The Ultrasound Scan

Ultrasound in pregnancy is an examination of the baby using safe sound waves.

4D Colour Scan (NEW)
This is 3D scan that is live as in you will see the fetus in 3D that is actually mobile on the monitor.

3D Colour Scan
This is a special scan which uses a special computer technology to give you a 3 dimensional view of the fetus and its features. Views are dependent of the position and the activity of the fetus.

Special Scan
In special cases you may be asked to go detail, scan to rule out abnormalities. Special scan include Doppler studies of the umbilical vessels to asses the health of the fetus.

The Early Scan
The early scan will confirm that you are pregnancy. It is also important to confirm if it is a multiple pregnancy or an ectopic pregnancy (pregnancy outside the womb which is serious).

Miscarriages are also diagnosed at this time. This scan is important to establish accurately the age of the fetus and the expected date of delivery.

The Detail Scan
This scan is done at 20 weeks. At this time the doctor will check thoroughly for abnormalities and a large number of abnormalities can be detected from the brain to the feet. The accuracy is as high as 90% and of course there will be a few abnormalities that are not possible to diagnose. All doctors here are specially trained in this field.

Other information that can be obtained are the position of the placenta, the adequacy of the amniotic fluid, the umbilical cord and the sex of the baby.

Sometimes due to the position of the fetus it may not be possible to see all of the features in which case you will be asked to return for a repeat scan.

Different Pregnancy Test

TEST FOR CERVICAL CANCER (NEW)
HPV DNA Test - Helps to detect human Papilloma Virus that is closely linked to cervical cancers.

PAP SMEAR
It is a simple test to detect cancer of the cervix. Now improved by Liquid Based Cytology (LBC) method of detection.
Recommended annual pap smear until 65 years.
Recommended include HPV DNA test as virus linked to cancer of cervix.

TRIPLE TEST FOR DOWN’S SYNDROME
Detects risk of Downs in your pregancy
For mums below 35 yrs old
Optional test.

BIOCHEMICAL ANTENATAL SCREENING TESTS
This is a screening test which is offered to all pregnant women between 16 and 20 weeks of pregnancy. A sample of blood is taken and the levels of alphafetoprotein (AFP), and Estriol (E3) Human Chorionic Gonadotrophin (HCG) are measured. Hence the name triple test it may be taken by your family doctor or gynaecologist and the results will normally be available in 10 days.

AMNIOCENTESIS TEST
This is a test in which a small amount of fluid which surrounds the baby in the womb is taken off and sent to the laboratory for genetic analysis.
This test is advisable for those who are over 35 years of age.

CHORIONIC VILLUS SAMPLING
This is a test in which a few cells are taken from the developing placenta (chorion) and tested for chromosomal abnormalities in the baby.
This test is advisable for those who are over 35 years of age.
The cells are tested for chromosomal disorders, of which Down’s Syndrome is the most important.

Food Tips

Foods rich in DHA
Nuts: Almonds, walnuts
Fish: tuna, sardines, salmon, cod

What NOT to consume during pregnancy?
Excessive alcohol
Excessive coffee
Raw meat
Raw dairy
Raw Salads

Pregnancy food
Milk, yoghurt
Eggs
Orange juice
Wholemeal Bread
Brown rice
Lentils
Lean red meat, chicken
Cereals
Broccoli
Spinach
Bananas, oranges, prunes
Nuts
Salmon sardines, cod

Damansara Specialist Hospital

When to come here?
1. When there is leaking of clear fluid.
2. When there is bleeding.
3. When there strong regular contractions.
There is no rush. You have between 1 – 2 hours to get here.

Who to contact in labour?
1. Make your way to the Maternity wing at 2ND Floor OR
2. Make your way to the A & E.
There is no need to call anyone. After the assessment the midwife will call the Doctor.

What to bring to hospital?
1. Two-day stay loose clothings/ nightwear
2. Toiletries
3. Sandals
4. Admission Letter
5. Credit card

What is provided?
1. Sanitary pads
2. Baby’s clothings
3. Beddings
4. Three meals

Common beliefs

1. Sex will hurt my baby.
- NO. It is safe for most couples.

2. Computers will hurt my baby.
- NO. Proven scientifically.

3. Increase baby movements are risky.
- NO. Only reduced movements are worrying.

4. Flying is risky.
- NO. You can safely fly till 34 weeks in pressurized cabins.

5. Reduce salts in leg swellings.
- NO. It is a normal change. Just make sure blood pressure is normal.

6. Douching is recommended.
- NO. It is not necessary and may be harmful.

Some tips during pregnancy

Stretch Marks
You CAN'T AVOID them. There are no magic creams. However, you can minimize it by
(a) Plenty fluids
(b) Plenty fruits and vegetables
(c) Simple massage oils
(d) Exercise

Exercise in Pregnancy
(a) Keep heart rate below 120
(b) Avoid overexertion
(c) Avoid extreme sports
(d) Avoid lying down
(e) Ensure plenty fluids

How to avoid Constipation
TAKE: (a) Two litres of fluids & juices
(b) Plenty fruits, prunes, vegetables
(c) Gentle exercise

Services Available in Clinic

• Antenatla Care
• Preganncy disorders
• Ultrasound
- Basic
- First Trimster Genetic Diagnosis
- Nuchal Translucency
- Advanced Detail Ultrasound
- Doppler
- Transvaginal Ultrasounds
• Pap Smear
• Gynae Checkup
• Infertility
• Menopause
• Gynae Operations
- Hysterectomy
- Cysytectonmy
- Laparoscipis Surgery: Cysytectomy
- Minor Surgery Leep
- wARTS
• STD's
• Mammogram
• Breasty Ultrasound
• Menstrual Problems
• Teenage Problems
• Health Screening
• Prenatal Screening
• Family Planning
• Colposcopy
• Hysteroscopy
• Breastfeeding Counselling
• Parentcraft Classes
• Home Visits

Please allow seats for the ladies!

Dr Guna's Profile

He has been practicing at the Damansara Specialist Hospital since its inception in 1997 and is one of the pioneer group of specialist in the hospital. He heads the Obstetrics & Gyneacology department at the hospital. His special interest is in Maternal Fetal Medicine which deal with High Risk pregnancies, Advanced Obstetrics Ultrasound and invasive procedures in Onstetruiics like amniocentesis and CVS (Chorion Villus Biopsy). Besides this he is also very experienced in gynaecology and gynaecology surgery including basic keyhole laparoscopysurgry. He receives numerous referral particularly for invasive procedures like amniocentesis, CVS and Advanced 3D/4D Ultrasound.

Prior to this appointment he was senior consultant and deputy Head at the Maternity Hospital at Kuala Lumpur General Hospital. This unit is the largers in the country. He also sets up the Maternal Fetal Unit at the Hospital in 1992 which is the first such unit within the Ministry of Health. He also and set the module for training and diagnostic for Ultrasound at the hospital.

He initiated the Ministry of Health Perinatal audit mechanism which resulted in the National Perinatal Death Enquiry. He has served in various committees at Ministry as a consultant particularly in issues dealing with Perinatal health and ultrasound. He still is active in the Ministry Perinatal Committee.

He was an examiner for the University Kebangsaan Undergraduate and tutor for several of the postgraduate trainees.

He was the founder President of the Perinatal Society of Malaysia and was twice its President. He was also President of the Obstetrical & Gynaecological Society of Malaysia and is currently in the Society council. He is also vice president of the society foundation The ObGyn Foundation.