What You Need to Know About Natural Delivery

Birthing is of two kinds – a vaginal birth or Caesarean. When it comes to vaginal birth, we often use the terms ‘normal delivery’ and ‘natural birthing’ interchangeably, but the terms have specific meanings.
A ‘natural birth’ is one wherein the mother goes into labour, progresses on her own, and the delivery process takes place without any form of medical intervention. This means no administration of epidural or painkillers, no use of medicines to induce labour, or use of means like episiotomy (a cut in the area between the vagina and anus during childbirth to help the child emerge easily) or use of instruments to deliver the baby.
Hence, it is only after the baby is fully delivered that we can even confirm whether it was a ‘natural birth’. At any point, if the patient insists that she wants painkillers, or if there is a strong medical need that necessitates an intervention (even if it is minimal), we will refer to it as a ‘normal delivery’.
There is now greater awareness about birthing practices and more and more people are exploring the option of a vaginal birth. In recent years, we have had several couples enquiring about natural birth as well. This article will cover all the key information you need to know about natural birthing.

Not having a natural birth does not make the experience any less wonderful: At BloomLife Hospital, we are strong proponents of natural birthing, but we also believe that all forms of delivery – vaginal or C-section – give rise to one of the most beautiful experiences life can offer. Carrying and then giving birth to a child is a miracle in itself – so don’t beat yourself up if you did not have a natural birth. All that matters is yours and your baby’s health and safety, and any means that accomplishes it is worthwhile.

Preparing for a natural birth begins before you conceive: This is a crucial point that all couples who are planning to expand their family should keep in mind. With changes in lifestyle, eating habits and work patterns, our bodies have also changed. We see an increase in obesity, a dip in essential vitamins and micro-nutrients, and overall lack of flexibility and fitness. When we start preparing from a natural birth from Day 0, we focus on the woman’s diet, fitness and health markers, as well as mental preparedness and management techniques, so that she is full prepped and ready when the time arrives. 

Emotional preparation is as important as physical preparation: Emotional preparedness is necessary for the mother to have a positive birthing experience. Moreover, many women who opt for natural birthing are scared about the pain they will have to face during delivery. This fear gives rise to tension in the body, which in turn increase the feeling of pain. The feeling of pain further increases the sense of fear, which causes the cycle to repeat itself. When the woman is emotionally prepared and stable, she can handle the tension calmly. This helps her go through the process of delivery and manage the pain of labour without letting it overwhelm her completely. Ante-natal preparatory classes play an essential role in helping a woman to become physically and emotionally prepared for a natural birth.

Pregnancy and delivery is also a father’s journey: Right from the time of planning and conception, a father has an equal role to play in the pregnancy journey. From helping the mother to maintain good health and fitness to helping her through emotional highs and lows, the father plays an essential role in ensuring both the mother’s and baby’s well-being. Furthermore, the spouse’s support is invaluable for a woman, especially during labour – which is why we always encourage them to be present during delivery (unless there are medical restrictions). This is also the best way for a father to start bonding with the baby.

Pain management during labour: Many women worry about how they are going to handle the pain that comes with birthing. Here are some important aspects that you need to know about pain management techniques:

Prior preparation: Keeping yourself fit, healthy and supple will help to make your body adapt to the birthing process more easily. In particular, ante-natal birthing exercises will help to expand the pelvis so that the birthing process is easier (than with a narrow pelvis). When the mother is calm and emotionally stable, she is able to better handle the bodily changes without getting too anxious – which, in turn, helps relax the muscles, thereby reducing the sensation of pain.

Hot water baths and massages: The use of a hot water bath is helpful in relaxing the muscles and lowering the pain. It also provides a soothing, comforting feeling for many women. We also suggest the use of hot oil massages for relieving back pain and overall relaxation. 

Emotional support: A delivery is not a linear process – there are many peaks and troughs and a woman needs strong emotional support during the low moments. Having midwives or doulas as part of the birthing team, along with the doctors, helps to address this need. This is also one of the reasons we strongly encourage husbands to be part of the birthing process – their participation helps to give the woman a great sense of motivation and support, and increases the bonding between partners and, later, with the newborn.

