Treatments & Services of Gynecologist & Obstetricians at Indraprastha Apollo Hospitals Delhi, India

At Indraprastha Apollo Hospitals various services provided by the department of obstetrics and gynaecology includes:

Apollo’s Assisted Reproduction Unit (IVF Unit)

It is our aim to provide the latest scientific developments in infertility treatment, in a friendly and informal environment. We aim to set standard for the treatment of the infertile. Our state-of-the-art IVF lab is backed up by highly experienced doctors, who have been involved in the field of infertility and assisted Reproductive technologies (ART) for many years in India and abroad with extensive firsthand experience and very respectable success rates. A full range of diagnostic and treatment procedures are available for the infertile couple in Apollo’s Assisted Reproduction Unit (“AARU”). We provide consistent 24*7*52 Service (No waiting for the batches) with full time in-house embryologists and supportive laboratory services. Individualized patient care by our internationally trained and experienced professional team ensures maximum success rates possible.

Infertility Treatment Options Available

·         Ovulation induction/ Controlled ovarian stimulation

·         Intrauterine insemination (IUI) – husband/donor

·         In Vitro Fertilization (IVF)

·         Intra Cytoplasmic sperm injection (ICSI)

·         Sperm retrieval techniques – TESA (Testicular sperm aspiration), TESE (Testicular Sperm Extraction), MESA(Microsurgical epididymal sperm aspiration), PESA (Percutaneous epididymal sperm aspiration)

·         Semen Bank

·         Donor Oocyte Program

·         Donor Embryo program

·         Cryopreservation of gametes and embryos/ Vitrification

·         All other advanced technologies

 

Laparoscopic and Hysteroscopic surgeries

Well trained Hysteroscopic and laparoscopic gynaecologists with years of experience in India and abroad individually tailor almost all gynaecological operations to needs using modern modality of surgery. Some of the common laparoscopic surgeries performed are for:

·         Laparoscopy

·         Ectopic pregnancies

·         Ovarian cysts

·         Hysterectomies (laparoscopic assisted vaginal hysterectomy)

·         Myomectomy for fibroid

·         Laparoscopic treatment for infertility

·         Endometriosis etc.

·         Chronic pelvic pain

·         Hysteroscopy

·         Fibroid removal

·         Removal of Polyps

·         Menstrual problems

·         Infertility

·         Uterine septum

Shortly we shall be introducing Robotic surgery

 

Natural Access Scar less Surgery

This implies vaginal surgery operations like:

·         Hysterectomy

·         Prolapse

·         Myomectomy

·         Polypectomy

Post operative recovery is maximum with this approach and results in less pain since it is a totally scarless method much like a normal vaginal delivery.

Urogynaecology

We offer complete evaluation, assessment, management (medical & surgical) of female urinary incontinence, urgency, urge incontinence, recurrent urinary infection, voiding problems, anal incontinence as well as pelvic floor dysfunction including Urogenital Prolapse, post hysterectomy vault Prolapse and sexual dysfunction. Women are offered a variety of treatment options including non-surgical such as pelvic floor exercises, biofeedback, medical management and surgical procedures as appropriate. The surgical options include minimally invasive techniques such as TVT, TVT-O and other meshes and the conventional surgeries for incontinence and Prolapse.We have a dedicated lab for urodynamics and uroflowmetry. Urinary problems of urgency, urge incontinence and stress urinary incontinence are assessed and managed medically and surgically as well.

Fetal Medicine

Problem pregnancies, both because of genetic and structural growth defects in the fetus or because of maternal complications are seen by specialists. The availability of high resolution ultrasound machines, a genetic lab and intrauterine procedures such as amniocentesis, fetal blood sampling and fetal transfusion, help in carrying the pregnancy forward safely.

Neonatology

·         Specialized care of sick term and tiny preterm babies is provided at our hospital

Availability of advanced life support equipment and transport facilities is also ensured

Treatments & Services of Fetal Medicine in Indraprastha Apollo Hospitals Delhi, India

Ultrasound Scans

Apollo Centre for Fetal Medicine our team of experts identifies the fetus at risk from chromosomal defects such as Down syndrome and other genetic diseases or from structural problems which will impact on the life of the individual such as cardiac defects and renal disease. We can also care for the fetus which is not growing properly and for problem arising from multiple pregnancies for where the mother has a condition such as diabetes, epilepsy or other medical and surgical disorders. We strive to provide solutions to the problems identifies and initiate fetal therapy wherever possible.

