Ultrasound Department
How we can help you
The ultrasound department of the Royal offers obstetric and gynaecological imaging to all patients and clinics of the hospital, the NICU and the Prince of Wales Hospital. Our services include:
- Pelvic Ultrasound
- Sonohysterogram (Assessment of uterine cavity)
- HyCoSy (Tubal Patency and assessment of uterine cavity)
- Removal of Implanon under ultrasound guidance
- Early pregnancy assessment and dating ultrasound
- Nuchal Translucency (11+3 – 13+6)
- 12-16 week Structural ultrasound (following NIPT)
- Transvaginal Cervical length screening
- Morphology Ultrasound (19 – 20 weeks)
- Third trimester growth and wellbeing ultrasound
- Chorionic Villus Sampling/Amniocentesis
Director
Dr Glenn McNally
Chief Sonographer
Gabrielle Thomson
Clinical Educator
Carmel Romaniuk
Hours of operation
8:00am-4:00pm Monday to Friday
How to find us
Ultrasound Department, Level 0, Royal Hospital for Women (Building 17 on our campus map)
-33.918958498882, 151.23820271932
Sonographers who are caring, compassionate and highly specialised health professionals dedicated to obstetric, gynaecological and neonatal imaging. They work closely with doctors and are responsible for analysing anatomical structures during the ultrasound examination to obtain detailed diagnostic images for reporting.
Sonologists, Radiologists and Obstetrician/Gynaecologists who will look at the images produced to diagnose and produce a report for your requesting practitioner. They also perform a range of ultrasound guided procedures.
To make an ultrasound appointment, we need a copy your referral. These can be faxed to (02) 9382 6706, emailed to seslhd-rhwus@health.nsw.gov.au or delivered in person.
All patients seen in the ultrasound department must be patients of a clinic of The Royal and be referred by a doctor at The Royal. GP referrals may be accepted, however, not guaranteed due to high acuity of clinic, emergency and inpatient work.
Once a referral is received, it will be prioritised based on clinical urgency by one of our sonographers or admin staff and an appointment will be scheduled. Please ensure your mobile phone number is provided as an SMS will be sent to you when appointment is made and a reminder sent 3 days prior to your appointment. Please confirm if you plan on attending appointment or call us if you need to cancel or reschedule.
Waiting times and appointment allocation depend on what type of scan or procedure you are having and why. Some scans need to be booked at a specific time in your pregnancy or menstrual cycle. Our team will prioritise each request based on clinical urgency.
We are a teaching hospital and you may be asked to be involved in research, or for a student to be present at your appointment. You have the right to decline. If you do so, this will not impact in any way on the services we will provide.
This service is covered by Medicare. If you are not eligible for Medicare, or Reciprocal Agreement, you will be charged an upfront amount. Details will be discussed with you prior to your scan.
The turnaround for reports completed by our specialist doctors, occur within 24 hours during the week and these will automatically be sent electronically to your referring doctor.
Psychology
The Royal Hospital for Women offers a comprehensive array of psychology services across different departments, catering to the diverse needs of women in various life stages. These specialised services include:
- Fertility and infertility support, acknowledging the emotional complexities associated with reproductive health.
- Perinatal and women's mental health, addressing the psychological well-being of women during pregnancy and childbirth.
- Psychological support with gynaecological cancer and other conditions including menopause, endometriosis and pelvic pain.
This holistic approach underscores the hospital's commitment to addressing the unique psychological aspects of women's health throughout different phases of their lives, ensuring a supportive and comprehensive healthcare environment.
How to find us
Royal Hospital for Women (Building 17 on our campus map)
-33.918983405775, 151.23821108331
Counselling services are available for you and your partner during and after your treatment. The counsellor’s role is to support you in managing possible stressors, while helping you recognise your strengths. Many people find it helpful to talk about the difficulties they have faced when trying to achieve a pregnancy or going through fertility preservation. They are able to access this service to share their thoughts and feelings about the future.
https://www.fertilityandresearchcentre.com.au/frc-research/counselling-…
The Perinatal and Women’s Mental Health Service supports women who are receiving antenatal care at the Royal, who have birthed at the Royal within the last year and live within the SESLHD, and parents whose babies are in the NICU.
