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Gynecology & Obstetrics

Well Women Clinic

Our Well Women clinic provides excellent healthcare services in the field of obstetrics and gynecology to women of all age groups.

We care for young women concerned with irregular cycles, contraceptive technology, and preventive gynaecologic care to deliver the highest quality care and services to women throughout their life cycle. The Clinic works towards increasing health awareness, prevention and early detection of diseases common to women like gynecological problems, breast disease, family planning consultation, pre & post pregnancy care, high risk pregnancy, uro-gynaecology disorders, office hysteroscopy, and laparoscopy surgery.

Labour Delivery Room (LDR)

The birth of a baby is a wonderful yet very complex process. During this period many physical and emotional changes occur in the mother and baby.
At BAPS Yogiji Maharaj Hospital, our team of gynecologist, pediatrician, anesthesiologist and nursing staff ensures that the mother’s journey of motherhood and the child’s journey into this world is comfortable and easy.

LDR is adjacent to NICU and the operation theatres to attend to any medical emergency.

PROCEDURES

Colposcopy
Copper-T insertion
Endometrial biopsy
Pap smear
Breast examination
Contraception counselling

OBSTETRICS SERVICE

Caesarean section (high risk)
Cervical encirclage
Dilation and evacuation
Ectopic pregnancy treatment (medical & surgical)
Female sterilization
High risk pregnancy management
Instrumental deliveries (vaccuum and forceps)
Medical termination of pregnancy (MTP)
Normal and high risk pregnancy care
Normal delivery
Obstetric hysterectomy
Prenatal care and education
Screening ultrasounds and lab testing

GYNEACOLOGY SURGERIES

Adhesiolysis
Anterior and posterior repair (Colporrhaphy)
Bartholin cyst/abscess treatment
Cervical polyp removal
Diagnostic hysteroscopy
Diagnostic/operative laparoscopy for infertility
Dilatation and curettage (D&C)
Exploratory laparotomy
Gynaecologic reconstructive surgery
Hysterectomy (abdominal/vaginal)
Interval laparotomy for ovarian cancer
Laparoscopically - assisted vaginal hysterectomy
Loop Electrosurgical Excision Procedure (LEEP)
Management of uterine polyps
Myomectomy (open/laparoscopic)
Non-descent vaginal hysterectomy
Oophorectomy
Ovarian cystectomy
Pelvis floor reconstruction
Radical vulvectomy
Sacrocolpopexy- Prolapse correction
Salpingectomy
Surgery for endometriosis
Therapeutic hysteroscopy
Total laparoscopic hysterectomy (TLH)
Transobturator tape/Tension-free vaginal tape (TOT/TVT) sling
Urodynamic testing
Wertheim’s hysterectomy

SPECIFIC TREATMENT FOR

Adolescent gynaecology
Breast pain
Chronic pelvic pain
Hirsutism
Hyperprolactinemia
Irregular cycle
Menopause
Menorrhagia
Menstrual cramps
Pelvis inflammatory disease (PID)
Perimenopause
Polycystic ovarian disease
Premenstrual syndrome (PMS)
Recurrent miscarriage
Vaginal infection

High Risk Pregnancy

A high risk pregnancy is one in which some condition puts the mother, the developing fetus, or both at higher-than-normal risk for complications during or after the pregnancy and birth.

We manage the full-spectrum of high-risk pregnancies, giving comprehensive care. Our expert specialists have extensive experience in the management of the most complex maternal and foetal disorders. A pregnancy is also considered high-risk when prenatal tests indicate that the baby has a serious health problem (for example, a heart defect). In such cases, the mother will need special tests, and possibly medication, to carry the baby safely through to delivery.

Care provided by our maternal-foetal medicine subspecialists as well as other obstetric care providers:

A.PRE CONCEPTION CARE

Preconception evaluation of women to optimize maternal and perinatal outcomes. Examples include women with underlying illness, previous adverse pregnancy outcome, or considering advanced reproductive technology.

B. SPECIALIZED PRENATAL CARE

Evaluation of pregnant women needing counseling regarding prenatal care issues, and nutrition
Ultrasound – standard, limited and specialized (e.g. detailed sonography, foetal echocardiogram, Doppler studies)
Prenatal diagnosis, aneuploidy screening and foetal therapy (CVS, amniocentesis, foetal blood sampling and transfusion, foetal thoracocentesis and thoracoamniotic shunt placement, foetal vesicocentesis and vesicoamniotic shunt placement, laser, foetal surgery)
Genetic screening for women at increased risk for genetic disorders

C. LABOUR AND DELIVERY AND ASSOCIATE COMPLICATIONS

Any antepartum patient admitted for “other than delivery” support for intrapartum care including before labor; first-, second- and third-stage issues; intrapartum foetal monitoring; aneasthesia and analgesia; operative vaginal delivery, cesarean delivery; trial of labor after cesarean

