How To Relieve Menstrual Cramps? – 8 Simple Tips

Author: Dr. Sonal Singhal, MBBS, MD

Consultant: Obstetrician & Gynaecologist at Motherhood Hospital, Gurgaon.

Introduction:

Millions of women worldwide experience dysmenorrhea, the medical term for menstrual cramps, every month. These cramps can seriously interfere with everyday life and are frequently accompanied by additional symptoms such as bloating, exhaustion, and mood swings. Menstrual cramps can be efficiently managed and alleviated, though, with the correct tactics. Here are some useful tips:

1. Heat Therapy:

Menstrual cramps can be quickly relieved by applying heat to the lower abdomen. To relieve the pain, apply a heating pad, a warm towel, or even a hot water bottle. The warmth lessens the intensity of the cramps by relaxing the muscles.

2. Over-the-Counter Painkillers:

Ibuprofen, aspirin, and naproxen sodium are examples of over-the-counter pain relievers that can be used to treat menstrual cramps. These medications relieve discomfort by lowering inflammation and obstructing pain signals.

3. Exercise:

Getting regular exercise will help lessen the intensity and length of period cramps. Exercise increases blood circulation, which reduces cramping, and releases endorphins, which are the body’s natural analgesics.

4. Healthy Diet:

Menstrual cramps can be lessened by eating a balanced diet full of fruits, vegetables, whole grains, and lean meats. Reducing alcohol, coffee, and foods heavy in salt can also help ease discomfort and bloating.

5. Hydration:

Getting enough water in your diet will help minimize bloating and lessen the intensity of your period cramps. Drinking enough water will improve general health and potentially lessen some menstrual-related discomfort.

6. Herbal Remedies:

Several herbal medicines, including those containing chamomile, ginger, and cinnamon, have anti-inflammatory qualities that may help reduce period cramps. Before attempting any herbal therapies, you should, however, speak with a healthcare professional, particularly if you have any underlying medical concerns or are taking medication.

7. Relaxation Methods:

Reducing stress and muscle tension, which can worsen menstrual cramps, can be achieved by practicing relaxation methods like deep breathing, yoga, or meditation. By implementing these methods into your regular practice, you can improve your general health and reduce menstrual discomfort.

8. Warm Baths:

Relaxing your muscles and easing menstruation cramps can be achieved by taking a warm bath or shower. Epsom salts or essential oils like peppermint or lavender can intensify the calming effects and offer more relief.

Speak with Your Healthcare practitioner:

It’s critical to speak with your healthcare practitioner if your menstrual cramps are severe or ongoing. They can assist in ruling out any underlying medical issues and offer tailored advice on how to treat your symptoms.

Even though period cramps can be terrible, there are a variety of techniques for managing and easing them. You may lessen the discomfort of your menstrual cycle and have a healthier, more comfortable menstrual cycle by adopting these lifestyle changes. Always pay attention to what your body is telling you, and if you have severe or enduring symptoms, consult a doctor.

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

Do make an appointment with the best women’s care hospital in Gurgaon at a center closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life.

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

Benefits of Consuming Folic Acid Tablets For Pregnancy/During Pregnancy

Author: Dr. Tejinder Kaur

MBBS, Diploma in Hospital Administration, Diploma of National Board training, Fellowship in Reproductive Medicine

Consultant: Obstetrician & Gynaecologist at Motherhood Hospital, Mohali

Introduction:

Most doctors advise women of reproductive age to take folic acid, which does not necessarily help women get pregnant but certainly does help prevent congenital disabilities or birth defects and pregnancy complications. Folic acid becomes a significant part of any woman’s pregnancy journey. Another crucial supplement to boost a healthy pregnancy is Vitamin D.

Some women might be recommended higher doses of folic acid for pregnancy due to various medical reasons, such as neural tube defects or severe cases of anemia. Folic acid tablets are available in most pharmacies and hospitals. Women trying to conceive must have the respective folic acid dose prescribed.

Folic acid tablets for pregnancy are a vital component of prenatal care, offering a multitude of benefits for both mother and baby. Let’s take a more detailed look into why folic acid plays a crucial role during pregnancy.

What is Folic Acid?

Folic acid, a synthetic form of folate, belongs to the B-vitamin family, specifically B9. It is a crucial building block for DNA synthesis, red blood cell formation, and cell division. Essentially, folic acid aids in rapid cell growth and tissue formation, making it indispensable for fetal development.

