Maternal medicine

About

The obstetric medicine (maternal medicine) service at Queen Charlotte’s & Chelsea Hospital provides outpatient and inpatient care for women affected with any medical disease in pregnancy, as well as pre-pregnancy counselling. Obstetric medicine is the specialist care of pregnant women who either have pre-existing medical diseases, or have specific pregnancy-related diseases that can affect any organ in the body. We have a multidisciplinary team of specialist doctors and midwives who offer pre-pregnancy counselling and provide assessment and management of women during their pregnancy, labour and following the birth of their baby. Our highly respected maternal medicine service receives referrals from GPs and hospitals across the UK and internationally.

The service is normally offered for women booked for their antenatal care at Queen Charlotte's & Chelsea Hospital. However, if a local maternity hospital is unable to offer expert care for the medical condition, or a patient would like a second opinion, we are happy to accept referrals. We have expertise in offering counselling to women concerned about possible adverse effects of medication during pregnancy. The service is advisable for women with complicated medical conditions contemplating pregnancy or in-vitro fertilisation (IVF) treatment, as it can influence pregnancy outcome. We also provide a smaller maternal medicine service at St Mary’s Hospital which deals with common medical disorders.

Conditions and treatments

At Queen Charlotte's & Chelsea Hospital the de Swiet Obstetric Medicine Centre provides a multidisciplinary team approach for the management of pregnant women with any pre-existing medical disorder in addition to pregnancy-specific medical disorders. This includes neurological, heart, endocrine/glandular, joint and connective tissue, bowel, kidney/renal, lung/respiratory, liver and metabolic disorders, haematological/blood disorders including sickle cell disease, thrombosis and coagulation problems, high blood pressure, diabetes and cancer. The maternal medicine service at St Mary’s Hospital sees women with endocrine problems or diabetes in pregnancy, high blood pressure and other common medical illnesses.


Additional information

Clinical trials and research

At Queen Charlotte’s & Chelsea Hospital we run a number of trials which you will be invited to participate in on a number of medical disorders in pregnancy. We may approach you to participate either because you have a specific disease or because we would like you to be in the control group of the study. At present we are actively recruiting into studies on obstetric cholestasis.

Education and elective placements

We do offer elective placements for postgraduate doctors interested in a career in obstetric medicine at Queen Charlotte’s & Chelsea Hospital. Please contact Professor Nelson-Piercy.

At Queen Charlotte’s & Chelsea Hospital we are actively involved in training and have two sub-speciality obstetric trainees in maternal-fetal medicine, one physician trainee in obstetric medicine and one senior obstetric trainee doing the advanced training speciality module in maternal medicine.

Consultants from the obstetric medicine service at Queen Charlotte’s & Chelsea Hospital run a number of training courses in obstetric medicine for trainees, GPs, general physicians, anaesthetists and neurologists. Details of courses can be obtained at www.symposia.org.uk.

Below is a list of the courses we offer annually. Please note that the obstetric neurology course is offered every other year.

  • Medical Complications in Pregnancy for Obstetricians, Physicians and Obstetric Anaesthetists
    Course Directors: Professors Catherine Nelson-Piercy, Catherine Williamson and Dr David Williams
    Venue: Royal College of Physicians
  • Obstetric Medicine for Trainees for General Medical, Anaesthetic and GP Trainees
    Course Directors: Miss Mandish Dhanjal, Dr Anita Banerjee
    Venue: W12 Conferences, Hammersmith Hospital
  • Obstetric Medicine for GPs and Midwives
    Course Directors: Professors Catherine Nelson-Piercy, Catherine Williamson
    Venue: W12 Conferences, Hammersmith Hospital
  • Obstetric Neurology Course
    Course Directors: Miss Mandish Dhanjal, Dr Pooja Dassan
    Venue: W12 Conferences, Hammersmith Hospital

Further online resources