Obstetrics and Gynaecology

The Department of Obstetrics and Gynaecology at KIMS Hospitals in Mahadevapura works to improve health and well-being so women can enjoy better lives.

The team understands that women’s health needs change at different stages of life. They deliver a full range of customised healthcare solutions addressing everything from routine health issues to severe or complex conditions. Using a one-stop service model, they provide preventive care, medical diagnoses and treatments for various illnesses. They also handle prenatal care and baby deliveries, supported by a team of specialists and skilled nurses. The center is equipped with cutting-edge tools and advanced technology to ensure high-quality care.

Experts in the Department of Obstetrics and Gynaecology provide care tailored just for you. A team of specialists works to make a personalised care plan after assessing your needs with advanced diagnostic tools. This team could include physicians, surgeons, nurse midwives, physician assistants, nurse practitioners, sonographers, embryologists and a dedicated nursing staff.

Tests and Procedures

The Department of Obstetrics and Gynaecology at KIMS Hospitals in Mahadevapura offers services that range from routine health check-ups and treatments to surgeries, cancer care, and reconstructive procedures.

Obstetrics and Maternity Services

• Care during pregnancy
• Vaginal childbirth
• Cesarean section
• Screening during pregnancy
• Early pregnancy testing
• Taking samples from the placenta
• Testing amniotic fluid for genetic issues
• Blood sampling from the umbilical cord
• Blood transfusions in the womb
• Counselling about medicine use during pregnancy

Gynecologic Procedures and Surgeries

• Abdominal hysterectomy
• Vaginal hysterectomy
• Minimal-access hysterectomy
• Hysteroscopy for diagnostic purposes
• Laparoscopy for diagnostic purposes
• Ablation of the endometrium
• Fibroid removal surgery
• Ovary removal surgery (oophorectomy)
• Removal of ovarian remnants
• Embolisation of uterine arteries
• Surgery to treat uterine prolapse
• Surgical removal of the cervix (trachelectomy)
• Cervical cone biopsy (conisation)
• Examination of the cervix (colposcopy)
• Removal of polyps (polypectomy)
• Cervical screening test (Pap smear)
• Physical pelvic examination

Care of the Pelvic Floor and Urogynecological Health

• Therapy to strengthen pelvic floor muscles
• Exercises to retrain pelvic floor function
• Surgery to rebuild the pelvic floor
• Surgery to fix a rectocele
• Surgery to address an enterocele
• Repair of vaginal prolapse after a hysterectomy
• Fixing bladder prolapse (also called cystocele repair)
• Training to improve bladder control
• Testing through urodynamic procedures
• Fitting a pessary device
• Managing pessary device care

Birth Control and Family Planning

• Pills for birth control
• Implants for contraception
• IUDs
• Tubal ligation procedures
• Reversal of tubal ligation

Genetic guidance and tests

• Counselling related to genetics
• Gene testing

Supportive and recovery therapies

• Physical therapy

Health Conditions We Treat

Doctors in the Obstetrics and Gynaecology department at KIMS Hospitals in Mahadevapura handle various issues related to the gynaecologic and urinary systems. They have significant experience. Many patients visit this department when their problems are rare, complicated or when other treatments fail to offer solutions.

1. Uterine and Endometrial Problems

• Adenomyosis: Endometrial tissue grows into the wall of the uterus leading to both pain and heavy periods.
• Endometrial cancer: Cancer in the uterine lining, which appears after menopause begins.
• Uterine fibroids: These are noncancerous lumps in the uterus that might bring pain, bleeding, or even fertility struggles.
• Uterine polyps: These are small overgrowths of tissue in the uterine lining and can result in irregular bleeding or trouble conceiving.
• Uterine prolapse: The uterus moves down into the vaginal canal because the pelvic muscles lack strength.
• Uterine anomalies: The uterus may sometimes have structural deformities from birth, which can influence menstruation or the ability to conceive.
• Septate uterus: This condition creates a partition of fibrous tissue in the uterus and is often associated with a higher chance of miscarriage.
• Double uterus: This uncommon condition results in a woman having two distinct uterine cavities from birth.

