OBSTETRICS AND GYNAECOLOGY
©BAFROW Medical Centre
We provide care to pregnant women and offer comprehensive diagnosis and treatment of sexual and reproductive health conditions for both men and women.
Dr. J. UKANDU
Consultant Obstetrician Gynaecologist
Head, Obstetrics and Gynaecology
OUR SERVICES
- Maternity Care and Obstetric Services
ANTENATAL CARE (ANC)
EDUCATION AND COUNSELLING
Through weekly health talks during Antenatal Clinic days, our patients receive clear, diverse information on pregnancy, labour, delivery and post-delivery care with the aid of pictorial materials. We ensure pregnant women and their spouses or partners understand the stages of pregnancy as well as the importance of good nutrition for both mother and baby, immediate and exclusive breastfeeding, and family planning.
We actively promote couple antenatal counselling classes to encourage the involvement of spouses and partners. These sessions support joint decision-making about pregnancy and post-pregnancy activities, thereby fostering shared responsibility and better family health outcomes.
©BAFROW Medical Centre
Our Antenatal Booklet, which is given to enrolled patients, serves as a monitoring tool for the care required and provided throughout pregnancy.
It also contains lifesaving information for a safe pregnancy, presented in both text and pictorial form for easy understanding. By equipping mothers with accessible knowledge, our booklet empowers them to make informed decisions that protect their health and the wellbeing of their unborn child.
What We Offer
- Monitoring of Vital Signs (blood pressure, heart rate, weight, temperature); Laboratory Tests: Urine and blood analysis to detect and manage existing or emerging conditions; and Ultrasound Imaging: To observe and track the baby’s development. These imaging and laboratory tests help us detect complications in the mother or baby that could affect the pregnancy, allowing us to intervene early. They also enable us to identify high-risk pregnancies and provide specialized care when needed.
- Timely Interventions: Provision of essential medications, supplements and vaccinations to improve pregnancy outcomes for both mother and baby
- On-going Communication: Regular updates for our patients at every stage of their pregnancy and their baby’s development
LABOUR AND DELIVERY
LABOUR SUPPORT
To ensure a more comfortable and reassuring birthing experience, we:
- Provide clear guidance to patients and their spouses/partners on what to expect during labour, including practical DOs and DON’Ts such as hygiene practices and breathing techniques
- Closely monitor both the mother and baby throughout labour while offering effective pain management options
- Respect patient choice by allowing them to select their preferred attendant to support the birth (doctor or midwife)
- Encourage spouse/partner presence in the delivery room to foster emotional and physical support during the birthing process
- Offer compassionate emotional support whenever needed to make sure our patients feel cared for and understood
BIRTHING FACILITIES
Every birth in our facility is attended by trained and skilled midwives, ensuring safe and compassionate care.
To provide additional support:
- A Family Medicine Registrar is present on-site 24/7 to assist with any difficulties that may arise
- An Obstetrician and a Paediatrician /Neonatologist are on-call to manage advanced complications and ensure immediate access to specialist expertise when needed
Our Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) services provide patients with access to modern, fully equipped birthing facilities designed for safety and comfort.
They include:
Accommodation for the following delivery options:
- Spontaneous vaginal delivery
- Assisted vaginal delivery
- Caesarean sections
Private labour rooms furnished with ultra-modern delivery tables, multi-parameter vital signs monitoring machines, piped oxygen and a birthing ball to help with labour, among other facilities
A well-stocked labour and delivery unit with essential parenteral medications, including intravenous fluids, oxytocics, antibiotics, anticonvulsants and an emergency box for rapid response
We also provide obstetric analgesia, including epidural service, to ease natural delivery when requested.
©BAFROW Medical Centre
Our hospital is equipped to provide safe, reliable and continuous care with a 24/7 power supply and advanced infrastructure designed to support mothers and new-borns.
We have:
- An Infant Resuscitation Room and a Critical Care Ward, specifically designed to manage complications during and after delivery. See Critical Care Ward
- Two fully equipped operating theatres to perform caesarean sections and other obstetric procedures. Our anaesthetists are available 24/7 to administer local, regional and general anaesthesia during emergency surgical procedures. See General Surgery Unit
- An in-house laboratory, available 24/7, offering haematology, microbiology and biochemistry services. See Laboratory
- A blood bank that ensures immediate access to transfusions whenever required
POSTNATAL AND POST-PARTUM SERVICES
In the first few weeks after delivery, we provide routine post-partum and postnatal services to mothers and babies with uncomplicated births.
These include:
- Immunization for new-borns
- Infant growth monitoring to track healthy development
- Reinforcement of key information on family planning, nutrition and other topics covered during antenatal care
For mothers and babies who experience complicated deliveries, we tailor these services to their specific medical needs to ensure safe recovery and on-going support.
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To celebrate and support new mothers, we provide a post-delivery package that includes:
- A branded take-home baby bag (blue for boys, pink for girls), stocked with essential starter items to assist with new-born care after discharge
- A “My First Picture” card to help parents begin a cherished collection of visual memories of their baby
- A free pampering service of choice, designed to aid recovery and promote healing (See Pampering Service – Concierge Services).
Beyond discharge, our patients continue to benefit from comprehensive maternal and child health services through our Infant and Child Welfare Clinic and Well Baby Clinic, both dedicated to promoting long-term wellbeing for mothers and children.
- Gynaecology Services
REPRODUCTIVE AND SEXUAL HEALTH
FAMILY PLANNING
24/7 emergency and walk-in family planning services are available to all.
