Private Obstetric Consultant For Pregnancy, Labour & Delivery
Fetal Medicine Research Institute
16-20 Windsor Walk
London
SE5 8BB
Fetal Medicine Research Institute
16-20 Windsor Walk
London
SE5 8BB
MBBS, FRCOG
RCR /RCOG Diploma in Advanced Obstetric Ultrasound
Diploma in Fetal Medicine – Fetal Medicine Foundation
Years of
experience
Labour &
Deliveries
Scans
Dr Devi Subramanian has served as a Consultant in Obstetrics and Fetal Medicine at King’s College Hospital since 2008. She currently leads the labour ward and has particular expertise in high-risk obstetrics and intrapartum care. Her leadership roles include surgical management of morbidly adherent placenta and post-dates pregnancy, and she is the obstetric lead for venous thromboembolism in pregnancy.
She became a Member of the Royal College of Obstetricians and Gynaecologists (MRCOG) in 2002 and was awarded Fellowship (FRCOG) in 2014. Dr Subramanian completed all her specialist training in obstetrics and gynaecology in London and achieved her Certificate of Completion of Training in 2008.
Alongside her clinical work, Dr Subramanian is actively engaged in education and training, with a strong focus on simulation-based learning.
Dr Devi Subramanian enjoys organisational responsibilities and consider myself to be an organised and resourceful person who can be effective but at the same time motivate others and achieve targets. I set timescales and manage my workload efficiently.
She has strong interpersonal communication skills and am able to work closely with colleagues. These attributes have been particularly useful in my leadership role where communication and shared responsibilities, both with colleagues, and with patients, have helped overcome some very difficult clinical and organisational dilemmas. I am a hardworking and passionate obstetrician who cares for the wellbeing of the women and gives safe and holistic care, respecting their wishes and personal beliefs. I enjoy working in a team and have proved to be an inspirational example. I am able to bring a sense of calm and direction to a demanding job.
Her ability to bring a smile on the faces of my patients and colleagues is one of my greatest strengths. Dr Subramanian believe and follow the concept of lifelong learning and sharing the knowledge, whilst being able to critically evaluate how best to improve.
I am a clinical advisor for the Maternity and Neonatal safety investigation . MNSI conducts independent investigations of patient safety concerns in NHS- funded care across England. It is hosted by the CQC
As a clinical Advisor I provide support and clinical expertise in obstetrics, fetal medicine, maternal medicine and related specialities, one day a week. I provide clinical advice and quality assurance to maternity investigations. The investigations identify the contributory factors that have led to harm or have the potential to cause harm to patients. The recommendations made, aim to improve healthcare systems and processes in order to reduce risk and improve safety.
I was the Chair for South East London Local Maternity and Neonatal services working towards developing a sector wide strong and cohesive maternity system; Bringing together providers involved within maternity and neonatal care and ensuring the services are person-centred, safe and of a high quality for mothers and babies through pregnancy, birth and postnatal period .
This role involved providing strong leadership and expertise, to influence and guide the future of maternity in the sector. Involved engaging and bringing together key stakeholders involved in maternity and neonatal care, securing shared ownership, with a focus on the formation and improvement of services, that are co-designed with women, birthing people, their partners, and families.
Focusing on reducing variation, improving quality and safety of services, and increasing equity for under-represented groups.
I had been in this post with cross site responsibilities for nearly 4 years. I had an overall responsibility for the maternity performance, quality and safety. I also worked with South East London LMS to provide cohesive sector wide maternity care.
My first focus as a Clinical Director was to recruit and develop a high calibre consultant body and workforce within the unit. In the 4 years we successfully recruited sub-speciality trained consultants to replace retirement posts and other highly skilled consultants. We also broadened our midwifery workforce.
King’s maternity care achieved a rating of “GOOD “during the recent CQC review which is a remarkable improvement on the previous 2 assessments. This is mainly due to “Safer maternity work streams” that were started which included the perinatal mortality review tool (PMRT) group, avoiding term admissions to neonatal unit (ATAIN) addressing hypothermia and hypo glycaemia and establishment of regular PROMPT multidisciplinary training.
The National Maternity and Perinatal Audit (NMPA) which reviews and compares clinical outcomes in maternity care across all trusts was excellent for king’s and the junior doctors rated training at Kings to be one of the best in the country.
