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High Blood Pressure in Pregnancy

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High Blood Pressure in Pregnancy

Introduction

Pregnancy is an extraordinary journey for women, marked by various health considerations that significantly impact the well-being of both mother and baby. One such concern that warrants close attention is high blood pressure, or hypertension, which can either preexist before pregnancy or develop during gestation. In this comprehensive article, we aim to explore the intricacies of high blood pressure in pregnancy, encompassing its types, prevalence, potential complications, recognition, treatment approaches, and recent developments in diagnostics.

Understanding High Blood Pressure

What is High Blood Pressure?

High blood pressure is characterized by elevated pressure in the blood vessels, a crucial health parameter measured as two figures (e.g., 140/85 mm Hg). The systolic pressure represents the pressure during heart contraction, while the diastolic pressure denotes the pressure when the heart is at rest. Normal blood pressure is generally considered to be below 140/90 mm Hg.

Types of High Blood Pressure in Pregnancy

  1. Pre-existing High Blood Pressure
    • Some women enter pregnancy with a history of hypertension, often necessitating ongoing treatment.
    • Medication adjustments may be required, particularly for drugs that pose potential harm to the developing baby, such as Angiotensin-converting enzyme (ACE) inhibitors, Angiotensin-II receptor antagonists (AIIRAs), and diuretics.
  2. Gestational High Blood Pressure
    • This type develops after the 20th week of pregnancy and typically returns to normal within six weeks postpartum.
    • Distinguished by the absence of protein in urine, unlike pre-eclampsia.
  3. Pre-eclampsia and Eclampsia
    • A more severe condition involving high blood pressure, affecting multiple organs, and characterized by the presence of protein in urine.
    • Pre-eclampsia may progress to eclampsia, a critical phase marked by seizures.
Gestational Diabetes

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Pre-existing high blood pressure

Some women already have high blood pressure (hypertension) before they become pregnant and they may be on treatment for this. Your medication may need to be changed, so it is important to see a healthcare professional before, or as soon as, you know you are pregnant.

Some women are found to have high blood pressure before they are 20 weeks pregnant. (If high blood pressure is first discovered before you are 20 weeks pregnant, this usually means that you had previously undetected high blood pressure before you were pregnant.)

So, high blood pressure before 20 weeks of pregnancy is not caused by pregnancy but is pre-existing, or chronic, high blood pressure. There are various causes. See the separate leaflet called High Blood Pressure (Hypertension).

If you have pre-existing high blood pressure, you have an increased risk of developing pre-eclampsia during your pregnancy (see below).

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Note: if you are taking medicines to treat high blood pressure then, ideally, you should have this reviewed before you become pregnant. Some medicines that are used to treat high blood pressure should not be taken during pregnancy – for example, medicines called:

  • Angiotensin-converting enzyme (ACE) inhibitors.
  • Angiotensin-II receptor antagonists (AIIRAs) – sometimes called angiotensin receptor blockers (ARBs).
  • ‘Water’ tablets (diuretics).

This is because these medicines may harm a developing baby. If you are taking one of these medicines then it is very likely that your medicine will be changed to another medicine that is not known to harm a developing baby.

Gestational high blood pressure

Some women can develop new high blood pressure during their pregnancy. This is called gestational high blood pressure (or hypertension) or pregnancy-induced high blood pressure (or hypertension).

Gestational high blood pressure is high blood pressure that develops for the first time after the 20th week of pregnancy. Doctors can confirm this type of high blood pressure if you do not go on to develop pre-eclampsia during your pregnancy (see below) and if your blood pressure has returned to normal within six weeks of giving birth. If you have gestational high blood pressure, you do not have protein in your urine when it is tested by your midwife or doctor during your pregnancy.

Note: some women may be found to have new high blood pressure after 20 weeks of pregnancy. At first, they may not have any protein in their urine on testing. However, they may later develop protein in their urine and so be diagnosed with pre-eclampsia (see below). You are only said to have gestational hypertension if you do not go on to develop pre-eclampsia during your pregnancy.

