Family Planning Made Easy – Check Out Our Pregnancy Calculator

Family Planning
Author: Dr. Kavya Krishna Kumar MBBS, FMAS, MS

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

Family Planning

It’s good to know your due date when you are pregnant. And this is much easier if you have a pregnancy calculator. Every woman can use the pregnancy calculator to track her pregnancy schedule and due date.

With pregnancy comes family planning and sometimes it may become overwhelming. The excitement is real, but so is the work and the stress. With a child on the way, family planning becomes more significant.

With the help of a pregnancy week calculator, you, the ‘Mother-to-be’ can keep track of your pregnancy schedule based on the date of your last period, ultrasound, and conception.

Pregnancy Week Calculator

The Pregnancy Week Calculator helps women confirm their pregnancy and track the week of pregnancy they are currently in. Based on that, the woman can plan her visit to the doctor/ check up.

Know your due date using a pregnancy calculator

The Pregnancy Week Calculator by due date helps women to prepare for the delivery date. However, it is essential to note that not every baby is born on the exact estimated due date. Only 4% of all babies are born on the estimated due date. Some are born within weeks of the due date. Usually, every healthy pregnancy lasts up to 37 to 42 weeks. The usual way to estimate the due date is to count 280 days (40 weeks) from the first day of the woman’s LMP or Last Menstrual Period.

Those who might have forgotten their LMP or cannot seem to figure out the time of their LMP can go or opt for an ultrasound. This can confirm if the woman is actually pregnant and can also determine her the date of delivery.

Once your pregnancy is confirmed, you will notice a lot of changes in your body. Based on that, you and your partner can start planning accordingly. This is where it will get all the more exciting and stressful, marking the beginning of the wonderful journey towards parenthood.

Pregnancy Calculator Week by Week

Using the Pregnancy Calculator Week by Week you can share your motherhood experience with your partner. In the 9th / 10th week of your pregnancy, you can hear your baby’s heartbeat for the first time. It’s one of the most beautiful moments you will experience during the start of your pregnancy.

Between the 18th and 22nd week of your pregnancy, you might start feeling your baby’s movement inside you. You can feel fetal movement earlier or sometimes later. With the help of the Pregnancy Calculator you can determine if you are due for anomaly scan.

Another essential aspect of pregnancy is that the due date may vary. It is not always necessary that the baby will be born on the assigned due date as mentioned earlier. Don’t let this stress you out. Stress is neither good for you, nor for the baby. However, with your partner and Pregnancy Calculator, it will become easier for you to prepare for the event.

It is always good to have plans made ahead of the due date. With the data provided by the Pregnancy Week Calculator, you can prepare well for the D Day. Always remember to reach out to your doctor in case you are unsure of something. Keep in mind that you and your partner need to be calm and plan wisely for the baby. But don’t forget to enjoy the experience of bringing a healthy child into the world. You can make a birth plan and discuss with your doctor.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best experts in Alwarpet, Chennai capable of handling complex deliveries, gynaecological and other surgeries including a range of laparoscopic procedures.
Do take an appointment with the best Gynaecology hospital in Alwarpet, Chennai 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.Kavya Krishna kumar, please book your appointment here.

Learn About Gestational Diabetes

How to deal with Gestational Diabetes

Author: Dr. Kavya Krishna Kumar MBBS, FMAS, MS

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

How to deal with Gestational Diabetes

During pregnancy, the fetus and placenta produce certain hormones that make the mother resistant to the insulin produced by her own body. To compensate, the mother has to produce more insulin to maintain the blood sugar levels. When this extra insulin produced is not enough, blood sugar level rises to cause a condition called gestational diabetes.

What Is Gestational Diabetes?

A condition where a pregnant woman’s blood sugar rises is called gestational diabetes. 

Gestational diabetes is classified into two categories. The first category is class A1, which can be managed through diet and exercise. The second category is class A2. Pregnant women diagnosed with class A2 need to take insulin and other medications to keep their blood sugar level at a normal level. Although gestational diabetes goes away after delivery, it can affect your baby’s health and can raise the risk of Type 2 diabetes.

Risk factors associated with Gestational Diabetes

Gestational Diabetes Symptoms

Gestational diabetes does not have any specific symptoms. Most cases are only discovered when your blood sugar levels are tested during screening for diabetes.Some women can develop symptoms,if the sugar levels are too high ,such as..

