Demystifying VBAC – A Guide for Women Considering Vaginal Birth After Cesarean

Author: Dr. Kiran Yadav

MBBS, DGO, DNB Fellowship in laparoscopy Obstetrics and Gynaecology

Senior Consultant – Obstetrician & Gynaecology

Demystifying VBAC – A Guide for Women Considering Vaginal Birth After Cesarean:

The Rising Interest in VBAC in India: An Overview

The landscape of childbirth in India is witnessing a significant transformation with the increasing interest in Vaginal Birth After Cesarean (VBAC). According to Dr. Kiran Yadav, MBBS, DGO, DNB Fellowship in laparoscopy Obstetrics and Gynaecology, Senior Consultant – Obstetrician & Gynaecology, This option, which was once less considered, is now emerging as a preferred choice for many expectant mothers. VBAC presents an opportunity for women who have previously undergone a cesarean section to experience vaginal delivery in their subsequent pregnancies. This shift reflects a growing awareness about the potential benefits of VBAC and a desire among women to explore alternative birthing options. This article aims to demystify VBAC, providing a comprehensive guide for Indian women contemplating this route for childbirth.

Understanding VBAC’s Growing Popularity

The trend towards VBAC is indicative of a broader change in attitudes towards childbirth in India. Women are becoming more informed and are actively seeking out options that align with their personal health and birthing preferences. VBAC is being seen not just as a medical procedure, but as a part of a more holistic approach to childbirth that emphasizes the mother’s choice and autonomy. This growing trend is supported by medical advancements and a better understanding of the risks and benefits associated with VBAC. In this article, we delve into the various aspects of VBAC, offering insights and information to help women in India make informed decisions about their childbirth options.

Understanding VBAC

Defining VBAC and Its Relevance Vaginal Birth After Cesarean (VBAC) refers to giving birth vaginally after having a previous birth through a cesarean section. This option challenges the traditional notion that once a woman has a C-section, all subsequent deliveries must also be surgical (repeat LSCS). VBAC offers a possibility for women to experience natural childbirth, which can have significant benefits for both the mother and the child. The process involves careful monitoring and assessment to ensure the safety of both the mother and the baby. Understanding VBAC is essential for any woman considering this option, as it involves weighing the benefits against the potential risks.

Contrasting VBAC with Repeat Cesarean Sections

While a cesarean section is a common and safe method of delivering a baby, it is a major abdominal surgery and comes with certain risks and a longer recovery period. In contrast, VBAC allows women to avoid another surgical procedure, potentially leading to a quicker recovery and less time spent in the hospital. However, VBAC is not suitable for everyone and requires a thorough evaluation by healthcare professionals. Women considering VBAC should understand the factors that influence its feasibility, such as the type of incision made in the previous cesarean, indication of cesarean ,position of placenta and the overall health of the mother.

Benefits of VBAC

Physical and Emotional Benefits of VBAC .One of the most significant advantages of VBAC is the avoidance of major abdominal surgery, that is a repeat cesarean section. This can lead to a shorter hospital stay, quicker recovery, and less physical discomfort post-delivery. Additionally, VBAC reduces the risks associated with multiple cesarean deliveries, such as bladder or bowel injuries and complications in future pregnancies. Emotionally, VBAC can offer a more satisfying birth experience for many women. It provides them with an opportunity to actively participate in the birthing process, which can be empowering and positively impact their overall well-being.

Long-term Health Benefits for Mother and Child

VBAC not only benefits the mother in the short term but also has long-term health implications. Women who undergo VBAC have a lower risk of hemorrhage and infection compared to those who have repeat C-sections. Furthermore, VBAC can be beneficial for the child, as vaginal births are associated with a lower risk of respiratory problems and other complications that can occur more frequently in babies delivered via C-section. The opportunity for immediate skin-to-skin contact and breastfeeding is often more readily available following a vaginal birth, promoting early bonding and potential long-term benefits for the baby’s immune system and development.

Risks Associated with VBAC

Understanding the Challenges of VBAC. While VBAC offers several benefits, it’s important to acknowledge the associated risks to make an informed decision. The primary concern is the risk of uterine rupture, a rare but serious complication where the cesarean scar on the uterus tears during labor. Other potential risks include infection, injury to the mother or baby, and the possibility of an emergency C-section if complications arise. The decision to attempt a VBAC should be based on a thorough evaluation of these risks in consultation with healthcare professionals, considering the mother’s overall health, the reason for the previous C-section, and the conditions of the current pregnancy.

VBAC Risks in the Indian Context

In India, the risks associated with VBAC need to be understood in the context of the healthcare system’s capabilities and the individual’s health profile. Factors such as the availability of emergency care, the proximity to a well-equipped medical facility, and the expertise of the healthcare provider play crucial roles in managing these risks. Women should discuss their concerns and understand the specific risks related to their situation, including the likelihood of success and the potential for complications. This section will provide detailed information on these risks, particularly focusing on the Indian healthcare scenario.

