After gestational diabetes
A postnatal window to look at glucose, weight, sleep and cardiometabolic risk, and to write a plan that is usable rather than a leaflet at discharge.
Before and after pregnancy
Metabolic risk after pregnancy
Often needs a proper follow-up.
Cardiometabolic conditions of pregnancy, such as gestational diabetes and pregnancy-related high blood pressure, are not only obstetric events. They change what should happen next, and they belong in a consultant obstetric and gynaecological consultation led with lifestyle medicine and Precision Health. Preconception work sits here too. Face-to-face at The Richmond House Clinic, Penarth, and video consultations for the UK.
Postnatal GDM optimisationAfter pregnancy-related high blood pressurePreconception optimisation
Where this work usually sits
After high blood pressure in pregnancy
Optimisation after pregnancy-related high blood pressure, including what the pregnancy may mean for later cardiovascular risk.
Before a next pregnancy
Preconception optimisation when metabolic health, a previous pregnancy complication, or a wish to prepare well is the reason for coming.
What a consultation is for
The first visit is a full obstetric and gynaecological consultation. It is led with lifestyle medicine and Precision Health: what is driving the picture now, which tests would change decisions, and which levers belong in writing. It is not a six-week check by another name.
This page is educational. It is not personal medical advice and it is not for urgent symptoms. If you need urgent care, call 999 or NHS 111.
After gestational diabetes, the Journal note is the place to start before or alongside a consultation.
Journal notes
Practical notes on women's health, from clinic
Occasional writing from clinic: cycle health, midlife change, and lifestyle medicine. No daily emails.