Obstetrics & Gynaecology

We provide specialised pre-pregnancy counselling and comprehensive obstetric care for women who have experienced complications in previous pregnancies or have pre-existing medical conditions. 

Adverse Past Obstetric History 

• Prediction of Preterm Delivery
  • The use of transvaginal ultrasound for cervical length assessment
  • Regular monitoring and management if necessary (e.g. cervical cerclage)
• Prediction of Pre-Eclampsia/Intra-Uterine Growth Restriction (IUGR)
  • Use the maternal medical history and Doppler ultrasound technique to predict the possibility of preeclampsia/IUGR
  • Given prophylaxis ( e.g. aspirin) and appropriate management if necessary
  • Monitoring of foetal growth and foetal wellbeing
• Identification of Underlying Medical Illness
  • Gestational Diabetes
    • Team approach to management (dietitian, diabetic nurse specialist)
    • Ultrasound assessment for macrosomia and/or polyhydramnios
    • Liaise with endocrinologist in joint counselling and management, if necessary
  • Chronic Hepatitis B Carrier
    • Regular monitoring of chronic Hepatitis B activity status (e.g. Hepatitis B DNA viral load) to predict the risk of neonatal infection
    • Anti-viral medication given to decrease the risk of neonatal infection, if necessary
    • Liaise with hepatologist in joint counselling and management, if necessary 

Pre-existing Medical Disease Complicating Pregnancy 

• Cardiac diseases
• Endocrine diseases, e.g. thyroid disease
• Asthma/respiratory diseases
• Autoimmune/renal diseases
• Neurological disease 

When needed, we will coordinate a collaborative team to arrange consultations with relevant specialists (such as cardiologists for women with cardiac conditions) to ensure comprehensive care is provided, tailored to your specific health needs.