  • You feel more thirsty than usual
  • You feel like eating more than you usually do
  • Urination is persistent and uncontrollable.
  • Tiredness

Gestational Diabetes Causes

The primary function of your pancreas is to release insulin when you eat food. Insulin is a hormone that moves glucose from the blood to the cell so that it can use for energy. Your placenta can produce a variety of hormones which produces insulin resistance leading to increase in blood glucose levels resulting in gestational diabetes.

Gestational diabetes and pregnancy are very closely associated. Here are some of the risk factors that have high chances of developing gestational diabetes:

  • Being overweight before pregnancy
  • Have a family history of diabetes
  • Prior gestational diabetes in your first pregnancy
  • Given birth to a stillborn or with birth defects
  • History of high blood pressure, high cholesterol, heart disease, or other medical complications
  • History of PCOS or PCOD or any other health disorder related to insulin.

Risk factors associated with gestational diabetes

Gestational diabetes increases the risk of having high blood pressure during pregnancy. It will ultimately affect the baby with issues like a large head which can only be delivered by caesarean section (C-section).

Other effects that gestational diabetes can have on the baby are:

  • Overweight at the time of birth (9 pounds or more)
  • Premature birth with breathing and other problems
  • If you have gestational diabetes, your baby is at a high risk of developing severe breathing issues such as respiratory distress syndrome — a condition that makes breathing difficult.
  • Baby may have low blood sugar, which can only be balanced by prompt feedings or, in some cases, intravenous glucose solution.
  • The baby may develop Type 2 diabetes later in life.

Usually, women having gestational diabetes return to regular blood sugar levels after delivery. However, 50% of women develop Type 2 diabetes. Therefore, the risk associated with gestational diabetes can be avoided with a healthy diet and maintaining reasonable body weight after delivery.

Treatment for Gestational Diabetes

Treatment for gestational diabetes must be taken as soon as you are diagnosed with it to keep you and your baby healthy, post-delivery. During this treatment, you need to:

  • Examine the blood sugar level at least four to five times a day.
  • Follow a healthy diet. Dieticians specially design gestational Diabetes diet keeping in mind the body type and condition of your pregnancy.
  • Exercise regularly.
  • Take urine tests to check for ketones (chemicals that determine whether your diabetes is under control or not)

The doctor will keep a close track of your weight and your baby’s healthy development. If required, they may give you insulin or certain other medications to keep your blood sugar normal.

Exercise and Diet for Gestational Diabetes

You can maintain the gestational diabetes blood sugar levels by taking good care of the diet and following proper exercise plans.

You need to:

  • Replace sugary snacks like ice cream, biscuits, candies and so on with natural sugars like fresh fruits. Eating fresh vegetables, fruits and whole grains in a proper proportion is highly recommended.
  • Maintain the habit of having small meals and snack meals at least twice or thrice a day.
  • Organise an exercise plan for yourself. Daily exercise can help burn excess fat.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best experts in Alwarpet, Chennai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.
Do take an appointment with the best Gynaecology hospital in Alwarpet, Chennai 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. Kavya Krishna Kumar, please book your appointment here.

7 Tips To Handle A High-Risk Pregnancy

Taking care of yourself during High-Risk Pregnancy?

Author: Dr. Sushruta Mokadam MBBS, MD

Consultant – Obstetrician & Gynaecologist at Kharadi, Pune

Taking care of yourself during High-Risk Pregnancy?

How to handle High-Risk Pregnancy ?

Pregnancy is a beautiful new journey for any woman as she looks forward to the arrival of her child. However, as in any journey there can be challenges and anxious moments of concern. A high-risk pregnancy is prone to have high blood pressure, diabetic conditions, miscarriage, fetal abnormalities or placenta previa.

With early and proper prenatal care, women facing high-risk pregnancies can deliver healthy babies. Although high-risk pregnancy can create self-doubt, certain lifestyle changes and a strong support system can help you get through this.

Those detected with high-risk pregnancy are transferred from the gynaecologist to a maternal-fetal medicine doctor who is specially trained to deal with a high-risk pregnancy. High-risk pregnancy care requires endurance and positivity from the pregnant woman. 

Let us look at 7 tips that can help you avoid challenges

How to deal with High-Risk Pregnancy?

1. Keep yourself updated:

It is very important to stay updated with information that will help reduce the risk quotient involved in a high-risk pregnancy, and closely monitor your health. Despite this, if at any point you feel that your health conditions are deteriorating, please do immediately consult your gynaecologist.

