Endometriosis Understanding, Diagnosing, and Managing the Condition

Author: Dr. Mandavi Rai, Motherhood Hospital, Noida

Endometriosis Understanding, Diagnosing, and Managing the Condition

Endometriosis is a medical condition that affects millions of women worldwide, yet it remains widely misunderstood and underdiagnosed. At Motherhood Hospital, we strive to raise awareness about this condition and offer expert care to women suffering from it. As an OB-GYN, I want to shed light on endometriosis, its symptoms, impact, diagnosis, and management options, empowering women to understand their health better and seek timely treatment.

What is Endometriosis? 

Endometriosis occurs when tissue similar to the lining of the uterus, known as the endometrium, begins to grow outside the uterus. This tissue can implant and grow on the ovaries, fallopian tubes, bowel, or the tissue lining the pelvis. In some rare cases, endometrial-like tissue can be found in other parts of the body.
Each month, during the menstrual cycle, the endometrial tissue inside the uterus thickens, breaks down, and sheds. However, the tissue growing outside the uterus does not have an outlet to exit the body, leading to irritation, inflammation, and scarring. This can result in a wide range of symptoms, most commonly severe pelvic pain and infertility.

Symptoms of Endometriosis

Endometriosis symptoms can vary from mild to severe and may include:

  1. Pelvic pain: This is the most common symptom, often described as cramp-like or sharp. Pain usually worsens during menstruation but can also occur at other times of the month.
  2. Heavy or irregular periods: Women may experience very heavy bleeding, spotting between periods, or irregular menstrual cycles.
  3. Pain during intercourse: Pain during or after sex is a common complaint.
  4. Painful bowel movements or urination: This typically occurs during menstruation when endometrial-like tissue affects the bowel or urinary tract.
  5. Infertility: Up to 30-40% of women with endometriosis may struggle with infertility.
  6. Other symptoms: These can include fatigue, bloating, nausea, and gastrointestinal issues.

It is important to note that the severity of symptoms does not always correlate with the extent of the disease. Some women may have severe symptoms despite mild endometriosis, while others may have no symptoms despite extensive disease.

Causes and Risk Factors 

The exact cause of endometriosis is still not fully understood, but several theories exist: 

  • Retrograde menstruation: This occurs when menstrual blood flows backward through the fallopian tubes into the pelvic cavity instead of leaving the body. This could lead to the implantation of endometrial tissue outside the uterus.
  • Genetics: Endometriosis tends to run in families, suggesting that genetic factors may contribute to its development.
  • Immune system disorders: Women with certain immune system problems may be more prone to developing endometriosis.
  • Environmental factors: Hormonal imbalances, particularly estrogen, may also play a role in the development of the condition. 

While the exact cause remains uncertain, understanding these factors can help in early diagnosis and management.

 

Diagnosis of Endometriosis 

Endometriosis is often underdiagnosed, and the average time to diagnosis is 7-10 years after symptoms first begin. The primary challenge is that its symptoms overlap with other conditions, such as pelvic inflammatory disease, ovarian cysts, or irritable bowel syndrome.

To diagnose endometriosis, a thorough evaluation is required, which includes:

  • Medical history: A detailed discussion about symptoms, menstrual history, and family history of endometriosis.
  • Pelvic exam: During a pelvic exam, the doctor may feel for abnormal growths or cysts.
  • Imaging tests: Ultrasound or MRI may help visualize endometriotic cysts or adhesions, but they are not definitive for diagnosing endometriosis.
  • Laparoscopy: The gold standard for diagnosis. This is a minimally invasive surgical procedure in which a camera is inserted into the abdomen to directly view the endometriosis implants. A biopsy can also be taken for further analysis.

Treatment Options for Endometriosis

The treatment of endometriosis varies depending on the severity of the condition, the symptoms, and the patient’s future fertility plans. The goal is to relieve symptoms, reduce the extent of the disease, and improve quality of life.

 

  1. Medications:
    a. Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate mild to moderate pain.
    b. Hormonal therapies: These can help reduce or eliminate menstrual periods, thus reducing endometrial growth and pain. Hormonal options include birth control pills, progestins, and GnRH agonists.
    c. Aromatase inhibitors: These medications reduce the production of estrogen, slowing down the growth of endometrial tissue.
  2. Surgical treatment:
    a. Laparoscopic surgery: In women with severe symptoms or infertility, laparoscopic surgery may be performed to remove endometrial implants, scar tissue, and adhesions.
    b. Hysterectomy: For women who do not wish to preserve fertility, removing the uterus (and sometimes the ovaries) may be considered as a last resort, especially in cases where other treatments have failed.
  3. Lifestyle changes and complementary therapies:
    a. Diet: A healthy diet rich in fruits, vegetables, and omega-3 fatty acids may help reduce inflammation. Limiting processed foods and red meat may also benefit some women.
    b. Exercise: Regular physical activity helps in reducing pain and promoting overall wellbeing.
    c. Acupuncture and physical therapy: These alternative therapies may help manage pain for some women.

Fertility and Endometriosis

Endometriosis is one of the leading causes of infertility, and approximately 30-40% of women with endometriosis struggle to conceive. The condition can cause scarring or blockages in the fallopian tubes and ovaries, making it more difficult for the sperm to meet the egg.
However, many women with mild to moderate endometriosis can still conceive with medical treatment or through assisted reproductive technologies such as in vitro fertilization (IVF). In cases where endometriosis is affecting fertility, laparoscopic surgery may be recommended to remove endometrial lesions and improve chances of conception.

