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The Rotunda was the first maternity hospital in dublin to get the national baby friendly hospital award

Specialist Clinics


The Rotunda provides a number of specialist clinics for pregnant women in order to provide the best care during pregnancy. 

Consultants or specialist registrars with an interest in the specific pregnancy-related condition run these clinics. 

They are supported by a midwife who has a wealth of knowledge to offer you during your pregnancy. 

The current specialist clinics are:


Cardiac clinic

This clinic is a combined obstetric/cardiac clinic led by Dr Peter McKenna, consultant obstetrician, Dr Kevin Walsh, a heart specialist (cardiologist) from the Mater, anaesthetists who work in the Mater and the Rotunda who have a specific interest in this problem, and Dr Fionnuala Ní Áinle, consultant haematologist. Women with a known heart condition prior to pregnancy are referred to this clinic early in the pregnancy. 

The cardiac support midwife will arrange appointments for you to attend this service and will link up with the cardiac department in the Mater hospital for any tests you need during the pregnancy.


Diabetic service

This is a combined obstetric/diabetic clinic led by Dr Fionnuala Breathnach, consultant obstetrician and Dr Maria Byrne, consultant endocrinologist from the Mater hospital. Women with known diabetes are asked to attend this clinic from early in their pregnancy. You may need to start taking insulin or, if you are already taking insulin, the levels may need to be adjusted regularly during your pregnancy. Good control of blood sugar levels is essential during pregnancy.

You will have close links with the specialist midwives, Jackie Edwards and Aileen Fleming throughout your pregnancy as you will need to speak with them every week. You will also have close contact with the dietitian who will help you to manage your blood sugar levels.

If you have diabetes or had pregnancy related (gestational) diabetes in the past, please contact the support midwife immediately you know you are pregnant to arrange an appointment. She may be contacted by phoning 087 – 683 2477 during normal working hours.


DOVE clinic

This service looks after the specific needs of pregnant women who have or are at risk of blood and sexually transmitted bacterial/viral infections.

For example you would attend the DOVE clinic if:

  • You or your partner are HIV positive
  • You or your partner are Hepatitis C positive
  • You or your partner are Hepatitis B positive
  • You or your partner have a history of drug addiction or drug abuse
  • You are on a prescribed methadone programme.
  • You are positive for syphilis infection.
  • You require management/treatment of vaginal warts, chlamydia, gonorrhoea or herpes

Members of the DOVE clinic team

While attending the DOVE clinic, you will receive care from a multidisciplinary team who will provide individualised care throughout your pregnancy and birth of your baby. At your clinic visits you will meet Dr Maeve Eogan, consultant obstetrician, the DOVE liaison midwife Mairéad Lawless, and/or the addiction liaison midwife as well as the DOVE clinic social worker. You may also be seen by the consultant in infectious diseases, Dr Jack Lambert. After giving birth, your baby will be reviewed by the paediatrician from the DOVE team, Dr Wendy Ferguson.

It is important that you feel comfortable and can discuss issues openly with the team at the clinic and we hope that attending the clinic is a positive experience for you and your baby. You may contact the DOVE liaison midwife directly by phoning 087 – 415 1478 during office hours.

For further information on the DOVE clinic please see the DOVE clinic booklet.


Endocrine clinic

This service oversees the management of endocrine conditions during pregnancy and is led by Dr Maria Byrne, consultant endocrinologist from the Mater hospital.


Epilepsy

Women with epilepsy should book their first visit as early as possible so that they can be referred to Dr Mary Holohan, consultant obstetrician who will care for them during their pregnancy. Epileptic seizures can increase during pregnancy or seizures can reoccur. Your medication may need to be adjusted. A plan to reduce the possibility of seizures during pregnancy and labour will be prepared for you.


Medical clinic

A specialist medical team led by Dr Colm Magee, consultant nephrologist from Beaumont hospital provides this service for women with high blood pressure, kidney conditions and urinary tract infections. If you are already attending Beaumont hospital for any of these conditions, you will be transferred to the combined obstetric/medical service early in your pregnancy.


Multiple pregnancy

Women with a multiple pregnancy (twins or more) will be referred to this clinic after their booking visit. Dr Ronan Gleeson, consultant obstetrician leads this service. As part of your care you will have regular ultrasound scans to check on the growth, position and wellbeing of your babies.


Recurrent miscarriage

Women who have had three or more miscarriages in a row are referred to this clinic as soon as a pregnancy is confirmed. The clinic is run by Dr Karen Flood, consultant obstetrician and midwife Patricia Fletcher. They will provide emotional and physical support during the early stages of the pregnancy, before transferring your care to the regular obstetric service.


Substance abuse

This service is available to women who are dependent on recreational drugs. The service is led by Dr Maeve Eogan, constant obstetrician, a midwife and medical social worker. The addiction liaison midwife will support you on a methadone programme, if it’s needed, during your pregnancy.


Members of the teenage clinic team

Teenage clinic

This clinic provides care for teenagers up to 17 years of age and to vulnerable young women. The service is led by Dr Geraldine Connolly, consultant obstetrician, Debbie Browne, teenage support midwife and a medical social worker. Age specific antenatal classes are provided by the teenage support midwife, which focus on preparing for labour and on caring for a newborn baby. A postnatal follow-up visit is also provided, with an emphasis on contraception.

Teenagers may contact the support midwife directly by phoning 087 – 913 8430 during office hours.


Thrombosis service 

This service is for women who have been diagnosed with a blood clot in this pregnancy or at any time in the past. It also provides care for women with a bleeding disorder (or a family history of bleeding disorders). The service is led by Dr Fionnuala Ní Áinle, consultant haematologist. You may be referred to this service following the review of your medical and family history at the booking visit.

All these clinics take place within the main outpatients department. Appointments are arranged through the clerical staff in the outpatients department or by phoning them at 01 873 0596 or 01 873 0632. Support and advice is available through the assessment and emergency unit outside of clinic working hours.


Day assessment unit

During your pregnancy you may be asked to attend the day assessment unit (DAU) for additional monitoring and assessment to ensure that all is well with you and your baby. Some women may attend the unit just once, while others may attend regularly during their pregnancy. Attendance at the unit helps to reduce the likelihood of admission to hospital, but sometimes this may still be necessary.

A visit to the unit often takes up to 4 hours. (Reduced rates for parking are available in the Parnell Centre Car Park, once your ticket is validated by security staff in the hospital and the ticket is presented to the car park office for payment.)

The assessment may include:

  • discussion about your condition or any signs or symptoms you may have
  • checking your blood pressure, temperature, pulse and respirations
  • urine test
  • blood tests
  • CTG (tracing of the baby’s heart rate) or an ultrasound scan
  • an antenatal check up
  • review by a senior doctor and a discussion about your ongoing care and management

Due to the number of women attending the unit and because of space restrictions, we ask women to please attend the day assessment unit on their own. Children are not allowed in the unit. Tea, coffee and some light refreshments are available. For further information, or if you are unable to attend, please contact the unit by phoning 01 817 2524.


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