Obstetrics & Gynecology

Obstetrics and Gynecology Department in Alia International Hospital is one of the unique departments in the state of Kuwait. It refers to the leader of the department, which is Prof. Dr. Alia Al Fadly; She is one of the first female Kuwaiti gynecologists qualified from the United Kingdom holding Membership and Fellowship of the Royal College of Obstetrics and Gynecology (MRCOG & FRCOG) from UK. Her long-standing experience and achievement in the field during the last twenty-five years strongly affected her reputation and added a great value in improving the gynecological services in Kuwait. Out of the traditional obstetrics and gynecological expertise, Professor Alia developed and improved Minimal Invasive and Laparoscopic Surgery techniques. Moreover, The successful stories of Professor Alia for Assisted Reproduction, Fertility and IVF techniques positively promoted her name to the international professionals within the recognized institutions.

Obstetrics and Gynecology Department in AIH includes three units; The Obstetric Unit consists of a special labour and delivery suite. Each of its well-equipped rooms has a gas delivery system for pain relief during labour, advanced foetal monitoring and post-delivery neo-natal resuscitation facilities. Epidural analgesia is offered. A pediatrician remains in attendance for complicated and Caesarean Section deliveries, while a Special Care Baby Unit handles premature infants or those requiring special attention.

The Gynecological Unit provides expert management for the entire range of gynecological disorders including Laparoscopic, Hysteroscopic and Colposcopic services for all females of all age through the outpatient and Emergency departments, which include pre-conception counseling, Infertility clinic, and comprehensive antenatal and postnatal care in addition to the menopausal healthcare. There is also an active "Well Woman" clinic where facilities for cervical cytology, hormone replacement therapy and contraception advice are available. The department operating 24-hours seven days a week.

Assisted Reproduction, Fertility and IVF Unit provides the most advanced and comprehensive services for fertility treatment, whether for men or women (ICSI, IVF, GIFT) testicular biopsy and sperm recovery (PESA, TESA) freezing of sperm, embryo, eggs and tissue, assisted hatching, blastocyte culture and more recently, embryo biopsy for genetic "sorting out" of gender, either male or female, chromosomal analysis for major abnormalities such as Down's syndrome and molecular abnormalities, for example Thalassemia.

  • Fertility Services

The choice of treatment is often difficult and our first priority is to assist couples to make the best choice, according to their particular problems, needs and prospectus of success. Approximately 15% of couples have difficulty in achieving a pregnancy. As there are numerous cases of infertility it is important the centre which they attend offers a comprehensive service.

  • Intra-Cytoplasmic Sperm Injection (ICSI)

ICSI is a technique of gamete micromanipulation in which a single sperm is captured in a microscope pipette and injected into the cytoplasm of a single egg. Initially ICSI was designed for male factor causes but now as it ensures the presence of the male genetic material and yields a higher number of implantable embryos it is the method we use for almost all our cases now days.

  • In Vitro Fertilization (IVF)

Sometimes described as the test tube baby procedure, IVF gets its name from the fact that fertilization occurs outside the body, in a laboratory dish. Drugs are given to the women to induce many eggs. These eggs are then collected by ultrasound scan through the vagina under local anesthetic and sedation with a hospital stay of 3-4 hours. Eggs and sperms get mixed together in a dish and are left in an incubator for at least 48 hours before being inserted into the uterus like a routine examination.

  • Sperm Recovery

In cases where there is no sperm in the ejaculate, sperm can be recovered by needle aspiration through the epididymis (PESA) or from the testis (TESA) or a small piece of tissue can be taken by a miniature cut (Biopsy) especially if there is only the immature form of sperm present (spermatide).

  • Intra Uterine Insemination (IUI)

IUI is widely used as a front line assisted reproduction technique for the treatment of unexplained infertility and in some cases of difficulty encountered with intercourse. At the time of ovulation, sperm concentrate is slowly injected into the uterus via a sterile catheter. The procedure is virtually painless and the patient will be sent home after 20-30 minutes.

  • Cryo-preservation

Spare embryos or sperm or testicular tissue will be frozen in liquid nitrogen for future use.

Others:

In cases of embryos or sperm with thick shell and recurrent failure to implant, we weaken the shell by chemical or mechanical methods (Hatching). Also when we have many embryos we can keep them in culture in the incubator for five to six days so as to know which ones survived and which will implant more successfully and continue their journey in the uterus (Blastocyst culture). Whenever any new procedure proves to be of help, it is applied in the services provided.

Tips for a Healthy Pregnancy

  •  Organize your prenatal care early
  •  Eat well
  •  Be careful about food hygiene
  •  Avoid X-Rays
  •  Avoid high intake of Vitamin A
  •  Take folic acid supplements
  •  Exercise regularly
  •  Avoid alcohol intake
  •  Avoid caffeine
  •  Quit smoking
  •  Get enough rest
  •  Begin doing pelvic floor exercise
Dr. Alia Alfadly
FRCOG, MRCOG IVF Consultant.
Dr. Heba Iskandar
Obstetrics & Gynecology Registrar
Dr. Sonali Pharne
Obstetrics & Gynecology Registrar
Dr. Sami
Obstetrics & Gynecology Registrar
Dr. Mahmoud Naena
Obstetrics & Gynecology Registrar
Dr. Sayed Arabi
Obstetrics & Gynecology Registrar