Candidacy for VBAC

Criteria for VBAC Eligibility in India Determining who is a good candidate for VBAC is critical for ensuring the safety of both mother and baby. In India, the eligibility criteria for VBAC are similar to global standards but must be contextualized to local healthcare practices. Generally, women with a low-transverse incision from a previous cesarean, without a history of uterine rupture or certain types of uterine surgery, are considered potential candidates. Other factors include the reason for the previous C-section, the interval between pregnancies, and the mother’s overall health and pregnancy conditions. This section will elaborate on these criteria, helping Indian women understand if VBAC is a suitable option for them.

Assessing Individual Suitability for VBAC

Each woman’s situation is unique, and the decision to pursue VBAC should be made on an individual basis. Factors such as the type of previous cesarean incision, the number of previous C-sections, and the presence of any complicating factors like high maternal age or high birth weight of the baby are taken into account. Consulting with healthcare providers who can evaluate these factors and provide personalized advice is essential. This section will guide women through the process of assessing their suitability for VBAC, emphasizing the importance of a personalized approach in the Indian context.

Preparing for VBAC

Key Steps for a Successful VBAC Experience Preparation for VBAC involves several key steps, beginning with the selection of a healthcare provider experienced in managing VBAC cases. This includes finding a medical facility equipped to handle both VBAC and emergency C-sections. Women should ensure their complete medical history, including details of the previous cesarean, is available to their healthcare provider. Discussing VBAC during prenatal visits allows for a comprehensive assessment and formulation of a birthing plan that considers the mother’s preferences and the safety of both mother and baby.

The Role of Informed Decision-making and Support

The journey towards a successful VBAC is also supported by informed decision-making and a strong support system. Women should educate themselves about the process, potential risks, and benefits of VBAC. Support from family, friends, and healthcare providers is crucial. This section will provide practical advice on preparing for VBAC, including tips on choosing the right healthcare provider and facility, and the importance of emotional and informational support throughout the pregnancy.

VBAC in India

A Path to Empowered Childbirth In conclusion, this comprehensive exploration of VBAC in India serves as a valuable resource for women considering this option. From understanding what VBAC entails to its benefits, risks, and the inspiring stories of those who have experienced it, the aim is to provide a holistic view. The decision to opt for VBAC is deeply personal and should be made after careful consideration and consultation with healthcare providers. This article hopes to empower women with the information and insights they need to make informed choices about their childbirth experiences, ultimately contributing to their well-being and that of their families.

Dr. Kiran Yadav will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Gurgaon.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist 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 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 get in touch with Dr. Kiran Yadav, please book your appointment here

VBAC (Vaginal Birth After Caesarean): Is It Right for You?

Author: Dr. Preethika Shetty

MBBS, MRCOG, FRCOG, DGO

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital, Kharadi, Pune

VBAC (Vaginal Birth After Caesarean): Is It Right for You?

Introduction

Vaginal Birth After Caesarean (VBAC) is a term that has been gaining traction in the realm of childbirth. As per Dr. Preethika Shetty MBBS, MRCOG, FRCOG, DGO, Consultant – Obstetrician & Gynaecologist at Motherhood Hospital, Kharadi, Pune It refers to the process where women undergo vaginal delivery following a cesarean delivery in a prior pregnancy. The allure of VBAC stems from several potential benefits it holds over opting for a repeat C-section, which include a shorter recovery period, less surgical risk, and the unique experience of vaginal childbirth. This article endeavors to delve deep into the intricacies of VBAC, illuminating the pros, cons, and eligibility criteria to empower expectant mothers with the knowledge needed to make an informed decision.

Understanding VBAC

VBAC is more than just a choice; it represents a shift from the surgical procedure of a C-section to a vaginal delivery. This transition is facilitated by the body’s capability to heal post the initial C-section and the inherent ability to support a vaginal birth. The process of VBAC involves a trial of labor after cesarean section (TOLAC), wherein the mother undergoes labor with the intention of vaginal delivery, closely monitored by healthcare professionals to ensure the safety of both mother and baby.

Pros of VBAC

Opting for VBAC comes with a plethora of benefits:

Surgical Avoidance: Unlike a C-section, VBAC involves no abdominal surgery, thereby eliminating the complications associated with surgical procedures.
Speedier Recovery: The recovery period post-VBAC is significantly shorter compared to a C-section, enabling a quicker return to daily activities.
Vaginal Childbirth Experience: For many, the experience of vaginal childbirth holds emotional and psychological significance.
Consideration for Future Pregnancies: VBAC can be a prudent choice for those planning more pregnancies, helping avoid the risks associated with multiple cesarean deliveries, such as placental problems.

