OPD Procedures
Ultrasonography (3D-4D) Volusion Machine

Trans vagnial Sonography & Abdominal USG


Type of USG Gynce USG (for Gynec Problem)

  • Various bleeding Problems (Menses related)
  • Early Pergnancy
  • Ectopic Pergnancy
  • Ovarion Cysts
  • Fibroid Uterus
  • Infertility
  • BOH
  • Follicular study
  • Polyp

Trans vagnial Sonography

  • To Know for position of foetus
  • Genetic Scan (11 -14 weeks pregnancy)
  • Structural Anomaly(20-22 weeks pregnancy)
  • 3D-4D USG (24-26 weeks)
  • Growth Scan (30 weeks)
  • NST (Bio Physical Profile)
  • BOH (Bad Obstetric History)
NST (CTG) Cardiotocography to know adout the heart rate of foetus

What is a NonStress Test(NST)?

This simple, painless procedure is done during pregnancy to evaluate your baby's condition. During the test, your healthcare practitioner or a technician monitors your baby's heartbeat, first while the baby is resting and then while he's moving. Just as your heart beats faster when you're active, your baby's heart rate should go up while he's moving or kicking.

The test is typically done if you've gone past your due date, or in the month or two leading up to your due date if you're having a high-risk pregnancy. Here are some reasons you might have a nonstress test:


  • You have diabetes that's treated with medication,high blood pressure, or some other medical condition that could affect your pregnancy.
  • You have gestational hypertension.
  • Your baby appears to be small or not growing properly.
  • Your baby is less active than normal.
  • You have too much or too little amniotic fluid.
  • You've had a procedure such as an external cephalic version (to turn a breech baby) or third trimester amniocentesis (to determine whether your baby's lungs are mature enough for birth or to rule out a uterine infection). Afterward, your practitioner will order a nonstress test to make sure that your baby's doing well.
  • You're past your due date and your practitioner wants to see how your baby is holding up during his extended stay in the womb.
  • You've previously lost a baby in the second half of pregnancy, for an unknown reason or because of a problem that might happen again in this pregnancy. In this case, nonstress testing may start as early as 28 weeks.
  • You have a medical problem that may jeopardize your baby's health.
  • Your baby has been diagnosed with an abnormality or birth defect and needs to be monitored.

What is cardiotocography (CTG)?

Cardiotocography or CTG is a test usually done in the third trimester of pregnancy. It is done to see if your baby's heart beats at a normal rate and variability. Normally, a baby's heart rate is anywhere between 110 and 160 beats per minute and increases when the baby moves. Checking that your baby's heart rate responds to his movements is an indirect way of knowing if he gets enough oxygen from the placenta. The test will also see how baby's heart rate is affected by your contractions.

If you are in your third trimester and not yet in labour, the test will measure your Braxton Hicks contractions. You might not be aware of them but Braxton Hicks contractions are light contractions that your uterus has in preparation of labour. A CTG done in your third trimester is also known as a 'non stress test' because your baby is not under the 'stress' of labour.

  • You feel that your baby's movements have slowed down or become irregular
  • She suspects a problem with your placenta that restricts the blood flow to your baby.
  • You have low levels of amniotic fluid
  • You are having twins
  • You have diabetes or hypertension
Pap Smear ( Cervical Cancer Detection Tests)

What is Pap Smear?

Cancer of the cervix (cervical cancer) is the fourth most common cause of cancer-related death among women worldwide. The best way to detect cervical cancer is by having regular Papanicolaou tests, or Pap smears. (Pap is a shortened version of the name of the doctor who developed the screening test.) A Pap smear is a microscopic examination of cells taken from the uterine cervix.

A Pap smear can detect certain viral infections such as human papillomavirus (HPV),that is known to cause cervical cancer. Early treatment of precancerous changes detected on the Pap smear can stop cervical cancer before it fully develops. A woman may have cervical cancer and not know it because she may not have any symptoms.

The incidence of cancer and deaths from cervical cancer has significantly declined over the years because of prevention, screening, and early detection by the Pap smear. Most abnormal Pap smear results indicate the early stages of disease and need reasonable observation by a doctor.

