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  Speciality Services / Obstetrics and Gynaecology  
     
   
     
  HISTORY  
     
 

The original 'raison d'etre' of the hospital, this Department has grown today from the small, 4 bed maternity clinic of 1912 to provide comprehensive services in Reproductive Health, including Assisted Reproductive Technologies. It grew under the aegis of Dr. Mrs. Banoo Coyaji, who joined it in the year 1944, to a full-fledged Obstetric and Gynecology service. It offers comprehensive care for women with normal and high-risk pregnancies, infertility and reproductive endocrine problems, and gynecologic diseases including cancer. The Department was the first to offer endoscopic and oncologic surgery in Pune in 1972. The Obstetric Unit has been a recognized referral center for pregnancies with high risk and complications, from within and around Pune.

 
     
  THE TEAM:  
     
  Dr. K.J. Coyaji, M.D Obst & Gynaec (Director)  
  Dr. (Mrs.) A.D. Deshpande, M.D. Obst & Gyneac (Consultant)  
  Dr. V.M Joshi, M.D. Obst & Gyneac (Consultant)  
  Dr. S.R. Otiv, M.D. Obst & Gyneac (Consultant)  
  Dr. R. Majumdar, M.D. Obst & Gyneac (Consultant)  
  Dr. X.K. Coyaji, M.D. Obst & Gyneac (Consultant)  
     
  SERVICES OFFERED:  
     
  Obstetric services:  
 

Pregnant women are screened thoroughly. The services include Antenatal clinics, laboratory & USG testing & Genetic counselling. Round the clock NST testing is available for high risk pregnancies and for monitoring cases where the foetal movements are less.

 
     
  The High Risk Obstetrics & Neonatology Unit is backed by round-the-clock by  
     
 

Expert assistance from the Ultrasonography and Doppler Imaging studies to help assess fetal status.

The KEM Blood Bank service provides life saving blood and blood products promptly, enabling effective resuscitation in case of dire obstetric emergencies.

The state-of-the-art NICU of the KEM Hospital has been crucial in salvaging babies born at the edge of viability - (very small and premature), managing babies of diabetic mothers, blood group incompatible parents and babies with foetal distress.

Babies with non-fatal abnormalities, managed in tandem with a paediatric surgery unit.

Anesthesiologists, who monitor the administration of epidural analgesia for pain relief, round the clock.

 
     
  High Risk Cases include:  
     
 

Pregnancy complication such as Anemia, Diabetes Mellitus, Hypertension, Renal Disease, Cardiac Disease, Jaundice, Immunocompromised Mothers, etc.

Pregnancy induced Hypertension and Eclampsia

Preterm labour

Patients with bad Obstetric History

Ante partum Hemorrhage

Postpartum Hemorrhage including Ruptured Uterus & Disseminated Intravascular Coagulopathy.

 
     
  General Gynecology: Services available include-  
     
 
Screening for pelvic lesions responsible for gynecologic morbidity -
Hormonal assays, tumor markers, immunofluroscence tests
Screening for reproductive tract infections
Pap smear
Trans Abdominal Sonography , Trans Vaginal Sonography, Sonohysterography,
Hysteroscopy, Laparoscopy.
Personalized care for adolescent, DUB, PCOS, menopausal problems.

Operative procedures - abdominal and vaginal hysterectomy, sling operations for vault and uterine prolapse, surgery for reproductive tract abnormalities

 
     
Oncology  
     
 

Management of gynecologic cancers like cervical, endometrial, ovarian and trophoblastic. Screening for cancer cervix by cervical cytology by Colposcopy. Procedures such as Okabayashi radical hysterectomy, debulking procedures are performed for cervical, endometrial and ovarian malignancies.

 
     
Urology:  
     
 

Utero-vaginal prolapse and urinary incontinence are dealt by effective surgical procedures such as sling operations, Burch colposuspension and trans-obturator sling suspensions.

 
     
  Endoscopic surgery  
     
  Laparoscopy  
     
 

Oophorectomy, Cystectomy, ovarian drilling, Excision of ectopic pregnancy, Adhesiolysis - endometriosis, PID, previous surgery, LAVH (laparoscopic assisted vaginal hysterectomy), Laparoscopic biopsy

 
     
  Hysteroscopy  
     
 

Resection of uterine septum, cervical polyps / myoma, TCRE (Trans cervical resection of endo myometrium), Hysteroscopic biopsy.

 
     
Treatment for Infertility (Link to The Tata Centre for Reproductive Health)  
     
  CONTACT:  
     
  Mrs. Alka Harare ( Sister-in Charge): 020-66037400/ 66037308  
     
The Tata Centre for Reproductive Health  
     
 

Infertility and Reproductive Endocrinology: Patients can avail of various facilities in the treatment of infertility.

 
     
  Male infertility:  
     
 

Urologists are available for the treatment of male-factor in infertility, along with the availability of an andrology lab. Surgical procedures like varicocele repair, recanalization, urethroplasties are also available.

 
     
  Female Infertility:  
     
 

Diagnostic facilities include Ultrasonography, diagnostic laparoscopy and hysteroscopy and laboratory facilities for hormonal assays.

The range of treatment facilities includes, IUI-Intrauterine insemination, In Vitro Fertilization & Embryo Transfer (IVF-ET).

Apart from this, patients can also avail of various surgical modalities of treatment, by laparoscopy, hysteroscopy as well as open surgery. Procedures include adhesiolysis, tubal recanalization. Surgery for reproductive tract anomalies such as bicornuate or septate uterus, vaginal septum.

A clinical psychologist is also available for counseling regarding reproductive health issues.

The KEM Hospital's Infertility Centre, while providing the highest quality of diagnostic and treatment facilities, is also among the most affordable ones in the country.

 
     
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