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Gynaecology Care

Clinics


General gynaecology

The Rotunda Hospital offers a comprehensive range of services for the investigation and treatment of benign gynaecological conditions including:

  •  Endometriosis
  •  Menstrual disorders 
  •  Prolapse and other gynaecological conditions
These clinics are led by consultant obstetricians and gynaecologists. A letter of referral is required from your GP. 

Adolescent Gynaecology

This special service is provided for teenage girls (14 - 18 years of age). Dr Geraldine Connolly, consultant obstetrician and gynaecologist runs this clinic on a weekly basis with midwife Debbie Browne. Dr Connolly also provides a paediatric gynaecology service to the Children’s University Hospital, Temple Street. The service provided in the Rotunda allows for the easy transition of care for patients from paediatric to adolescent and adult gynaecology services. Referral to the clinic is by letter from a GP or other referring doctor.

Early Pregnancy Unit

  • The early pregnancy unit (EPU) is a dedicated specialist department in the hospital that deals with problems in early pregnancy. 
  • The most common concerns are vaginal bleeding or pain.
  • Light vaginal bleeding and abdominal cramps are common in early pregnancy.  However, they may also be the first signs of a potential problem with the pregnancy, such as a miscarriage.

However, they may also be the first signs of a potential problem with the pregnancy, such as a miscarriage. Miscarriage or fetal loss is the most common complication of pregnancy and affects on average 20 percent of all pregnancies.

  • The staff in the early pregnancy unit will assess you and your pregnancy.
  • This will involve a medical history, an examination and an ultrasound scan.
  • Assessment often involves an internal (vaginal) examination and a vaginal scan.
  • This helps us to get the most accurate information possible about what is happening to you and your baby.

Please come to the clinic with a full bladder to make the ultrasound easier. In some cases the examination or scan findings may be unclear and additional blood tests may also be taken. 

These test results are usually available within 24 hours and we will contact you with the results and discuss your care with you.

If the bleeding is heavy or your have worsening abdominal pain or pain in your shoulder tip you should attend your GP or the hospital for urgent review. If a miscarriage occurs or you are diagnosed with an ectopic pregnancy (pregnancy outside the womb), the doctor and midwife will explain all the options of care available to you.

They will give you information on support and counselling which can help you through this difficult time.

If you need to be admitted to hospital, the staff will arrange this as soon as possible.

The early pregnancy unit aims to offer women an appointment at 8 weeks if they have had two previous miscarriages or at 6 weeks if they have had a previous ectopic pregnancy or molar pregnancy. Alternatively an early booking visit for 10 weeks of pregnancy may be arranged.

Clinics are held by appointment on Monday – Friday from 8.00 am until 1.00 pm. You can be referred to the unit by your GP or from the assessment and emergency unit in the hospital. Or, you can simply refer yourself by phoning 01 817 6846. (You must be over six weeks pregnant before you can be seen in the unit.) If the staff can’t take your call, please leave a message giving your name and phone number and they will return your call as soon as possible.

In the case of emergency you can get medical help from:
  • Your GP or midwife
  • Rotunda’s early pregnancy unit - 01 817 6846
  • Rotunda’s assessment and emergency unit - 01 817 1700 or your obstetrician
  • A&E department at your local hospital
Support and Counselling:
  • Bereavement Social Worker 01 817 1700, bleep 699
  • Bereavement Support Midwife 01 817 1700, bleep 777
  • Chaplain 01 817 1700, bleep 334
Support agencies include:
The Miscarriage Association of Ireland at www.miscarriage.ie or phone 01 873 5701.
Ectopic Pregnancy Ireland at www.ectopicireland.ie or phone

Infertility

A couple are said to be infertile if a pregnancy does not occur within 12 months of actively trying to conceive a baby. You should have regular sexual intercourse (2-3 times per week) if you are trying to get pregnant. Infertility is very common and affects about 1 in 7 couples in Ireland. A woman who has never been pregnant is said to have 'primary' infertility, and a woman who has had a previous pregnancy has 'secondary' infertility. However, if there is a known gynaecology problem or an issue with sperm quality, it’s better to seek help earlier.

Your GP will refer you to the infertility clinic and both you and your partner should attend the appointment. The clinics are run by Dr Edgar Mocanu and Dr Rishi Roopnarinesingh, who are both consultant obstetricians and gynaecologists. The doctor will then organise for a number of tests and investigations to be carried out.

Semen analysis testing

For information on the services provided by Rotunda IVF - The National Fertility Centre, please follow this link to the Rotunda IVF website: www.rotundaivf.ie 

Recurrent Miscarriage

Women who have had three or more consecutive miscarriages are referred to this clinic for follow-up care. There are many reasons why recurrent miscarriages happen and in some cases no reason is found. However, there are a number of known causes and we can do some tests to see if you have any of these:

  •  Acquired clotting abnormalities
  •  Thyroid disease
  •  Abnormalities in the shape of the uterine cavity
  •  Chromosomal abnormalities

Couples are referred to this clinic from other departments in the hospital, for example, from the early pregnancy unit or by the bereavement support team. The clinic is run by Dr Sharon Cooley, consultant obstetrician & gynaecologist with midwife Patricia Fletcher. Following initial consultation the clinic is dedicated to providing investigation, help, advice and support. They will also arrange to see you during the early stages of your next pregnancy, before transferring your care to one of the maternity care teams.


Useful link:
www.miscarriage.ie

Perineal Clinic

The complicated postnatal care (‘perineal’) clinic provides care to women who sustained anal sphincter injury during the birth of their baby. An anal sphincter injury occurs when there is a tear from the vagina into the back passage. A third degree tear is where the ring of muscle around the back passage (anal sphincter) is damaged during birth. A fourth degree tear is where the tear goes as far as the anal canal (inside the back passage).

Any women with a 3rd or 4th degree tear following birth will have been seen by the physiotherapist around 2 weeks after the birth. Further appointments with the physiotherapist will be arranged as necessary.

These women are referred for a special review at this clinic around 6 weeks after birth to ensure that their recovery has been satisfactory. Their labour and the birth of their baby as well as planning care for any future pregnancies and births are discussed. The clinic is run by Dr Maeve Eogan, consultant obstetrician & gynaecologist.

This clinic also provides care for women who have other problems after the birth of their baby, for example, perineal pain, dyspareunia (pain on sexual intercourse) or a perineal wound infection. Women are usually referred to this clinic from within the Rotunda, but GP referral for delayed postnatal complications are accepted. The clinic also has links with the department of colorectal surgery in the Mater Hospital for any woman who requires referral.

Promotion of Continence

Urinary incontinence is the loss of control of your bladder. The promotion of continence clinic is a combined physiotherapy and gynaecology service which optimises the use of non-surgical therapies for women with urinary incontinence.

The clinic is held every Tuesday morning and is run by Dr Mary Holohan, consultant obstetrician and gynaecologist and Ms Cinny Cusack, physiotherapy manager. Referral to the clinic is by letter from your GP.

The evaluation of the incontinence problem is usually completed in two stages, over a two week period. It includes taking a detailed history, keeping a bladder function chart and assessment of pelvic structures and the pelvic floor.

Therapies include fluid and bladder management, a specific pelvic floor physiotherapy programme for you, medication and lifestyle advice. The clinic regularly audits its results and patient satisfaction with care is more than 80%. The service has links with Beaumont Hospital if urodynamics and surgery are required.

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