A reminder that some obstetric emergencies reveal themselves only when we are prepared for them Pregnancy after two previous Caesarean sections always deserves careful monitoring. When placenta previa is also present, the pregnancy becomes one that requires a high degree of vigilance and preparation. This is the story of one such patient. She had undergone two previous Lower Segment Caesarean Sections (LSCS) and was now pregnant again. During this pregnancy, she was diagnosed

“Doctor, I am only six weeks pregnant… and I have an 8 cm fibroid. What should I do?” Those were the words of a young woman who came to me in the very early weeks of her first pregnancy. She was a primigravida—pregnant for the first time—and understandably, she was frightened. Along with the excitement of seeing her pregnancy on the ultrasound, she had also been told that she had a large uterine fibroid measuring about 8 cm. For a first-time mother, hearing the words “8 cm fi

A real-life obstetric case that highlights the importance of close monitoring in high-risk pregnancy Pregnancy is usually a beautiful journey, but certain warning signs can quickly change the course of care. This case involved a woman with one previous LSCS (caesarean delivery) and a history of severe pregnancy-induced hypertension (PIH) in her previous pregnancy, which ended in delivery at 36 weeks. Because of this history, her current pregnancy was monitored closely. A new

When Pregnancy Became a Battle Against Time: Managing a High-Risk Pregnancy with Systemic Sclerosis and ILD Some pregnancies are straightforward. Some demand constant vigilance. And then there are pregnancies where every decision has to be weighed against the possibility of two lives being at risk. This was one such case. I recently had the opportunity to manage a young woman with systemic sclerosis (scleroderma) complicated by interstitial lung disease (ILD) who presented to

She came to me with a simple dream — to conceive and have a healthy baby. She conceived in that very cycle. But sometimes, pregnancy writes a story we never expect. At 16 weeks, she developed leaking and sadly lost the pregnancy. What followed was not just a physical loss. It was an emotional one. The couple went through a period of profound grief and depression. But slowly, they recovered. And when they were ready, they decided to try again. This time, we knew we had to be c

The Missed Opportunity: When One Missed Scan Changes Everything By Dr. Anuradha Narayanan Consultant Obstetrician & Gynaecologist in Chembur, Mumbai Every pregnancy is a journey filled with hope. Modern antenatal care has made it possible to detect many fetal abnormalities early, allowing parents to make informed decisions and receive appropriate counselling. Yet, despite living in a metropolitan city with access to quality healthcare, some pregnancies still miss these crucia

Navigating a Complex Ovarian Cyst Surgery with a Heart Condition: Maya’s Story ========================================================================== When you are just 21 years old, the last thing you expect to hear is that you have a massive cyst growing in your ovary. But for Maya (name changed for privacy), that was exactly the diagnosis. To make matters more challenging, Maya was also managing a pre-existing cardiac condition. When a large, thin-walled cyst was discov