Preparing Your Body For Delivery

Getting your body ready for delivery

Author: Dr. Poonam Rudingwa MBBS, MS (OBG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Chandigarh

Getting your body ready for delivery

Look at various circumstances of life—no race is completed without training, no test is given without studying or no wedding is done without planning. So how can you give birth without preparing?

Labour and birth are indeed something that is expected of pregnant people but can take place spontaneously without planning, training, preparation or any guidance. But if you train and prepare your body in the right manner for labour and birth, you have the upper edge to move further on with more strength, flexibility, stamina, alignment and a better experience entirely and no mother would want to miss on that!

In this segment, we will discuss the methods given by experts at the best maternity hospital in Chandigarh for normal delivery and the preparation you can do before birth:

Preparing for birth

1. Invest time in walking

Walking is a simple yet effective way to keep your body moving while capitalising on the benefits. Invest time in regular walking where you can either choose smaller increments or one long walk during your pregnancy. Walking helps in overall strength and endurance build-up since both are essential for labour. You can learn about it and other birthing services in Chandigarh.

2. Minimise sitting

It’s been our habit of spending way too much time sitting and that too in poor posture. This causes disturbance in our body’s alignment, strength, flexibility and physical well-being. Not many know that this can impact childbirth as well! You can learn more about the disadvantages of sitting too long, along with the delivery charges in Chandigarh during your pregnancy journey. Along with this, you’ll know what steps you can take to get out of your chair.

3. Perform squatting

Apart from the Kegels, you can also perform squats! When it comes to pelvic floor strength, alignment, leg stamina, and flexibility—squatting is an ideal movement. It doesn’t mean that you stop performing Kegels altogether, just incorporate a regular squatting program into your daily routine. Learn more about the importance of squatting while you are enquiring about the pregnancy package in Chandigarh.

4. Start wearing flats

Heels look stylish but are they practical during pregnancy? Heels, pumps (aka positive-heeled shoes) or wedges, can cause problems, since they kick your body out of alignment. With the pregnant body already messing with the body alignment, the extra pressure from your footwear won’t help at all. Body alignment does matter for birth since the muscles and joints work best when your body is in correct alignment and the body in labour and birth would also perform best with the correct alignment. It makes an impact on how the baby is positioned for birth along with your body to give birth vaginally, with or without complications.

5. Learn to breathe

One of the finest ways to support your physical, mental and emotional state is to learn the art of breathing. If you are someone who takes shallow breathes or breathes less during a stressful situation, you need to work on your breathing technique multiple times throughout the day. Taking longer exhales than inhales allows your body to relax. During a tense situation, breathing allows your brain to get enough oxygen and stay alert to make a wise decision.

6. Rest

Know that labour will be a marathon and things will not be over instantly. Your body would need a lot of rest, healing and preparation time. Resting allows your body to relax all the physical structures of the body along with mental and emotional states. During the end of your pregnancy, you may even feel more inclined to take rest—don’t resist this feeling of yours.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best experts in Chandigarh capable of handling complex deliveries, gynaecological and other surgeries including a range of laparoscopic procedures.

Do take an appointment with the best Gynaecology hospital in Chandigarh at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Poonam Rudingwa, please book your appointment here.

What Is The Difference Between Obstetrics And Gynaecology?

Difference between Obstetrics And Gynaecology

Author: Dr. Richa Singh MBBS, DGO, DNB

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Kharghar, Mumbai

Different between Obstetrics and Gynaecology

A branch of medicine and surgery that specializes in the care of women during pregnancy and childbirth and in the diagnosis and treatment of diseases of the female reproductive organs. It also specializes in other women’s health issues, such as menopause, hormone problems, contraception (birth control), and infertility.

OB-GYNs dispense their special care that focuses on the female reproductive health which has become a critical part in overall health being. When it comes to women’s health and reproductive care, it is considered under obstetrics and gynecology cases.

Quick Fact: The word gynaecology is derived from two Greek words, gyne which means woman or female and logia which means the study of.

Obstetrics

When it comes to obstetrics, part of the OBGYN spectrum, it is the field of medicine consisting of the care that is dispensed towards a pregnant woman and her unborn baby. Besides, it also deals with labor and delivery processes where it is ensured that mother and child get the best care post-delivery and potential complications are warded off. A person specialized in this field is referred to as obstetrician or simply OBGYN who can take care of women during and after pregnancy, while handling some critical situations, as:

  • Ectopic pregnancy
  • Fetal distress
  • Placenta issues
  • High blood pressure
  • Cesarean section
  • Episiotomy
  • Vaginal deliveries
  • Cesarean deliveries
  • Uterine rupture
  • Prolapsed cord
  • Hemorrhage
  • Miscarriage
  • Pre eclampsia

A baby can be delivered vaginally or through a cesarean section where an obstetrician is properly trained to take care of the woman during the procedures, along with handling any change that may occur during the childbirth. After the childbirth, an obstetrician also guides the mother and child towards better health to prevent any further complications.

