Obstetrics and Gynecology

High Risk Pregnancy

Under high risk pregnancy, please have the following content

Heart Diseases

Cardiac disease in pregnancy refers to problems with the heart that occur while one is pregnant. Two main types of heart problems occur during pregnancy:

• Pre Existing Heart Conditions Cardiovascular diseases that you had before becoming pregnant might have caused no symptoms or major concerns before. But during pregnancy, they can affect you and lead to complications.
• There are heart conditions that develop during Pregnancy

Most people with a heart condition can safely become pregnant and have a healthy baby. But cardiovascular disease during pregnancy sometimes leads to serious complications. Our ob-gyn team collaborates with expert cardiologists to avoid any heart problems in pregnant women.

Epilepsy in Pregnancy

Pregnant women who have epilepsy need to see an ob-gyn specialist more often. You most likely will be given medicine to prevent seizures. Monitoring of these medicines is important to control seizures and reduce side effects.

Anaemia – During pregnancy, the volume of blood in your body increases, and so does the amount of iron you need. Our dedicated nurses will make sure that women take enough iron supplements.

VBAC (Vaginal Birth After Caesarean)- Many women would like to have the experience of vaginal birth, and when successful, VBAC allows this to happen. For women planning to have more children, VBAC may help them avoid certain health problems linked to multiple caesarean deliveries. These issues may include bowel or bladder injury, uterine removal, and placenta issues in later pregnancies.Our senior consultant is available 24*7 who specialises in VBAC.

ICU – When critical complications of pregnancy arise, we offer specialised, intensive care to ensure the best possible outcomes for mothers and babies alike.

Kauvery Hospital at Radial Road is home to one of the few ICUs dedicated solely to critical care obstetrics. By offering comprehensive high-risk perinatal services combined with expert subspecialty care through Maa Kauvery (Advanced Mother and Child Care unit), we aim to make a difference in the lives of expectant mothers with critical complications of pregnancy.

As a critical care ob-gyn patient, you will receive care from a dedicated ICU team that includes critical care doctors on call around-the-clock, maternal-foetal medicine specialists, and an ICU-trained and ACLS (advanced cardiovascular life support)-certified nursing staff – all in a cutting-edge facility that guarantees the most up-to-date life-saving technology and foetal monitoring systems.

A multidisciplinary approach

Our ICU team collaborates closely with subspecialties including Cardiology, Hematology and Nephrology, among others, in the ongoing management of your care, as well as surgery when necessary.

If you are an expectant mother with a history of cancer or a new cancer diagnosis, you will also benefit from the expert care and the most advanced treatment therapies available through our renowned colleagues in the Oncology department.

A family-centred birth experience

While a serious illness or medical condition adds to the complexity of any pregnancy, we understand that the birth of your child remains one of the most important times in your life. Our goal is to keep you and your baby together whenever possible, although in some cases newborns require special care in our NICU nursery. Even then you can see your baby and talk with the NICU care team without ever leaving your hospital bed using Family Vision, our state-of-the-art videoconferencing system.

Minimal Access Surgery

Minimally Invasive Gynecologic Surgery

Gynaecologists at Kauvery who have received training in minimally invasive gynecologic surgery are experts in diagnosing and treating a variety of noncancerous (benign) gynecologic conditions, such as Endometriosis and fibroid, Heavy menstrual bleeding, Menopause, Ovarian cancer, and Vaginal conditions

We prefer minimally invasive gynecologic procedures to open surgery whenever possible since they have been proven to improve outcomes while minimising discomfort, inconvenience, and cost.

Tests and Procedures

Surgeons can perform many of these procedures on an outpatient basis:

Laparoscopy

• Diagnostic Laparoscopy
• Ovarian Reserve
• Staging Laparotomy
• Tubal Recanalisation
• Laparoscopic Hysterectomy
• Laparoscopic Myomectomy
• Laparoscopic Ovariohysterectomy
• Laparoscopic Surgery For Endometriosis
• Laparoscopic Salpingectomy
• Laparoscopic Surgery For Ectopic Pregnancy

Hysteroscopy

• Diagnosis Hysteroscopy
• Hysteroscopic Guided Endometrial Biopsy
• Hysteroscopic Polypectomy
• Hysteroscopic Septal Resection
• Hysteroscopic Tubal Cannulation
• Hysteroscopic Myomectomy
• Hysteroscopic Copper T Removal

Highlights

• Diagnostic and operative hysteroscopy
• Diagnostic and operative laparoscopy
• Endometrial ablation
• Hysteroscopic and laparoscopic sterilisation
• Laparoscopic radiofrequency ablation
• Surgical management of ectopic pregnancy
• Surgical management of missed or incomplete abortion
• Surgical treatment of endometriosis
• Surgical treatment of uterine fibroids

Our surgeons work carefully with each patient to assess specific symptoms, overall health, and other aspects in order to determine if a patient is an appropriate candidate for minimally invasive surgery. Depending on the condition, the patient’s general health, the symptoms, and other factors, the type of surgery that best meets the requirements of the patient will differ.

