Top Most Gynecologist Obstetricians in Noida

Obstetrics is the taken from the Latin word obstare, that’s meaning is “to stand by”. Obstetrics is the medical specialty dealing with the care of all women's reproductive tracts and their children during pregnancy (prenatal period), childbirth and the postnatal period. Obstetrics is a medical specialty which provides care to the women at their pregnant and non-pregnant period. Obstetrics is a specialized field of medicine that focuses on the female reproductive system. A gynecologist obstetrician is medical professional who have the capability to provide complete care to a woman at the time of pregnancy.

Consultation with the Gynecologist obstetrician is very beneficial for the women. Obstetrician gives the complete care to the women at their children during pregnancy. The obstetrician must be knowledgeable in all areas of medicine since pregnancy is influenced by diseases of every system of the body. Obstetricians are not only beneficial of the starting of the pregnancy but they are also helpful after the birth of child. They provide the complete care to the women.

Subspecialty in Gynecologist Obstetricians

·         Maternal-fetal medicine – an obstetrical subspecialty, sometimes referred to as perinatology , that focuses on the medical and surgical management of high-risk pregnancies and surgery on the fetus with the goal of reducing morbidity and mortality.

·         Reproductive endocrinology and infertility – a subspecialty that focuses on the biological causes and interventional treatment of infertility

·         Gynecological oncology – a gynecologic subspecialty focusing on the medical and surgical treatment of women with cancers of the reproductive organs

·         Female pelvic medicine and reconstructive surgery – a gynecologic subspecialty focusing on the diagnosis and surgical treatment of women with urinary incontinence and prolapse of the pelvic organs. Sometimes referred to by laypersons as "Female urology"

·         Advanced laparoscopic surgery

·         Family planning – a gynecologic subspecialty offering training in contraception and pregnancy termination (abortion)

·         Paediatric and adolescent gynecology

·         Menopausal and geriatric gynecology

Prenatal Care

Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests:

First trimester

·         Complete blood count (CBC)

·         Blood type

·         General antibody screen (indirect Coombs test) for HDN

·         Rh D negative antenatal patients should receive RhoGam at 28 weeks to prevent Rh disease.

·         Rapid plasma reagin (RPR) to screen for syphilis

·         Rubella antibody screen

·         Hepatitis B surface antigen

·         Gonorrhea and Chlamydia culture

·         PPD for tuberculosis

·         Pap smear

·         Urinalysis and culture

·         HIV screen

·         Group B Streptococcus screen – will receive IV penicillin or ampicillin (it is much cheaper and has a wider coverage)if positive (if mother is allergic, alternative therapies include IV clindamycin or IV vancomycin)

genetic screening for downs syndrome (trisomy 21) and trisomy 18 the national standard in the United States is rapidly evolving away from the AFP-Quad screen for downs syndrome- done typically in the second trimester at 16–18 weeks. The newer integrated screen (formerly called F.A.S.T.E.R for First And Second Trimester Early Results) can be done at 10 plus weeks to 13 plus weeks with an ultrasound of the fetal neck (thick skin is bad) and two chemicals (analytes) Papp-a and bhcg (pregnancy hormone level itself). It gives an accurate risk profile very early. There is a second blood screen at 15 to 20 weeks which refines the risk more accurately. The cost is higher than an "AFP-quad" screen due to the ultrasound and second blood test but it is quoted to have a 93% pick up rate as opposed to 88% for the standard AFP/QS.

Second trimester

·         MSAFP/quad. screen (four simultaneous blood tests) (maternal serum alpha-fetoprotein; inhibin; estriol; bhcg or free bhcg) - elevations, low numbers or odd patterns correlate with neural tube defect risk and increased risks of trisomy 18 or trisomy 21

·         Ultrasound either abdominal or trannsvaginal to assess cervix, placenta, fluid and baby

·         Amniocentesis is the national standard (in what country) for women over 35 or who reach 35 by mid pregnancy or who are at increased risk by family history or prior birth history.

Third trimester

·         Hematocrit (if low, mother will receive iron supplementation)

·         Glucose loading test (GLT) - screens for gestational diabetes; if > 140 mg/dL, a glucose tolerance test (GTT) is administered; a fasting glucose > 105 mg/dL suggests gestational diabetes.

Most doctors do a sugar load in a drink form of 50 grams of glucose in cola, lime or orange and draw blood an hour later (plus or minus 5 minutes) ;

Postanatal Care

Postanatal care is provided to the mother for the following parturition:

Certain things must be kept in mind as the physician proceeds with the post-natal care.

1.   General Condition of the patient.

2.   Check for Vital Signs (Pulse, Blood Pressure, Temperature, Respiratory Rate, (Pain) at times)

3.   Palor?

4.   Edema?

5.   Dehydration?

6.   Fundus (height following parturition, and the feel of the fundus) (Per Abdominal Examination)

7.   If an Episiotomy or a C-Section was performed, check for the dressing. Intact, pus, oozing, haematomas?

8.   Lochia (colour, amount, odour)?

9.   Bladder (keep the patient catheterized for 12 hours following local anaesthesia and 24–48 hours after general anaesthesia) ? (check for bladder function)

10.                      Bowel Movements?

11.                      More bowel movements?

12.                      Follow up with the neonate to check if they are healthy.

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