Gynae & Obs Center
Hamida Ashiq Trust Hospital caters to the needs of its regular patients as well as complicated/high risk births. The hospital maintains liaison with General Practitioners and Lady Doctors working in surrounding areas of the Hospital. The Services rendered at Hamida Ashiq Trust Hospital’s High Risk Gynecology Centre are credible and reliable.
At Hamida Ashiq Trust Hospital our specially designed Labour room provides a relaxing and personal place for you to labour and give birth. You will remain in this room until your baby is born.
You may have a Labour Room attendants, Female Medical officer and Gynecologist during your labour and birth. Material Risks involved in the case shall be explained by the Gynecologist, Chief Medical Officer or Anesthetist. If you need to give birth by a Cesarean or Normal delivery, you will be required to sign an informed Consent Form along with your immediate family member to co-sign it. A CTG and other preoperative tests are required in the pre-birth phase. And Pre/Post-operative phase an Ultrasound may be required to make assessment of the condition of the mother.
Coming to the Hospital
ALWAYS call your Gynecologist doctor or before coming to the hospital. If you are unable to reach her, contact the hospital’s Female OPD Clinic at 03064202547.
Remember to bring your Copy of CNIC, Health Insurance Card (if applicable) and your Medical File and a baby bag with you.
When you arrive at Hamida Ashiq Trust Hospital report to Female OPD. A Female Medical Officer and nurse will meet you, check your condition, and ask you a few questions about your labour.
Depending on your condition at that time, you will be cared for in one of the following ways:
- You will go directly to a Labour Room or
- You will remain in the Female OPD (Assessment Room) where members of the health care team will check your condition further, or
- You may be sent to a room/ward if you are in very early labour. Your treating Gynecologist will give you clear instructions to you and the staff about the plan of care.
Pain Relief during Labour/ Pain less Delivery
Pain relief medication is not routinely given during labour, but is available with your Gynecologist’s orders. There are many methods of pain relief, including breathing techniques, body positioning, walking and massage, as well as medications (narcotics, nitrous oxide, epidurals).
Medication is available on your request with a doctor’s orders. Not everyone needs it.
Anesthesiologists will help you choose medication methods for relieving pain.
You may wish to talk to an anesthesiologist about your pain relief choices for labour, birth and/or Cesarean birth in advance. This can be arranged through the Female OPD Clinic or your Gynecologist. Ask your doctor or contact reception to arrange an appointment.
Vaginal Birth after Cesarean Birth
Hamida Ashiq Trust Hospital’s High risk Gynecology Centre supports women who have a vaginal birth after Cesarean section (VBAC). If you have previously given birth by Cesarean section, we encourage you to consider a trial of labour with your current pregnancy. You should discuss this option with Gynecologist or Chief Medical Officer. You are also encouraged to seek a 2nd Opinion on the case to help you make an informed decision.
If you are having a planned Cesarean birth, your Gynecologist will pre-book your surgery date. You will be admitted to the hospital under the Day of Cesarean Birth Program, allowing you to come in on the date of your baby’s birth.
Soon after you give birth:
Your Baby will be shifted to Neo Natal Nursery for Observation for up to 6 to 8 Hours.
Where APGAR score and condition of the new born will be checked and monitored.
Baby will be weighed and identification bands will be attached to his or her wrist and ankle.
An antibiotic cover may be given to your baby soon after birth and a Pediatrician will be called in to access the baby before finally handing over to Mother or Father.
The formal handing taking over of the baby is documented in the baby’s file.
Breastfeeding is usually started very soon after birth. You will normally remain together in the Recovery Room/ post-Surgery Intensive care Unit.
Babies who are premature or who have other health concerns may be cared for in the Intermediate Nursery/ Neo Natal Intensive care. In nursery, mother is encouraged to spend time with their newborn and participate in his or her care.
After the Birth
After your baby is born, you will move to a Private Room or a ward.
We strongly encourage you to have someone stay with you throughout your hospital stay to support you and to learn about caring for your new baby.
Your baby will stay in your room with you 24 hours a day unless he or she requires extra care. Keeping your baby with you, with lots of skin to skin care will help your milk to come in quickly.
Routine tests and procedures on all babies will be done during the first days after birth. These tests will be done in your room and you will be encouraged to hold, feed and settle your baby during procedures such as blood tests. You should discuss these tests and procedures with your Pediatrician.
