The gynaecology services delivered by National Women’s Health are provided at either Level 9 of Auckland City Hospital or at Greenlane Clinical Centre. Women are referred to the gynaecology service by their GP or family doctor.
(‘District’ refers to the ADHB catchment of Central Auckland)
- Secondary gynaecology, including menstrual disorders, pelvic floor dysfunction, endometriosis, pelvic pain and sterilisation
- Colposcopy and treatment of cervical and vulvo-vaginal epithelial abnormalities
- Management of miscarriage and pregnancy failure
- Complex hormone replacement therapy and family planning
- Vasectomy consultation and procedures
(‘Regional’ refers to the area from Mercer in the south to Warkworth in the north)
- First and second trimester termination of pregnancy
- Urogynaecology services to Waitemata District Health Board (WDHB)
- Fertility services – Fertility Plus is one of three providers in the Auckland region; this service includes reproductive endocrinology
- Recurrent pregnancy loss diagnosis and management
- Gynaecologic oncology
- Vulval clinic provides an ‘extended regional service’ for all vulval disorders. Three centres provide this type of care in New Zealand – Auckland, Wellington and Christchurch
- Female multidisciplinary clinics offer a service to women with multifaceted endocrine and anatomical conditions. This is a clinic where the reproductive endocrinologist, gynaecologist, psychologist and gynaecology physiotherapist work together to provide collective complex treatment plans for girls and women with complicated hormonal and gynaecologic concerns
Inpatient services at Auckland City Hospital
Ward 97 has 22 beds for women with acute gynaecology problems, as well as those who need preoperative and postoperative care for general gynaecology, gynaecologic oncology and breast surgery. It also provides care to women with early pregnancy complications and those who need medical terminations of pregnancy (up to 20 weeks gestation).
High Dependency Unit (HDU) and the Critical Care Unit (ICU)
National Women’s Health has access to the Auckland City Hospital Level 8 High Dependency Unit (HDU) and the Critical Care Unit (ICU) for women who need a higher level of care and monitoring.
Women’s Assessment Unit (WAU)
The Women’s Assessment Unit (WAU) on Level 9 of Auckland City Hospital provides 24-hour access to acute assessment for gynaecology patients. GP or family doctor referral to the gynaecological registrar on call is necessary for an acute assessment in WAU. Women with a acute gynaecological condition without a GP referral should attend an A&E clinic or Adult Emergency Department.
Outpatient services at Greenlane Clinical Centre
Our gynaecology services encompass general gynaecology (i.e. menstrual disorders, pelvic floor dysfunction, sterilisation), hormone replacement therapy and family planning, endometriosis and pelvic pain, urogynaecology and colposcopy, gynaecologic oncology and pre-admissions clinic.
Early Pregnancy Assessment Unit (EPAU)
EPAU is a nurse-led service, involving a social worker and medical support. It is available for women referred for the management of early pregnancy complications - including miscarriage, ectopic and molar pregnancy - and for consultation for second trimester termination. Women requiring surgical management of miscarriage will be initially seen in the Women's Assessment Unit and then in most cases moved to Ward 97, Auckland City Hospital.
Epsom Day Unit (EDU)
Epsom Day Unit (EDU) is the National Women’s Health service for first trimester pregnancy termination. The termination must occur before 12 weeks and 6 days gestation.
Fertility Plus offers a range of infertility and sub-fertility services to women who live in the Auckland region and Northland. Publicly funded fertility treatment is available to women under 40 years of age who are non-smokers and have a BMI under 32. If couples do not meet the criteria for publicly funded fertility treatment, private treatment is available. Fertility Plus is accredited by the Australasian Reproductive Technologies Accreditation Committee. Go to the Fertility Plus section of this website here.
National Women’s Health is the regional service provider for surgical gynaecologic oncology, providing services to Counties Manukau, Waitemata and Northland District Health Boards. An extended regional surgical service is offered to women from Gisborne, Waikato and the Bay of Plenty. This service has a close association with Blood and Cancer Services at Auckland City Hospital (chemotherapy and radiation therapy services).
The colposcopy outpatient service for the women of central Auckland is provided at Greenlane Clinical Centre. From the same facilities, the Vulva Specialty Clinic provides care for women from Auckland and other parts of New Zealand