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

Labor Induction When Is It Necessary and What Are the Methods

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, 

Consultant Obstetrician and Gynaecologist, Mohali.

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

Introduction:

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

Section 1: Circumstances Necessitating Labor Induction

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

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

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

Section 2: Methods of Labor Induction

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

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

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

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

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

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

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

Section 4: Risks and Precautions

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

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

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

Section 5: Preparing for Labor Induction

Preparation is key to a smoother labor induction experience:

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

Section 6: Conclusion

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

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

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

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

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

Fear of Labour and Childbirth: Understanding and Overcoming the Dread

fear of labour and childbirth

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

  1. 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.
  2. 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

  1. 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.
  1. Professional Support:
  • A doula can provide support, information, and advocacy during pregnancy, labour, and postpartum, making the process less intimidating.
  1. Mindfulness and Relaxation Techniques:
  • Practices like yoga, meditation, and breathing exercises can help manage stress and anxiety, providing a calming effect.
  1. Positive Reinforcement:
  • Surrounding oneself with positive childbirth stories and avoiding negative narratives can help in fostering a positive outlook towards childbirth.
  1. 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.

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

Superfoods for Easy, Comfortable, and Smooth delivery

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, 

Consultant Obstetrician and Gynaecologist, Mohali.

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

Introduction:

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

Why Superfoods?

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

List of Superfoods for a Smooth Delivery

1. Spinach

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

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

2. Almonds

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

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

3. Yogurt

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

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

4. Lentils

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

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

5. Berries

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

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

6. Avocado

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

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

7. Chia Seeds

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

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

8. Sweet Potatoes

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

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

Cultural Context

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

Consulting Healthcare Providers

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

Why Consult a Doctor?

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

Role of a Certified Dietitian

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

Allergy Checks and Food Sensitivities

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

Medication and Food Interactions

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

Traditional and Cultural Beliefs

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

Informed Choices

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

Conclusion

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

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

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

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

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

Signs Your Child Should See a Paediatric Urologist

signs of neurological issues in child

Author – Dr. Pawan Deep Singh

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

Signs Your Child Should See a Paediatric Urologist

Introduction:

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

What Does a Paediatric Urologist Do?

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

Signs Your Child Should See a Paediatric Urologist

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

1. Bedwetting and Bladder Issues

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

2. Urinary Tract Infection

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

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

3. Congenital Issues

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

What are the Telltale Signs of Urologic Condition?

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

1. Pain while urinating.

2. Burning or stinging sensation when urinating.

3. Frequent urination.

4. An urgent need to urinate.

5. Foul smell in the urine.

6. Cloudy or bloody urine.

7. Pain in the lower back.

8. Pain around the bladder.

9. Fever.

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

How to Deal with High-Risk Pregnancy? 

how to deal with high risk pregnancy

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology.

How to Deal with High-Risk Pregnancy? 

Introduction

A few moments in life are as powerful as the joy of getting pregnant. If, however, you have been diagnosed with a high-risk pregnancy, the emotions can turn towards anxiety and concern. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, high-risk pregnancies can also have healthy babies and safe outcomes with early and regular prenatal care. Of course, a high-risk pregnancy will demand additional changes from your end, hence, it is important to have the best pregnancy doctor in Gurgaon by your side during this crucial period. 

How to Deal with High-Risk Pregnancy? 

If you are diagnosed with a high-risk pregnancy and wish to know how to deal with it, here is all you need to know: 

1. Stay Informed 

A high-risk pregnancy is a condition that can potentially harm either the health of the child, mother, or both. The best pregnancy doctor in Gurgaon says that a lot of contributing factors can result in high-risk pregnancy. Conditions such as high blood pressure, preeclampsia, twins, placenta previa, gestational diabetes, and previous miscarriages generally lead to high-risk pregnancies. If you fall into any of these, it is important to get yourself checked before getting pregnant to avoid complications. 

2. Create a Plan with Your Doctor 

 By discussing your outcomes with the laparoscopic surgeon in Gurgaon, you will have a proactive plan in hand which will give you peace of mind. Hence, you need to discuss this with your obstetrician and attend all prenatal care appointments.  

3. Prioritize Your Self-Care 

By prioritizing your self-care, you will ensure better outcomes for yourself and the baby. Self-care ensures a healthy diet, reduced exposure to toxins, exercise, getting enough sleep, and avoiding situations that create stress.  

4. Listen to Your Body 

 Do not expect too much from yourself and listen to what your body is telling you. If you need some rest, allow yourself to sleep. Since your body is growing a foetus, you may not have enough energy throughout the day. Listen to your body and if you feel something is not normal, consult the best pregnancy doctor in Gurgaon at the earliest. 

5. Address Mental Health Concerns 

Research shows that depression is common in women with high-risk pregnancies. You need to know that such feelings may arise and it is alright to feel this way. A lot of women tune into the vicious cycle of blaming themselves for the difficult pregnancy but it is not the truth. If you ever feel that the pregnancy is taking a toll on your mental health, visit Dr Preety Aggarwal at the Motherhood Hospitals. 

6. Have a Support System 

Surround yourself with people whom you are comfortable with and who care for you. High-risk pregnancy will ask you to make several lifestyle changes that may also require you to scale back on commitments or obligations. Hence, having a core group of family and friends during this time can take you out of the guilt. If needed, you can also join a high-risk pregnancy support group in Gurgaon or share your concerns or feelings with your doctor. 

7. Develop a Right Mindset 

Stress and anxiety can trigger your pregnancy. Staying relaxed and calm, however, can help you in overall wellbeing. Despite how jittery you feel, make sure to do things that make you happy. This will help you regain a sense of normalcy and take your mind off worries. 

High-risk pregnancy can be difficult to manage with all the growing concerns and worries. With the right support, however, you can surpass this with better outcomes. If you need an expert to help you on this journey, consult Dr Preety Aggarwal at the Motherhood Hospitals. 

Preparing for Pregnancy: A Checklist for First-time Mothers 

preparing for pregnancy checklist

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. 

Low Blood Pressure in Pregnancy and Its Treatment 

low blood pressure in pregnancy

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Low Blood Pressure in Pregnancy and Its Treatment 

Introduction

 According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, a woman’s body goes through several hormonal and physiological changes during pregnancy. Some of these changes can also cause gestational diabetes or low blood pressure (hypotension). To nourish the growing foetus, the blood vessels in the woman’s body are dilated. This also reduces blood pressure and may also affect the baby if left untreated. Low blood pressure is common during pregnancy and can also be managed by dietary and lifestyle changes.  

What Causes Low Blood Pressure in Pregnancy? 

The best gynaecologist in sector 57 tells us that low blood pressure in pregnancy lasts for close to 24 weeks and resolves on its own as the mother’s body starts adjusting to the pregnancy. A prolonged lowering of blood pressure, however, is detrimental to the health of the mother and the baby.  

The common reasons behind low BP are: 

1. The hormones responsible for the baby’s growth cause dilation of blood vessels. 

2. A growing foetus utilizes your energy for cell division and growth so you feel low on energy levels. 

3. Since nausea and vomiting are also common in pregnancy, the diet slows down which also leads to low energy. 

The other causes also include: 

1. Dehydration. 

2. Excessive vomiting. 

3. Anaemia. 

4. Loss of blood or internal bleeding. 

5. Infections. 

6. Other medical conditions include heart disease. 

What are the Symptoms of Low Blood Pressure? 

The gynaecologist in Gurgaon states the following common low blood pressure symptoms: 

1. Nausea. 

2. Fatigue. 

3. Weakness. 

4. Increased thirst. 

5. Lethargy. 

6. Double or blurred vision. 

7. Weakness. 

8. Cold skin. 

 It is important to note that the initial symptoms of hypotension may not be alarming. A sudden drop in BP, however, can cause: 

1. Falls and shock. 

2. Organ damage. 

3. Ectopic pregnancy. 

 A continued low BP can be fatal for the growing foetus and the mother. Hence, you should reach out to the gynaecologist in Gurgaon for immediate support. 