Why is Folic Acid Essential Before and During Pregnancy?

Before conception and during early pregnancy, folic acid plays a pivotal role in preventing neural tube defects (NTDs) like spina bifida and anencephaly. NTDs occur in the early stages of pregnancy when the neural tube fails to close correctly, potentially leading to severe complications in the baby’s brain and spine. Adequate folic acid intake significantly reduces the risk of such birth defects.

When Should We Start Taking Folic Acid?

Ideally, women planning to conceive should start taking folic acid supplements at least three month before conception. Since neural tube defects develop in the early weeks of pregnancy, having sufficient folic acid in the body during this critical period is vital. However, if the pregnancy is unplanned, it’s imperative to begin folic acid supplementation as soon as possible after discovering the pregnancy.

Benefits of Consuming Folic Acid Tablets for Pregnancy

Folic acid supplements help pregnant women reduce and prevent pregnancy complications, contribute to the growth and healthy development of the fetus, and keep the new mother healthy and free of health complications, ensuring a safe pregnancy journey.

Some of the folic acid uses are listed below:

Prevents Neural Tube Defects: Neural Tube Defects are congenital disabilities or birth defects that affect the baby’s brain and spine. Taking folic acid regularly can help prevent neural tube defects, making it one of the most crucial reasons why women must take folic acid during and before pregnancy. Some of the most common neural tube defects are spina bifida (spinal cord defect), anencephaly (brain defect) and encephalocele (brain defect).
Brain Development: Another benefit of folic acid for pregnant women is that it helps form the baby’s brain nervous system and builds a solid foundation for cognitive development.
Prevents Miscarriage: Women taking folic acid supplements are at a lower risk of having a miscarriage. Folic acid can also help prevent preterm birth, as suggested in studies.
Prevents Heart Defects: Taking adequate folic acid helps during the baby’s heart development. Folic acid also lowers the risk of congenital heart defects.
Placental Development: Apart from helping in the healthy development of babies in the womb, it also aids in healthy placental development. The placenta must develop well, as it is essential for supplying oxygen and nutrients to the growing fetus or the baby.
Reduces Low Birth Weight Risk: Taking folic acid supplements reduces the risks of low birth weight. Low birth weight may be due to many reasons, including health complications for the baby.
Risk of Preeclampsia: Folic acid supplements lower the dangers of preeclampsia. Preeclampsia is a pregnancy complication that leads to high blood pressure.
Production of Red Blood Cells: The production of red blood cells during pregnancy is essential, supported by folic acid supplements. The supplements also help prevent maternal anemia during pregnancy.
Reduces the Risk of Autism: Many studies suggest that folic acid can potentially reduce the risks of having a baby in the autism spectrum. However, more research has yet to prove the same.
Risk of Cleft Lip: Taking folic acid supplements also lowers and reduces the risks of cleft lip or palate. A cleft lip or palate is when the baby’s upper lip or the palate does not join together.

How Much Folic Acid Should I Take?

Pregnant women’s recommended daily folic acid intake is 400 micrograms (mcg). However, women with certain risk factors may require higher doses, as their healthcare provider advises.

Is Folate and Folic Acid the Same?

While folate and folic acid are often used interchangeably, they are different. Folate refers to the natural form of the vitamin found in foods, while folic acid is the synthetic form used in supplements and fortified foods. Both are essential for prenatal care, with folic acid more readily absorbed by the body.

How Can I Get Enough Folic Acid?

Besides supplements, folic acid can be obtained through a balanced diet rich in folate-rich foods such as leafy greens, citrus fruits, beans, lentils, fortified cereals, and nuts. However, getting the recommended amount through diet alone is often challenging, making supplementation crucial during pregnancy.

Folic Acid Side Effects

While folic acid is generally considered safe, high doses may cause side effects such as nausea, bloating, and abdominal cramps. Sticking to the recommended dosage and consulting a healthcare provider if experiencing any adverse reactions are essential.

For a healthy pregnancy, women must take folic acid before and during pregnancy. However, most importantly, women must make sure to take some important supplements during pregnancy and include a healthy and balanced diet which includes – spinach, kale, brussels sprouts, cabbage, broccoli

beans and legumes (e.g. peas, blackeye beans), oranges and orange juice, wheat bran and other whole-grain foods, poultry, shellfish, liver, and others.

