We have specialized comprehensive team approach which deals with the problems and finds solutions. We have been dealing with High risk pregnancies and are very happy with our excellent outcomes.
Have worked on careful history taking, analysis, investigations and counseling for successful management of women with Bad Obstetric history , women with Recurrent pregnancy loss, women with history of thrombophillia and connective tissue disorders & Multiple sclerosis, Fibromyalgia, SLE, Sjogrens Syndrome,Scleroderma & neurological problems eg: Epilepsy & Migraine.
Have treated referred patients with Medical disorders (More than 100) eg .Liver problems in pregnancy, Hypertensive disorders in pregnancy eg. preeclampsia & eclampsia, fever in pregnancy (Dengue,Malaria,Swine flu).
Referral centre for pregnant women carrying pregnancies with congenital heart problems around 20 defects
Have a case series of 22 pregnant women with incompetent cervical os diagnosed at 19 -22 weeks .Conservatively managed these patients after counseling and treatment without a cervical stitch. Pregnancies carried on till 36 -37 weeks.
Have treated more than 150 women with Gestational Diabetes jointly with the Diabetic physicians .We aim at early diagnosis so screening of all pregnant women by dietary advice ,intervention from our diabetic physicians , exercises and vigilant fetal surveillance , timely delivery and a competent neonatology team to care of our babies. Our team approach has helped us to reduce problems and improve perinatal outcomes.
Have managed 55 sets of twin pregnancies so far.40 following assisted techniques of reproduction and 15 twins conceived naturally.
Pelvic Floor surgery after systematic analysis and customizing the surgery for various degrees of Pelvic Organ prolapse e.g Prolapse of the uterus
Successful management of women with heavy periods due to fibroids, adenomyosis or other causes with medical management.
Also perform Nondescent vaginal hysterectomy when required .This is Natural orifice surgery with no scars on abdomen.
Large series of women with endometriosis medical and surgical management with our endoscopic team (50 -60)
Part of the Gender reassignment team, done 5 cases so far
Expert evidence based counseling on reproductive Health Menopausal problems
Ex Professor & Head of Unit at LTMG College & Hospital
Secretary-FOGSI (UNICEF -Sion ) Kishori Adolescent Empowerment project of FOGSI (2002-2008) for training young girls from Dharavi slums & making
them self reliant.
Participated in Term Breech Trial with MIRU,Toronto published in LANCET, 1999
110 publications in various Indian & International journals
Completed a project at KDAH on Use of Contraception Hormonal vaginal ring. Presented the paper at Vienna, Austria. Paper published in Journal Of Obstetrics & gynecology of India 2014
Invited by WHO as expert for the Partners Forum Conference at Johannesburg,SA in July,2014
Invited by WHO as expert at Comprehensive Care Strategies for Prevention of Cervical Cancer, November, 2014
Invited to for a talk in the International Conference on Prevention of Preeclampsia Disorders in Pregnancy by the Cambodian Society of OBGYM at Phnom Penn in 2015
Invited as faculty at FIGO conference in association with Srilankan OBGYN society & South East Asian Federation of OBGYN at Colombo in November,2014
Awarded 24 prestigious Orations
Gold medal for Belgaum- Dr.Kasbekar Metgud oration for delivering orations
Silver Plaque for delivering Dr. A. Padma Rao Oration
Invited as Chief Guest for several inaugurations in 2013 - 2015
Joint Project with GOI, JSI & FOGSI to make a Comprehensive strategy for Prevention & Management of PPH which will be implemented at all tiers of healthcare in India.
Focused workshops for training & capacity building of doctors for Prevention & Management of PPH & HDP were conducted.
Initiated the comprehensive FOGSI - GESTOSIS Certificate course for Standardized Management of Hypertensive Disorders of Pregnancy (HDP), a 3 year project, after an extensive review of literature with inputs from 40 experts. This will help to reduce morbidity and mortality due to HDP. Have completed 27 workshops and trained over 8000 doctors.
