Coombe Women & Infants University Hospital Annual Clinical Report 2010 www.coombe.ie In Memory Dr John Drumm 1942 - 2010 Ar dheis Dé go raibh a anam dílis; ní bheidh a leithéid arís ann Coombe Women & Infants University Hospital Annual Clinical Report 2010 ANNUAL CLINICAL REPORT 2010 Dr Chris Fitzpatrick Master Ms Patricia Hughes Director of Midwifery & Nursing Dr Martin White Director of Paediatrics & Newborn Medicine Dr Tom D’Arcy Director of Gynaecology Dr Michael Carey Director of Peri-operative Medicine Professor John O’Leary Director of Pathology & Molecular Medicine Research Mr John Ryan Secretary & General Manager Acknowledgements Ms Anita Comerford Ms Laura Forde Ms Emma McNamee Ms Mary Holden Mr Padraic O’Regan (HSE Print & Design) 1 Coombe Women & Infants University Hospital Annual Clinical Report 2010 Contents Acknowledgements ..................................................................................................................................1 Contents .................................................................................................................................................2 Introduction (The Master) .........................................................................................................................4 Executive Summary (The Master) ..............................................................................................................8 Board of Guardians and Directors ...........................................................................................................13 Organisational Chart ..............................................................................................................................14 Members of Staff ...................................................................................................................................15 Staff Retirements in 2010 ......................................................................................................................27 Dublin Maternity Hospitals Combined Clinical Data (The Master) ...........................................................28 Statistical Summaries (The Master) .........................................................................................................34 General Obstetric Report (The Master) ...................................................................................................40 Early Pregnancy Assessment Unit (Dr N Farah, Dr R Sarkar, Dr M Anglim) ...............................................50 Severe Maternal Morbidity & High Dependency Unit (Dr S Ahmed, Dr B Byrne) .....................................51 Maternal Mortality (The Master) ............................................................................................................56 Perinatal Mortality & Morbidity (The Master) ..........................................................................................57 Diabetic Endocrine Pregnancy Service (Prof S Daly, Dr B Kinsley) ...........................................................78 Medical Clinic (Dr C Regan) ...................................................................................................................83 Addiction & Communicable/Infectious Diseases (Dr M O’Connell, Ms O Cunningham, Ms T Gray, M D Carmody) .....................................................................................................................87 Fetal Medicine and Perinatal Ultrasound Department (Prof S Daly) ..........................................................90 Liaison Perinatal Mental Health Service (Dr J Fenton) ..............................................................................97 Department of Paediatrics and Newborn Medicine (Dr M White, Dr J Miletin) ........................................98 General Gynaecological Report (Dr T D’Arcy) ........................................................................................108 Coombe Continence Promotion Unit (Ms F McCarthy, The Master) ......................................................113 Oncology Report (Dr N Gleeson) ...........................................................................................................115 Colposcopy Clinic (Ms O McCarthy, Prof W Prendiville) .......................................................................117 Department of Peri-operative Medicine (Dr M Carey) ...........................................................................120 Midwifery & Nursing Report Director of Midwifery & Nursing Corporate Report (Ms P Hughes) .....................................123 Midwifery & Nursing Practice Development (Ms P Barry) ....................................................127 Parent Education (Ms S Daly) ............................................................................................129 Breastfeeding Support Service (Ms M Toole, Ms M Purushothman) ....................................131 Community Midwife Service (Ms B Flannagan) ..................................................................133 Delivery Suite (Ms A Fergus) ..............................................................................................135 Perinatal Day Centre (Ms H Castilino) ...............................................................................137 Clinical Midwife Specialist – Diabetes Mellitus in Pregnancy (Ms E Coleman, Ms L Warren) 138 Family Planning Advisory Centre (Ms E O’Beirne) ...............................................................141 Adult Outpatients Clinic (Ms M Nolan) ..............................................................................142 Bereavement Support (Ms B Shine) ....................................................................................144 Gynaecology Division Report (Nursing) (Ms F Richar dson, Ms. A Rothwell) ........................146 Operating Theatre Department (Ms A Rothwell) ................................................................148 Department of Obstetrics, Maternity Floors (Ms Fidelma McSweeney) ................................149 Department of Paediatrics & Newborn Medicine (Nursing) (Ms A McIntyre) .......................151 Neonatal Transition Home Service (Ms B Whelan) ..............................................................153 2 Coombe Women & Infants University Hospital Annual Clinical Report 2010 Advanced Nurse Practitioner Report – Neonatology (Ms A Sullivan) ...................................155 Academic Midwifery Report (Ms P Hughes) .......................................................................157 Centre for Midwifery Education (Ms A Mulhall) .................................................................160 Department of Adult Radiology (Dr M Keogan) ...................................................................................162 Department of Paediatric Radiology (Dr D Rea) ..................................................................................163 Department of Pathology/Division of Laboratory Medicine (Prof J O’Leary, Dr C Adida, Dr A Radomska, Dr N O’Sullivan, Dr C Flynn, Dr J O’Donnell, Dr B White, Ms M Ring, Mr S Dempsey, Mr N Bolger, Ms. C Byrne, Ms. S McMorrow, Dr C Martin, Dr J Stuart) Laboratory Medicine Administration (Prof J O’Leary) ..........................................................164 Department of Histopathology & Morbid Anatomy (Prof J O’Leary, Ms J Barry-O’Crowley) ..166 Department of Cytopathology (Prof J O’Leary, Mr N Bolger) ..............................................169 Department of Haematology/Transfusion Medicine/Haemovigilence (Dr C Flynn, Ms S McMorrow, Ms S Varadkar) ...................................................................171 Department of Microbiology Infection Prevention & Control (Dr N O’Sullivan, Ms C Byrne, Ms AM Meenan, Ms R Hanniffy) .....................................................................173 Department of Biochemistry (Ms R O’Kelly) .......................................................................175 Phlebotomy Service (Ms M Ring) .......................................................................................176 Department of Molecular Pathology (Prof J O’Leary, Dr N O’Sullivan, Dr C Martin) .............177 Hygiene (Ms V Gillen) ..........................................................................................................................182 Clinician Nutrition and Dietetics (Ms F Dunleavy) ..................................................................................184 Pharmacy Department (Ms M McGuire) ................................................................................................186 Physiotherapy Department (Ms M Mason) ...........................................................................................189 Clinical Risk Management (Ms S Kelly) ..................................................................................................191 Information Technology Department (Mr T O’Sullivan) .........................................................................193 Medical Social Work Department (Ms R Grant) ....................................................................................194 Psychosexual Clinic (Mr D Gaynor) ......................................................................................................196 Chaplaincy (Ms R Dilworth, Sr G Chua) ...............................................................................................197 Academic Report: TCD (Prof D Murphy) ........................................................................................................198 UCD (Prof