| Clinics |
Services |
Referral Criteria (non-exhaustive) |
|
Obstetric High Risk Clinic (OHRC) | Consultant-led clinic for mothers with high risk pregnancies | - Hypertensive disorders of pregnancy (e.g. pre-existing hypertension, gestational hypertension, pre-eclampsia
- Gestational diabetes mellitus on insulin
- Compromised adverse outcomes in previous pregnancy (i.e. stillbirth, uterine rupture, history of severe pre-eclampsia, HELLP syndrome or eclampsia)
- Morbid obesity
- Known or suspected case of placenta accreta
- Anticipated complicated deliveries (e.g. large uterine fibroids in pregnancy)
|
|
Joint Diabetes in Pregnancy Clinic (OBSDM) | Combined clinic run jointly by a consultant endocrinologist or internal medicine specialist and a consultant maternal-fetal medicine specialist | - Pre-existing diabetes mellitus
- Gestational diabetes mellitus on insulin with suboptimal control
|
|
Joint Medical Disorders in Pregnancy Clinic (OBSMED) | Combined clinic run jointly by an internal medicine specialist and a consultant maternal-fetal medicine specialist | - General medical disorders including:
- Hypertension
- Thyroid disorders
- Neurological conditions (e.g. epilepsy, previous stroke)
- Respiratory disease (e.g. poorly controlled asthma)
- Cardiac disease
- Renal disease
- Obstetric cholestasis
- Rheumatological conditions
- Malignancy in pregnancy
|
|
Joint Obstetric and Haematology Clinic (OBSHAEM) | Combined clinic run jointly by a consultant haematologist and a consultant maternal-fetal medicine specialist | - Previous history or current history of venous thromboembolic disease
- Platelet disorders (e.g. immune thrombocytopenia purpura, gestational thrombocytopenia)
- Complex anaemias (e.g. thalassemia major or intermedia)
- Thrombophilia
- Patients on long-term anticoagulation
|
|
Joint Obstetric and Dermatology Clinic (OBSSKIN) | Combined clinic run jointly by a consultant dermatologist and a consultant maternal-fetal medicine specialist | - Moderate to severe skin problems (e.g. psoriasis, pustular psoriasis, atopic dermatitis, immunobullous disease) requiring immunosuppressants or systemic therapy such as cyclosporin, prednisolone or biologics
- Underlying autoimmune skin conditions (e.g. sub-acute lupus, anti-Ro/La antibodies)
- Pemphigoid gestationis, intrahepatic cholestasis of pregnancy (with refractory itch), atopic eruption of pregnancy (requiring phototherapy or immunosuppressants)
- Women planning to start a family with skin problems requiring immunosuppressants or systemic therapy
|
|
Preterm Birth Clinic (OBSPRETERM) | Consultant-led clinic for mothers at increased risk for preterm birth | - Past history of cervical incompetence or cerclage, short cervix or cervical dilation on scan during post-cerclage follow up
- History of spontaneous preterm birth or premature pre-labour rupture of membranes (PPROM) before 34 weeks of gestation in previous pregnancy/pregnancies
- History of mid-trimester pregnancy loss
- Previous cervical surgery (e.g. cone biopsy)
- Uterine malformations (e.g. uterine didelphys)
|
|
Twin Clinic (OBSTWIN) | Consultant-led clinic for mothers with multiple pregnancies | - Dichorionic diamniotic (DCDA) twin pregnancies
- Monochorionic twin pregnancies
- Higher order multiple pregnancies
|
|
Obstetric Pre-Pregnancy Counselling Clinic (OBSPPC) | Consultant-led clinic for women with existing medical problems or previous adverse pregnancy outcomes, who require pre-pregnancy counselling and optimising before their next pregnancy | - Women with existing medical problems (e.g. rheumatological conditions, renal disease, cardiac disease etc.) who require pre-pregnancy counselling and formulation of a pre-pregnancy plan prior to trying to conceive
- Women with previous adverse obstetric outcomes or complications who are considering embarking on their next pregnancy
|