Risks of VBAC

While VBAC has its merits, it’s not devoid of risks:

Failed Trial of Labor: A failed trial of labor could lead to emergency C-sections, which may carry more complications than a planned C-section.
Uterine Rupture: Although rare, occurring in less than 1% of cases, uterine rupture is a serious complication where the C-section scar on the uterus breaks open, necessitating an emergency C-section.

Eligibility for VBAC

VBAC isn’t for everyone; eligibility hinges on several factors:

Type of Uterine Incision: The type of incision from the previous C-section plays a pivotal role in determining VBAC eligibility.
Previous Uterine Surgeries: Other uterine surgeries may rule out the possibility of VBAC due to the increased risk of uterine rupture.
Number of Previous C-Sections: The number of prior C-sections could influence the decision, with many healthcare providers hesitant to recommend VBAC post multiple C-sections.
Health Concerns: Existing health concerns could sway the decision towards a repeat C-section to ensure the safety of both mother and child.

Preparing for VBAC

Preparation is key:

Medical Consultations: Engaging in thorough discussions with healthcare providers to understand the risks, benefits, and the process is fundamental.
Choosing the Right Facility: Opting for a healthcare facility well-equipped to handle emergency situations and VBAC is crucial for a safe childbirth experience.

During VBAC: What to Expect

The VBAC experience aligns closely with a routine vaginal birth, albeit with continuous monitoring to promptly address any arising complications. The healthcare provider will likely recommend continuous monitoring of the baby’s heart rate and be prepared for a repeat emergency C-section if necessary.

Conclusion

VBAC is a nuanced choice with many variables at play. Armed with the right information and guided by professional medical advice, expectant mothers can make an informed decision that aligns with their personal circumstances and aspirations for childbirth. Engage in open discussions with healthcare providers, weigh the pros and cons, and prepare diligently to ensure a safe and fulfilling childbirth experience.

If you are on the verge of menopause or are going through menopause along with urinary symptoms, consult Dr. Preethika Shetty at the Motherhood Hospitals.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Pune. 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 care hospital in pune 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. Preethika Shetty, please book your appointment here.

Labor Induction: When Is It Necessary and What Are the Methods?

Author – Dr Ekawali Gupta

MBBS, MS Degree in OBG,

Consultant Obstetrician and Gynaecologist, Mohali.

Labor Induction: When Is It Necessary and What Are the Methods?

Introduction:

Labor induction is a medical procedure wherein doctors use medications or other methods to trigger labor in a pregnant woman. Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist says that This procedure is critical when waiting for natural labor could pose risks to either the mother or the baby. In India, with its burgeoning population and diverse healthcare challenges, labor induction is a commonly practiced procedure to ensure the safety and timely delivery of babies.

Section 1: Circumstances Necessitating Labor Induction

Labor induction is not a one-size-fits-all solution and is recommended under specific circumstances. Some of the situations that might necessitate labor induction include:

Post-term Pregnancy: When a pregnancy extends beyond 40 weeks, it is considered post-term. In such cases, labor induction may be recommended to avoid potential complications.
Pre-eclampsia or High Blood Pressure: Pre-eclampsia is a serious condition characterized by high blood pressure and signs of damage to other organ systems, most often the liver and kidneys. Labor induction may be necessary to prevent severe complications.
Health Conditions: Certain health conditions in either the mother or the baby may necessitate earlier delivery. These could include gestational diabetes, heart disease, or other serious conditions.
Water Breaking: If a woman’s water breaks (membranes rupture) without the onset of contractions, labor may need to be induced to prevent infections and complications.
Fetal Growth Restriction (FGR): This condition occurs when the baby grows slower than normal during pregnancy. Labor induction might be considered to prevent further complications.
Cholestasis of Pregnancy: This is a liver condition that causes severe itching and can lead to complications for both the mother and the baby, prompting the need for labor induction.

Labor induction is a decision taken in conjunction with medical professionals who assess the unique health conditions and risks involved. It is a step towards ensuring the safety and well-being of both the mother and the child.

Section 2: Methods of Labor Induction

Labor induction can be achieved through various methods. The choice of method largely depends on the condition of the cervix and the particular circumstances of the pregnancy. Below are some common methods of labor induction:

Medicinal Methods:
Misoprostol: A synthetic prostaglandin, Misoprostol is used to ripen the cervix and induce labor. The INFORM study conducted in India highlighted the effectiveness and acceptability of low-dose oral Misoprostol, showing promising results, especially in low-resource settings.
Dinoprostone: Similar to Misoprostol, Dinoprostone is a Prostaglandin gel used for cervical ripening and labor induction.
Mechanical Methods:
Foley Catheter: A Foley catheter is inserted into the cervix and inflated to help the cervix dilate. It’s a mechanical method of induction that doesn’t involve medications.
Membrane Stripping: This method involves a healthcare provider inserting a finger into the cervix and gently separating the amniotic sac from the uterine wall to stimulate labor hormones.
Surgical Methods:
Artificial Rupture of Membranes (Amniotomy): This procedure involves making a small opening in the amniotic sac to stimulate contractions and induce labor.

