Consultations

Gynaecological Consultations

Gynaecological appointments typically include:

  • A detailed history of the problem
  • A thorough medical, surgical, obstetric and social history
  • A general examination, including: weight and height; blood pressure; breast & thyroid examination; an abdominal examination; and a speculum examination
  • A trans-vaginal ultrasound scan
  • A discussion regarding our findings and options pertaining to management plans
  • An opportunity for you to ask questions and raise any concerns
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Obstetrics Consultations

First visit

Congratulations! If you are reading this, you have probably done a home pregnancy test to confirm your pregnancy and now want to make an appointment with Dr Groenewald.

  • We advise that your first appointment should generally be made between 8-10 weeks after the first day of your last normal menstrual period
  • If you have any concerns about the early stages of your pregnancy (e.g. bleeding or severe nausea and vomiting, etc.) prior to your first appointment, please do not hesitate to contact us and we will arrange an earlier appointment.
Your first appointment will last approximately 30 minutes and will involve:
  • A comprehensive medical and surgical and social history, including details of previous pregnancies
  • A thorough physical examination, which will include weight and height, blood pressure, as well as thyroid, breast, abdominal and speculum examinations
  • An ultrasound (either transvaginal or transabdominal, depending on the gestation of your pregnancy) to confirm the wellbeing and due date of your baby. You will be given pictures of these first images of your bundle of joy.
  • A discussion on tests offered to confirm the well-being of your baby at different stages of pregnancy (e.g. the 13-week NT scan and the 20-week foetal anomaly scan).
  • A discussion about managing your pregnancy, including diet and supplements, exercise, sex, alcohol and chronic medication usage.
  • Information regarding antenatal classes (a list of useful websites and books will also be provided)
  • Addressing any questions or concerns you may have regarding your pregnancy.

Follow-up visits

Remember, the frequency and nature of your follow-up visits will be tailored according to the specific needs of YOUR pregnancy. We do not employ a one size fits all approach as each pregnancy is different.

  • In the first half of your pregnancy, follow-up visits will typically take place every 6 to 8 weeks
  • Thereafter the visits will increase in frequency as you approach your time of delivery
  • From 36 weeks, we will see you weekly until the time of delivery.

Procedures at follow-up visits will include:

  • Blood pressure measurement, urine dipsticks, weight and other investigations specific to your condition (e.g. blood glucose)
  • Abdominal palpation and symphysis fundus height.
  • Trans-abdominal ultrasound scan to track the growth of your baby and its general wellbeing.
  • An opportunity for you to ask questions and raise any concerns you may have.