Pre-eclampsia and eclampsia

Pre-eclampsia is a condition that can affect some women who develop new high blood pressure after the 20th week of their pregnancy. Pre-eclampsia can also sometimes develop in women who have high blood pressure before they are pregnant (pre-existing high blood pressure) or in women who have protein in their urine before they are pregnant (for example, due to kidney problems).

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Pre-eclampsia not only causes high blood pressure; it also affects other parts of your body such as your kidneys, liver, brain and blood clotting system. Pre-eclampsia causes protein to leak from your kidneys into your urine. If you have pre-eclampsia, you will have high blood pressure and protein will be found in your urine when it is tested. Pre-eclampsia gets better within six weeks of you giving birth.

Eclampsia can be a complication of pre-eclampsia. In eclampsia, a woman with pre-eclampsia has one or more fits (seizures or convulsions). This is a serious condition. The aim is to detect and treat pre-eclampsia successfully to try to prevent eclampsia from developing.

  • Approximately 1 in 10 pregnant women experience issues with high blood pressure.
  • Pre-existing hypertension affects up to 3 in 100 pregnant women.
  • Gestational high blood pressure occurs in approximately 4 to 8 in 100 pregnancies.
  • Pre-eclampsia develops in around 2 to 8 in 100 pregnancies.

Possible Complications

  • Mild-to-moderate high blood pressure usually poses low risks.
  • Severe high blood pressure and pre-eclampsia elevate risks for both mother and baby.
  • Associated risks include an increased likelihood of stroke, organ damage (particularly to the kidneys and liver), blood clotting problems, severe bleeding from the placenta, poor fetal growth, premature birth, and stillbirth.
High Blood Pressure in Pregnancy

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Mild-to-moderate high blood pressure

If your blood pressure remains mildly to moderately raised and you do not develop pre-eclampsia then the risk is low. Most women with high blood pressure (hypertension) during pregnancy just have mildly or moderately raised blood pressure.

However, it is important that your blood pressure and urine should be checked regularly throughout your pregnancy and that you look out for any signs of possible pre-eclampsia (see below).

Severe high blood pressure or pre-eclampsia

Severe high blood pressure, especially with pre-eclampsia, is serious.

  • The risks to you as the mother include:
    • An increased chance of having a stroke.
    • Damage to your kidneys and liver.
    • An increased risk of blood clotting problems.
    • An increased risk of severe bleeding from your placenta.
    • Having fits (seizures) if you go on to develop eclampsia.
  • The risks to your baby include:
    • An increased chance of poor growth.
    • An increased chance of premature birth.
    • An increased chance of stillbirth.

Many women with high blood pressure (hypertension) during their pregnancy do not have any symptoms. This is why your blood pressure is checked regularly by your doctor or midwife during your pregnancy. Your urine is also tested regularly for protein, to look for possible pre-eclampsia.

However, there are some symptoms that you should look out for that could be signs of pre-eclampsia. If you develop any of these, you should see your doctor or midwife urgently so that they can check your blood pressure and test your urine for protein. They include:

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  • Severe headaches that do not go away.
  • Problems with your vision, such as blurred vision, flashing lights or spots in front of your eyes.
  • Tummy (abdominal) pain. The pain that occurs with pre-eclampsia tends to be mainly in the upper part of the abdomen, just below your ribs, especially on your right side.
  • Vomiting later in your pregnancy (not the morning sickness of early pregnancy).
  • Sudden swelling or puffiness of your hands, face or feet.
  • Feeling out of breath.
  • Not being able to feel your baby move as much.
  • Just not feeling right.

Note: swelling or puffiness of your feet, face, or hands (oedema) is common in normal pregnancy. Most women with this symptom do not have pre-eclampsia but it can become worse in pre-eclampsia. Therefore, report any sudden worsening of swelling of the hands, face or feet promptly to your doctor or midwife.

High Blood Pressure in Pregnancy

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If your doctor or midwife finds that your blood pressure is high during your pregnancy, they will usually check to see if you have any protein in your urine and ask you if you have any symptoms of pre-eclampsia. If your blood pressure remains high, or if you have any signs of pre-eclampsia, you will usually be seen by a specialist (an obstetrician). In order to advise on treatment, there are various questions that need to be considered by the specialist, such as:

  • How severe is your high blood pressure (hypertension)?
  • Is there pre-eclampsia and, if so, how severe is it?
  • How far on is your pregnancy?
  • What are the risks to you, the mother, and your baby? This will depend on the severity of your high blood pressure and whether or not pre-eclampsia is present.

