Lupus in Pregnancy (LIPs) Clinic
At Saint Mary's Hospital, we run a specialist antenatal clinic
for pregnant women with Lupus Spectrum disorders including Systemic
Lupus Erythematous (SLE), incomplete Lupus Syndrome and the
Anti-phospholipid syndrome (APS) as well as other connective tissue
disorders. These disorders are associated with serious problems
during pregnancy such as pregnancy loss, pre-eclampsia, premature
birth and failure of the baby to grow.
The specialist team within the clinic provides pre-conception
advice, routine antenatal care such as blood pressure and urine
checks, routine antenatal advice, detailed ultrasound observations
of the baby and placenta, monitoring of medication, monitoring of
blood tests, monitoring and management of symptoms related to the
specific disorder such as 'flare ups'. Surveillance of maternal and
fetal health is tailored to individual requirements and a care plan
is made for the antenatal period in addition to delivery.
Embedded in the clinical service is an active research programme
within the Maternal and Fetal Health Research Centre. This study
aims to collect information about pregnancies in women with
Lupus-like disorders and other connective tissue diseases in order
to help us understand pregnancy in women with these disorders
better. We hope that by collecting information like this, we can
better look after women and improve outcomes of pregnancy in the
future. All women attending the LIPs clinic are invited to take
part in the research study and will be sent the information with
the appointment letter. Women should be reassured that their
decision to help or not with the research project does not
influence their clinical care.
Our staff include:
Dr Clare Tower, Consultant Obstetrician.
Professor Ian Bruce, Consultant Rheumatologist.
Miranda Hobson, Specialist Midwife.
Louise Stephens, Research Midwife.
Conditions dealt with:
- Systematic Lupus Erythematosus (SLE).
- Incomplete Lupus Syndrome.
- Anti-phospholipid Syndrome (APS).
- Other connective tissue diseases, including scleroderma,
dermatomyositis and others.
Clinics are held on the 5th Floor, Maternal and Fetal Health
Research Centre, Saint Mary's Hospital, every Tuesday
What is offered to the patient?
- Pre-conception consultation.
- Antenatal care.
- Management of Lupus in pregnancy including additional pregnancy
- Opportunity to be involved in research.
How do I access the service?
Patients can be referred to the service via:
- Their GP.
- Community midwife.
- Reproductive Health Service.
Useful web links: