Why Choose Integra Healthcare?
Tertiary-level Professionals
All medical staff are highly experienced, tertiary-level senior consultants
Unique Pregnancy Service
The only combined tertiary obstetric-fetal-neonatal team in the Cayman Islands
Full Gynaecology Services
Comprehensive, consultation, diagnostics, investigations, treatment & surgical service
Meet Our Amazing Team
Dr Madhavi Manoharan
Consultant Obstetrician & Gynaecologist
Services
- Full Pregnancy Services
- High-Risk Pregnancy Service
- Accredited Fetal Medicine
- Full Gynaecology Service
- Gynaecology Surgery
- Accredited Colposcopy
Meet our Women’s Health Suite
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Unique & Unmatched Pregnancy Service
We love supporting you to have a wonderful pregnancy. And whilst we are doing that, you have the reassurance of the right experience behind you all the way, as a team. Integra’s pregnancy services is truly unique:
- All female team covering obstetrics, fetal medicine & newborn paediatrics, all to tertiary level
- Working seamlessly together, providing unparalleled cover
- Dedicated pregnancy midwife providing prenatal advice and postnatal support for all Integra
The Women’s Health Suite is unique in Cayman, with no other service combining obstetrics, fetal medicine and paediatrics. We will be delighted to explain why that is so beneficial.
Unique Pre and Postnatal Support
All pregnancies booked with the Integra OBGYN Team benefit from an enhanced midwife-led and Lactation support package including:
- Prenatal Education, Support & Advice
- Preparation for Birth
- Postnatal Support, Guidance & Counselling
- Breastfeeding Support
This is delivered by our very own Katy Teasdale a highly experienced Registered Nurse and International Board-Certified Lactation Consultant (IBCLC), with over 19 years of specialised experience in Perinatal and Neonatal Intensive Care (NICU). Katy offers the kind of expert support you’d expect from your midwife at Doctors Hospital, but as part of our own Women’s Health Suite. Her background includes extensive work with new mums and babies, and she brings both deep clinical knowledge and compassionate care to every consultation.
Midwife Support Package
Our premier Midwife Support Package is included in all pregnancies through Integra but can also be purchased separately if you are delivering through a non-Integra OBGYN.

Comprehensive Gynaecology
The Women’s Health Suite at Integra is purpose designed with the best and safest gynaecology practise in mind. That includes:
- Purpose-planned consulting-treatment room suites each with a private toilet
- Latest 3D & 4D ultrasound equipment
- Fully electric examination & treatment tables
- Privacy and sensitivity at its heart
- Latest equipment for gynaecology procedures
- Tertiary gynaecology team with wide-ranging skills
- Experience child & adolescent gynaecology
- Accredited colposcopy service
Our all-female Women’s Health team understands the sensitivities around gynaecology, delivering holistic care with utmost compassion in private and relaxing facilities in Cayman.
Enhanced Fetal Medicine
Integra is privileged to have an Royal College of Obstetricians and Gynaecologists accredited fetal medicine specialist, Dr Madhavi Manoharan, Consultant Obstetrician & Gynaecologist, formerly from the prestigious Royal Free Hospital in London.
Fetal Medicine or Maternal-Fetal Medicine physicians specialise in providing care for women who are at high risk for problems during their pregnancies, or where concerns become apparent during a pregnancy. These can be some of the most worrying times in an otherwise joyous experience and so having the right capability on hand at a moment’s notice is enormously beneficial. Dr Madhavi has a wide range of maternal-fetal medicine capabilities covering advanced monitoring, diagnostics, treatment and counselling. Dr Madhavi also provides genetic counselling, advice and advanced genetic testing.
In complex pregnancies, emerging issues or genetic conditions, Dr Madhavi works closely with obstetricians and neonatal medicine specialists to ensure the best possible outcomes. In Integra, all of that is available in one team.
The services we provide
Integra provides a comprehensive range of services across women’s, children’s, family, dermatology, and endocrinology care, delivered with excellence, integrity, commitment, and passion as standard
Newborn (Neonatal) Care
We are the only practice with full hospital admitting rights for neonatal care delivered by tertiary trained neonatal (newborn) specialists.
- Attending Deliveries
- Baby Checks & Immunisations
- Newborn Care
- Preterm & Complex Care
- 1st Year Paediatric Care
Paediatric Health & Care
We provide a truly comprehensive set of paediatric care services backed up by full admitting rights to George Town Hospital.
- Developmental Follow Up
- Well Child Checks & School Medicals
- Full Paediatric Care from 0-18 years
- ADHD assessment
- Complex Paediatric Care & Referrals
Comprehensive Care
Comprehensive and swift service that values and respects your time, delivering on time, without drama.
- Book Online, with Instant Confirmation
- High Quality Facilities
- Rapid Reporting
- Blood Pressure Screening
Family Health & Medicine
Our Family Health services are modern, supportive, non-judgmental, delivered with compassion.
- Family Doctor/GP Services
- Well-person Checks
- Health & Lifestyle Support
- Preventive Medicine
- Acute & Chronic Illness
Fertility Services
We provide a full holistic fertility assessment and advice service including ovulation induction services.
- Investigation of both partners
- Gynaecological scans
- Tubal patency assessment
- Advanced laparoscopic and hysteroscopic surgery
- Ovulation induction
Gynaecology Services
Comprehensive, woman-centred, gynaecology, including screening, diagnostic and treatment services for the breadth of benign conditions.
- Menstrual and hormone disorders
- Pelvic pain, ovarian cysts and fibroids
- Menopause, prolapse and incontinence
- Advanced laparoscopic and hysteroscopic surgery
- Onward referral for suspicious conditions
- Polycystic ovary syndrome
Paediatric & Adolescent Gynaecology
We provide a sensitive, sympathetic approach to girls and teenagers with a range of gynaecological problems.
- Heavy or irregular periods
- Pelvic pain and painful periods
- Delayed or early puberty
- Vulval problems
- Contraceptive advice
- Polycystic ovary syndrome
Obstetric Services
We provide comprehensive woman-centred obstetric care, with patient safety and shared decision making foremost.
- Pre-conception advice
- Antenatal care
- Care in labour
- Normal vaginal, instrumental and caesarean births
- Postnatal care
Dermatology Services
Providing a responsive, patient-focused, comprehensive dermatology service for both adults and paediatric patients in modern facilities.
- Inflammatory Skin Conditions
- Infections, Bites & Bumps
- Skin Cancer Screening & Diagnosis
- Biopsies & Procedures
- Vulval Dermatology
Endocrinology
We offer expert, compassionate endocrinology care focused on restoring hormonal balance and long-term wellness.
- Board-certified specialists in hormone and gland health
- Personalized evaluation and treatment for every patient
- Full range of endocrine and metabolic services
- Advanced on-site testing and treatment options
- Seamless coordination with regional and global experts
Dr Madhavi Manoharan
MBBS, MD, FRCOG
Consultant Obstetrician & Gynaecologist
Services
- Full Pregnancy Services
- High-Risk Pregnancy Service
- Accredited Fetal Medicine
- Full Gynaecology Service
- Gynaecology Surgery
- Accredited Colposcopy
Dr Charlotte Austen
BSc (Hons), MBBS, MRCOG, PgDip (Pain Management)
Consultant Obstetrician & Gynaecologist
Services
- Full Pregnancy Services
- High-Risk Pregnancy Service
- Accredited Fetal Medicine
- Full Gynaecology Service
- Gynaecology Surgery
- Accredited Colposcopy
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