Obstetric Services

Having a baby is an exciting but also an anxious time. Care and support throughout pregnancy, childbirth and the postnatal time is essential to make sure risks are minimised and that your pregnancy is as normal as possible. Integra offers comprehensive obstetric services with parents at its heart and a obstetric-neonatal team that is unique in Cayman.

Obstetric services baby

Obstetric Services

  • 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

Why Choose Integra Healthcare?

Obstetric-Neonatal Team

The only combined tertiary obstetric-fetal-neonatal team in the Cayman Islands

Tertiary Trained & Experienced

All staff are experienced, consultant-level, tertiary trained senior professionals

Accessibility & Responsiveness

24/7 access and the whole team lives within 5 minutes of both hospitals

Holistic Care

We pride ourselves on a patient-centred approach with shared decision making to ensure your birth experience is positive, whilst also having a particular focus on safety, given we are an island. You’ll find our team is passionate about creating an antenatal, birthing and postnatal journey that meets and exceeds your expectations, making having a baby the joyous experience it should be.

Safe Care

Integra has the only combined obstetric – neonatal qualified team on island, with individuals who are all tertiary trained and experienced, ensuring seamless coordination for both maternal and newborn aspects of care. The ideal pregnancy is an uneventful one but in the event that nature has other ideas, it’s important to have a team you are confident in, with the right experience and training, who work closely together.

Might you have a higher-risk pregnancy?

Integra has a specialist, multidisciplinary high-risk pregnancy service. It’s worth visiting that page. The risk factors for a higher risk pregnancy include:

Existing Health Conditions

  • High blood pressure
  • Polycystic ovary syndrome (PCOS)
  • Diabetes
  • Kidney disease
  • Autoimmune disease
  • Thyroid disease
  • Obesity
  • Certain infections e.g. Zika

Life Decisions & Lifestyle

  • First pregnancy after age 35
  • Alcohol use
  • Tobacco use
  • Drug use

Conditions of Pregnancy


Fetal Medicine Service

At Integra, we are blessed to have an experienced, tertiary UK consultant with a special interest in fetal medicine, including specialist skills training from the Royal College of Obstetrics and Gynaecology. This provides added security and a multidisciplinary approach to specialist obstetric care, fetal health and emerging problems that just doesn’t exist anywhere else on island.

Multidisciplinary Team

Our team consists of two female obstetricians, including a special interest in fetal medicine, working seamlessly alongside three female neonatally-trained and experienced paediatricians, all of whom are tertiary-level and experienced from UK or Australasia. Our multidisciplinary approach is designed to ensure the utmost in safety and coordination, along with unparalleled back up.

Accessibility & Responsiveness

Obstetrics is a 24/7 specialty requiring responsiveness and timely attendance. We pride ourselves both in your direct access to your doctor and the back up of a team. And most importantly, all of our doctors live within 5 minutes of Cayman Islands Hospital, this side of the Grand Harbour traffic.

Dr Madhavi Manoharan

Obstetrician & Gynaecologist
+1 (345) 745 7450 (Clinic)
[email protected]

Dr Manoharan has 23 years’ experience in obstetrics and gynaecology, including more than a decade at tertiary level, 7 years as consultant at the prestigious Royal Free London NHS Foundation Trust and a number of years as Assistant Professor at the world-renowned Weil Cornell Medicine, located in their Qatar campus, part of Cornell University.


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Laura Hole

Dr Laura Hole

Obstetrician & Gynaecologist
+1 (345) 745 7450 (Clinic)

Dr Laura Hole is an Obstetrician and Gynaecologist in the Cayman Islands with 15+ years’ experience. She recently joined the team at Integra in June 2023. She has a host of experience and training particularly in gynae ultrasound, colposcopy (BSCCP accredited) along with numerous surgical procedures including: surgical gynae oncology, advanced laparoscopy and complex open surgical procedures.


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Dr Mike SMith

Obstetrician & Gynaecologist
+1 (345) 745 7450 (Clinic)

Dr Mike Smith is a highly trained and experienced Obstetrician & Gynaecologist who joined us here at Integra Healthcare in the Cayman Islands in June 2023. Dr Smith is experienced in running busy Obstetrics Delivery Suites along with the antenatal and post-natal care of patients. He has completed the RCOG subspecialty training in Gynaecological Oncology and has advanced gynaecological surgical skills in both open and minimal access surgery.


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Clinic Location & Open Times

The Grand Pavilion Commercial Centre, Hibiscus Way, 802 West Bay Road.

  • Monday to Friday: 8.30am first appointment, 4.30pm last appointment
  • Saturday: 8.30am first appointment, 12.30pm last appointment

News, Views & Pertinent Pieces

Integra Expands Its Team!

Integra Expands Its Team!

We wish to extend a warm welcome to Dr Yammine, Dr Robinson and Allie Campbell! Dr Yammine is a Specialist in Otolaryngology (ENT) Head & Neck Surgery, Laryngology &...

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