Obstetrics is the branch of medicine concerned with the care of women during pregnancy, childbirth, and the post-natal period. Dr. Vaishali Joshi specialises in the full spectrum of obstetric care, with particular expertise in the management of high risk pregnancies — cases in which maternal or foetal health requires enhanced monitoring, specialist assessment, and coordinated multidisciplinary care.
With 24 years of experience and 14 years of specialist training in the United Kingdom, Dr. Joshi combines international expertise with a compassionate, patient-centred approach. Her practice at Kokilaben Dhirubhai Ambani Hospital provides seamless access to the hospital's full range of specialist services with evidence-based patient care plans.
A pregnancy is considered high risk when there is an increased chance of complications for the mother, the baby, or both. High risk pregnancies require enhanced monitoring, specialist assessment, and — in many cases — coordination with other specialists across disciplines. Dr. Joshi has extensive experience managing the full spectrum of high risk obstetric conditions, developed over 14 years of specialist training and practice in the United Kingdom.
Pre-eclampsia, gestational diabetes, autoimmune disease including SLE, congenital heart disease, extreme prematurity, rheumatic heart disease, multiple pregnancy, placenta praevia, intrauterine growth restriction, and other maternal or foetal conditions requiring enhanced surveillance.
High risk pregnancies are managed through a structured programme of enhanced antenatal monitoring including more frequent clinic visits, specialist scans (growth, Doppler, placental assessment), additional blood tests, and — where required — coordination with cardiologists, immunologists, neonatologists, or other specialists at Kokilaben Dhirubhai Ambani Hospital.
Patients under Dr. Joshi's care for high risk pregnancy can expect a detailed personalised management plan, clear communication at every stage, and access to the full range of specialist services at Kokilaben Hospital. Where possible, Dr. Joshi works to support natural delivery — induction or caesarean section is recommended only when clinically indicated.
Early identification and careful management of high risk conditions significantly reduces the risk of complications for both mother and baby. Dr. Joshi's international training and experience means patients receive care that meets the standards of leading UK and international obstetric units.
Dr. Joshi is a strong advocate for natural childbirth where it is clinically safe. She recognises that childbirth is one of the most significant experiences of a woman's life, and works with each patient to develop a birth plan that reflects their wishes, values, and clinical circumstances. A caesarean section is recommended only when it is genuinely in the best interests of the mother or baby.
Dr. Joshi's approach to childbirth is guided by the principle that medical intervention should be offered when needed — not as a matter of routine. Her training in the UK National Health Service — where natural birth rates are carefully monitored — has given her a disciplined approach to avoiding unnecessary intervention.
At antenatal consultations, Dr. Joshi discusses the patient's birth preferences, reviews the clinical picture, and collaborates to create a personalised birth plan. This plan is revisited as the pregnancy progresses to ensure it remains appropriate.
Dr. Joshi and her team provide expert support throughout labour, monitoring both mother and baby carefully and responding promptly to any changes. Pain relief options including epidural analgesia are available and discussed in advance.
Should a situation arise during labour that makes natural delivery unsafe, Dr. Joshi is skilled in performing both instrumental deliveries and emergency caesarean sections. Her experience managing high risk and complicated deliveries means patients are in expert hands at every stage.
Our Pre-conception Clinic is designed to help every woman's dream of motherhood become a reality. Though pregnancy is a natural process, some women may encounter challenges that require thorough evaluation and specialist guidance prior to conception. Dr. Joshi's pre-conception service provides personalised assessment, optimising health before pregnancy begins.
Optimising your health before pregnancy is one of the most effective ways to improve outcomes for both mother and baby. Dr. Joshi's Pre-conception Clinic provides a comprehensive assessment of your health, medical history, and circumstances, and creates a personalised plan to give your pregnancy the best possible start.
Any woman planning to conceive who has a pre-existing medical condition (diabetes, hypertension, autoimmune disease, cardiac condition), a history of pregnancy loss or complication, or who simply wishes to optimise her health before conceiving.
A full medical history review, physical examination, blood tests (including rubella immunity, thyroid function, anaemia screen, genetic carrier testing where appropriate), and review of current medications for safety in pregnancy.
A detailed personalised pre-conception plan including advice on folic acid supplementation, medication adjustments, lifestyle modifications, and timing of conception. Referral to relevant specialists where required.
Ideally, a pre-conception consultation should take place 3–6 months before you plan to conceive. This allows sufficient time for any adjustments to medication, lifestyle, or vaccination status before pregnancy begins.
Some deliveries require a higher level of clinical expertise — whether due to foetal position, prolonged labour, maternal complications, or other factors that emerge during childbirth. Dr. Joshi's extensive training on the Advanced Labour Ward Management programme in the UK, combined with 14 years of experience managing deliveries at leading NHS teaching hospitals, means she is equipped to manage the full spectrum of complex obstetric scenarios.
Complications may arise from foetal malpresentation (breech, transverse), cephalopelvic disproportion, cord prolapse, shoulder dystocia, placental abruption, foetal distress, or failure to progress in labour.
Where appropriate and clinically safe, Dr. Joshi is skilled in ventouse (vacuum) and forceps delivery — techniques that can safely expedite delivery without the need for caesarean section when properly performed by an experienced operator.
When a rapid response is required, Dr. Joshi's surgical expertise and the facilities at Kokilaben Dhirubhai Ambani Hospital ensure that emergency caesarean section can be performed swiftly and safely.
Careful post-delivery management is essential for both mother and baby. Dr. Joshi and her team ensure comprehensive monitoring in the immediate post-natal period and provide clear guidance on recovery, feeding, and follow-up.
Emergency Caesarean section (C-section) requires swift clinical decision-making and experienced surgical technique. Of particular complexity is the C-section performed at full cervical dilatation — a situation that demands exceptional expertise to safely deliver the baby while avoiding maternal complications including transverse extension of the uterine incision. Dr. Joshi has extensive experience managing these high-stakes obstetric emergencies with precision and composure.
Instrumental delivery — using forceps or ventouse — is a skilled obstetric procedure that, when performed correctly, offers a safe alternative to emergency Caesarean section. Dr. Joshi has introduced a specialised practice of conducting trial instrumental deliveries in theatre, with the full surgical team and emergency Caesarean section services immediately available. This approach maximises the patient's opportunity to achieve a vaginal delivery while ensuring the complete safety of both mother and baby at all times — particularly in cases where a C-section at full dilatation is being considered.
Every pregnancy is individual. Dr. Joshi will assess your specific circumstances and create a personalised management plan at your first consultation.