What is the Treatment for Low Blood Pressure During Pregnancy? 

Since hypotension is common during pregnancy, it is usually managed by medications. Apart from medications, the best gynaecologist in sector 57 also recommends lifestyle modifications, this includes: 

1. Diet 

The diet in pregnancy should include a balanced meal. You can create small portions and frequent meals throughout the day instead of one large meal to avoid nausea. Apart from this, make sure to hydrate yourself with coconut water or fruit juices. 

2. Adequate Rest 

If you have low BP, do not get up abruptly from a seated position or while lying on the bed to prevent sudden changes in BP. If you feel dizzy, lie on your left side to increase blood flow to the heart. Make sure that you give yourself sufficient rest. You can also try wearing loose clothes or high-knee compression stockings to improve your blood circulation. 

3. Exercise 

Although sudden physical activity may not be suitable for women with low BP, moderate exercise may help you in the long run. Before starting any workout regime, make sure that you consult a gynaecologist in Gurgaon to prevent complications. 

If you are experiencing low blood pressure during pregnancy, it is important to know when to seek medical attention. You should contact Dr Preety Aggarwal at the Motherhood Hospitals if you are experiencing prolonged symptoms.  

Cervical Cerclage: Procedure & Female Infertility Treatment 

cervical cancer

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Cervical Cerclage: Procedure & Female Infertility Treatment 

Introduction

 Throughout the pregnancy, the cervix remains long and firm. It, however, begins to dilate and soften to allow passage of the foetus. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, the cervix in some women may lose its integrity and can result in miscarriage or preterm birth. In such cases, the best pregnancy doctor in Gurgaon suggests cervical cerclage to prevent complications. 

 What is Cervical Cerclage? 

 Cervical cerclage is a procedure to keep your cervix closed during pregnancy to prevent immature birth due to a weak cervix. If your cervix is weakened, your best pregnancy doctor in Gurgaon will recommend the procedure at the earliest. This will ensure that the foetus is inside of your uterus.  

 During this procedure, the laparoscopic surgeon in Gurgaon will place one or several sutures in the opening of your cervix to keep it closed during pregnancy.  

When a Cervical Cerclage is Performed? 

 Cervical cerclage may be recommended for several reasons, such as: 

1. Weak or incompetent cervix: At times the cervix may become weak due to past surgeries on the cervical tissues. 

2. Past miscarriages: A past miscarriage can also cause an abnormally shaped uterus or damage to the cervix. A past miscarriage in the second trimester usually causes a weak cervix. 

If your best pregnancy doctor in Gurgaon thinks that you require a cervical cerclage, they will perform it for about 12 to 14 weeks into your pregnancy way before the cervix thins out. 

 How is Cervical Cerclage Performed? 

 During a cervical cerclage: 

1. You will be given a pain-numbing medication or a local anaesthetic. 

2. After the anaesthesia takes effect, your doctor will stitch your cervix with strong sutures. This will tighten and secure the cervix. 

 The surgery may cause a slight discomfort and pain. Some patients also experience cramping, light bleeding, or spotting for a few days after the procedure. If, however, you feel abnormal pain after the procedure, contact your laparoscopic surgeon in Gurgaon at the earliest.  

 How is Recovery after the Procedure? 

 After your procedure, you will be discharged on the same day. You should, however, ensure proper rest for at least 10 days after the surgery to let your stitches heal. Make sure that you follow all the instructions given by the doctor including follow-up appointments to monitor your pregnancy. 

 What are the Risks After the Cervical Cerclage? 