Consulting the best obstetrician can help a woman go through the entire experience of pregnancy and delivery safely as they can guide them to better results. Obstetricians also offer other services as:

  • Fertility treatment
  • Diagnostic procedures for fetus
  • NICU care
  • Dealing with issues like postpartum depression

Gynaecology

Gynaecology part of the OBGYN spectrum deals with the care of reproductive organs i.e. overall reproductive health of a woman. A person exclusively practicing in this field is referred to as gynaecologist or simply OBGYN, who is often visited by women at the onset of puberty and also after menopause. A woman facing concerns or situations pertaining to the treatments or maintenance of health of vagina, uterus, ovaries, and fallopian tubes, along with breasts can visit the best gynaecology hospital or best gynecologist who can take care of all. Besides, women may also want to see their gynecologist for an annual checkup and pelvic exam. Along with routine checkups, a gynecologist can:

  • Perform tests like Pap along with examination of reproductive diseases
  • Provide treatment for infections, diseases or any other irregularity
  • Perform surgical procedures as hysterectomy, tubal ligation, myomectomy
  • Treat cancers of reproductive system
  • Also advise on issues relating to fertility and conception
  • Treat incontinence
  • Diagnose causes of amenorrhea and dysmenorrhea

These health professionals can be involved for longer durations throughout a woman’s life, ranging from puberty to menopause, and beyond as well.

Contraceptive counseling has great potential as a strategy to empower women who do not desire pregnancy to choose a method of birth control that she can use correctly and consistently over time, thereby reducing her individual risk of unintended pregnancy, your obstetrician and gynecologist can help you and guide you plan as well as prevent a pregnancy.

Obstetrics and gynaecology services for women’s health are provided all over India to correspond to the different needs of women’s health right from starting of menses to delivering your babies to treating any disorders related to female reproductive system.

So when it comes to women seeking a health professional during their teenage, pregnancy and rest of their life, it is better to visit the best gynecologist nearby.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Kharghar, Mumbai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Gynaecology hospital in Kharghar, Mumbai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Richa Singh, please book your appointment here

Postpartum Essentials For New Moms

Postpartum Symptoms in New Moms

Author: Dr. Vijayalakshmi MBBS, DGO

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Indiranagar

Postpartum Symptoms in New Moms

Perhaps one of the most charming moments for a woman is to become a mother. However, those moments can gradually wane weeks on, punctuated thereafter by moments of physical and emotional challenges. The body naturally experiences a lot of changes after giving birth and while the focus has turned to caring for the baby, most forget that postpartum care for the mother is by far the most important aspect to take note of.

Every birth is unique, and therefore tough to determine the exact postpartum life of the mom. Understanding the ways a mother’s body may change, and taking appropriate steps during this postpartum period is a priority that will help you ease your life.

Postpartum Period

What to expect:

Some of the common postpartum changes can be:

  1. Constipation
  2. Hormonal changes
  3. Haemorrhoids
  4. Discomfort from C-section incision
  5. Fatigue
  6. Abdominal pain
  7. Difficulty urinating
  8. Soreness of the breasts and nipples
  9. Perineum
  10. Vaginal bleeding or discharge.

Postpartum care tips to follow:

The various ways in which pregnancy and childbirth affect the body may seem very intimidating, especially for new mothers. It can actually be tough to adjust to these changes; but postpartum health care tips help immensely in healing and taking care of the body, after giving birth.

1. Heal your body

The body experiences a lot during childbirth be it a vaginal delivery or C-section. It’s not as if you will get rid of postpartum challenges within a few days. It takes time and sometimes even months for the body to recover completely after pregnancy and childbirth. Let’s look at some of the steps that one can follow to gradually heal:

  • Vaginal soreness: Sit on a pillow or padded ring, use ice packs and keep your perineum away from irritation by spraying the area with warm water while urinating.
  • C-section scar: Consult your doctor about the care you need for C-section scar and clean it gently before applying an antibiotic ointment.
  • Pelvic floor changes: Perform regular Kegel exercises to provide your vagina and perineum with enough recovery after stretching during delivery.
  • Tender breasts: Frequent breastfeeding helps relieve engorged breasts and you can also try ice packs, warm compresses and gentle massaging in case of aches.

