Leadership

  • Dr Julie Lamont (Co-Director)
  • Dr Sze Wey Lee (Co-Director)
  • Dr Stephen Cole (Deputy Director)
  • Dr Samantha Hargreaves
  • Dr Rachel Ryan
  • Dr Alon Talmor
  • Dr Samuel Soo
  • Dr Bronwen Eldridge
  • Dr John Mills

Highlights

Obstetrics

  • Epworth is one of the largest obstetric services in the public sector, giving us the scale required to deliver high quality care
  • The introduction of High Flow Oxygen into the Special Care Nursery to avoid unnecessary neonate transfers out

Gynaecology

  • A significant proportion of IVF procedures in Victoria are performed at Epworth Hawthorn
  • Gynaecological oncological surgery is performed at both Epworth Freemasons and Epworth Eastern
  • Robotic gynaecological surgery is performed at Epworth Freemasons and Epworth Eastern
  • The majority of Victoria's IVF specialists consult in Epworth facilities. Many of these doctors are "sub-specialists"

Australian Council on Healthcare Standards – Obstetrics 1H 2016

Area Indicator Epworth performance (%) Avg. national performance (%) Result comments
Maternity 1.1 Selected primipara who have a spontaneous vaginal birth 30.17 44.80 Performance below benchmark
Maternity 1.2 Selected primipara who undergo induction of labour 45.37 38.10 Performance below benchmark
Maternity 1.3 Selected primipara who undergo an instrumental vaginal birth 35.15 26.58 Performance below benchmark
Maternity 1.4 Selected primipara undergoing caesarean section 34.68 28.99 Performance below benchmark
Maternity 2.1 Women delivering vaginally whose previous birth resulted in caesarean section 6.03 12.62 Performance below benchmark
Maternity 3.1 Selected primipara with an intact perineum or unsutured perineal tear 12.73 15.75 Performance matches benchmark
Maternity 3.2 Selected primipara undergoing episiotomy AND no perineal tear while giving birth vaginally 53.45 33.74 Performance better than benchmark
Maternity 3.3 Selected primipara sustaining a perineal tear AND no episiotomy 32.73 42.84 Performance better than benchmark
Maternity 3.4 Selected primipara undergoing episiotomy AND sustaining a perineal tear while giving birth vaginally 1.09 7.16 Performance better than benchmark
Maternity 3.5 Selected primipara requiring surgical repair of the perineum for third degree tear 0.73 5.04 Performance better than benchmark
Maternity 3.6 Selected primipara requiring surgical repair of the perineum for fourth degree tear 0.00 0.29 Performance better than benchmark
Maternity 5.1 Women who receive an appropriate prophylactic antibiotic at the time of caesarean section 100.00 94.09 Performance better than benchmark
Maternity 6.1 Women undergoing an emergency lower uterine segment caesarean section who receive appropriate pharmacological thromboprophylaxis 100.00 79.40 Performance better than benchmark
Maternity 7.1 Women who give birth vaginally who require a blood transfusion during the same admission 1.12 1.28 Performance better than benchmark
Maternity 7.2 Women who undergo caesarean section who require a blood transfusion during the same admission 0.73 1.31 Performance better than benchmark
Maternity 8.1 Deliveries with birth weight less than 2750g at 40 weeks gestation or beyond 1.15 1.35 Performance better than benchmark
Maternity 9.1 Term babies born with an Apgar score of less than 7 at five minutes post delivery 0.74 1.32 Performance better than benchmark
Maternity 10.1 Inborn term babies transferred / admitted to a neonatal intensive care nursery or special care nursery for reasons other than congenital abnormality 6.56 10.59 Performance better than benchmark

Our performance

Audit for improved outcomes for women: Australian Council on Healthcare Standards – Gynaecology 1H 2016.

Area Indicator Epworth performance Avg. national performance Performance comments
Gynaecology 1.1 Gynaecological surgery for benign disease - unplanned intraoperative or postoperative blood transfusion 0.29 0.72 Performance above benchmark
Gynaecology 1.2 Gynaecological surgery for malignant disease - unplanned intraoperative or postoperative blood transfusion 9.57 7.40 Performance below benchmark
Gynaecology 2.1 Patients suffering injury to a major viscus with repair, during a gynaecological operative procedure or subsequently up to 2 weeks post-operatively 0.72 0.67 Performance below benchmark

The graph below shows our performance on the above indicators over time.

Since 2H 2012 – 1H2015, Freemasons has not triggered as an outlier in the above indicator sets when compared with General or Peer Comparisons Sets.

Our above average intraoperative and postoperative transfusion rates reflect our surgeons desire to accelerate patient recovery, It is well recognised that anaemia delays recovery and we have a desire to make the patient’s post-operative recovery as speedy and uncomplicated as possible.

Risk of viscous injury is extremely low in both groups.

Activity

FY 2018

 

 

Services

Admissions

Bed days

Gynaecology

14,893

18,977

Obstetrics

4,794

18,657

Condition treated

Gynaecology

  • Endometriosis
  • Fibroids
  • Gynaecological oncology, pre-cancers and cancer
  • Menstrual problems
  • Prolapse, uro-gynaecology and urinary incontinence
  • Reproductive endrocrinology, infertility

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