Gynaecology

Labour is the phase of uterine contractions and pain the pregnant woman has to go through for the passage of the baby through the birth canal till it is delivered through the vagina. Although most of the times, this is a natural process, but it often requires careful monitoring of the labouring woman and the unborn baby, and sometimes even assistance to augment the labour process.

Painless delivery refers to the utilization of an epidural injection for pain relief throughout labor. An anesthetist provides an injection within the lower back and places a plastic tube through that medicine square measure released around your spinal cord and provides nearly painless delivery, lesser maternal exhaustion, better maternal health and co-operation for normal delivery.

Caesarean delivery is known as C-section, is a surgical procedure by which the baby is delivered by an incision over the mother’s lower abdomen and another incision over the mother’s uterus. It requires the pregnant woman to be given suitable Anesthesia, which is usually regional Anesthesia which only makes a particular region of your body to go numb for few hours. It may be a planned before time of labour in case you develop any complications during pregnancy or in case of a previous Caesarean delivery not wanting a trial of vaginal birth. In most cases, the decision of Caesarean delivery cannot be made until normal labour is underway.

When a woman’s cervix is weak, she is more likely to have a baby born prematurely because the cervix shortens or opens too early.In order to stop premature labour, a woman’s doctor may recommend a Cervical Cerclage.
A closed cervix helps a developing baby keep within the uterus till the mother reaches 37-38 weeks of maternity.This procedure is also done in cases of women who have had a history of previous mid-trimester miscarriages, or those carrying multi-fetal pregnancies.

Suction Evacuation is a surgical procedure to expand and empty the uterus of a failed or an unwanted pregnancy. It can be done up to the first 3 months of pregnancy. The procedure sometimes lasts 10-15 minutes, but recovery can require staying at the clinic for a few hours. Your doctor will also provide you with antibiotics to assist stop infection.

Operative deliveries are vaginal deliveries accomplished with the utilisation of a vacuum device or extractor. Once either is applied to the fetal head, outward traction generates forces that augment maternal pushing to deliver the fetus vaginally.
Operative Vaginal Delivery is a form of assisted vaginal delivery where the expectant mother requires some help in pushing the baby out of her birth canal. These include use of Outlet forceps or ventouse cup or Kiwi cups. These instruments may have to be used for either maternal indications such as maternal heart disease, hypertension, or extreme exhaustion to reduce straining of the mother, and at times for indications in the baby such as reducing heart rate, growth restricted baby or baby who’s already passed stools while in the womb. Although, these operative deliveries have their side effects, they’re appropriate use is an art, and both time and lifesaving to both mother and baby.

This is a key-hole surgical procedure that some women require during pregnancies complicated with acute / chronic gall bladder inflammations, acute appendicitis, twisting of ovarian cysts, or even pregnancies situated outside the uterus (better known as ectopic pregnancies).

This is a procedure done in the cath lab in women whose pregnancies are complicated by adherent placenta – known as Placenta Accreta. Adherent placenta is known to cause torrential bleeding in the mother during delivery, so much so as to require removal of the uterus, called Cesarean hysterectomy. The Uterine Artery Embolisation procedure involves putting two Intra- arterial tubes (catheters) in the arteries of both thighs of the pregnant woman to block the uterine arteries with an inflated balloon, thus reducing the bleeding during delivery of the baby, and reducing the blood loss of the mother.