Navigate

  • Get my position
Uterine Prolapse Surgery Procedures | Best Gynaecology Treatment and Procedures at Sakra World Hospital | Best Gynaecologist in Bangalore
Logo of Sakra World Hospital, Bangalore
  • About Sakra
  • Contact Us
  • Virtual tour
  • Pay Online
  • Sakra Premium Clinic
  • Book an appointment

    080 4969 4969

  • Emergency number

    080 4962 4962

Sakra
  • Home
  • Centres & Specialities
      • INSTITUTES OF EXCELLENCE
      • Neurosciences
      • Cardiac Sciences
      • Orthopaedics
      • Obstetrics and gynaecology
      • Digestive and HPB Sciences
      • Renal Sciences
      • Rehabilitation Sciences
      • Pediatrics and Pediatric Superspeciality
      • Aesthetic Surgery
      • SPECIALITIES
      • Spine Surgery
      • Internal Medicine
      • ENT and Head Neck Surgery
      • Cancer and Blood Disorders
      • Plastic and Reconstructive Surgery
      • Respiratory Medicine
      • Rheumatology
      • Endocrinology Diabetes Thyroid and Osteoporosis
      • Dentistry
      • Cosmetology
      • Obesity Surgery
      • Specialities
      • Dermatology
      • Psychiatry
      • Ophthalmology
      • Critical Care Medicine
      • Interventional Radiology and Imaging
      • Interventional Pain Medicine
      • Blood Transfusion
      • Breast Surgery
      • Anaesthesia
      • Lab Medicine
      • Sakra Home Health Care
  • Patient care
      • Patient Info
      • Sakra Advantage
      • Patient Friendly Approach
      • Emergency Service
      • Patient Support Service
      • Insurance Policy
  • International patients
      • Why Sakra?
      • Why India?
      • Accommodation
      • Billing, Insurance & Payments
      • International Testimonials
  • Wellness zone
      • Health Check-up
      • Quality & Safety
      • Sakra Case Study
      • Sakra Blogs
  • News and Events
      • News and Events
      • Organ Transplant Authorization
      • Sakra Times
      • BMW Report
      • Press Release
  • Patients speak
  • Medical courses
      • DNB Neuro Course
      • Emergency Medicine Course
      • Shoulder Course
      • Knee Course
X
Logo of Sakra World Hospital, Bangalore
  • About Sakra
  • Contact Us
  • Pay Online
  • Emergency number

    080 4962 4962

  • Home
  • Centres & Specialities
    • Neurosciences
    • Cardiac Sciences
    • Orthopaedics
    • Obstetrics and gynaecology
    • Digestive and HPB Sciences
    • Renal Sciences
    • Rehabilitation Sciences
    • Pediatrics and Pediatric Superspeciality
    • Aesthetic Surgery
    • Internal Medicine
    • ENT and Head Neck Surgery
    • Cancer and Blood Disorders
    • Plastic and Reconstructive Surgery
    • Respiratory Medicine
    • Rheumatology
    • Endocrinology Diabetes Thyroid and Osteoporosis
    • Dentistry
    • Dermatology
    • Psychiatry
    • Ophthalmology
    • Critical Care Medicine
    • Interventional Radiology and Imaging
    • Interventional Pain Medicine
    • Blood Transfusion
    • Breast Surgery
    • Anaesthesia
    • Spine Surgery
    • Sakra Home Health Care
    • Lab Medicine
  • Patient care
    • Patient Info
    • Sakra Advantage
    • Patient Friendly Approach
    • Emergency Service
    • Patient Support Service
    • Insurance Policy
  • International patients
    • Why Sakra?
    • Why India?
    • Accommodation
    • Billing, Insurance & Payments
  • Wellness zone
    • Health Check-up
    • Quality & Safety
    • Sakra Case Study
    • Sakra Blogs
  • News and Events
    • News and Events
    • Organ Transplant Authorization
    • Sakra Times
    • BMW Report
    • Press Release
  • Patients speak
  • Medical courses
    • DNB Neuro Course
    • Emergency Medicine Course
    • Shoulder Course
    • Knee Course
  • Sakra Premium Clinic
Logo of Sakra World Hospital, Bangalore
  • Home
  • Centres & Specialities
    • Neurosciences
    • Cardiac Sciences
    • Orthopaedics
    • Obstetrics and gynaecology
    • Digestive and HPB Sciences
    • Renal Sciences
    • Rehabilitation Sciences
    • Pediatrics and Pediatric Superspeciality
    • Aesthetic Surgery
    • Internal Medicine
    • ENT and Head Neck Surgery
    • Cancer and Blood Disorders
    • Plastic and Reconstructive Surgery
    • Respiratory Medicine
    • Rheumatology
    • Endocrinology Diabetes Thyroid and Osteoporosis
    • Dentistry
    • Dermatology
    • Psychiatry
    • Ophthalmology
    • Critical Care Medicine
    • Interventional Radiology and Imaging
    • Interventional Pain Medicine
    • Blood Transfusion
    • Breast Surgery
    • Anaesthesia
    • Spine Surgery
    • Sakra Home Health Care
    • Cosmetology
    • Obesity Surgery
    • IVF Centre
    • Lab Medicine
  • Patient care
    • Patient Info
    • Sakra Advantage
    • Patient Friendly Approach
    • Emergency Service
    • Patient Support Service
    • Insurance Policy
  • International patients
    • Why Sakra?
    • Why India?
    • Accommodation
    • Billing, Insurance & Payments
  • Wellness zone
    • Health Check-up
    • Quality & Safety
    • Sakra Case Study
    • Sakra Blogs
  • News and Events
    • News and Events
    • Organ Transplant Authorization
    • Sakra Times
    • BMW Report
    • Press Release
  • Patients speak
  • Medical courses
    • DNB Neuro Course
    • Emergency Medicine Course
    • Shoulder Course
    • Knee Course
  • Pay Online
  • Sakra Premium Clinic
  1. Home
  2. Centres & Specialities
  3. Uterine Prolapse Surgeries

Uterine Prolapse Surgeries

Find a Doctor Take an Appointment Book a Health Check-up

What is uterine prolapse surgery?