Treatment Approaches

  • For mild cases, a common recommendation includes a daily dose of aspirin (75-150 mg).
  • Severe cases may necessitate urgent specialist attention, potential hospitalization, and medication such as labetalol.
  • Magnesium sulfate may be administered to prevent eclampsia.
Expecting Mother

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Recent Developments

Recent advancements in diagnostic tools, specifically placental growth factor (PLGF)-based tests, have been recommended by the National Institute for Health and Care Excellence. These tests assist in assessing suspected preterm pre-eclampsia, aiding in more precise care planning and reducing unnecessary hospitalization.

Conclusion

Effectively managing high blood pressure during pregnancy is pivotal for ensuring the health and safety of both the mother and the developing baby. Regular monitoring, timely intervention, and embracing advancements in diagnostic capabilities contribute significantly to a safer and healthier pregnancy experience.

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Trusted Local Dental Services: Building Confidence in Bristol

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Trusted Local Dental Services in Bristol

Introduction

Finding a reliable dental practice that you can trust is about far more than keeping up with routine check-ups. It is about knowing that you and your family will receive professional, compassionate care whenever you need it most. In a city like Bristol, where community and quality healthcare go hand in hand, dental services play a central role in supporting both oral health and personal confidence. For many people, a trip to the dentist is not just a matter of maintaining teeth and gums, but an essential part of ensuring wellbeing and peace of mind.

This article explores how trusted local dental services are building confidence in Bristol. From preventative care and hygiene to emergency treatments, the city is home to dedicated professionals who make dental health accessible and reassuring for everyone.

The Importance of Local and Trusted Dental Care

The role of local dentistry goes beyond providing treatments for tooth decay, fillings, or gum disease. A trusted dental service is one that makes every patient feel valued, respected, and comfortable from the moment they walk through the door. In places like Bristol, where neighbourhood practices often serve generations of the same families, trust is built through consistency, transparency, and genuine care.

The benefit of having reliable dental services nearby is twofold. Firstly, there is the practical aspect: it is easier to maintain regular appointments when your chosen practice is within your community. Secondly, the emotional reassurance of knowing you have a dentist who understands your history, health, and concerns means you are more likely to take proactive steps in maintaining good oral health.

Building Confidence Through Preventative Dentistry

Trusted Local Dental Services in Bristol

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Prevention remains at the heart of modern dental practice. By encouraging regular check-ups, dentists in Bristol can detect potential problems early and save patients from more complex procedures later. Routine dental examinations often include oral cancer screenings, gum health assessments, and checks for enamel erosion – all vital in ensuring long-term wellbeing.

Equally important is the role of education. Dentists and hygienists provide practical advice on brushing techniques, diet, and lifestyle changes to help patients look after their oral health at home. This preventative approach empowers individuals to take control of their dental hygiene and, ultimately, their confidence.

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For many people, confidence in their smile has a significant impact on self-esteem, social interactions, and even professional opportunities. By providing reliable preventative care, Bristol’s dental practices support not just oral health but also the overall wellbeing of their patients.

The Role of Emergency Care

Despite the best preventative measures, dental emergencies can and do occur. From sudden toothaches to accidents involving broken or chipped teeth, urgent treatment is sometimes unavoidable. The availability of an emergency dentist in Bristol means patients can access immediate, professional help when they need it most.

This level of accessibility is vital in protecting both oral health and patient peace of mind. Without prompt care, dental emergencies can escalate into more serious issues, potentially leading to infections or long-term damage. Having a trusted emergency service within the city ensures that Bristol residents never have to feel helpless in moments of dental crisis.

Moreover, the knowledge that emergency care is readily available provides a sense of security. People are more likely to engage with routine dental services when they know there is support in place should unexpected problems arise. In this way, emergency dental care not only resolves immediate pain but also reinforces long-term trust in local practices.