2. Give priority to rest

The extreme physical toll of labour and then having sleepless nights with the new-born can exhaust the new mom. Do not forget to give priority to your sleep to avoid postpartum fatigue. Make it a point to take a quick snooze whenever the baby is asleep.

3. Ask for help

At times new moms may feel shy and hesitant to ask for help from others. Do not forget that you definitely need postpartum care, and life for a new mother can be much easier and recovery faster, once you have assistance from friends and family.

4. Keep moving

Regular exercise and physical activity have shown great results in recovery from postpartum symptoms. Exercise is a great tool to boost energy levels, relieve stress and strengthen muscles after childbirth, however, it is best to consult your doctor before getting on a regime. Usually, most of the doctors will ask you to avoid rigorous activity and focus on gentle exercise such as walking in the garden and so forth.

5. Healthy diet

Eating well and healthy is always beneficial in postpartum care. It will help you fight constipation and fatigue while assisting you to shed the extra weight you gained during pregnancy.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Lullanagar, Pune.We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Gynaecology hospital in Indiranagar at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr.Vijayalakshmi, please book your appointment here

Family Planning Made Easy – Check Out Our Pregnancy Calculator

Family Planning
Author: Dr. Kavya Krishna Kumar MBBS, FMAS, MS

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

Family Planning

It’s good to know your due date when you are pregnant. And this is much easier if you have a pregnancy calculator. Every woman can use the pregnancy calculator to track her pregnancy schedule and due date.

With pregnancy comes family planning and sometimes it may become overwhelming. The excitement is real, but so is the work and the stress. With a child on the way, family planning becomes more significant.

With the help of a pregnancy week calculator, you, the ‘Mother-to-be’ can keep track of your pregnancy schedule based on the date of your last period, ultrasound, and conception.

Pregnancy Week Calculator

The Pregnancy Week Calculator helps women confirm their pregnancy and track the week of pregnancy they are currently in. Based on that, the woman can plan her visit to the doctor/ check up.

Know your due date using a pregnancy calculator

The Pregnancy Week Calculator by due date helps women to prepare for the delivery date. However, it is essential to note that not every baby is born on the exact estimated due date. Only 4% of all babies are born on the estimated due date. Some are born within weeks of the due date. Usually, every healthy pregnancy lasts up to 37 to 42 weeks. The usual way to estimate the due date is to count 280 days (40 weeks) from the first day of the woman’s LMP or Last Menstrual Period.

Those who might have forgotten their LMP or cannot seem to figure out the time of their LMP can go or opt for an ultrasound. This can confirm if the woman is actually pregnant and can also determine her the date of delivery.

Once your pregnancy is confirmed, you will notice a lot of changes in your body. Based on that, you and your partner can start planning accordingly. This is where it will get all the more exciting and stressful, marking the beginning of the wonderful journey towards parenthood.

Pregnancy Calculator Week by Week

Using the Pregnancy Calculator Week by Week you can share your motherhood experience with your partner. In the 9th / 10th week of your pregnancy, you can hear your baby’s heartbeat for the first time. It’s one of the most beautiful moments you will experience during the start of your pregnancy.

Between the 18th and 22nd week of your pregnancy, you might start feeling your baby’s movement inside you. You can feel fetal movement earlier or sometimes later. With the help of the Pregnancy Calculator you can determine if you are due for anomaly scan.

Another essential aspect of pregnancy is that the due date may vary. It is not always necessary that the baby will be born on the assigned due date as mentioned earlier. Don’t let this stress you out. Stress is neither good for you, nor for the baby. However, with your partner and Pregnancy Calculator, it will become easier for you to prepare for the event.

It is always good to have plans made ahead of the due date. With the data provided by the Pregnancy Week Calculator, you can prepare well for the D Day. Always remember to reach out to your doctor in case you are unsure of something. Keep in mind that you and your partner need to be calm and plan wisely for the baby. But don’t forget to enjoy the experience of bringing a healthy child into the world. You can make a birth plan and discuss with your doctor.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best experts in Alwarpet, Chennai capable of handling complex deliveries, gynaecological and other surgeries including a range of laparoscopic procedures.
Do take an appointment with the best Gynaecology hospital in Alwarpet, Chennai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr.Kavya Krishna kumar, please book your appointment here.

Learn About Gestational Diabetes

How to deal with Gestational Diabetes

Author: Dr. Kavya Krishna Kumar MBBS, FMAS, MS

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

How to deal with Gestational Diabetes

During pregnancy, the fetus and placenta produce certain hormones that make the mother resistant to the insulin produced by her own body. To compensate, the mother has to produce more insulin to maintain the blood sugar levels. When this extra insulin produced is not enough, blood sugar level rises to cause a condition called gestational diabetes.

What Is Gestational Diabetes?

