Obstetric Services

Having a baby is an exciting but also an anxious time. Care and support throughout pregnancy, childbirth and the postnatal time is essential to make sure risks are minimised and that your pregnancy is as normal as possible. Integra offers comprehensive obstetric services with parents at its heart and a obstetric-neonatal team that is unique in Cayman.

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Obstetric Services

Pre-conception care, including advice about pre-existing medical conditions prior to pregnancy
Holistic antenatal care including screening for complications of pregnancy, monitoring fetal growth and more
Management of pregnancy related conditions and complications
Joint decision making regarding birth plans
Intrapartum care, including active management of labour
Normal vaginal delivery, instrumental delivery & forceps delivery
Repair of perineal tears or episiotomy
Caesarean sections both as a planned procedure and as an emergency if complications arise
Management of delivery of placenta and bleeding after delivery
Postnatal care until discharged home & thereafter

Why Choose Integra Healthcare?

Obstetric-Neonatal Team

The only combined tertiary obstetric-fetal-neonatal team in the Cayman Islands

Tertiary Trained & Experienced

All staff are experienced, consultant-level, tertiary trained senior professionals

Accessibility & Responsiveness

24/7 access and the whole team lives within 5 minutes of both hospitals

Holistic Care

We pride ourselves on a patient-centred approach with shared decision making to ensure your birth experience is positive, whilst also having a particular focus on safety, given we are an island. You’ll find Dr Lisa Joels is passionate about creating an antenatal, birthing and postnatal journey that meets and exceeds your expectations, making having a baby the joyous experience it should be.

Safe Care

Integra has the only combined obstetric – neonatal qualified team on island, with individuals who are all tertiary trained and experienced, ensuring seamless coordination for both maternal and newborn aspects of care. The ideal pregnancy is an uneventful one but in the event that nature has other ideas, it’s important to have a team you are confident in, with the right experience and training, who work closely together.

Might you have a higher-risk pregnancy?

Integra has a specialist, multidisciplinary high-risk pregnancy service. It’s worth visiting that page. The risk factors for a higher risk pregnancy include:

Existing Health Conditions

High blood pressure
Polycystic ovary syndrome (PCOS)
Diabetes
Kidney disease
Autoimmune disease
Thyroid disease
Obesity
Certain infections e.g. Zika

Life Decisions & Lifestyle

First pregnancy after age 35
Alcohol use
Tobacco use
Drug use

Conditions of Pregnancy

Multiple gestation
Gestational diabetes
Preeclampsia and eclampsia
Previous preterm birth

View higher risk pregnancy page

Fetal Medicine Service

At Integra, we are blessed to have an experienced, tertiary UK consultant with a special interest in fetal medicine, including specialist skills training from the Royal College of Obstetrics and Gynaecology. This provides added security and a multidisciplinary approach to specialist obstetric care, fetal health and emerging problems that just doesn’t exist anywhere else on island.

Multidisciplinary Team

Our team consists of two female obstetricians, including a special interest in fetal medicine, working seamlessly alongside three female neonatally-trained and experienced paediatricians, all of whom are tertiary-level and experienced from UK or Australasia. Our multidisciplinary approach is designed to ensure the utmost in safety and coordination, along with unparalleled back up.

Accessibility & Responsiveness

Obstetrics is a 24/7 specialty requiring responsiveness and timely attendance. We pride ourselves both in your direct access to your doctor and the back up of a team. And most importantly, all of our doctors live within 5 minutes of Cayman Islands Hospital, this side of the Grand Harbour traffic.

Dr Lisa Joels

Obstetrician & Gynaecologist
MB ChB, MD, FRCOG, FHEA
Tel: +1 (345) 745 7450 (clinic)
Mob: +1 (345) 526 8965
Email: [email protected]

Dr Joels has 34 years’ experience in obstetrics and gynaecology including 19 years as a Consultant working in Swansea (2001-11) and subsequently at the Royal Devon & Exeter NHS Foundations Trust in the UK (2011-20).

Services

Gynaecological Services
Paediatric and Adolescent Gynaecology
Obstetric Services
High-Risk Obstetric Service
Fertility Services

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Dr Madhavi Manoharan

Obstetrician & Gynaecologist
MBBS, MD, MRCOG
Tel: +1 (345) 745 7450 (clinic)
Email: [email protected]

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 at the world-renowned Weil Cornell Medicine, located in their Qatar campus, part of Cornell University.