Each method has its own set of advantages, disadvantages, and suitability based on individual circumstances. It’s imperative that the chosen method is discussed and agreed upon with healthcare providers.

Section 3: Success and Acceptability of Various Induction Methods in India

The success and acceptability of labor induction methods in India were notably highlighted in the INFORM study. This study compared oral Misoprostol with Foley catheter induction in a government hospital in India, revealing a 10% higher rate of vaginal birth within 24 hours and less need for caesarean section with Misoprostol. Women in the Misoprostol group were also more satisfied with the outcome compared to those induced with the catheter method.

The results of the INFORM study are encouraging for the use of low-dose Misoprostol, particularly in patients with mild hypertensive disease in low-resource settings. However, further studies are needed in women with severe, early-onset hypertensive disease and intrauterine growth restriction.

The choice of induction method greatly affects the experience and satisfaction of women undergoing labor induction. Hence, continuous research and patient education are pivotal in optimizing the labor induction process in India.

Section 4: Risks and Precautions

The best gynaecologist in sector 32 says While labor induction is a common practice, it is not without risks. Some potential risks include:

Uterine Hyperstimulation: Over-stimulation of the uterus can lead to fewer resting times between contractions, potentially stressing the baby.
Infection: Any invasive procedure carries the risk of infection, which could be detrimental to both mother and baby.
Unintended Cesarean Delivery: Labor induction might increase the likelihood of needing a cesarean section, especially if the cervix isn’t ready for labor.

It’s crucial to discuss these risks and any concerns with healthcare providers. Proper prenatal care, understanding the procedure, and following medical advice can significantly mitigate these risks.

Section 5: Preparing for Labor Induction

Preparation is key to a smoother labor induction experience:

Mental Preparation: Understanding the procedure, setting realistic expectations, and staying positive are essential.
Discussion with Healthcare Providers: Having a detailed discussion about the induction plan, potential risks, and pain management options is crucial.
Pain Management: Considering pain relief options in advance and discussing these with healthcare providers will ensure better preparedness.

Section 6: Conclusion

Labor induction is a vital procedure that can ensure the safety and timely delivery of the baby. While it carries certain risks, with proper preparation and medical guidance, the process can be made smoother and less stressful. The choice of induction method should be a collaborative decision made with experienced healthcare providers.

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, gynecological, and other surgeries including a range of laparoscopic surgeries.

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

Superfoods for Easy, Comfortable, and Smooth Delivery: An Indian Perspective

Author – Dr Ekawali Gupta

MBBS, MS Degree in OBG,

Consultant Obstetrician and Gynaecologist, Mohali.

Superfoods for Easy, Comfortable, and Smooth Delivery: An Indian Perspective

Introduction:

Pregnancy is a life-changing experience that brings joy, anticipation, and sometimes, a fair share of anxiety. One of the best ways to alleviate these concerns is through proper nutrition. The food you consume during this crucial period not only nourishes you but also has a direct impact on the well-being of your unborn child. This article by Dr Ekawali Gupta , MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist aims to guide expecting mothers in India through a curated list of superfoods that can make the journey to motherhood easy, comfortable, and smooth.

Why Superfoods?

The best Gynecologist and Obstetrician in Sector 32 says that The term “superfoods” refers to nutrient-dense foods that offer a range of health benefits. During pregnancy, these foods can provide the essential vitamins, minerals, and antioxidants needed for both maternal health and fetal development. Incorporating superfoods into your daily diet can ease the delivery process and ensure a healthy pregnancy.

List of Superfoods for a Smooth Delivery

1. Spinach

Benefits: Rich in iron, calcium, and folic acid, spinach is excellent for boosting hemoglobin levels and ensuring proper fetal development.
How to Include:

Add to salads with a dash of lemon juice.
Blend into green smoothies.
Cook a traditional Indian dish like ‘Palak Paneer’.

2. Almonds

Benefits: Packed with protein and healthy fats, almonds are great for heart health and sustained energy levels.
How to Include:

Snack on a handful.
Add to morning cereal or oatmeal.
Use almond flour in baking.

3. Yogurt

Benefits: A probiotic-rich food that aids in digestion and boosts the immune system.
How to Include:

Enjoy as a standalone snack.
Incorporate into Indian recipes like ‘Raita’.
Blend into smoothies or shakes.

4. Lentils

Benefits: High in protein and fiber, lentils are essential for muscle development and digestive health.
How to Include:

Cook into various Indian dishes like ‘Dal’ or ‘Sambar’.
Add to salads or soups.
Make lentil patties or burgers.

5. Berries

Benefits: Rich in antioxidants and vitamin C, berries help in boosting immunity.
How to Include:

Add to smoothies or shakes.
Incorporate into desserts like berry parfait.
Mix into yogurt or cereal.

