VAGINAL BLEEDING

OMNI provides high quality imaging and care for women who have any degree of vaginal bleeding in the 1st trimester. Vaginal bleeding in early pregnancy is very common, occurring in about 30% of all pregnancies. Importantly, not all women with vaginal bleeding in the first trimester are miscarrying. Nevertheless, unexplained bleeding in early pregnancy causes great anxiety and uncertainty for expecting parents.

Transvaginal ultrasound or internal ultrasound scan is the best way to find out what is happening with the pregnancy. This bleeding often occurs without warning and consequently we will always endeavour to see the woman the same day.

Vaginal bleeding can be with or without clots, spotting only or a blood-stained discharge. The blood can be bright red (fresh), pink (very light) or brownish in colour (old blood from a few days previous). Regardless of the amount or type of vaginal bleeding present, an ultrasound is necessary to determine the viability of the pregnancy. Occasionally, some mild cramping, or period-like pain and/or backache will also be present.

An internal ultrasound is the best way to confirm the viability of your pregnancy. If there is any doubt about the viability of a pregnancy on scan, OMNI will always recommend an interval scan in 7-10 days.

In case of miscarriage, OMNI offers non-surgical management or expectant management to selected women with miscarriage. This means adopting a “watch and wait” approach to see if nature takes its course and allowing the miscarriage to occur spontaneously. This is instead of the usual management of miscarriage with surgery in the form of D&C (dilatation and curettage). This traditional approach means having a general anaesthetic, instrumenting the womb (uterus) and emptying the womb of its contents, which many women are extremely keen to avoid.

If non-surgical management of the miscarriage is appropriate, OMNI will arrange a weekly scan as part of the follow up. If vaginal bleeding is severe or there are any signs of infection (fever, chills, offensive discharge), then it is not appropriate to have expectant management and surgery will be necessary.

OMNI Ultrasound & Gynaecological Care

Condous performs Advanced Endosurgery procedures for women needing intervention for pelvic masses, adnexal pathology, severe endometriosis or hysterectomy. He also runs ‘Hands on’ Live Sheep Laparoscopic Workshops for gynaecologists at Camden Veterinarian School.
Having completed an undergraduate degree with the University of Adelaide, he left Australia in 1993 and moved to London where he completed his training in Obstetrics and Gynaecology. From 2001 to 2003 Condous worked as a Senior Research Fellow at St George’s Hospital, London. At St George’s he set up the Acute Gynaecology Unit, the first in the United Kingdom. It was also during this time that he developed an interest in Early Pregnancy and especially the management of pregnancies of unknown location (PULs). Condous has developed many mathematical models for the prediction of outcome of PULs which have been featured in numerous peer review journals. In 2005, he returned to Australia where he completed his Laparoscopic Fellowship at the Centre for Advanced Reproductive Endosurgery, Royal North Shore, Sydney.

Condous was appointed as a Consultant Gynaecologist and Senior Lecturer at Nepean Hospital in 2006 and soon was made Associate Professor. In 2010, he was made Departmental Head of Obstetrics and Gynaecology at Nepean Hospital. He obtained the MRCOG in 1999 and was made FRANZCOG in 2005. In 2009, he was awarded his Doctorate in Medicine (MD), University of London, for his thesis entitled: “The management of pregnancies of unknown location and the development of new mathematical models to predict outcome”.

Condous has edited three books including the “Handbook of Early Pregnancy Care”, published over 100 papers in international journals and is internationally renowned for his work in Early Pregnancy. He is the Associate Editor for Gynaecologic Obstetric Investigation, which is a European based journal, as well as the Australasian Journal of Ultrasound in Medicine (AJUM). He is on the organising committee and is an invited speaker at the International Society of Ultrasound in Obstetrics and Gynaecology (ISUOG) Scientific meeting in Sydney 2013. His current research interests relate to the management of ectopic pregnancy, 1st trimester growth, PULs and miscarriage and the use of transvaginal ultrasound (in particular sonovaginography, to predict posterior compartment deep infiltrating rectovaginal endometriosis).Condous is also actively involved with post-graduate education including the annual running of the Early Pregnancy and Gynaecological Ultrasound Interactive Courses for Sonologists, Radiologists, Sonographers and Gynaecologists in Australia.