Conclusion

Endometriosis is a chronic condition that can significantly impact a woman’s quality of life. It is important for women to be aware of the symptoms and seek early diagnosis and treatment. At Motherhood Hospital, we provide comprehensive care for women with endometriosis, from initial consultation to advanced treatment options. If you are experiencing symptoms or have concerns about endometriosis, don’t hesitate to consult with a specialist to explore your options and improve your quality of life.
By understanding endometriosis and its treatment options, women can take proactive steps towards managing the condition and maintaining their health and well-being. Let’s continue the conversation and work together to overcome the challenges of endometriosis.
Dr. Mandavi Rai is an experienced OB-GYN at Motherhood Hospital, specializing in women’s health, including the diagnosis and management of endometriosis.

FAQ’s

Question: What is endometriosis?
Answers: Endometriosis is a medical condition where tissue similar to the lining of the uterus
grows outside of the uterus. This can cause pain, infertility, and other symptoms, often
affecting a woman’s reproductive health.

Question: What are the common symptoms of endometriosis?
Answers: Symptoms can vary but commonly include pelvic pain, heavy menstrual bleeding,
pain during intercourse, and infertility. Some women may also experience fatigue, nausea, and
digestive problems.

Question: How is endometriosis diagnosed?
Answers: Diagnosis typically involves a pelvic exam, ultrasound, MRI, and sometimes
laparoscopy. A definitive diagnosis is often made through a laparoscopy, where the doctor can
directly view and possibly remove endometrial tissue.

Question: What causes endometriosis?
Answers: The exact cause of endometriosis is not fully understood, but potential factors include genetics, hormonal imbalances, immune system disorders, and retrograde menstruation, where menstrual blood flows backward into the pelvic cavity.

Question: Can endometriosis affect fertility?
Answers: Yes, endometriosis can impact fertility by causing scarring and adhesions that block
the fallopian tubes or affect the function of the ovaries. However, many women with
endometriosis are still able to conceive with proper treatment.

Question: What are the treatment options for endometriosis?
Answers: Treatment options vary depending on the severity of the condition and may include
medication to manage pain and hormonal therapy. In severe cases, surgery to remove
endometrial tissue or even a hysterectomy may be considered

Emotional Support During IVF Treatment

Author: Dr. Varsha Agarwal, MBBS, M.S. Obs & Gynae Fertility & IVF Specialist

Emotional Support During IVF Treatment: A Guide by Dr. Varsha Agarwal

In vitro fertilization (IVF) is a complex and often emotionally charged journey for couples seeking to conceive. The process can be filled with hope, anxiety, and uncertainty, making emotional support an essential component of successful treatment. In this blog, Dr. Varsha Agarwal discusses the importance of emotional support during IVF and offers practical tips for navigating the emotional landscape of fertility treatment.

Understanding the Emotional Impact of IVF

The emotional toll of IVF can vary significantly from person to person. Couples may experience a wide range of feelings, including:

  • Hope: The promise of a potential pregnancy can bring optimism.Anxiety: Concerns about the treatment process, success rates, and financial implications can lead to stress.
  • Sadness: Feelings of disappointment may arise if previous fertility treatments have failed.
  • Isolation: The struggle with infertility can sometimes make individuals feel alone, even among friends anRecognizing and addressing these feelings is crucial for maintaining mental and emotional well-being

Recognizing and addressing these feelings is crucial for maintaining mental and emotional well-being during IVF.

Why Emotional Support is Essential

  1. Reduces Anxiety and Stress: Emotional support can help alleviate feelings of anxiety and stress, which are common during the IVF process. Supportive relationships can provide comfort and reassurance.
  2. Promotes Open Communication: Sharing feelings with a partner or support group fosters open communication, helping couples navigate their emotional experiences together.
  3. Encourages Coping Strategies: Emotional support can introduce healthy coping mechanisms, such as mindfulness, relaxation techniques, and positive visualization, which can enhance resilience.
  4. Enhances Treatment Compliance: When couples feel emotionally supported, they are more likely to adhere to treatment protocols and attend appointments, improving their chances of success.

Ways to Seek Emotional Support During IVF

  1. Partner Support: Lean on your partner for emotional support. Openly discussing feelings and concerns can strengthen your bond and help you both navigate the IVF journey together.
  2. Support Groups: Joining a support group for individuals undergoing IVF can provide a sense of community. Sharing experiences with others facing similar challenges can foster understanding and encouragement.
  3. Professional Counseling: Seeking the help of a therapist or counselor who specializes in fertility issues can provide invaluable support. Professional guidance can help you process emotions and develop coping strategies.
  4. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or yoga can help reduce stress and promote emotional well-being. These techniques encourage a sense of calm and can improve overall mental health.
  5. Friends and Family: Don’t hesitate to reach out to trusted friends and family members. Sharing your feelings with loved ones can provide comfort and a sense of connection during difficult times.
  6. Educational Resources: Educating yourself about the IVF process can help demystify the treatment and reduce anxiety. Understanding what to expect can empower you and provide a sense of control.

The Role of Your IVF Clinic

Your IVF clinic can also play a crucial role in providing emotional support. Many clinics offer counseling services, support groups, and resources to help patients cope with the emotional aspects of IVF. Don’t hesitate to ask your fertility specialist about available support options.

Conclusion

Emotional support during IVF treatment is vital for navigating the ups and downs of this challenging journey. By seeking support from partners, support groups, professionals, and educational resources, couples can foster resilience and maintain emotional well-being.

If you are considering IVF or need support during your fertility journey, please reach out for a consultation. Dr. Varsha Agarwal is dedicated to providing compassionate care and support as you navigate the emotional and physical aspects of IVF.

