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98 Maternity and Obstetrics 2020 | NMH Annual Rep t A ctivity remains at a high level in both the public Holles Clinic and semi-private Fitzwilliam Clinic. Holles Clinic Approximately 6,745 patients attended the public Holles Clinic this year. There is an increasing interest in our Midwifery-led clinics so to meet demand, we provide a Midwifery-led clinic every day and we are also trialling an evening midwifery-led clinic. We continue to improve our midwifery booking appointments at the external Pearse Street Clinic and now provide a formal dating scan in association with our Fetal Medicine colleagues at these appointments. This has garnered much support from patients and increased patient satisfaction in the service. Maternity Outpatient Clinic As the medical complexity of the pregnant women continues to increase, the number of specialist clinics offered by the hospital continues to grow. Specialist clinics include maternal medicine, haematology, pre-term birth, endocrine, diabetes and the pain management clinic. Joint clinics between the Obstetric team and Consultants from St Vincent's University Hospital (SVUH) are offered including cardiology, neurology, rheumatology, respiratory, hepatology and gastroenterology. As part of the multidisciplinary care offered by the hospital, social workers, dieticians, mental health staff and physiotherapists, work as part of the team offering care to the increasing number of mothers with complex medical, mental health and social issues. Despite requiring assisted care, we have dedicated midwifery-led clinics to offer patients midwifery-led care and support in conjunction with