Joint Obstetric Haematology Clinic
The Joint Obstetric Haematology clinic has been running at Saint
Mary's Hospital for more than ten years. We care for pregnant women
who have a variety of disorders affecting the blood. These
- Sickle cell disease and other disorders affecting haemoglobin
- Disorders in which the blood has a tendency to clot
- Disorders in which the blood can fail to clot (bleeding
disorders). This includes women who are carriers of disorders such
Women are seen jointly in the clinic within the
multi-disciplinary team, which consists of a team of
haematologists, midwives and obstetricians. With many patients we
also involve the anaesthetic team, particularly in the management
of pain relief for labour and delivery.
Women with these disorders can face increased risks during
pregnancy and delivery, so a tailored and individual management
plan is made within the clinic. This includes a care plan
specifically for the delivery. The clinic also provides a
pre-conception counselling service, together with postnatal reviews
which helps with the management of ongoing disorders.
The clinic is held in the Antenatal Department, Ground Floor,
Saint Mary's Hospital every Monday morning (except Bank
Our staff include:
Dr Louise Byrd, Consultant Obstetrician.
Dr Clare Tower, Consultant Obstetrician.
Consultant Haematologists: Professor Charlie Hay, Dr Mike Nash,
Dr Jecko Thachil, Dr Kate Ryan.
Specialist Midwives: Liz Hay, Miranda Hobson, Jane Raddats,
Conditions dealt with:
- Haemoglobinopathy, eg, sickle cell.
- Thrombophilias - including both inherited and acquired (eg,
- Haemostatic disorders - eg, those disorders with a bleeding
tendency, such as Von Willebrands, Haemophilia carriers, low
- Women who have had a blood clot during the pregnancy or
previously and require treatment with heparin.
How will I be treated?
Your care will be tailored dependent on the disorder. Some
disorders require intensive monitoring and treatment. All patients
receive an individual care plan for delivery.
How do I access this service?
You can be referred by the midwife/consultant at the time of
your booking appointment.
Sickle Cell Disease and Pregnancy