Antenatal services are extended from early conception till lactational period according to the guidelines.

FIRST TRIMESTER (Till 12weeks):

Women who missed her periods are given confirmatory test

Pregnancy once confirmed by urine or blood test , the advices for early pregnancy are given.

Medications, protein supplements, hygienic measures are advised. Basic blood test are done in fasting state, reports analyzed and necessary steps taken.

ANTENATAL ULTRASOUND in 1st TRIMESTER:

Ultrasound is done by experienced sonologist in obstetric scans

a1) @6-8 WEEKS

First photograph of your baby is taken at around 7 weeks,

IMPORTANCE

CONFIRMING INTRA UTERINE / ECTOPIC LOCATION

(rarely pregnancy can happen outside the uterus called ectopic which if left undiagnosed can rupture and cause life threatening situation)

CONFIRMING SINGLE OR MULTIPLE PREGNANCY

(identical or non identical twins can be diagnosed with best precision at this period of gestation)

CONFIRMING THE VIABILITY

(theheart beat of your baby can be seen as early as 45 days, so confirming the healthy status is vital)

CONFIRMING THE DATES OF DELIVERY

a2) @11-13 WEEKS / NT SCAN

IMPORTANCE

Anomalies if any are identified to certain extent at this early months itself Chromosomal Abnormalities ( downs syndrome, Edward syndrome, patau syndrome, neural tube defects ) are ruled with ultrasound markers and double marker blood tests. These scans and blood tests helps our patients to deliver healthy child and almost makes sure, not to deliver physically and mentally handicapped child.

If these tests turned out to be screen positive, then the condition is ruled out by either Chorionic villus sampling or amniocentesis.

SECOND TRIMESTER(12 – 28 Weeks)

This is the period of gestation when it is relatively safe to travel, patient's morning sickness reduces.

Diet Counselling: Given at this period during which appetite increases. Dietary recall is done, according to patients BMI and comorbid conditions (Diabetes, hypertension) if present diet is modified to a healthier way. This helps in delivering a healthy child.

Vaccination: Tetanus vaccine two doses are given.

Sleeping position: From 20 weeks pregnant women are advised to lie down in left or right lateral position. Preferably left lateral position.

Exercises: Antenatal exercise classes are taught by specialized antenatal lady physiotherapist, monthly once after 20weeks.This helps patients to have reduced back pain and increase the chance of normal delivery.

Anomaly/Target Scan: Most important scan which no pregnant woman should miss. In this sonography the sonologist will be noting down the normalcy of almost all the organs of developing baby. Growth chart is made to follow the weight gain of the fetus.

Fetal Echo is recommended for a particular group of patients.

THIRD TRIMESTER ( 28-40 Weeks)

This is fantastic period in the period of motherhood, where in fetal movements are well perceived, appetite is good.But with only certain difficulties like weight of the tummy, acid burns, back pain and lack of comfortable sleeping position.

During this period 2weeks once pregnant woman is monitored till 36 weeks of pregnancy and later on it is weekly once till delivery.

Growth scan is done in women if needed at 28 , 32 and or 36 weeks.

Patients with comorbid conditions are monitored with ultrasound and obstetrics doppler every month to diagnose any complications early.

Towards term the position of fetus is determined and advice given for positional changes which can influence the rate of normal delivery.

Delivery period is given utmost attention, the warning signs explained, delivery is made as memorable happy experience. We offer best situations for motivating normal vaginal delivery with continuos CTG (FHR) monitoring, senior maternity nursing services.We have a team of gynecologist, paediatrician, anesthesiologist, OT staffs available 24 x 7 for maternity deliveries, emergency services and this provides the ideal situation for fearless attempt for normal labour/ delivery.

We offer painless labour or normal delivery with almost 70 % reduction in the pain experienced by the following ways: one being labour epidural analgesia and other having 50 % pain relief with Entonox gas inhalation. We have made it as a protocol so that the epidural analgesia offers more confidence and motivation for attempting normal delivery. We also have vaccum devices and also forups for delivering the babies when they are stuck in the outlet of birth canal. The safety , motivation and team approach is the best stuation created for normal delivery. We wanted to break the myth that all IVF conceived mothers should have ceasarean delivery. We have delivered many IVF/ ICSI conceived mothers by normal deliveries and brought in happiness in their families. We also deliver twins by normal vaginal deivery when first twin is with head as presenting part. We are proud to announce the fact we have one of the highest proportion of normal deliveries in chennai.

Obstetrics Education and Training :

The education along with teaching is one of the pillars to provide best quality care to patients with most advanced technologies and methods. We have regular preplanned teaching sessions for all staffs and also for doctors. We create and follow the SOPS ( Standard operating procedures ) for almost all procedures , so that the best services are delivered without medical errors.

Subspecialties

Fetal medicine and sonolgy: This speciality deals with fetal diagnostic procedures like ultrasound scan, Noninvasive prenatal testing, amniocentesis , Chorionic Villus Sampling( CVS) etc. It also includes therapeutic interventions like administering steroids for lung maturity, Magnesium sulphate for neuro protection of preterm < 32 weeks babies. There is also complex procedure like amniotransfusion, fetoscopy and other advanced procedures which will be counselled accordingly if need be.

Gynecologic Oncology

This speciality deals with thorough evaluation for women with gynecologic cancers, which include cancer cervix, uterine / endometrial cancer, cancer ovary and breast cancer. We offer best team approach for management of cancers with surgical oncologist, gynecologist, radiothearpist and medical onchologist. We also offer palliative care for women with advanced cancer with the help of anesthesiologist who will be able to address the pain in the best possible way. We also offer laproscopic approach for cancer surgeries , so that patient recovers early and feels comfortable and satisfied.

The reproductive Endocrinology and Infertility

This specialty deals with complications in relation to the reproductive system endocrinology and infertility. One of our founder, Dr. Aruna Ashok is specialised in this field and have manged more 10000 patients for the past 11 years of clinical expertise. This field has brought so much laurels and satisfaction to our hospital while serving the fertility pateints. We can see about the detailed explanation in Fertilty Department.

Urogynecology/Reconstructive Pelvic Surgical procedures

This subspecialty is related to the health of the feminine urinary pathway , diagnosis ( urodynamic studies) and treatment of various complaints with respect to urinary tract and also surgical procedures related to it like pelvic floor repair, cystoscopy, etc . We also address problems like vaginismus, tight hymen, lax hymen and related sexual performance issues