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Pat O’Brien has been a Consultant & Honorary Senior Lecturer in Obstetrics and Gynaecology at University College London Hospitals since 1999. He is currently the Divisional Clinical Director for Women's Health. He specialises in Maternal Medicine and high-risk obstetrics, and at UCLH jointly runs a multi-disciplinary antenatal clinic involving consultants in Fetal Medicine, Cardiology, Haematology, Diabetes, Anaesthesia, and an Obstetric Physician. He has a particular interest in medical complications of pregnancy. He lectures widely in the UK and abroad, and runs courses on fetal monitoring, medical problems on the delivery suite, psychiatric problems and cardiac disorders in pregnancy -
Patrick O'Brien
Consultant & Honorary Senior Lecturer in Obstetrics and GynaecologyDirectory:
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Pat O’Brien has been a Consultant & Honorary Senior Lecturer in Obstetrics and Gynaecology at University College London Hospitals since 1999. He is currently the Divisional Clinical Director for Women's Health. He specialises in Maternal Medicine and high-risk obstetrics, and at UCLH jointly runs a multi-disciplinary antenatal clinic involving consultants in Fetal Medicine, Cardiology, Haematology, Diabetes, Anaesthesia, and an Obstetric Physician. He has a particular interest in medical complications of pregnancy. He lectures widely in the UK and abroad, and runs courses on fetal monitoring, medical problems on the delivery suite, psychiatric problems and cardiac disorders in pregnancy.
He is the Chair of the International Division of the Institute for Women’s Health in London and a media spokesperson for the Royal College of Obstetricians & Gynaecologists. He is a reviewer for the Cochrane Collaboration and several medical journals. He sits on the Editorial Boards of the Journal of Obstetrics & Gynaecology and the BJM. He examines for the DRCOG examination. He has been a member of the obstetric guideline development group of the National Institute for Clinical Excellence in the UK. He also works regularly with BBC Television (British Broadcasting Corporation) as an obstetric advisor.
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Thousands of women and babies die or get very sick each year from a dangerous condition called preeclampsia, a life-threatening disorder that occurs only during pregnancy and the postpartum period. Preeclampsia and related disorders such as HELLP syndrome and eclampsia are most often characterized by a rapid rise in blood pressure that can lead to seizure, stroke, multiple organ failure and death of the mother and/or baby.
Asma Khalil
Professor of Obstetrics and Maternal-Fetal MedicineAsma Khalil is a Professor of Obstetrics and Maternal-Fetal Medicine at St George’s University Hospital (University of London). She is a subspecialist in Maternal and Fetal Medicine, specialising in scanning women and babies with complications in pregnancy. She is the lead for the Multiple Pregnancy service at St George’s Hospital, the referral unit for the South West London region, but also cares for women with low risk pregnancies.
Dr Khalil gained her MD at the University of London in 2009 following two years’ research into pre-eclampsia (high blood pressure in pregnancy). She also has a Masters degree in Epidemiology from the London School of Hygiene & Tropical Medicine and an MRC scholarship.
She is a representative member for fetal medicine at the national Clinical Reference Groups for specialised services. She has active collaborations with international societies, particularly in developing countries. She is also an active member of the Royal College of Obstetricians and Gynaecologists (RCOG), British Maternal and Fetal Medicine Society (BMFMS), International Society for Prenatal Diagnosis and Therapy (ISPD), International Society of Ultrasound in Obstetrics and Gynecology (ISUOG), International Society for the Study of Hypertension in Pregnancy (ISSHP) and Society of Reproductive Investigation (SRI). She works closely with the team in the Twins and Multiple Births Association (TAMBA).
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Mobile telephony has spread very rapidly in developing countries, one reason being their seriously deficient fixed line systems.According to the International Telecommunications Union there are some 5 billion wireless subscribers in the world today and over 70% of these reside in low and middle income countries. In 2011, Africa held its first mobile health summit in South Africa and firmly put mobile telephony at the centre of improving healthcare in poor countries. A 2011 WHO global survey of the use of mobile telephony in healthcare; mHealth, reported that commercial wireless signals cover over 85% of the world’s population. Eighty three per cent of the 122 countries surveyed in the Report used mobile phones for free emergency calls, text messaging and pill reminders.
Mobiles can be useful in a number of ways: farmers, for instance, are able to get information about the prices for their products (so they can sell them at the right moment at the right price). For health it has been used to deliver information to pregnant women, to enable local health providers to ask questions about particular cases to central facilities, to track and monitor treatment.
Kenya is beginning to exploit its mobile telephone infrastructure to send and receive health information to educate girls and women about labour, contraception and birth. Kenyan women are monitored during their pregnancy via their mobile phones. They receive regular calls from an automated system, which asks them questions to monitor their health condition in order to check that they do not have antenatal complications. The aim of the project is to extend this mobile screening and triage service to those hard-to-reach patients in rural areas.
One of Zambia’s biggest successes has been the liberalisation of its telecommunications infrastructure. Today there are over 8.2 million mobile telephone subscribers in Zambia, which has a population of some 13.8 million. This suggests Zambia might consider exploiting its mobile telephony network to provide a cost effective and scalable means to educate girls and women about contraception, labour and child birth.
Mobile telephony has become an important vehicle for improving the quality of understanding of health issues and of tailoring treatment for individuals.