 A cervical cerclage is recommended only in severe situations. The best pregnancy doctor in Gurgaon will only recommend the procedure if the benefits outweigh the risks. You may experience certain complications after the procedure such as: 

1. Bleeding. 

2. Infection in the cervix. 

3. Premature rupture of membrane; you may experience your water breaking. This may lead to preterm labour. If you notice, any spotting after the procedure, make sure that you visit your doctor immediately. 

4. Preterm labour. 

5. Cervical stenosis. 

6. Scar tissues on your cervix. 

7. Tearing of cervix or uterus. 

When Should You Visit a Doctor After the Procedure? 

 Cervical cerclage is usually safe; however, you may experience certain complications as mentioned above. You should visit your doctor at the earliest if you notice the following: 

1. A high fever. 

2. Contractions in the lower abdomen. 

3. Foul-smelling discharge from the vagina. 

4. Water breaking or leaking. 

5. Excessive bleeding. 

Cervical cerclage is a common procedure performed to improve cervical integrity and prevent preterm birth. The procedure, however, should only be performed by the best pregnancy doctor in Gurgaon to avoid complications. You can visit Dr Preety Aggarwal at the Motherhood Hospitals for consultation and expert guidance.  

5 Key Nutrients for a Healthy Pregnancy Diet and Their Benefits  

5 Key Nutrients Every Pregnant Woman Should Prioritizes

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

5 Key Nutrients for a Healthy Pregnancy Diet and Their Benefits 

Introduction

During pregnancy, the mother must provide nutrition to herself and the baby. Hence, the nutritional requirements are higher during pregnancy. Out of which, certain vitamins are crucial for the overall development of the baby. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology taking prenatal vitamins and eating healthy foods can help you get all the nutrients for you and the baby. The best gynecologist in sector 57 creates a treatment plan that has a balance of both prenatal vitamins and foods to give you the required nourishment. 

5 Key Nutrients for a Healthy Pregnancy Diet and Their Benefits 

Prenatal vitamins are multivitamins specifically crucial for pregnant women. Compared to regular multivitamins, these have more nutrients that meet the requirements during pregnancy. The gynecologist in Gurgaon recommends the following vitamins during pregnancy: 

1. Folic Acid 

Folic acid is vitamin B that is required for the healthy growth and development of the body. Consumption of folic acid before and during pregnancy can help prevent birth defects including spina bifida. During pregnancy 600 mcg of folic acid is recommended. Do not, however, self-administer and consult a gynecologist in Gurgaon for supplements. 

 2. Iron 

Iron is another crucial element that is required to make hemoglobin in the body. Due to excess requirement, iron is needed twice as much during pregnancy than before pregnancy. During pregnancy, you need at least 27 milligrams of iron each day. Apart from this, you can also get iron from food sources. In addition to iron, vitamin C is also required as it increases the absorption of iron in the body.  

3. Calcium 

Calcium is another important mineral that helps in developing a baby’s bones, teeth, heart, nerves, and muscles. The best gynecologist in sector 57 recommends 1000 milligrams of calcium each day. You can meet this requirement by taking prenatal vitamins as well as food sources including dairy, broccoli, and so forth. 

4. Vitamin D 

Vitamin D is also a crucial vitamin as it helps your body to absorb calcium. Moreover, it also helps in the proper functioning of muscles, nerves, immune system, and helps in the growth of teeth and bones. During pregnancy, at least 600 IU (international units) of vitamin D are required daily. You can take the prenatal supplement as prescribed by the best gynecologist in sector 57 and include rich sources of the vitamin in your diet.  

5. Docosahexaenoic Acid (DHA) 

Docosahexaenoic acid also known as omega-3 fatty acid is crucial for the overall growth and development of the baby. During pregnancy, you need DHA for the development of the brain and eyes of the baby. It is also important to note here that all prenatal vitamins might not contain DHA, hence it is best to discuss this with your gynecologist in Gurgaon.  