Uterine prolapse is a condition which occurs when uterus drops down into or juts out of the vagina. Prolapse happens when the pelvic ligaments and muscles grow weaker and stretch, and no longer provide sufficient support for the uterus. Prolapse might be complete or incomplete. Depending on factors like age of the woman, desire for becoming pregnant and the overall state of a woman’s health, the treatment plan is decided. 

What are the treatment options for a uterine prolapse?

  • Pelvic floor exercises
  • Pessary
  • Surgery 
    • Vaginal hysterectomy with pelvic floor repair
    • Pelvic floor repair
    • Sacrospinous fixation

Why is uterine prolapse surgery performed?

Uterine prolapse surgery is performed to remove the uterus and repair the weak tissue. Uterine prolapse frequently occurs in postmenopausal women who've had one or more vaginal deliveries. Sagging of the pelvic muscles which leads to uterine prolapse can occur:

  • If supportive tissues are damaged during pregnancy and delivery
  • Due to estrogen loss
  • As a result of straining repeatedly over the years (chronic cough, constipation etc.)
  • Due to gravitational effects

How to prepare for uterine prolapse surgery?

Some preparation is a needed for this gynecologic surgery. The doctor might give a few guidelines that need to be followed before the procedure is carried out:

  • The doctor will give details of the technique and will give sufficient opportunity to clarify all doubts regarding the technique.
  • Consent will be taken to ensure patient’s approval for the procedure. 
  • Further to an absolute medical history, the doctor might carry out a complete physical investigation to make certain that the patient is in good health to undergo the procedure. Some other diagnostic tests or blood tests may sometimes be required.
  • 6-12 hours of fasting is required before the surgery.
  • Inform the doctor about any pre-existing allergies to any anesthetic agents, tape, medications or latex.
  • Inform the  doctor about any previous treatment  for a cervical, vaginal, or pelvic infection in the past 6 weeks
  • Inform the doctor about any pre-existing lung or heart problems.

Quick Enquiry

Doctors
View More

Dr. Prabha Ramakrishna.

Senior Consultant & Head - Obstetrics & Gynaecology
Appointment
View More

Dr. Chitra Sreenivasa Murthy.

Senior Consultant - Obstetrics & Gynaecology
Appointment
View All

Testimonials

Pregnancy Journey with Sakra World Hospital

Tejaswini and her husband shares their complete pregnancy journey at Sakra World Hospital under the capable hands of Dr. Prabha and Dr. Shalini. Watch the video to know more! About

Read More

Pregnancy and delivery experience at Sakra

My pregnancy and delivery experience has been wonderful. I delivered a baby girl at Sakra World Hospital last December. It was a normal delivery. This would not have been possible

Read More

Precise assessment and rapid response during emergency, saved us

Our sincere thanks to Dr. Prabha Ramakrishna and team for the safe delivery of our baby at Sakra. Her precise assessment and rapid response during emergency saved us. She is

Read More

My pregnancy and delivery experience has been awesome

I believe that these 9 months are very precious and one always wants them the best as anything can go wrong at any point. So it is very helpful at

Treatment: Pregnancy Care and Delivery

Name: Ms. Goldie Srivastava

Location: Bangalore

Read More

Thank you Dr Prabha We are pleased with your professional service.

I am glad to know Dr. Prabha and would like to share my experience. I know Dr. Prabha since mid of 2015 when I first went to her for a

Treatment: Pregnancy Care

Name: Chaitra B.V

Location: Bangalore

Read More

Excellent- Many thanks. Dr. Prabha you are a true professional

Excellent- Many thanks. Dr. Prabha you are a professional and you understand your patient so well. Being a father and husband, I was nervous but you were exceptionally brilliant with

Read More

Request an Appointment

Please select captcha

Blogs related to

  • The surprising link between oral health and pregnancy

    Can Oral Health Have an Effect on Pregnancy?

    Recent research indicates a link between gum disease and childbirth complications. Pregnant women who have gum disease may be more likely to have a baby that is born

    Read More

  • Management of High Risk Pregnancy

    How can high risk pregnancies be managed?

    For all women who are diagnosed with a high-risk pregnancy, treatment options vary depending on the risk factors specific to the pregnancy and the woman’s medical history.

    High Blood Pressure

    It

    Read More

  • High Risk Pregnancy

    What is a High Risk Pregnancy?

    A high risk pregnancy is the one in which some conditions puts the mother or the developing fetus or both at higher than normal risk of developing complications during or

    Read More

  • Get Closer to Your Baby’s Life Inside the Womb

    Fetal medicine and its role in pregnancy

    Fetal medicine is a specialty that provides a holistic approach towards fetal care and works in sync with Obstetrics and Gynecology to ensure a safe and healthy delivery. All

    Read More

  • How to breastfeed?

    Woman have been breastfeeding since the beginning of time, but it cannot be stated that every woman is always prepared to breastfeed. Every woman who experiences childbirth for the first time is completely new to

    Read More

  • Breastfeeding is not a choice. It is a responsibility

    It is an act that not only helps you feed your baby but one that builds a special bond between you and your baby.

    What are the benefits of breastfeeding for the baby?

    It is the best

    Read More

  • Blossoming on wheels!