Risks factors for cancer of the cervix include conditions that increase the likelihood of being infected with HPV as well as other factors including the following:

  • Multiple sexual partners (or sexual partners who have had multiple partners)
  • Starting sexual intercourse at an early age
  • Weakened immune system
  • Previous cancer of the lower genital tract
  • Smoking

New recommendations were published in March, 2012 by the U.S. Preventive Service Task Force with agreement by the American Cancer Society (details are described further in this article). Briefly stated, cervical cancer screening is now recommended every 3 years starting at age 21. Screening may be carried out every 5 years for women over age 30 if a Pap smear and HPV test are performed.

Copper-T (Intrauterine Contraceptive Device)

What Is a Copper-T?

Copper T is a very effective method of contraception. Its success rate in preventing pregnancy is high. It is inserted high in the uterus by a physician,and is effective for about 10 years. It does not provide protection against sexually transmitted diseases. Read here to know all about Copper T.

If you are wondering what contraception to opt for, perhaps you should consider the Copper T. Read on to find out if this would be suitable for you. 

The Copper T 380A intrauterine device (IUD) is one of the most effective, long-acting reversible contraceptives available. It is inserted high in the uterus by a physician, and provides enhanced contraceptive protection for up to ten years.
 

Copper IUDs actually prevent fertilization by reducing the number and viability of sperm reaching the egg, and by impeding the number and movement of eggs into the uterus. It is believed that the continuous release of copper from the coils and sleeves of the Copper T 380A into the uterine cavity enhances the contraceptive effect of the IUD.

HSG (Radiologist's Place) to know for Tubal Patency

What Is Hysteroscopic Infertility

A hysterosalpingogram, or HSG is an important test of female fertility potential. The HSG test is a radiology procedure usually done in the radiology department of a hospital or outpatient radiology facility.

  • Radiographic contrast (dye) is injected into the uterine cavity through the vagina and cervix
  • The uterine cavity fills with dye and if the fallopian tubes are open, dye fills the tubes and spills into the abdominal cavity

This shows whether the fallopian tubes are open or blocked and whether a blockage is at the junction of the tube and uterus (proximal) or at the other end of the tube (distal).

  • Successful treatment for tubal factor infertilityis available

What to expect during a hysterosalpingogram

The hysterosalpingogram study only takes about 5 minutes to perform. However, the test is usually done in the radiology department of a hospital so there is additional time for the woman to register at the facility and fill out a questionnaire and answer questions regarding allergies to medication etc. The way the test is done is the following:

  • The woman lies on the table on her back and brings her feet up into a "frog leg" position.
  • The doctor places a speculum in the vagina and visualizes the cervix.
  • Either a soft, thin catheter is placed through the cervical opening into the uterine cavity or an instrument called a tenaculum is placed on the cervix and then a narrow metal cannula is inserted through the cervical opening.
  • Contrast is slowly injected through the cannula or catheter into the uterine cavity. An x-ray picture is taken as the uterine cavity is filling and then additional contrast is injected so that the tubes should fill and begin to spill into the abdominal cavity. More x-ray pictures are taken as this "fill and spill" occurs.
  • When both tubes spill dye, the woman is often asked to roll to one side or the other slightly to give a slightly oblique x-ray image which can further delineate the anatomy.
  • Â The procedure is now complete. The instruments are removed from the cervix and vagina.
  • The woman usually remains on the table for a few minutes to recover from the cramping caused by injection of the contrast.
  • The results of the test can be immediately available. The x-ray pictures can usually be reviewed with the woman several minutes after the procedure is done.
Hysteroscopy

What is a Hysteroscopy?

Hysteroscopy is a procedure that lets your doctor look inside your womb (uterus). This is done using a narrow tube-like instrument called a hysteroscope. The hysteroscope is very slim (about 3 to 5 millimetres in diameter). It's carefully passed through the vagina and neck of the uterus (cervix) and into your uterus. The hysteroscope has a video camera inside which sends pictures to a computer screen. This allows your doctor to check for any abnormalities in the lining of the uterus.