Medical options: It is important to first understand that every person has a different pain threshold – and, despite best efforts, some women may not be able to handle the pain. In such cases, they can definitely ask the doctor about taking epidural to numb the body and significantly reduce the pain. While use of epidural will mean it is no longer considered a ‘natural birth’, it is important to bear in mind that the choice is to be made by the woman (in consultation with her doctor).

Your experience, be it for the first pregnancy or as a person going through VBAC (vaginal birth after C-section), will be unique to you and should be approached with an open mind. More than the mode of delivery, the ultimate aim is to have a healthy and safe delivery, wherein the well-being of the mother and the baby are given highest priority – and we are here to help you with that.

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What You Need to Know About Natural Delivery

Dr. Kavitha Gautham,

MBBS, MS (Obstetrics & Gynaecology), FICOG, FIMSA – Head of the Department & Senior Consultant

Dr. Kavitha Gautham is a leading figure in the field of obstetrics and gynecology, and reproductive medicine, with a distinguished career marked by excellence and compassion. She holds an MBBS from Annamalai University, an MS in Obstetrics and Gynecology from Sri Ramachandra Medical College & Research Deemed University, and a Diploma in Reproductive Medicine from University Schleswing-Holstein, Germany. As the Founder & Director of Bloom Fertility Centre & Bloom Birthing Centre and Medical Director of Bloom Fertility & Healthcare, Dr. Kavitha spearheads initiatives aimed at providing personalized and holistic care to patients.

With several years of expertise in gynaecological laparoscopy surgery, she has performed (approx.) 10,000 deliveries, 10,000 hystero-laparoscopy surgeries, and more than 5,000 IVF cycles to date. She is a Life Member of the European Society of Reproductive Medicine & Indian Society of Reproductive Medicine, All India Congress of Obstetrics & Gynaecology, Obstetric and Gynaecological Society of Southern India, Federation of Obstetric and Gynaecological Societies of India, and the Indian Medical Association. She is a Fellow from the Indian College of Obstetrics & Gynaecology and International Medical Science Academy, and FIMSA.

Dr. Kavitha has been the recipient of several awards, including the prestigious J.L. Javeri Award (AICOG, 2005), Excellence in Healthcare – Infertility & IVF Treatments award (The Chennai City ICON Awards, 2019), WONDER FOGSIAN award (FOGSI, 2019). Additionally, she was the first doctor in South India to successfully conduct a water birth in a VBAC case.

Dr. Kavitha has also presented research papers at prestigious conferences including ISAR and IMSACON and has been published in esteemed journals such as the ‘Journal of Clinical Diagnostic Research’. Her commitment to public service is evident through initiatives such as conducting health camps in collaboration with organizations like the SMILE Foundation and raising awareness about reproductive health through appearances on radio and TV shows.

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Dr. C. Dheepa,

MBBS, MS (Obstetrics & Gynaecology) – Consultant

Dr. Dheepa comes with a diverse background in obstetrics, gynecology, paediatric surgery and general surgery. With a Master of Surgery (MS) in Obstetrics & Gynecology from the Pondicherry Institute of Medical Science, Pondicherry, and an MBBS from Coimbatore Medical College and Hospital, Dr. Dheepa has consistently showcased excellence in academic and professional endeavors. She has gained expertise in various areas including antenatal care, intrapartum care, postpartum care, pelvic pain, menstrual abnormalities, and laparoscopic surgeries. Committed to advancing medical knowledge, Dr. Dheepa has also presented papers and conducted research, contributing significantly to the field.

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Dr. Niveditha G.R,

MBBS, MS (Obstetrics & Gynaecology) – Registrar

Dr. Nivedhita is a skilled obstetrician and gynecologist, holding an MBBS from Madras Medical College, Chennai and an MS (Obstetrics & Gynaecology) from Kilpauk Medical College, Chennai. She has been serving as an Assistant Professor at the Institute of Obstetrics & Gynaecology, Egmore, Chennai, since 2022, and contributes to education and clinical practice. With a passion for research, Dr. Nivedhita has also conducted a significant observational study on thrombocytopenia in pregnancy, and actively participates in academic events and conferences. Proficient in Tamil and English, Dr. Nivedhita excels in patient communication and counselling. Her clinical interests span high-risk obstetrics, infertility, and minimally invasive surgery, ensuring comprehensive care for patients.

