MIND MATTERS Vol. 20 No. 3 | Spring 2018 a RANZCOG publication The College 5 From the President Steve Robson Vol. 20 No. 3 Spring 2018 9 From the CEO Alana Killen O&G Magazine Advisory Group Dr Gillian Gibson Fellows Rep, New Zealand 11 Leaders in focus Dr Bernadette White Fellows Rep, VIC Dr William Milford Young Fellows Rep, QLD Kirsten Connan with Marilyn Clarke Dr John Schibeci Diplomates Rep, NSW Dr Brett Daniels Fellows Rep, TAS Dr Fiona Langdon Trainees Rep, WA Mind matters 14 Editorial O&G Magazine Editors Brett Daniels Rachel Corkery Lisa Westhaven 15 Perinatal mental health: an area of specialty Layout and Production Editor Renée Miller, Hettie Dubow & Klara Szego Rachel Corkery 18 Schizophrenia and psychotic disorders Designer Megan Galbally & Caroline Crabb Shay Colley Whitehart 21 Perinatal depression and anxiety Editorial Communications Rebecca Hill, Rosalind Powrie & Anne Sved Williams O&G Magazine Advisory Group RANZCOG 254–260 Albert Street 24 Antidepressants in pregnancy East Melbourne, VIC 3002 Australia Lyndall White (t) +61 3 9417 1699 (e) [email protected] 26 Eating disorders in adolescents and young women Advertising Sales Danielle Pogos & Michele Yeo Bill Minnis Minnis Journals 29 Substance misuse and dependence in pregnancy (t) +61 3 9836 2808 Helen Winrow & Nicholas Walker (e) [email protected] 32 Personality disorders in clinical practice Jonathon Tremain Louise Newman Tremain Media (t) +61 2 9988 4689 (e) [email protected] 34 Psychosomatic disorders Bharat Visa, Yasaman Rezaei Adli & Louise Newman Printer Southern Colour 36 Postpartum psychosis: a practical management (t) +61 3 8796 7000 guide for obstetricians O&G Magazine authorised by Ms Alana Killen Marie-Paule Austin © 2018 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). All rights reserved. No part of this 39 Mental health and pelvic pain publication may be reproduced or copied in Susan Evans & Tiffany Brooks any form or by any means without the written permission of the publisher. The submission of articles, news items and letters is encouraged. 42 Birth trauma and post-traumatic stress disorder Debra Creedy & Jenny Gamble For further information about contributing to O&G Magazine visit: ogmagazine.org.au 44 Finding meaning in bad news: critical The statements and opinions expressed in articles, conversations in medicine letters and advertisements in O&G Magazine are Catherine Campbell those of the authors and, unless specifically stated, are not necessarily the views of RANZCOG. 46 Are mothers convicted of infanticide mentally ill? Although all advertising material is expected to Anne Buist conform to ethical and legal standards, acceptance does not imply endorsement by the College. 48 PMT, PMS and PMDD: is there a difference? ISSN 1442-5319 Martien Snellen, Josephine Power & Gaynor Blankley Cover art ©RANZCOG 50 Menopause and mental health Annabelle Brennan 52 Obstetricians and mental health: more than RANZCOG Regional Committees delivering babies New Zealand Dr Celia Devenish Chair Vijay Roach Jane Cumming Manager Level 6 Featherson Tower 54 Mental health in medical practitioners 23 Waring Taylor Street/ PO Box 10611 Paula Fernandez & Alana Gilbee Wellington 6011, New Zealand (t) +64 4 472 4608 (f) +64 4 472 4609 (e) [email protected] Women’s health Australian Capital Territory 56 World Contraception Day: LARC in focus Dr John Hehir Chair Catriona Melville & Kirsten Black Lee Dawson Executive Officer (e) [email protected] 60 New guidelines for care during pregnancy New South Wales Debra Thoms A/Prof Gregory Jenkins Chair Lee Dawson Executive Officer 61 Comparing maternal mortality in the UK and Australia Suite 2, Ground Floor, 69 Christie Street St Leonards, NSW 2065 Gerald Lawson (t) +61 2 9436 1688 (f) +61 2 9436 4166 (e) [email protected] 66 Case report: antenatal management of anorexia nervosa Queensland Katherine Grove, Fiona Langdon, Shivanthi Senaratne, et al Dr William Milford Chair Sylvia Williamson Executive Officer 69 Case report: a brain in the pelvis: anti-NMDA-receptor Unit 22, Level 3, 17 Bowen Bridge Road encephalitis and ovarian teratoma HERSTON, Qld 4006 (t) +61 7 3252 3073 Myriam Girgis & Unine Herbst (e) [email protected] 72 Case report: acute abdomen in the third trimester South Australia/Northern Territory Dr Amita Singla Chair Sarah Luthy, Leeanne Panisi & Briley Pinau Tania Back Executive Officer Level 1, 213 Greenhill Road 74 The leg-up Eastwood 5063 Nicole Woodrow & Vinay Rane (t) +61 8 8274 3735 (f) +61 8 8271 5886 (e) [email protected] 76 Q&A: endometrial sampling in general practice Tasmania Natasha Trpkovska & Sue Tutty Dr Lindsay Edwards Chair Lisa Del Din Executive Officer 78 From the editor’s desk College House 254–260 Albert Street Caroline de Costa East Melbourne, Vic 3002 (t) +61 3 9412 2998 80 Journal Club (e) [email protected] Brett Daniels Victoria Dr