6. Avocado

Benefits: High in healthy fats and folic acid, avocados are excellent for fetal brain development.
How to Include:

Slice and add to salads.
Mash into guacamole.
Blend into smoothies.

7. Chia Seeds

Benefits: Rich in Omega-3 fatty acids and fiber, chia seeds are good for heart health and digestion.
How to Include:

Add to smoothies.
Make chia pudding.
Sprinkle over salads or yogurt.

8. Sweet Potatoes

Benefits: Packed with Vitamin A and fiber, sweet potatoes are good for vision and digestive health.
How to Include:

Roast as a side dish.
Make sweet potato fries.
Incorporate into Indian curries.

Cultural Context

In India, traditional wisdom often recommends foods like ‘Ghee’, ‘Ajwain’, and ‘Methi’ during pregnancy. These foods have Ayurvedic properties and are believed to ease the delivery process. However, it’s essential to consult healthcare providers before incorporating these or any other foods into your diet.

Consulting Healthcare Providers

While the benefits of superfoods are widely acknowledged, it’s crucial to remember that each pregnancy is unique. Factors such as pre-existing medical conditions, allergies, and nutritional deficiencies can significantly impact your dietary needs. Therefore, consulting healthcare providers becomes an indispensable step in your pregnancy journey.

Why Consult a Doctor?

Your obstetrician is your primary guide throughout your pregnancy. They can assess your overall health, monitor the baby’s development, and provide personalized advice. Before making any significant changes to your diet, it’s essential to consult your doctor to ensure that the foods you consume are beneficial and safe for both you and your baby.

Role of a Certified Dietitian

A certified dietitian can offer specialized nutritional guidance tailored to your needs. They can help you create a balanced diet plan that includes the right mix of superfoods, vitamins, and minerals essential for a healthy pregnancy and smooth delivery.

Allergy Checks and Food Sensitivities

If you have a history of food allergies or sensitivities, consulting a healthcare provider is even more critical. They can recommend alternative foods that provide similar nutritional benefits without causing adverse reactions.

Medication and Food Interactions

Certain medications prescribed during pregnancy may interact with specific foods, affecting their efficacy or causing side effects. A healthcare provider can guide you on how to navigate these interactions safely.

Traditional and Cultural Beliefs

In India, traditional and cultural beliefs often influence dietary choices during pregnancy. While some of these foods have proven benefits, it’s essential to validate their safety and efficacy with healthcare providers, especially if they are new to you.

Informed Choices

Ultimately, consulting healthcare providers empowers you to make informed choices. It ensures that your diet aligns with your medical history, current health status, and the specific needs of your pregnancy.

Conclusion

A well-balanced diet, rich in superfoods, can significantly ease your journey through pregnancy and delivery. Remember, the choices you make now will not only affect your well-being but also shape the future health of your child. Choose wisely, eat well, and embark on this beautiful journey with confidence and care.

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

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.

Preparing for Pregnancy: A Checklist for First-time Mothers

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology,

Preparing for Pregnancy: A Checklist for First-time Mothers

Introduction:

Pregnancy is a remarkable journey, especially for first-time mothers. As a first-time mother, the thought of having a baby is both exciting and overwhelming. With so many things to plan and do, the mothers can get confused. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, the need to make everything perfect can make the mothers stressed out. Instead of being overwhelmed, a checklist can help women to do all the right things without any worries.

A Checklist for First-time Mothers

The best gynaecologist & obstetrician doctors in Gurgaon have created a checklist for first-time mothers as follows:

1.Schedule a Pre-conception Checkup

A lot of women do not consider the need for a pre-conception checkup. This checkup, however, is important to ensure your health or any changes you need to make before getting pregnant. The doctor will conduct a thorough assessment to rule out any medical condition that can affect your pregnancy.

2. Evaluate Your Lifestyle

A healthy pregnancy is a by-product of a healthy lifestyle. Before getting pregnant, make sure that you are following the right lifestyle. Eat a healthy and balanced diet, exercise, get enough sleep, and limit alcohol consumption, and caffeine intake.

3. Start with Folic Acid

Folic acid or vitamin B is an important vitamin that prevents birth defects in the baby. This vitamin, hence, is to be started before pregnancy. Do not, however, self-administer and consult the best gynaecologist & obstetrician doctors in Gurgaon for your folic acid intake.

4. Evaluate Your Work Environment

If you are exposed to hazardous chemicals during work, it’s probably time for you to change the job. Any kind of demanding job or exposure to harmful chemicals can put your health at risk. Hence, make sure that you discuss it with your doctor as well as your employer for suitable options.

5. Find an Obstetrician

An obstetrician is someone with whom you will be sharing your entire pregnancy journey. Make sure to choose the best gynaecologist & obstetrician doctors in Gurgaon that you can trust and feel comfortable with. Take your time to research, schedule a consultation, and discuss your goals.