For more information, see the Perinatal and Women’s Mental Health Service page.
The Gynaecological Oncology Psychology Service supports women who are receiving treatment for gynaecological cancers at the Royal Hospital for Women as inpatients or outpatients.
For more information, see the Gynaecological Oncology Psychology Service page.
RHW Nursing and Midwifery
The Royal Hospital for Women is a stand alone women's hospital that recruits registered nurses and midwives.
The tertiary referral hospital offers opportunities for registered nurses to work in gynaecology and gynae-oncology, operating suite, neonatal intensive care, an attached breast cancer clinic, fertility clinic and day surgery.
Registered midwives have the chance to work in all areas of midwifery through various models of care including continuity of care models, high risk maternity, aboriginal infant and maternal health and the newborn intensive care unit. There are eight midwifery group practices providing continuity of midwifery care for approximately half of all women who book to give birth at the hospital.
The Hospital has a very high standard of midwifery care and provides undergraduate and postgraduate midwifery education programs and offers staff the opportunity to further their education and access professional development as well as the support of nursing and midwifery education support staff.
Registered nurses and midwives also have access to a new graduate program to develop skills in newborn care, the high risk dependency unit and Midwifery Group Practice.
Each year the RHW (through the MOH Health MIDSTART recruitment portal) offers a number of positions to post graduate nurses to undertake a 12-month student midwifery program. These MIDSTART students are employed for the 12-month study program. Students enrolled in a Bachelor of Midwifery program are offered placements where possible in midwifery group practices during their education. Most students are offered a placement at the Hospital on completion.
Manager
Jodie Wason, Manager Nursing and Midwifery Workforce Planning and Development
-33.918951881328, 151.23823518303
Aboriginal and Torres Strait Islander Maternity Services
For information regarding maternity services for Aboriginal and Torres Strait Islander families, please see the Malabar Midwives Midwifery Group Practice (MGP) page.
Manager
Olivia Becker, Midwifery Unit Manager Midwifery Group Practice & Malabar Midwives
Aboriginal Health Education Officer:
0410 344 766
How to find us
Malabar Midwives Midwifery Group Practice (MGP), Level 0, Royal Hospital for Women (Building 17 on our campus map)
-33.918959345687, 151.23821800684
Gestational Diabetes GYM
We can help you if you have recently been diagnosed with diabetes in pregnancy, also known as gestational diabetes mellitus (GDM). We can also help prevent diabetes in pregnancy, so if you are pregnant and had diabetes in a previous pregnancy or you think you might be at risk of diabetes in pregnancy let us know.
Randwick, NSW 2031
Manager
Hannah Graetz, Head of Department
How to find us
Physiotherapy Department, Level 0, Royal Hospital for Women (Building 17 on our campus map)
-33.91895990945, 151.23821174403
We prioritise places in our gym program for women who meet one or more criteria below:
- Your first degree relative has diabetes (mum or dad)
- You are 40 years old +
- You have gained a lot of weight this pregnancy
- You haven’t been exercising this pregnancy
- You are having your 3rd or 4th baby
You can complete this short survey to join our GDM Gym here https://qars.cec.health.nsw.gov.au/Survey?p=DFF18494
We are passionate exercise in pregnancy experts. Our team includes trained physiotherapists, and student physiotherapists who will be responsible for your assessment and physiotherapy treatment plan.
We work in partnership with diabetes educators, endocrinologists, obstetricians and your local doctor (GP).
Our administration officers can help you with bookings, referral management and telephone enquires.
Our gym is a safe and welcoming environment for all people with all levels of fitness. Sessions are supervised by the physiotherapy team to ensure:
- You get the most out of the session
- That exercises can be modified as needed
- Your pregnancy health and fitness improves over time
In GDM gym, blood sugars are monitored before and after exercise. A combination of cardio and strength exercises are performed in each session with modifications as needed.
Exercise training is 30min with a 5-10 minute warm up and cool down at your own pace.
Please bring a drink bottle, towel and glucose monitor, and wear comfortable exercise clothing
When do the classes run?
Physiotherapy-led supervised exercise classes are held on the following days and times.
- Monday 9am, 10am
- Wednesday 9am, 10am
- Thursday 9am, 10am, 2:30pm
How much do these sessions cost?
