Comprehensive Obstetrics & High-Risk Pregnancy Care in Pune | High-Risk Pregnancy Specialist | Dr. Mayur Thosar & Dr. Renu Thosar

Our Obstetric Services

We provide complete pregnancy care including:

• Preconception Counselling

• Pregnancy Confirmation

• Routine Antenatal Care

• High-Risk Pregnancy Management

• Pregnancy Ultrasound Coordination

• Normal Vaginal Delivery

• Assisted Vaginal Delivery

• Cesarean Delivery

• VBAC (Normal Delivery After Previous Cesarean)

• Management of Pregnancy Complications

• Postnatal Care

• Breastfeeding Guidance

• Family Planning & Contraceptive Counselling

High-Risk Pregnancy Specialist in Pune

What is a High-Risk Pregnancy?

A high-risk pregnancy is one in which the mother, baby, or both require closer monitoring because of certain medical conditions or pregnancy-related complications.

With early diagnosis, careful monitoring, and timely intervention, many women with high-risk pregnancies go on to have healthy pregnancies and deliveries.

Conditions We Manage

Our High-Risk Obstetric Clinic manages pregnancies complicated by:

• High Blood Pressure in Pregnancy

• Preeclampsia

• Eclampsia

• HELLP Syndrome

• Gestational Diabetes

• Pre-existing Diabetes

• Thyroid Disorders

• Heart Disease in Pregnancy

• Kidney Disease

• Autoimmune Disorders (such as SLE and APLA Syndrome)

• Multiple Pregnancy (Twins & Triplets)

• Placenta Accreta Spectrum

• Previous Multiple Cesarean Deliveries

• Cervical Incompetence

• Previous Pregnancy Loss

• Placenta Previa

• Severe Obstetric Hemorrhage

Management of Severe High-Risk Pregnancies

Our specialists provide individualized inpatient and outpatient care for women with complex maternal conditions requiring close surveillance throughout pregnancy.

Hypertensive Disorders of Pregnancy

We provide specialized care for:

• Gestational Hypertension

• Severe Preeclampsia

• Eclampsia

• HELLP Syndrome

Management includes blood pressure control, maternal monitoring, fetal assessment, and timely delivery planning when indicated.

Endocrine Disorders During Pregnancy

Pregnancy may be complicated by hormonal disorders requiring expert management.

We provide treatment for:

• Gestational Diabetes

• Pre-existing Diabetes

• Intensive Insulin Therapy

• Thyroid Disorders

• Hyperthyroidism

• Hypothyroidism

Our goal is to optimize maternal health while supporting a healthy pregnancy.

Maternal Medical Disorders

Women with chronic medical conditions require coordinated pregnancy care.

We manage pregnancies affected by:

• Cardiac Diseases

• Chronic Kidney Disease

• Autoimmune Disorders

• Systemic Lupus Erythematosus (SLE)

• Antiphospholipid Antibody Syndrome (APLA)

We work closely with other specialists whenever multidisciplinary care is required.

Twin & Multiple Pregnancy Care

Twin and higher-order multiple pregnancies require more frequent monitoring due to increased maternal and pregnancy-related risks.

Our comprehensive care includes:

• Growth monitoring

• Blood pressure surveillance

• Diabetes screening

• Delivery planning

• Maternal health monitoring

Complex Cesarean Deliveries

Expertise in Difficult Repeat Cesarean Sections

Some women require highly specialized cesarean surgery because of:

• Two or more previous C-sections

• Dense bladder adhesions

• Bowel adhesions

• Large fibroids

• Placental abnormalities

• Previous abdominal surgeries

Our surgical expertise helps manage these complex procedures safely through careful planning and multidisciplinary support when required.

Placenta Accreta Spectrum (PAS)

Specialized Care for High-Risk Placental Disorders

Placenta Accreta Spectrum occurs when the placenta attaches too deeply into the uterine wall and may involve surrounding tissues.

Management requires detailed antenatal planning and a multidisciplinary approach.

Depending on the individual case, treatment may include:

• Planned Cesarean Delivery

• Uterus-preserving techniques in selected cases

• Planned Peripartum Hysterectomy when clinically indicated

• Advanced hemorrhage control strategies

Each treatment plan is individualized to prioritize maternal safety.

Vaginal Birth After Cesarean (VBAC)

Safe Trial of Labor for Eligible Women

Many women with one previous lower-segment cesarean section may be candidates for a carefully supervised Vaginal Birth After Cesarean (VBAC).

Eligibility depends on:

• Previous surgical history

• Current pregnancy

• Maternal health

• Obstetric assessment

VBAC is offered only after a comprehensive evaluation and continuous monitoring in an appropriate clinical setting.

Cervical Cerclage (McDonald & Shirodkar Procedures)

Preventing Mid-Trimester Pregnancy Loss

Some women experience cervical weakness (cervical insufficiency), increasing the risk of second-trimester pregnancy loss or preterm birth.

A cervical cerclage involves placing a supportive stitch around the cervix to help maintain the pregnancy.