During pregnancy, women must not resort to bad habits like smoking, drinking or having too much junk food. Pregnant women must have repeated visits to their respective doctors and continue their folic acid supplements. It is not rare for doctors to recommend prenatal vitamins along with folic acid. Being candid about medical issues with the doctor becomes crucial as it helps the doctor understand and identify the correct dose the pregnant woman needs.

Women can significantly reduce the risk of congenital disabilities and complications, paving the way for a healthy pregnancy and a happy, thriving baby.

If you are on the verge of menopause or are going through menopause along with urinary symptoms, consult Dr Tejinder Kaur 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 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’s 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. Tejinder Kaur, please book your appointment here.

Navigating Radiology: Ensuring Safe Imaging During Pregnancy

Author: Dr. Archit Singhal

MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine,

Consultant – Fetal Medicine Specialist, Noida.

Introduction:

Pregnancy is a delicate and miraculous journey, and ensuring the well-being of both the mother and the growing fetus is of utmost importance. . According to Dr. Archit Singhal, MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine, Consultant – Fetal Medicine Specialist, Motherhood Hospitals, Noida, frequently encounter questions about the safety of X-rays, and it’s crucial to provide accurate information to alleviate concerns and guide expectant mothers through their healthcare decisions.

Understanding X-rays:

X-rays are a form of electromagnetic radiation commonly used in medical imaging. They are invaluable tools for diagnosing and monitoring various health conditions. However, when it comes to pregnancy, the potential risks associated with ionizing radiation raise concerns.

The Risk-Benefit Analysis:

The key question is:

Are X-rays safe during pregnancy? The answer lies in a comprehensive risk-benefit analysis.

Low Dose, Low Risk:

Diagnostic X-rays, when performed with proper shielding and at the lowest possible dose, carry minimal risk to the developing fetus. Most diagnostic imaging studies use low doses of radiation, which further reduces the potential harm.

Targeted Imaging:

Radiologists and healthcare professionals always aim for precision in imaging. The focus is on capturing the necessary images while minimizing exposure to surrounding tissues. For instance, dental X-rays and some diagnostic imaging can be safely conducted with proper precautions.

Radiation Levels and Timing:

The critical factor is the timing of exposure and the radiation dose. The first trimester is the most vulnerable period for the developing fetus. Therefore, if a diagnostic test can be postponed until after the first trimester or if an alternative imaging method that doesn’t involve ionizing radiation is available, it is often recommended.

Common Scenarios:

Dental X-rays:

Routine dental X-rays, performed with lead shielding, are generally considered safe during pregnancy. It’s important to inform your dentist about your pregnancy, allowing them to take additional precautions.

Diagnostic Imaging:

In cases where diagnostic imaging is imperative for medical reasons, such as identifying a potential issue, the benefits of accurate diagnosis often outweigh the potential risks. However, alternative imaging methods, such as ultrasound or magnetic resonance imaging (MRI), might be considered, especially during the first trimester.

Conclusion:

The safety of X-rays during pregnancy is contingent on various factors, including the timing of exposure, the specific medical necessity, and the precautions taken. Open communication between the expectant mother, the referring physician, and the radiologist is paramount.

As a Radiologist and Fetal Medicine specialist, Dr. Archit Singhal believes in the power of technology to enhance our understanding of pregnancy and improve outcomes for both mothers and babies. Doppler ultrasound exemplifies this commitment, offering a window into the intricate world of fetal development and ensuring that every pregnancy is monitored with precision and care.

If you have any questions or concerns about Doppler ultrasound or prenatal care in general, feel free to reach out to Dr. Archit Singhal, Motherhood Hospitals, Noida. Remember, informed and proactive care is the key to a healthy and joyous pregnancy. please book your appointment here.

Please make an appointment with the best women’s care hospital in Noida at a center closest to you. Please meet with our doctors who will conduct the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life.

Navigating Radiological Tests During Pregnancy: Ensuring Safety for Mother and Child

Author: Dr. Archit Singhal

MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine,

Consultant – Fetal Medicine Specialist, Noida.

