Dr. Mary McCaffrey, The Scotia Clinic, Tralee

28/09/2025

28/09/2025

CAESAREAN SCAR DEFECTS: A Lesser Known Complication of CS Delivery
The CSection rate is rising in Ireland with nearly 40% having babies born this way.
Women often see it as a risk free method / safer method for delivering babies.
It is not simply an “open a zip, take baby out and close the zip” procedure.
Like any medical intervention it has risks associated with it.
CS scar defects may be more common than we think.
In the last three months I have seen two. Both were picked up during routine ultrasound / saline hysterosonography for fertility investigations. Both now require surgery and the post op recovery will require a significant period of avoiding fertility treatment and pregnancy to allow the reconstructed scars to heal.
Here is a good overview of the condition.

https://my.clevelandclinic.org/health/diseases/23351-cesarean-scar-defect

An isthmocele (cesarean scar defect) is a pouch on your uterus wall. It’s the result of a past c-section. It can cause pain, bleeding or infertility.

27/09/2025

Have driven from to and reflecting on the Vision Ireland request on posters, I can say they are a risk to visually impaired people, particularly the Jim Gavin posters. they should be sorted- some are 2-3 feet off the ground
Irish Guide Dogs for the Blind Irish Guide Dogs, Kingdom Branch

Ahead of next month’s presidential election, Vision Ireland is calling on all candidates to consider people who are blind or vision impaired when erecting their election posters.

When posters are placed below the regulation height of 2.3 metres, they create serious safety issues for people who are vision impaired. Their sharp corners and edges easily cause cuts to the head, face, or eye when not detected by a mobility aid.

In this year’s Clear Our Paths campaign, Vision Ireland found that nearly 60% of people who are vision impaired have been injured by footpath obstacles such as posters. We are urging candidates to adhere to the law during this campaign, and place their election posters above head height.

If members of the public identify posters which are posing a safety risk, they should notify their county council.

21/09/2025

Apart from my time looking after patients, I also provide lectures in healthcare for doctors.
Yesterday I had an opportunity to talk to for providing myself and Medical Protection with an opportunity to discuss avoiding pitfalls as practising medicine in Ireland.
It is always a challenge moving to a new healthcare system and the interaction allowed myself and Una Buckley Weir to hear the issues doctors face on a daily basis.
We looked at communication skills, in navigating regulatory and legal processes.
And of course the importance of to avoid and .
I certainly learned a lot that will help us to support the IMGs who are the backbone of our in Ireland.

18/09/2025

NEW WOMENS HEALTH CLINICAL SERVICES IN CORK
I am really excited to be joining the team of UPMC Ireland in Mallow.
We will be providing a holistic model of and .
One of the exciting aspects of being part of UPMC will be having access to other specialists relevant to such as Santry Sports clinic for and .
Through these links my patients in Kerry will also benefit.
For Appointments in Cork:

UPMC offers access to services and consultation to a range of specialties, with a specific focus on women’s health, right here in Mallow, Cork. Learn more.

18/09/2025

BLS training at The Scotia Clinic today!
Zak was v bored

14/09/2025

*so my friend is now discharged from hospital. Recovery will be slow and steady. There were will be follow on radiotherapy. So ongoing prayers still appreciated.🙏*

Update* Surgery done and now just a slow road to recovery
Thank you all for your prayers
A friend of mine is scheduled for a significant surgical procedure tomorrow
She is in the best hands but our prayers will make all the difference

11/09/2025

WOMEN’S HEALTH FRIDAY on Radio Kerry Friday 2pm

Our slot with Deirdre on Talkabout has come around again!

Tomorrow we will talk about fertility and trying for a baby.
* 1:6 couples will have difficulty conceiving
* How can couples prepare?
* When do couples need to talk to a doctor?
* What tests and treatments are available nowadays
* What is covered by the free IVF and what is not?
You can send in queries in advance or DM us here

11/09/2025

Another week and another proud Scotia moment!
I see first hand the incredible professional care that Dominika and David give to both my mother and sister.

“The Editorial Board for Advances in Communication and Swallowing recently voted to select the best Postgraduate Research Award for all 2024 submissions. This prize is sponsored by IASLT!

The paper titled “Speech and language therapy services for autistic children in Munster: An interpretative phenomenological analysis of parental experiences and expectations” was selected as the winner. Congratulations to authors Dr. Dominika Lisiecka, PhD and David O' Shea”