Navigating Infertility – A Roadmap to Hope and Parenthood

Author : Dr. Babita Rajesh Chauhan

MBBS, MD(OBG)

Consultant – Obstetrician & Gynecologist

Navigating Infertility – A Roadmap to Hope and Parenthood

India, grappling with a silent yet significant issue, faces a rising tide of infertility challenges. Traditionally celebrated for its family-centric culture, the nation is now confronting an increasing number of couples struggling to conceive. According to Dr. Babita Rajesh Chauhan, MBBS, MD(OBG), Consultant – Obstetrician & Gynaecologist , This article aims to shed light on infertility in India, offering a beacon of hope and guidance to those navigating this complex journey.

Understanding infertility is crucial in this pursuit. Infertility, often shrouded in misconceptions and social stigma, needs demystification. It’s not just a medical condition but a multifaceted challenge involving emotional, social, and physical aspects.

Understanding Infertility

Infertility, defined as the inability to conceive after a year of unprotected intercourse, manifests in two primary forms: primary and secondary. Primary infertility refers to couples who have never conceived, while secondary infertility denotes difficulties in conceiving following a previous pregnancy.

The causes of infertility in India are diverse, ranging from genetic to lifestyle-related factors. Biological issues such as ovulation disorders, fallopian tube damage, and low sperm count are common. However, lifestyle factors like stress, obesity, and environmental influences also play a significant role. Moreover, societal factors like late marriages and postponed childbearing are contributing to the rising infertility rates in India.

Treatment Options

In India’s dynamic medical landscape, several infertility treatment options have emerged, offering renewed hope to couples. These treatments range from conventional methods to advanced reproductive technologies.

IVF (In Vitro Fertilization): IVF stands as a beacon of hope for many. It involves fertilizing an egg outside the body and implanting the embryo into the uterus. IVF’s success in India has been a game changer, especially for couples with blocked fallopian tubes or severe sperm dysfunction. Its procedure, intricately tailored to individual cases, involves hormone treatments, egg retrieval, fertilization, and embryo transfer. The process, while complex, has opened doors to parenthood for many who had almost given up hope.

Adoption and Surrogacy: Beyond medical interventions, adoption and surrogacy offer alternative pathways to parenthood. Adoption, though sometimes tangled in bureaucratic procedures, presents a noble opportunity to provide a loving home to a child in need. Surrogacy, a more recent and complex option, involves a surrogate carrying a child for another couple. This method, regulated to protect the rights of all parties involved, requires careful legal and ethical considerations. Both these options embody the essence of parenthood, extending beyond biological boundaries to embrace a deeper, more inclusive definition of family.

These treatments, while promising, come with their own sets of challenges and implications.

Challenges and Solutions

Emotional and Social Challenges: Infertility often brings an emotional whirlwind, marked by feelings of inadequacy, frustration, and isolation. In India, where familial and societal expectations about childbearing are deeply ingrained, couples may experience heightened social pressure and stigma. This emotional turmoil can strain relationships and lead to mental health issues like depression and anxiety.

To navigate these challenges, seeking emotional support is essential. Counseling and therapy can offer a safe space for couples to express their feelings and cope with stress. Support groups, both in-person and online, provide a sense of community and understanding, reminding couples that they are not alone in their journey.

Financial Challenges and Solutions: The financial aspect of infertility treatments like IVF or surrogacy can be daunting. These procedures, often requiring multiple cycles, can strain a couple’s finances. In India, where insurance coverage for infertility is still evolving, the burden can be significant.

However, solutions exist. Some hospitals and clinics offer financial planning assistance or payment plans to make treatments more accessible. Organizations and charities sometimes provide grants or subsidies for couples in need. Furthermore, exploring cost-effective treatment options and being well-informed about the expenses involved can help couples prepare financially for their journey towards parenthood.

These challenges, though significant, are not insurmountable. With the right support and resources, couples can find their way through the complexities of infertility.

Community and Support

Support Groups and Resources: In India, support groups for infertility play a pivotal role. They offer not just emotional support but also practical advice and information. These groups, facilitated by healthcare professionals or experienced couples, can provide guidance on navigating treatment options, dealing with societal pressures, and maintaining emotional well-being.