FAQ’s

What is emotional support during IVF treatment, and why is it important?

Emotional support during IVF treatment helps individuals and couples cope with the
stress, anxiety, and emotional strain that often accompany fertility treatments. It is essential for
mental well-being and can improve the chances of successful outcomes.

How can IVF affect my emotional health?

IVF treatment can be physically and emotionally challenging. The hormonal
treatments, potential for failure, and the uncertainties of the process can lead to feelings of
sadness, frustration, or anxiety.

Should I seek professional counseling during IVF treatment?

Yes, professional counseling can help you process the emotions of IVF, manage
stress, and address any feelings of isolation or fear, offering a safe space to express concerns
and gain coping strategies.

How can Dr. Varsha Agarwal help with emotional support during IVF?

Dr. Varsha Agarwal provides personalized support, offering both medical and
emotional guidance, helping patients and couples understand the emotional challenges of IVF
and how to navigate them successfully.

Is it normal to experience mood swings during IVF treatment?

Yes, mood swings are a common side effect of IVF, as the hormonal medications can
influence emotional responses. Acknowledging and accepting these changes while seeking
emotional support can help manage this challenge effectively.

Understanding Gestational Diabetes: Insights from Dr Shruthi Kalagara

Understanding Gestational Diabetes

Author: Dr. Shruthi Kalagara, Obstetrician – Gynecologist 

Understanding Gestational Diabetes: Insights from Dr Shruthi Kalagara 

Gestational diabetes mellitus (GDM) is one of the most common medical complication in pregnancy, affecting around 1 in 6 births. As a high-risk pregnancy obstetrician, I believe it’s essential to provide accurate, supportive, and comprehensive information to help expectant mothers navigate this condition with confidence and care. 

What is Gestational Diabetes? 

Gestational diabetes is a type of diabetes that develops exclusively during pregnancy and typically resolves after delivery. It affects how your body processes glucose, leading to elevated blood sugar levels that can impact both the mother and baby if not managed appropriately.  

Causes and Risk Factors 

Hormonal changes during pregnancy play a significant role. The placenta produces hormones that can make your cells less responsive to insulin. When your pancreas can’t produce enough insulin to compensate, blood sugar levels rise, leading to GDM. 

Certain factors can increase the risk of developing GDM, including: 

  • Age: Women over the age of 35 are at higher risk. 
  • Family or Personal History: A family history of diabetes or a previous pregnancy with GDM, previous big baby >/= 4.5kg birth weight raises the likelihood. 
  • Obesity: Being overweight before pregnancy is a significant risk factor. 
  • Ethnicity: Women of certain ethnic backgrounds, including South Asian, Indian, African American, and Hispanic, have a higher risk. 
  • Polycystic Ovary Syndrome (PCOS): This condition can contribute to insulin resistance and increase the risk. 
  • Inter-pregnancy weight gain: Increases recurrence risk. 

Potential Impacts on Mother and Baby 

Untreated or poorly managed gestational diabetes can lead to complications such as: 

Short term and long term implications 

  • For the Baby: 
  • Macrosomia: Babies born larger than average, which may complicate delivery and increase the likelihood of cesarean birth. 
  • Neonatal Hypoglycemia: Low blood sugar in the baby shortly after birth. 
  • Neonatal Hyperbilirubinemia: Jaundice in the baby shortly after birth. 
  • Respiratory distress in newborn. 
  • Increased Risk of Obesity and Type 2 Diabetes: Children may be at a higher risk later in life. 
  • For the Mother: 
  • High Blood Pressure and Preeclampsia: GDM can elevate the risk of developing preeclampsia, a condition that can be dangerous if not managed. 
  • Urinary tract infection/ vaginal infections 
  • Obstetric intervention: instrumental deliveries, cesarean deliveries, postpartum hemorrhage. 
  • Future Diabetes: Women who develop GDM have a higher risk of developing type 2 diabetes in the future. 

Diagnosing Gestational Diabetes 

Universal screening for GDM is typically done between 24 to 28 weeks of pregnancy using an oral glucose tolerance test (OGTT) – 75g. For women with higher risk factors, testing may be recommended earlier in pregnancy. 

Managing Gestational Diabetes 

The good news is that gestational diabetes can be managed effectively with the right approach: 

  • Diet and Nutrition: A balanced diet rich in fiber, lean proteins, and complex carbohydrates helps regulate blood sugar levels. Consulting a registered dietitian can be beneficial. 
  • Exercise: Regular, moderate exercise helps improve the body’s insulin sensitivity. 
  • Blood Sugar Monitoring: Keeping track of your blood sugar levels is crucial to ensure they remain within the target range. 
  • Medication: If lifestyle modifications are not enough, medications or insulin therapy may be needed. 

Support and Guidance:

Dealing with a high-risk pregnancy, such as one complicated by gestational diabetes, can be overwhelming. However, with proper care, monitoring, and guidance, most women with GDM go on to have healthy pregnancies and babies. It’s vital to work closely with your healthcare team, including an obstetrician specialized in high-risk pregnancies, to create a personalized care plan. 

Postpartum Care 

Gestational diabetes typically resolves after birth, but it’s essential to maintain regular follow-up visits and screenings. Women with GDM should have a glucose tolerance test six weeks postpartum and continue to monitor their health in subsequent years. 

Final Thoughts 

Gestational diabetes is a condition that requires attention, but it doesn’t have to define your pregnancy experience. With awareness, proactive management, and support, you can enjoy a healthy and positive journey to motherhood. 