    0n 14th Feb 2017, while Sakra World Hospital was launching its new comprehensive maternity program – Birth and Blossom, one of their trained nursing staff was doing a miraculous emergency delivery in an ambulance. It

    Read More

  • Silent Epidemic: Osteoporosis has affected 200 million women worldwide

    Osteoporosis is estimated to affect 200 million women worldwide - approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged

    Read More

View more blogs

Tejaswini and her husband shares their complete pregnancy journey at Sakra World Hospital under the capable hands of Dr. Prabha and Dr. Shalini. Watch the video to know more! About Department of Obstetrics and Gynaecology: The Department of Obstetrics and Gynaecology at Sakra World Hospital provides complete care that goes beyond the needs of a woman, to ensure a healthy life for them. The Department provides a wide range of services including complete obstetrical care, management of high risk pregnancies, painless deliveries, infertility management, contraception an

My pregnancy and delivery experience has been wonderful. I delivered a baby girl at Sakra World Hospital last December. It was a normal delivery. This would not have been possible if my gynecologist doctor Prabha wasn't determined that I should have a normal delivery.  I am really grateful to her and her team for the same. It was my doctor who advised me to attend the prenatal classes at Sakra conducted by Doctor Shalini. Honestly, I had no clue about these classes and was initially reluctant to attend it. If it hadn't been for Doctor Shalini, I would have never known about the amazing pain coping strategies during the delivery. Words can't express my gratitude towards Doc Shalini for all her efforts on the day of my delivery. She ensured she canceled all her appointments for that day just to be with me and support me from the start of my labour till she saw my baby. I couldn't have imagined myself having a normal delivery without the support of Doc Prabha and Doc Shalini. Sakra has was always been our choice for my delivery owing to its facilities and supportive staff. My 9 months journey has been really a blessed one and we thank Sakra, it's doctors and staff for the beautiful memories.

Our sincere thanks to Dr. Prabha Ramakrishna and team for the safe delivery of our baby at Sakra. Her precise assessment and rapid response during emergency saved us. She is very dedicated toward her work and her patient friendly interactions gave us lot of confidence. Over the course of time she has become like a family doctor to us.  Regards.

Patient Name: Mrs. Sireesha Katuri (Patient underwent C-section, High-risk Pregnancy Case)

Testimonials By: Mr. Dastagiri Babu. N

 

 

 

 

 

 

Dr. Prabha Ramakrishna
Senior Consultant in Obstetrics and Gynaecology

Book Appointment With Dr. Prabha Ramakrishna,Obstetrician

 

Dr. Shanthala Thuppanna
Senior Consultant - Gynecological Laparoscopy

Book Appointment With Dr. Shanthala Thuppanna,Gynaecologic Oncologist,Gynaecologist

 

Dr. Chitra Sreenivasa Murthy
Senior Consultant - Obstetrics and Gynaecology

Book Appointment With Dr. Chitra Sreenivasa Murthy,Obstetrician & Gynaecologist

 

Dr. Anupama Rani V
Associate Consultant - OBG

Book Appointment With Dr. Anupama Rani V,Obstetrician & Gynaecologist

 

Dr. Shilpa Kava
Associate Consultant – OBG & GYN

Book Appointment With Dr. Shilpa Kava,OBG

 

Dr. Vani Ayyasamy
Attending Consultant (OBG & GYN)

Book Appointment With Dr. Vani Ayyasamy,Gynaecologist

 

Dr. Chaitra Gowda
Attending Consultant - OBG

Book Appointment With Dr. Chaitra Gowda K N,Consultant Obstetrician and Gynecologist

I believe that these 9 months are very precious and one always wants them the best as anything can go wrong at any point. So it is very helpful at this time to have a good support, especially on the healthcare front especially from the doctors. Certainly, one has multiple options to select from, to go to any kind of facilities available in the city and we are happy we chose Sakra World Hospital for our baby’s arrival. The reason was very simple - I had a really good feedback for the facility as well as the doctor and our experience was also amazing when we visited the hospital for the first time. When we met Dr. Chitra we were pretty confident from the first consultation itself that we are in the right hands. Theses 9 months are definitely not easy and it has almost been a roller coaster with so many ups and downs and mostly downs. We used to panic and would get depressed at times and that is when the immense support from the doctor and her team made us feel most comfortable. So our overall experience has been very good as we have always got all the care, attention and proper treatment at all time.

“My experience has been awesome. The services have been very nice, everyone from the housekeeping to the nursing staff has been very kind and helpful. The doctors are amazing and give a lot of confidence and have a very positive attitude, Dr. Anju Namashivaya from Fetal Medicine has always given wonderful advice during all the scans and even if there were any ups and downs she would handle the situation so well and would never let us panic. Dr. Chitra certainly is an amazing doctor and even 5 minutes with her can make you feel so much at ease and she give support at every step throughout the pregnancy. We feel really grateful that we chose to deliver at Sakra World Hospital.”  Ms. Goldie Srivastava

I am glad to know Dr. Prabha and would like to share my experience. I know Dr. Prabha since mid of 2015 when I first went to her for a check-up she was polite, took time to explain us things and gave us the moral support throughout my pregnancy period, she always addressed our concerns patiently, be it when we visited her in person or through messages and emails, she has always responded to my messages and emails.

I would like to thank Dr.Prabha and her team at Sakra. the nursing staff are very Polite and humble, We are pleased with your professional service.

"At Sakra, the 'Women and child care department', has set the bar very high in patient care and the treatment."

 

Thank you Dr. Prabha. All the best!!

 

Excellent- Many thanks. Dr. Prabha you are a professional and you understand your patient so well. Being a father and husband, I was nervous but you were exceptionally brilliant with easing the tension and making the process so smooth. Many thanks to you. Sister Divya and Sister Annie "YOU ARE A STAR". Thank you for taking very good care of my wife and son. I will always remember your care and affection. Most importantly, your professionalism towards your "Call of Duty." My sincere thanks to you both. God bless you two.

