Introducing Mr Atalla

Mr R. K Atalla (MB, BCh, FRCOG) is a Consultant Obstetrician and Gynaecologist based in Hertfordshire. He specialises in Recurrent Miscarriage, Obstetrics and Gynaecology. He is extremely committed to achieving the best evidence-based outcomes for the women he looks after and he supports his patients with a friendly manner. He is very approachable and reassuring and his knowledge in these areas is extensive. Click here to view the website.

‘I didn’t think we would be accepted for an appointment to see Mr Atalla as we live 2 hours away. Thankfully he accepted us straight away and it was only a few weeks until we met him. He was fantastic! He was thorough and committed and we were so relieved that he listened to everything we said and what we had been through with regards to losing our babies and what our concerns were. I will be forever grateful to him and his team for putting us at ease.’ - Amy Everatt

Mr Atalla's thoughts...

We all experience losses in our lives. We experience loss of family members, friends but is the loss of a baby the worst of them all? Though we accept that we will lose older members of a family, though how difficult that may be, it is even more difficult to accept the loss of the younger new member of our family. Most of the time, the expectation of the arrival of the new baby, fills the house with joy. The excitement of having the first scan and storing the first picture in an album and starting telling friends of the pregnancy, makes the devastation of miscarriage a more traumatic experience.

The change from the peak of joy to the unexpected and unknown could be even greater should there be no warning signs or family history. A search for answers starts with the exploration of the internet which is well known to contain a lot of information. However, not surprisingly, it is deeply influenced by the writer's opinion and may be some marketing influence as well. A long list of possibilities and investigations gets even longer with the exploration of more websites. The knowledge that miscarriage is very common, may not make it easier for the couple and the resistance of the medical profession to investigate the miscarriage until there has been 3 successive miscarriages, may well generate a further feeling of helplessness. It is not uncommon for mothers–to-be to become very traumatised and seek support from their husband and family members. Husbands, though devastated, have sometime difficulties in expressing their emotions and develop anger. They also experience a very traumatic time with little or no support.

Due to the prevalence of miscarriage and lack of time that they can spend with their patients, it is not surprising that some professionals (doctors and nurses) dealing with miscarriages get desensitised to the events. Commonly the couple get answers such as 'go home and put your feet up,' 'let nature takes its course,' and 'it must be a chromosome error.' Unfortunately, these words do not give satisfying answers to couples, on the contrary, it gives the impression that they are not being taken seriously and were treated as a number rather than individuals. The field of miscarriages is still full of unanswered questions and often the doctors would not find an answer to the questions and personal efforts to explain the pregnancy loss can generate different opinions between professionals. Doctors usually guide the couple in the correct pathway of investigations avoiding the long list of unnecessary investigations. They also offer support to couple and explanation of the jargon of words and tests easily found on the web.

That immediately reminds me of the proverb, 'Because he himself was tested, he is able to help those who are being tested.' Couples who have been through such difficult times are sometimes the best to offer support to others. They can provide their experience through the stressful times and give hope for a future successful pregnancy. A group such as HUG could offer a great support to others through the collective experience of couples who have been through the same.

In the last 3 decades, one certainly can observe a change in culture with couples becoming more open about miscarriages and willingly declaring it to their friends and family. Suddenly it became obvious the prevalence of the condition as certainly all of us would know someone affected by a pregnancy loss. Increasing awareness by such groups does support more studies into the condition and develop better experience for couples all over the UK.

I am sure that science will not be able to make miscarriage a thing of the past but I already witness the rapid development of management options, reduction in the prevalence in miscarriages and surely an improvement of experience of couples who are unfortunate to lose a pregnancy. I am surely delighted to see the development of HUG and I wish the group every success, as only through these initiatives that clear unbiased support could be offered to thousands of couples in the UK every year.

Introducing Sam

Sam is Mr Atalla’s PA. She is very committed and passionate about helping people. Sam started in Obstetrics and Gynaecology as a Clinical Support Worker in 2005, but changed to a Gynaecology Clerk in 2007. She became a medical PA in 2010 and took on the role of Mr Atalla’s PA in 2012.

‘Sam must have hundreds of calls to deal with but she always takes the time to listen. She goes above and beyond her duties to help people. She is a crucial part of the team.’

Introducing Juliette

Juliette is a life coach. She is an extremely knowledgeable and encouraging person who takes her time to really listen to you. With her background in mental health, she has a great understanding of how important your perception of yourself is. She is very committed to teaching her clients methods to improve their outlook and achieve goals. She is highly recommended to anyone who needs a little help picking themselves up. Coaching is very useful for relationships, anxiety, self-esteem/confidence, health and stress. Contact Juliette at for an informal chat about what and how she can help you.

