Gynecology and Obstetrics

The biggest fear of every women to be a mother is Labour pain. At Motherhood Women’s & Child Care Hospital every expecting mother is explained the benefits of opting Epidural Assisted – Painless delivery. It is a simple procedure in which a small injection is placed in the lower back, which is connected to a small tube-Epidural Catheter. Through Catheter, drugs are passed to provide a painless delivery process. The amount of dosage as per pain sensitivity of individual can be adjusted by Anesthetic Doctor.

Painless Delivery is the natural way of child birth almost without experiencing any pain during labor. The epidural anesthesia used in this procedure it allows mothers to have normal delivery without pain and is the most famous method of pain relief during labour.

Tips for Normal Delivery :-

Here are few tips from Motherhood’s

best gynaecologist in Ahmedabad

that you need to follow post delivery

• Stay away from stress.
• Stay positive and refrain from negative birth stories.
• Say no to gossips.
• Acquire knowledge about birthing
• Build strong support and have your partner, mother and close friend around, so that they can boost your confidence and allay your fears about normal delivery.
• Stay Hydrated and have healthy nutritious food.
• Do Regular exercise, breathing, walking, Prenatal yoga etc

Who can have Normal Delivery :-

• She should have Age of 20 years to 40 years.
• Uncomplicated pregnancy.
• Average baby weight should be 2.5kg – 3.5 kg.
• Adequate pelvic size.

Why should you prefer Normal Delivery :-

• Healthier for mom and baby.
• Facilitates Breast feeding.
• Faster post delivery recovery.
• Short hospital stay.

Pregnancy with accelerated hypertension htn with ecalmpsia and pre eclapmsic condition which was comes under HIGH RISK factor in pregnancy for patient and baby as well this rare condition is managed in our hospital with good result.

Pregnancy induced diabetes mellitus and pre existing dm HYPOTHYROIDISM and other associated medical condition which leads to risk factor in pregnancy is also managed under one roof.

Some surgical complication condition during and after pregnancy like ANTEPARTUM and POST PARTUM HEMORRHAGE, PLACENTA PREVIA, PLACENTA ACRETA, PREVIOUS MULTIPLE LSCS WITH LOW LYING PLACENTA

Loop of cord around neck, PRETERM LABOUR with meconium, TWINS WITH IUGR WITH OLIGOHYDRO. All high risk condition is efficiently managed.

Our dedicated and skillful Gynecologist & Obstetrician provide

High risk pregnancy treatment in Ahmedabad

to manage patients like pregnancy with previous bad obstetric history, repeated abortion and pregnancy loss.

Pregnancy with previous bad obstetric history, repeated abortion and pregnancy loss.

Pregnancy with medical condition like Diabetes mellitus, Hypertension, Renal disease, Heart disease, Thyroid, Obesity, anemia& any diseased conditions.

Multiple Pregnancy(Twins / Triplets)

• Dedicated and advanced Operation theatres and ICU set up for female.
• In house dedicated MD Physician and anesthetic doctor’s team.

Outline of Substantial Risks:

With the advances in medical science, surgeries have become safer than in the past. However, any surgery has its own set of risks and complications. Cesarean sections done in an emergency and more so done is the later part of labour have more likelihood of having complications.

A. Anaesthesia: It has become much safer in today’s world. It is common to have drowsiness, vomiting, weakness, and throat pain for a day or two after anaesthesia. Headache after spinal and other regional anaesthesia is not uncommon. Rarely temporary weakness and numbness in the lower part of the body may be caused after regional anaesthesia.

B. Excessive bleeding/ blood accumulation: Usually, the uterus contracts after the baby is delivered. Sometimes the uterus does not contract and this may lead to excessive bleeding. This problem may occur after vaginal delivery as well. This is called as Postpartum Hemorrhage (PPH). PPH may occur without any warning and may at times become life-threatening. Severe bleeding can occur from blood vessels within the uterus or around the uterus. Such bleeding is controlled by using medicines, injections, by compression sutures on the uterus, by ligating bleeding vessels, by blocking the blood vessels to the uterus, and using blood and blood products. Removal of the uterus is rarely required and is done only as a life-saving measure. In cases, the blood gets accumulated inside the body cavity, additional procedures or surgery to remove the accumulated blood and stop the bleeding as a life-saving measure may be required.

C. Infection: If the Pathological microorganisms are not resisted by the body’s resistance mechanism, the infection can set in. Infection commonly causes fever and pus formation in the area of the surgery. Additional doses of antibiotics and sometimes additional procedures may be required to remove the infection from the body. If the wound does not heal well, it may need repeated dressings or repair again. Severe infection or sepsis is uncommon.

D. Injury to surrounding structures: While the doctor is making space to deliver the baby from the womb, the surrounding structures such as the urinary bladder, ureter, bowel, and blood vessels may get injured. The injury may or may not get detected immediately. Whenever detected it may need to be repaired by necessary additional surgery.

E. Every Individual has a different way to cope up. Sometimes the scar becomes thick and some- times it stays as a thin line. Sometimes incision does not heal well and requires extra care, dressings, medicines, and repair. Some- times hernia formation may occur later. In some cases, surgery leads to adhesions of the bowel, and bladder with the uterus. Occasionally, when the woman gets pregnant next time, the placenta gets abnormally stuck to the lower part of the uterus.

F. Very rare conditions: Allergic reaction to any drug including anaesthesia medicines, blood transfusion, need for assistance for respiration (oxygen/ ventilation), shock, stroke or heart attack due to strain on the heart, fluid collection in the lungs, formation of blood clots in veins leading to embolus further leading to damage to vital organs, loss of function of any limb or organ or paresis are extremely rare but not unknown complications of any surgery. Sudden shock may be caused due to peculiar condition called an amniotic fluid embolism. In this case, the fluid around the baby gets mixed with the blood and causes a massive reaction. This is a rare, but fatal complication.

G.Neonatal morbidity:

• Commonly, a cesarean is done for fetal indications or when the baby in the womb is in trouble. Neonatal morbidity noted after cesarean section is not due to the surgery per se. It is the aftermath of the basic problem or insult. For example, imagine that the fetus (baby) is not able to cope up with the stress of labour and is in distress. The C-section is done to relieve the problem. Yet the baby may need resuscitation after birth. Thus, resuscitation is needed due to the distress and not because of a cesarean.
• Minor injuries while delivering the baby are not uncommon. They don’t pose any major threat to the baby.
• The baby may have fast breathing after cesarean birth. This settles down on its own and may need observation and some treatment.
• Cerebral palsy in the neonate: It is an unfortunate complication following any delivery. The research has proved that cerebral palsy most commonly occurs due to some event during pregnancy.
• Other birth injuries to the bony parts and nerves of the baby are rare but not unknown.

H. Consequences of refusal of the procedure: If the surgery is not done in time, the woman has no other alternative but to go through vaginal birth.

Alternatives: The only alternative to Caesarean section is vaginal delivery.

Dr Anand Patel – Expert Gynecologist Doctor in Ahmedabad

M.D., D.G.O. Diploma in advance Gynec endoscopy (CICE-FRANCE). Diploma in Sonography and working as a consultant Gynec endoscopic surgeon, sonologist, IVF Specialist and high risk obstetrician since 2007.

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