Complex & High-Risk Pregnancy Care
Specialist care when your pregnancy needs it most
Not every pregnancy is straightforward — and when yours isn’t, having a consultant who manages complex cases routinely, not occasionally, makes a real difference. Mr Ian Chilcott combines his private practice at The Portland Hospital with a high-volume NHS caseload at The Hillingdon Hospital, including a weekly labour ward session and regular management of complex obstetric cases. This keeps his experience in higher-risk pregnancy care current and extensive.
If you’ve been told your pregnancy is complicated by risk factors, or you simply want the reassurance of a named consultant with deep experience in managing complexity, Mr Chilcott offers dedicated, continuous care throughout.
Areas of particular expertise
Vaginal birth after caesarean (VBAC) — If you’ve had a caesarean section before, you have options for how you deliver this time. Mr Chilcott will talk you through the evidence, your individual risk factors, and support whichever path — VBAC or planned repeat caesarean — is right for you.
Multiple pregnancy (twins and higher) — Twin and higher-order pregnancies carry additional monitoring needs and delivery considerations. Mr Chilcott provides close antenatal surveillance and experienced delivery management for multiple pregnancies.
Previous complicated caesarean section — Including previous classical (vertical) caesarean section, which carries specific considerations for future pregnancies and delivery planning. Mr Chilcott provides detailed, individualised counselling for women in this situation.
Hypertensive disorders of pregnancy — Including pre-eclampsia and related conditions. Mr Chilcott’s NHS labour ward experience includes regular management of these conditions, with access to the full range of monitoring and treatment.
Gestational diabetes — Coordinated care to manage your blood sugar control and monitor your baby’s growth and wellbeing through to delivery.
Recurrent miscarriage — Supportive, investigative care for women who have experienced pregnancy loss, with a tailored plan for subsequent pregnancy.
Other medical conditions in pregnancy — Including pre-existing conditions such as thyroid disease, clotting disorders, and other medical complexities. Mr Chilcott works closely with relevant specialists to ensure coordinated care throughout your pregnancy.
Why choose a consultant with high-volume complex case experience
A pregnancy with additional risk factors benefits from a consultant who sees these situations regularly, not rarely. Mr Chilcott’s combined NHS and private caseload — including three gynaecological operating lists and a weekly labour ward session at a busy district general hospital delivering around 5,000 babies a year — means his skills in managing complexity are continuously exercised, not theoretical.
He also brings a medico-legal perspective from his work writing expert reports in obstetrics, giving him a particularly detailed understanding of how complex cases are best managed and documented.
What to expect
Initial consultation — a thorough discussion of your history, risk factors, and any previous pregnancy complications
Individualised care plan — tailored monitoring and delivery planning specific to your situation
Continuity — Mr Chilcott as your named consultant throughout, rather than a rotating team
Delivery — at The Portland Hospital, with consultant obstetrician involvement throughout labour
Get in touch
If your pregnancy is complex, or you’d simply like the reassurance of specialist consultant-led care, contact Mr Chilcott’s practice team to arrange a consultation.
The Portland Hospital, 209 Great Portland Street, London W1W 5AH
See also: maternity care fees and packages.
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