For personalized care and expert advice, don’t hesitate to reach out to your obstetrician. Your health and the well-being of your baby are always the top priority.

The Digital Dilemma: Exploring the Medical Implications of Technology on Child Development

Medical Implications of Technology on Child Development

Author: Dr. Surender Kumar,  MBBS, Diploma in Child Health (DCH), DNB – Paediatrics

Consultant – Pediatrician & Neonatologist at  Motherhood Hospital, Gurgaon.

Introduction:

In an era defined by screens and smartphones, the pervasive presence of technology in children’s lives raises important questions about its impact on their health and development. From a medical standpoint, understanding how technology influences child development is crucial for promoting optimal growth and well-being.

1. Vision Health:

Extended usage of screens by young people can cause eye strain and a variety of vision-related problems. Children’s screen time should be restricted, according to the American Academy of Pediatrics, to prevent myopia, dry eyes, and digital eye strain. Regular pauses, keeping a suitable viewing distance, and having enough illumination can all help reduce the risk of eye strain that comes with using screens too often. Eye care – should follow the 20/20/20 rule look away from the screen every 20 minutes,focus on an object at least 20 feet away, for at least 20 sec, and follow the 1,2,10 rule i.e, keep the screen like a Mobile phone at 1 feet away, desktop and laptop at  2 feet and tv screen at 10 feet.

2. Sleep Disruptions:

Children’s sleep habits might be disturbed by screen time, especially right before bed. Device blue light inhibits the production of melatonin, the hormone that controls sleep-wake cycles, making it harder to fall asleep and resulting in less restful sleep. Creating tech-free zones in bedrooms and instituting screen-free nighttime habits can enhance general well-being and improve sleep hygiene. 

3. Physical Activity: 

Overindulgence in screens frequently takes the place of physical activity, which promotes sedentary behavior and raises the risk of obesity and associated health problems. Children who spend more time in front of screens are less likely to play actively and participate in outdoor activities, which has a detrimental effect on their development of muscles, cardiovascular health, and general fitness. Promoting a healthy lifestyle requires limiting screen time and encouraging frequent breaks for exercise. 

4. Cognitive Development:

Even though technology can be beneficial for schooling, too much screen time can harm kids’ cognitive development. According to research, using digital gadgets excessively is linked to concentration issues, poor academic performance, and delays in language development. It’s essential to strike a balance between screen time and other stimulating pursuits like reading, creative play, and hands-on learning to promote academic achievement and cognitive development. 

5. Mental Health:

Concern over how technology affects children’s psychological development is growing. Children who spend too much time on screens are more likely to have anxiety, despair, and behavioral issues. Use of social media in particular can worsen loneliness, inadequacy, and cyberbullying sentiments, all of which have a detrimental effect on mental health. Encouraging transparent communication, keeping an eye on digital activities, and supporting constructive coping mechanisms are crucial for protecting children’s mental health in the digital age.

Conclusion:

Even though technology has many positive effects, moderation, balance, and parental supervision are crucial given the negative effects technology has on children’s development from a medical standpoint. We can guarantee that children flourish in today’s digital world while preserving their long-term health and well-being by emphasizing healthy tech habits, encouraging physical activity, and fostering holistic development.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best pediatricians in Gurgaon. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries.

Do make an appointment with the best women’s care hospital in Gurgaon at a center 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. Surender Kumar, please book your appointment here.

Building a Strong Mother-Baby Bond – Essential Tips for the First Year

Building a Strong Mother-Baby Bond new born kid

Author: Dr. Sonal Singhal

MBBS, MD

Senior Consultant – Obstetrician & Gynaecologist

Building a Strong Mother-Baby Bond – Essential Tips for the First Year:

The bond between a mother and her baby, established in the first year, is fundamental for the child’s emotional and mental development. According to Dr. Sonal Singhal, MBBS, MD, Senior Consultant – Obstetrician & Gynaecologist,  In India, this bond is nurtured within a rich tapestry of cultural and familial values. The importance of this period cannot be overstated, as it lays the foundation for the child’s future emotional health and social interactions. This section will delve into the critical nature of the mother-baby bond, highlighting its role in the holistic development of the child within the Indian cultural context.

Cultural Perspectives on Mother-Baby Bonding

In India, mother-baby bonding is deeply interwoven with cultural practices and beliefs. These practices, ranging from traditional methods to contemporary approaches, significantly influence how mothers in India connect with their newborns. This section will explore various cultural aspects that shape the bonding experience in Indian families, providing a comprehensive understanding of how these practices support and enhance the mother-child relationship.

Breastfeeding and Bonding

The Role of Breastfeeding in Bonding Breastfeeding is a natural process that significantly enhances the mother-baby bond, especially in the first year. In India, it is regarded as much more than a mere nutritional act; it’s a cherished bonding ritual. This section will focus on how breastfeeding fosters an intimate connection between mother and child, facilitating a sense of security and love. The psychological and emotional aspects of breastfeeding in the context of Indian culture will also be explored, illustrating its profound impact on the bonding process.

Overcoming Breastfeeding Challenges

Despite its importance, breastfeeding can come with challenges for many Indian mothers, such as societal pressures, physical discomfort, and lack of proper guidance. Addressing these challenges is crucial for maintaining a healthy bonding process. This section will offer practical advice and solutions to common breastfeeding issues faced in India. It will also highlight the support systems and resources available to Indian mothers, helping them overcome obstacles and ensuring a positive breastfeeding experience that strengthens the mother-baby bond.

