I have worked extensively in the Preterm Labour Clinic at The Royal Women’s Hospital, and run a parallel service in my private practice for patients wanting to access this particular care in the private sector. I have expertise in managing patients with pregnancies at high risk of delivering pre-term (prior to 37 weeks gestation), including vast experience with the insertion of both elective and emergency cervical cerclages.

I suggest patients with any of the following risk factors seek expert care:

• At least one prior preterm birth or mid-trimester delivery.

• Prior cervical surgery (cone biopsy or at least two LLETZ/LEEP procedures; patients who have had a single LLETZ/LEEP procedure may also benefit from a review of their history to ensure their risk is not increased).

• Uterine anomalies (including bicornuate, didelphys, septate uterus).

• Multiple cervical dilatations (at least three curettes).

• Cervical tears during labour and birth.

• Transabdominal cerclage (TAC) in situ.

I have significant experience managing twin pregnancies (including DCDA, MCDA & MCMA twins) as well as higher order multiples.

I care for pregnant patients with complex medical histories, including those with:

• Endocrine disease, including diabetes (type 1 or 2) and thyroid disease 

• Autoimmune disease, including lupus, arthritis, Sjogren’s Disease and antiphospholipid syndrome 

• Renal disease 

• Cardiorespiratory disease, including pre-existing hypertension and asthma 

• Gastrointestinal disease, including Inflammatory Bowel Disease 

• Neurological disease, such as epilepsy and multiple sclerosis

• Psychiatric conditions, including depression, anxiety, OCD and trauma

These devestating outcomes require enourmous support both at the time of the loss, and in the days, weeks and months that follow. I will arrange thorough investigations to best investigate a cause, and hence reduce the risk of recurrence. My team and I provide unconditional emotional support. Subsequent pregnancies are often filled with anxiety and it is our job to assist you in naviating the inevitable stress that comes with pregnancy after loss.

I have a deep personal and professional understanding of the IVF journey, with my wife and I having taken this pathway to pregnancy ourselves. Caring for families who have had IVF takes particular sensitvity and understanding. There is often a much higher level of worry, especially during the first trimester. I appreciate this anxiety and am here to support you with unconditional empathy. My team and I will tailor your care to your personalised fertility history.

For many patients who have had a previous caesarean section, there is a choice between a VBAC or a planned caesarean for subsequent births. Each individual patient’s preferences and risk profiles will be different. It is my role to have a personalised, evidence-based discussion with you that allows you to make the best informed decision for you and your baby.

I have a special interest in complex and challenging instrumental vaginal births and caesarean sections.