Additionally, online forums and social media platforms have emerged as valuable resources. They offer a platform for sharing experiences, finding comfort in shared stories, and receiving encouragement from others who have walked a similar path. These communities break the silence around infertility, fostering a more open and supportive environment.

Role of Healthcare Providers: Healthcare providers in India are increasingly acknowledging the importance of holistic support for couples facing infertility. Clinics and hospitals are offering counseling services, educational workshops, and holistic care programs. These initiatives aim to address not just the medical but also the emotional and psychological needs of couples.

For instance, Motherhood Hospitals, with their comprehensive approach to infertility treatment, offer both advanced medical care and emotional support, recognizing the multifaceted nature of this journey. They serve as an exemplar of integrated care, combining expert medical treatment with compassionate support.

In conclusion, the path through infertility, though fraught with challenges, is illuminated by the support of a compassionate community and the guidance of dedicated healthcare providers. Motherhood Hospitals stand as a beacon in this journey, offering hope and comprehensive care to those navigating the complexities of infertility in India.

Dr. Babita Rajesh Chauhan 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 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. 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. Babita Rajesh Chauhan, please book your appointment here.

Important supplements during pregnancy

Author – Dr Ekawali Gupta MBBS, MS Degree in OBG, Consultant,

Consultant Obstetrician and Gynaecologist, Motherhood Hospital, Mohali.

Pregnancy is a miraculous journey filled with joy and challenges. One of the crucial aspects of this journey is ensuring that both the mother and the baby receive adequate nutrients for optimal health. While a balanced diet is essential, there are times when dietary intake alone may not suffice. According to Dr Ekawali Gupta , MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist, this article aims to shed light on the important supplements that can fill the nutritional gaps during pregnancy, especially focusing on the needs of expectant mothers in India.

Why Supplements are Necessary

Nutritional Gaps

Even with a well-balanced diet, there can be nutritional gaps that need to be filled. Pregnancy increases the demand for certain vitamins and minerals, making supplementation necessary in some cases.

Increased Needs During Pregnancy

During pregnancy, the body’s requirement for nutrients like folic acid, iron, and calcium increases significantly. Supplements can help meet these increased demands and contribute to a healthy pregnancy.

Types of Supplements

Folic Acid

Why it’s Important: Folic acid is crucial for the neural tube development of the fetus. A deficiency can lead to neural tube defects like spina bifida.
Recommended Dosage: 400 to 800 mcg per day
Sources: Leafy greens, fortified cereals, and supplements.

Iron

Why it’s Important: Iron is essential for preventing anemia, a condition that can lead to preterm birth and low birth weight.
Recommended Dosage: 27 mg per day
Sources: Lentils, beans, and iron-fortified foods.

Calcium

Why it’s Important: Calcium supports the development of the baby’s bones and teeth.
Recommended Dosage: 1000 mg per day
Sources: Dairy products, fortified plant milk, and supplements.

Vitamin D

Why it’s Important: Vitamin D works in tandem with calcium for bone health and helps in the absorption of other essential nutrients.
Recommended Dosage: 600 IU per day
Sources: Sunlight, fortified foods, and supplements.

Omega-3 Fatty Acids

Why it’s Important: Omega-3s are essential for the development of the baby’s brain and eyes.
Recommended Dosage: 200 to 300 mg per day
Sources: Fish, flaxseeds, and supplements.

Zinc

Why it’s Important: Zinc is essential for cell division and the formation of DNA and proteins.
Recommended Dosage: 11 mg per day
Sources: Nuts, whole grains, and supplements.

Magnesium

Why it’s Important: Magnesium helps in the development of strong bones and regulates blood sugar levels.
Recommended Dosage: 350 to 360 mg per day
Sources: Leafy greens, nuts, and supplements

Herbal Supplements

Popular Herbal Supplements in India

In India, herbal supplements like Ashwagandha, Shatavari, and Triphala are often recommended during pregnancy. However, it’s crucial to consult a healthcare provider before incorporating these into your regimen.

Precautions

While herbal supplements can offer various benefits, they are not regulated by medical authorities. Therefore, quality and safety can vary. Always consult your healthcare provider for personalized advice.