Introduction:

Pregnancy is a delicate and pivotal period in a woman’s life, and the well-being of both the mother and the unborn child is of utmost importance. According to Dr. Archit Singhal, MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine, Consultant – Fetal Medicine Specialist, Motherhood Hospitals, Noida, Radiological tests, including X-rays, CT scans, and MRIs, involve exposure to ionizing radiation or strong magnetic fields, prompting apprehension among pregnant women. In this blog, we will delve into the nuances of this topic to help you make informed decisions regarding radiological tests during pregnancy.

Understanding the Concerns:

The primary concern associated with radiological tests during pregnancy revolves around potential harm to the developing fetus. Ionizing radiation has the ability to ionize atoms and molecules, potentially causing damage to DNA. However, it’s crucial to recognize that the risk depends on the type and amount of radiation, as well as the stage of pregnancy.

Trimester Matters:

The first trimester is considered the most sensitive period for fetal development. During this time, the organs and tissues are forming, making the fetus more vulnerable to the potential effects of radiation. In contrast, the second and third trimesters are generally considered to be less susceptible to radiation-related risks.

Types of Radiological Tests:

X-rays:

When possible, X-rays are usually avoided during pregnancy, especially in the abdominal and pelvic regions. However, if a diagnostic X-ray is deemed essential, abdominal shielding can be employed to minimize fetal exposure.

CT Scans:

Computed Tomography (CT) scans involve higher doses of radiation compared to X-rays. Nevertheless, if the information gained from a CT scan is crucial for diagnosis, the benefits may outweigh the potential risks. The use of shielding and adjustments to imaging protocols can minimize radiation exposure.

MRI:

Magnetic Resonance Imaging (MRI) does not use ionizing radiation but powerful magnetic fields. As of current knowledge, MRI is considered safe during pregnancy, particularly after the first trimester. However, it’s vital to inform the radiologist about the pregnancy so that appropriate safety measures can be taken.

Balancing Act:

In many cases, the decision to undergo a radiological test during pregnancy involves a delicate balance between the diagnostic benefits and potential risks. If a test is deemed necessary for accurate diagnosis and management of a health condition, healthcare providers will carefully assess the potential risks and take appropriate measures to minimize them.

Key Takeaways:

Communication is Key:

It is imperative for pregnant women to communicate their condition to their healthcare providers. This ensures that appropriate precautions are taken, and alternative imaging modalities are considered when feasible.

Informed Decision-Making:

Pregnant women and their healthcare providers should engage in open discussions about the necessity of any radiological test. The decision should be based on a thorough understanding of the potential risks and benefits.

Minimizing Exposure:

When radiological tests are unavoidable, steps such as the use of shielding, adjustments to imaging protocols, and selecting imaging modalities with lower or no ionizing radiation can help minimize fetal exposure.

Conclusion:

While caution is warranted, radiological tests can be conducted during pregnancy when necessary, provided that the potential risks are carefully evaluated and appropriate precautions are taken. Every case is unique, and decisions should be made collaboratively between the patient and healthcare provider.

Remember, a well-informed and open dialogue between the expectant mother and the healthcare team is the cornerstone of ensuring the safety and well-being of both mother and child during pregnancy.

Decoding the Wonders of Pregnancy: When and Why Ultrasound Scans Take Center Stage

Author: Dr. Archit Singhal

MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine,

Consultant – Fetal Medicine Specialist, Noida.

Introduction:

Bringing a new life into the world is a miraculous journey, and modern medicine has provided us with incredible tools to witness and monitor this process. One such invaluable tool is the ultrasound scan, a window into the womb that allows healthcare professionals to ensure the well-being of both the mother and the developing fetus According to Dr. Archit Singhal, MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine, Consultant – Fetal Medicine Specialist, Motherhood Hospitals, Noida, Peoples often asked about the significance of ultrasound scans during pregnancy. In this blog, we will unravel the mysteries surrounding the timing and purpose of these scans.

The Timing of Ultrasound Scans:

Ultrasound scans are a routine part of prenatal care, and their timing is strategic, providing crucial insights at different stages of pregnancy. The American College of Obstetricians and Gynecologists (ACOG) recommends the following schedule for ultrasound scans:

First Trimester (6-13 weeks):

Dating Scan: This initial scan helps determine the gestational age, estimated due date, and the number of fetuses.

Nuchal Translucency (NT) Scan: Conducted between 11 and 14 weeks, this scan assesses the risk of chromosomal abnormalities.