WHAT WE OFFER
Clinical Services
- Family planning methods and services to help individuals and couples decide if and when to have children
- Support for spacing of pregnancies to improve maternal and child health outcomes
- Information and counselling on sexual and reproductive health issues
©BAFROW Medical Centre
Family Planning Methods (short-term, long-term and permanent)
- Condoms: Both male and female condoms
- Oral contraceptives pills: Pills containing hormones, taken daily
- Injectable: Hormonal injections administered every 1–3 months
- Sub-dermal implants: Small, flexible rods inserted under the skin of the upper arm
- Intra-uterine device: Small device placed inside the uterus
- Sterilization:
- Female (Bilateral Tubal Ligation): Surgical procedure that prevents eggs from reaching the uterus
- Male (Vasectomy): Surgical procedure that prevents sperm from mixing with semen
EARLY PREGNANCY COMPLICATIONS
Early pregnancy can sometimes be accompanied by medical challenges that require immediate attention to protect our patients’ maternal health and their future fertility.
Our services focus on early detection, timely intervention and prompt response to life-threatening complications, including but not limited to:
- Ectopic Pregnancy: When a fertilized egg implants outside the uterus, often in the fallopian tube
- Spontaneous Abortion or Miscarriage: Loss of pregnancy, usually before 20 weeks
- Threatened Abortion: E.g. Vaginal bleeding in early pregnancy
WHAT WE OFFER
- Early Detection: Routine physical examinations, laboratory tests and imaging to identify complications immediately
- Timely Response: Medical and surgical treatments that are tailored to each diagnosis
- Counselling and Support: Counselling to help patients cope with anxiety, grief and uncertainty regarding their condition, as well as guidance and follow-up care to reduce risks and support healthy future pregnancies
COMPREHENSIVE POST-ABORTION CARE
We provide comprehensive treatment and care following an abortion, whether spontaneous (miscarriage) or induced. Our approach ensures that patients receive timely medical attention, emotional support and preventive guidance to safeguard their health and well-being.
WHAT WE OFFER
Prompt Management of Complications
- Emergency care for complications, including those resulting from unsafe abortion (e.g. incomplete abortion, infection, excessive bleeding)
- Use of appropriate medications, surgical procedures or other interventions tailored to our patient’s diagnosis
Contraception and Family Planning
- Provision of contraceptive methods to prevent unintended pregnancies
- Counselling to support informed decision-making about future reproductive health
Emotional and Psychological Support
- Counselling sessions to help our patients process their experiences and cope with emotional challenges
- A safe space for our patients to express concerns and receive reassurance
Education and Empowerment
- Information on the risks of unsafe abortion and the importance of safe, legal and medically indicated procedures
- Guidance on reproductive health, fertility and preventive measures for long-term well-being
We perform safe and medically indicated legal abortions in compliance with Sections 140 – 142 and Section 190 of the Criminal Code Laws of The Gambia [CAP. 37] (1933) as well as Section 30 (Sub-sections 1-4) of The Gambia Women’s Act (2010).
REPRODUCTIVE ENDOCRINOLOGY
We are committed to addressing complex hormonal conditions that impact on overall reproductive health such as thyroid disorders, infertility, low testosterone and ovarian function decline and tumours.
WHAT WE OFFER
Evaluation of hormonal causes of conditions in both women and men
- Hormonal profile to establish that hormones are contributing to a condition
- Pelvic and transvaginal ultrasound to identify anomalies within the pelvic and vaginal areas that may influence the condition
- Hysterosalpingogram (HSG), which is an X-ray procedure that can identify blockages and other irregularities in the fallopian tubes that could cause fertility such as fibroids and scar tissues
- Diagnostic laparoscopy/ hysteroscopy, a minimally invasive procedure where a tube with a camera at the end is inserted through a tiny incision made in the abdomen to view the uterus and diagnose problems
- Andrology services specifically for male, including analysis of semen and seminal fluids which enables us to establish sperm parameters
Treatment plans to restore hormonal balance and improve reproductive health (i.e. drugs, surgery, counselling and education, follow-up)
©BAFROW Medical Centre
- Other Specialties
General Gynaecology: Diagnosis, treatment and management of common conditions of the female reproductive system, including menstrual disorders, infections, pelvic pain and fibroids. Our specialists perform routine screenings (e.g. pap smears, pelvic exams) as part of our preventive care.
Gynaecology Oncology: Early detection (e.g. screening), diagnosis and comprehensive cancer care (e.g. hormone therapy, surgery, chemotherapy, radiation therapy) of cancers of the female reproductive system (e.g. ovarian, cervical, uterine, vulvar, vaginal)
Climacteric Gynaecology: Comprehensive care for health concerns during peri-menopause, menopause and post-menopause. We manage symptoms like hot flashes and urogenital changes, and provide counselling and lifestyle guidance.
Adolescent Gynaecology: Diagnosis, treatment and management of reproductive health issues in adolescents such as menstrual irregularities and other puberty health concerns. We emphasize counselling and education to prevent early pregnancy, STI and other health risks.
Andrology: Specialized care for male reproductive health concerns such as hormonal imbalances, infertility, erectile dysfunction and prostate health
Dr. UKANDU
Tuesday
8am-2pm
4pm-7pm
Thursday (At-risk clinic)
8am-2pm
4pm-7pm
Dr. SAMUEL
Tuesday
8am-2pm
4pm-7pm
Thursday
8am-2pm
4pm-7pm
Dr. KEITA
Tuesday
4pm-7pm
Thursday
4pm-7pm
Gynaecology Clinic Days
Dr. UKANDU
Monday
9am-8pm
Friday
9am-4pm
Dr. SAMUEL
Monday
9am-4pm
Wednesday
9am-8pm
Friday
9am-4pm
Emergency Response Services
Our Emergency Room (ER) offers 24‑hour, 7 days a week emergency response services, ensuring all patients receive timely and life‑saving interventions whenever needed.
Receive walk-in services or book an appointment