OBSTETRICS

Services

Drs Coogan and Hawke have the skill base and experience to attend to any mode of delivery or complications that may arise during pregnancy, including:

  • High risk pregnancies
  • Multiple pregnancies
  • Pre-pregnancy diabetes and gestational diabetes
  • Vaginal birth after a previous caesarean
  • Breech presentation
  • Pregnancies achieved with fertility assistance  

How does the practice work?

Drs Coogan and Hawke work in a unique arrangement ‘job-sharing’ their obstetric practice. This involves one doctor consulting in the rooms, attending all births, and being on call 24 hours a day for a week, followed by a week off. Changeover occurs on a Monday morning.

Whichever doctor is ‘on’ for the week, will be the doctor attending your birth. Because of the nature of obstetrics, we cannot predict exactly when your baby will be born ahead of time. However, you will get to meet both doctors during your pregnancy and develop a professional relationship with them in time for your birth.

The advantage of this special arrangement includes receiving two opinions, two skill sets and an obstetrician who is less likely to be fatigued or time pressured, allowing for care and decisions to be centred around you and your pregnancy. 

Making a First Obstetric/Antenatal Appointment

  • Please telephone the practice to book your first appointment with one of our receptionists on 02 9650 4050.  
  • Drs Coogan and Hawke generally like to see you at 9-10 weeks gestation.
  • An information letter will be emailed or sent to you once booking is confirmed – please read and familiarise yourself with what will be needed for your appointment.
  • The option of an online registration link will also be provided.
  • SMS confirmation of your appointment will be sent 1-2 working days prior to the day of your appointment.
  • Please let us know of a cancellation or appointment change as soon as possible so it can be allocated to another patient.

Attending First Obstetric/Antenatal Appointment

  • Here is what you need to bring with you or have sent in advance:
  • Please arrive 15 minutes prior to any NEW appointment time to complete appropriate registration/paperwork.
  • A first obstetric booking appointment is allocated one hour. At this visit, a medical history will be taken, and a general and pregnancy-related health examination performed. An office ultrasound may be performed.
  • Any tests you have had to date in the pregnancy will be reviewed and any other tests needed at this time will be organised. Any other important or pressing issues will be addressed at this visit.
  • You will be given information at your first consultation with regards to out-of-hours emergency contact details.

Attending Any Obstetric/Antenatal Appointment

  • Your partner or support person is always welcome at any antenatal visits. However, current COVID-19 restrictions may affect this. We will advise you of current COVID-19 restrictions via SMS 1-2 working days prior to your appointment.
  • Due to the unpredictable nature of obstetrics, we may not always be running strictly to time. Feel free to contact our secretary, one to two hours prior to your appointment to confirm whether we are running to time.  If any significant time delay is anticipated with your appointment, our secretary will contact you.
  • Please let us know of a cancellation or appointment change as soon as possible so it can be allocated to another patient.
  • Payment is required at the time of consultation.

Follow up Obstetric/Antenatal Appointments

  • These occur every 4-6 weeks up to 28 weeks gestation, and then become 2-3 weekly until 36 weeks gestation, at which point they usually become weekly until you deliver.  This is a general framework for consultation and can be adjusted according to your individual circumstances.
  • Follow up obstetric appointments are 15-30 minutes long and are generally booked at the end of your previous consultation.  
  • Currently with COVID-19 restrictions, we are spacing out appointments to reduce any waiting time and comply with social distancing in the waiting room.
  • Please let us know of a cancellation or appointment change as soon as possible so it can be allocated to another patient.

Follow up Postnatal Appointment 

  • A postnatal appointment will be made for you to attend approximately 6 weeks after your birth. This will be sent to you within a week of your birth, usually via email.
  • You are welcome to contact us to change the appointment date/time if required.
  • SMS confirmation of your appointment will be sent 1-2 working days prior to the day of your appointment.
  • Your partner/support person and your baby are always welcome at postnatal appointments.  However, current COVID-19 restrictions may affect this. We will advise you of current COVID-19 restrictions via SMS 1-2 working days prior to your appointment.

