Pregnancy, Childbirth
& High Risk Pregnancy
Best International Women Health Services
Pregnancy, Childbirth & High Risk Pregnancy
Maternal and high risk pregnancy Maternal / Fetal services at our center provides families with a single integrated program for the complete continuum of care that may be required in high – risk pregnancies .
The focus of our service is early detection and treatment in order to allow for the best possible outcomes for both mother and baby .
before married
- Ultrasound imaging of the uterus and ovaries
- Fertility analysis
- Treatment of cysts
Pregnancy and childbirth
- Preconceptional counseling
- Genetic counseling
- First trimester risk assessment for Downs syndrome
- Prenatal consultation and diagnosis
- Pregnancy management
- High risk Pregnancy management
- Obstetric management of the complicated pregnancy ( high risk pregnancy )
- Advanced prenatal diagnostic procedures :
- Amniocentesis
- Chorion villus sampling (CVS )
- Fetal blood sampling (Cordocentesis)
- Targeted sonography ( Detailed anatomical scan genetic ultrasound , nuchal translucency)
- Advanced fetal evaluations (Biophysical profile, Duplex Doppler, Color Flow Doppler, Non Stress Test
- Fetal Echocardiography
- Multifetal pregnancy reduction
- Delivery and postnatal care
- Consultation for postpartum complication
Your journey to build a family
01
Pre-marital counseling and evaluation
It is necessary to be assured of reproductive health before marriage, and this is done by debating the situation and treating any precursors to delayed pregnancy. Pre-marital examinations do not include laboratory tests only but must also include psychological counselling for the spouses.
- First: Tests to avoid genetic diseases: measuring the percentage of hemoglobin in the blood and the size of red blood cells. A detailed blood test for the different types of hemoglobin was done by electrophoresis.
- Second: Tests to determine the couple’s reproductive ability: -Ultrasound work on the pelvis and measurement of the ratio of LH, FSH, and prolactin, estrogen for the woman, as for the man, testosterone, and semen examination
- Third: Tests to find out if one of the spouses carries diseases that can be transmitted and infected through sexual contact, such as hepatitis and sexual diseases such as gonorrhea, syphilis, AIDS, and others
02
High-Risk Pregnancy and Antenatal Care
Hypertension in pregnancy means high BP. High blood pressure that develops during pregnancy is called pregnancy induced hypertension (PIH). Some women have high BP prior to conceiving, this is called chronic hypertension. Women with chronic hypertension may already be taking medications when they become pregnant and may develop a superimposed PIH later in their pregnancies.
About 1 in 10 pregnant women has problems with high blood pressure.
About 1 in 20 pregnant women has pre-existing high blood pressure.
– Monitoring a pregnancy after infertility treatment
– Whenever a couple, after a few months or years of treatment for infertility, becomes pregnant, it is a moment of great joy. But with that happiness, there is apprehension too. Many questions pop up in their minds. The only treatment for this is proper and systematic monitoring with periodic counselling and assurance.
– Monitoring includes blood tests and solography, regular examinations, and some alterations in medications. Here is a brief account of how we monitor our pregnancies. For simplicity purpose let’s divide the pregnancy into three parts: the first trimester (first three months), the second trimester (middle three months), and the third or last trimester (last three months).
04
Recurrent Pregnancy Loss / Recurrent Miscarriages / Recurrent Abortions
Miscarriage is one of the most devastating experiences that can happen to a woman. Having one miscarriage is, sadly, not that uncommon. Approximately two out of every ten pregnancies will result in miscarriage. Most women go on to have healthy pregnancies after having one miscarriage
It is a vexing clinical problem, and the cause is often unexplained. The treatment options are variable, ranging from masterly inactivity to aggressive management. The psychological implications of recurrent pregnancy loss or abortions are tremendous. A multidisciplinary approach, involving gynecology, genetics, endocrinology, and immunology, is mostly required.
03
Caesarean Childbirth
Cesarean delivery (C-section) is used to deliver a baby through surgical incisions made in the abdomen and uterus.
Why it’s done health care providers might recommend a C-section if:
– Labor isn’t progressing normally.
– Issues with prolonged dilation or opening of the cervix or prolonged time of pushing after complete cervical dilation.
– The baby is in distress. Concern about changes in a baby’s heartbeat.
– The baby is in an unusual position.
– You’re carrying more than one baby. A C-section might be needed for women carrying twins, triplets or more.
-There’s a problem with the placenta previa.
-Prolapsed umbilical cord
There’s a health concern, such as
1- a heart or brain condition.
2-There’s a blockage.
3-A large fibroid blocking the birth canal.
4- A pelvic fracture or a baby who has a condition that can cause the head to be unusually large
5-You’ve had a previous C-section or other surgery on the uterus. Although it’s often possible to have a vaginal birth after a C-section, a health care provider might recommend a repeat C-section.
6-Some women request C-sections with their first babies. They might want to avoid labor or the possible complications of vaginal birth. Or they might want to plan the time of delivery.
05
Natural childbirth without pain
Painless childbirth or epidural anesthesia is a method of passing small amounts of anesthetic into the spine through a catheter, in order to numb the lower part of the body. This method helps eliminate pain during childbirth.
Epidural anesthesia can be performed at any time during childbirth. However, some doctors wait until the cervix dilates to 4 centimeters and until the uterine muscle contraction strengthens. Doctors also prefer not to perform epidural anesthesia if the cervix is more than 7 centimeters dilated, as the birth of the baby will be too quick for the epidural catheter to be installed. The amount of anesthetic will be reduced at the end of the birth process to help you push effectively. The anesthesia process continues until the placenta is expelled.
Advantages of giving birth without pain
Epidural injection is a very safe procedure that can significantly reduce pain or even stop it completely compared to other types of painkillers or anesthetic drugs.
06
Pregnancy
Pregnancy follow-ups from the first months until birth
Natural pregnancy and pregnancy after ICSI
If the pregnancy is normal and the home pregnancy test is positive, a digital pregnancy hormone test can be done using the blood to confirm the validity of the pregnancy test. Visit us to get an ultrasound image, as the gestational sac appears within 4-6 weeks from the date of the last menstrual period, so it is preferable to visit us. After 6 weeks from the date of the last menstrual period, that is, approximately one week after.
If the pregnancy was the result of an IVF procedure, do a digital pregnancy test at the specified time, approximately 14 days after the embryo implantation process.
We will begin the crisis analysis and follow up on your pregnancy safely until delivery
Advantages of giving birth without pain
Epidural injection is a very safe procedure that can significantly reduce pain or even stop it completely compared to other types of painkillers or anesthetic drugs.
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