Yeshwanthpur - Obstetrics & Gynecology
Columbia Asia Referral Hospital –Yeshwanthpur, Bangalore has a dedicated Department of Obstetrics and Gynecology.
Practice of evidence based medicine and use of internationally accepted protocols is the hallmark of services of this department. Obstetricians are available round the clock and handle high risk pregnancies with the support of extremely well trained, experienced nurses and intensive care unit with all the required equipment and support staff. A pediatrician is present is for all deliveries to handle any new born emergency. Expectant fathers are allowed to be part of the delivery process when appropriate.
The Obstetrics and Gynecology department offers a special pregnancy support program called Columbia Venus that allows the mother to enjoy the experience of childbirth, while everything else is taken care of by the experts right from pre-conception counseling, antenatal care to post-natal services. In addition, the specialized birthing centers provide a comfortable environment with easy access to essential medical equipment.
Treatments and Procedures
- Contraceptive services
- Medical Termination of Pregnancy services
- Reproductive endocrinology (hormonal defects) and infertility
- Pain management for labour and delivery
- Infertility services
- Care of the pregnant woman: comprehensive pre-natal care, exclusive labour suites, 24 hr surgical capability and anesthesia support, complete maternal and fetal monitoring , immediate access to Neonatal ICU, etc.
- High risk pregnancy including diabetes in pregnancy, pre-eclampsia and hypertensive disorder, previous or recurrent pregnancy loss, preterm labor and delivery, pregnancy with cardiac and any medical disorder
- Multidisciplinary care if needed in associated cardiac, mental, renal and general medical problems.
- Multi-disciplinary care for co management of high risk pregnancies with endocrinologist, physician, anesthetist, ultra sonologist, etc
- Management of dysfunctional uterine bleeding and other menstrual disorders
- Management of polycystic ovarian disease, fibroids and endometriosis
- Minimally invasive hysterectomy (removal of uterus)
- Laparoscopic assisted tubal anastomosis, reversal of tubectomy, ligation/sterilization and diagnosis and treatment of ectopic pregnancy
- Screening for cervical cancers and surgery for cancers of the female reproductive system
- Evaluation and management of endocrine disorders (eg: prolactin, thyroid)
Introduction to ZED Scan
Prevention and early detection of Cancer Cervix
Novel Technology the ZED scan for Cervical Cancer Diagnosis at Columbia Asia Referral Hospital Yeshwanthpur
Cervical cancer is the second most common cause of deaths in women in the age group 15 to 44 years, in India. It is a highly preventable and treatable curable, albeit if identified in early stages. One out of five women in the world suffering from cancer cervix are from India and more than 75 % of these are detected in late stages. An effective screening program that has helped the developed countries reduce the burden of disease, should be followed in India to reduce the incidence.
Cervical cancer is caused by a number of strains of Human Papilloma Virus (HPV) that is transmitted by sexual contact with an infected person. The transition of normal epithelium to pre-cancerous stage and then to cancer, occurs sequentially and progresses through well recognized stages. It takes approximately 10-20 years to develop to an overt cancer. Women should be targeted for screening from 39 to 59 years of age. In India, the incidence of cervical cancer significantly rises around the age of 45 years and peaks at 55 years of age.
Cervical screening should be advocated for all ever sexually active women within a certain age group irrespective of whether they have any complaints. The national guideline for cervical cancer screening in India advocates screening of women between 30 years to 59 years of age. Centre for Disease Control USA advocates pap smear for ages 21-65 years. The focus on detection and prevention of cervical cancer must be emphasized in a highly populated country like India.
Columbia Asia Hospitals is adopting a novel technology for early stage detection of cervical cancer during screening. The ZedScan, developed by Zilico UK, is a non-invasive technique for examining the cervix for cancer. It is based on the principle of electrical impedance spectroscopy, where the tissues under examination will detect the presence of cancer. By varying the frequency of the electrical signal, the Zedscan is able to characterize the tissue for the grade of cancer present. After extensive clinical studies and approvals from the European and other regulatory agencies across the world, the Zedscan is introduced for pilots at the NHS in the UK and at Columbia Asia Hospitals in India.
The standard protocol for screening and diagnosis before treatment used to involve a lengthy process where first a pap-smear is taken and the report takes approximately 3 days. If the pap-smear report shows any cause for concern the woman is requested to come in for a further examination where a 4-5% acetic acid (VIA or visual inspection with acetic acid) is smeared over a specific area called transformation zone of the cervix. After a 3-5 min wait, the tissue that are precancerous, will change color to a pale white shade. In the event, pre cancerous tissue is detected a sample of tissue is taken from the suspect region for histological examination.
- Patient demographics and history taking
- Physical examination
- Counselling and explanation of the Cancer cervix screening procedure
- Examination of the cervix
Adverse events include anaphylaxis, intolerance to speculum, intolerable pain, excessive bleeding, etc.