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Expert Advice and Care

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[email protected] | 0207 10 11 700 (24hrs)

Join our team: Sonographer (part time)

London Gynaecology is a leading private Gynaecology Practice, based at two locations: The Portland Hospital, one of London’s leading private hospitals, and our new clinic in the heart of the City of London.

We are looking for an experienced Sonographer, with a special interest in Obstetrics and Gynaecology, who will promote our ethos to provide expert advice and care and a first-class patient experience.

The position is based at our City of London clinic on Mondays and Saturdays.

Duties and responsibilities include:

Experience:

Qualifications and Skills:

Salary:

Interested applicants should email their CV and cover letter to Snehal Babar:  [email protected] Subject line: Sonographer: job opportunity.

Unfortunately, we will only be able to contact successful candidates – but we thank you for applying and for your interest.

London Gynaecology Offers GP Services

London Gynaecology is delighted to announce GP Shivani Dattani has joined the team to offer GP led services to our patients.

Dr Dattani is based at our City clinic, near Liverpool Street, where she provides a weekly clinic, currently on Thursdays. Dr Dattani also holds an NHS post at East Barnet Health Centre.

Our GP led services will include consultations for general concerns as well as specific services which include breast examination, contraceptive advice, dermatology and well-woman checks.

Mr Pisal Runs Paris Marathon for DEC Ukraine Humanitarian Appeal

This year Mr Pisal is running the Paris Marathon on 3rd April (his 21st marathon) in aid of supporting the people of Ukraine by running in support of the British Red Cross Society DEC (Disasters Emergency Committee) Ukraine Humanitarian Appeal.

Mr Pisal says “Like everyone, I have been immensely saddened by the news of the war in Ukraine and I recognise that it is more important now than ever before that access to healthcare and basic life essentials continues for the people affected.”

The DEC Ukraine Humanitarian Appeal run by The British Red Cross Society are providing much needed support to reach the people who are in urgent need.  This support includes providing food, first aid, clean water and medicines as well as supporting hospitals and healthcare facilities and much more.

“My patients, colleagues and friends have been long-time supporters of my fundraising and their words of support and donations are forever humbling.  I appreciate there are many fundraising efforts already underway for Ukraine at the moment, and I am extremely grateful for any donations you may wish to make via my marathon”

If you wish to support, please click here to visit the JustGiving page.

Thank you for your support
Narendra Pisal

International Women’s Day Offer

Women are very important to us at London Gynaecology, from providing healthcare services to women in clinic to sharing valuable and easy to read healthcare information online, our purpose is dedicated making women’s lives better.

To celebrate International Women’s Day, we are offering services that are delivered by our 2 key female clinicians at discounted prices for one day only.

On Tuesday 8th March; our nurse-led smear service (primary HPV screen) with our lovely lead nurse Jennifer Byrne is available for £100 and our scanning services led by Sonographer Edel Bulman are half price.

Both of these services are delivered in our brand new and state of the art clinic at 15 Austin Friars, London EC2N 2HE.

To access the prices please click here to book an appointment. Please note these prices are only available on Tuesday 8th March.

Mr Pisal’s last clinic in the NHS after 21 years

Today marks Consultant Gynaecologist, Mr Pisal’s final day at his NHS Trust, The Whittington Hospital where he has practiced in the department of gynaecology oncology for 21 years. During this time Mr Pisal has experienced first-hand a lot of support, love, success and happiness from colleagues and patients alike, for which he is most grateful.

Mr Pisal will continue working at the Trust as an Honorary Consultant to share surgical expertise and provide support in addition to training.

At London Gynaecology, we are very proud of Mr Pisal’s long-standing service to the NHS.

 

Nurse-led services from the heart of the City

As part of London Gynaecology’s extensive services, we are pleased to provide a Nurse-led clinic offering a variety of services led by Lead Nurse Jennifer Byrne at our modern and newly opened clinic in the historic Austin Friars Square in the City of London.

The nurse-led services include cervical screening and HPV sub-typing, 3 STI screening package options ranging from Mini, Essential to Comprehensive and two HPV Vaccination options. The clinic will take place every Monday morning from 8:30am – 1pm.. The services are provided to look after and access your gynaecological and sexual health and include a consultation, Prices start from £150.

The services include:

Make an appointment

Lead Nurse Jennifer will provide regular, low-cost services to women from the heart of the City of London. Our wider nursing team and non-clinical staff look forward to welcoming patients into our clinic that is within walking distance to City stations, Bank, Liverpool St and Moorgate.

Full details about the Nurse led services provided can be found here. View availability and secure your appointment using our booking tool.

Kindly note, the Nurse-led services are only available for self-pay patients.

Your First Pregnancy Scan

Finding out that you are expecting a baby can cause a whole mixture of emotions that range from excitement to worries and concerns as you embark on this new stage of your life. In England, you will be called for a pregnancy scan with the NHS at 12 weeks. We understand that you may be considering having a scan earlier to seek reassurance during those very early weeks.

