
A woman who has pursued fertility treatment for over a decade is advocating for changes to how hospitals organize their reproductive health services. She attended a gynaecology appointment in May at the Ulster Hospital in Northern Ireland only to discover the department was located inside the maternity unit. This proximity to expectant parents and families proved emotionally difficult as she was processing challenging news about her fertility situation.
Following the appointment, the woman shared her experience publicly and received responses from other women reporting similar experiences across Northern Ireland health services. She expressed concern that the issue had persisted for years without resolution. Several elected officials responded to her account, with some sharing their own experiences with fertility treatment and miscarriage. They highlighted the emotional toll of attending fertility appointments in spaces adjacent to maternity services, noting that heightened emotional sensitivity during such appointments makes the proximity to pregnant women and newborns particularly difficult.
Politicians called for the Department of Health to consider the emotional impact of service locations as part of broader healthcare strategy. They argued that women’s healthcare planning should account for emotional and psychological needs alongside clinical requirements, and that adequate resources should be allocated to reconfigure services where necessary. The South Eastern Trust indicated plans to relocate its outpatient gynaecology services from the maternity unit in coming months.
Responses from the five health trusts revealed varying arrangements. Two trusts reported that fertility services operate from dedicated facilities with separate entrances or standalone clinics. The remaining three trusts acknowledged that proximity to maternity services in some of their hospitals can present difficulties for women pursuing fertility treatment and indicated they are exploring improvements to patient experiences.
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