Dr Madhavi Manoharan

Obstetrician & Gynaecologist (Obgyn) In The Cayman Islands
MBBS, MD, FRCOG
Book an appointment

Dr Manoharan has 23 years’ experience in obstetrics and gynaecology, including more than a decade at tertiary level, 7 years as consultant at the prestigious Royal Free London NHS Foundation Trust and a number of years as assistant professor of clinical obstetrics and gynaecology at the world-renowned Weil Cornell Medicine, located in their Qatar campus, part of Cornell University. Besides her significant general experience in pregnancies, Dr Manoharan has a special interest in high-risk pregnancies, including extensive experience of managing patients with diabetes, as well as other medical complications or pre-existing conditions. Additionally, Dr Manoharan has a specialist interest in Fetal & Maternal medicine, including the management of twin pregnancies and those where fetal anomalies exist. She is formally certified to perform trans-abdominal and trans-vaginal scans for early pregnancy problems. She is an accomplished and experienced gynaecologist and fully accredited in colposcopy. She is committed to a woman-centred, holistic approach where women are properly listened to, while being supported with safety-focused, evidence-based medicine.

View our GynaecologyObstetric and High Risk Obstetric services.


Dr Madhavi Manoharan

Education, Training & Experience

Dr Madhavi Manoharan, OBGYN in Cayman


Qualifications

  • MBBS – Bachelor of Medicine and Bachelor of Surgery
  • MD – Doctorate of Medicine
  • FRCOG – Fellow of the Royal College of Obstetricians and Gynaecologists
  • CCT – Certificate of Completion of Training in Obstetrics & Gynaecology
  • Fetal Medicine (RCOG Special Skills Module Accreditation)
  • Advanced Labour Ward Practitioner (RCOG Accreditation)
  • Diploma in Obstetric Ultrasound
  • Ultrasound Imaging in Managing Gynaecological Conditions (RCOG Special Skills Module Accreditation)
  • DGO – Diploma in Gynaecology and Obstetrics
  • Accredited by the BSCCP (The British Society for Colposcopy and Cervical Pathology)
  • DFFP – Diploma of the Faculty of Family Planning

In addition to her explicit qualifications, Dr Manoharan has extensive additional training and experience in the following areas:

  • Maternal medicine & high-risk obstetrics
  • Fetal anomalies & growth restriction
  • Advanced laparoscopic surgery
  • Minimal access surgery
  • Hysteroscopic surgery
  • Vulval disease
  • PROMPT Obstetric Emergencies Training (including as instructor)
  • Trans-abdominal and trans-vaginal scans for early pregnancy problems
  • Managing obstetric emergencies such as emergency caesarean sections especially with major antepartum bleedings and extreme prematurity along with severe pre-eclampsia and eclampsia Diabetes in pregnancy
  • Contraception including insertion of contraceptive coils and implants
  • Clinical governance and risk management

Read more

Obstetrics Experience

My obstetric experience spans 23 years, including more than a decade at tertiary level and 7 years as consultant at the prestigious Royal Free London NHS Foundation Trust. I have a special interest in both obstetric safety and in high-risk pregnancies, backed up by a training in maternal medicine and a specialist interest and formal accreditation in fetal medicine.

I believe in supporting women in shared decision-making about mode of delivery, including aiming for normal vaginal delivery and vaginal birth after caesarean section. I am experienced in caesarean section, instrumental vaginal delivery including ventouse and forceps. I have experience of vaginal breech deliveries and vaginal twin deliveries.

I have a special interest in diabetes in pregnancy, with extensive experience of conducting antenatal diabetic clinics, including jointly with an endocrinologist.

Pre-conception care

  • Advice about pre-existing medical conditions prior to pregnancy working with specialist colleagues as necessary
  • Evaluation of risk-factors for a high-risk pregnancy

Antenatal care

  • Holistic management of antenatal care throughout pregnancy including screening for complications of pregnancy, monitoring fetal growth and advice about vaccinations and medication as appropriate
  • Early pregnancy scanning for identification of fetal anomalies
  • Management of pregnancy-related conditions and complications
  • Joint decision making regarding birth plans
  • Referral on to specialist services as necessary

Care in labour and delivery

  • Intrapartum care including active management of labour and working with midwifery colleagues
  • Normal vaginal delivery
  • Instrumental delivery including Ventouse (vacuum) and forceps delivery)
  • Caesarean sections both as a planned procedure and as an emergency if complications arise in labour
  • Management of delivery of placenta and bleeding after delivery
  • Repair of perineal tears or episiotomy

Care after birth

  • Postnatal care until discharged home
  • Six-week postnatal check and contraceptive advice
  • Support for problems arising after delivery

Read more

High-Risk Obstetric Experience

I have extensive experience of managing high-risk pregnancies and for more than a decade have been actively involved in the care of high-risk pregnant women with medical complications like cardiac, haematological conditions, hyperthyroidism etc, including managing them in liaison with multidisciplinary teams.

My training and accreditation in fetal and maternal medicine has led to extensive experience in the managing women with pregnancies complicated by severe growth restriction, twin or multiple pregnancies and pregnancies with fetal anomalies. I have had training in early pregnancy scanning for identifying early pregnancy problems like miscarriage, ectopic and molar pregnancies.

I have had training in managing obstetric emergencies (including as instructor). My experience in managing obstetric emergencies extends to emergency caesarean sections especially with major antepartum bleedings and extreme prematurity along with severe pre-eclampsia and eclampsia.

Read more

Fetal & Maternal Medicine Experience

I have a specialist interest, training and accreditation in fetal and maternal medicine. I have extensive experience in the managing women with pregnancies complicated by severe growth restriction, twin or multiple pregnancies and pregnancies with fetal anomalies.

