Chawla Nursing Home & Maternity Hospital, was started under the stewardship of Dr. Mrs. Sushma Chawla M.D. (Obstetrician & Gynaecologist) from PGI in 1985. The growth of the hospital has been a story of steady progress based on dedicated compassionate and professionally competent service to the community always keeping the patient interest above everything else.

The Hospital started an Obstetrics & Gynaecological Centre and over a period of time grew into an advanced centre for Gynaecological Laparoscopy (Diagnostic & Operative), Hysteroscopy (Diagnostic & Operative) and Infertility treatment.

Infertility unit expanded its services to provide semen banking services, Intra-uterine insemination, In-virto fertilization & Embryo transfer (Test Tube Baby) procedures. It is a Cancer detection centre for CA-Cervix, Uterus & Ovaries and breast with Sonomammography. Hospital acquired a reputation as a teaching centre following recognition by ICMCH. Post MBBS doctors keen to pursue Gynaecological practice go through intensive 1 year (Diploma in Family Welfare) & 2 years (Diploma in Gynae. & Obst. - ICMCH) affiliated to International Association of Maternal & Neonatal Health (IAMANEH) Geneva. The Hospital has actively organized Colposcopic, Laparoscopic & Infertility workshops.

The hospital under the leadership of Dr Sushma Chawla (President NARCHI Jalandhar Branch) is the base of NARCHI (National Association of Reproductive and Child Health of India), Jalandhar Branch which is a voluntary organization actively working towards maternal & child care & carrying out Adolescent programmes in schools, camps in villages, menopausal awareness programmes and early cancer detection programmes.

IMPORTANT LANDMARKS

1985 - Established
1985 - Diagnostic Laparoscopy introduced
1989 - Scanning unit introduced
1989 - Hysteroscopy introduced (Diagnostic)
1991 - Recognized as teaching centre for One year Diploma in Family Welfare (D.F.W) & Two year Diploma in Gynae &           Obstetrics (Dip G.O) under the aegis of Indian College of Maternal & Child Health (ICMCH-Calcutta)
1991 - First student enrolled for D.F.W. Dip G.O. (ICMCH)
1991 - Centre recognized as Headquarter, Jalandhar branch of National Association of Voluntary Sterilization & family           welfare of India with Dr. S. Chawla as its President.
1991 - Operative Video Laparoscopy introduced (Gynae.-Laproscopy)
1996 - Hysteroscopic surgery introduced (Operative)
1993 - Breast Cancer detection services started with Sonomammography.
1995 - Cervical Cancer detection services started with Colposcopy. (First centre in Punjab to start Colposcopy)
1997 - Ultrasound Bone Density detection centre started. (First in North India & fourth in India)
1998 - Infertility Clinic started with I.U.I, GIFT & I.V.F
2002 - Balloon Therapy introduced.
2002 - Expansion of the hospital taken up and a new wing added with:-

• Upgradation of laboratory facilities.
• Addition of Deluxe rooms.

2003 - "Beyond Looks", a comprehensive fitness centre started with the following facilities;

• Physiotherapy Centre
• Dietary Department
• Counselling
• In-house Gymnasium
• Slimming Centre
• Beauty Parlour
• Dermatology & Cosmetology

2003 - Centre provided training to candidates to provide voluntary house to house health programme as per UNICEF guided            programme.
2004 - In-house Paediatric department started
2004 - Urogynaecology started TVT-O being done for patients with stress incontinence.
2005 - Infertility services upgraded with addition of latest equipments like;

• BINDER 5% Co₂ Incubator (Germany)
• Craft Ovum Aspiration Pump (Rocket U.K)
• Integrated Laminar Flow (Supraclean)
• Stereozoom Microscope
• Pressurizing Chamber
• Semen Banking

Dec 2005 - Infertility services carried forward under the banner of;
                  "Chawla Infertility Clinic & Research Centre"

Dec 2005 - Till December, 15 students have completed DFW; DIP G.O from NARCHI, Jalandhar Centre. There is an ongoing                   course for the 16^th & 17^th student for D.F.W

Jan 2006 - General surgery Unit started. Medical OPD started

July 2007 - Assisted reproduction techniques upgraded with introduction of ICSI (Intra Cytoplasmic Sperm Injection) using
                 ON-399D ICSI

OPERATIVE VIDEO LAPAROSCOPY

It is the visualization of abdominal cavity by a telescope. It is a surgical procedure in which small incision is given near umbilicus & telescope is introduced through it for visualizing the uterus & ovaries. Small incisions are given on sides for introducing the other instruments such as probes, scissors, biopsy, forceps, coagulators and suture materials.

Laparoscopy can lead to the diagnosis of many problems which cause infertility including any abnormality of uterus, ovaries and tubes fibroid, ovarian cysts, adhesions, tube testing, endometriosis. It is useful in operating Ovarian Cystectomy, Myomectomy, Salpingmectomy, Adhesionolysis, Tubectomy, Salpingostomy, Hysterectomy, LUNA for pain abdomen.

DIAGNOSTIC HYSTEROSCOPY

It is an optimal method for assessing for all cases where visualising the cervical canal uterine canal & tubal ostea will improve diagnostic accuracy and guide therapeutic management. It is a procedure that visualises the uterine cavity with a telescope.

It is useful in diagnosing the fibroids, polyps, septum, adhesions, tube testing. It is also used for early cancer uterus and the reasons for scanty or excessive periods.

