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Women's Services

Gynaecological

Gynaecological oncology

For full details of our gynaecological oncology service please see our dedicated website for Barts and The London Centre for Gynaecological Cancer.

Gynaecology
The types of surgery that are carried out for women requiring gynaecological care includes:

  • Minimal invasive surgery, including laparoscopic surgery for investigations into infertility, and tubal surgery, as well as treatment of endometriosis, ovarian cysts, pelvic pain, sterilisation and reversal of sterilisation, which is also performed via laparoscopy.
  • Uro-gynaecology surgery is performed for female continence complaints.
  • General gynaecology surgery, including hysterectomy, myomectomy, and posterior and anterior repairs.

Specialist outpatient clinics are held for:

  • Pelvic pain investigations and treatment programmes.
  • Gynaecological and dermatological investigations and treatment.
  • Menopause clinics.
  • Hormone replacement therapy and implant clinics.
  • Abnormal bleeding clinics.
  • Colposcopy.
  • Recurrent miscarriage clinics.
  • Uro-dynamic clinics and none invasive treatment plan.
  • Comprehensive pre-admission clinics.

Early Pregnancy Assessment Unit (EPAU)
The Early Pregnancy Assessment Unit (EPAU) cares for women with problems in pregnancy under 16 weeks gestation. The unit has access to ultrasound scanning and operating facilities as well as psychological support and information regarding counselling and miscarriage.

Medical termination of pregnancy service
The medical termination of pregnancy service for women with pregnancies between 14-18 weeks is based at The Royal London.

 

Fertility (Reproductive Medicine)

The Centre for Reproductive Medicine is based at Barts. NHS funded patients are treated under a fast tracked programme and for those patients who have not been fortunate enough to obtain NHS funding, we offer self-funded treatment.

A full range of diagnostic and therapeutic services are offered including IVF, ICSI, assisted hatching, frozen embryo transfer, IUI husband and donor, surgical sperm retrieval, ovarian cyropreservation, ovum and embryo donation, HyCosy and minimal access surgery.

Dedicated staff not only care for patients before, but also during treatment, and in the sometimes difficult months to follow. The centre is staffed by a multidisciplinary team, who are committed to providing the highest standards of care.

The success rates are currently well above the national average. 

Barts and The London Fertility Centre ‘is one of the top NHS clinics’

Maternity service

To find out more about Barts and The London's Maternity Service, please click here.

Neonatology

The Neonatal Unit comprises Elizabeth Ward which has 22 medical cots and the six-cot Constance Green neonatal surgical unit.

Elizabeth Ward provides services for premature or unwell newborn babies. In addition to the work on the unit, the staff provide advice and information to mothers and partners antenatally and the resuscitation service for newborn babies born in hospital. On the postnatal wards, they support midwives, perform the neonatal examination service and oversee the care provided to babies with problems that do not actually require admission to the Neonatal Unit itself.

There is particularly close co-operation with the obstetric and midwifery staff and with our paediatric surgical colleagues with joint management of many patients with combined medical and surgical diagnoses.

Follow up is provided to the significant number of babies who present with neonatal problems. Specialist clinics are provided for babies with chronic lung disease of prematurity needing home oxygen, those at risk of developmental problems, and for babies with antenatally diagnosed renal anomalies or other problems encountered prior to discharge from the postnatal wards.

Constance Green provides intensive care facilities for babies with problems requiring both operative and non-operative surgical management. Babies may be admitted from home and specialist care is provided on the ward for infants up to 5 kg weight who require surgical care. Both general and specialist outpatient clinics are undertaken.

The unit as a whole enjoys good liaison with the paediatric nurse specialists and the Children’s Community Nursing Team in order to provide ongoing care post discharge. The Children’s and Families Social Work Department provides linked neonatal and maternity social workers and there are established links with the Children and Families Consultation service to provide psychological support to families when needed.