FOGSI ICOG Good Clinical Practice Recommendations (GCPR): After intensive meetings with experts we have made a evidence based GCP guidelines on Caesarean section, HDP, Preventing PPH, Fetal growth restriction & Vaccinations in women, Management protocols of H1N1 & Dengue in Pregnancy ,Screening & management of TORCH infections in Pregnancy and Combined hormonal contraception in clinical practice . These are now published.
Have given Health talks for protection of Women's Health on several occasions at ONGC & Corporate houses
Initiated Youth Melas, an awareness program for empowering youth! We have interactive sessions for boys and girls (16-24 years) on :
Communication skills. Healthy Diet & Staying fit ,
Protection of reproductive health ,prevention of Cancer Cervix & sexual abuse
Self defence & First Aid.
We also discuss about respect for women in the society .We have done 200 Youth Melas all over India
Awareness programs for Prevention of Cervical Cancer
Initiated the concept Women's empowerment & felicitation of 25 women achievers from different spheres saluting the different roles they play in their lifetime & touch the lives of others .
Maharashtra State Medical Council Award to be given on 17th April,2016 at Nagpur Initiated for the first time, given to a doctor from Medical Fraternity for distinguished services to Medical, Research & Social work
FOGSI best publication award in 2016 for book on 'Manual for Obstetrics & Gynecology for Practitioners'.
Recipient of MOGS Dr.Saroj Desai Excellence award in 2015 for Contributions to OBGYN
Awarded the Life membership of Nepal Society of OBGYN in 2014
Received the Mayor of Mumbai's distinguished community service award in March, 2011 on International Women's Day
FOGSI Corion award for best research work on Hormone Replacement Therapy in 1998
MOGS - Pramila Bhatia award for best research work on Hormone Replacement Therapy in 1998
FOGSI - Duru Shah distinguished community service award -1999
MOGS - Ganatra distinguished community service award twice in 2001 & 2006
He suggested me to consult Dr.Suchitra Pandit and on the same day we had consulted Dr. Pandit on 5th December 2015. We were extremely satisfied with her consultation and we found that the doctor is not at all greedy as we faced in Jaslok. Doctor suggested to watch for three months as Mirena was inserted on 3rdNov and in 80% cases it gives good result. We had consulted several times during this period and on 5th of March Doctor suggested to take a call for surgery as Mirena was not responding in her case. I was in the apprehension whether laparoscopic surgery can be done as she had undergone two Cesarean sections and I had expressed my feeling. She had given me confidence not to worry as they will take care and Laparoscopic specialist Dr. Anshumala Shukla will be with her during surgery. I was having full trust on Dr. Pandit and was really appreciating to see her approach as she believes in team and I realized that we are in right place with right doctor.
Dr. Suchitra Pandit, Dr. Vinay Joshi and Dr. Preetha Joshi | Gynaecologist & NICU Team
Mrs. Shreya Singh Jitan delivered a healthy baby boy (2.8 Kgs) today at 5.35 pm. She was with us in the hospital for 3 months (since Feb, 2011). She had presented with a pregnancy of six months (26 weeks - 600 gms) with a very short cervix and funnelling of internal os with bulging membranes (mouth of the womb was very short and open with the membranes bulging into it). This meant she would deliver very soon. At this stage one can put a stitch on the cervix called as a rescue cerclage of the internal os but due to the funnelling and bulging of membranes the water bag could easily burst, infection chances and a premature delivery are extremely high. Results with these cerclages are not very promising at such a stage. Maybe we could pull on for a few days only. The baby being extremely small (600gms) would have to spend many weeks in the ICU and dangers of prematurity like respiratory distress syndrome (breathing problems), hemorrhages (bleeding in the brain), feeding problems are possible and good outcome cannot be promised.
As against this we counselled her and her family, offered her a conservative management a stay in the hospital, antibiotics, head low position, uterine relaxants, Inj Betnesol inj (2) and vigilant care from the team which could carry on the pregnancy as far as possible.