OPERATIVE HYSTEROSCOPY

It is the visualization of the uterine cavity with Hysteroscope. The hysteroscope is inserted through the cervix to reveal the inside of uterus. Hysteroscope has ports, which allow the physician to insert operating tools such as scissors, cautery or a laser fibre these may be used to resect or cauterize specific abnormalities under direct visualization. It is useful in operative procedures such as TCRE (Resection of endometrium in excessive bleeding), Breaking the adhesions, Resection of septum, opening of the tubes, taking guided biopsy to rule out early cancer.

COLPOSCOPY

Colposcopy is a procedure that uses an instrument called Colposcope to look at the cervix with magnification. A bright light at the end of the Colposcope makes it posible to visualize the cervix. This allows the physician to see the outer portion of the cervix better. Magnification helps to see abnormal areas clearly so that biopsies (pieces of tissue) can be done precisely. The tissues are looked at in the laboratory under a microscope. A Colposcopy is done when abnormal cells are seen on a pap smear.

SONOMAMMOGRAPHY

It is Breast cancer screening with ultrasound. Ultrasound imaging is based on Acoustic impedance ( a product of the density of the observed tissue and the ultrasound velocity along that tissue). It looks for shape, texture. It detects whether a lump is maligant mass or a benign cyst. It can also be used for screening & diagnosis. This is a safer procedure with very low power and very short exposition mechanical waves. It is the best for dense breast.

ULTRA SOUND BONE DENSITY

It is the most cost effective method of screening bone mass. It uses sound waves to determine bone mass, usually in your heel. It is rapid, painless and does not use potentially harmful radiation like X-rays. The sound waves pass through air. Ultrasound measurements taken during an ultrasound may provide data on the structural integrity of bone.

BALLOON THERAPY

Excessive menstrual bleeding is a relatively common occurence in many healthy women, especially as they approach menopause. This therapy system utilizes a balloon catheter inflated with hot, sterile fluid to remove the endometrial (or inner) lining of the uterus and reduce the flow. The system is designed for pre-menopausal women whose excessive bleeding is due to benign causes and who have completed childbearing. It is completed in less than 10 minutes.

I.U.I (INTRAUTERINE INSEMINATION)

It is a basic step towards fertility treatments. It is also called artificial insemination. This fertility treatment can be done using partner's sperm or sperms from donor. The woman is given some medications for stimulation. On the other hand semen is collected, washed with special chemical and then the healthy and motile sperms are separated. Then these are injected into the uterus on ovulation day. It is a successful method.

I.V.F (IN VITRO FERTILIZATION) TEST TUBE BABY

It is a method of assisted reproduction in which man's sperm and the woman's egg are combined in a laboratory dish, where fertilization occurs. The resulting pre-embryo is transferred to the woman's uterus. The basic steps in an IVF treatment cycle are;

• Ovulation Enhancement (stimulating the development of than one egg in a cycle)
• Egg harvest
• Embryo culture
• Enbryo transfer

IVF is a resonable choice of treatment for couples with various types of infertility. Initially it was only used when the woman had blocked, damaged or absent fallopian tubes (tubal factor infertility). It is now also used for infertility caused by endometriois or for any problem in the male.

TVT-O FOR STRESS INCONTINENCE

Stress Incontenence is an involuntary loss of urine that occurs during physical activity, such as coughing, sneezing, laughing or exercise. It is a bladder storage problem in which the strength of urinal sphincter is diminished and the sphincter is not able to prevent urine flow when there is increased pressure from the abdomen. With TVT-O this problem is treated. (TVT is Tension Free Tape - Obturator).

OBSTETRICS & GYNAECOLOGY SERVICES

Obstetrics & Gynaecology services have been established with the singular aim of providing quality composite medical care to mothers and children under one roof. We offer complete health care for women including;

• Adolescent health
• Antenatal management including high-risk pregnancies
• Antepartum and intrapartum cardiotocography
• Antenatal counselling and painless delivery
• Antenatal and post natal exercises
• 24 hours emergency obstetric services backed up with neonatal care services
• Infertility clinic
• Diagnostic and therapeutic laparoscopy & hysteroscopy
• Medical management of dysfunctional uterine bleeding
• Thermal balloon ablation
• Trans cervical resection of endometrium (TCRE)
• Laparoscopic management of infertility, endometriosis, myoma & ovarian cysts
• Laparoscopic assisted vaginal hysterectomy (LAVH)
• Non descent vaginal hysteroscopy (NDVH)
• Ultrasound scanning, Interventional ultrasound & Transvaginal sonography
• Colposcopy
• Menopause Clinic

MEDICAL LIBRARY

The hospital has a well-stocked and organized medical library. The collection of books covers all specialities with special emphasis on Gynaecology, Obstetrics, surgery, Cancer, Paediatrics, Physiotherapy and Anaesthesiology. In addition to the books available in the library, the hospital subscribes to various related medical journals regularly. This helps the staff to keep abreast of the latest developments in their respective fields as well as assists in the research work.

Internal communication

The hospital has a well-organized internal communication system enabling any person to be contacted or communicated within seconds whenever needed. Various components of the communication network include;

• Inter-com communication
• External telephones
• Cell phones for all consultants

COMPUTERIZATION

The hospital has taken up a project of total computerization of the patients visiting the hospital. Towards this end, the hospital has 8 dedicated computers.