Contents Risks of Being Overweight and Pregnant Pregnancy Labour and Delivery Anaesthetics After Delivery Long Term What Can Be Done About It? Become Aware During Pregnancy Before You Are PregnantManagement of childbirth in the excessively overweight patient was a...
I recently met a newly appointed young obstetrician at the hospital. I asked her how she was going. She replied: “It is frightening”. She had finished her training four years earlier and now she was having to do things without the umbrella of the training programme...
Emma presented to the Birthing Unit at 9.00pm with epigastric pain. She was 39 weeks 1 day gestation in her first pregnancy. There was no uterine tenderness of pain, no uterine contractions, and no vaginal bleeding. She was otherwise well. Her baby’s heart rate...
It is not unusual for a patient to ask: “Is the umbilical cord around my baby’s neck?” The reason for the question is the patient is anxious about this and is concerned the umbilical cord being around baby’s neck (nuchal cord) will adversely affect baby’s wellbeing....
Corrine's antenatal course was uneventful until she had her morphology ultrasound scan. The morphology ultrasound scan found that Corrine and Ryan’s baby had a foetal scoliosis (curvature of the spine). It was suspected due to a vertebral malformation between...
Catherine saw me at nine weeks gestation for management of her fifth pregnancy. Her first three pregnancies had been unsuccessful. I had not known her then. She saw me for the first time for management of her fourth pregnancy, which was successful. She told me in her...
I first met Nicole in 2015. She had been admitted to hospital with hyperemesis gravidarum. It was her second pregnancy. Her first pregnancy had to be ended at 29 weeks by Caesarean section delivery after she developed HELLP syndrome. HELLP (Haemolysis, Elevated Liver...
Catherine saw me at eight weeks gestation for management of her 4th pregnancy. Her first three pregnancies had been unsuccessful. She told me in her first pregnancy she had a placental abruption with threatened preterm labour at 23 weeks. At 24 weeks her membranes...
Ashley saw me for her first antenatal visit for her first pregnancy at 9 weeks pregnant. Her pregnancy progressed well until the routine morphology ultrasound scan at 19 weeks when vasa praevia was suspected. The placenta was found on an ultrasound scan to be on the...
Sam saw me recently for her postnatal visit. She had had an extremely eventful pregnancy with an excellent outcome. Sam had two earlier pregnancies with me as her obstetrician. The first delivery was by Caesarean section because of the lack of progress in labour. The...
Adriana saw me with her husband for a pre-pregnancy consultation. She saw me for a second opinion. She wanted to discuss her obstetric history and my thoughts as to what could be done so she had a good pregnancy outcome next time. She had a history of three...
Acute appendicitis can be a very difficult diagnosis to make in pregnancy. Because of this, there can be a delay in making the diagnosis and surgically dealing with the inflamed appendix. With a delay, there is an increased morbidity risk. Appendiceal rupture occurs...
Hannah saw me for management of her first ongoing pregnancy. She had two miscarriages in the past. There was no relevant history except she was hypothyroid and was taking thyroxine. The pregnancy started well. The first visit with me was at 10 weeks and there were no...
I was very excited to see a wonderful patient for the first antenatal visit of her second pregnancy. Sadly, her first pregnancy had not worked out as she had a mid-trimester loss. She has been diabetic since as she was five years old. She has an insulin pump and is...
It was Lydia’s first pregnancy. It had been totally uncomplicated. I saw her at 39 weeks and 0 days for a routine check and there were no concerns. During the early evening of the next day Lydia fainted at home whilst sitting on the couch. Her mother-in-law was with...
A 25-year-old patient attended at eight weeks pregnancy for her first antenatal visit of her first pregnancy. Initially, the pregnancy progressed normally and without any concerns. There started to be a slight fall-off in baby’s growth, first detected by ultrasound...
In osteoporosis there is reduced bone mineral density which predisposes to increased risk of bone fracture. Osteoporosis leading to fracture can occur during pregnancy, though it is very uncommon. There is likely to be a background condition such as such as coeliac...
Pregnancy is the most significant modifiable factor known for breast cancer risk in women. Although an initial increase in risk occurs immediately after parturition in women older than 25 years, the overall lifetime risk of breast cancer decreases after pregnancy. The...
*Saturday morning appointments are not available for initial antenatal visit.
