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Maternity Care

Pristine is committed to a very safe and satisfying pregnancy, birth and postpartum experience.

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Pregnancy care(maternity and delivery)

A schedule of visits may involve seeing your doctor:

  • every month in the first six months you are pregnant
  • every two weeks in the seventh and eighth months you are pregnant
  • every week during your ninth month of pregnancy

During these visits, your doctor will check your health and the health of your baby.

Visits may include:

  • taking routine tests and screenings, such as a blood test to check for anemia, HIV, and your blood type
  • monitoring your blood pressure
  • measuring your weight gain
  • monitoring the baby’s growth and heart rate
  • talking about special diet and exercise

Later visits may also include checking the baby’s position and noting changes in your body as you prepare for birth.

Your doctor may also offer special classes at different stages of your pregnancy.

These classes will:

  • discuss what to expect when you are pregnant
  • prepare you for the birth
  • teach you basic skills for caring for your baby

If your pregnancy is considered high risk because of your age or health conditions, you may require more frequent visits and special care. You may also need to see a doctor who works with high-risk pregnancies.


Posrpartum Care

While most attention to pregnancy care focuses on the nine months of pregnancy, postpartum care is important, too. The postpartum period lasts six to eight weeks, beginning right after the baby is born.

During this period, the mother goes through many physical and emotional changes while learning to care for her newborn. Postpartum care involves getting proper rest, nutrition, and vaginal care.

Getting Enough Rest

Rest is crucial for new mothers who need to rebuild their strength. To avoid getting too tired as a new mother, you may need to:

  • sleep when your baby sleeps
  • keep your bed near your baby’s crib to make night feedings easier
  • allow someone else to feed the baby with a bottle while you sleep

Eating Right

Getting proper nutrition in the postpartum period is crucial because of the changes your body goes through during pregnancy and labor.

The weight that you gained during pregnancy helps make sure you have enough nutrition for breast-feeding. However, you need to continue to eat a healthy diet after delivery.

Experts recommend that breast-feeding mothers eat when they feel hungry. Make a special effort to focus on eating when you are actually hungry — not just busy or tired.

  • avoid high-fat snacks
  • focus on eating low-fat foods that balance protein, carbohydrates, and fruits and vegetables
  • drink plenty of fluids

Vaginal Care

New mothers should make vaginal care an essential part of their postpartum care. You may experience:

  • vaginal soreness f you had a tear during delivery
  • urination problems like pain or a frequent urge to urinate
  • discharge, including small blood clots
  • contractions during the first few days after delivery

Schedule a checkup with your doctor about six weeks after delivery to discuss symptoms and receive proper treatment. You should abstain from sexual intercourse for four to six weeks after delivery so that your vagina has proper time to heal.

High risk Pregnancy care specialist

What are the risk factors for a high-risk pregnancy?

Sometimes a high-risk pregnancy is the result of a medical condition present before pregnancy. In other cases, a medical condition that develops during pregnancy for either you or your baby causes a pregnancy to become high risk.

Specific factors that might contribute to a high-risk pregnancy include:

  • Advanced maternal age. Pregnancy risks are higher for mothers older than age 35.
  • Lifestyle choices. Smoking cigarettes, drinking alcohol and using illegal drugs can put a pregnancy at risk.
  • Maternal health problems. High blood pressure, obesity, diabetes, epilepsy, thyroid disease, heart or blood disorders, poorly controlled asthma, and infections can increase pregnancy risks.
  • Pregnancy complications. Various complications that develop during pregnancy can pose risks. Examples include an unusual placenta position, fetal growth less than the 10th percentile for gestational age (fetal growth restriction) and rhesus (Rh) sensitization — a potentially serious condition that can occur when your blood group is Rh negative and your baby's blood group is Rh positive.
  • Multiple pregnancy. Pregnancy risks are higher for women carrying more than one fetus.
  • Pregnancy history. A history of pregnancy-related hypertension disorders, such as preeclampsia, increases the risk of having this diagnosis during the next pregnancy. If you gave birth prematurely in your last pregnancy or you've had multiple premature births, you're at increased risk of an early delivery in your next pregnancy. Talk to your health care provider about your complete obstetric history.

