For nine months, The Nest offers you superlative care in a homely and caring environment. The TLC Privilege Package is tailored to make your long wait special. Our ante-natal program prepares you and your spouse both physically and emotionally for the birth of the baby. Our LDRP and elegant birthing suites are designed to make your stay during delivery memorable.

Women care at Fortis Hospitals ,Bannerghata Road,Bangalore launched in 2007 is a culmination of strengths has a 30,000 sq. ft. area is exclusively dedicated to Women care with consultation suites, delivery rooms, operating rooms, dedicated to obstetrics, a 12-bed neo-natal ICU & a nursery. Our Women health care programmes, besides minimal access gynecological services, also include preventive clinics (early diagnosis of breast, uterine, ovarian and cervical cancer), Infertility clinics & Menopausal clinics.

The Nest Birthing Package provides the Following

• The Nest Birthing Suit for Birthing and delivery
• LDRP birthing suites, Private deluxe, Twin-deluxe and multi-bed
• Painless deliveries
• Management of high risk pregnancies/Late pregnancies
• The Lamaze Classes
• Ante-natal classes

We emphasize on natural birthing and provide you support services like Lamaze and ante-natal classes. We give you the option of comfortable natural birthing with painless delivery techniques. The boutique-like comfort comes to you with the quality and safety standards of the Fortis Hospitals Group. The Nest is part of Fortis Hospitals Woman Care Specialty

At the core of each service at The Nest, is the safety of the mother-to-be and the child. The Nest, being a part of Fortis Hospitals, adheres to Harvard Medical International (HMI) standards in safety and quality. We offer clinical expertise that is comparable to the best in the world and cutting-edge technology in diagnostics and treatment.

Types of Rooms The Nest offers you a wide range of rooms. Besides the LDRP suites, we have Private Deluxe, Twin Deluxe and Multi-bed facilities for the new mother’s-to-be. Private Deluxe Rooms have luxurious interiors and more privacy. The walls and fine finish give it a warm feel. The rooms are spacious for the family to relax in. Twin Deluxe rooms are on sharing basis. Each room has an attached bathroom and a screen to provide families the privacy they need. Multi-bed rooms are economical options and have the provision to accommodate 3 patients. These are spacious rooms with an attached bathroom. LDRP Suites (Labor Deliver Recovery Postpartum) LDRP suites are a premium offering here. The LDRP suites are a class apart in style and functionality. These suites come with luxurious interiors and the latest equipment and techniques for delivery. More Details Lamaze Classes The Nest encourages medically approved methods, like Lamaze (breathing techniques & exercises for pregnant woman) and yoga to facilitate natural birthing (normal delivery). More Details The Nest Ante Natal Program Our ante-natal program is designed to make you feel cared for and safe. It is much beyond a regular doctor’s consultation. More Details Fetal Medicine Unit What is Fetal Medicine? Fetal medicine is a new branch of medicine that includes the assessment of fetal growth and well being, the maintenance of fetal health and the diagnosis of fetal illnesses and abnormalities. More Details Neonatal Intensive Care Unit The Nest has a 12-bed NICU and a nursery that is fully equipped to handle all types of emergencies. Experts specially trained in NICU care manage newborns. More Details High Risk Pregnancy Every pregnancy has some risks, but the presence of certain conditions increases the risks manifold. These risks could endanger the life and health of the mother or the baby. More Details Natural Birthing (Normal delivery) The Nest promotes natural birthing. We believe each woman has inherent strengths to deliver her baby naturally, unless a health condition poses risks to her and the baby. Our Woman Care professionals help you prepare for the birth from the second trimester onwards. We encourage you to learn Lamaze and yoga. The involvement of the spouse in this process is important. Pain relief during labor The Nest is one of the few advanced centers in the country to offer epidural anesthesia for painless natural delivery. We have a dedicated and experienced team of medical professionals that assesses each patient and decides the type of pain relief she requires. The pain relief program is highly individualized. Our pain relief team comprises an anesthesiologist (an expert in conducting pain less delivery) and gynecologists experienced in conducting high risk pregnancies Blood Bank The blood bank is an integral part of any hospital and extends great support and strength to surgical and trauma departments. Sometimes blood transfusion is required during delivery and having a blood bank under the same roof is a big bonus. The Fortis Hospitals blood bank operates round-the-clock and meets the high standards of screening and preservation of samples.

