Antenatal care is the care provided by health professionals during pregnancy to support the health of the pregnant person and baby. It includes scheduled appointments, screening discussions, scans and checks such as blood pressure, urine and blood tests. At the first appointment, the clinician or midwife reviews previous pregnancies, medical and mental-health history, medicines and circumstances that may affect care. Later appointments monitor wellbeing, the baby’s growth and movement, and preparation for birth. Contact maternity services promptly if you are worried about your health or your baby; you do not need to wait until the next scheduled appointment. Private obstetric consultations can complement, but should not replace, the coordinated NHS maternity pathway unless a complete alternative care plan is formally arranged. Keep maternity notes accessible and tell each clinician about relevant diagnoses, medicines, allergies and results so that care remains coordinated.
Definition: Obstetrics is the specialty, which deals with the complete management and care of women who are pregnant. This means care and management of the mother and baby during the whole pregnancy, during childbirth and in the period immediately after delivery, resulting in a healthy mother and healthy baby.
Aim: The aim is a well-managed pregnancy, safe delivery and positive experience of pregnancy and labour for the mother
Consultant Dr Mrs Salma Kayani has 18 years of extensive training and experience from internationally recognised Top Teaching Hospitals of England in High-Risk Obstetrics.
Dr Mrs Salma Kayani is among the very few, who are certified MOET providers (Management of Obstetrics Emergency and Trauma) from UK, for 14 years (since 2002). This means that she is certified to competently and efficiently deal with life threatening and dangerous situations which can occur just before, during or immediately after the delivery. She is also certified to manage the recovery and resuscitation of the newborn baby.
In addition to the care of general Obstetric patients, Dr Mrs Salma Kayani has special expertise in the following conditions of pregnant women:
Pregnancy with High Blood Pressure
Pregnancy with Diabetes
Twin pregnancies
Pregnancies complicated with
Premature rupture of membranes (leaking of water around the baby many months before the due date)
Low birth weight (problems of poor growth of baby)
Recurrent miscarriage
Childbirth is a natural process, however, it bears many risks to the mother and to the baby. It has been accepted by the World Health Organisation that these days women are increasingly having caesarean sections by less skilled Obstetricians, which deprive mothers of the experience of natural childbirth and also expose mothers to many short term and long term risks of unnecessary caesarean sections.
Dr Salma Kayani has done extensive research on the subject of:
How to ensure that the woman has a maximum chance of having a vaginal delivery
How to have a safe normal delivery after one and even, after two caesarean sections
All this research of Dr Salma Kayani has been published in highly reputable international medical journals and Dr Salma Kayani is considered as an international expert in ‘Vaginal Birth After Caesarean Section’.
With this extensive experience and expertise of Dr Salma Kayani,
Your chances of having a normal delivery are as high as 94% (most Obstetricians’ Normal Delivery rate is 65-70%)
Your chances of having a caesarean section are as low as 6%. (Most Obstetricians’ Caesarean Section rates are from 30-65%)
During labour, Dr Salma uses her highly specialised training, skills and expertise in safely performing:
Normal deliveries in your first pregnancies (this is the time when most mothers are subjected to their first caesarean section)
Normal deliveries after one caesarean section
Normal deliveries even after two caesarean sections - in carefully selected cases. Dr Salma discusses this with the patient during the antenatal consultations
Normal deliveries in twin pregnancies
Vaginal breech deliveries
Research Papers supporting Dr Salma Kayani’s Obstetric Skills and Expertise
Salma I. Kayani, Maw Joo Tan, Nigel J. Shaw, Christopher Dewhurst, Andrew Titman, Gillian Lancaster, and Zarko Alfirevic Two-year outcomes for infants with low cord pH at birth. J Matern Fetal Neonatal Medicine.
ISSN: 1476-7058 (print), 1476-4954 (electronic). Early Online: 1–5
2013 Informa UK Ltd. DOI: 10.3109/14767058.2013.847915
Salma I. Kayani, M Tan, NJ Shaw, Z Alfirevic. 2-year Outcome for Infants with Low Cord pH At Birth. Archives of Disease in Childhood. Vol 94, Suppl 1, Page Fa37, June 2009
Salma I. Kayani, D. Roberts, D. Kitchiner. The routine anomaly scan and detection of congenital heart disease. Ultrasound in Obstetrics and Gynaecology, 26,4 :410, 2005
Salma I. Kayani and Z Alfirevic. Induction of Labour in Previous Caesarean Section. Journal of Obstetrics and Gynaecology, vol.22, supp.1, March 2002
2-year Outcome for Infants with Low Cord pH At Birth Salma I. Kayani, M Tan, NJ Shaw, Z Alfirevic
13th Annual Conference of British Maternal Fetal Medicine Society
Liverpool,
Dates: 17th - 18th June 2009
Induction of Labour in Previous Caesarean Section Salma I. Kayani, Z Alfirevic
7th Annual Conference of the British Maternal Fetal Medicine Society
Churchill College, Cambridge
Dates 11 April 2002 to 12 April 2002
Pregnancy Outcome In Severe Placental AbruptionSalma I. Kayani, S Walkinshaw
6th Annual Conference of the British Maternal Fetal Medicine Society
University of Warwick
Dates: 22 March 2001 to 23 March 2001