Skin-to-Skin Contact

Benefits of Skin-to-Skin Contact Skin-to-skin contact, a practice where the baby is placed directly on the mother’s chest, is crucial for developing a strong bond. This method, recognized globally and increasingly adopted in India, has profound benefits. It helps regulate the baby’s body temperature, heart rate, and stress levels, while also fostering a deep emotional connection. This section will discuss how Indian mothers can incorporate skin-to-skin contact into their daily routine and the significant impact it has on nurturing the mother-baby bond.

Implementing Skin-to-Skin Contact in Indian Households

Adopting skin-to-skin contact in the Indian context may come with its own set of challenges, given the diverse cultural and social norms. This part of the article will provide practical tips for Indian mothers on how to effectively practice skin-to-skin contact. It will cover aspects like overcoming common barriers in traditional households and finding support within the family structure. The goal is to empower Indian mothers to embrace this practice as a vital part of their bonding journey with their newborns.

Responsive Care Techniques

Understanding and Responding to a Baby’s Needs Responsive care is about attentively understanding and meeting a baby’s needs. For Indian mothers, this means learning to read and respond to their baby’s cues, such as hunger, discomfort, or the need for sleep and affection. This section will detail the importance of responsive care in strengthening the mother-baby bond and provide insights into how Indian mothers can develop this intuitive understanding, enhancing their connection with their babies.

Responsive Care in the Indian Context

In India, responsive caregiving can be influenced by cultural expectations and family dynamics. This section will explore how Indian mothers can balance traditional caregiving practices with responsive care principles. It will offer guidance on navigating the challenges of adhering to cultural norms while ensuring the baby’s needs are met in a nurturing and attentive manner. The focus will be on empowering Indian mothers to trust their instincts and seek support when needed to provide responsive care.

Emotional Support for New Mothers

Importance of Maternal Emotional Well-being The emotional health of a new mother is vital in forming a nurturing bond with her baby. In the Indian context, where postpartum practices and familial roles play a significant part, the mother’s emotional state can profoundly impact her bonding with the child. This section will discuss the importance of supporting the emotional well-being of new mothers, and acknowledging the unique pressures and challenges they face in India. It will also highlight the connection between a mother’s emotional health and her ability to bond with her baby.

Support Systems and Resources in India

Emotional support for new mothers in India can come from various sources, including family, healthcare providers, and community groups. This section will explore the different types of support available to Indian mothers, focusing on how these resources can help them navigate the emotional challenges of new motherhood. The aim is to provide insights into building a strong support network, ensuring that mothers receive the care and understanding they need during this critical phase, which in turn enhances the mother-baby bonding experience.

Overcoming Challenges in the First Year

Navigating Common Challenges The first year of motherhood is filled with numerous challenges that can impact the mother-baby bond. Indian mothers, in particular, may face specific issues such as adapting to new parenting roles, managing societal expectations, and dealing with physical and emotional changes. This section will address these challenges, providing practical advice and strategies to help mothers maintain a strong bond with their babies. It will focus on empowering Indian mothers with knowledge and tools to navigate this transformative period effectively.

Balancing Tradition and Modern Parenting

In India, where traditional practices often coexist with modern parenting approaches, finding a balance can be challenging for new mothers. This section will explore how Indian mothers can integrate traditional wisdom with contemporary parenting techniques to strengthen the mother-baby bond. It will guide managing the expectations and pressures from family and society, helping mothers forge their unique parenting path that respects cultural values while focusing on the well-being of both mother and child.

In conclusion, the first year of a baby’s life in India is a precious time for nurturing a strong mother-baby bond. This bond is deeply influenced by cultural practices, breastfeeding, skin-to-skin contact, responsive care, and emotional support for new mothers. Embracing these elements with cultural sensitivity and a modern outlook allows Indian mothers to overcome challenges and create a lasting connection with their newborns. Building a robust mother-baby bond not only ensures the child’s emotional and social well-being but also enriches the journey of motherhood. It’s a journey filled with love, understanding, and the promise of a brighter future for both mother and child.

Dr. Sonal Singhal will respond to your query as soon as possible. For emergencies, please call and reach Motherhood Hospital, Mohali.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Gurgaon. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries. 

Do make an appointment with the best woman’s care hospital in Gurgaon at a center closest to you. Please 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 contact Dr. Sonal Singhal please book your appointment here.

Importance of Deworming in Children and Home Remedies

importance of deworming in childrens

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, Consultant,

Consultant Obstetrician and Gynaecologist, Mohali.

Importance of Deworming in Children and Home Remedies

I. Introduction:

Parasitic infections in children are a concerning health issue, particularly in developing countries like India. One effective way to combat this is through a regular deworming schedule. This article  Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist, aims to shed light on the importance of deworming, its recommended schedule, available medications, and some effective home remedies.

II. What is Deworming?

Deworming is the process of eliminating parasitic worms from the gastrointestinal tract, using medications or natural remedies. The best Gynecologist and Obstetrician in Sector 32 is saying that deworming is an essential aspect of preventive healthcare, particularly for children who are more susceptible to these infections.

III. Why is Deworming Important?

Health Benefits:

1. Improved Nutrient Absorption: Parasitic worms reside in the digestive system and feed off the nutrients ingested by the host. By eliminating these parasites, the child’s body can better absorb essential nutrients from food, which is critical for their overall well-being.

2. Better Immune Function: Parasitic infections often compromise the immune system, making children more susceptible to other infections. Deworming helps in restoring optimal immune function by ridding the body of parasitic worms, thereby allowing the immune system to focus on other potential threats.