Special procedures are in place to protect the safety of your baby. You can help. Never leave your baby alone. Never give your child to anyone you do not know and who does not have proper hospital photo identification. Your nurse will discuss this with you.
The Gynecologist or Pediatric team shall introduce you to Surgeon who will perform the Circumcision for your baby. The ideal time for Circumcision is when the child is at least 1 month old and stable. Normally Circumcisions are planned not to coincide with your child’s vaccination schedule.
Leaving the Hospital:
Mothers are discharged from the hospital only after the written orders of the Gynecologist or Chief Medical Officer after final examination of the mother. A discharge Slip is issued along with the follow-up instructions and further treatment in the post hospitalization phase.
If your baby is sick or still admitted in the neo natal Nursery then Discharge will be on the orders of Pediatrician. We suggest that you get the Hospital’s Birth certificate issued at the time of Discharge for onward registration in with Town Municipal Authority e.g. (Walton Cantt Board)
At any point after discharge from the hospital in case of Emergency you are strongly advised to get in touch with your Gynecologist or contact Female OPD Clinic 24/7 at helpline 03028442217 or 111-223-454 Ext:157.
For Pediatric Emergencies please contact your Pediatrician or Paeds OPD Clinic 24/7 at our helpline 03028442218 or contact us at 111223454 Ext:154.
FAQ’s ( FREQUENTLY ASKED QUESTIONS)
May I come in and take a tour of the facility?
Yes, we encourage you to take a tour of the Hospital. Please ask your Gynecologist or Chief Medical Officer or Female OPD Clinic to assist you in the tour and they will be happy to answer questions that you may have.
How should I choose a Gynecologist/Obstetrician?
Hamida Ashiq Trust Hospital has a complete panel of Foreign Qualified, Locally Qualified and Experienced Gynecologists and Obstetricians. You can choose from the list of authorized Specialists working with Hamida Ashiq Trust Hospital. Please contact Front Desk, Chief Medical Officer or Female OPD Clinic for information.
How much would I be expected to pay for the Delivery?
This depends upon the Gynecologist you choose. Depending upon her years of Experience in the field, type of Qualification i.e. Foreign Vs Locally qualified. Your Gynecologist will inform you about the Delivery Expenses.
How can I get a better Deal/Package for Delivery?
After consulting your Gynecologist you are encouraged to see Patient Welfare Officer/Chief Medical Officer or Administrator for advising you on how you can save on costs.
How are the Delivery Packages Compared to Other Private Hospitals?
Hamida Ashiq Trust Hospital’s High Risk and Gynecology Setup is geared to cater to needs of patients with diverse Economic and cultural backgrounds. Depending upon the Gynecologist you choose your Delivery Package will be at least ½ of what you would be expected to pay at leading Private hospitals. This is simply because Hamida Ashiq Trust Hospital is a teaching hospital and our focus is to train Medical resource and provide service that fits into your budget.
When will I know that it’s really time and that I am really going into labor?
If this is your first baby, you’ll know you’re in labor when you are having contractions every four minutes that last for 60 seconds each, for more than an hour-long period of time.
If this is not your first baby, you will recognize that you’re in labor when you start having regular contractions.
If your water breaks, labor may begin spontaneously. Remember to take note of the time when it broke, the amount of fluid that was released and the color of the fluid. If your contractions do not spontaneously begin, your labor may have to be induced.
STAY IN TOUCH WITH YOUR GYANECOLOGIST or Contact Fe-Male OPD Clinic 24/7 at helpline 03028442217 or 111-223-454 Ext:157.
When should I call my Gynecologist or the Labor & Delivery staff?
If this is your first baby, call when you are having contractions every four minutes that last 30 seconds each, for more than one hour.
If this is not your first baby, call as soon as you are having regular contractions.
If your water has broken, let us know at what time it broke, the amount of fluid that was released and the color of the fluid.
Also may also need to call if you experience any of the following:
- Intense abdominal pain
- Extreme vomiting
- Contractions or large amounts of watery discharge
- Vaginal bleeding
- Severe headache or swelling all over your body
- If your baby moves less than 10 times in one hour or if your baby is not moving normally.
What will happen if there is a complication during delivery?
Hamida Ashiq Trust Hospital is backed by a team of Qualified Surgeons who are available for any support that the Gynecologist/Obstetrician may require. Ideally these are anticipated in the pre-operative phase. At times due to failure/inability of patient sharing the complete information with the Gynecologist about any previous still birth or abnormality or medical condition there may be a need to intervention by the Surgical specialist. In such cases the Gynecologist or any of the operating team members will counsel the family about such an intervention and seek informed consent from the family.