Our experts perform minimally-invasive laparoscopic and hysteroscopic surgeries, and are highly successful in handling high-risk pregnancies.

Gynecology Services

PCOS Clinic

The PCOS Clinic provides a comprehensive approach to treating polycystic ovarian syndrome. We work closely with each patient to develop a personalised treatment plan. We also develop an exercise plan for women who would like to start integrating exercise into their lives.

Adolescent Clinic

The clinic’s goal is to offer gynaecological services that address all facets of adolescent health, such as growth and development, typical menstrual issues, nutritional deficiencies like anaemia, adolescent reproductive and sexual health, and teenage pregnancy.

The clinic works in conjunction with other medical professionals, specifically paediatricians and endocrinologists.

Oncological Clinic

We offer the most advanced treatment options for gynecologic cancers, including radical trachelectomy and other techniques that preserve child-bearing ability and sexual function.

The Gynecologic Oncology Center meets the needs of all patients:

• Genetic counselling and testing for women with a family history of gynecologic cancer
• Ovarian cancer screening for women at high risk
• Colposcopy evaluation
• Evaluation, counselling and management of cancer-related sexual issues

Types of cancers we treat:

• Cervical cancer
• Fallopian tube cancer
• Ovarian cancer
• Uterine (endometrial) cancer
• Vaginal cancer
• Vulvar cancer
• Pre-invasive diseases of the lower genital tract

Urological Clinic – This speciality clinic focuses on the diagnosis and treatment of pelvic floor disorders. Physicians who specialise in caring for those with pelvic floor disorders include both gynaecologists and urologic surgeons.

Fibroids/Endometriosis

Endometriosis and fibroids are two different conditions that can affect your reproductive health. They have similar symptoms that range from mild to severe including:

• Heavy Menstrual Bleeding
• Bleeding between Periods
• Painful Periods
• Cramping
• Pelvic Pain
• Painful Intercourse
• Uncomfortable Bowel Movements
• Lower Back & Leg Pain

Our physicians at Maa Kauvery, diagnose these conditions and create a plan of treatment customised to your specific circumstances.

Conservative surgeries – We provide alternatives to Hysterectomy such as Myomectomy, Uterine endometrial ablation, Laparoscopy and endometriosis excision polypectomy (a procedure to remove a polyp), myomectomy (a procedure to remove fibroids).

Cervical Cancer Screening/Pap Smear – We also do cervical screening to check the health of your cervix and identify abnormal cells.

HPV Vaccination – We provide HPV vaccination to protect against cervical cancer and cancers of the vulva, vagina, and anus.

MHC – Master Health Checkup – The department also provides a master health checkup option for expecting mothers.

Well Women Checkup – Our female full-body health check-up is a chance for you to focus on your overall health and wellness. It focuses on preventive care for women.

Fertility Treatment

The fertility of women solely depends on their ovaries. The ovaries must produce healthy eggs for becoming pregnant. Following this, the reproductive tract must permit an egg to enter the fallopian tubes where it will combine with sperm to become fertilised. The uterus must receive the fertilised egg, which must then implant in the lining. As an important part of fertility treatment, infertility tests are performed to determine whether any of these processes are impaired.

Evaluation of Infertility

We conduct a general physical exam, including a regular gynaecological exam. Specific fertility tests may include:

Ovulation Testing

Imaging tests – Pelvic ultrasound is usually done for checking uterine or ovarian disease.

Depending on your situation, rarely your testing may include:

Hysteroscopy – Depending on symptoms, we may request a hysteroscopy to look for uterine disease. During the procedure, your doctor inserts a thin, lighted device through your cervix into your uterus to view any potential abnormalities.

Laparoscopy – This minimally invasive surgery is used to examine your fallopian tubes, ovaries and uterus. A laparoscopy can detect endometriosis, scarring, obstructions in the fallopian tubes, anomalies in the ovaries, and issues with the uterus.

Assessment of Couples – Various tests are available for couples to diagnose infertility

Counselling – Based on diagnosis, we provide fertility options for couples.

Ovulation Induction – Ovulation induction is the administration of fertility medications for stimulating the release of one or more eggs from the ovary.

IUI – Intrauterine insemination (IUI) involves artificial insemination for treating infertility in women. IUI is minimally invasive, and patients do not even require pain medication or anaesthesia during treatment. Patients may experience a slight pinching experience (similar to that experienced during a routine pap smear) and a little cramping as the catheter is passed through the cervix.