OBSTETRIC COMPLICATIONS

Recurrent pregnancy loss
Preterm birth prevention
Asymptomatic (e.g. prior second trimester loss, possible cervical insufficiency; prior PTB; Mullerian abnormalities; short cervical length; issues related to cerclage, pessary, progesterone, or other interventions for prevention of PTB
Symptomatic (PTL or PPROM) <34 weeks gestation
Meconium complications
Malpresentation and malposition
Shoulder dystocia
Abnormal third stage of labor
Placenta accreta, increta, percreta
Second- or third-trimester vaginal bleeding
Preeclampsia with severe elements/eclampsia with HELLP syndrome (a life-threatening pregnancy complication usually considered to be a variant of preeclampsia) or end-organ damage
Severe postpartum hemorrhage
Cesarean hysterectomy
Acute fatty liver of pregnancy
Amniotic fluid embolism

MATERNAL COMPLICATIONS

Hypertensive Disorders
Cardiac Disease
Congenital heart disease
Arrhythmias
Valve disease
Cardiomyopathy
Pulmonary hypertension
Coronary artery disease
Heart transplant
Respiratory Disease
Asthma
Pneumonia
Restrictive lung disease
Pulmonary edema
Influenza
Tuberculosis
Cystic fibrosis
Obesity
Endocrinologic Disorders
Addison disease
Diabetes, insulin-requiring/ dependent
Thyroid disease
Parathyroid disease
Pheochromocytoma
Gastrointestinal Disease
Nausea and vomiting in pregnancy; Hyperemesis gravidarum
Eating disorders
Intrahepatic cholestasis
Inflammatory bowel disease (ulcerative colitis; Crohn’s disease)
Gallbladder disease (cholecystitis, cholelithiasis)
Pregnancy after liver transplantation
Pancreatitis
Wilson’s disease
Hematologic Diseases
Maternal anemia and hemoglobinopathies
Sickle cell disease
Von Willebrand disease
Thrombotic thrombocytopenia purpura/hemolytic uremic syndrome
Care of the Jehovah’s Witness pregnant woman
Renal Disease (includes renal transplantation)
Neurologic Diseases
Seizure disorders
Headache
AV malformation/ berry aneurysm
Multiple sclerosis
Pseudotumor cerebri
Myasthenia gravis
Spinal cord injury
Diabetes insipidus
Psychosocial Issues and Abuse
Smoking
Alcohol abuse
Drug abuse
Depression
Other psychiatric disorders
Domestic violence
Rheumatologic Disorders
Antiphospholipid syndrome
Systemic lupus erythematosus
Rheumatoid arthritis
Other autoimmune disease
Thromboembolic Disorders
Venous thromboembolism and anticoagulation
Inherited thrombophilia
Infectious Disorders
Hepatitis A
Hepatitis B
Hepatitis C
HIV
Gonorrhea
Chlamydia
Syphilis
Trichomonas
Group B streptococcus
Vaccination concerns
Pyelonephritis
Management of wound infection
Trauma and Critical Care
Trauma
Critical care
Skeletal; Connective Tissue
Marfan syndrome
Maternal skeletal dysplasia
Dermatoses
Cancer before and during pregnancy
Non-obstetric abdominal surgery in the current pregnancy

FOETAL COMPLICATIONS

Threatened miscarriage (including medical and surgical management)
Multifoetal pregnancies (including, but not limited to, mono/di twins, mono/mono twins, higher-order multiples; foetal growth restriction of 1 fetus; twin-twin transfusion syndrome; foetal reduction)
Growth disorders
Growth restriction
Macrosomia
Infections (e.g., Cytomegalovirus, toxoplasmosis, parvovirus, Herpes, varicella)
Foetal death
Hemolytic disease (Red cell alloimmunization)
Neonatal alloimmune thrombocytopenia
Non-immune hydrops

FOETAL ANOMALIES

Structural abnormalities
Family history of abnormality
Aneuploidy or increased risk for aneuploidy
Teratogen exposure

FOETAL TESTING

Antepartum foetal monitoring
Sonographic assessment of amniotic fluid abnormalities
Oligohydramnios
Hydramnios
Foetal blood sampling/intrauterine transfusion
Screening for foetal anemia
Foetal muscle/organ biopsy
Foetal skin sampling
Foetal surgery; foetoscopy/ embryoscopy

GYNAECOLOGIC ISSUES RELATED TO PREGNANCY AND THEIR IMPACT ON PREGNANCY

History of infertility
The adnexal mass

D. POSTPARTUM CARE

Postpartum care, breastfeeding, contraception, and complications such as severe hemorrhage, refractory infections, complicated preeclampsia, eclampsia and difficult post cesarean complications