Drs Coogan and Hawke are accredited to deliver at:

  • Prince of Wales Private Hospital (POWPH) – as a private patient in a private hospital
  • The Royal Hospital for Women (RHW) – as a private patient in a
    public hospital
  • If you are uncertain which hospital you prefer, you can book and attend a ‘Hospital Tour’ of each facility before your first appointment with us, although with COVID-19 restrictions at present, these tours are currently suspended: 

1.  POWPH go to www.princeofwalesprivatehospital.com.au/maternity-services/maternity and click on ‘Book a Ward Tour’    

2.  RHW  go to www.seslhd.health.nsw.gov.au/royal-hospital-for-women and follow the steps below:

Weekend/holiday cover

  • We share a 1:4 “weekend on-call” roster with two obstetricians:
    Dr Rahul Sen  www.rahulsen.com.au
    Dr Bobby Teoh www.drbobbyteoh.com.au 
  • This means over 4 weekends, each obstetrician (Dr Coogan, Dr Hawke,
    Dr Sen, and Dr Teoh) will take a turn to cover the other 3 obstetricians
    if required.
  • You will be aware which obstetrician is on-call for each weekend near the
    end of your pregnancy.
  • Dr Sen or Dr Teoh may also cover any leave for conferences, ongoing education, or holiday leave.  We will aim to inform you at the earliest possible time of planned times we will be away, and which other obstetrician will be available to care for you during these times.  You will be encouraged
    to have a consultation with the covering obstetrician prior to your birth.
  • Regardless of which obstetrician attends your birth, your account for the delivery will be generated by this practice. 

Hospital booking

  • A hospital booking for your birth needs to be made AT OR SOON AFTER your first appointment with us.
  • Your medical or previous pregnancy/birth history may influence which hospital is appropriate for your current pregnancy and birth.
  • It is important to check with your health fund which maternity hospital(s) you are eligible to attend.
  • Once you have chosen which hospital to book into, a maternity/obstetric booking can be completed in the following way:

1.  POWPH

2.  RHW

dr teoh, dr coogan, dr hawke, dr sen
Left to Right: Dr Teoh, Dr Coogan, Dr Hawke, Dr Sen

FEES

We understand navigating Medicare and Private Health Fund rebates can be complex and confusing. Our secretaries will help you understand the process and rebate system that is applicable to you. This is an outline of obstetric fees for this practice but does NOT include fee estimates for:

  • Hospital accommodation
  • Anaesthetist
  • Surgical assistant
  • Paediatrician
  • Any other consultations with a private specialist or private
    health care provider
  • Any other service provider e.g. ultrasounds, pathology tests, etc.
Obstetric Fees and Rebates for Your Pregnancy effective 1/7/21 if you have Medicare and OBSTETRIC Private Health Fund Cover
Medicare
Item No
Our fee
$
Standard
Medicare
Rebate
$
Extended
Medicare Safety
Net (EMSN)
Rebate*
$
Standard
Health
Fund
Rebate
$
Approximate
‘out of pocket’
expense
$
(if EMSN
threshold reached)
TOTAL (approx.)
$5900-$6400
$800-$1000
$650-$800
$4300-$4600
First antenatal visit
16401
400
75.65
56.20
Nil
268
Follow up antenatal visits
(approx. 10–14)
16500
125
41.70
33.75
Nil
50
Pregnancy Management
16590
4000
329.70
224.50
Nil
3445
Birth #
16519
NO GAP
N/A
N/A
NO GAP
0
Complicated Birth #
16522
NO GAP
N/A
N/A
NO GAP
0
Postnatal Visit
16407
250
63.45
48.50
Nil
138
# NO GAP cover arrangement
  • Dr Coogan and Dr Hawke participate in the NO GAP cover arrangement
    with private health funds.
  • This means your HEALTH FUND will be billed directly by this practice,
    on your behalf, at the time of birth. This will be accepted as full payment
    for your birth.
* Extended Medicare Safety Net (EMSN) Rebate
  • At present, if you have registered for EMSN, you will receive the extra EMSN
    rebate on OUTPATIENT services only, once you are over your threshold
    ($2169.20 per family) in a calendar year i.e. January 1– December 31.
  • After the EMSN threshold is reached, all Medicare rebatable fees for ANY
    outpatient services with ANY provider will attract the EMSN rebate + the
    Standard Medicare Rebate for the remainder of the calendar year.
  • EMSN does NOT apply to any inpatient services.
If you DO NOT have Medicare and/or Obstetric Private Health Fund Cover, please contact our practice for individualised obstetric fee estimates.