NSW Government NSW Health
South Eastern Sydney Local Health District
nsw health

About us

Staff Specialists  


Dr Lucy Bowyer is Acting Head of Department, Maternal Fetal Medicine and conjoint Senior Lecturer in the School of Women’s and Children’s Health at the UNSW. Lucy’s special interests lie in maternal medicine, including care of the woman with cardiac, respiratory, renal, haematological, metabolic, endocrine, immune, neurological, infectious and other diseases during pregnancy.  Lucy runs a medical complication of pregnancy clinic is run on a Thursday afternoon at the Royal Hospital for Women.  In fetal medicine her special interests lie in all fetal complications of pregnancy and multiple pregnancies and procedures.


Robert Farnsworth

Dr Danny Challis, MB Bs (Hons) FRANZCOG DDU CMFM

Dr Challis is a part time Staff Specialist in Maternal Fetal Medicine and a conjoint Senior Lecturer in the School of Women’s and Children’s Health at the University of New South Wales. He also works as the Executive Clinical Advisor to the NSW Perinatal Services Network. He is a certified sub specialist in Maternal-Fetal Medicine. He trained in Sydney and at the University of Toronto in Canada and has also worked in obstetric and gynecological ultrasound in the public and private sectors for 20 years. His special interests are in fetal therapy and surgical fetal interventions, as well as in service provision for complex pregnancy care. He was one of the first Fetal Medicine Specialists in Australia to be trained in fetoscopic techniques for fetal therapy, and has trained other colleagues in these techniques around Australia and New Zealand.


Dr Sarah Clements, BMBs BMed Sci, FRANZCOG DDU

Sarah Clements is a Staff Specialist and Maternal Fetal Medicine subspecialist. She commenced her training in Obstetrics and Gynaecology in 1996 in London, later transferring to Australia. Following Fellowship she has completed further Subspecialist training in Maternal Fetal Medicine (MFM). This has involved a return to the UK in 2010 to gain further subspecialist skills in MFM.
Sarah runs a high risk antenatal clinic and has a particular interest in intrapartum care of high risk pregnancies. She also chairs the maternity adverse events committee which looks at ways to learn from poor outcomes and improve the care we offer to women. She is interested in teamwork and strategies to gain the best from maternity teams.



Dr Antonia Shand is a staff specialist and Maternal Fetal Medicine subspecialist. Antonia graduated from Otago Medical School in New Zealand in 1993. She undertook her training predominantly in Sydney and in Perth. She worked initially as a staff specialist at BC Women’s Hospital in Vancouver in 2008, then at Canberra Hospital in 2009 before starting at the RHW in January 2010. Antonia runs the multiple pregnancy clinics and the perinatal loss clinic at RHW. She also has a multidisciplinary fetal clinic at the RHW, where she cares for women with fetal complications, and performs procedures such as CVS and amniocentesis. She is also employed as researcher at the perinatal epidemiology research group at the University of Sydney.



Professor Alec Welsh is a Professor in Maternal Fetal Medicine at the University of New South Wales (UNSW) and Director of the Australian Centre for Perinatal Science at UNSW. Alec trained academically at Imperial College/Queen Charlotte’s Hospital in London, and to subspecialist level at Kings’ College Hospital. He is an accredited Maternal Fetal Medicine subspecialist in both the UK and Australia. Alec holds PhD and Masters degrees in Fetal Digital Imaging, and heads an academic research team with a focus on fetal imaging, particularly the use of Doppler ultrasound for assessment of fetal wellbeing.
Alec looks after the full spectrum of conditions in maternal fetal medicine in both the department and the antenatal clinic, as well as performing invasive procedures for twin-twin transfusion syndrome (laser therapy), fetal blood transfusions and others treatments. A particular are of both research and translation into clinical practice is the use of Doppler ultrasound to assess babies with growth restriction and complicated twin pregnancies, in order to most optimally time delivery.