Second Trimester (18-22 weeks):

Anatomy Scan: Also known as the mid-pregnancy scan, it provides a detailed look at the baby’s anatomy, ensuring normal development.

Gender Identification: For parents who wish to know, this is often the time when the baby’s gender can be determined.

Third Trimester (28-32 weeks or as needed):

Growth Scan: Monitors the baby’s growth and checks the amniotic fluid levels.

Position Scan: Determines the baby’s position in preparation for delivery.

The Why Behind Ultrasound Scans:

Monitoring Fetal Development:

Ultrasound scans allow us to closely monitor the baby’s growth, ensuring that the fetus is developing at the expected rate.

Detecting Abnormalities:

Early ultrasounds, especially the NT scan and anatomy scan, help identify potential chromosomal abnormalities or structural defects in the fetus.

Ensuring Placental Health:

Scans help assess the health and position of the placenta, vital for the baby’s nourishment.

Guiding Medical Interventions:

In cases of high-risk pregnancies or complications, ultrasound scans provide essential information to guide medical interventions and treatment plans.

Preparing for Delivery:

The position scan in the third trimester helps healthcare providers determine the best mode of delivery and anticipate any potential challenges.

Bonding and Reassurance:

Beyond medical necessity, ultrasound scans offer an emotional connection for parents, providing glimpses of their growing baby and fostering a sense of reassurance.

Conclusion:

Ultrasound scans during pregnancy are not just routine procedures; they are windows into the intricate process of fetal development. These scans empower healthcare professionals to ensure the health and well-being of both the mother and the unborn child. As we continue to unlock the mysteries of pregnancy, ultrasound technology stands as a beacon, guiding us through this miraculous journey.

Decoding the Wonders of Doppler Ultrasound in Pregnancy: A Radiologist’s Perspective

Author: Dr. Archit Singhal

MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine,

Consultant – Fetal Medicine Specialist, Noida.

Pregnancy is a miraculous journey filled with anticipation and joy, but it also comes with its fair share of concerns and uncertainties. According to Dr. Archit Singhal, MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine, Consultant – Fetal Medicine Specialist, Motherhood Hospitals, Noida, One of the crucial aspects of prenatal care is monitoring the well-being of both the mother and the growing baby. This is where Doppler ultrasound proves to be an invaluable tool, providing crucial insights that help ensure a healthy pregnancy.

Understanding Doppler Ultrasound

Doppler ultrasound is a specialized imaging technique that measures the blood flow in different parts of the body. In the context of pregnancy, it is commonly used to assess blood flow in the umbilical cord, uterus, and fetal blood vessels. The technology employs sound waves to detect and analyze the movement of red blood cells, providing real-time information about the blood circulation in the placenta and the fetus.

Why Doppler Ultrasound is Essential During Pregnancy

Monitoring Fetal Well-being:

Doppler ultrasound plays a pivotal role in assessing the well-being of the developing fetus. By evaluating blood flow in the umbilical cord and other vital vessels, healthcare professionals can ensure that the baby is receiving an adequate oxygen and nutrient supply. This is crucial for identifying and addressing any potential issues early on.

Identifying Complications:

Certain pregnancy complications, such as preeclampsia and intrauterine growth restriction (IUGR), can impact blood flow to the fetus. Doppler ultrasound helps in early detection of these complications, allowing for timely intervention and management to safeguard both the mother and the baby.

Monitoring Twin Pregnancies:

In cases of multiple pregnancies, such as twins or triplets, Doppler ultrasound becomes even more vital. It aids in monitoring the blood flow to each fetus individually, ensuring that both babies are growing at a healthy rate and receiving adequate nutrients.

Assessing Placental Function:

The placenta plays a crucial role in supplying nutrients and oxygen to the fetus. Doppler ultrasound helps in evaluating the function of the placenta by assessing blood flow in the uterine arteries. Any abnormalities in placental function can be promptly addressed to prevent complications.

The Procedure:

Doppler ultrasound is a non-invasive and safe procedure that is typically performed during routine prenatal visits. A gel is applied to the mother’s abdomen, and a handheld device called a transducer is moved over the belly to capture images and measurements.

Conclusion:

In conclusion, Doppler ultrasound is an invaluable tool in the field of prenatal care, providing essential information about blood flow and fetal well-being. Its non-invasive nature and ability to detect potential complications early make it an indispensable part of modern obstetric practice.

