Dr Meekai To

Consultant in Fetal Medicine

Womens Health

Sub-specialties: Womens Health, Pregnancy Ultrasound, Fetal Medicine, Antenatal Screening, Preterm Birth, Prenatal Diagnosis, Fetal Growth Restriction, Obstetrics.

Overview

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Overview

Dr Meekai To is a consultant in Fetal Medicine and Obstetrics at King’s College Hospital NHS Foundation Trust, where she has continued to work as a consultant in Fetal Medicine for the last 15 years and ran the specialist preterm birth service for 10 years.

About Dr Meekai To

Dr Meekai To (MD, MRCOG, BM BS, BMedSci) graduated from the University of Nottingham Medical School in 1994. She trained in obstetrics and gynaecology in north-west London between 1996-2008, working at prestigious units including Queen Charlotte’s, Chelsea and Westminster, King's College and Guy's and St Thomas's Hospital.
In 2001, Dr To completed a 2 year postgraduate Medical Doctorate, (MD) under the supervision of the world-renowned Professor Kypros Nicolaides at King’s College Hospital. She then completed a 2 year sub-speciality training post in Fetal-Maternal Medicine at Guy’s and St Thomas’s Hospital and was awarded dual sub-specialist accreditation in Obstetrics and Fetal-Maternal medicine in 2008. She was subsequently appointed a consultant in Fetal Medicine and Obstetrics at King’s College Hospital NHS Foundation Trust, where she also ran the specialist preterm birth service for 10 years and continues to work as a senior consultant in Fetal Medicine.
Dr Meekai To has more than 25 years of experience in obstetrics and diagnostic pregnancy ultrasound scanning, prenatal diagnosis and counselling, and has a special interest in premature birth, having published extensively and contributed to national guidelines for Royal College of Obstetricians and Gynaecologists, National Institute of Clinical Excellence (NICE) and British Association Perinatal Medicine.
In addition to her clinical commitments, Dr To is currently undertaking a part-time Master’s degree in Genomic Medicine at University of Exeter, a world-leading centre in the development of cutting-edge genomic technology and research.

Areas of Expertise

Some of the common conditions Dr Meekai To treats are:

  • Pregnancy ultrasound
  • Fetal medicine
    • Prenatal diagnosis
    • Congenital structural anomalies
    • Fetal growth restriction
    • Fetal and uterine artery Dopplers
    • Genetics
  • Antenatal screening
    • Chromosomal anomalies
    • Early fetal anomaly scan
    • First trimester combined screening (nuchal translucency)
    • Non-Invasive Prenatal Testing (Harmony, Panorama, SAFE)
    • Pre-eclampsia
    • Preterm birth
    • Cervical length

Additional Information

Memberships
  • Royal College of Obstetricians and Gynaecologists
  • British Maternal-Fetal Medicine Society
  • International Society of Ultrasound in Obstetrics and Gynaecology

