Vaginal Birth after Caesarean Section
Successful in approximately 70-80% of women with one previous caesarean section. A detailed discussion between the obstetrician and the pregnant woman is necessary to decide if VBAC is a safe and acceptable option.

This is very new screening test for chromosomal abnormalities ( ie Down’s syndrome). By performing this test we avoid the small but significant risk of pre-term birth and misscariage associated with amniocentisis or CVS. It requires taking a blood sample from the pregnant woman and detecting fetal cells that can subsequently analyzed. It has a sensitivity of 99%.

Starts with pre-conceptual counselling and ends with the safe delivery of the baby. My approach is truly holistic and I aim to combine the woman’s choices and wishes with the most up to date evidence based medicine. No pregnancy is the same and hence every pregnant woman is treated in a unique way.

Sometimes there are pre-existing conditions ( ie hypertnesion, diabetes, obesity, autoimmune disease etc) that make a pregnancy “high risk” this requires closer monitoring and collaboration with other specialists in order to ensure the best possible outcome for both mother and baby.
Over the years we have observed that treating subclinical chronic infections of the genital tract has resulted in many spontaneous pregnancies, despite many years of infertility, miscarriages or IVF failures.
Most doctors regard infections of the male and female genital tract problematic only if they cause overt symptoms (like blockage of the fallopian tubes, fever, pain, discharge etc.). There is growing evidence that infection-induced immune reaction can cause damage to the sperm and the endometrium creating an unfavorable microenvironment for the embryo. This subsequently can lead to failed implantation or early miscarriage.
Antibiotic treatment can optimize the endometrial microenvironment for implantation; as well as significantly improve sperm quality in men with poor parameters (even where we have not been able to identify a specific infection), leading to improved pregnancy rates.
Treating troublesome bacterial infections can reduce the risk and heartache of repeated treatment failures and in the case of donor treatments it ensures optimal conditions for implantation.

This should be performed on a yearly basis after the age of 40 for the majority of women.

Families with strong history of ovarian/endometrial cancer or those with oncogenic mutations like BRCA 1,2 should consider following a customised screening program with ultrasonograhy and Ca 125 measurements.

These gene mutations when detected carry a significantly increased risk of developing ovarian/breast cancer at a young age. Genetic counselling, screening and sometimes surgery is needed to reduce the risk.

Over the years we have observed that treating subclinical chronic infections of the genital tract has resulted in many spontaneous pregnancies, despite many years of infertility, miscarriages or IVF failures.
Most doctors regard infections of the male and female genital tract problematic only if they cause overt symptoms (like blockage of the fallopian tubes, fever, pain, discharge etc.). There is growing evidence that infection-induced immune reaction can cause damage to the sperm and the endometrium creating an unfavorable microenvironment for the embryo. This subsequently can lead to failed implantation or early miscarriage.
Antibiotic treatment can optimize the endometrial microenvironment for implantation; as well as significantly improve sperm quality in men with poor parameters (even where we have not been able to identify a specific infection), leading to improved pregnancy rates.
Treating troublesome bacterial infections can reduce the risk and heartache of repeated treatment failures and in the case of donor treatments it ensures optimal conditions for implantation.