Integrated antenatal service 

The Integrated Antenatal Service (IAS) at UCLH is an innovative and evidence based service that offers all women a comprehensive package of antenatal screening and care.

Antenatal care and screening is an essential part of maternity care for all women. We provide a comprehensive antenatal package that includes state-of-the-art ultrasound screening, specialist obstetric and midwifery clinics and we work in partnership with other services to ensure the best possible outcome for you and your baby.

Your antenatal care

Your antenatal care will be provided by our midwives with access to specialist services when needed. Our antenatal care pathway is in line with NICE guidance.

We are committed to offering you continuity of care. To achieve this you will be assigned to one of our midwifery teams. Find out more about our midwifery teams.

Your midwife will consult with you if you need to be referred to one of the following specialist clinics:

  • Antenatal classes (Parentcraft) - Antenatal classes (sometimes called parentcraft classes) can help you to prepare for your baby’s birth and learn to look after and feed your baby.
  • Maternity Fetal Assessment Unit (MFAU) – MFAU is an assessment unit where you will be seen by a midwife or doctor for problems that are outside of your routine antenatal appointments.
  • Fetal Medicine Unit (FMU) – The Fetal Medicine Unit is a team of highly skilled specialists that offer diagnosis and treatment of complications which may arise in unborn babies.
  • Maternal Medicine – The maternal medicine clinic provides care to women with either a pre-existing medical problem or a medical complication that arises during pregnancy. The clinic can receive referrals from your GP, midwife or the reproductive medicine unit.
  • Maternity Diabetes Services – The maternity diabetes service sees women with diabetes and thyroid disorders for preconception and antenatal care.
  • Multiple pregnancy specialist services – We have a dedicated multidisciplinary team (MDT) that offer individualised care for pregnant women and their families, when expecting twins, triplets or higher order multiple pregnancies.
  • Fear of Birth Clinic -The fear of birth clinic helps first-time mums and those who have already given birth overcome their fears – ranging from anxiety to full-blown phobia, known as tocophobia.
  • Vaginal Birth after Caesarean Section (VBAC) - Most women who have had a caesarean section can safely have a vaginal delivery for their next baby, known as vaginal birth after caesarean (VBAC). Our birth options clinic ensures you are prepared to make the best informed decisions for you and your baby.

 Midwives

Yana Richens, Consultant midwife

Yana Richens
Yana started her nursing career in 1979 and went on to pursue a career in midwifery qualifying as a midwife in 1988.

Yana was co-editor in chief of the British Journal of Midwifery for 20 years and is consultant editor of the African Journal for Midwives, an editorial board member of the Nursing Standard, and a member of the current NICE guideline group on antenatal care expert advisory panel.

Yana was appointed as consultant midwife at UCLH in 2004, leading on Public Health in Maternity Care. She is currently working at National Health England / National Health Service Improvement as Deputy Head of Maternity.

Clinically, Yana continues to lead a clinic at UCLH on a Thursday which specialises and supports women who have fear of birth, which was the subject of her PhD undertaken at the University of Manchester in 2015.

Yana is a Professional Midwifery Advocate and holds the positions of honorary senior lecturer at City University and lecturer at UCL. She is midwifery research lead at the Institute of Women’s Health at UCL. She has received an OBE for services to nursing and midwifery.

Previously, Yana was global advisor to the Royal College of Midwives providing midwifery advice in South Africa, Indonesia and India. She is currently working with Professor Dame Tina Lavender providing midwifery leadership advice and support to midwives in East Africa. Yana lectures nationally and internationally and has published widely in peer reviewed journals.

“Women should have a safe, good, birth experience wherever they live in the world”

Email: y.richens@nhs.net

Full consultant profile

Anna White, Matron: Outpatients, Antenatal Services, Fetal Medicine Unit, Birth Centre, Community

Anna joined UCLH in 2011, and has hands on experience of working in all of our maternity departments.

After some time leading the antenatal clinic, Anna has taken on the role of Interim Outpatient Matron, which encompasses the antenatal clinic, birth centre, community midwifery and fetal medicine unit.

Anna believes strongly in promoting equality in healthcare, facilitating choice in childbirth and the importance of high quality, compassionate care.

Email: anna.white5@nhs.net

Meg Wilkinson

Meg began her career in the NHS as a student nurse in 1987. She worked as a staff nurse for a couple of years before training to become a midwife in 1992. She has worked in all areas of midwifery practice and held a number of senior roles.

Meg joined the UCLH team in the summer of 2018 as consultant midwife for normality, safety, research and development. She runs a birth after caesarean section clinic with a consultant obstetrician where she sees women who have had a caesarean section in a previous pregnancy to counsel and advise on mode of birth in this pregnancy.

Meg is a professional midwifery advocate, a relatively new role in midwifery. She is keen to develop this role along with her colleagues within the Trust.

Meg believes that the role of the midwife is vital in supporting and empowering women in achieving the best possible birth experience.