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
Services
Services
Orthopaedic Surgery
Services