Husband of Sylvia Chakhi
 

The surprising link between oral health and pregnancy

Can Oral Health Have an Effect on Pregnancy?

Recent research indicates a link between gum disease and childbirth complications. Pregnant women who have gum disease may be more likely to have a baby that is born too early and too small.

More studies are needed to confirm the exact correlation between gum disease during pregnancy and labor complications, but it appears that gum disease may trigger increased levels of biological compounds that induce labor. Data also suggests that when periodontal disease worsens during pregnancy, there's a higher risk of having a premature baby.

What Can I Do to Ensure I Have a Healthy Pregnancy?

Pregnancy and dental care are important for a healthy baby. Pregnant women and women who plan on getting pregnant should visit their dentist for a checkup and to treat any dental problems before conceiving.

Regular brushing and flossing, eating a balanced diet and visiting your dentist regularly will help reduce pregnancy dental problems.


What Oral Problems Might Develop During My Pregnancy?

Many pregnant women experience pregnancy gingivitis — when dental plaque builds up on the teeth and irritates the gums. Symptoms include red, inflamed and bleeding gums.

Pregnancy gingivitis occurs due to increased levels of hormones that influence the way gums to react to the irritants in plaque.

Keeping your teeth clean, especially near the gum line, will help dramatically reduce or even prevent gingivitis during pregnancy. 

What Can I Expect When I Visit My Dentist During My Pregnancy?

First, be sure to let your dentist know you're pregnant when you schedule your appointment. It's best to schedule your dental visit during the fourth to sixth month of your pregnancy. Avoid seeing a dentist during the first three months of pregnancy, are thought to be of greatest importance in your child's development and the stress of a dental visit may be detrimental to the foetus.

Typically, X-rays, dental anesthetics, pain medications and antibiotics (especially tetracycline) are not prescribed during the first trimester, unless necessary. 

During the last trimester, prolonged sitting in a dental chair can become uncomfortable and a dental examination may be infeasible.

If you need to schedule an emergency visit, let the dentist know about your pregnancy before you arrive. Discuss any relevant medical history, stress factors, past miscarriages and medications you are taking as these can influence your dental care plan and outcomes.


Avoiding A Toothache During Pregnancy

It is recommended by dental specialists that women see a dentist before they plan a pregnancy. This way, the office can do a thorough checkup and cleaning, as well as treat any existing dental problems. Of course, you can also consult a dentist while pregnant.

When you experience a toothache or gum problems during pregnancy, see a dentist as soon as possible for treatment. Dental health issues can adversely affect your pregnancy and early intervention is important for both mother and child.

Avoiding Tooth Decay

Cavities are formed when the bacteria in your mouth use the sugars and carbohydrates present in food to produce acid, which dissolves the enamel on your teeth. 

Pregnant women are at increased risk for developing tooth decay due to a number of reasons: unhealthy food cravings, decrease in brushing and flossing and vomiting as a result of morning sickness can intensify the amount of acid in the oral cavity.

To prevent tooth decay, brush your teeth twice a day, using a soft brush and appropriate toothpaste. Keep sugary snacks to a minimum. Rinse your mouth with water when you aren't able to brush, and floss once a day. 

It's fairly common for an expecting mother to complain about bleeding gums when brushing or flossing. Hormonal changes that come along with pregnancy can cause inflammation, sometimes called pregnancy gingivitis. To keep this condition from developing into more serious gum disease, intensify your dental care routine by using an antibacterial mouthwash and seeing your dentist for more frequent cleanings.

Look Out for Gum Disease

Some pregnant women experience a raw-looking swelling of gum tissue called a "pregnancy tumor" grows between the teeth. These growths bleed easily and may be caused by excessive plaque. Consult a dentist if you suspect you have a pregnancy tumor, even though they are usually benign.

Another uncommon complication of pregnancy is loose teeth. This can develop due to hormones affecting the ligaments that hold the teeth in place.

Pregnancy dental care is an important part of your general health and the health of your baby. This is why, for a safe and healthy pregnancy, dentists and obstetricians encourage women to make their oral health a priority.

Oral hygiene maintenance during pregnancy

Unless it's a dental emergency, plan your dental visits throughout the entire pregnancy. Start by scheduling an appointment prior to becoming pregnant. That way, any necessary procedures can occur before you become pregnant. 

The first trimester isn't ideal for dental treatments as the fetus is in the initial stages of development. Instead, schedule non-emergency visits for the second trimester or early in the third trimester.

There a few experiences in a woman's life as special as being pregnant. Seeing a dentist while pregnant is often overlooked but it is important that you don't forget to maintain good oral health. That includes teeth cleaning while pregnant. 

Brush at least twice each day with a good toothpaste and don't forget to floss, as it complements brushing by removing food particles that stick in places a brush can't reach. Taking care of your mouth ahead of time will allow you to focus on the joyful arrival of your child.

Management of High Risk Pregnancy

How can high risk pregnancies be managed?

For all women who are diagnosed with a high-risk pregnancy, treatment options vary depending on the risk factors specific to the pregnancy and the woman’s medical history.

High Blood Pressure

It is important to regulate the blood pressure during pregnancy which can be done by making some changes in the high blood pressure medication. Certain diet and lifestyle changes may also be recommended to keep the blood pressure under control.