A condition where a pregnant woman’s blood sugar rises is called gestational diabetes. 

Gestational diabetes is classified into two categories. The first category is class A1, which can be managed through diet and exercise. The second category is class A2. Pregnant women diagnosed with class A2 need to take insulin and other medications to keep their blood sugar level at a normal level. Although gestational diabetes goes away after delivery, it can affect your baby’s health and can raise the risk of Type 2 diabetes.

Risk factors associated with Gestational Diabetes

Gestational Diabetes Symptoms

Gestational diabetes does not have any specific symptoms. Most cases are only discovered when your blood sugar levels are tested during screening for diabetes.Some women can develop symptoms,if the sugar levels are too high ,such as..

  • You feel more thirsty than usual
  • You feel like eating more than you usually do
  • Urination is persistent and uncontrollable.
  • Tiredness

Gestational Diabetes Causes

The primary function of your pancreas is to release insulin when you eat food. Insulin is a hormone that moves glucose from the blood to the cell so that it can use for energy. Your placenta can produce a variety of hormones which produces insulin resistance leading to increase in blood glucose levels resulting in gestational diabetes.

Gestational diabetes and pregnancy are very closely associated. Here are some of the risk factors that have high chances of developing gestational diabetes:

  • Being overweight before pregnancy
  • Have a family history of diabetes
  • Prior gestational diabetes in your first pregnancy
  • Given birth to a stillborn or with birth defects
  • History of high blood pressure, high cholesterol, heart disease, or other medical complications
  • History of PCOS or PCOD or any other health disorder related to insulin.

Risk factors associated with gestational diabetes

Gestational diabetes increases the risk of having high blood pressure during pregnancy. It will ultimately affect the baby with issues like a large head which can only be delivered by caesarean section (C-section).

Other effects that gestational diabetes can have on the baby are:

  • Overweight at the time of birth (9 pounds or more)
  • Premature birth with breathing and other problems
  • If you have gestational diabetes, your baby is at a high risk of developing severe breathing issues such as respiratory distress syndrome — a condition that makes breathing difficult.
  • Baby may have low blood sugar, which can only be balanced by prompt feedings or, in some cases, intravenous glucose solution.
  • The baby may develop Type 2 diabetes later in life.

Usually, women having gestational diabetes return to regular blood sugar levels after delivery. However, 50% of women develop Type 2 diabetes. Therefore, the risk associated with gestational diabetes can be avoided with a healthy diet and maintaining reasonable body weight after delivery.

Treatment for Gestational Diabetes

Treatment for gestational diabetes must be taken as soon as you are diagnosed with it to keep you and your baby healthy, post-delivery. During this treatment, you need to:

  • Examine the blood sugar level at least four to five times a day.
  • Follow a healthy diet. Dieticians specially design gestational Diabetes diet keeping in mind the body type and condition of your pregnancy.
  • Exercise regularly.
  • Take urine tests to check for ketones (chemicals that determine whether your diabetes is under control or not)

The doctor will keep a close track of your weight and your baby’s healthy development. If required, they may give you insulin or certain other medications to keep your blood sugar normal.

Exercise and Diet for Gestational Diabetes

You can maintain the gestational diabetes blood sugar levels by taking good care of the diet and following proper exercise plans.

You need to:

  • Replace sugary snacks like ice cream, biscuits, candies and so on with natural sugars like fresh fruits. Eating fresh vegetables, fruits and whole grains in a proper proportion is highly recommended.
  • Maintain the habit of having small meals and snack meals at least twice or thrice a day.
  • Organise an exercise plan for yourself. Daily exercise can help burn excess fat.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best experts in Alwarpet, Chennai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.
Do take an appointment with the best Gynaecology hospital in Alwarpet, Chennai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Kavya Krishna Kumar, please book your appointment here.

Immunity Boosting Foods For Kids

Immunity Boosting Foods
Author: Dr. Vrushali Bichkar MBBS, IBCLC, DM (Neonatology), MD (Paediatrics)

Consultant – Paediatrician and Neonatologist at Lullanagar, Pune

Immunity Boosting Foods

Is your child refusing to eat a proper diet? Are you worried about his immunity? Whenever the weather changes, kids become susceptible to many diseases such as cold, flu, throat infections and stomach infections.

Immunity is the shield that protects your child from all ailments and helps them live a healthy life. Therefore, you must provide immune booster supplements as their daily supplements.

Importance of immunity-building foods

The immunity level to fight infections in the child tends to decline due to various factors such as sleep deprivation, lack of exercise, consumption of junk food, and stress. To maintain optimum immunity levels, it is essential to take a proper diet full of nutrients and immunity booster food that will help build immunity in the body. Under-nourished children that live in poverty suffer from malnutrition and low immunity. They are more vulnerable to diseases and health disorders.