GDM Gym is covered by Medicare. If you are Medicare ineligible let us know, we might be able to help.
How long are the classes?
You are in and out within the hour!
What do I wear?
Wear clothes you are happy moving and sweating in, and bring your glucose monitor!
What if I have to work?
We can provide attendance certificates for your employer. We also provide individual virtual appointments to support you to manage your glucose control and your exercise routine if you can’t make it to class
We are a teaching hospital and you may be asked to be involved in research or for a student to be present at your appointment. You have a right to say no. If you do so, this will not impact in any way on the services we will provide. All physiotherapists in our team are committed to achieving the best possible health outcome for you and complete regular supervision with a senior or specialist physiotherapist. You can ask your physiotherapist if your care can be reviewed with a senior or specialist physiotherapist and your physiotherapist might suggest this from time to time.
Please let us know if you need an interpreter. You can contact us telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak and then ask the interpreter to set up a telephone conversation between you, an interpreter, and the healthcare professional you want to speak with.
Physiotherapy Outpatient Service
Our physiotherapy team helps women, men and gender diverse people living with pelvic floor symptoms or pelvic health conditions.
We offer both individual services as well as group based programs.
Randwick, NSW 2031
Manager
Hannah Graetz, Head of Department
Opening times
8:00am - 4:30pm Monday - Friday
How to find us
Physiotherapy Department, Level 0, Royal Hospital for Women (Building 17 on our campus map)
-33.918963201286, 151.23822188974
Our Physiotherapists are highly trained and can manage the following conditions:
- Bladder leakage (also known as urinary incontinence)
- Bladder problems (such as urgency or having to rush to the toilet, difficulty emptying, or going too often to the toilet overnight)
- Bladder pain (that might occur when the bladder is full or with emptying)
- Bowel leakage (also known as faecal incontinence)
- Bowel problems (such as constipation, bloating and other gut symptoms)
- Bowel or bottom pain (that might occur with bloating or emptying the bowel)
- Sexual pain (pain around the vagina, anus, penis or genitals)
- Sexual dysfunction (difficulties with libido, arousal or other parts of sexual activity)
- Pelvic pain (that might occur in or around the genitals (vulva, vaginal, penis, scrotum, anus) or in the pelvic (that might occur in or around the bladder, uterus, ovaries or bowel)
- Lymphoedema in the arms or legs
- Post-prostatectomy incontinence
- Back pain and pelvic girdle pain during pregnancy
- Carpal tunnel and de Quervain’s syndrome in pregnancy
- Severe and/or complex symptoms of the menopause
- Gestational diabetes
Our Physiotherapists are highly trained and can provide the following treatments:
- Exercise programs to improve mobility and strengthen muscles
- Pelvic floor muscle training
- Joint mobilisation to reduce pain and stiffness
- Muscle re-education to help you control your movements
- Bladder re-training
- Breathing exercises and techniques to help you clear your airways
- Bowel management including techniques to improve emptying
- Garment fitting and/or bandaging for the management of lymphoedema
- Exercise programs to improve recovery from cancer treatment
- Assistance with use of aids, splints, crutches, walking sticks and wheelchairs
- Education regarding your condition and how you can help manage it yourself.
Health professional referral:
To come to the Physiotherapy Outpatient Department you will need to have your local doctor (GP) or treating specialist write you a referral letter explaining your relevant surgical and medical history. The referral may then be mailed, emailed or faxed to us or you can bring it into our department in person.
To make or cancel an appointment please telephone 9382 6540.
We try to see all of our patients as quickly as possible. However, we have a large number of patients seeking treatment. Appointments are offered based on urgency. Urgent conditions are generally given an appointment within a few days of receiving the referral. Non-urgent conditions may need to go on a waiting list. It can take up to 2 months for non-urgent conditions to receive an appointment.
Can I chose the day and time I attend appointments?
We will try to find appointment times that suit your availability. Our hours of operation however are 8:30am - 4:00pm Monday to Friday. We do not offer weekend treatments.
Self-referral for Physiotherapy services:
For your first appointment, please bring:
- Any test/scan results that you have had recently
- Wear comfortable clothing and footwear
- A list of any medicines that you are taking
If you arrive 5-10mins before your appointment time we will ask you to complete a short symptom survey. Your physiotherapist will discuss the results with you and might ask you to repeat the survey after a few sessions to measure your progress.