2. Issues Related to Ovaries, Fallopian Tubes and Surrounding Areas

• Adnexal tumours or masses: These are growths that develop near the uterus on the ovaries or fallopian tubes, and they may be harmless or cancerous.
• Ovarian cancer: This is a dangerous type of cancer that doctors find late because early signs tend to be unclear.
• Ovarian cysts: These are sacs filled with fluid that form in the ovary. They are often harmless but can sometimes cause problems or show more complexity.
• Ovarian remnant syndrome: This happens when pieces of ovarian tissue remain after surgery. It can lead to pain or even the growth of cysts.
• Fallopian tube cancer: This uncommon cancer is often confused with ovarian cancer because the symptoms are very similar.
• Peritoneal cancer: This is a cancer affecting the lining of the abdomen and shows symptoms similar to ovarian cancer.
• Primary ovarian insufficiency: Ovaries stop working before a woman turns 40. This leads to infertility and hormone problems.

3. Disorders of the Cervix, Vagina, and Vulva

• Cervical cancer: This cancer occurs due to ongoing HPV infection and can often be prevented.
• Cervical dysplasia: Changes in cervical cells that are not yet cancer but need watching or treatment.
• Lower genital tract dysplasia: Cells in the cervix, vagina, or vulva grow in this condition.
• Vaginal cancer: Though uncommon, this type of cancer affects older women.
• Vulvar cancer: This cancer develops on the outside of the genital area and is often associated with HPV.
• Vulvar dysplasia: Changes in the vulva cells that may lead to cancer if untreated.
• Vaginal atrophy: The walls of the vagina become thinner and drier after menopause.
• Vaginal bleeding: Unusual bleeding from the vagina needs medical attention.
• Postmenopausal bleeding: Bleeding after menopause may signal problems like endometrial issues.
• Yeast infection (vaginal): A fungal infection that results in itching and unusual discharge.
• Bacterial vaginosis: Bacterial overgrowth changes vaginal balance, causing odour and discharge.
• Vaginitis: The vagina becomes inflamed due to infections or irritants.
• Sexually transmitted diseases (STDs): These diseases spread through sexual contact and affect reproductive health.
• HPV infection: This viral infection may cause genital warts and can result in cancers like cervical or vulvar cancer.
• Vaginal fistula: An unusual tube-like connection forms between the vagina and another organ often causing unwanted leakage.
• Vesicovaginal fistula: A link forms between the bladder and vagina, which causes constant leaking of urine.
• Rectovaginal fistula: This abnormal tunnel connects the rectum and vagina leading to problems like passing stool through the vagina.
• Imperforate hymen: A birth defect where the hymen blocks menstrual blood from flowing out of the vagina.
• Vaginal septum: A tissue wall forms inside the vaginal canal, which could make menstruation or childbirth difficult or impossible.
• Vaginal agenesis: This condition means a person is born without a vaginal canal, and it is often linked to a syndrome.
• Lichen sclerosus: This long-term skin issue affects the vulva. It leads to itching and sometimes leaves scars.
• Lichen planus: This is a disease that causes inflammation on the skin and mucous membranes, including the genital organs.
• Vulvodynia: This refers to persistent pain in the vulva, and doctors cannot find an exact cause for it.

4. Pelvic Floor and Urinary Problems

• Anterior vaginal prolapse (cystocele): The bladder pushes into the vaginal wall when the pelvic floor becomes weak.
• Posterior vaginal prolapse (rectocele): The rectum presses against the vaginal wall, which can cause problems with bowel movements.
• Small bowel prolapse (enterocele): After a hysterectomy, the small intestine may move into the vaginal canal.
• Pelvic organ prolapse: Pelvic organs may drop into or even beyond the vaginal opening.
• Post-hysterectomy prolapse: The vaginal vault may collapse after the uterus is removed.
• Urinary incontinence: Bladder control is lost, which might lead to leakage from slight to severe.
• Urge incontinence: A strong need to urinate that leads to unintentional leaking.
• Stress incontinence: Urine leaks when actions like coughing or lifting raise pressure in the belly.
• Overactive bladder: Frequent trips to the bathroom combined with the feeling of needing to go right away.
• Bladder outlet obstruction: A blockage at the bladder's exit that makes it harder to pass urine.
• Urethral diverticulum: A sac that develops near the urethra, often causing pain or repeated infections.
• Faecal incontinence: Losing control over bowel movements due to issues with the pelvic floor or nerves.
• Transvaginal mesh complications: Problems caused by mesh surgery meant to fix prolapse or incontinence.

