Obstetric Cardiac Clinic
The Obstetric Cardiac
service is a specialised service for women who have heart disease
who are pregnant, or who are thinking about having a baby.
Women from across the North West of England, North Wales and the
Isle of Man use this service, which provides preconceptual,
antenatal, intrapartum and postnatal care. The aim is to provide
pregnancy-focused, woman-centred care.
Our staff include:
A large team of clinicians contribute to this service
- Dr Sarah Vause and Dr Anna Roberts, Consultant
- Professor Bernard Clarke and Professor Bernard Keavney,
- Midwife Ann Issa.
- Cardiac technicians and many others.
How can I access this service?
Women with known or suspected heart disease (or aortic disease)
should be referred by their GP or consultant for preconceptual
advice. Any women who are already booked at Saint Mary's who have
known or suspected heart disease (or aortic disease) should be
referred as early in pregnancy as possible.
Women with moderate or high risk cardiac disease who are booked
at other hospitals should also be referred, although some may
continue their care in their local hospital if this seems
A referral letter should be sent to Dr Sarah Vause, Consultant
Obstetrician, Saint Mary's Hospital, Oxford Road, Manchester M13
9WL or faxed to (0161) 276 6143. Please include as much detail as
If the referral is urgent, please telephone (0161) 276 6426 or
contact Dr Vause or Professor Clarke via the hospital switchboard
(0161) 276 1234.
Antenatal Department, Saint Mary's Hospital.
The team run a clinic on Tuesday mornings seeing women for
preconceptual advice, antenatal care and postnatal care.
Most women attending this clinic will have an echo and an ECG
performed, before seeing the midwife (Ann Issa), and then the
obstetrician (Dr Sarah Vause or Dr Anna Roberts) and cardiologist
(Prof Bernard Clarke or Prof Bernard Keavney). An anaesthetist is
also available in clinic and fetal echocardiography and obstetric
ultrasound can be done at the same visit.
If women are admitted to hospital they are cared for by the same
team on the ward.
Contraception for women with cardiac