The hysteroscope has special channels which allow the doctor to pass various instruments into the uterus. This means that as well as being able to look inside the uterus, the doctor can perform certain procedures.

what is hysteroscopy used for?

A hysteroscopy may be used to try to determine the cause of various problems such as:

  • Heavy or irregular bleeding that has not got better with medication.
  • Bleeding in between your periods.
  • Bleeding after your menopause.
  • Irregular bleeding whilst you are taking hormone replacement therapy (HRT).
  • If you are thinking about having an operation to make your periods less heavy (eg, endometrial ablation).
  • Unexplained miscarriages.

As well as being used to investigate the cause of various problems, it can also be used to:

  • Remove polyps - small lumps of tissue growing on the lining of the uterus.
  • Remove scar tissue in the uterus.
  • Remove adhesions (areas where the walls of the uterus are sticking together).
  • Remove fibroids (non-cancerous growths in the uterus).
  • Locate a 'lost' or stuck contraceptive device, such as an intrauterine contraceptive device (IUCD) - also known as a 'coil'.

Before you have the procedure your doctor will talk to you about the test. Your doctor may discuss a number of different treatment options with you. This is because it may be possible to treat the cause of your symptoms immediately, using the hysteroscope. In order to do this you must agree (consent) to the treatment. It is up to you to decide which treatment option is best for you.

Hystero-Laparoscopy

What is a Stie Hystero-Laparoscopy ?

These investigative procedures are normally performed under a general anaesthetic. It is very important that you are not pregnant at the time of the procedure so it is essential you use an effective form of contraception from the beginning of the period prior to your admission to hospital. If you know that your period is likely to come around the time of your operation date please contact the Fertility Treatment Centre so that a prescription can be sent to delay your period. The operation takes approximately 1 hour and you can normally go home the same day, unless your theatre time is late afternoon or early evening, when an overnight stay is generally advised. A bowel preparation in the form of Picolax is given prior to laparoscopy and taken the day before operation - a guidance sheet is issued with this.

What is Hysteroscopy ?

A hysteroscope is a fine telescopic instrument that is inserted through the cervix into the uterus. It allows the inside of the uterus to be inspected under direct vision. A littlegas or fluid is introduced into the uterine cavity to open it up as the hysteroscope is inserted. It is attached to a light source.

What is Laparoscopy ?

A laparoscopy involves having two tiny incisions made - one at the lower border of the umbilicus and the other just above the pubic hairline. A suture will be used to close theincisions and this will dissolve over time. The abdominal cavity is distended with carbon dioxide gas to enable a good view of the pelvic organs. A slim telescope called alaparoscope is inserted into the abdominal cavity to enable the pelvic organs to be inspected. A second, even smaller incision is made just below the pubic hairline and aspecial pair of forceps or probe is inserted. Both incisions are so small that once they have healed they are virtually invisible. If any abnormality is found it is sometimespossible to treat this at the time of laparoscopy (i.e. division of adhesions, aspiration of cysts or diathermy to endometriosis).

MTP/D&C(Government Recognised)

What is an MTP/DEC(Government Recognised)?

The health department has directed all state-run medical establishments in rural and urban areas to provide medical termination of pregnancy (MTP) or abortion services, if they have trained staff.

There are rising instances where patients are refused MTP services at government medical establishments on the grounds that the facility is not authorised or recognised by the government. The department has said that as per the Medical Termination of Pregnancy Act 1971 (section 4a), all hospitals established or maintained by the government are recognised to provide MTP services.

"It is observed that government-run hospitals in rural and urban areas are refusing MTP services to patients on the pretext that the centre in their hospitals is not recognised by the government. Hence, we have issued fresh notices to all civil surgeons and district health officials instructing them not to refuse patients if they have trained staff. The Medical Termination of Pregnancy Act 1971 (section 4a) states that all hospitals established or maintained by the government are recognised to provide MTP services. Only private abortion centres must be recognised," said a senior health official of the state health department.

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Designed By : Kishan Patel