What steps can I take to promote a healthy pregnancy?

Whether you know ahead of time that you'll have a high-risk pregnancy or you simply want to do whatever you can to prevent a high-risk pregnancy, stick to the basics. For example:

  • Schedule a preconception appointment. If you're thinking about becoming pregnant, consult your health care provider. Your provider might counsel you to start taking a daily prenatal vitamin with folic acid and reach a healthy weight before you become pregnant. If you have a medical condition, your treatment might be adjusted in preparation for pregnancy. Your health care provider might also discuss your risk of having a baby with a genetic condition.
  • Seek regular prenatal care. Prenatal visits can help your health care provider monitor your health and your baby's health. You might be referred to a specialist in maternal-fetal medicine, genetics, pediatrics or other areas.
  • Avoid risky substances. If you smoke, quit. Alcohol and illegal drugs are off-limits, too. Talk to your health care provider about any medications or supplements you're taking.

Painless delivery

What is Painless Delivery?

Painless delivery can be achieved using a form of regional anaesthesia that provides pain relief during natural labour. Epidural anaesthesia is administered through an injection on the lower back of the mother. The drug takes about 10-15 minutes to take effect. This is a good option for women with a lower pain bearing capacity, who would otherwise opt for a C-section.

Steechless cesarean section operations

Stitch less Cesarean

Caesarean stitchless section (C-section) is the delivery of a baby through a cut in the mother’s lower abdomen and the uterus.It was an operation with many risks, less than a century ago. Today, it is one of the most frequently performed surgeries in the world. Caesarean births are more common than most surgeries (such as gallbladder removal, hysterectomy or tonsillectomy) due to many factors. One factor, of course, is that nearly 50% of the world population are women, and pregnancy is still a very common condition! However, more important is the fact that a Caesarean section may be life saving for the baby, or mother (or both).
Caesarean birth is also much safer today than it was a few decades ago. Thus ‘caesarean’ is not something that should scare you, as the ultimate goal is a healthy mother and healthy baby, regardless of the method of delivery.
It is important to know a few things about Caesarean stitchlesssection in order to be prepared for a caesarean birth if it does happen to you.

Why it’s done

If you know in advance you are having a Caesarean, it’s called an elective section. The decision to have a Caesarean may be made well in advance or during labour, depending on your particular needs. You might have one because:
our baby’s head is too big, or your pelvis makes it hard for the baby to be born
You have a very low-lying placenta (called placenta praevia) which blocks your baby’s way out
You have twins or triplets
There are complications, such as previous surgery on the vagina
Your baby is in a position, which makes vaginal birth difficult or impossible

FMF London approved Advanced 3D & 4D sonography center

Pregnancy can mean the start of a new stage in the life of a woman, with all the changes that the new stage will bring. So there are so many changes – cravings, tiredness, nausea, body shape – but there are also situations such as negotiating new work arrangements and reworking your finances that can make this difficult.

Ultrasound scanning is an important clinical tool for providing internal fetal anatomy images. It is often called sonography since it uses sound waves of high frequency to produce representations of slices through the body. After covering it with a thin layer of conductive material, a transducer or probe that emits ultrasound waves is mounted on the skin to ensure that the waves move through the skin smoothly.

Different structures encountered by the waves reflect the emitted ultrasonic waves. The strength of the reflected waves and the time it takes to return are the basis on which to interpret the information into a visible image. This is done using computer software. There is a different type of ultrasound available. we are going to talk about 3D and 4D ultrasound wave:

3D ULTRASOUND:

As its name defines itself as a 3-dimensional ultrasound. The advancement of ultrasound technology has resulted in volume data processing, i.e. slightly different 2D images produced by reflected waves at slightly different angles. These are then integrated with software for high-speed computing. This provides a 3D image. Therefore the technology behind 3D ultrasound has to deal with data collection of image volume, data analysis of volume, and finally show of volume.