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

Seasonal flu: its effect on pregnancy, childbirth, and newborns

Author: Dr. Neeraj Kumar

MBBS, DCH, MD

Consultant – Pediatrician, Sector 44, Mohali.

Seasonal flu: its effect on pregnancy, childbirth, and newborns

In India, the seasonal flu, a respiratory illness caused predominantly by the influenza virus, emerges as a significant public health concern. According to Dr. Neeraj Kumar, MBBS, DCH, MD, Consultant – Pediatrician, Sector 44, Mohali, flu infection is seen throughout the year with increased activity in some seasons, causing widespread illness, hospitalization, and even death in severe cases. Its impact is particularly pronounced among vulnerable groups, including pregnant women, infants, the elderly, and individuals with preexisting health conditions.

Understanding the nuances of the seasonal flu is crucial, especially considering its potential repercussions on key life stages such as pregnancy, childbirth, and the health of newborns. The flu’s ability to mutate and adapt only heightens the urgency for continuous education and preventive measures. In a country like India, where diverse climatic conditions and varying healthcare access exist, this becomes even more pertinent. This article aims to delve into the multifaceted impact of the seasonal flu, shedding light on its implications for maternal and child health.

Understanding Seasonal Flu

Defining the Seasonal Flu: More Than Just a Common Cold

At its core, seasonal flu is an acute respiratory infection caused by influenza viruses. Unlike the common cold, which is relatively milder, the flu can escalate from mild symptoms to severe complications. The typical symptoms include high fever, aching muscles, a non-productive cough, severe malaise, and sore throat. Its rapid transmission, primarily through droplets from coughing or sneezing, makes it a formidable adversary during flu seasons.

The Viral Culprits: Influenza Types A, B, and C

In India, the influenza landscape is dominated by three primary virus types: A, B, and C. Each type presents its own set of challenges and epidemiological patterns. Influenza A and B are notorious for causing seasonal epidemics, with A being particularly versatile in its ability to mutate, leading to more severe outbreaks. Influenza C, while less common, still poses a threat due to its ability to cause illness, especially in children.

Understanding these virus types is crucial for developing effective vaccination strategies and public health interventions. The influenza virus’s ability to mutate and adapt to environmental conditions underscores the importance of ongoing surveillance and research, particularly in a country as populous and diverse as India.

Seasonal Flu and Fertility

The Intricate Link Between Influenza and Fertility

While the direct impact of seasonal flu on fertility is a complex area of study, understanding this relationship is crucial, especially for those planning a family. Influenza, known for its systemic effects, can potentially influence reproductive health indirectly. Factors such as fever and the body’s immune response to the flu might temporarily affect fertility in both men and women. This underscores the importance of maintaining overall health and flu prevention during one’s reproductive years.

Preparing for Pregnancy Amidst Flu Risks

For couples planning to conceive, navigating the flu season necessitates a proactive approach. This involves adhering to flu prevention guidelines such as regular vaccination, maintaining good hygiene, and avoiding exposure to infected individuals. These measures are not only vital for protecting one’s health but also play a role in creating a conducive environment for conception. It’s a blend of personal responsibility and awareness that paves the way for a healthy start to pregnancy.

The Impact of Flu on Pregnancy

Navigating Pregnancy During Flu Season: A Delicate Balance

Pregnancy brings about significant changes in the immune system, heart, and lungs. These alterations make pregnant women more susceptible to the flu, which can lead to complications such as pneumonia and hospitalization. The suppressed immune system, increased heart rate, and reduced lung capacity during pregnancy create a delicate balance that requires careful management, particularly during the flu season.

The Risks of Contracting Flu in Pregnancy

The implications of contracting the flu during pregnancy extend beyond the mother’s health. Research indicates an increased risk of miscarriage, preterm birth, and low birth weight in babies born to mothers who suffered from the flu during pregnancy. This highlights the critical need for preventive measures, such as flu vaccinations and practicing good hygiene, to safeguard both the mother and the developing fetus.

Flu Vaccination During Pregnancy

Ensuring the Safety of Mother and Child through Vaccination

Flu vaccination during pregnancy is not just a safety measure for the expecting mother but also a protective shield for the unborn child. Numerous studies, including those conducted in India, have shown that seasonal flu vaccines are safe during pregnancy. They play a crucial role in reducing the risk of severe flu-related complications. Pregnant women are recommended to receive the inactivated influenza vaccine, as it does not contain the live virus, ensuring safety for both the mother and the developing fetus.

