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Ours is a tertiary care center, well
equipped for handling all types of high
risk pregnancies and emergencies related
to pregnancy and labor. We have the back
up of a well equipped NICU with all
advance life support systems. Besides
the routine obstetric care for
uncomplicated pregnancies specialized
care is provided in high risk cases.
This includes:
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Management of fetal abnormalities
with close cooperation of
departments of pediatric cardiology,
pediatric surgery and neonatology.
This includes fetuses with
intrauterine growth restriction,
those with salvageable structural
anomalies such as congenital
diaphragmatic hernia, PUJ
obstruction, posturetheral valve,
congenital cardiac defects, duodenal
atresia, etc.
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Evaluation and Management of
Recurrent miscarriages.
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Screening and management of Preterm
labor and PROM.
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Management of Critically ill
Obstetric cases – HELLP syndrome,
APH , Ecclampsia, Obstetric Shock.
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Management of pregnancies
complicated with maternal disorders
like Hypertension, Diabetes, Cardiac
diseases,Thyroid disorders, Collagen
vascular disorders, Hematologic
disorders, etc.
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Management of pregnancies associated
with gynaecologic conditions such as
fibroids, ovarian tumors, prolapse
uterus etc.
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Special services :
Special
antenatal screeenig services:
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Prenatal diagnosis :Couples
having previous mentally
retarded or chromosomally
abnormal babies or those
with history of recurrent
fetal or neonatal losses,
are provided with detailed
genetic counseling . They
undergo antenatal screening
procedures like chorion
villus sampling or
amniocentesis. Metabolic
screen is provided for
patient with history of
inborn errors of metabolism.
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First trimester screening
for chromosomal
abnormalities by ultrasound
and biochemical tests (Free
beta HCG, PAPP- A and
inhibin )
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Mid trimester – Level II
ultrasound, fetal
echocardigram and
biochemical screen .
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Doppler velocimetry studies
are available for evaluation
for patients with PIH and
those with intrauterine
growth restriction.
Uterine
artery embolization
Facilities for emergency
embolization are available for
uncontrolled postpartum
hemorrhage. Our department has
successfully managed -----cases
of postpartum hemorrhage due to
atonicity, pseudoaneurysm and
secondary PPH.
Labor room
facilities:
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Epidural Analgesia service
available round the clock
for painless labour .
Critically ill obstetrics
patients treated in the
Intensive care unit with
close cooperation of the
necessary superspecialities.
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24 hour blood bank service
with facility for blood
component therapy.
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We are in the process of
setting up two deluxe
delivery suites. It will
allow the patient to be with
the family during labour.
Free
services:
Patients belonging to BPL group
are provided with free antenatal
and intranatal care including
Caesarean section. |
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Gynecologic
surgeries |
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Our surgical team is performing all
routine and complicated surgeries
related to female genital tract.
Minimally invasive surgical procedures :
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Uterine surgeries –
myomectomy , rudimentary horn
excision, adenomyomectomy, total
laparoscopic hysterectomy,
laparoscopic assisted vaginal
hysterectomy
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Tubal surgeries –
adhesiolysis, tubal surgeries for
ectopic gestation, salpingectomy
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Ovarian surgeries –
follicular puncture, ovarian biopsy,
cystectomy, adhesiolysis, ovariotomy.
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Hysteroscopic procedures
– septum resection, myomectomy,
polypectomy, tubal cannulation.
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Special facilities
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Disorders like primary
amenorrhoea, hirsutism,
hyperprolactinemia ,
polycystic ovarian disease,
premature menopause are
dealt with by special
coordination between the
gynecologist and
endocrinologist.
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Interventional radiological
procedures such as Uterine
artery embolization
available for the treatment
of uterine fibroids.
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Gynopsychiatric consultation
: Psychologic support for
patients with gynecological
ailments such as chronic
pelvic pain.
Rare procedures
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Our department is the first
to perform laparoscopic
ovarian transpositon in
Kerala state. We have
performed three laparoscopic
ovarian transposition for
ovarian conservation in
young patients undergoing
treatment for pelvic
malignancies.
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One rare case of advanced
first trimester rudimentary
horn pregnancy was managed
successfully by laparoscopy.
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Free tubal reconstructive
surgeries were performed for
8 Tsunami victims, out of
which two have conceived and
delivered already.
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Infertility
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Couple is evaluated for various male and
female factors. Male factor evaluation
is done in conjunction with urologists.
Female evaluation includes follicular
monitoring, tubal evaluation, pelvic
factor evaluation and endocrine
assessment. Facilities for controlled
ovarian stimulation with intrauterine
insemination are currently available.
Patients requiring further assisted
reproductive techniques are referred to
reputed IVF centers in the region. |
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Well women clinic
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Special health care package is available
for women in the perimenopausal age
group. They are screened for cervical
and breast malignancies by Pap smear
testing and mammogram. Transvaginal
ultrasound is done for endometrium and
ovarian screening. Dexa scan is done for
women at risk for osteoporosis |
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Family
planning services |
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Counselling regarding family welfare,
spacing and contraceptive methods is
provided. Services include intrauterine
device insertion, minilap and endoscopic
tubal ligation. MTP facilities like
first and second trimester medical and
surgical methods are available. |
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