If we talk about the benefit of having a 3D ultrasound image so:

Sample Freehand movements, with or without position sensors to form the images. Mechanical sensors mounted on the head of the probe.

Matrix array sensors that acquire a lot of data using one single sweep. This brings in a whole series of 2D frames taken successively. Analysis of data then gives a 3-D image. The operator is then able to obtain any view of value or plane. It shows visualizing the structures in terms of their shape, scale, and relationship.

The result can be viewed using either multiplanar format or image rendering, which is a computerized process in which the gaps are filled to produce a smooth 3D image. It also has a tomographic mode that allows displaying various parallel slices from the 3D or 4D data set in the transverse plane.

4D ULTRASOUND:

It helps 3D imagery enable the representation of fetal structures and internal anatomy as static 3D images. However, 4D ultrasound allows us to add live-streaming image video, showing fetal heart wall or valve motion, or blood flow in different vessels. Thus, in live motion, it is 3D ultrasonic. It uses either a 2D transducer that quickly gets 20-30 volumes or a 3D transducer matrix array. 4D ultrasound has the same benefits as 3D, while still allowing us to observe the movement of various moving body organs. Its clinical implementations are also under review. It is often used to have fetal keepsake images, use that most medical watchdog sites are prevented from. What does the test do?

Unlike standard ultrasounds, 3D and 4D ultrasounds produce a picture of your baby in your womb using sound waves. What’s special is that your baby’s 3D ultrasound produces a three-dimensional picture while 4D ultrasound produces a live video effect, like a movie — you can watch your baby smile or yawn.

The parents also want ultrasounds in 3D and 4D. The first time they let you see your baby’s face. Some doctors like ultrasounds in 3D and 4D because they can show certain birth defects, such as cleft palate, that may not appear on a standard ultrasound.

HOW MANY ULTRASOUNDS RECOMMENDED DURING PREGNANCY?

There is generally no accurate figure for the number of ultrasounds one should have during the whole pregnancy. But the fact is that it differs from one pregnant woman to another. Some women who fall under the high-risk pregnancy group should have more ultrasounds for regular monitoring.

IS PREGNANCY ULTRASOUND PAINFUL?

Ultrasound does not represent a painful process. Nevertheless, the gel used before taking ultrasounds can cause some women uneasiness. Some women can feel painful and uncomfortable with the trans-vaginal ultrasounds. But always remember it’s not causing harm. You can experience 5-10 minutes of pain but after that, everything returns to normal.

With the aid of ultrasound, it is recommended that the sonographers take multiple clear images at different angles. Clear views of photographs from various angles ensure an accurate diagnosis. What to expect?

Most mothers receive positive results from Ultrasound reports. And if you are diagnosed with any complications related to pregnancy, if diagnosed at an earl

Advanced Laparoscopic and hysteroscopic surgery center

Advanced laparoscopy and hysteroscopy allow a gynecologist to diagnose and treat many gynecologic issues on an outpatient basis. If a patient undergoes advanced laparoscopic or hysteroscopic surgery, she can expect her recovery time to be significantly less in comparison to surgery performed through larger incisions.

Laparoscopy

Laparoscopy uses a laparoscope, which is a narrow viewing tube. It is passed through a small incision in the abdomen and allows the gynecologist to view the exterior of the uterus, fallopian tubes, ovaries and internal pelvic area. If surgery is required, your gynecologist will insert a variety of instruments through your incisions in order to perform the surgery.

Examples of gynecologic issues that can be treated using advanced laparoscopic surgery include:

  • Endometriosis
  • Ovarian cyst
  • Scar tissue removal
  • Opening blocked fallopian tubes
  • Treating ectopic pregnancy

Robotic assisted laparoscopic surgery is a form of advanced laparoscopic surgery.