6. Create a Birth Plan

A birth plan refers to your pregnancy outline. It includes your preferences for labour and delivery, pain management, whether you prefer vaginal or caesarean delivery, or your postpartum care. Creating a birth plan can help you in knowing yourself better and it will help you to have a positive birth experience.

7. Prepare Your Home

Welcoming your new baby requires a lot of preparation at the back end. Make sure that you baby-proof your home with all the necessary renovations. Prepare a room for your baby that you always dreamt of and your journey will become more fruitful.

8. Research Your Insurance Options

Another important aspect to consider before getting pregnant is the insurance. Make sure that your existing insurance covers your maternity along with all the costs associated with prenatal care and delivery. If not, you can add a supplementary insurance policy to cover additional costs.

9. Pack Your Hospital Bag

Instead of jittering at the last moment, learn how a hospital bag is to be prepared. You can also discuss the essentials with your doctor to ensure you do not forget anything.

First-time mothers are kind of on a rollercoaster ride with their pregnancy. They experience all sorts of emotions in one go. In a nutshell, the mothers want their pregnancy and eventually, the baby to be safe and sound. Hence, a checklist is important to make sure that you are doing everything right. You can discuss all your options and create a customized checklist based on your diagnosis with Dr Preety Aggarwal at the Motherhood Hospitals.

Guide to Preparing for Childbirth

Author: Dr. Manisha Tomar MBBS, DNB, DGO
Consultant: Obstetrician & Gynaecologist at Motherhood Hospital, Noida

Introduction

Bringing a new life into the world is a miraculous journey filled with anticipation and excitement. However, it’s also a process that requires careful planning and preparation. Dr. Manisha Tomar, a renowned obstetrician at Motherhood Hospital, is here to guide you through the various aspects of childbirth preparation, from choosing the right childbirth classes to understanding labor stages and options like Cesarean sections and labor induction.

Choosing the Right Childbirth Classes

Childbirth classes play a crucial role in preparing expectant parents for the upcoming birth. Dr. Manisha Tomar emphasizes that it’s essential to choose the right type of childbirth class that suits your needs. Here are some popular options:

Lamaze Classes: Lamaze classes focus on natural childbirth techniques, breathing exercises, and relaxation methods. They are an excellent choice for parents who prefer a drug-free birth experience.

Bradley Method Classes: The Bradley Method emphasizes partner-coached childbirth, promoting natural pain relief techniques, nutrition, and exercise during pregnancy.

Hypnobirthing Classes: Hypnobirthing encourages relaxation and self-hypnosis to manage pain and reduce anxiety during labor.

Online Classes: With the convenience of online classes, you can access childbirth education from the comfort of your home, making them a flexible option for busy schedules.

Creating a Birth Plan

A birth plan is a written document that outlines your preferences and wishes for labor and delivery. Dr. Manisha Tomar recommends discussing your birth plan with your healthcare provider and keeping it flexible, as unexpected situations can arise. Key elements to consider in your birth plan include:

Pain management preferences, such as epidurals or natural pain relief techniques.
Labor environment preferences, like dim lighting, music, or aromatherapy.
Positions for labor and delivery.
Who you want in the delivery room.
Preferences regarding fetal monitoring and interventions.
Understanding Labor Contractions

Labor contractions are the rhythmic tightening and relaxing of the uterine muscles that help push the baby through the birth canal. Dr. Manisha Tomar advises expectant parents to distinguish between true labor contractions and false contractions (Braxton Hicks contractions). True labor contractions become regular, intensify over time, and occur at shorter intervals.

The Three Stages of Labor

Labor consists of three stages:

Stage 1: Early Labor – Contractions become regular but not too intense, and the cervix begins to dilate. This stage can last for several hours.

Stage 2: Active Labor – Contractions become more frequent and intense, leading to the baby’s descent through the birth canal. This stage typically lasts a few hours.

Stage 3: Delivery of the Placenta – After the baby is born, the placenta is delivered, marking the end of labor.

Cesarean Section (C-Section)

In some cases, a Cesarean section may be necessary. Dr. Manisha Tomar explains that a C-section is a surgical procedure in which the baby is delivered through an incision in the abdomen and uterus. Common reasons for a C-section include breech presentation, fetal distress, and complications during labor.

Inducing Labor

Labor induction may be recommended if your healthcare provider determines it’s necessary for your health or your baby’s well-being. Induction involves using medication or other techniques to start contractions artificially. Dr. Manisha Tomar stresses that labor induction should be carefully discussed with your healthcare team to assess the risks and benefits.