Gestational Diabetes

Gestational diabetes, or developing diabetes during pregnancy, increases the risk of pregnancy complications. Often times the woman is diabetes only during the pregnancy and is normal after the delivery. Many women having gestational diabetes have healthy pregnancies and healthy infants provided they follow a recommended diet and treatment plan. Some important points to be considered by a woman diagnosed with gestational diabetes include:

    1. Regular monitoring of blood sugar level and maintaining control. A women diagnosed with gestational diabetes must regularly track her blood sugar levels by testing several times a day.
    2. Eating a healthy diet. A low carbohydrate diet with meals spread throughout the day helps to keep blood sugar under control. As diet plan may vary for each individual’s needs, one must always follow a diet as recommended by a dietician and the doctor.
    3. Maintaining a healthy weight. The amount of weight gain that is healthy for a woman will depend on how much she weighed before pregnancy. It is important to track both overall weight gain and the weekly rate of weight gain.
    4. Maintaining a daily record of diet, exercise, and glucose level. A woman with gestational diabetes should write down her blood sugar numbers, physical activity, and everything she eats and drinks in a daily record book.

Some women with gestational diabetes will also need to take medicine, such as an oral hypoglycemic tablet or insulin to help manage their diabetes.

HIV Treatment

HIV infection can be passed from a mother to her fetus as well as during childbirth and breastfeeding, but treatment can prevent transmission.

What steps can be taken to promote a healthy pregnancy?

Staying healthy is probably the first step that one needs to do to lower the risk of having a difficult pregnancy. With the increasing incidence of high risk pregnancies in the current times, it is highly recommended to follow a healthy lifestyle and also consider a pre conception evaluation by a health care providers to ensure fitness for a pregnancy.

Even during the pregnancy, there are steps that can be taken to reduce the risk of certain problems:

    1. Taking at least 400 micrograms of folic acid (a type of vitamin B) every day before and during pregnancy.
    2. Getting proper immunizations.
    3. Maintaining a healthy weight; eating a good diet; getting regular physical exercise.
    4. Smoking, alcohol, or drug use should be strictly avoided.
    5. Prenatal care appointments early during pregnancy and visiting a health provider for regularly scheduled appointments throughout the pregnancy should be given prime importance.


Management of High Risk Pregnancies at Sakra World Hospital 

Sakra World Hospital being a multidisciplinary hospital has a highly qualified and experienced team of specialists from all departments. Our high risk obstetrics team offers a well-coordinated comprehensive continuum of care for the management of complicated pregnancies throughout pregnancy, child birth, and beyond to protect both the mother and the baby.

Being a tertiary care hospital, multidisciplinary team involvement is built in to give the best outcome. Experts in neonatology, critical care, endocrinology, rheumatology, cardiology, neurology, nephrology, gastroenterology, urology, interventional radiology, transfusion medicine, laboratory medicine are all available round the clock.

Sakra Advantages – All under one roof:

    1. Exclusive labor and delivery rooms specially designed to create a living and safe setting during child birth.
    2. Options for painless labor using analgesic and breathing techniques
    3. Ultra-modern operation theatres dedicated to obstetrics
    4. Day assessment unit
    5. Early pregnancy assessment 
    6. High dependency unit 
    7. Intensive care unit
    8. Neonatal ICU
    9. Round the clock blood bank services
    10. Laboratory medicine 
    11. Interventional radiology

High Risk Pregnancy

What is a High Risk Pregnancy?

A high risk pregnancy is the one in which some conditions puts the mother or the developing fetus or both at higher than normal risk of developing complications during or after the pregnancy and birth. Such women and their babies need close monitoring and care throughout the pregnancy. It is essential to understand what causes a high risk pregnancy and to manage it properly at the right time. 

What are the factors that increase the chances of a High Risk Pregnancy?

Pre-existing conditions/factors that can increase the chances of a High Risk Pregnancy include:

    1. Heart disease
    2. High blood pressure
    3. Kidney problems 
    4. Diabetes
    5. Thyroid disorders
    6. Epilepsy
    7. Respiratory disorders like asthma
    8. Autoimmune diseases (like SLE, Rheumatoid arthritis, APLA)
    9. Blood disorders (anemia, thalassemia, sickle cell disease, ITP, etc.)
    9. Underlying mental health conditions 
    10. Family history of high risk pregnancies, or genetic conditions
    11. Problematic past pregnancies
    12. Including previous adverse pregnancy outcome, repeated pregnancy losses, preterm labor
    13. Habits like – smoking, drinking alcohol, using illegal drugs
    14. Being overweight or underweight
    15. Maternal age over 35 years

Pregnancy complications - Various complications that develop during pregnancy pose risks, such as problems with the uterus, cervix or placenta. 

Other concerns might include too much amniotic fluid (polyhydramnios) or low amniotic fluid (oligohydramnios), restricted fetal growth, or Rh (rhesus) sensitization — a potentially serious condition that can occur when the mother’s blood group is Rh negative and the baby's blood group is Rh positive.

Other conditions/factors that can develop during pregnancy include:

    1. Preeclampsia (high blood pressure during pregnancy that can affect the mom-to-be’s liver, kidneys and brain)
    2. Gestational diabetes (diabetes that develops during pregnancy)
    3. Preterm labor (labor that starts before 37 weeks)
    4. Placenta praevia (placenta lying unusually low in the uterus so that it may be covering the cervix, which can cause excessive bleeding during delivery)
    5. Pregnancy with more than one baby (multiple pregnancies)

What else you must know about high-risk pregnancy?

Consult your health care provider about how to manage any medical conditions you might have during your pregnancy and how your health might affect labor and delivery. Ask your health care provider to discuss specific signs or symptoms to look out for, such as:

    1. Vaginal bleeding
    2. Persistent headaches
    3. Pain or cramping in the lower abdomen
    4. Watery vaginal discharge — in a gush or a trickle
    5. Regular or frequent contractions — a tightening sensation in the abdomen
    6. Decreased fetal activity
    7. Pain or burning with urination
    8. Changes in vision, including blurred vision

Also, find out which signs or symptoms should prompt you to contact your health care provider and when to seek emergency care.