3. Enhanced Cognitive and Physical Development: Chronic parasitic infections can lead to malnourishment, stunting growth and cognitive development. Regular deworming schedules can help mitigate these risks and contribute to a child’s overall development.

4. Reduced School Absenteeism: Children suffering from parasitic infections often miss school due to related health issues. Regular deworming can significantly reduce absenteeism, contributing to better academic performance.

5. Better Quality of Life: Constant itching, abdominal pain, and other symptoms of worm infections can adversely affect a child’s day-to-day activities. Deworming can alleviate these symptoms, leading to a better quality of life.

Risks of Not Deworming:

1. Anemia: Worms like hookworms feed on blood, leading to significant blood loss and anemia.

2. Weakness and Fatigue: Lack of essential nutrients and anemia can lead to general weakness and fatigue.

3. Cognitive Delays: As mentioned, persistent infections can impact a child’s cognitive functions, potentially leading to learning difficulties and developmental delays.

4. Gastrointestinal Issues: Parasitic infections can lead to abdominal pain, diarrhea, and other gastrointestinal problems.

5. Spread to Family Members: Many of these parasitic infections are contagious and can easily spread to other family members if not addressed.

IV. Deworming Schedule:

According to Indian healthcare guidelines, deworming should start as early as one year of age and continue periodically. Usually, Albendazole or Mebendazole are prescribed.

  • 12-24 months: Once every 6 months
  • 2-14 years: Once every year

V. Common Medications for Deworming

1. Albendazole: A broad-spectrum antiparasitic medication.

2. Mebendazole: Another effective medication, although less commonly used.

Other over-the-counter medicines are also available but should be used under medical supervision.

VI. Home Remedies for Deworming

Ayurvedic Remedies:

1. Neem Leaves: Consuming neem leaves can help in the natural expulsion of worms.

2. Turmeric: A pinch of turmeric in warm water can also be effective.

Herbal Solutions:

1. Garlic: Known for its anti-parasitic properties.

2. Pumpkin Seeds: Can help in the removal of tapeworms and roundworms.

Diet Modifications:

1. High-fiber foods

2. Probiotics

VII. Side Effects and Precautions

Common Side Effects:

1. Nausea and Vomiting: Some children might experience nausea and occasional vomiting after taking deworming medications.

2. Abdominal Pain: Mild abdominal pain is another common side effect but usually subsides within a day or two.

3. Diarrhea: A less common side effect, but possible, particularly if the medication causes a rapid expulsion of the worms.

4. Skin Rashes: Some children might develop mild skin rashes, which usually disappear after a couple of days.

5. Headache: A very rare side effect, but worth mentioning.

Precautions:

1. Consult a doctor: best gynecologist and obstetrician in sector 32 says Always consult a healthcare provider before starting any deworming regimen, especially if your child has other medical conditions or allergies.

2. Follow Recommended Dosage: Never exceed the recommended dosage as it could lead to severe side effects.

3. Monitor for Allergic Reactions: Keep an eye out for symptoms like difficulty breathing, swelling of the face or lips, and severe rashes as these could be signs of an allergic reaction.

4. Hygiene Practices: Along with medication, ensure good hygiene practices like regular handwashing to prevent re-infection.

5. Family Deworming: Since these infections can spread easily, it’s often recommended that all family members undergo deworming simultaneously.

VIII. The Role of Motherhood Hospitals/Fertility Clinics

Consultation services and expert opinions on deworming are available. It’s essential to consult with specialists to personalize the deworming schedule for your child.

IX. Conclusion

Deworming is an essential aspect of child healthcare. It not only safeguards against parasitic infections but also fosters better growth and development.

X. Frequently Asked Questions (FAQ)

1. What is the best age to start deworming?

     As early as one year of age.

2. Are home remedies effective?

    They can be, but medical consultation is advised.

3. Are there any side effects?

     Usually mild but consult a healthcare provider for any persistent issues.

Dr Ekawali Gupta will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

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

Do take an appointment with the best woman care hospital in Mohali 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. Ekawali Gupta, please book your appointment here.

Signs Your Child Should See a Paediatric Urologist

signs of neurological issues in child

Author – Dr. Pawan Deep Singh

M.B.B.S, DCH, DNB Pediatrics, Consultant – Paediatrics & Neonatology

Signs Your Child Should See a Paediatric Urologist

Introduction:

As a parent, it could be difficult for you to know when your child’s bladder problems need attention. At times, you may not know if your child’s bedwetting is normal or highlighting other issues. According to Dr. Pawan Deep Singh, M.B.B.S, DCH, DNB Pediatrics, as a parent, you should consult the best paediatrician in Chandigarh preferably a paediatric urologist if you notice any change in the bladder patterns of your child.

What Does a Paediatric Urologist Do?

Paediatric urology is a different discipline from paediatrics. If you visit the best paediatricians in Chandigarh for consultation, they will provide treatment for many minor urological problems including urinary tract infections without fever, and so forth. You should, however, consult a paediatric urologist for ongoing, urgent, and non-routine urology issues involving your child’s kidney, ureters, bladder, urethra, testicles, and genitalia.

Signs Your Child Should See a Paediatric Urologist

You should visit the best paediatrician in Chandigarh for the following:

1. Bedwetting and Bladder Issues

Potty training of kids is not always easy. Sometimes you may not even know if your child has a medical problem or he is just a late bloomer. Bedwetting can occur because of urinary incontinence, stress, or a urinary tract infection. Of course, every child is different. As a general rule, however, if your child is not dry through the night by the age of six, you may have to consult a paediatric urologist.