The Dual Benefit: Protecting the Mother and the Unborn Baby

The seasonal flu vaccine serves a dual purpose. First, it significantly reduces the mother’s risk of contracting the flu, which is especially important given the altered immune system during pregnancy. Second, it offers indirect protection to the unborn baby. The antibodies developed in the mother as a response to the seasonal flu vaccine cross the placenta, providing the baby with passive immunity that lasts for several months after birth. This aspect is crucial in countries like India, where flu can be rampant, and healthcare accessibility varies.

Flu Complications in Pregnancy

Understanding the Spectrum of Complications

The repercussions of contracting the flu during pregnancy can be far-reaching. There is an increased risk of adverse outcomes such as miscarriage, premature birth, and delivering a baby with low birth weight. These risks are compounded by the physiological changes and immune alterations that occur during pregnancy, making flu not just a personal health issue but also a concern for the developing fetus.

Preventive Strategies and Management

Given the potential severity of flu complications during pregnancy, adopting preventive measures is key. Apart from vaccination, pregnant women are advised to follow rigorous hygiene practices, avoid crowded places during flu season, and maintain a healthy lifestyle to bolster their immune system. In the event of flu symptoms, prompt medical consultation is crucial. Early treatment with antiviral medications can mitigate the severity of the flu and protect both the mother and the baby.

Childbirth and Seasonal Flu

The Flu’s Influence on the Childbirth Process

The presence of the flu during pregnancy can have a profound impact on the childbirth process. While there is no direct correlation between the flu and the mode of delivery (natural birth vs. Cesarean section), the overall health of the mother can influence delivery decisions. For instance, a severe flu episode leading to respiratory complications might necessitate a Cesarean section for the safety of both mother and child.

Preparing for Delivery During Flu Season

Given the risks, it is vital for expecting mothers to take extra precautions during flu season. Regular prenatal check-ups, flu vaccinations, and adherence to health guidelines are essential. Hospitals and maternity wards in India should also have protocols in place to manage pregnant women with flu symptoms, ensuring the safety and well-being of both mother and newborn.

Newborns and Exposure to Flu

The Risks for Newborns Exposed to the Flu

Newborns, particularly those whose mothers had the flu during the last stages of pregnancy, face increased risks of respiratory infections and other flu-related complications. The immature immune system of a newborn makes them more susceptible to the virus, which can lead to severe health issues, including hospitalization in some cases.

Preventive Care and Immediate Response

Preventive steps are crucial in safeguarding newborns from the flu. This includes ensuring that all caregivers are vaccinated and adhere to strict hygiene practices. In cases where the mother had the flu during pregnancy, newborns should be closely monitored for any signs of illness. Immediate medical attention is imperative at the slightest indication of flu symptoms in the newborn. Breastfeeding should be encouraged as it can transfer vital antibodies to the baby, offering additional protection against the flu.

Postpartum Care and Flu Management

Navigating the Postpartum Period Amidst Flu Concerns

The postpartum period is a critical time for new mothers, especially in the context of seasonal flu. The physical and emotional changes accompanying childbirth can make mothers more susceptible to infections, including the flu. Therefore, maintaining robust flu prevention strategies during this period is essential. This includes continuing to practice good hygiene, ensuring proper rest, and considering a seasonal flu vaccine post-delivery if not taken during pregnancy.

Safe Medication and Treatment for New Mothers

When it comes to treating flu symptoms in the postpartum period, caution is paramount, particularly for breastfeeding mothers. Medications like acetaminophen are considered safe for lowering fever and treating aches. However, it is crucial to consult with healthcare providers before taking any medication. Antiviral medications prescribed early in the course of the flu can significantly reduce the duration and severity of symptoms, facilitating a quicker recovery for the mother and minimizing the risk of transmitting the virus to the newborn.

Emphasizing Awareness and Proactive Health Management

In conclusion, the impact of seasonal flu on fertility, pregnancy, childbirth, and newborns is multifaceted, particularly in a diverse and populous country like India. Awareness and understanding of these impacts are crucial for expecting mothers and healthcare providers. Preventive measures, including vaccination and good hygiene practices, play a pivotal role in safeguarding the health of both mothers and their babies.