The micronutrients that are vital immunity-builders and makes a healthy and balanced diet are zinc, iron, copper, selenium, folic acid, vitamins A, B6, C and E.

Let’s discuss the food items that includes these immunity boosters.

  1. Sweet potato: Sweet potato is rich in vitamin B6. It is essential in building better immunity as it is also rich in protein, potassium, Vitamin A and fibre.
  2. Banana: Banana is regarded as one of the best immunity boosters as it contains high levels of vitamin B6. It is also a comfortable food for toddlers as they can easily consume it in cereals or smoothies or can eat it as a whole fruit.
  3. Chickpea: A child having zinc deficiency can suffer from impairment of both phagocyte and lymphocyte cell functioning. Chickpeas consist of Vitamin B6 and Zinc and greatly help prevent this deficiency.
  4. Walnut: Another source of zinc is walnut. Nuts like walnuts, almonds are easy to incorporate in the child’s diet as you can give it in the form of smoothies or crackers or even energy bars. Kids love that!
  5. Jaggery: Jaggery is a prime source for iron which helps increase immunity in kids. Jaggery can easily replace sugar because of its sweet taste. You can incorporate jaggery with chapati, or make sweet toffees with it which are all-time favourites.
  6. Pumpkin: Although pumpkins are not one of most favourite vegetables for kids, it is a great source of vitamin A. Consumption of pumpkin can provide immunity against diseases like diarrhoea, measles and so on. Excess consumption of pumpkin can cause toxicity. Therefore, it should be consumed in a natural, balanced diet.
  7. Curd: Curd naturally contains bifidobacterium or lactobacillus which are non-pathogenic bacteria, also known as good bacteria. These are probiotics that are known to be great immunity boosters and provide protection against diseases like diarrhoea.
  8. Berries: Berries are colourful, tasty and full of antioxidants. These are regarded as the best immunity food for both kids and adults. Berries reduce the risk of cell damage and help in boosting the immunity system. Berries like strawberries, blueberries, cranberries or raspberries are nutritiously delicious and are generally liked by kids.You can serve these as it is or can prepare milkshakes, custards or smoothies.
  9. Citrus fruits: Lemons, oranges, limes, or grapefruit are all classified as citrus fruits. The citrus fruits are rich in vitamin C. They are juicy and mouth-watering which are liked by the kids. Not only Vitamin C, these citrus fruits are the source of Vitamin B, magnesium, antioxidants, phosphorus and potassium. This is why they are among the best immunity boosting foods.
  10. Dry fruits and seeds: Dry fruits and seeds are the major source of providing immunity. Almonds, hazelnuts, walnuts and cashews in dry fruits and seeds like pumpkin seeds, sunflower seeds, flax seeds are rich in omega 3 fatty acids, protein, healthy fats, fibres and vitamins. They can be served with hot milk.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best fetal medicine specialists in Lullanagar, Pune.We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Fetal Medicine hospital in Lullanagar, Pune at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Vrushali Bichkar, please book your appointment here.

7 Tips To Handle A High-Risk Pregnancy

Taking care of yourself during High-Risk Pregnancy?

Author: Dr. Sushruta Mokadam MBBS, MD

Consultant – Obstetrician & Gynaecologist at Kharadi, Pune

Taking care of yourself during High-Risk Pregnancy?

How to handle High-Risk Pregnancy ?

Pregnancy is a beautiful new journey for any woman as she looks forward to the arrival of her child. However, as in any journey there can be challenges and anxious moments of concern. A high-risk pregnancy is prone to have high blood pressure, diabetic conditions, miscarriage, fetal abnormalities or placenta previa.

With early and proper prenatal care, women facing high-risk pregnancies can deliver healthy babies. Although high-risk pregnancy can create self-doubt, certain lifestyle changes and a strong support system can help you get through this.

Those detected with high-risk pregnancy are transferred from the gynaecologist to a maternal-fetal medicine doctor who is specially trained to deal with a high-risk pregnancy. High-risk pregnancy care requires endurance and positivity from the pregnant woman. 

Let us look at 7 tips that can help you avoid challenges

How to deal with High-Risk Pregnancy?

1. Keep yourself updated:

It is very important to stay updated with information that will help reduce the risk quotient involved in a high-risk pregnancy, and closely monitor your health. Despite this, if at any point you feel that your health conditions are deteriorating, please do immediately consult your gynaecologist.

2. Adequate support required:

This is the time when you require maximum support and help. Feel free to ask for help from your family and friends. High-risk pregnancy requires a huge lifestyle change which can be a tough affair for anyone; and for this, you need appropriate moral support to balance it out.

