Case | HBS Case Collection | June 2012 (Revised January 2013)

Great Western Hospital: High-risk Pregnancy Care

by Michael E. Porter, Emma Stanton and Samuel Takvorian


Great Western Hospital (GWH) is a community hospital in Wiltshire, South West England and one of England's largest maternity providers; responsible for delivering over 9,000 babies per year. The case discusses the efforts of Dr. Harini Narayan, consultant obstetrician and gynecologist, to reorganize antenatal care delivery at GWH. Rather than treating high-risk pregnancies as a homogenous group, Dr. Narayan pioneered the development of eleven condition-based, high-risk clinics, led by dedicated multidisciplinary teams of physicians, midwives and nurses. The case profiles the Multiple Pregnancy Clinic in particular, and its impact on perinatal indicators and outcomes.

Keywords: health care; Health Care and Treatment; Medical Specialties; Service Delivery; Risk Management;


Porter, Michael E., Emma Stanton, and Samuel Takvorian. "Great Western Hospital: High-risk Pregnancy Care ." Harvard Business School Case 712-495, June 2012. (Revised January 2013.)