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What is Maternity and Obstetric care? 
This is the care of women during pregnancy (antenatal), labour and birth, and the 6 weeks after childbirth (postnatal). 
Regular pregnancy checks by a midwife, GP or obstetrician (specialist) are the best way to get a healthy baby.  

We are a teaching hospital and there are usually student midwives and doctors working with the staff.  It is your choice if you have a student help take care of you, what that student does and the gender of the student. Please do not feel scared to let us know how you feel.

Who can provide Maternity Care?

  • Lead Maternity Carer (LMC) Having a LMC is the best sort of care for women in New Zealand and you can find contact details from GP's, the internet or the lists we produce. If you have no luck yourself or if you prefer, we can help you find one in your area. Call the maternity administration team on (09) 276 0044 ext 58187.  They will take your details and connect you with midwives from your area, who have a space at the time of your due date and send you a letter giving you the midwife's name and number. The LMC midwife will then give you a call.  LMCs have easy access to specialists and to both primary birthing units and hospital facilities.
  • Counties Manukau Health Caseloading Team These DHB employed midwives work as a team to provide continuity of care throughout your pregnancy, labour and postnatal period. A team midwife is available 24 hours per day, 7 days per week. The midwives have easy access to the specialists.  They are based at Botany primary birthing unit.
  • Primary Maternity Services A midwife will contact you to arrange an appointment. Antenatal clinics are held in community clinics often at GP surgeries, at the three primary birthing units in Pukekohe, Papakura and Botany Downs or at your home if you have difficulty coming to a clinic.  Your midwife will make sure you have her contact details.

Birthing at one of the Primary Birthing Units is a safe and home-like choice for low-risk women.   If you live near to Middlemore Hospital you can still choose to birth at one of the units.

Click on the following link to view A-Z on pregnancy and keeping healthy.

Pregnancy Services Provided by Counties Manukau Health

Counties Manukau Health maternity services are located at

Primary Birthing Units 
We have three Primary Birthing Units; Botany Downs, Papakura and Pukekohe. They all have pregnancy clinics, labour and birthing facilities and provide postnatal care.

Labour/birth care is provided by experienced midwifery staff in the unit or by your LMC midwife. These midwife-led units offer pools for labour and/or water birth as an option.

If you choose to birth at Middlemore, or are advised to, you can still transfer to one of the units soon after birth for your post natal stay. All units have BFHI accreditation and all the staff, including lactation consultants, are very experienced in helping with establishing breastfeeding.

 Middlemore Hospital

 Specialised Pregnancy Services

  • Specialist Appointment
    An obstetrician is a specialist doctor who provides care for women with complications from the last pregnancy, during this pregnancy, childbirth or the postnatal period. Your midwife/GP will discuss referral with you. You may see the obstetrician once or a number of times depending on the reasons. Clinics are held at Manukau SuperClinic™ as well as Pukekohe and Papakura Maternity Units.
    Women who have higher risk pregnancies will usually be advised to birth at Middlemore Hospital.
  • Young Mums Pregnancy
    The midwives work alongside Te Kaha Rangatahi Trust for mums who are under 20 - social and peer support services are provided by the Trust. We have a dedicated social worker and community health workers. You can refer yourself or be referred for care in complete confidence. We will arrange to see you at a location you prefer.
  • Obstetric Medical Clinic (OMC)
    Women with very complex medical problems before or during pregnancy are seen by this service. Some women are seen by a specialist team all through pregnancy but others only once or twice.  You can often continue with your LMC midwife (if you have one) or this service will provide midwifery care along with the obstetricians and physicians (medical doctors).
  • Diabetes in Pregnancy Service
    If you have diabetes or if it is found during your pregnancy this service will manage this side of your care. Midwives, obstetricians, diabetologists, and dietitians all work to help you control your diabetes. Your LMC or community midwife will usually provide basic midwifery care too.


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