Obstetric Services
“as they should be”
Introduction to Obstetric Services
Giving birth can be a joyous yet nerve wracking time. Quality care, clear guidance and support through pregnancy, childbirth and after birth is key to ensuring any risks are minimized and your pregnancy journey runs as smoothly as possible. Our team consists expert Obstetricians and Neonatologists and our highly experienced Registered Midwife. This highly trained and experienced obstetric-neonatal team work to offer the best care and guidance for parents in Cayman during this exciting journey.
Our Obstetric Services

Dr Zbigniew Zwierzchowski performs a wide spectrum of obstetric services in Cayman. These consist of:
Labour and Delivery
Ultra-Sound
Vaginal Delivery
Cesarean Section
High-Risk Obstetrics
General Obstetrics
Minimally Invasive Surgery
Vaginal Surgery
Open Surgery
Laser and Endoscopic Surgery
Cancer Screening
Colposcopy
Reconstructive Surgery
Infertility treatment
Hormone Replacement Therapy (HRT)
Routine gynaecological exams and pap smears

Dr Lisa Joels and Dr Madhavi Manoharan also offer a host of obstetric services in Cayman. These include:
Pre-conception care, including advice about pre-existing medical conditions prior to pregnancy
Holistic antenatal care including screening for complications of pregnancy, monitoring fetal growth and more
Management of pregnancy related conditions and complications
Joint decision-making regarding birth plans
Intrapartum care, including active management of labour
Normal vaginal delivery, instrumental delivery & forceps delivery
Repair of perineal tears or episiotomy
Caesarean sections both as a planned procedure and as an emergency if complications arise
Management of delivery of placenta and bleeding after delivery
Postnatal care until discharged home & thereafter
Also see our Midwifery Services offered by our Registered Midwife Allie Campbell
Meet our Obstetric Service Team
We are genuinely passionate about pregnancy and ensuring a wonderful but safe pregnancy journey for all who put their trust in our team. So, let’s introduce that team.


Dr Madhavi Manoharan
Obstetrician & Gynaecologist Maternal-Fetal Medicine Specialist