2. Adequate support required:

This is the time when you require maximum support and help. Feel free to ask for help from your family and friends. High-risk pregnancy requires a huge lifestyle change which can be a tough affair for anyone; and for this, you need appropriate moral support to balance it out.

3. Regular consultation with your healthcare provider:

High-risk pregnancy can leave you exasperated and full of doubts. Instead of consuming yourself with questions and doubts, simply consult your doctor or gynaecologist. With the help of your doctor, you can prepare a cohesive plan for maternal care that best suits your requirement. This will help you relax and peacefully progress towards the due date.

4. Self-care is a must:

Pregnancy is all about self-care. It is all the more important when you are going through a high-risk pregnancy. Prioritize your well-being—a healthy diet, good sleep, exercise and yoga should be incorporated into your daily routine. Avoid exposure to a harmful environment and unnecessary medication. The key to a healthy baby is a stress-free lifestyle and maintaining good health.

5. Know your bodily requirements:

Pregnancy changes your body structure and its demands. When you are going through a high-risk pregnancy, it is important to understand specific bodily requirements. You may suddenly have an urge to rest more, or your appetite may increase without notice. At such moments, its best to go with the flow of what your body requires, instead of restricting yourself to the prescribed daily routine. Remember, the body consumes a lot of energy while growing a fetus and you require it to preserve your energy. So, it’s really alright to eat more on those days.

6. Prioritize mental health concerns:

A high-risk pregnancy can be quite mentally exhausting. During this time, you are flooded with emotions and can face a lot of mood swings. In certain cases, women start to blame themselves for everything. It is a good thing to reach out to your gynaecologist, partner, family or friends. In fact, it is equally advisable to take the help of a reputed psychiatrist, since it will only help you clear your vagrant thoughts and keep you confident.

7. Stay optimistic:

A high-risk pregnancy can be stress-free if you have an optimistic attitude. Staying calm and relaxed is very important—listening to relaxing music, doing meditation, talking to family and friends can help immensely and be a major stress-buster.

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

We have the best Gynaecologist medicine specialists in Kharadi, Pune. 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. Sushruta Mokadam, please book your appointment here.

Role Of Laparoscopic Surgery In Gynaecological Cancer Treatment

Author: Dr. Kavya Krishna Kumar (MBBS, FMAS, MS),

Consultant – Obstetrician & Gynaecologist at Motherhood Hospital Alwarpet, Chennai

Ovarian Cancer

Today, the ever-changing lifestyle of women have increased their chances of many health diseases, especially cancer. The most common cancer type found in woman’s breast, cervical, lung and gynaecological cancers. Most of the abnormal vaginal discharges, abnormal vaginal bleeding, feeling of bloating, heaviness, loss of appetite, distention of abdomen, however, if ignored, can cause health issues as bad as cancer. Therefore, it is very important to bring it up to the doctor if you notice these symptoms for a prolonged period of time.

It is very important to notice the initial symptoms of cancer and get it cured, since it is in the initial stages of detection and treatment that one can defeat cancer.

Gynaecological Cancer

Gynaecological cancer is very common in women these days, affecting almost 25% of women in India. Gynaecological cancer affects the reproductive system of women. The nature and intensity of cancer depends on the part it is developed in and at what stage it is diagnosed.

Types Of Gynaecological Cancers

There are five types of gynaecological cancers. These are as follows:
  • Cervical cancer: This type of cancer starts in the cervix, also known as the neck of the womb. When there is an abnormal proliferation of cells, cervical cancer occurs.
  • Womb cancer: The womb, also known as the uterus, is a muscular bag that is pear-shaped. Once the fetus is implanted, the role of the uterus is to nurture the implanted fetus. When there is an abnormal division in the lining of the womb, it is termed uterine or endometrial cancer.
  • Ovarian cancer: The development of cancer in the ovary is ovarian cancer. When there is a rapid increase of the cell in an uncontrollable manner in the ovary, it is ovarian cancer.
  • Vaginal cancer: Vaginal cancer is usually a very rare condition. It occurs when the cells in the vagina start to increase rapidly. It is very common to occur in older women.
  • Vulval cancer: Vulval cancer occurs when the cancer cells start to develop in the external female sex organ called the vulva.

Understanding Laparoscopic Surgery

Laparoscopic surgery is a specialised technique of surgery with minimal invasion of the body. It is done with a specially designed thin, long tube called a laparoscope. It has a very high-resolution camera and high-intensity light. Once the laparoscope is inserted into the body through a small incision in the abdominal wall, it starts sending images to a video monitor. The surgery is performed with the help of these video images.