The Fortis Hospitals Group has an exclusive association with HMI in India.The Nest enjoys the backing of Fortis’s five core super-specialties. We give you a wide choice of eminent obstetricians and gynecologists and specialists from other disciplines.

Sanya, a 37-year-old architect ignored frequent pain in her lower abdomen till a friend of hers suggested a CT scan. When she was detected with ovarian cancer, it completely stunned her. The tumors were thankfully in the first stage and could easily be removed by a hysterectomy. Her friend suggested Single Incision Laparoscopic Surgery (SILS) which made it less intrusive and overwhelming. Sanya, has since, recovered completely and endorses early intervention and SILS as a preferred option for surgery.

Ovarian cancer is one of most common cancer among women. It is also one of the cancers that gets detected late. Here’s everything you need to know about it and why SILS is a good option :

Symptoms

Unfortunately, the symptoms of ovarian cancer can be very vague. Most of us tend to ignore an increase in abdominal size, a bloated feeling, indigestion, and pain in the lower back and abdomen.
According to  gynaecologists  the symptoms are not very obvious as we also tend to confuse them with symptoms of pre-menstrual syndrome.

In the genes

Genes is one of the causes of ovarian cancer. If there is a family history of ovarian cancer, it could put you at greater risk. However, it is not necessary that a woman will be diagnosed with ovarian cancer if her mother had it.

Women with endometriosis and those who use post menopausal estrogen replacement therapy are also at a high risk. Another factor is alcohol. More than two drinks a day has also been found to up the risk of ovarian cancer.

Detection

“You can detect the cancer in its early stages by undergoing routine gynaecological check-ups and ultrasounds,” says Dr Shinde. Those above the age of 40 should especially make it a point to have these done regularly.
While ovarian cancer usually affects women between the ages of 50 and 70, it can also occur in young adolescent girls. According to Dr Raut, ovarian cancer in younger girls is a lot more malignant than those affecting older women. Therefore, if you have unexplained pain in the abdomen along with bloating, get an ultrasound test done immediately.

Treatment

MRIs and CT scans can confirm if you have the disease. Surgery is the primary treatment of ovarian cancer.

It is usually recommended for those with malignant tumors that are confined to the ovary. Patients who are at an advanced stage will be recommended chemotherapy post surgery. Surgery could either be removal of one or two ovaries, fallopian tubes or hysterectomy.

Single Incision Laparoscopic Surgery (SILS) is the best option since sugery with minimal invasion is usually recommended for removal of tumors.

With SILS, only one 20mm incision is made through with a scope is inserted which takes pictures telling the surgeon what he will need to do. It uses instruments that are flexible and can be easily moved around. SILS is in short surgery which is performed without opening you up. Since it does not involve too many stitches, there is minimal loss of blood and very less pain.

One of the major advantages are that post this procedure one can resume their chores within 24 hours. Fortis hospitals have been practising this procedure for over a year now. The procedure is relatively new in India and not many hospitals offer the expertise Fortis Hospitals Bangalore provides

“After surgery, if we find out that the tumour will respond to chemicals, the patient undergoes chemotherapy,” says one of the city’s top gynaecologists

Ovarian cancer is not a disease that can be predicted well in advance since it has no particular causes or patterns. But if detected in early stages, it can be completely treated.

to  set up an appointment with our Gynecologists,email us at enquiries@fortishospitals.in

Polycystic Ovarian Syndrome or PCOS is one of the most common female endocrine disorder manifested obesity, Hirsutism (excessive facial or body hair), Alopecia (male pattern hair loss) irregular menstruation, acne associated with enlarged ovaries, Acanthosis Nigricans (brown skin patches), high cholesterol levels, exhaustion or lack of mental alertness, decreased sex drive, excess male hormones and infertility. Other symptoms can include sleep apnea (breathing difficulties during sleeping), thyroid disorders and depression and anxiety.. This complex disorder is characterised by excessive androgen production by the ovaries which interferes with the growth of the ovarian follicles.

