Gynaecology & Obstetrics Hospital Design in Pakistan | ACCO

A gynaecology and obstetrics hospital is one of the most emotionally significant healthcare facilities a family visits — the place where new lives begin and where women receive care through every stage of reproductive health. Building a modern gynaecology hospital design Pakistan project requires balancing high-acuity maternity and surgical infrastructure with a warm, family-centred environment.

At Ahmed Construction Company (ACCO), we design and build maternity and gyne hospitals across Pakistan, from 20-bed private maternity homes to 100+ bed teaching maternity hospitals.

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👶 What Is a Gynaecology & Obstetrics Hospital?

A gyne-obs hospital is a specialised facility offering the full spectrum of women’s reproductive healthcare — antenatal care, labour and delivery, caesarean and operative deliveries, high-risk maternity, gynaecological surgery, IVF, neonatal care, and postnatal recovery.

Types of Maternity Facilities

• Maternity Home: 10–25 beds, low-risk deliveries only.
• Maternity & Gyne Hospital: 25–80 beds, C-section OT, NICU.
• Tertiary Maternity Hospital: 80–200+ beds, high-risk maternity, level-3 NICU, IVF, oncology gynae.
• Teaching Maternity Hospital: 100–300+ beds, MS/FCPS programs, research.

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🏥 Core Departments

• Reception, registration, antenatal OPD.
• Antenatal clinic (multiple consultation rooms + ultrasound).
• Emergency / triage for maternity.
• Labour rooms (individual LDR suites preferred).
• Delivery rooms (normal + operative).
• Obstetric OT (for C-section).
• Gynae OT (for hysterectomy, laparoscopy).
• NICU (Level I, II, III based on facility).
• Post-natal wards (mother and baby together).
• Gynae ward.
• High-Dependency Unit (HDU) for high-risk maternity.
• Milk bank & lactation counselling.
• Ultrasound (2D, 3D, 4D, colour Doppler).
• Laboratory (haematology, biochemistry, hormonal, prenatal screening).
• Blood bank / transfusion.
• Pharmacy.
• Family waiting and counselling rooms.
• IVF unit (optional add-on).

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📏 Space Programme for a 50-Bed Gyne-Obs Hospital

Department	Area (m²)
Reception & Antenatal OPD	200–300
Ultrasound & Diagnostics	120–180
Emergency / Triage	150–220
Labour Rooms (LDR x 4–6)	200–320
Delivery Rooms (2 normal, 1 operative)	120–180
Obstetric & Gynae OT (2–3 OTs)	250–350
NICU (12–16 cots, Level II)	200–300
Postnatal Ward (30 beds)	500–700
Gynae Ward (20 beds)	350–500
HDU	100–150
Milk Bank & Lactation	60–90
Blood Bank	80–120
Laboratory	150–220
Pharmacy	60–80
CSSD	80–120
Administration	120–180
Support (kitchen, laundry, mortuary)	150–220
Circulation & Common (30%)	1,100–1,500
Total	3,990–5,730 m²

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💕 LDR Suites — Modern Labour Room Design

Modern maternity design has largely moved from segregated labour, delivery, and recovery to LDR (Labour-Delivery-Recovery) or LDRP (Labour-Delivery-Recovery-Postpartum) suites where the mother stays in one room throughout — reducing transfers, stress, and infection risk.

LDR Suite Specifications

• Room size: 25–30 m² (LDR) or 28–35 m² (LDRP).
• Home-like décor with concealed clinical equipment.
• Convertible birthing bed.
• Warmer bassinet for newborn resuscitation adjacent.
• Family sofa or fold-down bed for partner.
• Private bathroom with grab bars and shower.
• Adjustable lighting (bright for delivery, warm for recovery).
• Music and TV entertainment.
• Medical gases: O2, N2O, medical air, vacuum, plus baby resuscitation outlets.
• Emergency conversion capability (drape reveals full OT lighting for emergency C-section-lite scenarios).

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🔬 Obstetric OT for C-Section

• Room size: 40–50 m² (larger than general OT to accommodate baby resuscitation area).
• HVAC: 20–25 ACH, HEPA H14, positive pressure.
• Adjacent newborn resuscitation warmer with dedicated gas outlets.
• Fast-track anaesthesia setup for emergency C-section (decision-to-delivery time <30 min).
• Direct connection to NICU via short corridor.
• Larger recovery bay with dedicated postnatal transition.

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👶 NICU (Neonatal Intensive Care Unit)

Level	Capability	Cot Size (m²)
Level I	Basic newborn care, term babies	3–4
Level II	32+ weeks, CPAP, phototherapy, IV therapy	4–6
Level III	Preterm <32 weeks, ventilation, surgery	10–12 per cot
Level IV	Cardiac surgery, ECMO, complex conditions	12–15 per cot

NICU HVAC & Infection Control

• Temperature: 24–26 °C (higher than general ICU to reduce hypothermia risk).
• Humidity: 40–60%.
• HEPA H13, positive pressure, 6–10 ACH.
• Isolation rooms for infectious cases.
• Kangaroo mother care (KMC) family area.
• Milk preparation and storage room.
• Noise <45 dB(A) — critical for neurodevelopment.
• Adjustable circadian lighting.

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🐉 Blood Bank & Transfusion

Maternity facilities require blood bank access for postpartum haemorrhage — the leading cause of maternal mortality worldwide. Every maternity hospital needs:

• Blood bank on-site or contracted with 15-minute delivery guarantee.
• Cross-matching lab.
• Blood storage refrigerator and platelet incubator.
• Massive transfusion protocol infrastructure.
• Safe Blood Transfusion Authority (SBTA) licensing.

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💰 Cost Breakdown for a 50-Bed Gyne-Obs Hospital (2026)

• Civil & structure: PKR 15–22 crore.
• MEP: PKR 18–26 crore.
• Interior & finishes: PKR 8–12 crore.
• Modular OT / clinical fit-out: PKR 6–10 crore.
• NICU cots + warmers + ventilators + phototherapy: PKR 8–16 crore.
• Medical equipment (ultrasound, foetal monitors, ORs): PKR 15–25 crore.
• Blood bank equipment & lab: PKR 3–5 crore.
• FF&E: PKR 4–6 crore.
• IT & communications: PKR 2–4 crore.
• Consultancy & approvals: PKR 3–5 crore.
• Contingency: PKR 6–10 crore.
• Total (excl. land): PKR 88–141 crore

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📋 Regulatory Approvals for Maternity Hospitals

• PHC / SHCC / KP HCC hospital licensing.
• Safe Blood Transfusion Authority (SBTA) for blood bank.
• PMDC registration for consultants.
• PNRA license for X-ray / mammography (if applicable).
• DRAP pharmacy license.
• Building approval (LDA / CDA / SBCA).
• EPA environmental NOC.
• Fire safety NOC.
• Biomedical waste registration.

See also: Hospital Regulatory Approvals — PHC License & Bylaws.

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⚖️ LDR Model vs Traditional Labour-Delivery Separation

Aspect	LDR / LDRP Suites	Traditional Segregation
Patient Experience	Excellent — single room throughout	Multiple room transfers
Infection Risk	Lower (no transfers)	Higher
Family Involvement	High	Limited
Space Requirement	Higher per bed	Lower
Cost per Delivery	Comparable or lower	Baseline
Modern Standard	Preferred (WHO, JCI)	Legacy

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🏨 ACCO’s Maternity Hospital Portfolio

• MCH Hospital, Islamkot (Tharparkar) — Mother and child health hospital in remote Sindh.
• Private maternity and gynae hospitals in Punjab.
• Gynae wings within multi-specialty hospitals like LDMC.

Related: Hospital Design and Construction · ICU & Emergency Department Design · Operation Theater Design.

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❓ Frequently Asked Questions

How much does a maternity hospital cost in Pakistan?

A 50-bed gyne-obs hospital with NICU, 2–3 OTs, and blood bank typically costs PKR 88–141 crore turnkey including equipment.

How long does construction take?

18–24 months for a 50-bed maternity hospital from feasibility to soft launch.

Is a Level III NICU essential for a maternity hospital?

Level II NICU is sufficient for most private maternity hospitals. Level III is required for tertiary maternity hospitals accepting high-risk deliveries under 32 weeks.

What is the ideal maternity hospital land size?

3–6 kanals for a 50-bed maternity hospital in urban Pakistan.

Can ACCO include IVF facilities in a maternity hospital?

Yes. IVF units require dedicated cleanroom OT (ISO 5), embryology lab, cryo-storage, and additional PHC approvals.

Do you handle SBTA blood bank licensing?

Yes. Full application, physical setup compliance, and inspection support.

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📞 Plan Your Maternity Hospital with ACCO

Ahmed Construction Company (ACCO)
Office 2, 3rd Floor, Bigcity Plaza, Gulberg-III, Lahore, Pakistan
📞 0322-8000190  |  ✉️ info@acco.com.pk  |  🌐 acco.com.pk