The HELLP Syndrome Society

West Virginia 26032 United States of America www.hellpsyndrome.org Billington, M. and Stevenson, M. 2006 Hypertensive disorders and the critically ill woman. In Critical Care in Childbearing for Midwives. Oxford Blackwell Wiley. Gilbert, E.S. 2007 Hypertensive disorders. In Manual of High Risk Pregnancy and Delivery, 4th Edn. St. Louis, MO Moseby Elsevier. Henderson, C. and Macdonald, S. 2004 Hypertensive disorders of pregnancy. In Mayes Midwifery A textbook for Midwives, 13th Edn. Balliere...

Sue Pavord MB ChB FRCP FRCPath

Consultant Haematologist and Honorary Senior Lecturer in Medical Education at the University Hospitals of Leicester NHS Trust Sue was appointed to this post in 1998. Her specialist clinical interests are obstetric haematology and haemostasis and thrombosis. In collaboration with obstetricians and specialist nurses, she established and has continued to develop a comprehensive obstetric haematology service with a heavy throughput of patients. She also runs a large Haemostasis Thrombosis Unit and...

Conflict of Interest

Some women with a medical or addictive disorder may be high risk but are insistent upon a midwifery-led scheme of care. This places the midwife in a difficult position. The midwife has a role as the mother's advocate, but the level of risk creates a conflict of interest, especially when the fetus is taken into account. A midwife cannot refuse to care for a mother, and should work in partnership with the woman and her family21. Negotiating skills should be used to coax the mother to attend an...

Medical Authors

Christopher Brightling BSc Hons MBBS MRCP PhD FCCP MRC Clinician Scientist and Honorary Consultant Respiratory Physician, UHL NHS Trust, Leicester Chris Brightling trained in London and Leicester and in 2002 was appointed Senior Lecturer and Honorary Consultant in Respiratory Medicine at Glenfield Hospital. His major research interests are the utilisation of inflammatory markers in the management of airway diseases and mast cell airway smooth muscle interactions in the pathophysiology of...

Trudy Boyce RGN RM MBE

Recently Specialist Midwife in Hypertension at the University Hospitals of Leicester NHS Trust Trudy worked as a midwife for 40 years in all areas of midwifery care including ten in the community. For the last 15 years of her career she dedicated herself to the care of women and their families who had experienced the hypertensive disorders of pregnancy. She was involved in setting up the Leicester Hypertension Clinic and founded the Leicester branch of the APEC support group. Trudy was awarded...

Miranda Hayer MSc RGN RM

Consultant Midwife, Teenage Pregnancy and Sexual Health, Honorary Senior Lecturer at De Montfort University Miranda trained as a nurse in 1985 and as a midwife in 1990. She has worked in a number of hospital and community midwifery settings before completing her MSc in Midwifery at Nottingham University. The post of Consultant Midwife in Leicester has enabled Miranda to concentrate on providing specialised services for particularly vulnerable groups and lecture on public health, teenage...

Nonpregnancy Treatment And Care 1

Pre-eclampsia is a disease unique to human pregnancy. Important issues for women who have had pre-eclampsia are Has the condition resolved postnatally, or is there an element of chronic hypertension or renal disease on which the pre-eclampsia was superimposed Following an assessment of risk factors as for pre-pregnancy counselling a decision is made regarding pre-eclampsia prophylaxis The main feature of antenatal care is the careful surveillance of the woman, early diagnosis with appropriate...

Michelle Goldie RM

Specialist Midwife, UHL NHS Trust, Leicester Michelle Goldie trained as a midwife in Leicester and currently works as a specialist midwife in substance and alcohol misuse at the University Hospitals NHS Trust, Leicester. In addition, she works in the maternal medicine clinic, has a research interest in respiratory disease and pregnancy and has published research presented at the American Thoracic Society. Andrea Goodlife RGN RM DipRenalNursing Specialist Midwife in Renal Disease at the...

Edmund S Howarth MB ChB MRCOG

Consultant in Maternal and Fetal Medicine, and Head of Service, at the University Hospitals of Leicester NHS Trust General training in Obstetrics and Gynaecology followed by sub-specialty training in maternal and fetal medicine. Provides tertiary level service for both maternal medical problems and fetal problems. Well-established service for management of neurological problems in pregnancy in conjunction with the local neurology service. Javed Iqbal BSc MSc Hons FRCPath FRCP Consultant in...

Daksha Elliott RGN RSCN

Specialist Nurse for Obstetric Haematology at the University Hospitals of Leicester Daksha has been working in the field of haemostasis and thrombosis since 1999, with her previous clinical background being paediatric nursing. The haematology obstetric service provides shared patient management of high-risk patients who have a haematological problem including those with inherited coagulation disorders and patients with haem-oglobinopathies. Her current role involves working as part of a...

Veronica JohnsonRoffey BAHons RGN RM RHV FETC DipInfection Control

Infection Control Lead Nurse, Northamptonshire NHS Trust Veronica has worked in the NHS for 30 years. After general nurse training she trained and practised as a midwife and later health visitor and consequently has worked both in hospital and the community. During her career she has also worked at Great Ormond Street Children's Hospital and also specialised in cancer genetics, public health and infection control. While a public health nurse she undertook her honours degree in Health and Social...

Rowena Doughty MSc PGDE BAHons RGN RM ADM FHEA

Senior Lecturer in Midwifery and Programme Leader at De Montfort University After staff nurse experience in general medicine and gerontology, the author qualified as a midwife and accrued 12 years' full-time experience in all aspects of midwifery care, before her lectureship with De Montfort University in 1997. Her specialist interests include promoting normality in midwifery, breast-feeding, resuscitation and metabolic disorders. She has published on the latter. She is also an Intermediate...

Frances A BuLock MD FRCP

Consultant Paediatric Cardiologist at Glenfield Hospital, Leicester Frances graduated from Cambridge and Oxford, and trained in Congenital Heart Disease in Bristol, Birmingham and Liverpool before coming to Leicester in 1999. Her main clinical interests are in fetal and adult congenital heart disease, which fit remarkably well together. She is the Cardiology Associate Editor for Archives of Diseases in Childhood and has written extensively in the field of congenital and fetal heart disease. She...

Renuka Lazarus MBBS MD MRCPsych

Consultant Liaison Psychiatrist and Clinical Lead for After training in the Charing Cross rotation in London, Dr Lazarus completed her higher training in Psychiatry in Leicester. She took up her consultant post in Liaison Psychiatry in 2002. She is the clinical lead for the Perinatal Psychiatry Service in Leicestershire. She runs a weekly specialist perinatal psychiatry clinic based in the Antenatal Clinic at the Leicester Royal Infirmary in-patient care is provided in a specialist Mother and...

7 Endocrine Disorders

Rob Gregory, Diane Todd and Mairie Halliday Addison's Disease Adrenal Insufficiency Patient Organisations and Essential Reading 8 Neurological Disorders 89 Jo Matharu, Eleanor Burns-Kent and Edmund Howarth 8.1 Migraine and Headaches 90 8.3 Cerebrovascular Disease and Stroke 95 8.5 Multiple Sclerosis 100 8.6 Myasthenia Gravis 102 Patient Organisations and Essential Reading 104 9 Musculoskeletal Disorders 105 S. Elizabeth Robson, Javed Iqbal and Edmund Howarth 9.1 Back and Pelvic Pain 106 9.2...