Professional Hygiene Services

While check-ups and emergency care form an essential part of dentistry, the services of a professional hygienist should not be overlooked. Maintaining oral hygiene goes beyond brushing twice daily; professional cleaning removes plaque and tartar that cannot be managed at home. Patients who regularly see a hygienist in Bristol benefit from healthier gums, fresher breath, and a brighter smile.

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Hygienists also play a vital role in preventative dentistry. By providing treatments such as scaling, polishing, and fluoride applications, they help reduce the risk of gum disease and tooth decay. Importantly, hygienists also give tailored advice on improving daily routines. For instance, patients may be shown how to use interdental brushes effectively or learn techniques for reaching difficult areas.

This combination of professional care and practical guidance builds long-term habits that significantly enhance oral health. In doing so, hygienists contribute directly to the confidence patients feel in their everyday lives.

Patient-Centred Care in Bristol

One of the defining features of trusted local dental services in Bristol is the focus on patient-centred care. Modern practices understand that every patient arrives with their own concerns, experiences, and expectations. Whether it is a nervous child, an adult struggling with dental anxiety, or an elderly patient with complex needs, personalised approaches make all the difference.

Dentists in the city often adopt techniques designed to reduce fear and promote relaxation. From gentle explanations to modern technologies that make procedures less invasive, patient comfort is a top priority. The result is a more positive relationship with dentistry, where patients feel understood and supported at every stage of their treatment.

Building Confidence for the Future

As Bristol continues to grow and evolve, so too does the role of its dental practices. The integration of advanced technologies such as digital imaging, minimally invasive treatments, and cosmetic procedures reflects the commitment of local professionals to delivering modern, comprehensive care. At the same time, the emphasis on community, trust, and compassion ensures that patients receive not only the best treatments but also the reassurance they deserve.

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Confidence in dentistry is not simply about technical skill. It is about trust, accessibility, and the assurance that your needs will always be met with professionalism and care. Bristol’s local dental services embody these qualities, providing both essential treatments and the peace of mind that comes with knowing your smile is in safe hands.

Conclusion

Trusted local dental services are at the heart of building confidence in Bristol. Through preventative care, emergency treatments, and professional hygiene services, residents can access the full range of support they need to maintain both oral health and personal wellbeing. From routine check-ups to urgent assistance, dental professionals in the city are committed to delivering patient-centred care that inspires trust and reassurance.

By prioritising accessibility, professionalism, and compassion, these services ensure that every smile tells a story of confidence and care. For those seeking reliable dental support in Bristol, the reassurance provided by trusted practices reflects the values of quality and community. And when it comes to choosing a partner in dental health, EDA Group stands as a name associated with trust and excellence.

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Best Gynecologist Doctor in Delhi: Comprehensive Care for Women

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Introduction

When it comes to women’s health, nothing is more important than choosing the right doctor. From adolescence to motherhood and finally menopause, women need expert care at every stage of life. This is where the search for the Best Gynecologist Doctor in Delhi begins and for many, the name that comes up repeatedly is Dr. Rupali Chadha.

About Dr. Rupali Chadha

Dr. Rupali Chadha is a trusted name in gynecology and obstetrics. With years of dedicated practice and a patient-first approach, she has earned the title of being the Best Gynecologist in South Delhi. Her ability to combine compassion with modern medical techniques makes her stand out among her peers.

Why Choose the Best Gynecologist Doctor in Delhi?

Think of a gynecologist as a lifelong health partner. Whether you’re dealing with menstrual irregularities, pregnancy, or menopause, you need someone who listens, understands, and guides you without judgment. That’s exactly what you get with the Best Gynecologist Doctor in Delhi trust, comfort, and experience under one roof.

1. Comprehensive Care for Women

Women’s health isn’t just about childbirth—it’s an entire journey.

  • Adolescents: Guidance on puberty, menstrual health, and PCOS.
  • Reproductive health: Fertility, pregnancy, and delivery.
  • Menopause management: Hormonal care and emotional well-being.