We had done a similar plan for a patient Mrs ABC, last year and were successful. Since we are in a hospital with an excellent NICU team we were assured of the fact that we could do our best in case of a premature delivery. Our team of doctors headed by Dr Suchitra Pandit, Dr. Vinay & Dr. Preetha Joshi (baby doctors), Staff nurses, Radiologist Dr.Shefali Sardar, our junior doctors Jatinder, Deepali, Dimple were all very vigilant and offered reassurance at every visit. The family was told about the entire plan and they were very supportive.
We scanned her every fifteen days. The cervix got shorter & uterine pain was there but with medication we could avert labour.
It was only when we crossed 34 weeks ( 8 months) that we breathed a sigh of relief as lungs by then are mature. On 20th May, 2011 she was term and she was in early labour on 21st May. Short and sweet labour, a vacuum delivery - 2.8kgs baby boy.
What was very rewarding was the cooperation from the patient, the entire family. The family agreed and believe me as each week passed by we would pray that we sail through another week successfully.
Dr. Suchitra N. Pandit | A challenging case of Primigravida with 37 weeks of Pregnancy with Multiple Fibroids
A 34 year old primigravida with huge multiple fibroids, under the care of Dr. Suchitra N. Pandit (Consultant - Obstetrics and Gynaecology, KDAH) delivered a baby on 6th December, 2012. Both mother and baby are fine now.The patient was saved from a major catastrophe arising due to severe postpartum haemorrhage leading to obstetric hysterectomy.
A very worried 34 year old primigravida with huge multiple fibroids came to Kokilaben Dhirubhai Ambani Hospital to consult Dr. Pandit for a second opinion as she had been advised termination at 20 weeks by her Gynecologist in view of severe oligohydramnios (reduced liquor) and multiple (8-9) large intramural fibroids uterus, largest measuring 10 x 8.5 x 8.5 cm with average of 5 x 5.5 x 4 cm. Her doctor had the opinion that the baby would not grow and there would be complications in view of fibroids and reduced liquor.
At Kokilaben Dhirubhai Ambani Hospital, Dr. Shefali Shah (Consultant – Radiology, KDAH) rechecked her sonography and decided to take up the challenge of continuing the pregnancy as patient was also keen for the same.The patient was under the care of Dr. Pandit since 20 weeks. Larginine (Amino acids), Sujat and high protein diet were advised to improve the liquor as well as serial growth scans and frequent follow ups were done to ensure the fetal well being. Her liquor improved fairly well. She was also kept on uterine relaxants to avoid preterm labour and steroids (2 doses) for enhancing fetal lung maturity. Baby grew well along with increasing size of multiple fibroids.
Since the main concerns were postpartum haemorrhage (due to the fibroids) and obstetric hysterectomy was a likely possibility, therefore, the Obstetric team had discussed with Dr. Vimal Someshwar (Director – Radiology, KDAH) about reducing the blood loss at delivery with the help of interventional radiology post delivery of the baby. The patient and relatives were counselled accordingly.
An elective LSCS was planned after 37 weeks of pregnancy. Dr. Someshwar did a pre-operative balloon catheterisation of the uterine arteries and later the doctors proceeded for a LSCS under GA keeping blood and ICU ready as precautionary measures. The incisions had to be modified in order to avoid cutting through the fibroids. Once baby was delivered balloon catheters were inflated to reduce the blood loss. Placenta separated easily and the uterus was sutured trying to avoid stitching through fibroids which was tricky as fibroids were occupying the lower uterus segment. Balloon catheters were removed immediately post delivery and the patient was administered additional oxytocics to ensure that uterus contracted well ; postpartum period was also uneventful.
Wound check was done on Day 4; no morbidities like fever, UTI or wound infection. Patient breast fed baby well and will be discharged soon.
Pregnancy with fibroids is a high risk case with a constant threat of preterm labour and pain, besides intrapartum chances of atonic PPH that may not be controlled with routine oxytocic and may require massive blood transfusions, selective devascularisation (uterine artery followed by internal iliac artery ligation) and finally obstetric hysterectomy if all resorts fail.