6. Other Nutrients  

Apart from the above, the other nutrients required for pregnancy are the following: 

1. Iodine 

During pregnancy, iodine is required for the development of the baby’s nervous system. You require at least 220 mcg of iodine every day during pregnancy. Apart from this, you can include iodine-rich sources of food in your diet. 

2. Protein 

 Protein is another important nutrient for the proper growth and development of baby’s tissues and organs. It is also required for increasing blood supply. Focus on completing at least 70 to 100 g of protein per day. 

As much as prenatal vitamins are important during pregnancy, a healthy and balanced diet cannot be sidelined. Make sure that you are eating a nutritious diet and limiting processed food. The best way to ensure this is by getting yourself checked and creating a customized plan with Dr Preety Aggarwal at the Motherhood Hospitals. 

Antenatal Maternal and Fetal Screening

fetal heart monitoringg

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology.

Antenatal Maternal and Fetal Screening

Antenatal tests are an important part of your pregnancy journey as these tests ensure that you and your baby are healthy throughout your pregnancy. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology,  some tests are recommended for everyone while some tests are only recommended for some women who are at a greater risk of a particular condition. Before starting your pregnancy journey, make sure that you discuss these tests with the best pregnancy doctor in Gurgaon. 

What are Antenatal Tests?

Antenatal tests are screening tests and scans that are required to check your and the health of your baby. These tests are particularly important as they are designed to assess the chances of you or your baby having a medical condition. If the best pregnancy doctor in Gurgaon notices a high risk on the screening test, additional diagnostic tests will be conducted to ascertain the condition.  

Which Antenatal Tests are Conducted During Pregnancy? 

Different types of antenatal tests are conducted at different times during pregnancy, including blood tests, urine tests, ultrasound scans, and other tests. It includes: 

1. Screening Tests 

These are conducted to assess if your baby is likely to have a health condition. Screening tests can help you decide if you want to have a diagnostic test. If the best pregnancy doctor in Gurgaon suspects high-risk, a diagnostic test will be conducted. 

2. Diagnostic Tests 

Once a screening test is done, a diagnostic test is conducted to ascertain if your baby has a health condition. Moreover, diagnostic tests also indicate some risks for your baby including miscarriages.  

3. Blood Pressure Check 

The best pregnancy doctor in Gurgaon will conduct a blood pressure check to ensure you do not have preeclampsia. Preeclampsia refers to high blood pressure occurring after the 20th week of pregnancy. It can lead to serious problems. Hence, blood pressure must be monitored. 

4. Urine Test 

A urine test will be conducted to check for infections including kidney or bladder infections. Moreover, a high amount of protein in the urine may also be a sign of preeclampsia. 

5. Blood Tests 

A blood test will also be conducted to check for certain infections including syphilis, hepatitis B or HIV. Furthermore, a blood test is also used to find out your blood type and Rh factor to check for anaemia. This is important to safeguard the health of the baby. 

6. Foetal DNA Testing 

A foetal DNA test checks your blood for your baby’s DNA. The DNA is evaluated for certain genetic conditions including Down’s syndrome. It also ascertains if your baby has a birth defect or not. 

7. Chorionic Villus Sampling (CVS) 

This diagnostic test is also conducted to check if your baby has any genetic condition. In this test, a tissue from the placenta is checked at 10-13 weeks of pregnancy. The test will usually be conducted if you have a family history of genetic conditions. 

8. Ultrasound 

An ultrasound uses sound waves to picture your baby inside the womb. This is done to ensure that your baby is growing correctly. 

9. Maternal Blood Screening 

This is another screening test that checks your blood to see if your baby is at risk of birth defects. The test is usually conducted at 15-22 weeks of pregnancy. 

Antenatal maternal and foetal screening is important to ensure that the pregnancy is safe. It also checks if the baby and mother are not at risk or if the baby may develop any genetic condition. The tests should be conducted at certain time intervals. To create a pregnancy plan, you can consult Dr Preety Aggarwal  at the Motherhood Hospitals.