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Obstetrics and Gynaecology

Service Scope

Obstetric serviceGeneral gynaecology service

We provide holistic care to expectant mothers from their early pregnancy to postpartum period. There is now good evidence on the importance of the first 1000 days of life (i.e. 9 months period of pregnancy and the first 2 years of life) to the children’s long term health. We also provide pre-conception care and counselling to optimize the physical and mental health prior to pregnancy, in particular for women with underlying medical problems or previous obstetric complications.

Prenatal care

  • Dating scan
  • Antenatal screening and risk assessment
  • Routine antenatal care
  • Oral glucose tolerance test
  • Fetal monitoring with cardiotocogram
  • Group B streptococcus carrier screening
  • Ultrasound scan for fetal surveillance

 

  • Non-invasive prenatal test (NIPT)
  • First trimester pre-eclampsia screening
  • Expanded gene carrier screening (for rare disease)
  • Fetal morphology scan
  • Screening for preterm delivery

 

  • Antenatal education
  • Antenatal exercise
  • Lactating consultant counselling
  • Nutrition advice to optimize gestational weight gain
  • Maternal immunization – influenza and pertussis vaccination

 

Labour and delivery

  • Private delivery room
  • Partner and key person accompany in labour
  • Drug free labour pain relief
    • Hydrotherapy in birth pool
    • Birth ball
    • Aromatherapy
    • Music
    • Massage
    • Transcutaneous electrical nerve stimulation (TENS)
  • Pharmacological pain relief
    • Entonox
    • Epidural analgesia
  • Coaching on birth position and early skin-to-skin contact

 

Postnatal care

  • Rooming in
  • Bedside infant feeding support
  • Postnatal assessment and wound care

 

Post hospital discharge care

  • Telephone support by lactating consultant

 

Special management

  • Special nutritional advice for vegetarians, vegans, and mothers with previous gastrointestinal surgery
  • Multi-disciplinary management with physicians for the antenatal care of medical problems complicating pregnancy: e.g. hypertension, diabetes mellitus, autoimmune diseases, renal disease, thyroid dysfunction and other endocrine conditions

We provide educational advice to women at reproductive and menopausal age on their wellness and care for benign gynaecological condition

  • Consultation
    • Contraceptive advice
    • Routine gynaecological examination
    • HPV vaccination
    • Abnormal vaginal discharge
    • Abnormal vaginal bleeding
    • Benign pelvic mass or cyst
    • Uterine fibroid or adenomyosis
    • Menopause and hormonal replacement therapy
  • Investigation and procedure
    • Pelvic ultrasound scan
    • Pap smear
    • Endometrial biopsy
    • Colposcopy
  • Day surgery
    • Dilatation and curettage
    • Loop Electrosurgical Excisional Procedure (LEEP)
  • Minimally invasive operation
    • Hysteroscopic resection of endometrial polyp
    • Hysteroscopic endometrial ablation
    • Hysteroscopic myomectomy
    • Laparoscopic ovarian cystectomy
    • Laparoscopic salpingo-oophorectomy
    • Laparoscopic hysterectomy
  • Open surgery
    • Ovarian cystectomy
    • Total hysterectomy
Gynae-oncology serviceFertility service

We provide the state of art services in the treatment of gynaecological caner. We work with radiotherapist and medical oncologist to offer multidisciplinary management to optimize the cancer care.

  • Consultation
    • Newly diagnosed or recurrent gynaecological cancer
    • Post-treatment surveillance
  • Investigation (staging and monitoring)
    • CT scan
    • MRI scan
    • PET scan
  • Surgery (open and laparoscopic)
    • Radical hysterectomy
    • Pelvic lymphadenectomy
    • Para-aortic lymphadenectomy
    • Debulking surgery
  • Multi-disciplinary management of gynaecological cancer
    • Chemotherapy
    • Radiotherapy
    • Immunotherapy
    • Target therapy
  • Consultation
    • Fertility assessment and counselling
    • Recurrent miscarriage counselling
  • Investigation
    • Assessment of ovulation
    • Assessment of ovarian reserve 
    • Investigation for polycystic ovarian syndrome
    • Hormonal assessments 
    • Fallopian tube assessment
      • Hystersosalpingogram
      • Laparoscopic chromotubation
    • 2D/3D Ultrasound scan uterine and endometrial assessment 
    • Semen analysis
    • Next Generation Sequencing (NGS) to investigate for the cause of miscarriage and recurrent miscarriage
  • Surgery
    • Hysteroscopic proximal cannulation
    • Hysteroscopic adhesiolysis of intrauterine adhesions 
    • Laparoscopic ovarian drilling for polycystic ovarian syndrome
    • Laparoscopic ovarian cystectomy for endometriosis
    • Laparoscopic ablation of pelvic endometriosis
  • Assisted Reproductive Technologies
    • Artificial intrauterine insemination with or without ovulation induction
    • In-vitro fertilization (Test Tube baby)
    • Intracytoplasmic sperm injection 
    • Fresh and frozen embryo transfer 
    • Pre-implantation Genetic Testing (PGT)
    • Fertility Preservation 