Consulting a Healthcare Provider

Importance of Medical Advice

Supplements should never replace a balanced diet and should only be taken under medical supervision. Overdosing on certain vitamins and minerals can have adverse effects on both the mother and the baby.

Risks of Self-Prescribing

Nutrient Imbalance

One of the primary risks of self-prescribing is creating a nutrient imbalance. For example, excessive intake of vitamin A can lead to toxicity, while an overdose of iron can cause gastrointestinal issues and even more severe health problems.

Drug Interactions

Supplements can interact with medications you may already be taking. For instance, calcium can interfere with the absorption of certain antibiotics, and some herbal supplements can interact with blood thinners.

False Sense of Security

Self-prescribing can sometimes give a false sense of security, leading individuals to neglect other essential aspects of prenatal care, such as a balanced diet, regular exercise, and routine medical check-ups.

Lack of Quality Control

Over-the-counter supplements are not strictly regulated, which means the quality, safety, and efficacy can vary significantly. There’s also the risk of contamination with harmful substances.

Delay in Seeking Professional Help

Relying solely on self-prescribed supplements can delay the consultation of healthcare providers, potentially leading to missed diagnoses or ineffective treatment plans.

Ethical Considerations

Self-prescribing during pregnancy doesn’t just affect you; it also has potential implications for the health of your unborn child. Ethically, it’s crucial to consider the risks you might be posing to another life.

Legal Risks

In some jurisdictions, self-prescribing controlled substances without a valid prescription can lead to legal consequences, adding another layer of risk to the practice.

By understanding these risks, you can better appreciate the importance of consulting a healthcare provider for a personalized supplement plan. This ensures that you’re taking the right steps for both your well-being and that of your unborn child.

Conclusion

Pregnancy is a time of joy but also a period that demands extra attention to nutrition. Supplements can play a vital role in filling nutritional gaps, but they should be taken responsibly and under medical supervision. By being informed and cautious, you can ensure a healthier pregnancy journey for both you and your baby.

If you or someone you know is dealing with inverted nipples and its associated challenges, we’re here to help. Schedule a consultation at our clinic to explore the best treatment options tailored for you.

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.

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.

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

Fear of Labour and Childbirth: Understanding and Overcoming the Dread

Author – Dr Ekawali Gupta

MBBS, MS Degree in OBG,

Consultant Obstetrician and Gynaecologist, Mohali.

Fear of Labour and Childbirth: Understanding and Overcoming the Dread

Introduction

The journey towards motherhood, albeit beautiful and exhilarating, is often accompanied by a spectrum of emotions, fears being one of them. The fear of labour and childbirth is a common concern among expecting mothers, especially in a culturally rich and diverse country like India. However, understanding and addressing these fears can significantly enhance the birthing experience. This article by Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist, delves into the common fears associated with labour and childbirth, and their underlying causes, and provides pragmatic coping strategies to overcome them.

Understanding Fear of Labour and Childbirth

As per the best Gynecologist and Obstetrician in Sector 32, Labour and childbirth is a profound life event. The fears surrounding it are often rooted in the fear of pain, fear of the unknown, fear of medical interventions, and fear of something going wrong during the process. Each fear carries its own set of anxieties that can significantly impact the mental and emotional well-being of the expecting mother.

Causes of Fear

Lack of Knowledge: The unknown aspects of labour and childbirth can be daunting. Lack of knowledge can magnify fears and lead to increased anxiety and stress.
Past Traumatic Experiences: Women who have had past traumatic experiences, or who have been exposed to negative childbirth narratives, may carry a heightened fear towards childbirth.

Impact of Fear

Fear can have a ripple effect, influencing the mother’s psychological well-being, her experience of childbirth, and potentially leading to adverse obstetric outcomes and postpartum mental health difficulties.

Coping Strategies

Education and Preparation:

Antenatal education can demystify the process of childbirth and provide realistic expectations. Understanding what to expect can alleviate fears and provide a sense of control.

Professional Support:

A doula can provide support, information, and advocacy during pregnancy, labour, and postpartum, making the process less intimidating.

Mindfulness and Relaxation Techniques:

Practices like yoga, meditation, and breathing exercises can help manage stress and anxiety, providing a calming effect.