A high-risk pregnancy might have ups and downs. Do your best to stay positive as you take steps to promote a healthy pregnancy.

How is a High risk pregnancy diagnosed?

A high risk pregnancy can be detected at an early stage in the pregnancy with a complete medical history of the mother, a thorough medical examination supported by certain investigations. Continuous monitoring of physical health and personal habits help a health care provider in identifying any risks/problems that develop during pregnancy. 

Once a diagnosis has been made, the woman with a high-risk pregnancy should receive specialized care from a team of health care providers adept in managing high risk pregnancies throughout the pregnancy to ensure that she carries the fetus or fetuses to term.

Get Closer to Your Baby’s Life Inside the Womb

Fetal medicine and its role in pregnancy

Fetal medicine is a specialty that provides a holistic approach towards fetal care and works in sync with Obstetrics and Gynecology to ensure a safe and healthy delivery. All kinds of specialized diagnostic and fetal screening tests necessary for monitoring the developing fetus are performed to ensure timely prenatal diagnosis and thus improved prognosis before and after birth. 

What to expect at your Appointment with a Fetal Medicine specialist?

Before your appointment 

    1. You should always try and go assisted by a family member for the appointment. It is also suggested to avoid taking small children along. 
    2. For Early Pregnancy Scan -  you need to have a full bladder, but not so full that you are uncomfortable
    3. For all other pregnancy scans: you do not need to have a full bladder for the scan.
    4. Always carry your maternity notes, scan reports, and prescriptions with you.

At your appointment:

During the Scan

    1. You will have to lie on your back in the scan room with your tummy uncovered.
    2. The lights in the room will be dim for a clear view of the screen.
    3. A gel will be spread on your tummy so that a hand-held probe can be easily moved backwards and forwards over it.  The probe sends sound waves through your tummy.  The sound waves bounce back off the      baby and are translated into an image on the screen.

After your scan

    1. The results will be explained to you and a scan report with details of the examination will be released in a few minutes.
    2. Your next scan will be scheduled accordingly.                     

What is the need of different ultrasound scans during pregnancy?

There are several reasons why it is essential to take different ultrasound scans for women between 11 to 14 weeks of pregnancy.

    1. To see the baby’s heart beating
    2. Check whether there is just one baby
    3. Confirm how many weeks pregnant you are by measuring the baby
    4. Check for any major abnormalities
    5. To do screening for Down’s Syndrome 

What are the different types of Scans?

Early pregnancy scan (5 to 11 weeks) 

 This scan is done to locate the pregnancy, check the baby’s heart beat and diagnose multiple pregnancies.

Nuchal translucency scan (11 to 13 weeks + 6 days) 

This scan is done to assess the risk of chromosomal problems and rule out fetal anomalies in the baby.

Early Anomaly Scan (16 to 17 weeks)

Routine Anomaly scan (18 to 20 weeks) 

This scan helps to assess the baby’s growth, basic echocardiography, rule out anomalies, and check the placenta.

Fetal Echo (18 to 24 weeks) 

Fetal echo is a complete study of the baby’s heart.

Growth scans (24 weeks onwards)

These scans can be done according to the need any time after 24 weeks and are mainly done to assess baby’s growth, the amniotic fluid around the baby and to assess the blood supply to the baby (Doppler study).

What are the tests done under fetal medicine?

SCREENING BLOOD TESTS

    1. Double marker (10 to 13 weeks + 6 days)
    2. NIPT (Non Invasive Prenatal Testing) (10 weeks onwards)
    3. Quadruple test (16 to 21 weeks)

DIAGNOSTIC TESTS

CVS (11 to 14 weeks)

CVS is a test carried out during pregnancy, which involves removing tissue from the placenta to detect chromosomal abnormalities such as Down syndrome and some other genetic conditions, such as sickle cell disease or thalassemia major, if your doctor has asked for you to be tested for these.

Amniocentesis (15 weeks onwards)

Amniocentesis is a test carried out during pregnancy which involves using a fine needle to remove a small amount of the amniotic fluid around your unborn baby. Amniocentesis is used to detect chromosomal abnormalities such as Down syndrome. It can also detect certain other genetic conditions, and fetal infections. 

OTHERS

    1. Amnio Drainage/ Reduction 
    2. FBS (2nd Trimester onwards)

How to breastfeed?

Woman have been breastfeeding since the beginning of time, but it cannot be stated that every woman is always prepared to breastfeed. Every woman who experiences childbirth for the first time is completely new to breastfeeding as well. Nursing can be a little tough in the beginning, but with patience, effort, guidance and lots of support, both the mother and the baby can get a hold of it.

It is always good to try and learn breastfeeding in the hospital as soon as possible and be get guidance from a nurse or a lactation consultant. Though a newborn knows instinctively how to suck, getting his lips and your nipple in the right position (called "the latch") may take some time to settle. Minor adjustments might be required as the nipple may slip out of baby's mouth, or the baby may not know, or may cry, or may just be too sleepy from the birth process.

The mother should not get discouraged due to the small challenges that might come in the beginning. These can be dealt with the help of nurses and lactation consultants or an older women in the family and can develop an understanding and get comfortable with the whole process. Also even if does not get right for several hours (or a whole day), the baby will not starve. 

Since feeds can take anything from five to 40 minutes, the mother should always be seated in a comfortable position for breastfeeding. It is important to have calm and comfortable surroundings especially in the early days of breastfeeding until one gets accustomed to it. 

