We offer pre-pregnancy counselling with specialist physicians and obstetricians for women with pre-existing medical conditions who are considering a future pregnancy.

We are only clinic in north-west London offering comprehensive multidisciplinary pre-pregnancy counselling for a range of complex medical diseases and previous obstetric complications. We offer up-to-date advice on medication, and tailored management plans for antenatal care, labour and delivery for women with complex medical conditions, including diabetes, renal, cardiac, respiratory or neurological diseases.

Why would I be referred to this service? 

The service is advisable for women with complicated medical conditions who are contemplating pregnancy or in-vitro fertilisation (IVF) treatment, as it can influence pregnancy outcome. We are also happy to accept referrals of women with a previous complicated obstetric history who may wish to discuss their birth experience in preparation for a future pregnancy. 

Conditions and treatments 

We give advice and suggest amendments to treatment if necessary. We also give advice regarding optimisation of medical conditions prior to pregnancy and arrange any tests or investigations that are indicated. We offer advice and tailored management plans for women with complex medical conditions including:

  • Renal disease 
  • Cardiac disease 
  • Neurological disease 
  • Diabetes 
  • Chronic hypertension 
  • Previous pre-eclampsia 
  • Previous obstetric cholestasis 
  • Thyroid disorders 
  • Endocrine conditions 
  • Respiratory disease 
  • Obesity 
  • Inflammatory bowel disease 
  • All other complex medical diseases 
  • Additional information 
  • Clinical trials and research 

How can I access this service? 

Please speak with your GP if you would like to know more about how this service could support you. 

Additional information

There are several trials and studies taking place in the department, mostly relating to renal disease, hypertension and obstetric cholestasis. You can enquire about relevant studies if they wish and will be recruited if they fulfil inclusion criteria.

Education and elective placements for clinicians

If you are a clinician and you are interested in education or an elective placement, please contact Miss Muna Noori on m.noori@nhs.net or Miss Mandish Dhanjal on mandish.dhanjal@nhs.net for more information.