Dr Rommel El‑Madany
OBGYN & Maternal‑Fetal Medicine Specialist
Private Pregnancy Care
& Obstetrics in Cayman Islands
Request a pregnancy appointment Private Pregnancy Care & Obstetrics in Cayman Islands
At Helena Medical, we offer the complete scope of obstetric management – from simple, straightforward pregnancies to the most complex high-risk and twin pregnancies. Dr Rommel El-Madany provides personalised, consultant-led care from preconception through to delivery, ensuring you and your baby are in safe, experienced hands at every milestone.
Bespoke Pregnancy & Antenatal Care
Your Pregnancy Journey, Personally Guided
At Helena Medical, we believe every pregnancy deserves dedicated, one-on-one attention. Your care is monitored through tailored appointments designed to support your baby’s development at every milestone. Whether you are experiencing a straightforward pregnancy or require specialist management for high-risk conditions, Dr. El-Madany’s calm expertise ensures you are never alone. We offer 24/7 reassurance and continuity, so you can focus on the joy of your growing family.
Private Antenatal Appointments & Delivery
Dr El‑Madany provides consultant-led support from your first appointment through to delivery – whether vaginal birth, assisted delivery, or caesarean section. You may choose either Health City at Camana Bay Hospital HCCB or Anthony S. Eden Hospital HSA/GTH for your delivery. Your pregnancy care is fully personalised, and supported by 1:1 attention, and on-call cover to help you feel reassured and confident throughout your pregnancy, delivery and beyond.
Consultant-Led Support from First Scan to Delivery
Your pregnancy journey deserves unwavering support and expert attention. At Helena Medical, Dr. El-Madany personally guides you from your earliest antenatal visits right through to delivery. We proudly facilitate deliveries at both HCCB and the HSA, ensuring your experience aligns with your unique medical needs and personal preferences. With two exceptional NICUs (Neonatal Intensive Care Units) here in the Cayman Islands—at both HCCB and HSA – you and your baby are surrounded by top-tier medical support at every step.
Safe deliveries begin with meticulous monitoring from the first visit. At our Brand New George Town waterfront clinic, we utilize advanced 3D and 4D ultrasound technology to provide high-resolution insights into your baby’s development. This technical precision, combined with Dr. El-Madany’s specialist training in fetal medicine, allows us to identify and manage potential complexities early, ensuring a proactive and prepared path to your delivery day.
Pregnancy Scans & Screening, Trimester by Trimester
- Early diagnostics are essential for providing peace of mind and establishing a clear timeline for your care. Whether you require a pre-pregnancy assessment or a scan in the earliest weeks of gestation, Dr. El-Madany personally performs these detailed examinations to:
- Confirm Pregnancy Location: Ensuring the pregnancy is developing safely within the uterus (ruling out ectopic pregnancy).
- Monitor Early Development: Assessing the size and shape of the baby, amniotic and yolk sacs, identifying the fetal pole, and confirming heart activity.
- Determine Gestational Age: Establishing an accurate due date and checking for multiple embryos (twins).
- Screening for Well-being: Between weeks 11 and 14, we perform Nuchal Translucency and basic anatomy scans to assess for potential structural or chromosomal abnormalities.
- Organ & Structural Review: A comprehensive “head-to-toe” assessment to confirm the healthy development of major organs, limbs, the spine etc.
- Growth Tracking: Precise measurements to ensure your baby is hitting every developmental milestone.
- Environment Check: Evaluating the placenta and amniotic fluid levels for a healthy pregnancy environment.
- Gender Identification: An optional and exciting moment for many families to learn the sex of their baby.
- Growth & Movement Tracking: Measuring your baby’s size and activity to ensure they are meeting all late-stage milestones.
- Biophysical Profile: A detailed assessment of the baby’s activities and environment, including amniotic fluid and placental health.
- Doppler Blood Flow Studies: Specialist assessment of blood flow to ensure optimal nutrient and oxygen delivery.
- Positioning & Planning: Confirming the baby’s position to help you and Dr. El-Madany finalize your birth plan.
- NIPT Screening: Chromosomal health, gender, and Rh-status from 10 weeks.
- Detailed Anatomy Scans: Comprehensive organ and structural review (18–23 weeks).
- Cervical Monitoring: Proactive screening for premature birth, and late miscarriage risks.
- BPP & Doppler: Advanced ultrasound for fetal well-being and blood flow.
- Invasive Testing: Expert Amniocentesis when definitively required.
- Routine Wellness: Comprehensive blood work, glucose testing, and GBS screening.
- Other more specific screening for certain conditions
Advanced High-Risk Maternity Care. Expert Care for Every Complexity
- Specialist Oversight: Expert management for hypertension, pre-eclampsia, and gestational diabetes, etc.
- Complex Cases: Dedicated support for twin/multiple pregnancies and high maternal age, and/or weight and many other.
- Continuity of Care: Meticulous monitoring for patients with a history of pregnancy loss or prior complications.
- Bespoke Planning: Evidence-based guidance from preconception through to delivery and postpartum.
At Helena Medical, we provide the advanced clinical expertise required to turn a complex journey into a safe and successful arrival.
Twin & Multiple Pregnancy Expertise
Dr El-Madany has particular expertise in managing twin and multiple pregnancies, closely monitoring each baby throughout. Where appropriate, this includes supporting a safe twin vaginal delivery, alongside planned Caesarean section when that’s the better option for you and your babies – the right approach is always planned around what’s safest for your specific pregnancy, not a one-size-fits-all rule.
Patient Success Stories
Pregnancy FAQs
- Preconception: Ideally, we recommend a visit before pregnancy to optimize your health and manage any existing medical conditions.
- Early Pregnancy: Most patients book as soon as their pregnancy is confirmed/pregnancy test positive for early assessment, investigation & ultrasound and planning the trip.
- High-Risk/Complex History: If you have a history of complications, earlier is always better to ensure a tailored monitoring plan is in place from the start, or even better preconception.
- Your History: Previous medical or surgical records and any recent test results (if available).
- Your Questions: We encourage you to bring a list of any concerns you’d like to discuss.
- Your Support System: Partners or friends are always welcome to join you in the consultation room.
- Fasting: You do not need to fast before your appointment.
- Bladder: A comfortably full bladder is a good starting point for your first consultation,
- Follow-up: We will provide you with specific instructions for any subsequent visits or specialized tests so you know exactly what to expect.
- NIPT (e.g., Panorama): A specialized blood test performed at 10+ weeks. It is the gold standard for chromosomal screening due to its high accuracy and precision.
- Nuchal Translucency (NT): An ultrasound performed between 11–14 weeks. While it is less accurate than NIPT for chromosomal conditions, it is still used to evaluate the physical development of the foetus.
At Helena Medical, we tailor our screening recommendations to your specific needs, providing you with the most reliable evidence-based options available.
- Simply contact the Helena Medical clinic team by filling the form (request appointment) on the website with no obligation or phone +1 345 946 2496,
- Please get ready with:
- Your full name,
- Date of birth,
- E-mail,
- Telephone number,
- Your medical insurance company (if any) and ID number,
So we can check your pregnancy cover from your insurance so we can get you the most accurate information. Every insurance has many different levels of coverage in pregnancy and delivery. The pregnancy cover is also different from your general medical coverage.
We aim to help you as much as we can.