2. Urinary Tract Infection

A urinary tract infection or UTI can affect even babies and children. It may also be common in children. You should, however, visit a paediatric urologist if your child has had multiple UTIs.

Dr Ashish Dharmik tells us that recurrent urinary tract infections may be a sign of anatomic abnormality leading to infections. Children having recurrent UTIs also have some type of abnormal voiding behaviours. Hence, it is important to identify such traits and get those treated.

3. Congenital Issues

A lot of children may have urological problems due to congenital issues. Paediatric urologists also perform surgery to treat a wide range of birth defects involving organs inside the body including kidney, bladder, or reproductive organs in both girls and boys. The primary goal of such surgeries is to let the child achieve or maintain a normal urologic function.

What are the Telltale Signs of Urologic Condition?

Your child may not be able to explain the cause of the pain to you. The telltale signs, however, can help you in discovering a urological condition. For instance, the most common sign of urological condition in children is bedwetting. Although your child has reached a certain age, he/she may not be able to control the urine. This can be a warning sign for you to visit a paediatric urologist. The other common symptoms include:

1. Pain while urinating.

2. Burning or stinging sensation when urinating.

3. Frequent urination.

4. An urgent need to urinate.

5. Foul smell in the urine.

6. Cloudy or bloody urine.

7. Pain in the lower back.

8. Pain around the bladder.

9. Fever.

If you notice any change in the regular urinating pattern of your child, visit a good paediatric urologist or Dr. Pawan Deep Singh at Motherhood Hospitals in Chandigarh.

10 Playtime Activities to Boost Development in Your Babies

ten play time activities for children

Author – Dr Sanjay Wazir

MBBS, MD-Paediatrics, DM-Neonatology,

Medical Director (NCR)-Neonatology

10 Playtime Activities to Boost Development in Babies Under 1 Year

The learning journey of a baby begins way before it is born. During the 9 months, the baby learns from the mother inside her womb. Once born, it keeps on observing and learning over time. The first year of your baby is crucial since it is during this time that your baby starts developing socially, emotionally, and physically. According to Dr Sanjay Wazir, MBBS, MD-Paediatrics, DM-Neonatology, Medical Director (NCR)-Neonatology, the cognitive growth of a baby starts developing from 6 months of age. Hence, parents need to engage their babies in games that make them learn, enjoy, and grow.

 10 Playtime Activities to Boost Development in Your Babies

If feeding and napping your baby takes most of your time, you’re not like other first-time parents. You can, however, carve out some time with your baby to play games suggested by the best neonatologist in Delhi, such as:

1. Baby Talk

 Respond to your baby’s coos and other syllables. Speak to them with facial expressions and try uttering more vowels during this time. This will help your baby understand speech and pick up language. 

2. Play with Hands

Games including peekaboo or playing with puppets are great to engage your baby and their attention. Using hands during playing will make them learn how to interact physically.

3. Pay Attention

Babies usually start pointing out things and making sounds, pay attention to where they are looking at and start observing things with them. This will give you an idea of what interests your child.

4. Start Books Early

Select books with colourful pictures and point images with them. If they start making sounds, mimic their sound, elaborate the storylines, and encourage them to talk about books. The best paediatrician in Delhi suggests also keeping colourful alphabets around them to make them familiar with the language.

5. Choose Interactive Toys

Of late, there are several interactive toys in the market that can help your baby learn by engaging them in the form of games.

6. Respond When They Cry

Respond to your baby as soon as you see them crying. Try soothing, cuddling, and reassuring them to build a positive brain circuitry. This gives emotional security to their brain.

7. Give Them a Body Massage

Giving a good massage to your baby can lower their stress levels and build emotional security for them. A massage has been shown to even promote growth in young babies. You can also make this task engaging for them by interacting with them while giving a massage.

8. Slow Dancing

Turn on some good music, hold your baby in your arms and swerve slowly on the beats. This will not only calm your baby but also boost their mood and help them understand music.

9. Make Funny Faces

Make your baby laugh by making funny faces or imitating people around. Slowly, you will start noticing that your baby will also try to mimic you.

10. Water Play

Make your baby’s bathing time more fun by adding lots of toys to their tub. Play with their toys while bathing them. You can also try filling and draining some toys in front of them to help them understand cause and effect.

Playing games with babies is important for their overall well-being and growth. Such games not only help them bond with you but also make them grow. If you want to know more about this, you can visit Dr Sanjay Wazir at the Motherhood Hospitals.

 Effective Fever Management: 8 Tips Every Parent Should Know 

Effective Fever Management 8 Tips Every Parent Should Know_

Author – Dr. Devesh Aggarwal

MBBS, DCH

Consultant-Paediatric

Effective Fever Management: 8 Tips Every Parent Should Know 

Introduction

When it comes to children, parents are extremely concerned about their health. Sometimes they might be awakened in the middle of the night and notice the forehead of their child is too hot to touch. The first thing that comes to mind in such cases is to visit the best child specialist in sector 57 Gurgaon. Dr Devesh Aggarwal, MBBS, DCH, Consultant-Paediatrics, however, suggests managing symptoms at home instead of running to a doctor in the middle of the night. If the temperature of your child is constantly at its peak, do not hesitate to visit a doctor at the earliest. The common symptoms, however, can be managed at home. 

Effective Fever Management: 8 Tips Every Parent Should Know 

Here are some tips that can help you manage the fever of your child: 

1. Let Them Rest 

Any type of activity can raise the body temperature of your child. Hence, getting ample sleep is important to fight fever-causing viruses. If, however, you notice that the fever is accompanied by shortness of breath or any other unusual symptom, visit the best child specialist in Gurgaon at the earliest. 