Research Highlights

• Mactier H, Bates SE, Johnston T, Lee-Davey C, Marlow N, Mulley K, Smith LK, To M, Wilkinson D
BAPM Working Group. Perinatal management of Extreme Preterm Birth before 27 weeks of gestation: a framework for practice. Arch Dis Child Fetal Neonatal Ed. 2020 May;105(3):232-239.
• Berghella V, Ciardulli A, Rust OA, To M, Otsuki K, Althuisius S, Nicolaides K, Roman A, Saccone G. Cerclage for Short Cervix on Ultrasound in Singleton Gestations without Prior Spontaneous Preterm Birth: Systematic Review and Meta-analysis of Trials using individual patient-level data. Ultrasound Obstet Gynecol. 2017 Nov;50(5):569-577
• Abbott D, To M, Shennan A. Cervical cerclage:a review of current evidence. Aust NZ J Obstet Gynaecol 2012 Jun;52(3)220-3
• Berghella V, Keeler SM, To MS, Althuisius SM, Rust OA. Effectiveness of cerclage according to cervical length shortening: a meta-analysis. Ultrasound Obstet Gynecol 2010 Apr
35(4):468-73
• Charles-Edwards GD, Jan W, To M, Maxwell D, Keevil SF, Robinson R. Non-invasive detection and quantification of human foetal brain lactate in utero by magnetic resonance spectroscopy. Prenat Diagn 2010;30(3):260-6
• Smith GC, Celik E, To M, Khouri O, Nicolaides KH. Cervical length at mid-pregnancy and the risk of primary cesarean delivery. N Engl J Med 2008;358(13):1346-53.
• Celik E, To M, Gajewska K, Smith GC, Nicolaides KH. Cervical length and obstetric history predict spontaneous preterm birth: development and validation of a model to provide individualized risk assessment. Ultrasound Obstet Gynecol 2008;31(5):549-54.
• Odibo AO, Berghella V, To MS, Rust OA, Althuisius SM, Nicolaides KH. Shirodkar versus McDonald cerclage for the prevention of preterm birth in women with short cervical length. Am J Perinatol. 2007 Jan;24(1):55-60
• To MS, Skentou CA, Royston P, Yu CK, Nicolaides KH: Prediction of patient-specific risk of early preterm delivery using maternal history and sonographic measurement of cervical length: a population-based prospective study. Ultrasound Obstet Gynecol 2006;27:362-367.
• To MS, Fonseca EB, Molina FS, Cacho AM, Nicolaides KH: Maternal characteristics and cervical length in the prediction of spontaneous early preterm delivery in twins. Am J Obstet Gynecol 2006;194:1360-1365.
• Berghella V, Odibo AO, To MS, Rust OA, Althuisius SM. Cerclage for short cervix on ultrasonography: meta-analysis of trials using individual patient-level data. Obstet Gynecol 2005;106:181-189.
• To MS, Alfirevic Z, Heath VCF, Cicero S, Cacho AM, Williamson PR, Nicolaides KH. Cervical cerclage for prevention of preterm delivery in women with short cervix: Randomised trial. Lancet 2004 Jun 5
363 (9424):1849-53
• Clement S, Candy B, Heath VCF, To MS, Nicolaides KH. Transvaginal ultrasound in pregnancy: its acceptability to women and maternal psychological morbidity. Ultrasound Obstet Gynecol 2003
22: 507–513
• To MS, Palanippan V, Skentou C, Gibb D, Nicolaides KH. Elective cerclage versus ultrasound-indicated cerclage in high-risk pregnancies. Ultrasound Obstet Gynecol 2002
19(5): 475-7
• To MS, Skentou C, Liao AW, Nicolaides KH . Cervical length and funneling at 23-weeks of gestation in the prediction of spontaneous preterm delivery. Ultrasound Obstet Gynecol 2001
18(3): 200-3
• To MS, Skentou C, Chan C, Zagaliki A, Nicolaides KH. Cervical assessment at the routine 23-week scan: standardising techniques. Ultrasound Obstet Gynecol 2001;17(3):217-219
• Papageorghiou AT, To MS, Yu CK, Nicolaides KH. Repeatability of measurement of uterine artery pulsatility index using transvaginal colour Doppler. Ultrasound Obstet Gynecol 2001
18(5): 456-9
• Skentou C, Souka AP, To MS, Liao AW, Nicolaides KH. Prediction of preterm delivery in twins by cervical assessment at 23 weeks. Ultrasound Obstet Gynecol 2001
17(1): 7-10
• Cicero S, Skentou C, Souka AP, To MS, Nicolaides KH. Cervical length at 22-24 weeks of gestation: Comparison of transvaginal and transperineal-translabial ultrasound. Ultrasound Obstet Gynecol 2001
17(4): 335-40
• To MS, Skentou C, Cicero S, Nicolaides KH. Cervical assessment at the routine 23-week scan: problems with transabdominal sonography. Ultrasound Obstet Gynecol 2000
15(4): 292-296
• To MS, Skentou C, Cicero S, Liao AW, Nicolaides KH. Cervical length at 23 weeks in triplets: Prediction of spontaneous preterm delivery. Ultrasound Obstet Gynecol 2000;16(6):515-8