Positive Reinforcement:

Surrounding oneself with positive childbirth stories and avoiding negative narratives can help in fostering a positive outlook towards childbirth.

Individualized Birth Plan:

Creating a birth plan that aligns with one’s values, preferences, and comfort levels can provide a sense of empowerment and reduce fear.

Professional Help

Seeking counselling or joining support groups can provide a safe space to express fears and work through them with professional guidance.

Conclusion:

Facing the fear of labour and childbirth is a crucial step towards ensuring a positive birthing experience. By understanding the root of these fears and employing coping strategies, expecting mothers can look forward to embracing the transformative journey of childbirth with confidence and serenity.

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.

A Step-By-Step Guide to IVF

Author –Dr Shruti Mane

MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS),

Consultant Infertility Specialist

A Step-By-Step Guide to IVF

Introduction:

In-vitro fertilization or IVF is a type of fertility treatment for couples dealing with infertility. According to Dr Shruti Mane, MBBS, MS, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant- Infertility Specialist, IVF is a type of assisted reproductive technique (ART) that is effective in patients who are unable to conceive naturally. It involves various steps including pre-evaluation to ensure that your body is ready for the procedure. Since it is a complex process, it is best if you refer to the best IVF doctor in Navi Mumbai.

What is In-vitro Fertilization (IVF)?

As mentioned by the top IVF doctor in Navi Mumbai, IVF is a type of ART. During this process, the sperm and eggs are fertilized outside of the human body in a laboratory. The entire process starts from retrieving eggs from your body and sperm from your partner. Once the egg is fertilized in the laboratory, it is placed inside your uterus. Your pregnancy starts the moment this fertilized egg or embryo attaches itself to the uterine wall.

What are the Steps of IVF?

If you are unable to conceive naturally, the best IVF specialist in Navi Mumbai will discuss your options to achieve pregnancy; IVF being one of the top-most treatments. Here are the steps involved in the IVF process:

1. Enhancing Your Egg Production with Superovulation

At the beginning of the process, you will be given fertility drugs to initiate stimulation or superovulation. The drug contains follicle-stimulating hormone which signals your body to produce more eggs. The more your number of eggs, the more your chances of successful fertilization. Apart from this, the top IVF doctor in Navi Mumbai will also conduct ultrasounds and blood tests to monitor your hormone levels and ovaries.

2. Egg Removal

Once the best IVF doctor in Navi Mumbai is sure that your eggs can be retrieved, you will receive another hormonal injection a day before the retrieval. This injection will ensure that your eggs mature quickly. Following this, you will also have a minor surgical procedure to remove eggs from your body.

3. Sperm Collection from Partner

When your eggs are removed, the sperm of your partner or donor will also be collected simultaneously. The collected sperms are put through a high-speed wash and spin cycle to find the healthiest one. The healthiest sperm, thus, is selected for fertilization.

4. Combining Sperms and Eggs

Once the doctor has sperm and egg samples, the mixing stage will begin. Your best eggs will be selected along with the healthiest sperm and combined for insemination. It usually takes a few hours for a sperm to fertilize the egg. If needed, your doctor might also inject these sperms directly into your egg known as intracytoplasmic sperm injection (ICSI).

5. Transfer of Fertilized Egg into Your Uterus

Once your egg is fertilized, you will receive another medication to prepare the lining of your uterus for the fertilized egg. After around 3-5 days of your fertilization, the doctor will place embryos in your uterus. Multiple embryos are placed to increase your chances of implantation. At times, more than one embryo can be implanted in the uterus which is common for IVF. A few days after this process, a pregnancy test will be conducted to confirm your pregnancy.

In-vitro Fertilization is a safe and effective procedure for pregnancy. If you are having problems conceiving, you can discuss more about it with Dr Shruti Mane at the Motherhood IVF.

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.