Dr. Suchitra Pandit: Successful Management of a pregnancy in a morbidly obese women referred with eclampsia
Primigravida Mrs.ABC with 39+4 weeks POG with severe PIH with eclampsia with maternal morbid obesity (BMI – 65.66 kg / m 2) referred from private nursing home (PNH) for further management.
She had H/O generalised clonic tonic convulsions on morning of 04/08/2015 at her home. She was taken to a PNH and from there she was referred to our institute for further management.
On admission (A & E), her vitals were:
Conscious but talking irrelevantly, BP = 200 /100 mm Hg, PR = 93/min, Exaggerated reflexes +
P/A - Obesity ++++, Full term, anterior abdominal wall very edematous (about 16 inches). FHS + heard only with USG.
P/V - not done.
Inj MgSO4 loading dose ( 4 gm ) IV over 20 min followed by Inj MgSO4 1 gm/hr for prevention further convulsions & Inj Labetalol IV infusion started to control the BP. Blood investigations sent .
Patient and relatives counselled about the complications and risks involved. Decision for Emergency LSCS taken.
Anesthetist & Neonatologist summoned. Patient was shifted to LDR-Recovery room. Finding a good IV site was a challenge as patient was very edematous .Finally an IV line Arterial line was sited & decision for general anesthesia taken in view of very high maternal BMI & edematous body. Transport incubator was kept ready. Bariatric bed was required.
Patient was shifted to OT after taking high risk consent. Shifting the patient to OT table was a difficult task due to her weight .Emergency LSCS done under GA. Two assistants were required to hold up the abdominal wall to facilitate the delivery of baby. A live male baby (Wt.3.5 KGS) covered with thick meconium delivered, had bradycardia initially, revived spontaneously. Baby was shifted to NICU.
Mother was shifted to ICU. Inj MgSO4 continued 24 hours post-delivery. Inj Clexane 0.8 ml SC given for 3 days for thromboprophylaxis.
Dr. Falguni Parikh reviewed her for the persistently high BP and suggested addition of more antihypertensives .Patient had c/o blurring of vision but fundoscopy was within normal limits as suggested by Dr Niren Dongre.
POD – 4: patient was mobilized out of bed with the help of six attendants and Foley s catheter was removed. Dressing changing was not easy. Weight: 146 KGS on POD 4 .There was a suspected ‘Posterior reversible encephalopathy syndrome’( PRES ) but patient made a dramatic recovery in the next two days with conservative management
On POD - 5, patient was shifted out of ICU to the ward in hemodynamically stable condition. Baby in NICU x 6 days .Mother discharged on day 7 wound healthy Team efforts, timely delivery, Inj.Magnesium sulphate and vigilant monitoring with early mobilization have helped
Congratulations to my team Dr.Jatinder,Dr.Saumya Anesthesia Dr.Swapna, Dr.Mohan & Dr.Sarin from, A&E team led by Dr.Samir Rathi , Dr.Falguni Parikh, Dr.Niren Dongre, Dr.Sachin Mishra, the entire ICU team led by Dr.Vatsal Kothari and our theatre staff Sr.Baby & Sr.Mridula. and Neonatology team Dr.Vinay, Dr.Preetha, Dr.Tanushree
Dr. Suchitra Pandit: Quintuplets delivered without any treatment
This is a case report of spontaneously conceived Quintuplets ( 5 Babies ) without any treatment.
Patient was carrying 5 babies. As leaking started, means water bag of one fetus ruptured... So at 28 weeks ie at 7 month patient was referred to our hospital for further management. Multidisciplinary involvement of Obstetrician, Neonatologist, Anesthetist and nursing staff made this miracle to happen.
Unbelievable, Yet True….Spontaneous Quintuplets!
Published in The Journal of Obstetrics and Gynecology of India: Volume 65, Issue 4 (2015), Page 271-272
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