3. Regular consultation with your healthcare provider:

High-risk pregnancy can leave you exasperated and full of doubts. Instead of consuming yourself with questions and doubts, simply consult your doctor or gynaecologist. With the help of your doctor, you can prepare a cohesive plan for maternal care that best suits your requirement. This will help you relax and peacefully progress towards the due date.

4. Self-care is a must:

Pregnancy is all about self-care. It is all the more important when you are going through a high-risk pregnancy. Prioritize your well-being—a healthy diet, good sleep, exercise and yoga should be incorporated into your daily routine. Avoid exposure to a harmful environment and unnecessary medication. The key to a healthy baby is a stress-free lifestyle and maintaining good health.

5. Know your bodily requirements:

Pregnancy changes your body structure and its demands. When you are going through a high-risk pregnancy, it is important to understand specific bodily requirements. You may suddenly have an urge to rest more, or your appetite may increase without notice. At such moments, its best to go with the flow of what your body requires, instead of restricting yourself to the prescribed daily routine. Remember, the body consumes a lot of energy while growing a fetus and you require it to preserve your energy. So, it’s really alright to eat more on those days.

6. Prioritize mental health concerns:

A high-risk pregnancy can be quite mentally exhausting. During this time, you are flooded with emotions and can face a lot of mood swings. In certain cases, women start to blame themselves for everything. It is a good thing to reach out to your gynaecologist, partner, family or friends. In fact, it is equally advisable to take the help of a reputed psychiatrist, since it will only help you clear your vagrant thoughts and keep you confident.

7. Stay optimistic:

A high-risk pregnancy can be stress-free if you have an optimistic attitude. Staying calm and relaxed is very important—listening to relaxing music, doing meditation, talking to family and friends can help immensely and be a major stress-buster.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist medicine specialists in Kharadi, Pune. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

We have the best Gynaecologist medicine specialists in Kharadi, Pune. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Sushruta Mokadam, please book your appointment here.

Role Of Laparoscopic Surgery In Gynaecological Cancer Treatment

Author: Dr. Kavya Krishna Kumar (MBBS, FMAS, MS),

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Alwarpet, Chennai

Ovarian Cancer

Today, the ever-changing lifestyle of women have increased their chances of many health diseases, especially cancer. The most common cancer type found in woman’s breast, cervical, lung and gynaecological cancers. Most of the abnormal vaginal discharges, abnormal vaginal bleeding, feeling of bloating, heaviness, loss of appetite, distention of abdomen, however, if ignored, can cause health issues as bad as cancer. Therefore, it is very important to bring it up to the doctor if you notice these symptoms for a prolonged period of time.

It is very important to notice the initial symptoms of cancer and get it cured, since it is in the initial stages of detection and treatment that one can defeat cancer.

Gynaecological Cancer

Gynaecological cancer is very common in women these days, affecting almost 25% of women in India. Gynaecological cancer affects the reproductive system of women. The nature and intensity of cancer depends on the part it is developed in and at what stage it is diagnosed.

Types Of Gynaecological Cancers

There are five types of gynaecological cancers. These are as follows:
  • Cervical cancer: This type of cancer starts in the cervix, also known as the neck of the womb. When there is an abnormal proliferation of cells, cervical cancer occurs.
  • Womb cancer: The womb, also known as the uterus, is a muscular bag that is pear-shaped. Once the fetus is implanted, the role of the uterus is to nurture the implanted fetus. When there is an abnormal division in the lining of the womb, it is termed uterine or endometrial cancer.
  • Ovarian cancer: The development of cancer in the ovary is ovarian cancer. When there is a rapid increase of the cell in an uncontrollable manner in the ovary, it is ovarian cancer.
  • Vaginal cancer: Vaginal cancer is usually a very rare condition. It occurs when the cells in the vagina start to increase rapidly. It is very common to occur in older women.
  • Vulval cancer: Vulval cancer occurs when the cancer cells start to develop in the external female sex organ called the vulva.

Understanding Laparoscopic Surgery

Laparoscopic surgery is a specialised technique of surgery with minimal invasion of the body. It is done with a specially designed thin, long tube called a laparoscope. It has a very high-resolution camera and high-intensity light. Once the laparoscope is inserted into the body through a small incision in the abdominal wall, it starts sending images to a video monitor. The surgery is performed with the help of these video images.