(Services will be launched by phases)

 

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Fees & Packages

Fees & Packages

Health Knowledge

高血糖篇 - 診斷【妊娠性糖尿病】後,應如何治理? (Only available in Chinese)

Maternal HealthGestational Diabetes

高血糖篇 - 診斷【妊娠性糖尿病】後,應如何治理? (Only available in Chinese)

大部份【妊娠性糖尿病】患者的高血糖程度比較輕微,只需要控制飲食,配合運動便可以。飲食治療方案不只是減糖、減少進食便可,需要由專業團隊,按照營養師指示下進行。營養師會建議特定餐單、多餐小食、定量卡路里、低升糖指數的碳水化合物 (carbohydrate,簡稱CHO)、優質蛋白質及非飽和脂肪。如有疑問,請向您的營養師查詢。 如何確定高血糖受到控制? 媽媽需要自行監測血糖水平,便知道血糖是否受到控制。【家居自我監察血糖】(home blood glucose monitoring)是一個簡單的方法,即【篤手指】檢查。 【篤手指】檢驗血糖的次數? 一般是每天空腹與餐後兩小時檢驗血糖,次數可因情況不同而改變,基本上是每星期兩次。 怎樣的血糖水平才算【合格】正常? 這沒有一定的標準,一般建議空腹血糖水平低於5.3 mmol/L,餐後兩小時血糖水平低於7.8 mmol/L。大家最好不用【合格】與【不合格】的思維來看待,更勿因要【達標】而過份減食或過量運動。 要是血糖水平超出以上標準,要怎樣處理? 先要確定媽媽已經按照適當的飲食方案與適量的運動,看看是否有改進空間。若果已經依足飲食及運動方案,便需要考慮藥物治療。 妊娠性糖尿病的併發症 • 胎兒過大(巨嬰) • 羊水過多 • 妊娠毒血症 • 早產 • 難產、增加剖腹產風險 • 新生兒低血糖 • 新生兒黃膽 香港中文大學醫院婦產科專科醫生譚永雄醫生 資料來源:香港婦產科學院 - 妊娠性糖尿病指南 (2016)

Know More
高血糖篇 - 認識「懷孕期高血糖」與「妊娠性糖尿病」 (Only available in Chinese)

Maternal HealthGestational Diabetes

高血糖篇 - 認識「懷孕期高血糖」與「妊娠性糖尿病」 (Only available in Chinese)

什麼是【懷孕期高血糖】?它與經常聽見的【妊娠性糖尿病】有什麼分別? 世界衛生組織【世衛】於2013年更新的指引,把在懷孕期第一次發現血糖水平超出正常值定為【懷孕期高血糖】(Hyperglycaemia in pregnancy),當中包括【妊娠性糖尿病】(Gestational diabetes mellitus) 及【糖尿病合併妊娠】(Diabetes mellitus in pregnancy)。 約百份之九十的【懷孕期高血糖】屬於【妊娠性糖尿病】,高血糖程度比較輕微。【糖尿病合併妊娠】是指孕婦在懷孕時的血糖水平已達到糖尿病的程度,情況較嚴重,很有可能在懷孕前已患上糖尿病,即【孕前糖尿病】(Pre-gestational diabetes mellitus),但未被診斷。 妊娠性糖尿病有什麼高危因素? •個人風險  - 高齡 (35歲或以上)  - 肥胖  - 多囊卵巢綜合症  - 其他慢性疾病的病歷史:高血壓、高血脂、免疫系統病等  - 長期服用類固醇或其它增加糖尿病風險的藥物 •家族病歷史  - 直屬親系如父母親或兄弟姊妹有糖尿病歷史 •過往懷孕病歷史  - 過往懷孕患有高血糖  - 曾分娩巨嬰 •是次懷孕  - 多胞胎  - 超聲波檢查發現胎兒大於胎齡(懷疑胎兒巨大) (Large for gestational age – LGA)  - 羊水過多  - 常規尿液檢查發現【尿糖】(Glycosuria) 如何診斷【懷孕期高血糖】? 一般是以口服葡萄糖耐量測試是用來判斷準媽媽是否患有高血糖,俗稱「飲糖水」測試,通常在懷孕24至28週進行。 怎樣的口服葡萄糖耐量測試結果才算正常? 測試應於早上進行,按世衛的建議及標準,需要從靜脈抽取三次血液樣本,分別為空腹、飲葡萄糖水後一小時及兩小時。正常值為血糖水平:空腹低於5.1 mmol/L、一小時低於10.0 mmol/L及兩小時低於8.5 mmol/L。如有疑問,請向您的醫生查詢。 香港中文大學醫院婦產科專科醫生譚永雄醫生

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