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Dr. Kousica M.,

MBBS, MS (Obstetrics & Gynaecology), Fellowship in Reproductive Medicine – Consultant

Dr. Kousica is a distinguished obstetrician and gynecologist with a passion for research and patient care. After graduating with an MMBS from Sri Ramachandra Medical College and Hospital, Chennai, in 2017, Dr. Kousica pursued advanced studies, earning an M.S in Obstetrics and Gynaecology from Sree Balaji Medical College and Hospital in 2022. Complementing this expertise was a Diploma and Fellowship in Minimal Access Surgery (MAS) from World Laparoscopy Hospital, Delhi. With a focus on advancing medical knowledge, Dr. M. Kousica has authored impactful publications, including papers on pre-eclampsia and rare genetic disorders, published in renowned journals. She has also presented findings on infertility and reproductive health at prestigious conferences, contributing to the global discourse on women’s health. Currently specializing in infertility, Dr. Kousica is dedicated to providing compassionate care and innovative solutions to patients.

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Dr. Revathi V.,

MBBS, MS (Obstetrics & Gynaecology), Fellowship in Reproductive Medicine – Registrar

Dr. Revathi is an Obstetrician and Gynecologist with a rich academic background and extensive clinical experience. She holds an MS in Obstetrics and Gynecology from Sree Balaji Medical College and Hospital, and has pursued specialised training in diagnostic ultrasound imaging from Selvi School of Sonology and reproductive medicine from Institute of Reproductive Medicine and Women’s Health, MMM Hospital. With a passion for research, Dr. Revathi has contributed significantly to scientific literature with publications in prestigious journals and presentations at national conferences. She actively engages in community health initiatives, participating in rural health camps in Chengalpattu and providing free gynecological services in Karaikudi. Her expertise extends to surgical techniques, obstetric emergencies, and patient counseling. Dr. Revathi is also a life member of FOGSI and ISAR.

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Dr. Kavitha Gautham

MBBS, MS (Obstetrics & Gynaecology), FICOG, FIMSA – Head of the Department & Senior Consultant

Dr. Kavitha Gautham holds an MBBS from Annamalai University, an MS in Obstetrics and Gynecology from Sri Ramachandra Medical College & Research Deemed University, and a Diploma in Reproductive Medicine from University Schleswing-Holstein, Germany.

As the Founder & Director of Bloom Fertility Centre & Bloom Birthing Centre and Medical Director of Bloom Fertility & Healthcare, Dr. Kavitha spearheads initiatives aimed at providing personalized and holistic care to patients.

With several years of expertise in gynaecological laparoscopy surgery, she has performed (approx.) 10,000 deliveries, 10,000 hystero-laparoscopy surgeries, and more than 5,000 IVF cycles to date. She is a Life Member of the European Society of Reproductive Medicine & Indian Society of Reproductive Medicine, All India Congress of Obstetrics & Gynaecology, Obstetric and Gynaecological Society of Southern India, Federation of Obstetric and Gynaecological Societies of India, and the Indian Medical Association. She is a Fellow from the Indian College of Obstetrics & Gynaecology and International Medical Science Academy, and FIMSA.

Dr. Kavitha has been the recipient of several awards, including the prestigious J.L. Javeri Award (AICOG, 2005), Excellence in Healthcare – Infertility & IVF Treatments award (The Chennai City ICON Awards, 2019), WONDER FOGSIAN award (FOGSI, 2019).

Dr. Kavitha has also presented research papers at prestigious conferences including ISAR and IMSACON and has been published in esteemed journals such as the ‘Journal of Clinical Diagnostic Research’.

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Dr. Aravind Ravichandran

MBBS, MD, DNB, MCE (AUS), PDF (Reproductive Medicine) – Consultant

Dr. Aravind Ravichandran is as a distinguished fertility specialist, bearing credentials from renowned institutions such as Christian Medical College and Monash University. He is well known for his expertise spanning reproductive endocrinology, ART planning, and gynecological surgeries. His commitment to advancing knowledge is seen through presentations at international conferences like ESHRE and Kolhapur Obstetrics and Gynaecology Society, where he’s delved into topics such as DNA repair gene expression and dietary patterns' impact on ART outcomes. He also serves as faculty at the Oasis School of Embryology. Dr. Aravind has been honoured with several prestigious accolades, including Sri T. Rajagopal Memorial Endowment and Dr. R.E.S. Muthiah Memorial Gold Medal. His publications in journals such as the Human Reproduction Open and Journal of Assisted Reproduction and Genetics underscore his dedication to research. Dr. Aravind interests also include areas such as male infertility and onco-fertility.

