing baby receives this higher level of sugar as it crosses the placenta. This may have some adverse impact on the health of the mother and unborn baby if the condition is not diagnosed, monitored and managed. What causes Gestational Diabetes? Some of the risk factors are excessively rapid weight gain in pregnancy, pre-existing obesity, too much simple carbohydrate and processed food in the diet, a family history of diabetes, having a twin pregnancy, advanced maternal age (often defined as over 35). Past history of a big baby (over 4kg) in a previous pregnancy or GDM previously may indicate a greater risk. Some ethnic backgrounds are at greater risk including indigenous Australians, Polynesian and Maori, South East Asian and Middle Eastern. The frequency of GDM is, unfortunately, rising rapidly in Western countries. How is Gestational Diabetes diagnosed? A test called a Glucose Tolerance Test (GTT) is routinely performed in all pregnancies at approximately 26 weeks. If any of the above risk factors are present the GTT should be performed earlier in your pregnancy. The test involves a fasting blood sugar test, then drinking a glucose solution, followed by two blood tests at one and two hours after the drink. https://www.drpeterengland.com.au//gestational-diabetes-e/

25.01.2022 Pap Smears and Cervical Screening The pap smear program has existed in Australia for many decades. Regular screening and early treatment has seen the number of cases of cancer of the cervix, a particularly nasty disease, continue to reduce. Combined with vaccination programs for HPV (an Australian invention now popular worldwide) the number of cervical cancer cases continue to fall. What's new about "pap smears?... The new way to screen is called a cervical screening test (CST). The CST is conducted at your doctors or gynaecologist and is simple and quick. A soft brush is gently wiped across the cervix and the cells picked up are sent in a liquid container to the lab. The sample is tested for the presence or absence of HPV viral DNA strands. If the HPV test is positive, then a further test the same as the old fashioned pap smear is done and the will be cells examined under the microscope. There are approximately 200 subtypes of HPV and a small number of them (about 16 so far) are the ones that can injure the skin on the cervix, and over time lead to abnormal cell formation. When should I have a Cervical Screening Test? The CST should be performed every 5 years on women between the age of 25 and 74 years of age. What if my CST is negative (normal)? You won't be asked to repeat the test for 5 years. Previously, your routine pap smear was every two years, but the newer testing is more predictive for longer. What if my CST is positive for HPV but the cells look normal on further testing? You will need to repeat the CST in 12 months time. What if my CST is positive and the cells are abnormal? This will depend on which subtype of HPV is detected and whether cell changes are mild (low grade) or more advanced (high grade). Read more about Cervical Screening Tests on this week's blog post: https://www.drpeterengland.com.au//pap-smears-and-cervica/

24.01.2022 A very snug baby Billy, looking very happy and content. Congratulations to all the family on the arrival of Billy.

23.01.2022 We continue to be open and seeing patients for all appointments. Remember that your medical appointments are an essential reason for leaving home, even if your doctor is outside of your 5km radius. To reduce the numbers of people in the hospital and to meet COVIDSafe requirements, please attend your appointment on your own, without partners or children.

22.01.2022 Myths about Sex and Pregnancy In the majority of pregnancies, it is safe to continue a normal sex life as you wish, when you wish to. There are quite a lot of myths around pregnancy and sex, and hopefully, this article will clear those up. There are physiological changes during pregnancy and postnatally that will have some impact on your sex life, albeit temporarily.... ******** Are there pregnancy conditions where sex is not safe to continue? There are a couple of important conditions where abstinence becomes important. A. If you have been diagnosed as having a weak or shortened cervix, or need a stitch around the cervix (often called cervical incompetence) then you will be advised to avoid intercourse. B. If you have had a significant bleed from the placenta during your pregnancy and particularly if the placenta is lying over the cervix (placenta praevia) you will likewise be advised not to have intercourse. C. If you are unlucky and your membranes rupture prematurely then you won’t be able to have sex for the remainder of the pregnancy. Read the full post here: https://www.drpeterengland.com.au//12/09/sex-and-pregnancy/

22.01.2022 If you're in need of some extra parenting tips... Family Man has been developed by Movember alongside leading global child behaviour experts. It’s backed by evidence-based parenting strategies. It’s especially helpful for kids 2 to 8 but can be used outside this age range. https://familyman.movember.com/

19.01.2022 Contraception is available in different ways. Last week I discussed permanent contraception options. But, sometimes, emergency contraception is needed. You might have also heard it referred to as the morning after pill. What is it? How does it work? How can you get it? It's all discussed in this article. https://www.drpeterengland.com.au//emergency-contraception/

19.01.2022 You can leave your 5km radius to see your doctor or for any medical appointments you need. It's essential to keep looking after your health during our current lockdown.

19.01.2022 There's a new post on the website answering some of the FAQs of pregnancy. One of the most common questions is about hair dye. The answer is yes! You can dye your hair. Hair is dead keratinised material that is grown outward from the scalp. So, there is no absorption of hair dye into your circulation. Women have been colouring their hair while pregnant for many years. ... #AZofPregnancy #MelbournePregnancy #MelbourneObstetrician #DrPeterEngland #PeterEngland #Melbournedoctor #MelbourneBaby #AntenatalCare #StVincentsPrivateBaby #EpworthMaternity #MelbourneMums #PregnancyTips #HealthyPregnancy Melbourne Maternity, Maternity ward Melbourne, See more

17.01.2022 If you missed the monthly newsletter last week, you can also read it by clicking the link here: https://mailchi.mp//midwifery-phone-support-at-no-cost-to-

16.01.2022 Christmas might be over, but some fabulous gifts will arrive later this year. If you're due in September, now is a good time to book your first obstetric appointment. Call the rooms on 03 9415 9088. https://www.drpeterengland.com.au/

16.01.2022 This weekend, the topic for my live chat will be a conversation around stillbirth. This is a very complex and emotive topic. If you have any questions or comments you’d like covered in this chat, please send me a message with your question.