Hysteroscopy

Hysteroscopy requires a hysteroscope, which is a thin, lighted tube, to be inserted into the vagina to examine the cervix and inside of the uterus. During operative hysteroscopy, narrow instruments are placed into uterus through an opening in the hysteroscope so the gynecologist can remove fibroids, scar tissue or polyps.

Things to Consider

Before undergoing advanced laparoscopic or hysteroscopic surgery, you should talk to your gynecologist about any questions or concerns you may have. Although these surgeries are minimally invasive, there may be risks you should know about.

TLH (Total Laparoscopic Hysterectomy)

Total Laparoscopic Hysterectomy (TLH) is the removal of the uterus and cervix through four small (1/2’- 1’) abdominal incisions. Removal of the ovaries and tubes depends on the patient.

To treat disease of the uterus

  • Fibroids
  • Endometriosis
  • Infection in the ovaries or tubes
  • Pelvic pain
  • Overgrowth of tissue in the lining of the uterus
  • Abnormal vaginal bleeding

Before the Procedure

Your physician will also conduct a full physical exam—including blood and imaging tests.

Always tell your health care provider or nurse what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.

During the days before the surgery:

  • You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
  • Ask your health care provider which drugs you should still take on the day of your surgery.

On the day of your surgery:

  • You very often will be asked not to drink or eat anything for 6 – 12 hours before the surgery.
  • Take the drugs your health care provider told you to take with a small sip of water. Your health care provider or nurse will tell you when to arrive at the hospital. 

Myomectomy (fibroid removal)

Myomectomy removes fibroids (myomas) while preserving the healthy tissue of the uterus. It's best for women who want to keep their uterus, particularly if they wish to have children after fibroid treatment. Doctors consider this procedure the standard of care for removing fibroids and preserving the uterus.

ovarian cyst removal surgeries

Laparoscopy. Most cysts can be removed using laparoscopy. This is a type of keyhole surgery where small cuts are made in your tummy and gas is blown into the pelvis to allow the surgeon to access your ovaries.

An ovarian cystectomy is surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions in your lower abdomen.

Breast tumors surgical treatment

The two types of surgery used to treat breast cancer are mastectomy and lumpectomy. Additional surgeries for breast cancer may include lymph node dissection (Iymphadenectomy) and breast reconstruction surgery.

Mastectomy

Mastectomy, or breast removal surgery, is the most common surgery for breast cancer. That’s because mastectomy treats both late-stage and early-stage breast cancers. In addition, some people with a high risk of developing breast cancer in the future choose prophylactic mastectomy as a preventative measure.

Types of mastectomy procedures include:

  • Total mastectomy: Removal of your entire breast, sparing your chest muscle beneath.
  • Double mastectomy: Removal of both breasts. This may be necessary if the cancer has already spread to both breasts, or it may be a preventative measure.
  • Skin-sparing or nipple-sparing mastectomy: Removal of all your breast tissue, but sparing your skin and, if possible, your nipple, to use to reconstruct your breast.
  • Modified radical mastectomy: Removal of your breast tissue and your underarm lymph nodes. Lymph nodes are often the first place that breast cancer spreads to.
  • Radical mastectomy: Removal of your breasts, underarm lymph nodes and chest muscles. This is a rare surgery, only necessary when breast cancer has infiltrated your chest muscles.

Lumpectomy

Lumpectomy, also called breast-conserving surgery, removes only part of your breast tissue. This is an alternative option for treating earlier-stage breast cancer. When the tumor is relatively small and hasn’t spread yet, you can have surgery just to remove the “lump” — the tumor itself. Lumpectomy also removes a margin of the surrounding tissue, just to make sure there aren’t any stray cancer cells left in your breast.

The benefit of lumpectomy is that it allows you to keep most of your breast. But to prevent breast cancer from returning, your healthcare provider will most likely recommend radiation therapy after the surgery. Having a total mastectomy instead is often a way of avoiding radiation therapy. But for people who have the option, lumpectomy with radiation therapy has been shown to be equally effective to total mastectomy in treating early-stage breast cancer.