The baby should be held in a position that is comfortable for the baby as well as the mother to avoid any pain in the arm or the back. Cushions and pillows can be used to give support to the baby or the mothers hand and back. Every mother and baby is unique and will have their own breast feeding style.

It the latching or the sucking hurts, the suction can be interrupted by inserting the little finger in the corner of the baby's mouth between the baby's gums and the nipple. Once the baby latches on properly, the feeding can resume.

Always let the baby feed fully from just one breast rather than alternating between both breasts, which can lead to the baby getting more of watery foremilk, but not enough of the fat-enriched hind milk. This can lead to a fussy baby who wants to breastfeed often.

If the baby still feels hungry after feeding on first breast, the second can be offered. But always remember to burp the before restarting the feed. And after every complete feed.

Some Breastfeeding positions

What are the common problems that one can face in breastfeeding?

Some women adjust to breastfeeding easily while many new mothers find it hard to get used to it. A new mother’s breasts have never been subjected to the jaws of a hungry newborn before, so for most moms, it hurts in the beginning. In the first six weeks, as mother’s milk supply adjusts and the baby learns how to breastfeed, and the mother may suffer from some of the following problems:

    1. Engorgement - overfull breasts
    2. Mastitis – an infection in the breasts due to bacteria that enter the breast and multiply in the milk duct causing pain and inflammation.
    3. Cracked, bleeding or sore nipples                                                     

Breastfeeding takes patience and practice. The mother should never lose hope and whenever faced with a problem should always seek help or advice. 

What is the right time and the right process to stop breastfeeding?

According to World Health Organization it is recommend that babies are given only breast milk for their first six months. This is called exclusive breastfeeding. It is also said that women should carry on breastfeeding even after their babies have started on solid food, until the end of the first year and beyond if they wish. 

Doctors advise breastfeeding exclusively for about six months. After which the baby can be supplemented with semi-solid diet while continuing to breastfeed, until the baby stops taking breast milk completely. Some mothers choose to stop breastfeeding (this is known as weaning) when the baby starts eating a wide variety of food.

Breastfeeding is not a choice. It is a responsibility

It is an act that not only helps you feed your baby but one that builds a special bond between you and your baby.

What are the benefits of breastfeeding for the baby?

It is the best source of nutrition for the baby as it contains all the essential vitamins, fats and proteins that are important for the baby’s growth, and are made available in a form that is easily digestible for the baby. Breast milk contains antibodies that boost immunity and helps your baby fight off various viral and bacterial infections.  It also protects the baby against many allergies and is known to significantly reduce the child’s risks towards cancers. It lowers your baby's risk of having asthma or allergies along with other common infections.

Breast feeding is also known to significantly reduce the incidence of stomach infections, lower respiratory infections, ear infection and meningitis in children. It also prevents children from a lot of diseases that develop later in life, like – type 1 and 2 diabetes, high cholesterol and inflammatory bowel diseases and conditions like obesity as well.

How does breastfeeding benefit the mother?

Breastfeeding is not only beneficial for the baby but also has many benefits for the mother. Apart from building the emotional bond between the mother and the baby, breastfeeding is very healthy for the mother as well. It even fastens the mother’s recovery from childbirth. The hormone oxytocin, released during breastfeeding, acts to return the uterus to its regular size more quickly and can reduce postpartum bleeding. 

It is also seen that women who breastfeed, experience reduced rates of breast and ovarian cancer later in life. Breastfeeding can also reduce the future risk of developing type 2 diabetes, rheumatoid arthritis, and cardiovascular disease, including high blood pressure and high cholesterol, in women. It can also help protect you against ovarian cancer and weak bones (osteoporosis) later in life. 

Exclusive breastfeeding also acts as natural form of contraception as it delays the return of the mother’s normal menstrual period, thus increasing the time between pregnancies. 

What is the essential diet and nutrition requirement of a breastfeeding mother?

It is important to have a good nutritional diet for a lactating mother for the following reasons:

    1. For sufficient production of breast milk  
    2. For providing adequate nutrients to the infant
    3. To meet the mother’s daily needs

The nutritional requirements of a breastfeeding mother are similar to those of a pregnant woman. It is recommended to continue eating just as they were eating during the pregnancy. However, breastfeeding mothers need a little more amount of calories. The lactation period demands an additional 500kcal in diet. Lactating mothers should also take a diet rich in proteins, vitamins, iron and calcium. 

High proteins products like – cereals, pulses, whole grains, dry fruits, eggs and chicken, are good for the mother and thus provide the necessary protein supplement to the baby.

Lactating mother should abstain from consumption of alcohol and aerated drinks as well. Healthier options like fresh fruit juices, tender coconut water and lime juice can be consumed to stay hydrated. Staying hydrated is very essential as it ensures regular supply of milk. It is advised to consume minimum 8 glasses of water a day, and try to drink one glass before every feed. 

Women can also continue the supplement of iron and calcium advised to them during pregnancy, until 3 months post-delivery.

Oatmeal, is also a good option for lactating mothers, as it is helps reduce cholesterol and regulate blood pressure. It's also seen to increase the milk supply and is a good nutritional diet for lactating mothers.

Blossoming on wheels!