5. Periods, Hormones and Sexual Well-being

• Heavy menstrual bleeding: A heavy flow during periods that disrupts daily life.
• Menstrual cramps: Pain that happens with periods from uterine muscles contracting.
• Menopause: When menstruation stops signalling the end of the reproductive stage.
• Perimenopause: The time before menopause when hormones can vary a lot.
• Female infertility: Trouble getting pregnant even with regular unprotected sex.
• Infertility: A general term that refers to issues in conceiving for both men and women.
• Hirsutism: When women grow too much hair in areas typical for men often tied to hormone problems.
• Polycystic ovary syndrome (PCOS): A condition linked to hormones that causes irregular cycles and cysts in the ovaries, and can lead to infertility.
• Female sexual dysfunction: Problems involving sexual desire, satisfaction or response.
• Painful intercourse (dyspareunia): Discomfort or pain experienced during sex, which can happen because of physical issues or mental stress.
• Asherman syndrome (intrauterine adhesions): Scarring inside the uterus that may disrupt periods or make conceiving hard.

6. Conditions Linked to Pregnancy

• Bleeding during pregnancy: This can signal issues that are harmless or, at times, very serious.
• Cholestasis of pregnancy: This liver condition in pregnancy leads to severe itching and could pose dangers to the baby.
• Gestational diabetes: Diabetes that develops while pregnant and needs close care.
• Preeclampsia: A condition where high blood pressure puts both the mother and baby at risk.
• Pregestational diabetes: Women with diabetes before pregnancy must have it managed.
• Heart disease in pregnancy: Heart problems, whether present before or discovered, can make pregnancy more complex.
• Cancer during pregnancy: Treating cancer in a mother while protecting the unborn baby requires balancing risks.
• Pregnancy after transplant: Women who conceive after a transplant face a high-risk pregnancy. They need immunosuppressive treatment and frequent check-ups.
• High blood pressure (hypertension): This condition increases the chance of preeclampsia and other problems during pregnancy.
• Amniotic band syndrome: Tissue bands in the womb can wrap around the fetus. This can cause physical abnormalities.
• Rupture of membranes: When water breaks too, it puts the pregnancy at risk of early labour.
• Miscarriage: Losing a pregnancy before the 20th week.
• Recurrent miscarriage: Two or more back-to-back pregnancy losses need detailed medical investigation.
• Ectopic pregnancy: This serious condition occurs when a pregnancy grows outside the uterus.
• Thrombophilia: A blood-clotting issue that raises the chances of miscarriage and other problems.

7. Conditions During Pregnancy (Focused on Mother and Baby)

• Fetal anaemia: A fetus can have a low red blood cell count. Doctors often address this with transfusions while still in the womb.
• Fetal heart disease: Issues with the structure or rhythm of the fetal heart can show up before birth.
• Fetal macrosomia: When the fetus grows larger than usual, it can make delivery harder.
• Congenital cystic adenomatoid malformation (CCAM): Doctors spot this abnormal lung growth in the fetus through an ultrasound.
• Congenital diaphragmatic hernia (CDH): This serious defect pushes abdominal organs into the chest area.
• Congenital high airway obstruction syndrome (CHAOS): A rare condition blocks the baby's airway during development.
• Twin-to-twin transfusion syndrome (TTTS): Identical twins sharing a placenta face uneven blood distribution in this condition.
• Twin reversed arterial perfusion (TRAP) sequence: A rare issue where one twin forms without a functioning heart.
• Twin anaemia-polycythemia sequence (TAPS): This involves one twin having too little blood while the other ends up with too much.
• Conjoined twins: These twins, connected physically at birth, experience a rare and challenging condition.
• Multiple gestation: Carrying two or more fetuses raises the chances of various complications.
• Premature birth: Babies born before 37 weeks may face challenges with proper growth and health.
• Preterm labour: Labour starts before 37 weeks and often needs doctors to step in.
• Atypical isoimmunisation: The mother's antibodies may harm the fetal red blood cells and lead to anaemia.
• Rh disease: Rh-negative mothers can create antibodies that target the blood of Rh-positive babies.

8. Tumours and Uncommon Growths (Including Paediatric and Non-Reproductive Types)

• Cancer: A broad name for harmful growths that often need special care.
• Germ cell tumours: These come from reproductive cells and can show up in the ovaries or testes.