OBSTETRICS & GYNAECOLOGY

“Nurturing The Women Power”

Obstetrics & Gynaecology is one of the primary specialties at Pranav Medical Centre. It provides comprehensive services in medical and surgical care to women ensuring quality. The wide spectrum of services offered to nurture every phase of a woman’s life – from the nascent stage of the intrauterine life through the blossoming adolescence and child bearing age of the postmenopausal years.

PMC pursues to excel in the following sub specialties

a) Adolescent Gynaecology,
b) High Risk Pregnancy Care,
c) IVF and Reproductive Medicines,
d) Gynaecology Endoscopy,
e) Urogynaecology &
f) Menopausal care.

O & G SERVICES

a) Prenatal care & counseling
b) Fetal diagnostic & therapeutic procedures
(Amniocentesis, Chorionic villous sampling, Placental biopsy, Intrauterine transfusion)
c) Antepartum fetal surveillance
d) Continuous intrapartum fetal monitoring
e) Epidural analgesia in labor
f) Care & Delivery of normal & high risk pregnancies
g) Adolescent care
h) Management of gynaecological problems
i) Contraceptive advice and family planning services
j) Comprehensive care of matured women
k) Preventive oncology
l) Assisted reproductive techniques (IUI, IVF, ICSI, P- ICSI)
m) Gynaecological surgeries
n) Gynaecological endoscopic surgeries
o) Robotic Surgery

EXCLUSIVE & COMPREHENSIVE WOMEN CLINICAL CARE

a) Adolescent Clinical Care
b) Gynae Endoscopy Clinical Care
c) Gynae-Oncology Clinical Care
d) High Risk Pregnancy Clinical Care
e) Clinical Care for Matured Women
f) Urogynaecology Clinicical Care
g) Infertility Clinical care
h) Adolescent Gynae clinical care

The Adolescent Clinical Care : Preemptive consultation for adolescent girls aged 10-19 years. The health of the youth of a country is crucial for its development and their impressionable minds can be molded very easily.
The objective is to provide services covering every aspect of adolescent health including growth & development, common menstrual problems, immunization, nutritional deficiencies like anaemia, mental health issues including anxiety, depression, adolescent reproductive & sexual health with special focus on HIV, AIDS & other STD’s & contraception, teenage pregnancy & benefits of regular exercise & meditation.

Gynae Endoscopy Clinical care : State of the art minimally invasive endoscopic management for a wide range of gynaecological procedures like hysterectomy, myomectomy, fertility enhancing procedure, operative hysteroscopies and gynaecological malignancies etc. Our mission is to effectively do all conventional open procedures laparoscpically.

Gynae-Oncology Clinical care – Provides state of art facilities for early diagnosis & management of genital tract malignancies like carcinoma cervix, uterus, ovaries, etc.

Special emphasis is laid on screening for genital tract cancers with screening tests available like PAP smear, HPV testing and colposcopy. Patients are being managed in conjunction with onco-surgeons and onco-physicians under the same roof. Their long term follow up, psychological and social rehabilitation services are also being provided.

High Risk Pregnancy Clinical care
It aims at providing “surveillance and management” of pregnancies at risk due to either, Past obstetric outcomes like repeated abortions, previous still birth or neonatal deaths. Medical illnesses complicating pregnancy – high blood pressure, diabetes, heart disease, liver disorders, thyroid disorders, kidney diseases, anaemia. Events occurring during the present pregnancy like growth restriction, prematurity, bleeding or leaking etc

High risk patients often require detailed assessment which involves:
a) Genetic counselling
b) Prenatal screening and diagnosis with facilities which include biochemical marker screening, chorion villus sampling, amniocentesis, fetal blood sampling and advanced ultrasound for the detection of fetal anomalies.
c) Extensive antepartum and intrapartum fetal surveillance
d) Specialised Neonatal care

PMC is fully equipped with state-of-the-art facilities for providing the above mentioned care for these pregnancies

Matured Women Clinical care : Caters to the spirit, mind and body of the perimenopausal and menopausal women. It focuses on the physiological changes before, during & after menopause. Long-term effects like osteoporosis, cardiovascular, urological problems and Alzheimer’s disease.

Neurological problems like anxiety, stress, insomnia and depression. Screening of gynae malignancies, advice regarding life style changes, diet, exercise & yoga

Uro-Gynaecology Clinical care : Caters to women with urogynaecological problems like urinary tract infection, urine incontinence, LUTS, prolapse, pelvic floor disorders.

Urodynamics, various surgical procedures for treating incontinence like tension free vaginal tape, laparoscopic colpo suspension, prolapse repair surgeries.

FAQ for Maintaining better health conditions during Pregnancy

1. What is a high-risk pregnancy?

A high-risk pregnancy is one in which some condition puts the pregnant mother or her baby at a higher risk for complications during pregnancy and childbirth.

2. When should a woman consult a high risk pregnancy specialist?

Before pregnancyThe specialist can help identify factors that increase the likelihood of a high-risk pregnancy and advise her to plan a pregnancy during ideal conditions.
During pregnancy To help plan a course of action to address pre-existing conditions or conditions affecting the mother or fetus that develop during the ongoing pregnancy.
After deliveryTo assist complications that may develop, such as excessive bleeding

3. “Best Practices” before planning pregnancy?

a) One should start with folic acid 5 mg per day at least one month prior to planning the pregnancy
b) Get one’s immune status checked for various conditions : German measles (rubella), hepatitis B, chicken pox, tetanus. If not adequately covered with vaccinations or natural immunity this is an appropriate time to get oneself vaccinated.
c) One should get oneself screened for thalessemia trait, diabetes mellitus, anemia, thyroid dysfunction, high blood pressure
d) Stop or reduce the intake of alcohol and /or smoking or any other substances being abused
 e) One should consult a doctor if a medication is being used regularly because some drugs may have a harmful effect on the developing baby and would need to be stopped or changed before planning pregnancy

4. Can a low risk pregnancy become high risk later?

Yes, some risk factors may develop during pregnancy as it advances eg. bleeding during pregnancy, baby suspected of not growing enough, high blood pressure, diabetes etc

5. How often does my baby need testing?

a) An initial ultrasound is carried out at the fist antenatal visit to confirm the pregnancy, see if it is in the right place and for dating the pregnancy
b) A blood test (First trimester screen) and a special ultrasound ( NT scan ) are then recommended at the end of the third month for early detection of babies with Down’s syndrome and some other genetically abnormal babies. If this opportunity is missed a blood test can also be done at 41/2 to 5 months and the risk assessed
c) A targeted ultrasound is carried out at 18-20 weeks of pregnancy to look for baby’s structural development and pick up birth defects if any.
d) Subsequent ultrasounds and other tests may be needed to assess the growth of the baby depending on your doctor’s advise

Note : Regular antenatal check ups can minimize the risk of problems and ensure healthy outcomes