At your first appointment we will ask about your medical history and your health needs. We will conduct a physical examination, which might include pelvic floor assessment. We will then discuss what type of physiotherapy will benefit you. This can include a combination of appointments at the hospital with a physiotherapist and a plan for you to follow at home. Physiotherapy treatments involve education, movement training, exercise programming, manual therapy (hands on techniques) and may involve the use of ice, heat, ultrasound or, electrical stimulation. Your physiotherapist will always provide options for the physical examination and your treatment so that you can make decisions about your care and have an active role in your health.
You can expect your physiotherapist to provide you with information about your:
- Diagnosis (what is wrong, or the name of the problem, including how severe it is and what might have caused it)
- Prognosis (how long it will take to recover, what you can do to help and how physiotherapy can help)
- Tests (results from tests completed by the physiotherapist, if you will need any further tests or referrals)
- Treatment plan (the options for treatment, pros and cons, number of appointments and how often, etc.)
Will I always see the same physiotherapist at each visit?
As we are a teaching hospital you will be treated by a physiotherapist or a student physiotherapist. We will try to only have one therapist treating you. However, many of our staff rotate in their roles so you may find during the course of your treatment program you may receive treatment from more than one therapist. If this happens, we will make sure an effective and comprehensive handover takes place.
How often will I need to attend the Physiotherapy Department?
This will vary depending on your needs. Usually we offer up to 6 treatment sessions.
How long do the treatment sessions take?
Your first session will take 60 minutes. Follow-up sessions generally take 30 minutes.
Does the Physiotherapy Outpatients Department generally run on time or will I have to wait?
We try to run an on-time clinic. You will rarely have to wait more than 15 minutes for your appointment. To minimise stress, please make sure that you arrive 10 minutes earlier than your scheduled appointment time. You can ask the administration officer when you arrive if your physiotherapist is running on time. If you are more than 15 minutes late you may be asked to reschedule your appointment.
Will I always receive hands-on treatment such as massage, heatpacks or ultrasound?
Your physiotherapy treatment plan will be based on current research and best practice. Your therapist will discuss with you what would work best for your condition and provide options. They will do this after your first appointment.
Will I be expected to do exercise outside of my physiotherapy appointments?
Your physiotherapy treatment plan will be based on current research. It is highly likely that your therapist will ask you to do certain activities or exercises as part of your treatment plan. They will teach you anything you need to do like exercises and provide you with opportunity to decide when and how you can complete your treatment plan in your every day life.
Will my physiotherapist talk with my doctor?
Your physiotherapist will work in partnership with your referring doctor. They will contact your doctor if they have any questions. When you finish your treatment plan your GP will receive a discharge summary letter outlining your initial assessment, the treatment plan you completed and the outcomes achieved. Our physiotherapists work closely with specialists at POWH and RHW and will share outcomes of any discussions they have about your care with your treating team.
Will I need to undress during my treatment sessions and will the therapist touch me?
At times we will need to touch you to assess your needs or to provide hands on treatment. If this is needed you may need to undress. You may be provided with a hospital gown. Your modesty, privacy and dignity will be respected by your therapist at all times. Our team of physiotherapists are
Will I experience soreness as a result of my physiotherapy?
With any exercise program it is normal to have some muscle soreness the next day. This should only last for a short time. If you have any ongoing soreness or pain please let your physiotherapist know.
Can I receive ongoing treatment for my problem?
Your physiotherapy treatment plan will be based on current research. Many conditions are chronic and require ongoing management. In these instances, we will identify what you can do for yourself after your treatment program finishes.
We are a teaching hospital and you may be asked to be involved in research or for a student to be present at your appointment. You have a right to say no. If you do so, this will not impact in any way on the services we will provide. All physiotherapists in our team are committed to achieving the best possible health outcome for you and complete regular supervision with a senior or specialist physiotherapist. You can ask your physiotherapist if your care can be reviewed with a senior or specialist physiotherapist and your physiotherapist might suggest this from time to time.
Please let us know if you need an interpreter. You can contact us telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak and then ask the interpreter to set up a telephone conversation between you, an interpreter, and the healthcare professional you want to speak with.