Laparoscopic Surgery’s Role In Gynaecological Cancer

Treatment Laparoscopy surgery is low-risk, has minimal invasion of the body and requires very small incisions. Laparoscopic surgery is a brief surgery and requires only 2-3 days of rest in the hospital. Generally, patients recover from laparoscopic surgery within a week and can resume their daily routine. Gynaecological cancer treatments now include laparoscopic procedures as well. Generally, the surgery is performed for all small size cervical cancers and ovarian cancers and also for endometrial cancers. Laparoscopic surgery is also performed for borderline and benign tumours. Laparoscopic Surgery In The Treatment Of Ovarian Cancer Although ovarian cancer is a scary experience, it can be treated with the laparoscopic treatment in select cases. In cases that are advanced, laparoscopy is required for confirming the diagnosis and to determine receptibility and 2nd look laparoscopy. Laparoscopic Surgery in the Treatment of Uterine Cancer or Endometrial Cancer Laparoscopic surgery can treat almost 95% of the uterine cancers with the help of total laparoscopic hysterectomy with bilateral salpingo-opherectomy (TLHBSO) and retroperitoneal lymph nodes removal (RPLND).

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best fetal medicine specialists in Alwarpet, Chennai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. Do take an appointment with the best fetal medicine specialists in Alwarpet, Chennai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr. Kavya Krishna Kumar, please book your appointment here.

How to get rid of Varicose Veins In Pregnancy

Author: Dr. Archana Dubey MBBS, MS (OBG)

Consultant – Gynecologist, Infertility and Laparoscopy at Mechanic Nagar, Indore

Pregnancy is a blissful experience that most women go through at least once in their lifetime. However, each pregnancy comes with different challenges. The most common challenge is varicose veins. Women may develop varicose veins in the initial days of their pregnancy.

What are varicose veins?

Varicose veins are knotted, lumpy or swollen veins that are caused due to blockage in the veins. It is generally benign in nature and appears on legs or feet. These swollen veins usually bulge on the surface of the skin in blue, red or purple colour. These colours define the intensity of the blockage of the veins. The most affected areas during pregnancy in varicose veins are the lower pelvic area, buttocks, calves or ankles.

If the varicose veins reach advanced levels, they can cause discomfort, excruciating pain and may raise the flag for some serious circulatory problems.

What causes varicose veins during pregnancy?

During pregnancy, the uterus grows. As a result, it lays pressure on the large vein on the right side of the body which increases pressure on the leg veins. Varicose veins are caused when the leg veins endowed with one-way valves that help the blood flow to the heart, stops it from flowing back to the leg. During a walk, the calf muscles pump the blood up towards the heart, and the valves stop it from flowing right back. It leads to the accumulation of blood in the veins, which stretches the veins causing them to swell, gnarl or bulge. If the swelling increases more than its limit, it is visible under the skin. This is what is called varicose veins.

Since veins are the blood vessels that carry blood pumped by the heart, they are already working anti-gravity. During pregnancy, the blood levels increase, causing more pressure on the veins. Also, the progesterone levels increase, which relaxes the walls of the blood vessels.

A pregnant woman is more prone to pregnancy [MOU1] if there is a family history of varicose veins, i.e., if one of the family members had or has varicose veins, there is a high chance that the pregnant woman may also suffer from them. Standing for longer periods, sudden increase in weight, being already overweight, or carrying twins or other multiples, can also cause varicose veins.

There are good chances that varicose veins may improve or disappear once the pregnancy is over; especially in cases where the woman contracted it only during pregnancy. In case it does not disappear, several exercises and treatments can cure varicose veins.

Another type of occurrence of varicose veins is spider veins. They appear in a spider-like pattern, where the major blockage is in the centre of the vein and various other blocked branches radiate out of the centre. They generally do not cause any discomfort or pain and disappear after the delivery.

How can I prevent varicose veins in pregnancy?

Varicose veins can be prevented or completely cured during pregnancy and, most heartening, it can be done naturally!

  • Daily exercise is a must. Brisk walking is the best form of exercise during pregnancy as it can improve blood circulation, especially in the legs.
  • Weight control is very essential. As we know, overweight is a major reason for varicose veins. Controlling your diet and weight is crucial.
  • While sleeping or sitting, try sitting with your legs elevated. Prolonged abated legs can cause swelling and ultimately varicose veins.
  • Sitting for long hours is a strict no-no. Small breaks from sitting are highly recommended.

Fight against varicose veins

Fighting from varicose veins is not a tough job when you have the best varicose veins treatment hospital in Indore.

Motherhood Hospital is the best vascular surgery hospital in Indore. We have a team of expert gynaecologists and super specialists who are capable of addressing a range of health issues and conditions that are related to women and children. Do take an appointment with our doctor at a centre close to you, and we assure you with effective investigations, proper diagnosis and treatment, you will be able to lead an active life.

