Dr Madhavi Manoharan

• 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

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.

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.

In reproductive medicine I am experienced in diagnosis and management of infertility and manage patients undergoing ovulation induction, IVF and IUI. I have been trained to perform open tubal microsurgery including reversal of sterilisation, tubal surgery and cuff salpingostomy. I now carry out most of the tubal surgery laparoscopically.

• Diagnostic assessment of both female and male partners experiencing a delay in conceiving
• Investigations including ultrasound and laparoscopic assessment of the woman’s pelvis and tubal patency
• Assessment and treatment of hormone disorders
• Onward referral to assisted conception services where appropriate
• Understanding of the psychosocial consequences of a delay in conceiving

NOTE: I HAVE A WHOLE PAGE ON MY GYNAE EXPERIENCE & SERVICES

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.

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.