Laparoscopic Hysterectomy: Reasons, Risk & What to Expect 10 Must-Follow Precautions During IVF Pregnancy Journey

Author – Dr Preety Aggarwal,

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Laparoscopic Hysterectomy: Reasons, Risk & What to Expect

Introduction:

Hysterectomy refers to a procedure that removes the uterus, ovaries, fallopian tubes, and cervix. The procedure can either be conducted via traditional surgery or by laparoscopy. The top maternity doctors in Gurgaon favour laparoscopy as it is a minimally invasive procedure as well as safe. Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, recommends laparoscopy hysterectomy for faster recovery.

Laparoscopic Hysterectomy: Reasons, Risk and What to Expect

In simpler words, a hysterectomy is the surgical removal of the uterus. Depending on the patient’s medical condition, the surgery may involve removing surrounding organs and tissues including fallopian tubes and ovaries. Since the best obstetrician in Gurgaon removes the uterus, you will not be able to get pregnant after the procedure.

Why is a Hysterectomy Performed?

The top maternity doctors in Gurgaon may suggest a hysterectomy to treat:

Abnormal or heavy vaginal bleeding that is not being controlled by other treatments.

Severe pain during periods that are not being controlled by other treatments.

Uterine fibroids or noncancerous tumours.

Uncontrolled pelvic pain that is not being controlled by other treatments.

Uterine prolapse.

Cervical or uterine cancer.

What are the Different Types of Hysterectomy?

Depending on your medical condition, the best obstetrician in Gurgaon may suggest any of the below procedures:

1. Total hysterectomy: Removal of uterus and cervix.

2. Supracervical hysterectomy: Removal of just the upper part of the uterus.

3. Total hysterectomy with bilateral salpingo-oophorectomy: Removal of the uterus, cervix, fallopian tubes, and ovaries.

4. Radical hysterectomy with bilateral salpingo-oophorectomy: Removal of the uterus, cervix, fallopian tubes, ovaries, upper portion of the vagina, and surrounding tissues including lymph nodes.

What Happens During a Laparoscopic Hysterectomy?

Laparoscopy is a safe, effective, and minimally invasive procedure wherein the surgery is conducted with the help of a laparoscope. Laparoscope is a handheld device which has a tiny camera attached at one end. The top maternity doctors in Gurgaon insert this device through a small incision for diagnosis. The device can also be attached with tiny surgical tools for performing surgery.

The procedure involves the following steps:

The doctor inserts a laparoscope (thin tube with a video camera at one end) into your body by making a small incision on your belly button.

Surgical tools are also inserted through other small incisions.

The uterus is removed in small pieces through the incisions or the vagina.

Laparoscopy is generally an outpatient procedure and several patients are discharged on the same day. Moreover, complete recovery is faster than traditional surgery and less painful.

How Long Does a Hysterectomy Procedure Last?

Laparoscopy hysterectomy takes one to three hours. The duration of surgery can depend on the size of your uterus and other complications. The surgery can take time if other organs including fallopian tubes, ovaries, and cervix are also to be removed.

What are the Side Effects of Hysterectomy?

Although laparoscopic hysterectomy is a safe procedure you may experience certain side effects such as irritation on the incision site. The other common side effects include:

1. Vaginal dryness.

2. Loss of libido.

3. Difficulty sleeping.

4. Hot flashes.

5. Infection.

Hysterectomy is a safe procedure that can provide you with instant relief from many conditions of the uterus given that it is performed under expert guidance. If you wish to know more about laparoscopic hysterectomy, you can visit Dr Preety Aggarwal at the Motherhood Hospitals.

When Should You Consult an IVF Specialist?

Author – Dr. Vandana Narula, MBBS, MD (Obstetrics & Gynaecology)
Consultant – Infertility specialist in sector 43 Chandigarh

When Should You Consult an IVF Specialist?

Infertility is defined as the inability to conceive after 12 months of trying to conceive. While the majority of infertility cases are due to problems with ovulation, several other factors also contribute to infertility. According to Dr Vandana Narula, MBBS, MD (Obstetrics & Gynaecology), a one-year benchmark should be considered when deciding to visit an IVF specialist. In-vitro fertilization (IVF) specialists or infertility specialists are the most extensively trained specialists that can help you diagnose infertility and identify treatment options. If you are having problems conceiving, visit the best gynaecologist in Chandigarh at the earliest.

What are the Factors To be Considered When Planning a Family?