Consultant Obstetric Physician  

Conjoint A/Prof Sandra Lowe, MBBS (Hons) FRACP MD

A/Prof Lowe is a Consultant Obstetric Physician and Conjoint Associate Professor at the University of NSW.
A/Prof Lowe specializes in the care of women with medical problems in pregnancy. This includes preconceptual counseling and pregnancy management of women with a range of medical conditions or previous problem pregnancies as well as the care of pregnant women who develop medical complications in pregnancy. Her clinical interests in pregnancy are broad but include hypertension, diabetes, thyroid disease, hyperemesis gravidarum, neurological disease and medication management. 
A/Prof Lowe speaks regularly at National and International conferences of Obstetric Medicine. She has a particular interest in teaching obstetric medicine, she has published numerous articles including national guidelines on the management of hypertension in pregnancy in Australia and contributed chapters to a number of textbooks of obstetric medicine. A/Prof Lowe is the Founding Co-editor of the international journal; “Obstetric Medicine”. She has had longstanding executive roles with both local and international Societies of Obstetric Medicine and is currently Vice-President of the International Society of Obstetric Medicine.


Genetic Counsellors  

Kate Talbot

Kate is the Clinical Nurse Consultant in Genetic Counsellin. Kate has worked in Maternal Fetal Medicine for close to 20 years and co-ordinates the Prenatal Diagnostic and Genetic Counselling services at the Royal. Kate works closely with the Genetics team from Sydney Children’s Hospital and regularly lectures midwives, doctors and other health workers on genetics, prenatal screening and testing and women’s emotional response to these processes.


Amy Howat, BSC (Anatomy & Genetics), BMid, Master of Genetic Counselling MGHSA

Amy is an Associate Genetic Counsellor and a Registered Midwife. Amy provides information and support to families at risk of a genetic condition, and helps co-ordinate the Prenatal Diagnostic and Genetic Counselling services. Amy works closely with the Department of Medical Genetics at Sydney Children’s Hospital. 



Kate Dyer, AM RN RM Grad Cert Community Nursing. Ma Midwifery

Clinical Midwife Consultant High Risk Pregnancy, Coordinator Midwifery Group Practice/Maternal Fetal Medicine. Kate has spent most of her midwifery career providing continuity of care, support, coordination of care and education to women following the diagnosis of fetal anomaly or when there are significant medical problems complicating a woman’s pregnancy. Kate plays a key role within the Maternal Fetal Medicine team in coordinating multi disciplinary care and providing continuity of midwifery care throughout a woman’s often-complex journey. The provision of education to maternity clinicians around care of women with complex pregnancies is also a key role.



Sandra Emerson, RN CM BN Sc

Sandra is the clinical midwifery specialist (CMS) for the Maternal-Fetal Medicine and Medical Imaging departments. Sandra has more than 25 years of midwifery experience and for the last 15 years has worked at The Royal. Sandra is responsible for providing procedural support and co coordinating and providing midwifery care to the families in Maternal Fetal Medicine. Sandra’s area of interest is in high order multiple pregnancies.
Midwifery Group Practice  

Nikki Tyler, RM

Nikki is one of our midwives that works in our continuity of care group. She has worked in England and Australia and has great experience in supporting women and their families throughout their complex pregnancies.

Maria Lohan, RN RM Mast. Public Health

Maria brings a wealth of midwifery experience in caring for women with pregnancy complications and the midwifery care and considerations around this. Maria is also very interested in population health and strategies that can be employed during pregnancy to improve outcomes.

Judy Munro, RN RM

Judy is one of our continuity of care midwives in the Maternal Fetal Medicine Midwifery Group Practice. Judy brings great experience to our team with her skills and knowledge in providing care to women with complex pregnancies Judy has significant past experience in paediatric nursing care.

Breanna Goddard

Breanna is an Administrative Assistant to the Director of Maternal Fetal Medicine. Breanna assists with the day to day smooth running of the department from appointments to billing, organising meetings, data management and general administration duties for the department. Breanna is a welcoming, friendly face of the department.



 Midwifery Group Practices (Anne Lainchbury)

 Women’s Health Research (Sally Tracy)

 Perinatal Research Centre (Rachel Reid)