0n 14th Feb 2017, while Sakra World Hospital was launching its new comprehensive maternity program – Birth and Blossom, one of their trained nursing staff was doing a miraculous emergency delivery in an ambulance. It was around 3PM when patient - Ms. Smita (name changed) called the emergency of Sakra World Hospital complaining of pain abdomen and vomiting. An ambulance was immediately sent to the address with a nurse on board to assist the patient. As soon as they reached and examined the lady it was found that she being full term pregnant, was in labor and needed to be transferred to the hospital immediately. It was barely 10 mnts since they had left for the hospital when the nurse observed that the baby was crowning and she might deliver before they reached the hospital. Assessing the situation the nurse (Madhu Kumar) took the courageous decision to stop the ambulance and deliver the baby with the best possible resources available. He updated the hospital immediately and another ambulance with a doctor and some more essential supplies was immediately dispatched from the hospital. Meanwhile with constant telephonic support from the team at hospital and with the help of the husband and mother in law, Madhu prepared to deliver the baby in the ambulance. He performed the entire procedure with immense courage and confidence, and considering the situation he did a commendable job using every resource in the most efficient way possible. At the end of 45 minutes when the ambulances arrived at the hospital the baby and the mother were safely moved in and admitted at Sakra World Hospital. 

Silent Epidemic: Osteoporosis has affected 200 million women worldwide

Osteoporosis is estimated to affect 200 million women worldwide - approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90.Worldwide, osteoporosis causes more than 8.9 million fractures annually, resulting in an osteoporotic fracture every 3 seconds. Overall, 61% of osteoporotic fractures occur in women, with a female-to-male ratio of 1.6. Nearly 75% of hip, spine and distal forearm fractures occur among patients 65 years old or over. A 10% loss of bone mass in the vertebrae can double the risk of vertebral fractures, and similarly, a 10% loss of bone mass in the hip can result in a 2.5 times greater risk of hip fracture. In India: Expert groups peg the number of osteoporosis patients at approximately 26 million (2003 figures) with the numbers projected to increase to 36 million by 2013.In a study among Indian women aged 30-60 years from low income groups, BMD at all the skeletal sites were much lower than values reported from developed countries, with a high prevalence of osteopenia (52%) and osteoporosis (29%) thought to be due to inadequate nutrition. It is projected that more than about 50% of all osteoporotic hip fractures will occur in Asia by the year 2050.

As osteoporosis has no obvious symptoms. Traditional X-rays can’t measure bone density, but they can identify spine fractures. Bone mineral density (BMD) has to be measured by more specialised techniques. A number of different types of BMD tests are available, but the most commonly used is DXA (dual-energy X-ray absorptiometry), capable of detecting quite small percentages of bone loss. It is used to measure spine and hip bone density, and can also measure bone density of the whole skeleton. While most limb fractures (such as at the wrist or hip) are obvious, spinal fractures can be more difficult to diagnose. This is because they might be painless, or if there is pain, a person may not know it is caused by a fracture due to the many different causes of back pain.  More obvious signs of spinal fractures are:

  • Loss of height
  • Development of a curved upper back (sometimes called a Dowager's Hump)

Since there are usually no outward signs of osteoporosis developing, doctors will often recommend diagnostic testing depending on your age and if you have other risk factors for the disease.

Prevention: Calcium and vitamin D supplementation reduces rates of bone loss and also fracture rates in older male and female adults, and the elderly. Ensure a nutritious diet and adequate calcium intake, Avoid under-nutrition, particularly the effects of severe weight-loss diets and eating disorders, Maintain an adequate supply of vitamin D, Participate in regular weight-bearing activity, Avoid smoking and second-hand smoking, Avoid heavy drinking.

We in Sakra have started an “Osteoporosis Clinic” the first of its kind in Bangalore to tackle this silent epidemic on Monday, Wednesday and Friday afternoons under guidance of our Endocrinologist Prof.Dr.C.V.Harinarayan.

Dr. C.V. Harinarayan
Director - Diabetes & Endocrinology
M.D. (Int. Med), D.M. (Endocrinology) (AIIMS) F.A.M.S., F.R.C.P.(Glasgow), F.R.C.P.(Edindurgh), F.R.C.P.(Lond), F.A.C.E.(USA)

 

Sakra Centre of Excellence

Neurosciences

Cardiac Sciences

Orthopaedics

Obstetrics and gynaecology

Digestive and HPB Sciences

Renal Sciences

Rehabilitation Sciences

Pediatrics and Pediatric Superspeciality

Aesthetic Surgery

General health check-up

Executive Health Package

Comprehensive Health Package

Gold Health Package

Platinum Health Package

Preventive Health Package

Age Specific health check-up

Senior citizen

Paediatric

Paediatric plus

Teen health

Condition Specific health check-up

Hypertension check

Healthy heart check

Diabetic check

Kidney check

Asthma Check

Osteoporosis Screening

Headache Check

Headache Plus

Spine Check

Spine Plus

Well women

Well women plus

Well woman

Sakra Specialities

Spine Surgery

Internal Medicine

ENT and Head Neck Surgery

Cancer and Blood Disorders

Plastic and Reconstructive Surgery

Respiratory Medicine

Rheumatology

Endocrinology Diabetes Thyroid and Osteoporosis

Dentistry

Dermatology

Psychiatry

Ophthalmology

Critical Care Medicine

Interventional Radiology and Imaging

Interventional Pain Medicine

Blood Transfusion

Breast Surgery

Anaesthesia

Lab Medicine

Cosmetology

Obesity Surgery

Patient Care

Patient Info

Sakra Advantages

Patient Friendly Approach

Emergency Service

Patient Support Service

Insurance Policy

International Patients

Why Sakra?

Why India?

Accommodation

Billing, Insurance & Payments

Testimonials

Wellness Zone

Health Check-up

Quality and Safety

Sakra Testimonials

Sakra Case Study

Sakra Blogs

News and Events

CME and Conferences

Organ Transplant Authorization

BMW Report

Sakra

About Sakra

Quality & Safety

Contact Us

Sitemap

Career

Pay Online

Virtual tour


BMW report

Sitemap

Patient policy

Web presence by

Copyright©Sakra World Hospital

Copyright©Sakra World Hospital

Web presence by

080 4969 4969 to Book an Appointment