Maternity at Denmark Hill was accredited for specialist commissioning by NHSE as a centre for Abnormally Invasive Placenta, Maternal medicine and Fetal medicine.
I led the department through the new CNST assessments in 2018 and successful delivery of the 10 CNST standards in 2019. The Trust qualified for a 10% rebate on the CNST maternity contributions which was equivalent to 2 Million pounds
I encouraged and facilitated the start of private obstetrics at King’s which is now proving to be a successful service, generating much needed additional income for the Trust.
I was appointed as a Consultant at King’s in 2008 following the completion of CCST. I am responsible for the antenatal, intra-partum and post-natal care of approximately 600 women.
As the lead clinician for “Post Date Pregnancy” I regularly review and update the guidance for management of post-date pregnancy. I have successfully implemented the outpatient induction service for low risk women.
I am responsible for managing women with “Obesity in Pregnancy” and have developed and implemented the departmental guidelines. This involved collaborating and negotiating with multidisciplinary teams, such as the anaesthetists, diabetologist, haematologists and dieticians. As a result, we now have a revised screening guideline for gestational diabetes and a new clinic for anaesthetic assessment.
I deliver “Fetal medicine” services at Kings College hospital (Fetal Medicine Research Institute) and Lewisham hospital. I have built strong partnerships between Kings and Lewisham Maternity Services through my weekly Fetal Medicine sessions at Lewisham Hospital.
As the “Lead for Maternity” I implemented quality improvement projects, developed guidelines and conducted clinical audits to improve safety and ensure quality of care. I am involved in the risk management reviews of adverse clinical incidents, which has made me more sensitive to the increasing issues of risk in maternity due to reduced capacity in the unit. It has provided me opportunities to react and make changes within the maternity services.
I am the Lead for management of women with “Abnormally Invasive Placenta”.
As a major cause for maternal mortality and morbidity, it is seen as an emerging epidemic due to increasing caesarean sections rates. Until recently there wasn’t any national or international guidance for managing these complex cases which need multidisciplinary care involving obstetricians, gynaecologist, anaesthetist, and urologist, vascular surgeons, interventional radiologist, colorectal, haematologist, Intensivists and neonatologist.
I have been leading on management of AIP services since 2013. I developed care-pathways, wrote the guidelines and created checklists for the management of AIP. These were based on our experience and best practice consensus, many years before the RCOG green top guidelines was published.
As Clinical, Educational and ATSM supervisor for the junior doctors I play an active role in their training. In an attempt to provide educational opportunities for all learners I run the 'Skills and Drills" sessions, conduct various workshops and ultrasound training.
1 Women's views, adherence and experience with postnatal
Thromboprophylaxis – Thrombosis research Jan 2019
2. I was a co- investigator in a joint obstetrics/haematology research study "Role and acceptability of thrombo-prophylaxis following childbirth"
3. Mode of Delivery Does Not Influence Postpartum Hypercoagulability Measured by Thrombin Generation or
Thromboelastometry - TH Open
Boriana Guimicheva , Lara N. Roberts , Jignesh P.
Patel , Devi Subramanian , Roopen Arya
4. Re: A comparison of the recommendations for pharmacologic thromboembolism prophylaxis after caesarean delivery from the major guidelines: Impact on thromboprophylaxis rates of implementing Royal College of Obstetricians and Gynaecologists’ guidance for reducing the risk of ante- and pos
5.Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia J.A. Deprest, K.H. Nicolaides, A. Benachi, E. Gratacos, G. Ryan, N. Persico, H. Sago, A. Johnson, M. WielgoĊ, C. Berg, B. Van Calster, and F.M. Russo, for the TOTAL Trial for Severe Hypoplasia Investigators* - site co author
6. Title: Ultrasound-histopathologic features of the utero-placental interface in placenta accreta spectrum Authors: Nurit Zosmer; Devi Subramanian; Hizbullah Shaikh; Graham J Burton Manuscript No: PLAC-S-20-00253R2
7. Stillbirths and neonatal deaths
8. Term still births
9. Multiple Pregnancy
10. Contributing to MNSI national reports on maternity safety and risks
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