2. Sufficient Hydration 

Fever can lead to fluid loss and dehydration. Hence, it is important to drink plenty of fluids and water to keep the body hydrated. 

3. Cool Environment 

Keeping the room temperature cool and sleeping with a light blanket and help your child relax and feel cooler. 

4. Light Clothing 

When in fever, you must get your child dressed in light clothes since lighter clothing can also have a cooling effect. A study has shown that warm clothing can increase the body temperature of your child even when they are not sick. Hence, make sure that the clothes are light. 

5. Tepid Sponging 

Place a cool, damp washcloth on your child’s forehead and the back of their neck to make them feel better. You can also give them a tepid sponge bath in high-heat areas including armpits and groin. Wearing lighter clothes, a cool environment, and tepid sponging together can help your child lower the temperature. 

6. Over the Counter Medicine to Reduce Fever 

Fever can be uncomfortable for your child. In such cases, you can try giving them an over-the-counter medicine to reduce body temperature. 

7. Give them a Hot Drink 

Fever also affects the palate and makes it difficult to eat. If your child refuses to eat, give them a hot cup of milk or turmeric milk to keep the body full. 

 8. Give Oral Rehydration Solution  

 If you notice diarrhoea along with fever, give your child an oral rehydration solution. This will not only restore the electrolyte balance but will also help in managing fever. 

 When to Visit a doctor? 

 All kids get a fever from time to time, and in most cases, they are back to the normal routine within a day or two. As a parent, you must make your child feel comfortable, follow the above tips, and watch their symptoms throughout. You should, however, visit the best paediatrician in sector 55 Gurgaon at the earliest, if you notice: 

1. A temperature higher than 100.4°F (38°C). 

2. The child develops other symptoms along with fever such as diarrhoea, vomiting, or rash. 

3. Extreme sickness. 

4. Extreme dehydration. 

5. A rash. 

 If you wish to consult the top paediatrician in the city, you can consult Dr Devesh Aggarwal at the Motherhood Hospitals. 

Feeding Challenges and Solutions for Premature Babies

Feeding Challenges and Solutions for Premature Babiess

Author: Dr. Sanjay Wazir

MBBS, MD – Pediatrics, DM – Neonatology

Consultant: Medical Director (NCR)- Neonatology at Motherhood Hospital Gurgaon

Feeding Challenges and Solutions for Premature Babies

Premature babies (born before 37 weeks of pregnancy) have special feeding and nutritional needs. Dr Sanjay Wazir, MBBS, MD-Paediatrics, DM-Neonatology, Medical Director (NCR)-Neonatology, tells us that preemies often need extra support to grow and continue developing. Some preemies may not have the strength or coordination to breastfeed or bottle-feed. They can, however, overcome this challenge with a little help and patience. As a parent, you need to understand your baby, learn some techniques, and know when to consult the top paediatrician in Gurgaon for expert help. 

Feeding Challenges and Solutions for Premature Babies

In the early stages, your preemie may find it challenging to eat. This is because of their underdeveloped muscles, nervous system, and other body parts. Hence, they may find it difficult to gulp and digest enough milk. Dr. Sanjay Wazir tells us that around 49% of preemies have feeding problems due to the following issues:

1.Lack of Sucking Skills

Unlike normal babies, preemies are not born with mature sucking skills. To drink milk from a bottle or breast, the babies need to suck that is coordinated and does not interfere with their breathing patterns. Babies who are unable to coordinate may choke or stop breathing entirely.

2.Lack of Strength

Babies need to have developed muscles in their tongues and jaws to suck and swallow milk easily. Eventually, the preemies develop this strength with practice. Until then, you may notice your baby getting exhausted during a feeding session. When you observe such, it is time for you to visit the top paediatrician in Gurgaon for consultation.

3.Underdeveloped Digestive System

Preemies are born with underdeveloped gastrointestinal tracts. This means that even if your baby takes the milk in, he might not be able to get the nutrients from it. The stomachs of preemies are not proficient in breaking down milk proteins.

4.Medical Conditions

Preemies are prone to developing medical conditions such as low body fat, breathing problems, jaundice, and so forth.

How to Feed Your Premature Baby?

According to the top paediatrician in Gurgaon, the feeding method of your baby in the NICU may depend on their gestational age and medical conditions. The doctors may combine one method with the other for better results.

1.Breastfeeding

Although difficult sometimes preemies do get a hang of nursing in the NICU.

2.Bottle-feeding

To bottle-feed, you can either pump your breast milk or use a formula in the bottle. Sometimes the top paediatrician in Gurgaon may recommend feeding your baby with breast milk or formula from a bottle to check the amount of milk your baby is having.

3.Feeding Tube

A feeding tube is used when your baby is unable to get milk from breast or bottle feeding. In such cases, they may need a gastronomic tube that feeds directly into their stomach. Babies on feeding tubes are also given a pacifier to strengthen their mouth muscles and practice their sucking skills.

4.Intravenous Line

This is considered the last resort and is usually restricted to babies with serious medical conditions. In this method, an intravenous line directly feeds and supplies the nutrients into the baby’s bloodstream.

Preemies require extra care as compared to normal babies. The top paediatrician in Gurgaon recommends skin-to-skin contact with your preemie as it is also seen as beneficial for both the mother and the baby. If, however, you feel that your preemie is not getting expert care and attention, you can reach out to Dr. Sanjay Wazir at the Motherhood Hospitals for expert guidance and support.