2. Specializations of Dr. Rupali Chadha

What makes her stand out as the Best Gynecologist Doctor in Delhi is her wide range of expertise:

  • Managing high-risk pregnancies with precision
  • Providing fertility solutions for couples struggling to conceive
  • Expertise in laparoscopic surgeries for faster recovery
  • Treating menstrual disorders with holistic approaches

3. Pregnancy and Childbirth

Pregnancy is a life-changing journey, and with the right doctor, it becomes less stressful. Dr. Rupali Chadha ensures:

  • Regular antenatal checkups
  • Safe normal and C-section deliveries
  • Complete postnatal support for mother and child

4. Adolescent Gynecology

Teenage years can be confusing for young girls. With her approachable style, Dr. Rupali Chadha educates adolescents about menstrual health, PCOS, and body changes, making her the Best Gynecologist in South Delhi for younger patients.

5. Fertility and Conception

For couples trying to conceive, hope can sometimes feel distant. Dr. Rupali Chadha uses advanced fertility solutions while keeping emotional well-being in focus. Her compassionate counseling makes her the Best Gynecologist Doctor in Delhi for fertility care.

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6. Menopause and Beyond

Menopause isn’t the end of life—it’s just another chapter. From hot flashes to mood swings, Dr. Rupali Chadha supports women with personalized treatments and lifestyle guidance.

Best Gynecologist in South Delhi: Why Dr. Rupali Chadha Stands Out

It’s not just her skills but her approach that makes patients call her the Best Gynecologist in South Delhi. She believes every woman’s health journey is unique, and she treats each patient with that mindset.

1. Technology and Modern Facilities

Being the Best Gynecologist Doctor in Delhi means staying ahead with technology. Dr. Rupali Chadha uses advanced diagnostic tools and minimally invasive surgical techniques, ensuring accuracy and faster recovery.

2. Patient Experiences

What truly defines a doctor’s success? The stories of their patients. From safe deliveries to successful fertility treatments, countless women credit their good health and happy journeys to Dr. Rupali Chadha.

3. Preventive Gynecology

Health isn’t just about treatment—it’s also about prevention. She emphasizes routine screenings, cancer awareness, and preventive gynecology to ensure women stay ahead of potential health risks.

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4. Women’s Mental Health

Often overlooked, mental health is closely tied to women’s hormonal health. Dr. Rupali Chadha offers emotional support during pregnancy, postpartum, and menopause, helping women feel stronger mentally and physically.

Conclusion

If you’re looking for the Best Gynecologist Doctor in Delhi, one name shines bright—Dr. Rupali Chadha. From adolescent care to motherhood and beyond, she has built a reputation for trust, compassion, and medical excellence. She is also known as the Best Female Gynecologist in South Delhi, making her the go-to choice for women seeking complete healthcare under one roof.

Dr. Rupali Chadha is not only a skilled clinician but also a patient listener who takes time to understand every concern with empathy and precision. Whether it’s a routine check-up, menstrual disorder, prenatal consultation, or complex gynecological surgery, patients trust her for ethical advice and effective solutions. She combines modern medical technology with holistic care to ensure women feel safe, confident, and well-supported throughout their healthcare journey. If you’re looking for a trusted PCOS Doctor in Delhi, Dr. Rupali Chadha is the name to count on.

FAQs

Q1: Why is Dr. Rupali Chadha considered the Best Gynecologist Doctor in Delhi?
She combines years of expertise with a compassionate, patient-focused approach, making her highly trusted.

Q2: Does Dr. Rupali Chadha handle high-risk pregnancies?
Yes, she specializes in managing high-risk pregnancies with advanced medical care.

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Q3: Is Dr. Rupali Chadha also the Best Gynecologist in South Delhi?
Absolutely. Many patients recommend her as the Best Gynecologist in South Delhi due to her exceptional care.

Q4: Does she provide fertility treatment?
Yes, she offers advanced fertility solutions and counseling for couples.

Q5: Can teenagers consult Dr. Rupali Chadha?
Definitely. She provides adolescent gynecology services to guide young girls on menstrual and reproductive health.

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The Rise of Open MRI Scanners: A Patient-Friendly Option

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MRI scan open

Introduction

“This article talks about the benefits of open MRI machines, focusing on how they are easier for people who are feeling confined, anxious, or have trouble moving around.”

We understand that the thought of undergoing a scan can be intimidating at Encino Open MRI. Being in a small area hearing loud noises and feeling alone can all make anxiety worse. This is especially true if you are afraid of small spaces or have a larger body type. You should have a diagnostic experience that puts your comfort first without sacrificing quality. This is exactly why the open design of the MRI scan open has changed the way patients are cared for, providing a kind and effective alternative to traditional closed equipment.

