The Department of Obstetrics and Gynecology at King Faisal Specialist Hospital and Research Center, Riyadh is a tertiary care center providing up-to-date evaluation and management in Maternal-Fetal Medicine, Reproductive Endocrinology and Infertility, Gynecologic Oncology patients, and Urogynecology and Pelvic reconstruction.
Our staff has special qualifications and experience in dealing with high risk antenatal cases, difficult gynecology and obstetrics surgical procedures, and provide care for couples with infertility problems and those with a variety of genetic disorders through a dedicated pre-implantation genetic diagnosis program.
The department is composed of three sections: Maternal Fetal Medicine (MFM), Reproductive Endocrinology and Infertility (REI), Gynecology and Gynecologic Oncology. The service of Urogynecology and Pelvic Reconstruction was just started within the department, to provide care for patient with urogynecological issues.
The Section of MFM handles all types of high risk pregnancies with fetal and maternal complications. The Infertility/IVF Unit performs the latest Assisted Reproductive Technologies (ART) from conventional IVF to all types of micromanipulation techniques. Pre-implantation Genetic Diagnosis (PGD) is one of the unique hi-tech services offered by IVF unit. The Division of Gynecologic Oncology delivers an up to date care to women with all types of gynecologic malignancies. The services include cancer screening, early diagnosis as well as surgical and medical management of all gynecologic cancer cases.
SECTION OF GYNECOLOGY ONCOLOGY
We are also proud of our status as a premier treatment institution in our field and the quality of care provided by KFSHRC-Riyadh to cover all referral cases of suspected or diagnosed gynecological malignancies.
Our staff of Gynecologic Oncologists is all board-certified women’s cancer specialists who are qualified and experienced in advanced medical and surgical training in the treatment of gynecological malignancies. They provide unified, comprehensive medical and surgical care to women with reproductive-tract cancers from diagnosis to completion of treatment in liaison with other specialties in multidisciplinary approach e.g. medical oncologists, radiation oncologists, and other supportive care.
Our role in patient care
Women who have recently been diagnosed with gynecologic cancer, including cervical, endometrial, ovarian, uterine, vaginal, and vulvar cancer, or Gynecological cancer during pregnancy, all receive treatment at our division. We also provide treatment for uterine sarcoma, molar pregnancy, and all types of gestational trophoblastic disease.
Our approach to comprehensive management of our patients is of multidisciplinary effort, thru weekly tumor board meetings with our colleagues, medical and radiation oncologist, histopathologist and radiologist, advanced practice nursing, state of art diagnostic imaging medical oncology, social workers, and nutrition.
SECTION OF MATERNAL FETAL MEDICINE
The Section creates an environment of service combining information and technology with genuine care for families at fetal or maternal risks which makes them full partners in their healthcare. We provide comprehensive perinatal care for pregnant women who are at high risk for adverse outcomes themselves or their fetuses. We facilitate high standards excellent obstetrical care in the community and embrace contemporary and innovative knowledge and technology in an ethical manner. Our aim is to set the standard for perinatal care and genetic counseling in the community. Our focus is to facilitate research and professional growth, and maintain fiscal responsibility with ongoing analysis to maximize benefit for cost.
Our role in patient care
Members of the division provide services for maternal and fetal complications of pregnancy. Medical complications include chronic hypertension, diabetes, cardiac disease, venous thromboembolic disorders, hematological disorders, pulmonary diseases, gastrointestinal disorders, renal disease, collagen vascular disease and neoplastic disease. The team manages these problems in active collaboration with other specialties and programs such as internal medicine, endocrinology, gastroenterology, immunology, microbiology, thromboembolic and hematology.
Pregnancy complications such as preterm labor, preterm rupture of the membranes, pregnancy induced hypertension, eclampsia, chorioamnionitis, placental abruption, and other obstetrical complications are managed by expert staff.
Fetal complications such as Rh isoimmunization, intrauterine growth restriction, macrosomia, polyhydramnios, oligohydramnios, multiple-pregnancy, evidenced of fetal compromise, fetal malformations and other fetal/placental disorders are referred to our section from all over the kingdom. Prenatal diagnosis, genetics and fetal dysmorphology services are available for the prenatal detection, evaluation and counseling of patients and/or pregnancies at risk of or complicated by fetal malformations, chromosomal and genetic disorders. Procedures offered include invasive prenatal diagnostic procedures: chorionic villous sampling, amniocentesis, fetal blood sampling and fetal tissue sampling. Non-invasive prenatal screening with nuchal translucency and detailed advanced ultrasound evaluation using state of art ultrasound equipment with 3D/4D scans. When fetal anomalies are identified, we provide a team approach for the care of the fetus and the mother during the course of pregnancy and the postnatal period. The team is unique to each case but often includes neonatology, medical genetics and dysmorphology, pediatric nephrology, pediatric neurosurgery, pediatric cardiology and/or pediatric surgery.
The fetal therapy program was developed for the in-utero management of complicated fetal problems such as Twin-Twin Transfusion Syndrome, fetal diaphragmatic hernia and other conditions which if left untreated will lead to increased perinatal mortality.
OB ULTRASOUND UNIT
KFSHRC –Riyadh is a tertiary care center considered as a referral center for the country. We work to identify potential obstetrical or fetal problems as early as possible and provide clinically relevant diagnoses of fetal anomalies.
Our staff includes highly trained experienced Sonographers in level III obstetrics scans. The unit is run and supervised by Maternal Fetal Medicine subspecialist consultants who provide patients’ counseling, plan further management and care for high-risk pregnancies especially if fetal abnormalities are diagnosed.
We have our own mission, vision, and values and coping with hospitals and departments' mission, vision, and value we are trying to build one of the best teams of KFSH.
Annually we are performing over 10000 ultrasound examinations.
SECTION OF REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY
The combination of academic, scientific, and technical expertise found in our division has created one of the most respected fertility programs and clinical divisions in the country. Our reproductive endocrinologists and physician-scientists are actively engaged in research, both clinical and basic, as well as training residents and fellows in this specialized field. Our clinical work includes some of the world's finest technicians and physicians who have pioneered new innovations and been honored for their outstanding contributions to the field of reproductive medicine. We accept referral cases for diagnosis, and treatment of endocrine and reproductive disorders including abnormal menses, amenorrhea, infertility, recurrent early pregnancy loss, ovulatory problems, uterine or tubal abnormalities. As for Men Fertility Services, we provide Semen analysis, Sperm preparation for intra-uterine insemination, andrology testing, and Urology referrals.
Therapies may include hormonal and/or surgical treatment or advanced technologies such as In-Vitro Fertilization (IVF) and Intra-Cytoplasmic Sperm Injection (ICSI).
We recently added the service of fertility preservation for female patients with different types of cancer, in whom chemotherapy and/or radiation therapy is likely to affect their future fertility potentials. Through different patient-customized procedures, we can preserve their fertility potentials which could be used after their recovery from their disease.
Our role in patient care
Controlled Ovarian-stimulation, IVF, ICSI, cryopreservation, and pre-implantation genetic diagnosis PGD a well-organized program.
The REI Laboratory
Our andrology laboratory uses CASA (Computer Assisted Semen Analyzer)—another example of cutting-edge technology in the laboratory, headed by leading medical technologists.
DEPARTMENT INNOVATIVE PRACTICES:
Section of Gynecology Oncology: