Obstetrics has an unusual shape. The decision is made early and fast, and then it holds for the better part of a year.
A woman who has just confirmed a pregnancy typically chooses a doctor within a couple of weeks, often on a recommendation plus a quick search to check the recommendation. After that, she rarely reconsiders unless something goes wrong. Everything a hospital does to win obstetric volume has to happen inside that short opening window, because after it closes the patient is not in the market.
Gynaecology, sharing the same department and often the same doctors, behaves in the opposite way — episodic, symptom-driven, spread across decades of a patient's life, and largely invisible to the hospital's marketing.
They are two businesses, and most OB-GYN marketing treats them as one.
01Win the first-trimester window or do not compete for it
In the two or three weeks after a positive test, a woman is looking for a specific set of answers: who will actually deliver the baby, at which hospital, what happens if it is at three in the morning, whether she can meet the doctor before committing, and what the package covers.
Most hospital sites answer none of that. They list consultants, list facilities, and mention a level-three NICU without explaining what a level-three NICU means to somebody who has never needed one.
Write the page that answers the real questions instead. Which doctor sees her at each antenatal visit and whether it is the same person each time. Who is present at delivery if her consultant is unavailable. What the hospital's approach is to induction and to caesarean section — discussed as an approach rather than as a rate she cannot interpret. Whether a birth companion is allowed and who qualifies. What happens if the baby needs the NICU. What the antenatal package includes and what is billed separately.
This is the content that converts, and it is sitting unwritten on almost every hospital website. Our obstetrics and gynaecology marketing pages are organised around those questions rather than around the department structure.
02In India, the PCPNDT Act shapes what you may publish
This is not optional and it is frequently mishandled by agencies who have not read it.
The Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 prohibits advertising relating to pre-natal determination of sex, and Section 22 makes it an offence — including for the person who publishes the advertisement. Registered facilities are required to display the prescribed notice stating that sex determination is not carried out there.
Practical consequences for marketing. Any page about ultrasound, foetal scans or foetal medicine should carry the notice, not hide it. Nothing in your copy, your creative or your keyword targeting should be capable of being read as offering sex determination — and that includes bidding on queries that seek it. If your ultrasound page is generating that kind of enquiry, the answer is a negative keyword list and clearer copy, not silence.
The Medical Termination of Pregnancy Act, 1971 as amended also governs what may be said about termination services, and the NMC's professional conduct rules govern what a registered practitioner may advertise generally.
03The gynaecology side is a search problem, not a brand problem
Gynaecology demand is symptom-led and mostly anonymous. Heavy periods. Irregular cycles. PCOS. Fibroids. Pain during intercourse. Recurrent urinary infections. Menopause symptoms. Post-partum problems nobody warned her about.
Each of those is a search, written in a patient's own words, made privately. Hospitals answer them with a page called "Gynaecology" that lists procedures.
The fix is the same structure that works in every private specialty: one page per presenting symptom, in plain language, linking to the condition and then to the treatment. Written by or reviewed by a named doctor, dated, and free of the hedging that makes health content unusable.
Menopause deserves specific mention because demand is rising, coverage is poor almost everywhere, and the searches are long, specific and easy to serve well.
04Reviews attach to the doctor, not the hospital
In obstetrics more than in most specialties, patients recommend a person. The hospital is a detail attached to the person.
That means the doctor profile is the conversion page, not the department page — and it should read like one. Real photograph, registration details, languages spoken, clinic timings that are true, the sub-areas she actually focuses on, and a booking route that works on a phone.
It also means review generation has to be timed to the moment of gratitude, which in obstetrics is unusually clear: the weeks after a safe delivery. Ask then, ask by message rather than face to face, and ask for the doctor by name. Our guidance on the Google Business Profile covers the profile mechanics that make those reviews visible in local search.
05Referral and the antenatal ecosystem
Obstetric referrals come from general physicians, fertility clinics, pathology labs and, in India, from a dense informal network that nobody maps.
Fertility is the most direct and the most neglected. A couple who conceive through treatment need obstetric care immediately afterwards, and the handover is usually left to chance. If your hospital has a fertility service, connect the two properly on the site as well as clinically — see fertility and IVF marketing for how that demand behaves before it arrives at your door.
Obstetric paid search has a short, high-intent set of terms worth paying for: "gynaecologist near me", "pregnancy doctor" plus a city, "maternity package" plus a city, "delivery hospital" plus an area. Broad pregnancy information terms produce enormous volumes of research traffic that will never book.
Platform policy applies throughout. Meta's health and wellness policy restricts targeting and optimisation based on inferred health conditions, and pregnancy is exactly the kind of inference the policy exists to prevent. Google's personalised advertising policy restricts audience building around sensitive health categories. Neither company will sign a business associate agreement, so for a US-facing practice under HIPAA, no patient-identifying data may reach them. HIPAA does not apply in India or the Gulf, but the targeting restrictions do, because they are platform rules rather than national law.
07The maternity package page is a conversion page
In India and the Gulf, the maternity package is what the family is comparing, and the page describing it is usually the weakest on the site — a table of inclusions with no context, or a request to call for details.
Write it as a decision aid. What the package covers across the antenatal period. What is included for a normal delivery and what changes for a caesarean. How many days of stay. What the room categories mean in practice, not just in price. What is billed separately and why — anaesthesia, NICU, extended stay, blood products. What happens if the pregnancy becomes high-risk and the plan changes.
Families are not shocked that costs vary. They are shocked when nobody told them they might. A page that states the variables honestly gets the call; a page that hides them gets a complaint later.
08Keep the relationship through the second and third trimesters
Once a woman registers, most hospitals stop communicating with her except to remind her about appointments. That is a missed opportunity in a specialty where the patient is captive for months and anxious throughout.
Structured communication across the pregnancy — what happens at each scan, what the glucose test is for, how to recognise warning signs, what to pack, when to come in, what the first days with a newborn involve — does three things. It reduces avoidable calls to the ward. It reduces anxiety, which is the main driver of a patient switching hospitals late. And it gives you content that ranks, because every one of those questions is searched heavily by women who have not chosen a hospital yet.
Write it once as public content, then deliver it as a consented message sequence to registered patients. The same asset does acquisition and retention.
09Retention: the delivery is the start, not the end
The most under-used asset in an OB-GYN department is the list of women who delivered there.
Post-partum care, contraception counselling, cervical screening, the next pregnancy, and eventually the gynaecological problems of the following two decades — all of it belongs to whoever stays in touch, and almost nobody stays in touch. A structured recall programme with consent, running by message, will out-perform most acquisition spending. Improving patient retention is the cheaper half of this specialty's growth and it is almost always the neglected half.
10Where to start
- 1The first-trimester questions answered on one page, properly.
- 2A maternity package page that states the variables.
- 3Symptom pages for the gynaecology side, in patient language.
- 4Doctor profiles treated as conversion pages, with reviews timed to post-delivery.
- 5A consented antenatal message sequence built from your own public content.
- 6Paid search last, on a narrow intent set, with the PCPNDT constraints applied to keywords as well as copy.
11What to measure
Enquiries are a weak signal in obstetrics. Track first consultation to antenatal registration, registration to delivery at your hospital, and how many registered patients deliver elsewhere — that last number is the honest measure of the experience you are providing, and very few hospitals look at it.
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If you want to see how your maternity and gynaecology pages perform against the hospitals you compete with — what they rank for, and where the first-trimester enquiry leaks — get a free audit. Or book a strategy call.