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Saurabh
Hospital
An ISO 9001 : 2000 Certified
 

Gynaecologist & Obstetrician
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Dr. Meena Vankawala
M.B., D.G.O
Consultant Gynaecologist & Obstetrician
othopaedic
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    Department of Gynaecologist  
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Comprehensive Maternity Care:
Antenatal Counselling by experts
Ultrasonography with Color Doppler
Foetal Monitoring System
Painless Delivery
Neonatal care
All types of Hysterectomies, Laproscopy & Hysteroscopy
Infertility & IUI Centre with in-house IUI Lab
Menopause Clinic
 
Facilities Available in Gynaecologist

 

 
Antenatal Counselling by experts
Antenatal care and ultrasound services for fetal wellbeing
Antenatal care, Antenatal Counselling, Antenatal care, ultrasound services, fetal wellbeing, Saurabh antenatal service, asymptomatic bacteriuria, urine for proteinuria

Saurabh antenatal service offers a high level of personal support throughout pregnancy as well as providing 24 hour on-call Consultant cover.

Your first consultation will include an ultrasound scan and a detailed assessment by our Consultant Gynaecologist and Obstetrician and you will have an opportunity to discuss, agree and establish a pregnancy care plan. Our ultrasound service offers a nuchal fold scan at 12 weeks, an anomaly scan at 20 weeks and a growth scan at 34 weeks. Advice is also offered on nutrition and diet during pregnancy.

Antenatal care, Antenatal Counselling, Antenatal care, ultrasound services, fetal wellbeing, Saurabh antenatal service, asymptomatic bacteriuria, urine for proteinuria

The first appointment needs to be earlier in pregnancy (prior to 12 weeks) than may have traditionally occurred and, because of the large volume of information needs in early pregnancy, two appointments may be required. At the first (and second) antenatal appointment:

Give information, with an opportunity to discuss issues and ask questions; offer verbal information supported by written information (on topics such as diet and lifestyle considerations, pregnancy care services available, maternity benefits and sufficient information to enable informed decision making about screening tests)
Identify women who may need additional care (see Algorithm and Section 1.2) and plan pattern of care for the pregnancy
Check blood group and rhesus D (RhD) status
Offer screening for anaemia, red-cell alloantibodies, Hepatitis B virus, HIV, rubella susceptibility and syphilis
Offer screening for asymptomatic bacteriuria (ASB)
Offering screening for Down’s syndrome
Offer early ultrasound scan for gestational age assessment
Offer ultrasound screening for structural anomalies (20 weeks)
Measure BMI and blood pressure (BP) and test urine for proteinuria.
After the first (and possibly second) appointment, for women who choose to have screening, the following test should be arranged before 16 weeks of gestation (except serum screening for Down’s syndrome, which may occur up to 20 weeks of gestation):
Blood tests (for checking blood group and RhD status and screening for anaemia, red-cell alloantibodies, hepatitis B virus, HIV, rubella susceptibility and syphilis)
Urine tests (to check for proteinuria and screen for ASB)
Ultrasound scan to determine gestational age using
  - Crown–rump measurement if performed at 10 to 13 weeks
- Biparietal diameter or head circumference at or beyond 14 weeks
Down’s syndrome screening using
  - Nuchal translucency at 11 to 14 weeks
- Serum screening at 14 to 20 weeks.
16 weeks
The next appointment should be scheduled at 16 weeks to:
Review, discuss and record the results of all screening tests undertaken; reassess planned pattern of care for the pregnancy and identify women who need additional care
Investigate a haemoglobin level of less than 11g/dl and consider iron supplementation if indicated
Measure BP and test urine for proteinuria
Give information, with an opportunity to discuss issues and ask questions; offer verbal information supported by antenatal classes and written information.
18–20 weeks
At 18–20 weeks, if the woman chooses, an ultrasound scan should be performed for the detection of structural anomalies. For a woman whose placenta is found to extend across the internal cervical os at this time, another scan at 36 weeks should be offered and the results of this scan reviewed at the 36-week appointment.
25 weeks
At 25 weeks of gestation, another appointment should be scheduled for nulliparous women. At
this appointment:
Measure and plot symphysis–fundal height
Measure BP and test urine for proteinuria
Give information, with an opportunity to discuss issues and ask questions; offer verbal information supported by antenatal classes and written information.
Antenatal care: routine care for the healthy pregnant woman
28 weeks
The next appointment for all pregnant women should occur at 28 weeks. At this appointment:
Offer a second screening for anaemia and atypical red-cell alloantibodies
Investigate a haemoglobin level of less than 10.5 g/dl and consider iron supplementation, if indicated
Offer anti-D to rhesus-negative women
Measure BP and test urine for proteinuria
Measure and plot symphysis–fundal height
Give information, with an opportunity to discuss issues and ask questions; offer verbal information supported by antenatal classes and written information.
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