Mr Manyonda's NHS practice at St George's Hospital provides obstetric care for "high-risk" pregnancies.
This includes the following groups:

  • Women who already have diabetes.
  • Women who develop diabetes during pregnancy.
  • Women with auto-immune diseases such as lupus, rheumatoid arthritis and other connective tissue disorders.
  • Women with raised blood pressure, or who develop raised blood pressure in pregnancy, or those with a past history of raised pressure in pregnancy including pre-eclampsia.
  • A variety of women with a poor previous obstetric history including those transferred from the Recurrent Miscarriage Clinic;¬†those with previous intrauterine death; those emotionally traumatized by previous pregnancies; and those with other pre-existing medical disorders.
    • Many of these women will be managed within a multi-disciplinary set up, which involves other specialists, including diabetic, renal, rheumatological or cardiac physicians, and cardiac surgeons. Where appropriate, some women are offered office appointments for pre-conceptual consultations, or joint consultations with other relevant specialists.
      Patients are seen in the High Risk Obstetric Clinic upon referral by their General Practitioner or Consultant. We regret that self-referral patients are not accepted on this NHS service.