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Dr. Revathi V

MBBS, MS (Obstetrics & Gynaecology), Fellowship in Reproductive Medicine – Registrar

Dr. Revathi is an Obstetrician and Gynecologist with a rich academic background and extensive clinical experience. She holds an MS in Obstetrics and Gynecology from Sree Balaji Medical College and Hospital, and has pursued specialised training in diagnostic ultrasound imaging from Selvi School of Sonology and reproductive medicine from Institute of Reproductive Medicine and Women’s Health, MMM Hospital. With a passion for research, Dr. Revathi has contributed significantly to scientific literature with publications in prestigious journals and presentations at national conferences. She actively engages in community health initiatives, participating in rural health camps in Chengalpattu and providing free gynecological services in Karaikudi. Her expertise extends to surgical techniques, obstetric emergencies, and patient counseling. Dr. Revathi is also a life member of FOGSI and ISAR.

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Dr. Kousica M

MBBS, MS (Obstetrics & Gynaecology), Fellowship in Reproductive Medicine – Consultant

After graduating with an MMBS from Sri Ramachandra Medical College and Hospital, Chennai, in 2017, Dr. Kousica pursued advanced studies, earning an M.S in Obstetrics and Gynaecology from Sree Balaji Medical College and Hospital in 2022. Complementing this expertise was a Diploma and Fellowship in Minimal Access Surgery (MAS) from World Laparoscopy Hospital, Delhi. With a focus on advancing medical knowledge, Dr. M. Kousica has authored impactful publications, including papers on pre-eclampsia and rare genetic disorders, published in renowned journals. She has also presented findings on infertility and reproductive health at prestigious conferences, contributing to the global discourse on women’s health. Currently specializing in infertility, Dr. Kousica is dedicated to providing compassionate care and innovative solutions to patients.

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Dr. Arun Ganesh C

MD (Paediatrics) – Consultant

Dr. Arun Ganesh is a Pediatric Emergency Medicine specialist, with a STEP Fellowship and a Post-Doctoral Fellowship in Pediatric Emergency Medicine, in addition to an MD in Pediatrics and MBBS. He is skilled in various pediatric emergency procedures, including intubation, venipuncture, and neonatal resuscitation. With extensive experience across esteemed institutions such as Chettinad Hospital and Research Institute and Kanchi Kamakoti CHILDS Trust Hospital, he has demonstrated a commitment to excellence in academic and professional pursuits. Dr. Arun Ganesh’s dedication to advancing medical knowledge is evident through numerous paper and poster presentations at national and international conferences, as well as publications in renowned journals. He is also a certified instructor in Pediatric Advanced Life Support (PALS) and Neonatal Advanced Life Support (NALS).

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Dr. Rufina J

MBBS, MD (Paediatrics) – Consultant

Dr. Rufina. J is a compassionate pediatrician dedicated to providing comprehensive care for children's health and well-being at BloomLife Hospital. She is equipped with a solid foundation in pediatric medicine, holding an MD in Pediatrics from Chettinad Academy of Research and Education (CARE), Chettinad University, and an MBBS from Sri Muthukumaram Medical College and Research Institute, Tamilnadu MGR University. Driven by zeal for teaching and research, Dr. Rufina has completed advanced courses in Pediatric Advanced Life Support (PALS) and Basic Neonatal Resuscitation. Her work experience spans from caring for children with minor illnesses to training in specialised areas like Pediatric Pulmonology, Nutrition, and Pediatric Neurology. She has also contributed to pediatric research with a dissertation on the utility of Lung Ultrasound in diagnosing pneumonia, published in the Journal of Neonatology – with findings on pediatric illnesses at national conferences, showcasing her resolve to advancing pediatric medicine.

