High Risk Pregnancy

Painless Delivery & Caesereans (Epidural Anaesthesia)

Painless Abortions

Abortion by Medicines

Family Planning

Infertility Treatment

Laparoscopic Surgeries

Gynaecologic Surgeries

Adolescent Counseling

Menopause & Osteoporosis Management

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Family Planning

Dr. Kiran Mehndiratta’s Clinic offers a cafeteria approach to the patients for avoiding unwanted pregnancies. Patients may choose non-permanent measures like Oral Contraceptive pills, barrier methods, I.U.C.D., injectable contraceptives (Depo-provera) or permanent methods, that is, voluntary sterilization.
 

Voluntary surgical procedure for permanently terminating fertility in women


Methods

  • Minilaparatomy (interval or postpartum)

  • Laparoscopy (interval only)

Mechanism of Action

  • By blocking the fallopian tubes (tying and cutting, rings, clips or electro-cautery), sperm are prevented from reaching ova and causing fertilization.

When to Perform

  • Anytime during the menstrual cycle you can be reasonably sure the client is not pregnant.

  • Days 6–13 of the menstrual cycle (proliferative phase preferred)

  •  Postpartum: within 2 days or after 6 weeks

  • Postabortion: immediately or within 7 days, provided no evidence of pelvic infection

Appropriate for

  • Women of any reproductive age (usually < 45) or parity who want highly effective, permanent protection against pregnancy

  • Women for whom pregnancy would pose a serious health risk

  • Postpartum women

  • Postabortion clients

  • Women/couples who are certain they have achieved their desired family size

  • Women who understand and voluntarily consent to the procedure

Method Characteristics: Benefits

  • Highly effective (0.2–4 pregnancies per 100 women during the first year of use)

  • Effective immediately

  • Permanent

  • Does not affect breastfeeding

  • Does not interfere with intercourse

  • Good for client if pregnancy would pose a serious health risk

  • Simple surgery which usually is done under local anesthesia

  • No long-term side effects

  • No change in sexual function (no effect on hormone production by ovaries)

Noncontraceptive Benefits

  • Decreases risk of ovarian cancer

Method Characteristics: Limitations

  • Must be considered permanent (not reversible)

  • Client may regret later

  • Small risk of complications (increased if general anesthesia used)

  • Short-term discomfort/pain following procedure

  • Requires trained physician (gynecologist or surgeon required for laparoscopy)

  • Laparoscope expensive

  • Does not protect against STDs (e.g., HBV, HIV/AIDS)

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