Specialist medical advice for pregnancy
Clinician Services

Services For Clinicians

Pre-pregnancy Advice
I see women before pregnancy and provide advice and support for women with pre-existing medical conditions or a history of medical complications in pregnancy. I can advise on optimising medications prior to pregnancy, and discuss the implications of the disorder on the pregnancy and of pregnancy on the disorder. I also see women after a complicated pregnancy, for example, early onset pre-eclampsia and advise on the recurrence risk of such disorders and how to optimally plan for another pregnancy.

Obstetric Medical Opinion
The incidence of medical conditions in pregnancy is increasing. I can provide a medical opinion for antenatal and postnatal women. This can be for symptoms that have occurred during pregnancy, for example, shortness of breath or palpitations or for management of medical problems such as migraines or hypertension occurring antenatally or postnatally. Often women may have more than one medical problem or several organ systems involved. I can provide a co-ordinated approach to care addressing all medical problems in pregnancy.

I cover all medical conditions including:
  • Hypertensive disorders, e.g. pre-existing hypertension, previous eclampsia/pre-eclampsia or HELLP syndrome
  • Cardiac, e.g. valvular disease, congenital heart disease, arrthymias, cardiomyopathy, ischaemic heart disease
  • Renal, e.g. chronic renal failure of any cause, renal transplant, reflux nephritis
  • Respiratory, e.g. asthma, cystic fibrosis, sarcoidosis
  • Rheumatological/Connective tissue disease, e.g. rheumatoid arthritis, SLE, antiphospholipid syndrome, Marfan’s syndrome, Ehlers Danlos syndrome
  • Hepatic, e.g. viral hepatitis, primary biliary cirrhosis, primary sclerosing Cholangitis, obstetric cholestasis or acute fatty liver of pregnancy
  • Gastrointestinal, e.g. inflammatory bowel disease, hyperemesis gravidarum, IBS
  • Haematological, e.g. venous thromboembolism, sickle cell disease, immune thrombocytopenic purpura, thombotic thrombocytopenic purpura, haemophilia
  • Endocrine, e.g. thyroid disease, pituitary disease, parathyroid disease, adrenal disease. Type 1, type 2 and gestational diabetes.
  • Neurological, e.g. epilepsy, multiple sclerosis, migraines, cerebrovascular accident, idiopathic/benign intracranial hypertension.
  • Advice about medications in pregnancy and breastfeeding

If you would like further information please contact me, there are also some useful links available here.