Zydus Hospitals in Ahmedabad has emerged as a premier center for managing high-risk pregnancies and complex gynaecological emergencies. By integrating advanced fetal medicine and critical care, the facility is significantly improving maternal and neonatal outcomes.

  • Nearly 50% of pregnancies in India are now classified as high-risk according to ICMR.
  • Zydus Hospitals provides a comprehensive ecosystem including in-house Blood Bank, Gynec ICU, and NICU.
  • Successful management of rare conditions like Placenta Accreta Spectrum (PAS) through multidisciplinary teams.
  • Advanced IVF and fetal reduction services to ensure the survival of both mother and child.

India has witnessed substantial progress in maternal health, yet the challenges remain daunting. A nationwide analysis by the ICMR reveals that nearly half of all pregnancies in the country are now categorized as high-risk. With a maternal mortality rate of approximately 88 deaths per 1 lakh live births, the national goal is to reduce this figure to 70 by 2030. In this context, the Department of Gynaecology and Obstetrics at Zydus Hospitals, Ahmedabad, has positioned itself as a critical lifeline for women in Western India.

A pregnancy is typically deemed high-risk when the mother or baby faces an elevated chance of complications. Factors contributing to this include advanced maternal age, obesity, pre-existing conditions like diabetes or hypertension, and a history of previous caesarean sections. Zydus Hospitals addresses these risks with a robust infrastructure that ensures round-the-clock access to specialists in fetal medicine, anaesthesia, and neonatology.

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Why This Matters

BozokMedia analysis shows that with roughly 3 crore pregnancies annually, India handles the highest volume of births globally. Even a small percentage of high-risk cases translates into millions of women requiring specialized intervention. The shift toward integrated care—where urologists, anaesthetists, and neonatologists work in tandem—is the only way to lower maternal mortality rates effectively.

A recent case at the hospital highlights this expertise. A 30-year-old woman presented with Placenta Accreta Spectrum (PAS) and placenta previa. PAS is a severe condition where the placenta invades the uterine wall, often due to scarring from previous C-sections. This creates a high risk of catastrophic blood loss during delivery, which can lead to haemorrhagic shock or organ failure if not managed instantly.

"In cases of PAS, the availability of an in-house blood bank and a dedicated neonatologist is not just a convenience—it is a necessity for patient survival."

Under the care of Dr. Namita Shah, the team utilized MRI mapping to determine the extent of the placental attachment. During the delivery, it was discovered that the placenta had invaded the bladder wall. Dr. Kaustubh Patel, a leading Urologist, joined the surgical team to separate the placenta from the bladder and perform an obstetric hysterectomy. The patient required 2.5 litres of blood and several units of fresh frozen plasma, but both mother and baby recovered fully.

Beyond emergency obstetrics, Zydus has excelled in fertility care. Dr. Raman Patel and Dr. Reitu Patel successfully managed a complex IVF case involving a couple who had struggled for a decade. Through precise embryo transfer and fetal medicine interventions, including a preventive cervical encerclage, the hospital ensured the viability of the pregnancy despite initial complications.

Did You Know?: India records more live births annually than any other country in the world, making its maternal healthcare infrastructure one of the most stressed yet vital systems globally.

Frequently Asked Questions

Q1: What makes a pregnancy 'high-risk'?
A: Factors such as advanced maternal age, obesity, chronic conditions (diabetes/hypertension), or previous surgical deliveries increase the risk profile.

Q2: What is the significance of an in-house blood bank in high-risk deliveries?
A: In conditions like PAS, massive hemorrhage can occur within minutes. Immediate access to blood and plasma is critical to prevent haemorrhagic shock.