Obstetrician – specialists in pregnancy & birth
Obstetric care at Glengarry Private Hospital, Perth
Dr Mark Sillender is a friendly, caring & very experienced specialist Obstetrician and Gynaecologist.
Management of both uncomplicated and complicated pregnancy is offered.
Our team offers friendly, experienced, accessible, convenient maternity & obstetric care.
We aim to be as responsive as possible to your needs.
Our Perth obstetric services include
Preconception assessment | advice
Optimisation of medical problems and general health prior to embarking upon pregnancy. Our obstetrician, Dr Sillender has been published in academic journals on vitamin supplementation around conception.
Including the assessment and management of recurrent miscarriages. We understand the anxiety that women can have after miscarriage. We can support you and see you as often as you need. Scans can be used liberally.
General pregnancy care
We are happy to provide you with all reasonable birthing options from low-intervention natural births to Caesarean section (C-section). We are comfortable discussing all your wishes for your birth. Research has shown that having continuity of care is important for all women, both low and higher risk, who are pregnant.
Obstetric care for women with medical problems
Including high blood pressure, heart problems, asthma, kidney and bladder disorders, anaemia and thalassaemia, thyroid and other endocrine problems, liver and gastrointestinal problems, inflammatory conditions such as SLE and arthritis
Pregnancy care for women with reproductive problems
- Fertility problems or those who have conceived with IVF or other reproductive technologies. Dr Sillender provides IVF in Perth and is therefore aware of the anxiety that comes with these pregnancies.
- Recurrent miscarriages
- Previous cervical surgery
- Polycystic Ovarian Syndrome (PCOS)
- An increased BMI
- Previous preterm births
- Previous significant pregnancy problems eg. growth restriction, haemorrhage, severe pre-eclampsia, deaths
- Previous difficult or traumatic births
- Pregnancy care for women with psychological or psychiatric conditions
- Pregnancy and birth care for women with previous caesarean sections
- Pregnancy and birth care for women with multiple pregnancies. Dr Sillender has lots of experience in managing twin pregnancies – including those with monochorionic twins, and has his own twin boys
- Pregnancy and birth care for the over 40s, who often have specific relevant issues.
We believe that, even in the presence of significant complications, it is our role to make the pregnancy and birth experience as positive as possible.
Our obstetric service
Dr Sillender has years of continuous experience of providing pregnancy care as an obstetrician, commencing training in 1996 and becoming a fully qualified specialist in 2004. He has trained in medicine & obstetrics & gynaecology and been a clinical teacher of undergraduates & postgraduates in Edinburgh, Oxford Deanery & London.
We can look after you before you fall pregnant, help you achieve pregnancy in a renowned fertility centre (PIVET in Perth) using IVF and other technologies if necessary, and then manage your ensuing pregnancies, contraception need, and gynaecologic issues until and then after your family is complete.
Our rooms are opposite Glengarry Private hospital – this minimises delays if a normal birth is proceeding and increases oversight of the birth. Scanning & blood-taking are nearby which is very convenient.
We can perform short, informal 2D ultrasound scans at most visits to check on your baby (or babies) if you wish. More formal diagnostic ultrasounds will be scheduled separately as they take time. 3D & 4D ultrasound is available.
Our clinical obstetric practice is normal in that safety of you and your baby is paramount. Despite this, we can often accommodate your wishes for your labour and birth or delivery. If you want a normal birth, we can discuss & offer several evidence-based techniques to try & improve your prospects of it remaining a normal birth.
Focus on your care
Pregnancy bookings will be limited to ensure good work-life balance.
We work collaboratively with the midwives, anaesthetists & peadiatricians at Glengarry hospital, interfacing smoothly. In certain cases, specialist medical colleagues are sometimes needed in defined situations in order to optimise your care eg. fetal medicine specialists, cardiologists, endocrinologists, intensivists etc.
It is the primary aim of obstetrics as a speciality to improve safety as much as possible. it is always on our minds.
When is the first appointment
You can make your first appointment at any time. A pre-conception check is a good idea if you have any medical issues. After pregnancy is confirmed, around 7-8 weeks is a good time to see us, especially if you want an early pregnancy scan to confirm all is OK. Women with a history of miscarriage can see us as soon as they confirm pregnancy if they want early pregnancy investigation & support.
What to expect
We’ll run through your GP’s referral, take your obstetric, gynaecological & medical history, do a brief examination and often a scan (if you haven’t already had this). We’ll organise all relevant tests and sort out any problems you might be having. Discussion of the birth is usually left until later, but some women want to discuss their birth options at this visit. Michelle, our practice manager will take care of all paperwork, and talk to you about how everything works.
As we get to know you over the months, we find out what your priorities and wishes for the pregnancy, birth & afterwards are. This allows us to tailor our care to your needs.
Partner, friends & family
Partners, family members or sometimes a friend accompany women in the birth suite and provide support. This has been proven by research to improve birth outcomes. You will also have a Glengarry midwife with you, with another midwife often joining us at the moment of birth. If you’re having a Caesarean, you would have your partner with you, although additional supporters can often be catered for.
A doula is a commercially-contracted birth companion without relevant maternity qualifications. We would expect to form a very good trusting relationship with you as we get to know you over 9 months or so. This combined with your partner & one-to-one midwifery birth support, makes a doula’s presence superfluous. Evidence of benefit from doulas are confined to old studies from the 1980/90s from North America, Mexico, South Africa and Guatamala. None of these studies were in health systems where midwives provide first-rate one-to-one professional continuous care as seen in private Australian hospitals.
Location in Perth
We are located at Glengarry Private Hospital, Perth, a friendly small hospital in the Northern suburbs. It’s easy to reach us from the Perth Western suburbs north of the river. Cottesloe, Mosman Park and Claremont are within a 20-25 minute drive.
The birth suites & rooms at Glengarry Private are spacious. There is easy access to adjacent parkland. Parking is free and generally easy. Partners are welcome to stay overnight, with many of the rooms containing double beds.