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Dr. Selvendran Chelladurai

MD (Paediatrics), FNNF – Consultant

Dr. Selvendran Chelladurai is a dedicated Pediatrician and Neonatologist with extensive clinical knowledge and procedural skills. With a commitment to providing high-quality care, Dr. Selvendran aspires to contribute to the growth of organizations while working in challenging environments. During his tenure as an NNF Fellow in Neonatology at Sri Ramachandra Medical Centre, Chennai, he gained comprehensive experience in resuscitation, various procedures, ventilation strategies, and developmental supportive care for high-risk deliveries. He has also excelled in handling metabolic diseases and providing counselling to caregivers. Dr. Selvendran has contributed to the medical literature with publications like International Journal of Current Advanced Research (IJCAR) and International Journal of Contemporary Pediatrics, on topics like accidental levothyroxine poisoning and chikungunya in infants. He has also presented at prestigious conferences and seminars like NEOCORE and PAEDNATCON, showcasing their expertise and commitment to advancing pediatric medicine.

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Dr. Sayed Asarudeen H

MBBS, MD (Paediatrics) – Consultant

Dr. Sayed Asarudeen is a skilled pediatrician with expertise in mechanical ventilation, central line insertion, chest tube insertion, and parental nutrition. With fluency in English, Tamil, Bengali, and Hindi, he ensures effective communication with diverse patient populations. Having served as a Senior Resident at NICY, Department of Pediatrics, District Hospital, Kolkata, Dr. Sayed gained invaluable experience in neonatology. He furthered his expertise through a Post-Doctoral Fellowship in Neonatology at Rainbow Children Hospital, Chennai, and National Neonatal Forum (NNF).

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Dr. Sayed Asarudeen H

MBBS, MD (Paediatrics) – Consultant

Dr. Sayed Asarudeen is a skilled pediatrician with expertise in mechanical ventilation, central line insertion, chest tube insertion, and parental nutrition. With fluency in English, Tamil, Bengali, and Hindi, he ensures effective communication with diverse patient populations. Having served as a Senior Resident at NICY, Department of Pediatrics, District Hospital, Kolkata, Dr. Sayed gained invaluable experience in neonatology. He furthered his expertise through a Post-Doctoral Fellowship in Neonatology at Rainbow Children Hospital, Chennai, and National Neonatal Forum (NNF).

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Dr. Chittaranjan K

MS (Orthopaedics) – Head of the Department & Senior Consultant

Dr. Chittaranjan is a dedicated orthopedic surgeon, with an MBBS from Rajah Muthaiah Medical College & Hospital, followed by a Post Graduate Degree MS in Orthopedics from Madurai Medical College. Dr. Chittaranjan has been at the forefront of orthopedic care in India, with a notable career spanning prestigious institutions such as MAPIMS, MGIMSR, PSG Hospitals, and SRM Medical College. He has also served as an Associate Professor and Chief Orthopedic Consultant, contributing significantly to academic and clinical advancements.

In addition to being an accomplished researcher, with several papers presented at renowned conferences like TNOACON and OASISCON, his expertise encompasses a wide array of orthopedic procedures, including arthroscopy, joint replacement, spine, and trauma surgeries. Currently, Dr. Chittaranjan is engaged in ongoing research projects focused on innovations in fracture management, regenerative orthopedics, and tissue engineering for cartilage and meniscus regeneration.

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Dr. Harun Kumar R

MBBS, MD (Orthopaedics), DNB (Orthopaedics) – Consultant

Dr. Harun Kumar is a skilled orthopedic surgeon who holds an MBBS from SRM Medical College, an MD Ortho from PSG Institute of Medical Science, and a DNB in Orthopaedic Surgery from BIRRD. With membership in the Indian Medical Association and Tamil Nadu Medical Council registration, Dr. Arun maintains high professional standards. Having served as a Junior Resident at MAPIMS and currently as a Senior Resident at ACS Medical College, he possesses expertise in trauma cases, hip joint fractures, amputations, and closed nailing procedures.

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Dr. Swarna Ganesan

BNYS, FRM, CCCE, Internationally Certified Childbirth Educator, Internationally Certified Labour Doula – Consultant

Dr. Swarna Ganesan is an AYUSH physician, with a Bachelors of Naturopathy and Yogic sciences from Dr. MGR Medical University, Tamil Nadu. She is a registered holistic health practitioner for naturopathy and yoga under CCRYN (central council of research in naturopathy and yoga), Ministry of AYUSH, Government of India. Dr. Swarna completed her fellowship in clinical research under the National Institute of Naturopathy), Pune, and worked as Research Officer, Principal Investigator for 14 research projects corresponding to yoga and normal delivery practices, PCOD and other women health issues. She has published research papers in competent medical journals and presented her work in over 25 national and international conferences. Dr. Swarna is also a trained labour doula under CAPPA, and is well known for her commitment to helping mothers have a safe and positive birthing experience.