Types of lumpectomy procedures include:

  • Excisional biopsy: This is a procedure to remove a tumor for biophy Analyzing the tumor in a lab can help determine if the tumor is cancerous (malignant).
  • Wide local excision: Surgery to remove a cancerous tumor and a margin of tissue around it. The marginal tissue will be tested afterward to make sure it’s cancer-free.
  • Quadrantectomy: A segmental mastectomy that removes about a quarter of your breast, including your duct-lobular system. Recommended when the tumor shows ductal spread.
  • Re-excision lumpectomy: A procedure that follows the original excision of the tumor and the margin of tissue around it. When the marginal tissue tests positive for cancer cells, your surgeon will reopen the surgical site to remove an additional margin of tissue until the tissue comes back cancer-free.

Lymph node dissection

Your lymph system is often the first place cancer spreads, and cancer in your lymph nodes is a warning sign that it may be spreading beyond your breast. To find out, your surgeon may remove and analyze one or several of the lymph nodes under your arm next to your affected breast. This is where breast cancer cells would be most likely to drain.

Lymph node procedures include:

  • Sentinel lymph node biopsy: This is an investigative procedure to find out if cancer has spread to your lymph system. The sentinel lymph node is a good indicator because it's the first node that filters fluid draining away from the affected breast. Your surgeon will often perform a sentinel node biopsy during the operation to remove the original tumor from your breast — and sometimes before. They'll remove the sentinel node and analyze it for cancer cells.
  • Axillary lymph node dissection: If the sentinel node biopsy tests positive for cancer, or if your surgeon has other reason to believe you have pervasive cancer in your lymph nodes, they may want to remove a larger portion of lymph nodes to analyze. In an axillary lymph node dissection, your surgeon removes a pad of fatty tissue containing a group of axillary lymph nodes (the lymph nodes under your arm). They'll carefully search through the tissue for signs of cancer.

Reconstructive breast surgery

Infertility work up and fertility treatment

An infertility evaluation may be offered to any patient who by definition has infertility or is at high risk of infertility.

Women older than 35 years should receive an expedited evaluation and undergo treatment after 6 months of failed attempts to become pregnant or earlier, if clinically indicated. In women older than 40 years, more immediate evaluation and treatment are warranted. If a woman has a condition known to cause infertility, the obstetrician–gynecologist should offer immediate evaluation.

A comprehensive medical history, including items relevant to the potential etiologies of infertility, should be obtained from the patient and partner, should one exist.

A targeted physical examination of the female partner should be performed with a focus on vital signs and include a thyroid, breast, and pelvic examination.

For the female partner, tests will focus on ovarian reserve, ovulatory function, and structural abnormalities.

Imaging of the reproductive organs provides valuable information on conditions that affect fertility. Imaging modalities can detect tubal patency and pelvic pathology and assess ovarian reserve.

A women’s health specialist may reasonably obtain the male partner’s medical history and order the semen analysis. Alternatively, it is also reasonable to refer all male infertility patients to a health care specialist with expertise in male reproductive medicine.

IUI And IVF (Test Tube baby treatment)

Conceiving a baby through a test takes quite some time. First, the doctor checks for the ovarian reserve and does all other checks. A USG is done to check the condition of the ovaries and the other reproductive organs. After discussing all the legal and emotional issues, the process starts. This is a 5 step procedure.

  • Stimulation

As IVF requires multiple eggs therefore fertility drugs are given to the woman in the first step. The patient will be under the doctor’s observation with regular blood tests and USGS.

  • Egg Retrieval

This is a surgical procedure where a needle will be inserted through a woman’s vagina to the ovaries and an egg containing the follicle shall be removed by suction. This procedure is called follicular aspiration.

  • Insemination

In this procedure, the sperm from the semen sample is mixed with the egg in a petri dish. The sperms fertilize the eggs overnight.