We sat down with our women’s health sonographer Edel, who details what you could expect from an ultrasound scan during those early weeks from 4-7 weeks, to help you have better understanding if you are considering having an early pregnancy scan performed privately.

At our conveniently located private London clinics, our leading consultants and expert women’s health sonographers use state-of-the-art-imaging to carefully evaluate and look after you from the very first weeks up until 36 weeks.

 

Gestational Age What do we see on an ultrasound?
4 weeks

 

In essence not much at all and this is normal.

We may see possible thickening of the lining of the womb (endometrium) in preparation for the implantation of pregnancy.

5 weeks

 

A very early gestational sac within the endometrial cavity which is the first structure we see in pregnancy.

 

5.5 to 6 weeks

 

Within the gestational sac a yolk sac forms. The second structure that we see in pregnancy. The yolk sac provides nutrition between the mother and the developing embryo.

 

5.5 to 6.5 weeks

 

A fetal pole develops next to the yolk sac; It is sometimes possible to see a fetal heartbeat at this early stage.
6.5 to 7 weeks

 

 

If you have regular menstrual cycles and are sure of your dates, by this stage we should see a clear gestation sac, yolk sac and fetal pole within the uterus. A fetal heartbeat can also be visualised at this stage.

6 weeks ultrasound

The pregnancy is small at this early stage. The most we would expect to see is a gestation sac, yolk sac and fetal pole +/- a heartbeat. The fetal pole will look like a little pea on the screen (but hey, that is your special little pea!).

If we cannot see a heartbeat at this scan then this is either due to the pregnancy being too early (this is the most common reason) or that the pregnancy is found to be not viable.

What is the likely size of the fetus?

The fetus is anywhere between 2-7mm.

Any thoughts/advice for patients regarding a scan at 6 weeks /anything they should know?

If the lady has irregular periods or unsure of dates, we may not see anything on the scan at this point.

7 weeks ultrasound

By this stage we should see a clear gestation sac, yolk sac and fetal pole within the uterus. A fetal heartbeat can also be visualised at this stage. If we cannot see a heartbeat at this scan then this is either due to the pregnancy being too early (this is the commonest reason) or that the pregnancy is found to be not viable.

What is the likely size of the fetus?

Anywhere between 7-10mm.

Any thoughts/advice for patients regarding a scan at 7 weeks / anything they should know?

If you have irregular periods or are unsure of dates, we may not see all the structures at this point. This may be that you are less weeks pregnant than you calculated.

8 weeks ultrasound

By this stage, we should see a clear gestation sac, yolk sac and fetal pole within the uterus. A fetal heartbeat can also be visualised at this stage.

What is the likely size of the fetus?

Anywhere between 10-16mm. If we look closely, we may even start to see limb buds forming and slight movements.

Any thoughts/advice for patients regarding a scan at 8 weeks /anything they should know?

If you have irregular periods or are unsure of dates, we may not see all the structures at this point. This may be that you are less weeks pregnant than you calculated.

6-8 weeks ultrasound scans:

What will you be able to see /evaluate from a 6-8 weeks ultrasound scan?

From 6-8 weeks, we will be able to rule out ectopic pregnancy and check the pregnancy sac is located within the uterus. We will also be able to confirm the viability of pregnancy and check if there is a heartbeat present. We will also be able to calculate the gestation of pregnancy (number of weeks), and determine whether it is a singleton or multiple pregnancy. And look at any cause for bleeding/spotting or any unusual pain, in addition to an assessment of ovaries and pelvic area.

It’s very common for women to have a corpus luteum ovarian cyst during the first 3 months of pregnancy, which forms on the ovary where the egg is released, the sonographer will note side of the cyst during this scan.

What will happen during the appointment/scan?

To obtain clearer images of the early pregnancy (6-8 weeks), we offer an internal scan (vaginal) with your consent. This will not be harmful in any way to the baby. A trans-abdominal scan (over your tummy) will not be very beneficial at this early stage.  As the pregnancy grows past 8-9 weeks, we can usually see over the tummy as long as you have a full bladder.

In our ultrasound room, there is a screen you can watch as the sonographer performs the scan and explains the findings to you.

What will happen after the ultrasound scan?

After the scan you will be provided with a full medical report and a photo print of your pregnancy.

About Edel, expert women’s health sonographer at our city location

Edel is an experienced women’s health sonographer who joins our team from Southend University Hospital (NHS trust) where she is Deputy Ultrasound Manager and performs a large number of early pregnancy and emergency gynae scans. Edel is passionate about ensuring patients feel comfortable and at ease during appointments while treating them with compassion and kindness.

Edel confirms, “As a specialist sonographer, I have performed thousands of ultrasound scans for pregnancy. A lot of the time ultrasound scan findings are normal. However, if unexpected findings occur during your scan, such as miscarriage, then I will carefully communicate these and direct you to the necessary support you need.”