If you wish to get in touch with Dr. Archana Dubey, please book your appointment here.

Pregnancy Calculator – Block The Date For The Greatest Arrival Of Your Life

Author: Dr. Sushruta Mokadam (MBBS, MD)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi

Online Pregnancy Calculator

For any couple planning a family, the happiest moment is when the doctor says, “Congratulations, you are pregnant!” After this, a good amount of time is spent on discussions that involve estimating the due date. Of course, the doctor will share the date with the couple and unravel the mystery. Let’s look at the science behind the estimation of the date of delivery.

The human egg can fertilize for only 12 to 24 hours after ovulation, so the date of ovulation could be a reasonably good indicator to estimate the date of conception. Ultrasound which is used to determine the date of ovulation is not too perfect because this only suggests the gestational age. In fact an accurate date of conception is usually arrived at only with IVF (In Vitro Fertilization).

Also to be considered is that although a woman is most likely to conceive if she has had sex on the day of ovulation, pregnancy could occur from active sperm in her reproductive tract on the day of ovulation, even if the woman had intercourse five days prior to that date.

Determining the Estimated Due Date 

Estimated Due Date (EDD or EDC) is that date on which a non-induced delivery is expected to occur. This date is arrived at by taking the first day of the Last Menstrual Period (LMP) and adding 280 days

(9 months and 7 days) to it. This is the method followed by ‘pregnancy wheels’, also called a Gestation Calculator. The accuracy of the estimation of EDD in this method depends on how accurately the mother can recall the day of intercourse, assuming she has regular 28 day cycles and that ovulation and conception occurs on the 14th day of the cycle. Assumption of LMP to arrive at the due date of pregnancy may result in an overestimation of the pregnancy duration to the tune of over 2 weeks.

Coming to ultrasound, this approach considers the size of the foetus to determine the gestational age (the time since the first day of LMP). The accuracy of such an estimate of the gestational age varies. Using ultrasound to measure the foetus in the first trimester (up to and including 13 6/7 weeks of gestation) is the most accurate method to arrive at the gestational age.

Canada’s Society of Obstetricians and Gynaecologists recommends the earliest ultrasound presenting a crown rump length that indicates at least 7 weeks (or 10 mm) should be used as the benchmark to arrive at the gestational age.

In the case of Vitro Fertilization (IVF), the date of conception will be known accurately and EDD can be calculated by adding 266 days to that date.

The American College of Obstetricians and Gynaecologists recommends that the dates arrived at through ultrasound should be considered over those indicated by LMP when the variation between ultrasound and LMP is:

  • More than 5 days before 9 0/7 weeks as indicated by LMP
  • More than 7 days from 9 0/7 weeks to 15 6/7 weeks as indicated by LMP
  • More than 10 days from 16 0/7 weeks to 21 6/7 weeks as indicated by LMP
  • More than 14 days from 22 0/7 weeks to 27 6/7 weeks as indicated by LMP
  • More than 21 days after 28 0/7 weeks as indicated by LMP

There are possibilities that a foetus could have a restriction in growth leading to a risk of inaccurate dating of a small foetus.  Considering this, decisions based on ultrasonography alone (in the third-trimester) are not conclusive and the doctor has to consider the entire clinical status of the woman. This could include repeat ultrasonography to assess the correct growth in the interval.

Other methods used to estimate gestational age

Clinical Examination

For a patient with a good menstrual record in the first trimester, a simple pelvic examination has proven to be a reliable method to accurately date the pregnancy.

Doppler Ultrasonography

A foetal heart beat can be heard with a Doppler ultrasound if the gestational age of the patient is 10 to 12 weeks in most cases. This is the minimum age for the foetal heart tone to be registered.

Human Chorionic Gonadotropin Pregnancy Test

Human Chorionic Gonadotropin is detectable in the mother’s blood or urine from 6 to 14 days after fertilization (3 to 4 weeks of gestational age). The gestational age can be assessed as at least 3 to 4 weeks at the time of an hCG pregnancy test.

In case of a twin pregnancy

In case of a twin pregnancy due to an IVF procedure, the gestational age has to be considered from the date of embryo transfer. Considering the possibility of an early intrauterine growth restriction in one of the foetuses, specialists feel that it is advisable to consider assessing the gestational age using the larger foetus.

For those of you curious to access a pregnancy calculator, here’s one right here! 

We at Motherhood Hospitals have a team of experts specialising in all kinds of maternity and childbirth related issues and woman and child care – from teens to those in their post menopause years. Take an appointment with our specialist at a centre close to you and you will be assured of an accurate investigation, diagnosis and treatment. 

Book your appointment with Dr. Sushruta Mokadam for all Gynaecological issues.