  • Culture of the embryo

This glass dish shall be kept under a doctor’s supervision in a laboratory and will be monitored constantly to check whether the egg is dividing or developing. In this stage, the embryos also undergo genetic testing.

  • Transfer

Three to five days after fertilization, the embryo has become big enough, it is implanted into a woman’s uterus with the help of a catheter. The later process of pregnancy takes place in the embryo and it takes 6-10 days.

Complications associated with IVF

Doctors consider the IVF treatment quite safe and there are high chances of egg fertilisation. However, it can come with some complications.

  • Miscarriage
  • Multiple pregnancies
  • Ectopic pregnancy where the egg is implanted outside the uterus.
  • Some patients can develop Ovarian Hyperstimulation Syndrome (OHSS) where excess fluid is filled in the abdomen and chest.
  • Bleeding

Family planning and couple counseling centre for reproductive health and wellness

Family planning is not just a population control mechanism, but an incredible tool of empowerment for couples. Through provision of choices and awareness about contraception, family planning significantly reduces the vulnerabilities of unwanted or untimely pregnancies, unsafe abortions, poor maternal and child health, thus saving precious lives of mothers and babies.

Global consensus has placed it under the continuum of healthcare by making Universal Access to Reproductive Healthcare a crucial Target under Sustainable Development Goals.

HLFPPT has been contributing towards the National Family Planning Programme across the spectrum. On the demand side, we are consistently working towards increasing contraception awareness & access among communities, counselling on FP methods, offering increased basket of choice; while on the supply side we are committed towards building capacities of health providers on FP services, creating network of dedicated FP Clinics, etc.

Government approved MTP (Legal termination of Pregnancy) center

The Medical Termination of Pregnancy Act, 1971. An Act to provide for the termination of certain pregnancies by registered Medical Practitioners and for matters connected therewith or incidental thereto.

The Court's ruling, issued September 29, stated that the distinction between married and unmarried women under the MTP Act is arbitrary and all women have the autonomy to exercise their rights regarding safe and legal abortion up to 24 weeks of gesta

Female cancer prevention and early detection programme

Common cancers of female organs like Breast,cervix,uterus and ovaries etc.

Some of the cancers that most often affect women are breast, colorectal, endometrial, lung, cervical, skin, and ovarian cancers. Knowing about these cancers and what you can do to help prevent them or find them early (when they are small, haven't spread, and might be easier to treat) may help save your life.

Breast cancer

Finding breast cancer early – when it’s small, has not spread, and might be easier to treat – can help prevent deaths from the disease. Getting regular screening tests is the most reliable way to find breast cancer early.

The American Cancer Society recommends the following for women at average risk for breast cancer:

Women ages 40 to 44 should have the choice to start yearly breast cancer screening with a mammogram (x-ray of the breast) if they wish to do so.

Women age 45 to 54 should get a mammogram every year.

Women 55 and older can switch to a mammogram every 2 years, or can continue yearly screening.

Screening should continue as long as a woman is in good health and is expected to live at least 10 more years.

All women should understand what to expect when getting a mammogram for breast cancer screening – what the test can and cannot do. They should also be familiar with how their breasts normally look and feel and report any changes to a health care provider right away.

Women at high risk for breast cancer – because of their family history, a genetic mutation, or other risk factors – should be screened with MRI along with a mammogram. Talk with a health care provider about your risk for breast cancer and the best screening plan for you

Cervical cancer

The American Cancer Society recommends the following for people who have a cervix and are at average risk for cervical cancer:

  • Cervical cancer testing should start at age 25. People under age 25 should not be tested.
  • People between the ages of 25 and 65 should get a primary HPV test every 5 years. A primary HPV test is an HPV test that is done by itself for screening. If you cannot get a primary HPV test, get a co-test (an HPV test with a Pap test) every 5 years or a Pap test every 3 years.

The most important thing to remember is to get screened regularly, no matter which test you get.