Fetal Viability Scan 6-10 weeks

This is an ultrasound examination that is usually carried out vaginally. It aims to determine the number of fetuses present and whether the pregnancy is progressing normally inside the uterus. This scan is useful for women who are experiencing pain or bleeding in the pregnancy and those who have had previous miscarriages.

First Trimester Screening including NT scan.

Also known as the combined screening or NT scan we are only unit in north India who are accredited to perform the First Trimester Down's Syndrome Screening according to the standards laid down by the Fetal Medicine Foundation UK. This screening involves an ultrasound assessment of the fetus including the Nuchal translucency, and the new markers such as tricuspid regurgitation, ductus venosus, nasal bone and facial angle assessment. The maternal blood is also checked for PAPPA and free beta- HCG and an integrated risk assessment is given. The First Trimester Screening (FTS) test has important implications for you and your family and explained here is how it is performed and what the results mean. Before undergoing this test it is very important that you have discussed this testing procedure.

Detailed Anomaly Scan 18-23 weeks

This is a detailed scan during which each part of the fetal anatomy is examined. Special attention is paid to the brain, face, spine, heart, stomach, bowel, kidneys and limbs. If any abnormalities are detected the significance of the findings will be discussed and the couple will be given the opportunity to have further counseling with a Senior Fetal Medicine Consultant.

Cervical screening 22-24 weeks

This is a transvaginal scan done to assess the women risk of going into preterm labour and delivery at less than 33 weeks by measuring the cervical length. The uterine artery Doppler's are also checked to assess the woman's risk of developing Pre-eclampsia or intra-uterine growth restriction

Fetal Echocardiography

A detailed examination of the fetal heart and connecting vessels is carried out usually at 20 weeks by a consultant cardiologist. It is especially recommended for people with a family history of heart abnormalities or where increased nuchal translucency has been found at the 12 week scan. It is also an important ultrasound scan when other abnormalities have been found in the fetus.

Fetal Well Being Scans 24-42 weeks

Some obstetricians advise that an ultrasound scan to assess fetal well being is offered to all women at about 30-32 week of pregnancy. Others reserve such scans for those women who have had previous complications of pregnancy such as pre-eclampsia, growth retardation, diabetics, still birth and for those women who develop an abnormality during the course of their current pregnancy.

Ancillary Services

Apollo Advantage is our uncompromised care, compassion and commitment to offering you a 360 degree perspective to well-being. With the best physicians, best technology and personalized care, you are in good hands. Here are details of our incomparable screening package that offers unmatched value.

·         High resolution ultrasound of fetus to assess for chromosomal defects including checking the nuchal translucency ( NT ) and structural abnormalities by Fetal Medicine Specialist ( Accredited by the Fetal Medicine Foundation, UK)

·         Maternal Blood PAPP-A and beta hCG – to look for chromosomal/ genetic defects and adverse pregnancy outcome ( Accredited by the Fetal Medicine Foundation, UK)

·         Hb Electrophoresis to screen for Thalassemia and other Hemoglobinopathies

·         IgG Rubella-to check for immunity to the most common infectious cause of neurodevelopmental delay

·         TSH- to look for Hypothyroidism

·         Summary

Twin Pregnancy Clinic

(The first specialized clinic in North India)Services Multiple pregnancy is a chance event which appears to be increasing across the world. The most common type of multiple pregnancy is twins. This brochure aims to provide relevant information to expectant mothers and their families so that they can be an active participant in the care of their unborn babies.

Fetal Medicine in Indraprastha Apollo Hospitals Delhi, India

The Apollo Centre for Fetal Medicine offers comprehensive fetal care under one roof with services ranging from preconception counseling to diagnosing fetal problems, therapy for in utero conditions, facilitating delivery in a special unit for mothers carrying babies with known birth defects, providing state of the art neonatal resuscitation and intensive care facilities and super specialised new born surgery facilities.

We cater to referrals for fetal problems for a large part of North India primarily but we have been visited by expectant parents from all over the country and abroad for solutions of fetal conditions. We have a sophisticated infrastructure supporting a team of qualified experts in fetal care who are highly motivated at maintaining world class standards.