When planning to conceive, the top obstetrician-gynaecologist doctors in Chandigarh suggest asking below questions to yourself:

Age: Are you above or below the age of 35?
Medical history: Do you have a family history of chronic diseases?
Reproductive issues: Do you or anyone in your family suffer from PCOS, fallopian tube problems, thyroid disorders, erectile dysfunction, premature ejaculation, and sperm disorders?
Injury/Surgery: Have you endured any injury or surgery on your reproductive organs?
Cancer: Have you been diagnosed with cancer or undergone cancer treatment?
Lifestyle: Do you smoke or drink?

When Should You Visit an IVF Specialist?

Once you have answers to the above questions, you will have clarity in your mind. You should visit the best gynaecologist doctor for PCOS in Mohali, if:

1. You Have a Known Reproductive Issue

Some medical conditions including PCOS, endometriosis, uterine fibroids, primary ovarian insufficiency, erectile dysfunction, premature ejaculation, and so forth can put you at risk of pregnancy. If you or your partner have a family of reproductive issues or are going through treatment for one, you should consider visiting the top obstetrician-gynaecologist doctors in Chandigarh.

2. You are Above the Age of 40

Age affects fertility tremendously in both men and women. It affects the egg quantity as well as quality. A decline in egg quality increases the chance of miscarriage in older women. Moreover, ageing also reduces sperm quality. If you are above the age of 40, your children are more likely to have genetic disorders or autism.

3. You Have a Thyroid Disorder

Research has shown that one in every eight women develops thyroid issues during her lifetime and up to 60% are not even aware of their condition. One of the most common thyroid conditions in women is hypothyroidism. Low levels of thyroid hormones in the body disrupt the menstrual cycle and also impact ovulation.

If you have a thyroid issue, you must monitor your thyroid levels before getting pregnant. In such cases, the best gynaecologist in Chandigarh may work with you to monitor your hormone levels and promote a healthy pregnancy.

4. You Have Had Multiple Miscarriages

Losing a baby is difficult to experience, however, miscarriages do not reflect infertility. If you have had two or more miscarriages, you may seek evaluation to determine any underlying cause. Miscarriages can be due to genetic issues, altered hormone levels, cervical issues, infections, and so forth that may be addressed by an IVF specialist.

5. You Have Been Trying for More than a Year

If you have been trying to conceive for more than a year, it is recommended to undergo evaluation. You can consult Dr Vandana Narula at the Motherhood Hospitals for expert guidance.

IVF Pregnancies vs Normal Pregnancies

Author – Dr Ekawali Gupta MBBS, MS Degree in OBG from IGMC (Shimla)
Consultant – Obstetrician and Gynaecologist

What are IVF Pregnancies?

An IVF pregnancy begins its magical journey with the successful implantation of the transferred embryo into the uterine lining. From this moment, the embryo flourishes and grows, much like it would in any other type of pregnancy. Given the specialised beginnings of IVF pregnancies, we offer enhanced monitoring, particularly in the early stages. This extra layer of attention ensures the utmost well-being and health of both the mother and the growing baby, making your journey to parenthood as smooth and joyful as possible.

IVF Pregnancies vs Any Other Pregnancy

Similarities

While IVF pregnancies start with medical intervention, they share many similarities with any other pregnancies as they progress:

Pregnancy Symptoms: An IVF pregnancy, like any other, exhibits similar symptoms such as morning sickness, fatigue, and hormonal changes.
Gestational Period: The length of the pregnancy, typically around 40 weeks, remains the same regardless of the method of conception.
Baby Development: The developmental milestones for the fetus are identical in both types of pregnancies, from the formation of organs to the growth of limbs.

Differences

Despite the similarities, there are some key differences that set IVF pregnancies apart:

Method of Conception: The most obvious difference is the method of conception. IVF pregnancies involve a series of medical procedures, while other pregnancies occur without medical intervention.
Increased Monitoring: IVF pregnancies usually require more frequent medical check-ups, especially in the early stages, to monitor the health of the mother and fetus.
Risk Factors: IVF pregnancies may have a slightly higher risk of complications such as ectopic pregnancies or multiple births, although advancements in technology are continually reducing these risks.

After How Many Weeks is IVF Pregnancy Considered Safe?