  • People over age 65 who have had regular cervical cancer testing in the past 10 years with normal (or "negative") results should not be tested for cervical cancer. Your most recent test should be within the past 3 to 5 years. Those with a history of serious cervical precancer should continue to be tested for at least 25 years after that diagnosis, even if testing goes past age 65,
  • People who have had a total hysterectomy (removal of the uterus and cervix) should stop testing unless the surgery was done to treat cervical cancer or a serious precancer.
  • People who have been vaccinated against HPV should still follow the screening recommendations for their age group.

Ovarian cancer

At this time, there are no recommended cancer screening tests for ovarian cancer for women who are not at high risk of developing the disease. A Pap test does not find ovarian cancer, but a pelvic exam should be part of a woman’s regular health exam. There are also some tests that might be used in women who have symptoms or have a high risk of ovarian cancer. You should see a health care provider right away if you have any of these symptoms for more than a few weeks:

  • Abdominal (belly) swelling with weight loss
  • Digestive problems (including gas, loss of appetite, and bloating)
  • Abdominal or pelvic pain
  • Feeling like you need to urinate (pee) all the time

Talk to a health care provider about your risk for ovarian cancer and whether there are tests that may be right for you.

female cervical cancer prevention vaccination

Gardasil 9 is an HPV vaccine approved by the U.S. Food and Drug Administration and can be used for both girls and boys. This vaccine can prevent most cases of cervical cancer if the vaccine is given before girls or women are exposed to the virus. This vaccine can also prevent vaginal and vulvar cancer.

CDC recommends HPV vaccination at age 11 or 12 years (or can start at age 9 years) and for everyone through age 26 years, if not vaccinated already.

Female cosmetic surgeries

Cosmetic plastic surgery is done to change your appearance. For some, it may mean redesigning the body's contour and shape smoothing wrinkles, or eliminating balding areas. Others may choose  varicose vein treatment or breast augmentation There are a number of cosmetic surgery procedures that men and women can choose from to create an image that makes them feel more confident and comfortable with their appearance.

Although health insurance rarely covers the cost of cosmetic procedures, the number of people deciding to have cosmetic plastic surgery continues to grow. The top cosmetic surgeries are breast augmentation, liposuction, nose reshaping, eyelid, tummy tuck and facelift.

  • Breast augmentation or enlargement (augmentation mammoplasty)

  • Breast implant removals

  • Breast lift  (mastopexy) with or without the placement of an implant

  • Buttock lift

  • (facial implants or soft tissue augmentation)

  • Eyelid lift (blepharoplasty)

  • Facelift (rhytidectomy)

  • Forehead lift

  • Hair replacement or transplantation

  • Lip augmentation

  • Liposuction (lipoplasty)

  • Lower body lift

  • Nose reshaping (rhinoplasty)

  • Thigh lift

  • Tummy tuck (abdominoplasty)

  • Upper arm lift (brachioplasty)

  • Botox injections

  • Cellulite treatment

  • Chemical peel

  • Plumping, or collagen or fat injections (facial rejuvenation)

  • Laser skin resurfacing

  • Laser treatment of leg veins

  • Vaginal rejuvenation

Urogynecological surgeries (surgeries for female urological problems)

Our urogynecology specialists have experience treating all conditions of the female urinary and reproductive tract. In addition to four years of general obstetrics and gynecology training, they have three years of subspecialty training in female pelvic health and pelvic reconstructive surgery. Your doctor works with a treatment team that includes a nurse practitioner, a physician assistant and a physical therapist.

Surgeries for prolapse

If you have POP symptoms, and they interfere with your normal activities, you may need treatment. Nonsurgical treatment options usually are tried first. If these options do not work and if your symptoms are severe, you may want to consider surgery.

Often the first nonsurgical option tried is a pessary. This device is inserted into the vagina to support the pelvic organs. There are many types of pessaries available. Your health care professional can help find the right pessary that fits comfortably.