What Truly Makes an Open MRI Different?

The difference is immediately visible. A traditional closed MRI scanner features a long, narrow tube. Patients must lie perfectly still inside this tube for the duration of the scan. An open MRI, as the name suggests, is designed with open sides. It typically consists of a top and bottom plate with open space on all sides. This fundamental design shift eliminates the feeling of confinement creating a much more comfortable and less intimidating environment.

Who Benefits Most from an Open MRI?

While anyone values a more comfortable scan, open MRI benefits specific groups profoundly. It is ideal for individuals with claustrophobia anxiety or larger body types. Children find the open space less intimidating often avoiding sedation. Seniors and those with mobility issues appreciate the easier access and wider table. Essentially, anyone who has previously struggled with the confinement of a traditional tunnel scanner will find an open MRI to be a vastly improved and calming experience.

While anyone can benefit from a more comfortable scan, certain groups find exceptional value in this technology:

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  • Individuals with Claustrophobia: This is the most common reason patients seek us out. The open design dramatically reduces the panic and anxiety associated with enclosed spaces.
  • Children: The less intimidating environment helps keep children calm and still which is crucial for obtaining clear images without sedation.
  • Seniors and Those with Mobility Issues: The open design and often wider table make it easier to get on and off the scanner comfortably.
  • Plus-Sized Individuals: Our open scanners accommodate a wider range of body types comfortably and safely.
  • Anyone with High Anxiety: If the thought of a traditional MRI makes you nervous, you are not alone. The open design provides peace of mind.

Addressing Common Concerns: Clarity and Cost

A persistent myth suggests that MRI scan cost produces inferior images. While high-field closed MRIs are powerful, modern open MRI technology has advanced tremendously. Our state-of-the-art high-field open scanners provide exceptional image quality that meets the rigorous diagnostic standards radiologists require for accurate assessment.

We also know that the cost is a big part of making healthcare selections and the cost of an MRI scan can change depending on the type of study and your insurance although the difference in price between an open and closed MRI is usually little. The value of a successful, completed scan without the need for sedation or repeat appointments due to motion is immense. Open MRI: The Most Convenient Way To Get MRI Scans isn’t just about comfort it’s about efficiency and accuracy.

What to Expect During Your Open MRI Scan?

Knowing what happens can ease your mind. Here’s a simple step-by-step:

  1. Preparation: We will guide you through any simple preparations that may involve changing into a gown and removing metal objects.
  2. Positioning: You will lie on a comfortable table. Our technologist will ensure you are in the correct position and provide cushions for support.
  3. The Scan: The table will slide into the area between the magnets. You will have open space around you. You will hear rhythmic knocking sounds; we will provide you with headphones for music or earplugs to minimize the noise.
  4. Communication: You will always hold a call button. Our technologist can see and hear you throughout the entire process. You can communicate at any time.

Your Comfort is Our Priority

We built our entire practice around the patient experience. From our calming environment to our compassionate staff, every detail aims to reduce your stress. We never rush our patients. We take the time to answer all your questions and ensure you feel completely prepared and comfortable before we begin. This patient first philosophy is at the core of everything we do.

Taking the Next Step Toward a Comfortable Scan

If anxiety or claustrophobia has previously prevented you from getting a necessary MRI we encourage you to explore the open MRI option. You do not have to choose between your comfort and your health. Our technology ensures you can have both.

If anxiety has delayed your necessary scan, take the next step with us. Explore the comfortable alternative of open MRI technology. You do not have to give up your health for peace of mind. Call our caring staff today to talk about your needs ask questions and set up your appointment. We are here to make sure that your diagnostic experience is pleasant, successful and completely stress-free. We care most about your comfort and health and we can help you move forward with confidence. 

Conclusion

The development of open MRI technology is a big step forward for patient-centered care. It gets rid of the anxiety and claustrophobia that have long been linked to diagnostic imaging. We are proud to offer this modern, caring service at Encino Open MRI. It ensures that every patient can access the necessary tests in a comfortable and respectful setting.

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