Conclusion

Preparing for childbirth is an exciting but complex journey. Dr. Manisha Tomar from Motherhood Hospital advises expectant parents to educate themselves about the various aspects of childbirth, including childbirth classes, birth plans, labor contractions, stages of labor, Cesarean sections, and labor induction. Remember that every birth experience is unique, and it’s essential to work closely with your healthcare provider to make informed decisions that prioritize the health and well-being of both you and your baby.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynaecologist in Noida. 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 Noida 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. Manisha Tomar please book your appointment here.

Nurturing Motherhood: A Comprehensive Guide to Pregnancy

Guide to Postpartum Recovery and Infant Feeding

Author: Dr. Manju Gupta MBBS, MS
Consultant: Obstetrician & Gynaecologist at Motherhood Hospital, Noida

Introduction

Welcome to Motherhood Hospital! Dr. Manju Gupta and our dedicated team of healthcare professionals are here to guide you through this beautiful journey of pregnancy. In this blog, we will explore the various aspects of pregnancy, from the early signs to prenatal care and everything in between. Let’s embark on this incredible journey together.

Signs of Pregnancy

The journey to motherhood often begins with subtle yet significant signs that your body undergoes. Some common signs of pregnancy include missed periods, breast tenderness, frequent urination, and fatigue. If you notice these symptoms, it might be time to consider taking a pregnancy test.

Pregnancy Test

Taking a pregnancy test is a crucial step to confirm your suspicions. Home pregnancy tests are readily available and are quite accurate. They work by detecting the presence of the hormone hCG in your urine. A positive test result is a joyful moment that marks the beginning of your incredible journey.

Prenatal Care

Once you confirm your pregnancy, the next step is to schedule your first prenatal care appointment. Dr. Manju Gupta and her team at Motherhood Hospital will provide you with personalized care and guidance throughout your pregnancy. Prenatal care is essential to monitor the health of both you and your baby, ensuring a smooth and healthy pregnancy journey.

Morning Sickness

Morning sickness, often characterized by nausea and vomiting, is a common pregnancy symptom. While it can be uncomfortable, it is usually a positive sign that your body is adapting to the changes pregnancy brings. Dr. Manju Gupta can provide you with tips and strategies to manage morning sickness and ensure you stay well-nourished during this time.

Pregnancy Cravings

Cravings for specific foods during pregnancy are entirely normal. Your body may be signaling a need for certain nutrients. It’s important to indulge in your cravings in moderation, making healthy choices whenever possible. Dr. Manju Gupta can help you create a balanced diet plan that meets both your cravings and your nutritional needs.

Weight Gain During Pregnancy

Weight gain is a natural part of pregnancy, but it should be managed carefully. Gaining too much or too little weight can have an impact on both you and your baby’s health. Dr. Manju Gupta will monitor your weight gain and provide guidance on maintaining a healthy balance throughout your pregnancy.

Conclusion

As you embark on this extraordinary journey of motherhood, remember that you are not alone. Dr. Manju Gupta and the team at Motherhood Hospital are here to provide you with the best possible care and support. From the early signs of pregnancy to managing morning sickness, cravings, and weight gain, we are dedicated to ensuring a healthy and happy pregnancy for you and your baby. Your journey to motherhood starts here at Motherhood Hospital!

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

Nurturing Life: Stages of Pregnancy

Author: Dr. Manju Gupta MBBS, MS
Consultant: Obstetrician & Gynaecologist at Motherhood Hospital, Noida

Pregnancy is a miraculous and transformative experience in a woman’s life. It’s a time when a tiny spark of life grows into a beautiful, unique individual. Throughout this journey, a woman’s body undergoes incredible changes, fueled by the intricate dance of pregnancy hormones. Today, we’ll delve into the magical world of pregnancy, from the baby bump to fetal development, the significance of ultrasounds, the exhilarating moment of the baby’s first heartbeat, and the natural weight gain that accompanies this wondrous process.

Pregnancy Hormones: The Architects of Life

Behind the scenes of every pregnancy, a symphony of hormones plays a pivotal role in orchestrating the myriad of changes in a woman’s body. Hormones like progesterone, estrogen, and human chorionic gonadotropin (hCG) guide the growth of the placenta, maintain the uterine lining, and support fetal development. These hormones ensure that your body creates the perfect environment for your growing baby.

The Baby Bump: A Visible Reminder of Life

One of the most thrilling aspects of pregnancy is the emergence of the baby bump. As the fetus grows, the uterus expands to accommodate the developing baby. This visible sign of pregnancy is a testament to the remarkable journey that you and your little one are embarking on together. It’s a daily reminder that life is blossoming within you.

Fetal Development: A Marvel of Nature

From a single cell to a complex, multi-organ organism, fetal development is an awe-inspiring process. Every week brings new milestones as your baby’s organs, limbs, and features take shape. It’s a time when the baby’s senses begin to develop, and tiny kicks and hiccups become part of your daily routine.

