Specialist Maternity Clinics

Women with medical conditions e.g. diabetes, cardiac disease or epilepsy should be seen as early as possible. You will need to visit one of our specialist clinics if you have certain conditions.

Please see further information below on our specialty clinics

Debriefing after your delivery

Offered to expectant mothers who request discussion on their previous pregnancy and deliveries.

Cardiology and Renal Clinics

Rapid access to Cardiology and Renal clinics in St.Vincents University Hospital.

Diabetes

The  multidisciplinary NMH Diabetes Team includes an Endocrinologist, Obstetricians, Dieticians and Midwives who work together to provide diabetes care to all pregnant women with Type 1, Type 2 and Gestational Diabetes. The team provide a comprehensive holistic approach to ensure a high quality and safe pregnancy with regular care and support to deal with the range of challenges diabetes women have during pregnancy and post delivery.

Further information is available on the main Diabetes page.

Epilepsy Clinic

Twice monthly clinics led by clinical nurse specialist in epilepsy for expectant mothers.

GUIDE Clinic

Rapid access the Department of Genito Urinary Medicine and Infectious Diseases (GUIDE) clinic in St.James Hospital for mothers with underlying infectious disease.

Haematology Clinic

Weekly Consultant led clinic for mothers with underlying clotting blood disorder.

Hepatology Clinic

Hepatology Consultants visit The National Maternity Hospital to review expectant mothers with liver concerns.

Hypertensive Clinic

Consultant Cardiologist with special interest in hypertension visits fortnightly to review mothers with hypertensive disorders.

Maternal Medical Clinic

This clinic involves pre-conception and antenatal care for women with an underlying comorbidity.

Pain Clinic

Anaesthetic team review expectant mothers, postnatal mothers and non pregnant women regarding pain management.

Preterm Birth Clinic

Every Monday

This is a specialist antenatal clinic for women at risk of preterm birth. Our clinic is run by Dr Siobhan Corcoran, Consultant Obstetrician and Gynaecologist & Specialist in preterm birth, a registrar, and Larissa Luethe, our dedicated Preterm Birth Clinic Midwife.

We see women who have experienced a preterm birth before 34 weeks, women who had two or more surgical treatments to the cervix after an abnormal smear test (LLETZ treatments), women who have had a single cone biopsy and women with congenital uterine abnormality (an abnormality of the womb you were born with). We also offer a preconceptual counselling service to women that are planning a pregnancy in the near future that are at high risk of preterm birth.

Your first visit to the clinic will ideally be in the first trimester. At your first appointment your history will be recorded by a midwife and bloods, swabs and urine samples will be taken. During your consultation with either the Consultant or senior Registrar, your history will be discussed in-depth and an individual plan of care for your pregnancy will be made. The length of your cervix (cervical length) will be measured by internal (vaginal) ultrasound scan regularly as you will be reviewed in the clinic every 2 to 4 weeks. If the cervix becomes short, a stitch can be placed into the cervix to help reduce the risk of preterm birth. Some women will be prescribed medication from around 16 weeks pregnant to reduce the risk of preterm birth. After 28 weeks, if your pregnancy is stable you may be discharged to the clinic of your choice e.g. public, semiprivate or private. 

Referral to clinic:

You can be referred to the clinic via your GP.  It is very important that your full medical history is clearly specified on the referral. Alternatively you can self-refer by booking online or email Pretermsurveillanceclinic@nmh.ie, again it is very important to give your full medical history.

Rheumatology

Consultant Rheumatologist and his team visit monthly to review expectant mothers with underlying rheumatology and related disorders.

Pre-Conception Clinic

Pre-conception Consultants visit fortnightly with relevant specialist clinicians for women with underlying morbidity or previous pregnancy complications.

Teenage Clinic

Combined Consultant and Midwives clinic for expectant mothers under the age of 18 years, with specialist support from multi disiplinary team.

The Poppy Clinic

The Postnatal Morbidity Clinic, since renamed the Poppy Clinic, was set up in 2013 in The National Maternity Hospital by then Midwife manager, Caroline Brophy and Dr Laoise O’Brien, Consultant Obstetrician. The need for the clinic arose after the hospital identified that midwives, obstetricians, GP’s and public health nurses had nowhere specific to send postnatal women who experienced a complication during their pregnancy, during childbirth or in the few days/weeks after having their baby. Nearly 50% of all attendees require wound management and attend the clinic on multiple occasions.

The postnatal period is often referred to as the ‘Cinderella of childbirth’, compared to the care women receive during their pregnancy and birth. Morbidity is a wide-ranging concept that refers to any physical or mental complication directly related to childbirth, which may not necessarily be life-threatening but may result in significant impact on the quality of a woman’s life.

The Poppy Clinic is for mothers who suffered a complication during their pregnancy, labour, delivery and postnatal period.

The clinic includes wound management, medical and obsterical review and debriefing.

An evaluation of teh Poppy Clinic was funded by The HSE Nursing & Midwifery Planning and Development Unit, Dublin South, Kildare & Wicklow and was a joint research project between The NMH and The UCD School of Nursing, Midwifery and Health Systems. A full report of the findings has just been published and is available http://www.nmh.ie/home/joint-research-network-conference.14321.html

TLC Clinic

A dedicated ‘TLC Pregnancy Clinic’ is in operation at The NMH designed specifically to support women who previously suffered RPL. The Clinic was established and is led by Dr. Cathy Allen, Consultant in charge of the Recurring Miscarriage Service at The NMH.

Central to the hospitals care of RPL patients are the Bereavement Specialist Midwives, whose dedication and compassion make a fundamental difference to the lives of patients affected by miscarriage. A monthly Support Group has also been set-up by The NMH Bereavement Team to help support women who have experienced pregnancy loss.