‘I never really knew what life coaching was. I certainly hadn’t considered it for myself until someone recommended Juliette. It has, quite frankly, changed my life! I look at situations differently and the exercises that I did whilst Juliette was coaching me, I still use today. My whole outlook and changed and I am so much happier for it.’

Introducing Becky

Hello my name is Becky. I am a Reflexologist and a qualified nurse. Did you know that your feet provide a detailed map of reflex points that mirror the body's complex systems? Are you aware that working on these reflex points can cause a healing and re-balancing in the corresponding part of the body? Reflexology can help treat a multitude of conditions and symptoms that manifest either physically, psychologically or emotionally in the body. I have a general reflexology diploma which I use to treat many ailments such as; aches and pains, hay fever, headaches, oedema, MS, insomnia, menstrual cycles, skin conditions, stress, anxiety, depression, low name but a few. It's also a lovely form of relaxation and well deserved TLC. From September 2017 onwards I will be offering specialist treatments for oncology and palliative care.

I also specialise in maternity reflexology from fertility issues, conception, pregnancy, miscarriage and all the way through to post natal. With regards to miscarriage reflexology is a gentle treatment that gives you the care and space you need to release emotions and pain as part of the healing and grieving process. Grief can block your energy system, which can result in fatigue, anxiety, depression, a feeling of being overwhelmed and lost. Reflexology can be used to release emotions, open the body up and rebalance it. Grief is a process and I create a safe and comforting environment where you can express yourself and allow yourself to feel sad. Each treatment will help to improve sleep quality too, which can be affected by a feeling of loss. Before your treatment I will do a consultation with you to tailor the treatment to your individual needs, it also provides the platform for you to talk freely about your experience, feelings and what you want to achieve from your session.

If you have any questions or would like to speak to me please don't hesitate to contact me at

'I'd heard of reflexology before but didn't know much about it. There's so much more to it than you think! I'm so grateful to Becky for working with me, it has helped me so much through my anxious pregnancy so far.' - From Amy Everatt HUG

Introducing Mandy


Yoga is a mindful discipline that specialises in relaxation techniques, particularly by focussing on breathing, as the breath and the mind are inextricably connected. When we are anxious, stressed, upset or angry the inhale shortens and quickens, conversely, when we are contented and calm the exhale spontaneously becomes longer. Yoga breathing techniques firstly enables us to recognise tensions and the build-up and secondly provides the tools to help us “change the energy” in stressful situations.

Alas, Yoga is not a panacea for all pains, but it is an excellent self-help discipline that can empower and help us take some control over our body, mind and emotions which will put us in a better position to cope, accept and allow healing to take place.

Although Yoga/Breathing practices are best taught by a qualified and experienced teacher, the technique below will be of great use especially if practised regularly. For any advice on the technique, Yoga, or how to find a teacher in your area,Email

Mandy Keast-Southall has been practicing and teaching Yoga for over 25 years and is a British Wheel of Yoga Diploma holder and a Yoga Lower Back Pain Therapist.


(Can be done anywhere, anytime, lying or sitting) However, if at home, find a quiet place where you will not be disturbed for a few minutes.

    • Sit with an upright spine and both feet on the floor with your hands resting in your lap one hand on top of the other.
    • Take your awareness to your feet and feel the support of the floor beneath you....
    • Take your awareness to your hands and feel the light pressure of one palm supporting the other....
    • Take your awareness to your face and soften the tiny muscles that create expressions, around the forehead, eyes, and mouth...
    • Now take one slow inhale through the nostrils.....then softly sigh the breath out through the mouth feeling the body let go, releasing tension with the relaxing out breath, particularly the shoulders and the belly. The whole body now soft and passive yet upright and stable.
    • Take the awareness to your breathing. Notice your breath, where is the slight movement of your breathing felt in your body? The belly? or chest? or a bit of both? Just observe this movement for a few moments.... witnessing your breathing....
    • Next, begin to breathe in through your nose consciously deepening the breathing a little, sending the breath down to the belly area, (no strain, no tension, just a gentle, conscious inhalation) and watch the soft rise of your belly....... allow the exhale to follow and watch the belly slowly drop strain. Continue in this manner.
    • Notice how after a few breaths the exhale starts to become a little longer than the inhale.... this is when you know relaxation is taking place as the exhale is always connected to the body letting go and relaxing down.
    • Continue with this practice for a few minutes, or as long as you wish, until you feel quiet, calm, refreshed or fall asleep....

"Because he himself was tested, he is able to help those who are being tested"