Charlotte Elder Chair The College Lisa Del Din Executive Officer College House 81 College Statements update 254–260 Albert Street East Melbourne, Vic 3002 Yee Leung (t) +61 3 9412 2998 (e) [email protected] 81 Notice of deceased Fellow Western Australia Dr Robyn Leake Chair 82 RANZCOG 2018 Provincial Fellows/WA/SA/NT RSM Carly Moorfield Executive Officer 44 Kings Park Road PO Box 1645, West Perth, WA 6872 83 FRANZCOG Advanced Training Modules (t) +61 8 9322 1051 (f) +61 8 6263 4432 Michael Permezel (e) [email protected] The Royal Australian and New Zealand 84 Queen’s Birthday Honours Awards College of Obstetricians and Gynaecologists College House 254–260 Albert Street 85 Letters to the Editor East Melbourne, Vic 3002 Margaret Sparrow, Carol Shand & Lisa Rasmussen (t) +61 3 9417 1699 (f) +61 3 9417 0672 (e) [email protected] (w) www.ranzcog.edu.au 86 Obituaries Vol. 20 No. 3 Spring 2018 | 3 From the President THE COLLEGE Prof Steve Robson President This issue of O&G Magazine addresses the vitally important subject of mental health. As usual, the editorial team have brought together an outstanding group of experts to write. It is difficult to overstate the importance of mental health and it is gratifying to see such a detailed examination of so many clinical conundrums in this issue. O&G Magazine, in its current format, has been going strong for 15 years now and each issue seems to be better and more informative than the last. FIGO The International Federation of Gynaecology and Prof Steve Robson with American College of Obstetrics (FIGO) will seem a remote and somewhat Obstetricians and Gynecologists (ACOG) President, peripheral organisation to many of you. The College Dr Lisa Hollier. was successful in bidding for the FIGO scientific and clinical meeting for 2021. FIGO’s meeting is held every three years and will be hosted in Rio de Janeiro, RANZCOG 2018 Annual Scientific Meeting Brazil, in October of this year. The next meeting On a local scale, the RANZCOG 2018 ASM is set will be in Sydney in 2021. The FIGO congress is the to run in Adelaide in September. For the first time, largest global women’s health scientific meeting. our Indigenous Women’s Health Meeting is being FIGO’s member organisations (of which RANZCOG held at the same time. The pre-meeting workshops is one) comprise nearly every national obstetrics and look to be excellent and the Adelaide organising gynaecology society in the world. committee are hoping to top the programs of recent meetings in Perth and Auckland. I hope as many of It is a great honour for our College to host you as possible will have the opportunity to travel this meeting, but with that honour comes to South Australia for what looks to be a fantastic considerable responsibility. I am chairing the local College event. organising committee and will continue to do so in my capacity as College past-President. I have met Ministerial Advisory Committee on with the FIGO President-elect, Prof Carlos Fuchtner Out-of-Pocket Costs of Bolivia, and arrangements for FIGO Sydney 2021 The Ministerial Advisory Committee on Out- are well underway. On behalf of the College and the of-Pocket Costs was set up by Health Minister local organising group, we are intending to arrange Greg Hunt in response to public concerns about the best FIGO meeting yet! I hope that all of you are transparency with regards to out-of-pocket costs able to make time for this event in your diaries. in private healthcare. The group is chaired by the Vol. 20 No. 3 Spring 2018 | 5 THE COLLEGE Prof Steve Robson with FIGO President-elect, Dr Carlos Fuchtner (left), and Society of Obstetricians and Gynaecologists of Canada (SOGC) past-President, Dr Andre Lalonde (right). Chief Medical Officer and has representatives from been incredibly rewarding. I hope I can impress upon the procedural colleges, the Australian Medical you what an honour it has been to work with so Association (AMA), private health insurers and many RANZCOG Councillors and Board colleagues private hospital groups. We are working towards a over 12 tumultuous years. It would be impossible to transparency model that will hopefully assist women achieve anything as College President without the and their family doctors in selecting appropriate support of many people. I should give a special thank care. As with other Government endeavours, I am you to Kylie Grose and Eleanor Bonikowski for the concerned that a heavy-handed response will either amazing job they do in keeping things running in the do little to solve the problem, or potentially make office of the President and CEO. I would like to wish things worse. The work of this group is ongoing and incoming President, Dr Vijay Roach, and his Board all I will report back to you later in the year, when I am the best for what will be, no doubt, a very memorable allowed to speak publicly.