15.01.2022 I think that’s another cheeky smile! Congratulations to Katie and Troy on the arrival of Harrison.

15.01.2022 Planning out their Christmas wishes.

14.01.2022 Congratulations to Fiona and Stephen on the arrival of Lachlan. Lachlan Joseph is now one month old and doing great.

14.01.2022 Hot days can impact you more when you're pregnant. Here are six tips to help you cope with the warm weather this summer. https://www.drpeterengland.com.au///hot-weather-pregnancy/

13.01.2022 It can be a difficult and emotionally challenging topic to discuss, but stillbirth is an important issue. In this week's live chat I talk about the statistics around stillbirth, examples of how a stillbirth can be managed and remind any patient who needs support to reach out to their midwife, GP, hospital or obstetrician for support. https://www.instagram.com/tv/CG_hSDTFKhZ/... #stillbirth #stillborn

13.01.2022 You may have heard other people referring to ‘having their tubes tied’ or deciding to be ‘sterilised’. These are common terms used to describe tubal ligation. There are a number of things to consider around permanent contraception. Read through the post to learn more about if this is something suitable for you. ... What are my options for permanent contraception? https://www.drpeterengland.com.au/2020/08/17/tubal-ligation/

13.01.2022 Baby Shengen has arrived and his two big sisters are thrilled to have him home. Congratulations to parents Akiko and Ari on the arrival of your third child. #MelbourneBaby #MelbournePregnancy

12.01.2022 Brand new! Baby Ella with mum Lucy and swipe over to see Ella, Lucy and Jeremy. Congratulations on Ella’s wonderful arrival.

12.01.2022 Infertility is nothing new in human history, but it is true that a greater percentage of women are faced with this challenge. There are many causes. Approximately 40% of couples have a problem with semen analysis (called male factor infertility) 30% have problems with egg release (ovulation and egg quality) 20% may have a gynaecologcal disorder affecting the pelvis such as endometriosis or scarring of the fallopian tubes. 10% of couples’ fertility currently remains unexplained. https://www.drpeterengland.com.au/2020/04/20/infertility/

12.01.2022 Great work Melbourne

11.01.2022 Happy First Christmas to baby Chloe.

09.01.2022 Bad period pain is not something you just have to put up with. *********** Why do I get period pain? When you menstruate, you are shedding the lining of the uterus each month: this lining is called the endometrium. When the endometrium breaks down in preparation for your period, hormones called prostaglandins are released. This is normal and stimulates the muscular wall of the uterus to begin contracting, thus leading to cyclic bleeding for a few days. In other words, very o...ften the pain reflects normal female physiology. However, sometimes this is not the case. What else can cause dysmenorrhoea? Sometimes when period pain is troubling, there can be abnormalities causing this. A variety of gynaecological disorders including endometrial polyps, uterine fibroids, adenomyosis and that well-known malady endometriosis are all possible. The investigation and treatment options vary with the diagnosis. If your period pain is worsening or affecting your life in an adverse manner then arrange an appointment to see what the cause might be and what can be done to help. Read more about dysmenorrhoea on the blog post. https://www.drpeterengland.com.au/2020//16/bad-period-pain/

09.01.2022 Hay fever season is here. Today is a high pollen day and might impact some patients more than others. You can check the pollen levels each day at www.melbournepollen.com.au

06.01.2022 Gorgeous baby Thea arrived during COVID and is now home being adored by her big sister Gracie. Congratulations to parents Christina and Harry on Thea's arrival. ... Melbourne Birth Photography, Birth Photography, Maternity Ward Melbourne, Melbourne Photography Maternity, #AZofPregnancy #MelbournePregnancy #MelbourneObstetrician #DrPeterEngland #PeterEngland #Melbournedoctor #MelbourneBaby #AntenatalCare #StVincentsPrivateBaby #EpworthMaternity #MelbourneMums #PregnancyTips #HealthyPregnancy See more

06.01.2022 All appointments are still going ahead. If you do need to reschedule, please call the rooms to arrange another time for your next appointment.

04.01.2022 At your 6 week postnatal review, your baby will also have a check up. Baby Joanna was keeping a close eye on me as I chatted to her . Baby hip checks are an important part of your baby's first check ups.

04.01.2022 What is a Kyleena? In this week's blog post I answer many of the most common questions about Kyleena.

02.01.2022 Wishing midwife Glenda a wonderful birthday today. Glenda is a fantastic support for all of our patients, our team in the rooms and the wider hospital community. Yesterday Glenda was also able to see grand daughter Matilda. In a year when Nonna visits have been limited, this was an extra special cuddle. ... Happy Birthday Glenda!

01.01.2022 Did you have a favourite pregnancy book? I've collated this list of pregnancy books over a few years using suggestions from patients. Would you add any others? ... https://www.drpeterengland.com.au/2019//29/pregnancy-books/