Obstetrician Services

Having a baby is a special experience but it needs to be a safe and well-supported one too. Our exceptional obstetrician care and support throughout pregnancy, childbirth and the postnatally all make sure risks are minimised and that your pregnancy is the wonderful experience it should be. We are privileged to have the only all-female-all tertiary pregnancy team in Cayman that bridges obstetricians, fetal-maternal medicine & newborn paediatrics all in the same location.

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The Natural Choice of Obstetrician

Obstetrician Care That’s Genuinely Warm

Our whole team loves pregnancy and is passionate about the experience

Enhanced Midwife Support Package Included

So that you feel genuinely supported both pre and postnatally

Tertiary Team for Peace of Mind

Tertiary obstetrician delivered care with fetal-maternal medicine support

Obstetrician & Midwife Care That’s Genuinely Caring

We care about your experience and we care about your wishes, preferences and plans too. Genuinely. It’s in our DNA as a team. Your experience can only be a wonderful if it is just that – your experience. That means properly understanding your birth plans and finding the right ways to support them. For example, we REALLY understand how important early skin-to-skin is for new mums. You’ll find our whole team from obstetrician to newborn paediatrician committed achieving that special moment.

Our lovely practice midwife can help guide you to choices that work for you.

Obstetrician 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 our Team?

Obstetric, Fetal-Maternal, 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

What is Fetal-Maternal Medicine (and do I need it)?

These are obstetricians who have additional specialist training in helping women through high-risk pregnancies or complications. They are focused on achieving a safe delivery and outcome for both mother and baby when things aren’t straight forward.

We are so lucky to have one (Dr Madhavi Manoharan). It means you’ll have access to this advanced care automatically if you book your pregnancy with her and she’s right there to support her colleagues if a concern arises. Peace of mind comes as standard with our team.

Learn More: Explanation by Intermountain Health

Holistic Obstetrician 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 your obstetrician, Dr Lisa Joels and Dr Madhavi Manoharan, 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 Obstetrician Care

We are blessed with the only combined obstetrician-fetal-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?

We have a specialist, multidisciplinary high-risk pregnancy service that uniquely includes fetal-maternal medicine. It’s worth visiting our high-risk pregnancy 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

We are privileged to have an experienced, tertiary UK consultant obstetrician with a special interest in fetal-maternal 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)
Email: [email protected]

Dr Joels has 36 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). She was lead clinician for prestigious Fertility Exeter and is passionate about women-centred care.

Services

Obstetric Services (Pregnancy)
High-Risk Obstetric Service
Fertility Services
Gynaecology Care & Surgery
Paediatric & Adolescent Gynaecology

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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.