Where should I go once I’m at the hospital?
If you have been seen by one of Gynecologists at Hamida Ashiq Trust Hospital you will be required to report to the Female OPD Clinic/Labour Room Doctor on the 1st Floor of Hamida Ashiq Trust Hospital. The Female Duty Doctor shall make initial assessment of your case and complete file. She will then contact your treating Gynecologist immediately.
What do I need to bring in when coming to the Hospital for Delivery?
- Remember to bring your
- Copy of CNIC,
- Health Insurance Card (if applicable),
- Your Medical File and
- A baby bag with essentials of New born Baby
- Mother’s Personal Care items.
I keep hearing about the stages of labor? What are they? How long does each last?
Stage One begins as soon as the first real contractions begin and lasts until you are fully dilated. During Stage One, you will go through:
- Early labor: from about zero to four centimeters dilated
- Active labor: from about four to eight centimeters dilated
- Transition: from eight centimeters to fully dilated. Transition is typically the most painful stage, but it tends to go quickly.
In Stage Two, your cervix is fully dilated and you begin to push. Stage Two ends with the birth of your baby, and the placenta is delivered during Stage Three.
Can I eat during Pregnancy/Labor?
Your Gynecologist shall advise you on Maternal Nutrition. A plan of care will be specifically modeled to your unique situation. If you are healthy and are having a normal spontaneous labor, you will most likely be encouraged to eat small amounts of high-energy food and drink lots of liquids. In such cases, we usually encourage you to listen to your body. If you are being induced, however, or if there is any concern that you may have to have a cesarean section, it is recommended that nothing be consumed by mouth during labor.
What is labor induction and why would someone need to get induced?
Sometimes, if labor has not begun on its own, doctors use certain medicines to make a woman’s labor start so she can deliver her baby vaginally. This is known as “labor induction.”
The most common reason for inducing labor is that a pregnancy has gone two weeks or more past the due date. When this happens, the baby may start to get too big and it may not be able to get enough food from inside your body. Your Gynecologist may also recommend induction if:
- You have high blood pressure or diabetes
- Your water breaks, but you aren’t having contractions
- You have an infection in your uterus
- There isn’t enough amniotic fluid around your baby
How is labor induced?
There are several ways to induce labor. Toward the end of pregnancy, the cervix, which is the opening to the uterus (or womb), begins to soften and may even open up a little. If your doctor doesn’t see these changes happening, she may administer a medication in your vagina near your cervix to help your cervix start to soften and open up.
Your doctor may also break your water by using a finger to separate your cervix from the membranes (tissues) that surround your baby’s head. This often makes labor start. Your doctor will watch you closely and, when you’re ready, will give you a medicine that will start your contractions and help them to become stronger and to come at regular intervals.
How long will my induction take?
Sometimes it can take two or three days to induce labor, but it usually takes less time. It may take more time if you’re being induced really early or if it’s your first baby. Because medications that induce labor can produce very strong contractions and might upset your stomach, it’s recommended that you do not eat very much before coming to the hospital. Be sure to tell your doctor if you need help with the pain. In most cases, labor induction goes well and you can deliver your baby vaginally.
How long will I be in the hospital after my baby is born?
You will normally stay two nights if you have a vaginal delivery, and four nights if you have a cesarean section. The Decision to discharge a patient lies with the treating Consultant/ Gynecologist.
What are the visiting hours and who can visit me?
VISTING HOURS: On Sunday evening only children of all ages are allowed during visiting hours only. On all other days, children under 10 years of age are not allowed.
|Monday to Saturday||Sunday||ICU|
|5 pm to 8 pm||12 pm to 1pm & 5pm to 8pm||5pm to 7pm|
Should I bring my own medications or supplements to the hospital to take while I am there?
For the sake of Patient Safety during hospitalization, the Hospital has a policy of NOT allowing Patient’s Own Drugs in the hospital. The focus is to Monitor the expiry dates, Correctness of Medication and to comply with the Rules and regulations of Punjab Drug Control and Punjab Healthcare Commission’s Minimum Service Delivery standards. Patients are encouraged to use only medicines procured freshly during their stay in the hospital. Please consult your physician/Gynecologist on this. Patients are discouraged to take self-medication without prior knowledge/permission from treating Doctor.