The key takeaway is the importance of a proactive approach towards health management during these crucial phases of life. Regular consultations with healthcare professionals, adherence to vaccination schedules, and prompt treatment of flu symptoms can significantly mitigate the risks associated with the seasonal flu. By prioritizing maternal and newborn health, we can ensure safer pregnancies and healthier beginnings for the next generation.

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 Neeraj Kumar 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 pediatrician 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 childcare 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 Neeraj Kumar, 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.

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.

How to Prevent Down Syndrome During Pregnancy

Author – Dr Ekawali Gupta

MBBS, MS Degree in OBG, Consultant,

Consultant Obstetrician and Gynaecologist, Mohali.

Understanding Down Syndrome

Introduction:

Down syndrome is a genetic condition that affects a significant number of families worldwide, and India is no exception. With increasing awareness and medical advancements, there are ways to manage and even prevent the risk of having a child with Down syndrome. According to Dr Ekawali Gupta , MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist this blog aims to shed light on this sensitive topic and provide actionable steps for expectant mothers.

What is Down Syndrome?

Down syndrome is a genetic disorder that occurs when an individual has an extra copy of chromosome 21. This additional genetic material alters the course of development and causes the characteristics we associate with Down syndrome.

How is it Caused?

The condition is usually caused by an error in cell division, resulting in an extra full or partial copy of chromosome 21. The reasons for this abnormal cell division are still not entirely understood but are believed to be a combination of genetic and environmental factors.

Risk Factors

Understanding the risk factors associated with Down syndrome can help in taking preventive measures. Here are some of the key factors:

Maternal Age

35-39 Years: Women in this age group have a 1 in 350 chance of having a child with Down syndrome.
40-44 Years: The risk increases to 1 in 100 for women aged between 40 and 44.
45 Years and Above: For women over 45, the risk further escalates to 1 in 30.

Paternal Age

While maternal age is often highlighted, research suggests that advanced paternal age can also contribute to the risk, especially when combined with advanced maternal age.

Previous Child with Down Syndrome

If a family already has a child with Down syndrome, the risk for subsequent children increases. The recurrence risk is about 1% regardless of maternal age.

Genetic Translocation

In some cases, Down syndrome occurs due to a genetic translocation where a part of chromosome 21 attaches to another chromosome. The risk increases if either parent is a balanced carrier of the translocation.

Family History

A family history of Down syndrome or other genetic conditions can elevate the risk. Genetic counseling can provide a clearer picture of the risk based on family medical history.

Family Planning

Early Parenthood: Opting for early parenthood can be a strategic choice, especially for women, as the risk of Down syndrome increases with maternal age.
Genetic Testing Before Pregnancy: Couples with a family history of genetic disorders can opt for genetic testing even before planning a pregnancy.

Pre-implantation Genetic Diagnosis (PGD)

What is PGD?: This technique is used in conjunction with in-vitro fertilization (IVF) to screen embryos for genetic conditions.
Who Should Consider PGD?: Couples who have a high risk of passing on genetic disorders, including Down syndrome, should consider this option.
Limitations: It’s important to note that PGD can be expensive and is not 100% foolproof.

Prenatal Screening

First Trimester: Tests like the nuchal translucency scan can provide early indicators.
Second Trimester: The triple or quadruple test can further assess the risk.
Invasive Testing: In high-risk cases, doctors may recommend invasive tests like amniocentesis or chorionic villus sampling (CVS).

Consulting Healthcare Professionals

Importance of Genetic Counseling

If you’re at a higher risk of having a child with Down syndrome, consulting a genetic counselor can provide valuable insights. They can guide you through the available tests, their implications, and help you make informed decisions.

When to Consult a Doctor

If you’re planning a pregnancy or are already pregnant, it’s crucial to consult a healthcare provider for a comprehensive prenatal care plan. This is especially important for women over the age of 35 or those with a family history of genetic disorders.

Conclusion

Preventing Down syndrome is a complex issue that involves a combination of genetic, environmental, and lifestyle factors. While it’s not entirely preventable, understanding the risk factors and taking proactive steps can significantly reduce the risks. Regular prenatal check-ups, genetic counseling, and advanced screenings are essential components of a proactive healthcare approach.

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.