P.81 Infectious Disease Service  Dove- This service looks after the specific needs of pregnant women who have or are at risk of blood and sexually transmitted bacterial and viral infections. This exposure may occur through drug use, unprotected sex, or any contact with infected blood or body fluid. The clinic collaborates closely with allied agencies and specialties (including addiction services and inclusion health. 

P.84 Drug liaison midwife (DLM) service - During 2024, 139 women were referred to the DLM service, including 22 women who had a history of opiate addiction and were engaged in an Opioid Substitution Treatment (OST, - primarily methadone) programme. This represents a further increase compared with 2023, although a small reduction in the proportion on OST, in keeping with the changing patterns of addiction seen nationally. 69 women linked with the DLM delivered their babies in the Rotunda Hospital in 2024, with a further 5 women delivering elsewhere.

P.178 Substance misuse - In 2023, the medical social worker attached to the DOVE (Danger of Viral Exposure) clinic provided emotional and practical support to women attending this specialist clinic. As part of this role, the medical social worker helps parents to address their addiction issues, at a time where motivation to cease or reduce substance misuse can be high. 60 women attending the DOVE clinic, and who delivered in 2024, were referred to Tusla by the medical social worker. Referrals to Tusla regarding drug misuse also occurred when patients did not attend the DOVE clinic but drug use was identified postnatally or secondary to another concern.