Fetal Medicine sits really between obstetrics and neonatal medicine, providing care and diagnosis for your baby whilst in-utero. This is especially important in the event of complications or fetal anomalies. In this situation, I provide pregnancy care and guidance with those complications in mind, including coordinating care with my neonatal colleagues to ensure birth is carefully planned with safety in mind.

Read more

Gynaecological Experience

I have a long, broad-based training and experience in gynaecology services, including as a tertiary consultant in a prestigious London teaching hospital.

I am confident in both abdominal and vaginal hysterectomy, open myomectomy, vaginal repairs and hysteroscopic resection of polyps and fibroids. I am trained in advanced laparoscopic surgery, minimal access procedures, surgery for endometriosis including, excision of endometriosis, ovarian cystectomy and other operative laparoscopic procedures including adhesiolysis, salpingo-oophorectomy and ectopic pregnancy. I have carried out LAVH and laparoscopic subtotal hysterectomies and total laparoscopic hysterectomies.

I have a specific training in trans-abdominal and trans-vaginal gynaecological ultrasound scanning and can conduct this routinely in clinic for benign gynaecological conditions.

I am experienced in the management of women with prolapse, menstrual disorders, pelvic mass and fibroids.

Diagnosis and management of benign gynaecological problems:

  • Menstrual disorders including bleeding after intercourse, postcoital bleeding or post-menopausal bleeding
  • Pelvic pain and painful intercourse
  • Urogynaecological problems including prolapse and incontinence
  • Hormone problems including menopause and polycystic ovary syndrome
  • Ovarian cysts and fibroids
  • Vulval disorders
  • Contraception
  • Screening services including cervical smear tests
  • Gynaecological ultrasound
  • Diagnostic colposcopy (accredited)

Treatment of gynaecological problems:

  • Minimal access surgery including advanced laparoscopic procedures to excise or treat endometriosis and adhesions and benign ovarian cysts
  • Hysteroscopic surgery including removal and resection of polyps and fibroids and investigation of postmenopausal bleeding
  • Open surgery including hysterectomy, removal of fibroids and large benign ovarian masses
  • Prescribing medications as appropriate where a surgical approach isn’t required
  • Treatment colposcopy in the clinic or surgical setting

Read more

Colposcopy

I am accredited by The British Society for Colposcopy and Cervical Pathology in Colposcopy in both diagnosis and treatment of benign gynaecological conditions, including routinely performing colposcopy within the clinic environment.

Read more

Services

Please scroll through for information on each.

Career Highlights

  • More than a decade working as a tertiary consultant in obstetrics & gynaecology, including 7 years at prestigious Royal Free London Hospitals
  • Fellow of the Royal College of Obstetricians and Gynaecologists
  • Lead for Diabetes services in pregnancy, including the harmonization and modernization of diabetes in pregnancy guidelines across multiple hospitals
  • Examiner for the Royal College of Obstetricians and Gynaecologists
  • Associate Professor Cornel University (Cornell Weil Qatar Campus)

Booking

Appointment Booking with Dr Madhavi Manoharan

Please simply work through the steps on screen. If you are using a smartphone, it helps to turn your screen sideways (landscape).

Appointment Availability

If you cannot see an Integra appointment slot available, please call us on (345) 745 7450 within office hours, and we will do our best within our capacity.

Meet our doctors

We are passionate about improving the quality of care available to those residing in Grand Cayman and that extends to an unwavering commitment to employ individuals with true expertise, as committed as we are.

Paediatrics & Newborn Care Specialists

Dr Siobhan Jaques

Dr Siobhan Jaques

Specialist Paediatrician & Neonatologist

Dr Sarah Newton

Dr Sarah Newton

Specialist General Paediatrician & Newborn Care

Dr Tamara Bugembe

Dr Tamara Bugembe

Consultant Paediatrician

Dr Zanele Balang

Dr Zanele Balang

Consultant Paediatrician

Obstetrics, Gynaecology & Fetal Medicine

Dr Madhavi Manoharan

Dr Madhavi Manoharan

Consultant Obstetrician, Gynaecologist & Fetal Medicine

Dr Laura Hole

Dr Laura Hole

Consultant Obstetrician & Gynaecologist

Dr Mike Smith

Dr Mike Smith

Consultant Obstetrician & Gynaecologist

Adult & Paediatric Dermatology

Dr Alison Duncan

Dr Alison Duncan

Consultant Adult & Paediatric Dermatologist

Dr Davide Altamura

Dr Davide Altamura

Consultant Dermatologist & Dermatosurgeon

Family Medicine & General Practitise

Dr Francisco Martinez

Dr Francisco Martinez

Family Physician & General Practitioner

Dr Andrew Robinson

Dr Andrew Robinson

Family Physician & General Practitioner

Dr Tanushree Bhakta-Perry

Dr Tanushree Bhakta-Perry

Family Physician & General Practitioner

Dr Pedro Toscano

Dr Pedro Toscano

General Practitioner – Family and Community Medicine Specialist

Midwifery & Paediatric Physiotherapy

Allie Campbell

Allie Campbell

Midwife & Lead for Antenatal & Postnatal Support

Samantha Sparg

Samantha Sparg

Paediatric Physiotherapist

Urology

Dr Lona Vyas

Dr Lona Vyas

Consultant Urologist

Endocrinology

Dr Seshadri Pramodh

Dr Seshadri Pramodh

Consultant Endocrinologist

Orthopedics

Dr Olivia Antos

Dr Olivia Antos

Orthopaedic Surgeon