A common question that most couples undergoing IVF Pregnancies have is, “After how many weeks is an IVF pregnancy considered safe?” The answer varies from person to person, but generally speaking, the risk of complications decreases significantly after the first trimester. It’s crucial to consult with your gynaecologist for a personalised assessment and advice tailored to your specific medical history and needs.

Symptoms and Milestones

IVF Pregnancy Symptoms Week by Week

Understanding the symptoms of an IVF pregnancy on a week-by-week basis can help you better navigate this unique journey. Here’s a more detailed look:

Weeks 1-4: Implantation and Early Signs
– Mild cramping and spotting may occur as the embryo implants itself into the uterine lining.
– There are intense mood swings and emotions due to hormonal changes.
Weeks 5-8: The Onset of Morning Sickness
– Nausea and vomiting, commonly known as morning sickness, often begin around this time.
– You may also experience heightened sensitivity to smells and changes in food preferences.
Weeks 9-12: Physical Changes
– Your breasts may become tender and swollen due to hormonal changes.
– Increased appetite and cravings for specific foods may become noticeable.
Weeks 13-16: Second Trimester Begins
– Morning sickness usually starts to subside.
– You may start to show a small baby bump.

Symptoms of Pregnancy After IVF

While many symptoms are similar to those of any other pregnancy, some unique signs may indicate a successful IVF pregnancy:

Tender Breasts: Hormonal changes can make your breasts feel tender and fuller than usual.
Nausea and Vomiting: Morning sickness is common but can be more pronounced in some IVF pregnancies due to the additional hormones used during treatment.
Fatigue: The body works extra hard to support the growing fetus, leading to increased tiredness. This can be exacerbated by the emotional and physical toll of the IVF process.
Frequent Urination: As the embryo grows and the uterus expands, you may find yourself needing to urinate more frequently.
Mild Cramping: Some women report mild uterine cramping, which is generally considered normal unless accompanied by severe pain or bleeding.

Risks and Complications

IVF Complications

While IVF has made it possible for countless couples to conceive, it’s essential to be aware of the potential risks and complications associated with this form of assisted reproduction:

Ectopic Pregnancy: In rare cases, the embryo may implant outside the uterus, usually in a fallopian tube. It is characterised as an ectopic pregnancy and therefore needs immediate medical attention.
Multiple Births: IVF increases the likelihood of multiple births (twins, triplets, etc.), which carry higher risks for both the mother and babies, such as preterm birth and low birth weight.
Ovarian Hyperstimulation Syndrome (OHSS): The medications used to stimulate the ovaries can sometimes lead to OHSS, a condition where the ovaries swell and leak fluid into the body.
Miscarriage: While the risk of miscarriage in IVF pregnancies is roughly the same as in any other pregnancy, the emotional and financial investment often makes the loss particularly challenging.

IVF Babies

Are Babies Born Via IVF Different?

A common question that many prospective parents have is whether babies born via IVF are different from those conceived naturally. The answer is largely no, with a few caveats:

Physical and Cognitive Development: Studies have shown that babies born via IVF generally reach the same developmental milestones as those conceived naturally. They grow at similar rates and show no significant differences in cognitive abilities.
Health Risks: Babies born via IVF have the same rate of congenital malformations as naturally conceived babies. However, they may be at a slightly higher risk for low birth weight if multiple embryos were transferred.
Genetic Screening: One advantage of IVF is the option for Preimplantation Genetic Screening (PGS), which can identify embryos with chromosomal abnormalities before implantation. This can be particularly beneficial for older parents or those with a history of genetic disorders.

Conclusion

The journey of IVF pregnancy is a special and unique adventure filled with its own set of rewarding experiences, opportunities for growth, and moments of joy. From the first steps of understanding the IVF process to navigating its distinct milestones, this path is a celebration of informed choices and proactive wellness. While IVF pregnancies may begin with expert medical guidance and benefit from enhanced monitoring in the early stages, they unfold into beautiful, full-fledged pregnancies that are every bit as magical as any other.

At Motherhood Hospitals, we have a team of experienced specialists backed by the latest infrastructure and facilities. We have the best IVF Specialist in Chandigarh.

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

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