We perform:

• McDonald Cerclage

• Shirodkar Cerclage

Treatment is recommended only after careful assessment and when clinically appropriate.

Emergency Obstetric Interventions

Managing Life-Threatening Obstetric Emergencies

Our team is experienced in managing severe obstetric emergencies, including postpartum hemorrhage (PPH), using advanced surgical and medical techniques.

These may include:

• Bakri Balloon Tamponade

• B-Lynch Compression Sutures

• Stepwise Uterine Devascularization

• Internal Iliac Artery Ligation (when indicated)

• Multidisciplinary critical care support

These interventions are performed based on the patient's clinical condition to control bleeding and prioritize maternal safety.

Cesarean Myomectomy

Fibroid Removal During Cesarean Delivery

For carefully selected patients, fibroids may be removed at the time of cesarean delivery when it is considered safe and clinically appropriate.

The decision is individualized based on:

• Size and location of the fibroid

• Risk of bleeding

• Overall maternal condition

• Surgical expertise

Not every patient with fibroids is a suitable candidate for cesarean myomectomy.

Why Choose Dr. Mayur Thosar & Dr. Renu Thosar?

Our maternity practice combines advanced obstetric expertise with compassionate, patient-centered care.

Our Expertise

✔ High-Risk Pregnancy Specialists

✔ Advanced Obstetric Surgeons

✔ Fellowship-Trained Gynecologic Oncologists

✔ Expertise in Complex Cesarean Deliveries

✔ VBAC Counselling & Management

✔ Placenta Accreta Management

✔ Maternal Medicine Expertise

✔ 24/7 Pregnancy Emergency Care

✔ Evidence-Based Clinical Practice

✔ Personalized Pregnancy Care

Pregnancy Care Journey

Preconception Planning

• Health assessment

• Medical optimization

• Fertility counselling

• Lifestyle guidance

Antenatal Care

• Regular pregnancy check-ups

• Blood pressure monitoring

• Diabetes screening

• Growth assessment

• Individualized birth planning

Delivery Care

• Normal Delivery

• Assisted Delivery

• Elective Cesarean Section

• Emergency Cesarean Section

• High-Risk Delivery Management

Postpartum Care

• Recovery monitoring

• Breastfeeding support

• Family planning counselling

• Long-term maternal health follow-up

Frequently Asked Questions

What makes a pregnancy high-risk?

A pregnancy may be considered high-risk if the mother has medical conditions, pregnancy complications, or a history that requires closer monitoring. This does not necessarily mean complications will occur, but it does warrant specialized care.

Can women with previous cesarean sections have a normal delivery?

Some women with one previous lower-segment cesarean section may be eligible for a VBAC after a detailed assessment. Suitability varies from person to person.

Is gestational diabetes dangerous?

Gestational diabetes can usually be managed effectively with monitoring, dietary changes, medication, or insulin when needed. Good control helps reduce risks to both mother and baby.

What is Placenta Accreta Spectrum?

Placenta Accreta Spectrum is a condition in which the placenta attaches abnormally deep into the uterus. It requires specialist management and careful delivery planning.

When is cervical cerclage recommended?

Cervical cerclage may be recommended for women with cervical insufficiency or a history suggestive of an increased risk of second-trimester pregnancy loss or preterm birth, based on specialist evaluation.

Book Your Pregnancy Consultation

Whether you are planning your first pregnancy or require expert care for a high-risk pregnancy in Pune, Dr. Mayur Thosar and Dr. Renu Thosar provide comprehensive obstetric care focused on maternal safety, evidence-based treatment, and personalized support throughout your pregnancy journey.

Visit Our Clinic

Dr. Mayur Thosar & Dr. Renu Thosar – Obstetrics, Gynecology & Advanced Women's Care

5th Floor, Rahul Capital 115/B, Joshi Clinic
Opposite Prabhat Police Station
Prabhat Road, Pune, Maharashtra – 411004

Areas We Serve

We welcome patients from:

• Prabhat Road

• Erandwane

• Deccan Gymkhana

• Kothrud

• Shivajinagar

• FC Road

• Law College Road

• Karve Road

• Model Colony

• Baner

• Aundh

• Bavdhan

• Warje

• Sinhagad Road

• Pune

• Pimpri-Chinchwad

Comprehensive Obstetrics & High-Risk Pregnancy Care in Pune

Advanced Pregnancy Care for Every Mother

Pregnancy is one of life's most precious journeys, but some pregnancies require specialized medical care to ensure the best possible outcomes for both mother and baby. At Dr. Mayur Thosar & Dr. Renu Thosar's Advanced Women's Care Centre, we provide comprehensive obstetric care ranging from routine antenatal check-ups to the management of highly complex pregnancies.

Our team has extensive expertise in High-Risk Obstetrics, managing pregnancies complicated by maternal medical disorders, previous cesarean deliveries, placental abnormalities, multiple pregnancies, and obstetric emergencies. We follow evidence-based national and international guidelines to provide safe, personalized, and compassionate maternity care.