Changes in diet and lifestyle may help relieve some symptoms. For example, limiting excessive fluid intake may help with urinary incontinence. Eating more fiber may help with bowel problems. Sometimes a medication that softens stools is prescribed. If you are overweight, it's possible that weight loss may help improve prolapse symptoms. In some cases, Kegel exercises may be helpful.

Microsurgery of fallopian tubes like Tubal recanalisation

What are fallopian tubes?

The fallopian tubes are important for female fertility. They are the passageways for the eggs to travel from the ovaries to the uterus. During conception:

  1. The ovary releases an egg, which travels into the fallopian tube.
  2. Sperm travels into the fallopian tubes to fertilize the egg.
  3. The resulting embryo is nourished and transported to the uterus where the pregnancy continues.

A common cause of female infertility is a blockage of the fallopian tubes, usually as the result of debris that has built up. Occasionally, scarring from surgery or serious infection can lead to a blockage as well.

Who We are

"Sanket Women's Hospital, located in Paldi, Ahmedabad, is a premier medical facility founded by Dr. Kartik M. Pandya, a renowned gynecologist and fertility specialist. We specialize in providing comprehensive care to women of all ages, including pregnancy care, painless delivery, and advanced imaging services such as 3D and 4D sonography. Our team of skilled doctors and staff members are dedicated to providing compassionate and personalized care to each of our patients, making every visit to our hospital a positive and comfortable experience. At Sanket Women's Hospital, we understand that women's healthcare needs are unique and require specialized attention. That's why we have dedicated our hospital to providing exceptional care to women."

  • Pregnancy care
  • High risk Pregnancy care specialist
  • Advanced 3D & 4D sonography center
  • Infertility work up and fertility treatment
  • IUI And IVF (Test Tube baby treatment)
  • Government approved MTP center
  • Female cosmetic surgeries
  • Surgeries for prolapse
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Our New Blogs

Preventing Preterm Birth with Progesterone

Preterm Birth:

Spontaneous preterm delivery is the most important cause of perinatal mortality in the Western world. Although women with a previous preterm birth (PTB) and women with a multiple gestations are at the highest risk of PTB, the majority of spontaneous PTBs occur in low-risk women.

Interventions for threatened PTB, such as tocolysis, bed rest, or placement of a cervical cerclage, have shown limited effectiveness. Only antenatal administration of corticosteroids improved neonatal outcome. Consequently, prevention of (the onset of) PTB is essential.

Identification of low-risk women who will deliver prematurely is crucial in the development of preventive strategies. One of the best predictors in this group is cervical length (CL), measured by transvaginal ultrasound at 20 to 22 weeks of gestation.

Recently, published studies showed promising results for progesterone in the prevention of PTB. As these studies evaluated the effect of progesterone in an unselected population with a combination of high-risk and low-risk women, the effectiveness of vaginal progesterone in a population with strictly low-risk women remains unknown.

Previous studies did not show maternal or fetal side effects of progesterone. We designed a multicenter study in low-risk women to evaluate the ability of CL measurement to detect those at increased risk for PTB.

Women with a short CL had asked to participate in a randomised clinical trial to evaluate whether subsequent progesterone treatment is effective. We defined low risk for PTB as women who did not have a history of PTB before 34 weeks of gestation. Here, we report the results of the trial, and results of the cohort will be published separately

Materials and Methods:

A multicenter double-blind placebo-controlled randomised clinical trial has performed within the Dutch Obstetric Research Consortium. It is a collaborative research effort of obstetric practices in the Netherlands. The present study has conducted in 7 university hospitals, 23 general hospitals, 29 ultrasound centres, and 160 midwifery practices. The trial has approved by the Medical Ethical Committee of the Academic Medical Center, Amsterdam, the Netherlands (MEC AMC 08–328).

Women with a low-risk singleton pregnancy and a CL  30 mm were included in our study. Low-risk pregnancy has defined as nulliparous, or multiparous women without a history of spontaneous PTB < 34 weeks of gestation. Exclusion criteria were age < 18 years, cervical cerclage, previous PTB < 34 weeks, preterm labour, or known congenital malformations.

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