Make an appointment:

We are pleased to provide a variety of sonographer-led services at our modern and newly opened clinic in the historic Austin Friars Square in the City of London. The scan-only services include early pregnancy scanning (pre 13 weeks and fetal wellbeing scans) in addition to pelvic ultrasound scans. Prices start from £150, learn more here. To view availability and book, visit our online booking portal.

Dr Ayanthi Gunasekera shares tips and advice for a home birth

Dr Ayanthi Gunasekera our medical information lead and specialist registrar in gynaecology, details important advice for pregnant mums to know, who may be considering a home birth. Dr Gunasekera discusses the important considerations that should be considered, in addition to outlining conditions that are not recommended for a homebirth and sharing tips and key things to be aware of.

What are the criteria for a safe home birth?

Generally speaking, if you’ve had a baby before and this pregnancy is deemed as low-risk, giving birth at home is generally a safe and suitable option. You are less likely to need interventions (such as ventouse or forceps, caesarean section or episiotomy) if you plan to give birth at home compared to delivery at hospital and the chances of baby needing medical attention are not affected by where you plan to give birth [Source: NICE CG190 2017].

Women opt for home births for varying reasons. It is our duty as health professionals to ensure they have the correct information to make an informed choice. Home birth is a safe option for women where there are no pre-existing problems and the pregnancy is uncomplicated. In my experience, women opt for the safest option for their babies and themselves depending on their individual circumstances.

What should someone consider before having a home birth?

Before having a home birth you need to consider there will be some benefits and some disadvantages, so both need to be factored into the decision process.

Benefits of a home birth:

Disadvantage of a home birth:

What are some conditions that would be dangerous for a homebirth?

The list below includes common reasons (it is not an exhaustive list):

What do you wish your home birth patients knew in advance?

Keep in mind that life-threatening problems can occur during labour and delivery without warning. In these cases, the time taken to transfer you and your baby to a hospital could delay care, which could put your lives at risk. Ensure there is a Maternity unit and Neonatal unit no more than 10-15 minutes away. Ask your health care provider to make arrangements with the nearby hospital to ensure that you can be promptly transferred and treated, if necessary. It may help your decision to find out how long it would take if you needed to be transferred to hospital and which hospital you would be transferred to.

What are your tips for a planned home birth plan?

Ensure you understand any health conditions you may have and how they would impact your ability to deliver at home. Have a birth plan detailing your methods for pain relief and preferences for cord clamping and breastfeeding. Prepare protective coverings for your floor and mattress. If you want to labour in the bath – is it accessible? Any adjustments needed? Make plans for a possible hospital transfer.

 Why is it unlikely to have an emergency home birth with your first pregnancy?

It is unlikely that your first baby will arrive without much warning. Quick labours can happen with subsequent deliveries, once your body ‘knows what to do’ but with your first baby, it usually takes a little longer.

Why should someone consider hypnobirthing?

Hypnobirthing is used to help manage pain during labour and delivery. Visualisation techniques are used along with relaxation and deep breathing techniques. There is limited research into its efficacy but in practice, I have seen patients benefit from using these techniques. Hypnobirthing can be practised throughout the pregnancy and makes women feel more in control when labour starts. Managing stress and reducing anxiety during labour enables the mother to enjoy the process of giving birth.

What tools do you suggest for a home birth?

Many women find that using a birthing pool during labour helps to make them more comfortable; not only is the water soothing, but it also makes you more weightless, so it’s easier to move around and find more comfortable positions.

 

Home birth: the importance of preparation

Our Medical Information Lead and Specialist Registrar in gynaecology, Dr Ayanthi Gunasekera, recently spoke to Giddy online to share advice about having a home birth, discussing who would be suitable and why preparation is key. Read the article here.

 

 

 

 

 

Our clinic in the City of London turns one!

Today marks a year since we opened 15 Austin Friars, our ultra-modern city location near Liverpool St.

In the 12 months since we have been open, our team of leading consultants has grown to include, Mr Hemant Vakharia, consultant gynaecologist and advanced laparoscopic surgeon, Mr Cesar Diaz-Garcia, a fertility specialist and consultant in reproductive medicine, Mr Pran Pandya, consultant in fetal medicine (Portland Hospital clinic only) and three consultant gynaecologists, Ms Michelle Swer, Ms Sangeeta Khinder and Miss Sapna Shah – in addition to expert women’s health sonographers Edel and Debbie.

We also welcomed our dedicated-on site nursing team led by Lead Nurse Jennifer Byrne and supported by Healthcare assistants Shauna and Daisy.

Open 6 days a week, our clinic in the historic Austin Friars Square provides a one-stop service, and last minute appointments offering general gynaecological services to fertility care. Our specialist services include colposcopy and abnormal smear management, early pregnancy care, sexual health, coil fitting and removal, menopause in addition to expert surgical expertise in laparoscopic surgery and laparoscopic myomectomy, for the treatment of gynaecological conditions.