Obstetrics & Gynaecology
At O&G Partners Fertility Centre, our committed and highly experienced specialists are dedicated to providing you with their utmost care, reassuring you every step of the way. Located in the prime areas of Gleneagles Hospital, we strive to cater to all women’s unique needs with a comprehensive range of obstetric and gynaecological services.
General Obstetrics & Gynaecology
- Antenatal Diagnostics
- Postpartum Care
- High-risk Pregnancies
- Antenatal Care and Delivery
- Amniocentesis and Risk Assessment
- Menstrual Abnormalities
- Pre-pregnancy Counselling
- Family Planning and Contraception Counselling
- Termination of Pregnancy
- Paediatric and Adolescent Gynaecology
- Women’s Health Screening and Preventive Care
Obstetric Care & Procedures
Congratulations on your pregnancy! A brand-new miracle to call your own! Now that your little one is growing in your body, we understand that every expectant mother has many questions on how best to nurture her pregnancy. At O&G Partners Fertility Centre, we are happy to accompany you on this wonderful journey and provide you with a professional and reassuring arm every step of the way.
FIRST TRIMESTER SCREEN
One of the most common concerns of parents-to-be is whether the unborn child is going to be affected by chromosomal or birth defects. Birth defects occur in around 3% of babies and chromosomal defects are present in 0.5% of pregnancies. The chance of a pregnancy carrying such a defect can be assessed as early as the first-trimester, in the form of the first-trimester screening (otherwise known a one-stop clinic for assessment of risk, OSCAR) test. This is a non-invasive assessment, comprising of a blood test for the mother and a scan of the fetus. The resulting risk score will allow the parents-to-be and the obstetrician to plan ahead for the outcome of the pregnancy. All expectant mothers are encouraged to have the test done, regardless of age.
SECOND TRIMESTER SCREEN
As the pregnancy advances, a detailed ultrasound scan can be performed in the second trimester to check for structural defects within the baby, as well as markers of chromosomal problems. This is commonly performed between 18- and 20-weeks gestation, to allow time for decision making and intervention. However, the limitations of such scans have to be accepted as minor defects may still be missed, despite the best of operators.
THIRD TRIMESTER SCREEN
When the pregnancy reaches the third trimester, the focus shifts towards the baby’s growth and planning for delivery. A scan of the growth parameters in the third trimester will allow us to pick up babies that are growing too quickly or too slowly. This will allow parents-to-be and their obstetrician to plan for the delivery (timing and route). Mothers who are at risk of gestational diabetes may also be offered the diabetes test in the third trimester.
Most pregnancies will conclude with a vaginal delivery, while some cases will have a caesarean section planned from the early antenatal period, due to specific conditions that make vaginal delivery inappropriate, such as low-lying placenta, breech presentation, etc. Others may attempt a vaginal delivery but end up with a caesarean section when labour does not progress or is unsafe to allow further progress. In selected cases, assistance may be offered for vaginal delivery, in the form of forceps or vacuum, only when deemed appropriate by the obstetrician.
After delivery, the mother’s body undergoes dramatic changes to return to the pre-pregnancy state and she has to deal with healing of delivery wounds, breastfeeding, care of the new-born, as well as the swinging hormone levels. The postnatal check-up will allow the obstetrician to assess the health status of the new mother and offer assistance to those in need. Routine gynaecology screening and contraception options will also be discussed
Gynaecological Care & Procedures
O&G Partners Fertility Centre is dedicated to bringing affordable high quality and personalised medical care to women of all ages and from all walks of life. We provide a comprehensive range of services, including general gynaecology services, general obstetrics care, well-women screening packages, pregnancy packages, gynaecological surgeries and management of abortion. Surgical procedures include:
- Endoscopic Surgery (Keyhole Surgery)
- Removal of Fibroids (Myomectomy)
- Removal of Cysts (Cystectomy)
- Removal of Womb (Hysterectomy)
Common Reproductive Health Concerns
GENITAL TRACT INFECTIONS
Lower genital tract infections are common woes of women in the reproductive age group. Accurate diagnosis and identification of the culpable germs will allow the appropriate treatment to be prescribed. In women with recurrent infections, targeted lifestyle modification and prevention are important too.
Fibroids are tumours, originating from the muscle wall of the womb and are mostly benign in nature (cancerous fibroids are very rare). They are very common in women and depending on their numbers, size and location, may cause heavy menstrual bleeding, pain or may be silent. Large fibroids (especially if growing rapidly) should be removed, as they may cause obstruction to the pelvic structures. Removal of fibroids can be done with laparoscopy (keyhole surgery) or conventional open surgery, depending on the size and number of fibroids. Some women who have completed their family or are near menopause may consider removal of the entire womb together with the fibroid, to prevent a recurrence. Smaller, stable fibroids not causing any symptoms may be left alone and monitored regularly.
Ovaries are reproductive structure in the female pelvis, which release eggs in monthly menstrual cycles for fertilisation by sperm. The ovaries are also important for their role in producing female hormones (estrogen and progesterone) before menopause sets in.
Ovarian cysts are commonly found in women of the reproductive age group. They are liquid-filled structures within the ovaries (much like a small balloon filled with water, blood, mucus or other fluid), the type of cells lining the cyst (the rubber of the balloon) determines its nature. Most ovarian cysts are benign, especially in young women. Cancerous cysts are more common as age increases. Ovarian cysts that are large, cause pain or look suspicious on scans should be removed for a detailed examination to determine their nature.
Depending on the number of cysts, their sizes and suspicion level for cancer, ovarian cysts may be removed with laparoscopy (keyhole surgery) or open surgery. In some cases, the entire ovary or both ovaries may be removed, if necessary.
FALLOPIAN TUBE BLOCKAGE/DISEASES
Fallopian tubes are delicate structures of the reproductive tract, which when exposed to infection or inflammation, can be swollen or blocked, leading to infertility, recurrent infection and pain. Treatment has to be individualised for each woman, especially if fertility is desired.
Irregular cycles, painful menstruation, heavy flow or a combination of these may affect any woman in the reproductive age group. Treatment has to be tailored for each individual. Do consult our gynaecologist to investigate the cause and treat the problem accordingly.
ENDOMETRIOSIS & ADENOMYOSIS
Endometriosis and adenomyosis are two of the commonest gynaecological disorders suffered by women in the reproductive age group. Besides their negative impact on fertility, they also cause a range of symptoms in affected women, such as severe menstrual cramps, heavy menstrual bleeding and chronic pelvic pain. Some women may experience discomfort or pain during intercourse, or even when they visit the toilet.
These two distinct conditions share a common mechanism, whereby the usual lining of the womb is displaced to various structures of the pelvis (endometriosis), or into the wall of the womb, leading to thickening of the muscle wall (adenomyosis). They often exist in the same patient, causing severe symptoms. You should let your gynaecologist perform a detailed examination and pelvic scan to look for evidence of these conditions if you have the above symptoms, or infertility.
Treatments include oral painkillers and anti-inflammatory drugs, hormonal regimes, implants and surgery. The therapy should be tailored to suit the individual woman.
We are sorry that this post was not useful for you!
Let us improve this post!
Tell us how we can improve this post?