Pregnancy overview

Most pregnancies happily need care, attention and support only. The role of a midwife and obstetrician is to guide through the routine and normal parts of pregnancy, labour and postnatal care. Also importantly to recognise when intervention is required, when normal has become or is becoming abnormal.

Simon McDowell and Nick Bedford provide care for woman opting for an planned elective caesarean section. For those without an indication for an elective caesarean section they encourage and recommend a planned vaginal delivery.


Break-through bleeding - any spotting or bleeding that occurs between menstrual cycles - can be an indicator of early pregnancy. Irregular or unscheduled bleeding can also take place during early pregnancy.

How we can help

If you are planning an elective caesarean section (for example if you have had one previously) Nick and Simon are available to discuss pregnancy care. They will become the lead maternity carers (LMC). Please feel free to contact us if you would like to discuss this. You can also request an appointment online.

Further information


Break-through bleeding

This is spotting or bleeding that occurs between periods while on hormonal contraception, or whilst pregnant. It is more common when you've missed a pill, or have vomiting or diarrhoea. It is relatively common in the first six months after a mirena is placed, or with a copper IUD. Other causes include genital tract infections, cervical ectropion, or as part of early pregnancy. Find out more

Irregular or unscheduled bleeding

There are a number of causes of irregular bleeding, and our investigations will depend a bit on your age and fertility plans. Common causes can include endometriosis, infection, instability of the lining of the womb, ovarian cysts, perimenopause, polycystic ovarian syndrome, polyps, and early pregnancy. Find out more



Aceso provides private obstetric services for those women having a planned elective caesarean section. We also offer Down syndrome screening, vaccination(s) during pregnancy, and ultrasound scanning. Find out more