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Dr. Paul Rafson Jani

MD (Anesthesiology), Dip (Critical Care Medicine) – Consultant

Dr. Paul Rafson Jani is a dedicated Anaesthetist and Intensivist. Throughout his medical career, he has focused tirelessly on critical care procedures such as intubation, extubation, central and peripheral venous cannulation, tracheostomy, intercostal tube insertion, and ultrasound-guided regional blocks, Dr. Paul ensures comprehensive care for patients in critical conditions. His work history reflects a hands-on approach to patient management, from recording medical histories to administering specialised treatments and creating individualised treatment plans. Dr. Paul excels in team collaboration, research, and training, ensuring the highest standards of care. With certifications in ACLS and BLS, he is dedicated to maintaining excellence in patient care and emergency response.

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Dr. Vinu Bharathi L

MBBS, MRCEM (UK) – Consultant

Dr. Vinu Bharathi Loganathan brings with her extensive experience from renowned institutions like Apollo First Med Hospitals and Karthik Hospitals, with a focus on diverse emergency cases. Dr. Loganathan excels in triage, assessment, and evidence-based treatment delivery. Her proficiency extends to procedural sedation, ICU management, and spearheading departments. Dr. Vinu Bharathi has been certified by the Royal College of Emergency Medicine (U.K.) and holds a Diploma in Emergency Medicine. She actively contributes to medical education, conducting workshops and training sessions, and has trained over a hundred paramedics in ACLS and BLS. With certifications in ACLS, BLS, and PALS and fluency in English and Tamil, Dr. Vinu Bharathi embodies flexibility, positivity, and strong judgment, ensuring optimal patient care.

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Dr. Kavitha Gautham

MBBS, MS (Obstetrics & Gynaecology), FICOG, FIMSA – Senior Consultant

Dr. Kavitha Gautham holds an MBBS from Annamalai University, an MS in Obstetrics and Gynecology from Sri Ramachandra Medical College & Research Deemed University, and a Diploma in Reproductive Medicine from University Schleswing-Holstein, Germany.
With several years of expertise in gynaecological laparoscopy surgery, she has performed (approx.) 10,000 deliveries, 10,000 hystero-laparoscopy surgeries, and more than 5,000 IVF cycles to date. She is a Life Member of the European Society of Reproductive Medicine & Indian Society of Reproductive Medicine, All India Congress of Obstetrics & Gynaecology, Obstetric and Gynaecological Society of Southern India, Federation of Obstetric and Gynaecological Societies of India, and the Indian Medical Association. She is a Fellow from the Indian College of Obstetrics & Gynaecology and International Medical Science Academy, and FIMSA.
Dr. Kavitha has been the recipient of several awards, including the prestigious J.L. Javeri Award (AICOG, 2005), Excellence in Healthcare – Infertility & IVF Treatments award (The Chennai City ICON Awards, 2019), WONDER FOGSIAN award (FOGSI, 2019).
Dr. Kavitha has also presented research papers at prestigious conferences including ISAR and IMSACON and has been published in esteemed journals such as the ‘Journal of Clinical Diagnostic Research’.

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Dr. Aiswarya M. Nair

MBBS, MD (General Medicine) – Consultant

Dr. Aiswarya Nair is a dedicated and accomplished general medicine practitioner with a passion for improving patient care. She is a gold medalist MD graduate from the Vinayaka Mission’s Kirupananda Variyar Medical College. Prior to this, she earned her MBSS from Rajah Muthiah Medical College Hospital. With a career spanning over a decade, Dr. Aiswarya Nair has held various academic and clinical positions, including that of Assistant Professor of General Medicine at Dr. Somervell Memorial Medical College and Hospital, and currently as Associate Professor at Sri Ramachandra Medical College and Hospital, Chennai. Her research contributions include publications on topics such as ‘Infection in the elderly’ and ‘Severe sepsis-related acute kidney injury’. Driven by a commitment to excellence, Dr. Nair seeks to leverage her expertise as a physician, aiming to enhance patient outcomes and contribute positively to the healthcare community.

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