The Role of Ultrasound During Pregnancy

Ultrasound technology has revolutionized prenatal care. These non-invasive procedures allow us to glimpse into the womb and monitor the baby’s growth and development. Ultrasounds offer valuable insights, not only into the baby’s health but also the gender, providing parents with cherished memories and a deeper connection to their unborn child.

The First Heartbeat: A Momentous Occasion

Few moments in life can compare to hearing your baby’s first heartbeat. This exhilarating event usually occurs during the first prenatal visit, around the 6th to 8th week of pregnancy. The rapid “thump-thump” of the baby’s heart is a profound confirmation of life’s miracle, bringing tears of joy to many parents’ eyes.

Weight Gain During Pregnancy: A Natural Process

As your baby grows, so does your body. Weight gain during pregnancy is a natural and essential part of the process. It ensures that you have the necessary reserves to support both your health and your baby’s development. However, it’s important to strike a balance between gaining enough weight for a healthy pregnancy and avoiding excessive weight gain.

In conclusion, pregnancy is a remarkable journey filled with wonder and anticipation. It’s a time when pregnancy hormones harmonize to create the perfect environment for your baby’s growth. The baby bump proudly displays the miracle within, while fetal development unfolds in an intricate dance of life. Ultrasounds provide glimpses of your growing baby, and the first heartbeat is a momentous occasion that etches itself into your heart forever. Embrace the natural weight gain that accompanies this journey, for it is a testament to your body’s incredible capacity to nurture and sustain life.

At Motherhood Hospital, Noida, we are honored to accompany you on this incredible journey, providing care, support, and expertise every step of the way. Together, we celebrate the magic of pregnancy and the boundless love that grows with each passing day.

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

7 Useful Tips for High-Risk Pregnancy

Author: Dr. Ekawali Gupta MBBS, MS
Consultant: Obstetrician and Gynaecologist at Motherhood Hospital Mohali

A few moments in life bring sheer happiness and joy; one of those is getting pregnant. If, however, you are diagnosed with a high-risk pregnancy, all these emotions can quickly escalate to worry and concern. According to Dr Ekawali Gupta, MBBS, MS, Consultant Obstetrician and Gynaecologist, high-risk pregnancies may require extra efforts in terms of lifestyle and medications. A lot of women, however, can still have healthy babies with safe outcomes. In such cases, you must meet a high-risk pregnancy doctor in Mohali to plan your pregnancy with utmost care and precautions.

Tips for High-Risk Pregnancy

1. Stay Informed

A high-risk pregnancy refers to a condition wherein anything could potentially harm the health or life of the mother and foetus. Several medical conditions make up a high-risk pregnancy such as high blood pressure during pregnancy, placenta previa, diabetes, having twins, or pre-existing health conditions. Hence, it is important to consult a gynaecologist in Mohali and understand your condition thoroughly.

2. Have a Support System

With a high-risk pregnancy, it’s normal for you to be anxious or worried. Moreover, depending on your condition, you may also experience certain lifestyle changes that require you to scale back on commitments and obligations. In such cases, you need to have strong support from others. Hence, surround yourself with family and friends and communicate your needs. You can also join a pregnancy support group to express your feelings.

3. Create a Plan with Your Gynaecologist in Mohali

Meet high-risk pregnancy doctors in Mohali and create a proactive plan with them. With a plan in hand, you will have a peace of mind. Make sure that you stick to the plan and do not miss any of your prenatal care appointments.

4. Prioritize Yourself

The only way you can get through a high-risk pregnancy is by prioritizing yourself. By making self-care a priority, you will ensure safe outcomes for yourself and your baby. This includes eating a healthy diet, exercising, reducing your exposure to toxins or other harmful environmental factors, getting enough sleep, and avoiding situations causing stress.

5. Listen to Your Body

Your body gives you signs to slow down and relax. Whenever you feel like lying down, lie down. If you feel like taking more rest, allow yourself to rest. During pregnancy, your body works overtime to grow a baby, so you may not have the energy you are used to having. If in case you feel something is not normal, meet a high-risk pregnancy doctor in Mohali at the earliest.

6. Address Mental Health Issues

It is common for you to fidget over high-risk pregnancy. Studies have shown depression to be common for women with pregnancy complications. Hence, it is important to address any difficult feelings that may arise. You can also meet your gynaecologist in Mohali to discuss these feelings and their solutions.

7. Manage Yourself

Stress and anxiety can take a toll on your pregnancy. Hence, it is important to manage yourself for the baby. Staying calm and relaxed will help your overall wellbeing. Despite how difficult things may get, make sure to take some time for the things that you love to do. You can go for a walk, meditate, or join a yoga class. Such activities will divert your mind and take you back to normalcy.

High-risk pregnancies are difficult due to obvious reasons. Women experience a whole range of emotions while going through such pregnancies. Hence, they need to be vocal about their issues and discuss everything with their doctor. If you wish to discuss and consult, visit Dr Ekawali Gupta at the Motherhood Hospitals.

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.

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