1.Causes of Polycystic Ovarian Syndrome The cause of PCOS is uncommon. Most researchers think that more than one factor could play a role in PCOS. Genes are thought to be one factor. Women with PCOS tend to have their mothers or sisters affected with PCOS
2. How common is the syndrome among urban women. Any statistics. Which age group is mainly affected

PCOS is commonly found amongst urban women. The incidence varies from 1 out of 10 women, more common amongst infertile women. It is prevalent in young reproductive period. PCOS are caused by imbalance in the hormones in our brain and ovaries. Many women have higher than normal levels of insulin. PCOS usually happens when a hormone called LH or levels of insulin are too high, which result in extra testosterone production by the ovary.
3. What are the early symptoms that women should watch out for PCOS
Not all women with PCOS have the same symptoms, some of the symptoms are:
• irregular menstrual period / no periods
• infertility
• Increase hair growth on the face, chest, stomach – this condition is called hirutism
• Acne, oily skin or excessive dandruff
• excessive weight gain or obesity
• male pattern baldness or thinning or patching of hair
• dark brown or black skin on the neck, arms, breasts or thighs which is called Acanthosis Nigricans

4. Are women with PCOS more prone to developing diabetes
Women with PCOS have great chances of developing type II diabetes. More than 50% of women with PCOS will have diabetes or pre-diabetes before the age of 40
5. What is the treatment procedure
There is no specific cure for PCOS. It needs to be managed to prevent the problem
Birth Control pill:
For women who does not want to get pregnant birth control pill can control menstrual cycle, it may reduce male hormone levels and help to clear acne. Only progestrogen pill or better known as mini pill, can be taken.
Metformin -a drug which is used to treat diabetes is found to help women with PCOS symptoms. Abnormal hair growth will slow down and ovulation may return after few months of use
If a woman wants to get pregnant – lack of ovulation is usually the reason for fertility problem in PCOS. Several medication that stimulate ovulation can help women PCOS to get pregnant. For most patient Clomiphene Civate is the first choice of therapy to stimulate ovulation. If this fails Metformin is taken with Clomiphene is usually tried
Gonadotropin can also be used to stimulate ovulation. These are given as injection.
For hair growth or extra male hormone – anti androgen may reduce hair growth and clear acne. Spironolactone (Aldactone) has been used to reduce the impact of male hormone
Anti androgens are often combined with oral contraceptives

Incidence of Polycystic Ovarian Syndrome

Polycystic ovarian syndrome (PCOS) accounts for 90% of women with oligomenorrhoea (infrequent periods) and 30% of women with amenorrhoea (absent of periods) and over 70% of women with anovulation.

Diagnosis of Polycystic Ovarian Syndrome

Laparoscopy

Laparoscopy allows direct inspection of the ovaries; the ovaries are enlarged and polycystic. However, polycystic ovaries may appear normal at laparoscopy.

Vaginal ultrasound scan (better than abdominal)

The vaginal ultrasound may show the typical PCOS appearance but reliability varies with expertise.

Surgical Treatment
Ovarian drilling – is a surgery that brings in ovulation. It is done when a women does not respond to fertility medicines. This is done through laparoscopy. This surgery can lower male hormone levels and in ovation. But these affects may only last for few months.
Lifestyle Modification
Keeping a healthy weight by eating healthy food and exercise is another way of helping to manage PCOS. Many women with PCOS are overweight or obese. Even a 10% loss in body weight can restore a normal period and make a women’s cycle more regular.