Laparoscopic Surgery’s Role In Gynaecological Cancer

Treatment Laparoscopy surgery is low-risk, has minimal invasion of the body and requires very small incisions. Laparoscopic surgery is a brief surgery and requires only 2-3 days of rest in the hospital. Generally, patients recover from laparoscopic surgery within a week and can resume their daily routine. Gynaecological cancer treatments now include laparoscopic procedures as well. Generally, the surgery is performed for all small size cervical cancers and ovarian cancers and also for endometrial cancers. Laparoscopic surgery is also performed for borderline and benign tumours. Laparoscopic Surgery In The Treatment Of Ovarian Cancer Although ovarian cancer is a scary experience, it can be treated with the laparoscopic treatment in select cases. In cases that are advanced, laparoscopy is required for confirming the diagnosis and to determine receptibility and 2nd look laparoscopy. Laparoscopic Surgery in the Treatment of Uterine Cancer or Endometrial Cancer Laparoscopic surgery can treat almost 95% of the uterine cancers with the help of total laparoscopic hysterectomy with bilateral salpingo-opherectomy (TLHBSO) and retroperitoneal lymph nodes removal (RPLND).

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best fetal medicine specialists in Alwarpet, Chennai. We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries. Do take an appointment with the best fetal medicine specialists in Alwarpet, Chennai 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. Kavya Krishna Kumar, please book your appointment here.

How to get rid of Varicose Veins In Pregnancy

Author: Dr. Archana Dubey MBBS, MS (OBG)

Consultant – Gynecologist, Infertility and Laparoscopy at Mechanic Nagar, Indore

Pregnancy is a blissful experience that most women go through at least once in their lifetime. However, each pregnancy comes with different challenges. The most common challenge is varicose veins. Women may develop varicose veins in the initial days of their pregnancy.

What are varicose veins?

Varicose veins are knotted, lumpy or swollen veins that are caused due to blockage in the veins. It is generally benign in nature and appears on legs or feet. These swollen veins usually bulge on the surface of the skin in blue, red or purple colour. These colours define the intensity of the blockage of the veins. The most affected areas during pregnancy in varicose veins are the lower pelvic area, buttocks, calves or ankles.

If the varicose veins reach advanced levels, they can cause discomfort, excruciating pain and may raise the flag for some serious circulatory problems.

What causes varicose veins during pregnancy?

During pregnancy, the uterus grows. As a result, it lays pressure on the large vein on the right side of the body which increases pressure on the leg veins. Varicose veins are caused when the leg veins endowed with one-way valves that help the blood flow to the heart, stops it from flowing back to the leg. During a walk, the calf muscles pump the blood up towards the heart, and the valves stop it from flowing right back. It leads to the accumulation of blood in the veins, which stretches the veins causing them to swell, gnarl or bulge. If the swelling increases more than its limit, it is visible under the skin. This is what is called varicose veins.

Since veins are the blood vessels that carry blood pumped by the heart, they are already working anti-gravity. During pregnancy, the blood levels increase, causing more pressure on the veins. Also, the progesterone levels increase, which relaxes the walls of the blood vessels.

A pregnant woman is more prone to pregnancy [MOU1] if there is a family history of varicose veins, i.e., if one of the family members had or has varicose veins, there is a high chance that the pregnant woman may also suffer from them. Standing for longer periods, sudden increase in weight, being already overweight, or carrying twins or other multiples, can also cause varicose veins.

There are good chances that varicose veins may improve or disappear once the pregnancy is over; especially in cases where the woman contracted it only during pregnancy. In case it does not disappear, several exercises and treatments can cure varicose veins.

Another type of occurrence of varicose veins is spider veins. They appear in a spider-like pattern, where the major blockage is in the centre of the vein and various other blocked branches radiate out of the centre. They generally do not cause any discomfort or pain and disappear after the delivery.

How can I prevent varicose veins in pregnancy?

Varicose veins can be prevented or completely cured during pregnancy and, most heartening, it can be done naturally!

  • Daily exercise is a must. Brisk walking is the best form of exercise during pregnancy as it can improve blood circulation, especially in the legs.
  • Weight control is very essential. As we know, overweight is a major reason for varicose veins. Controlling your diet and weight is crucial.
  • While sleeping or sitting, try sitting with your legs elevated. Prolonged abated legs can cause swelling and ultimately varicose veins.
  • Sitting for long hours is a strict no-no. Small breaks from sitting are highly recommended.

Fight against varicose veins

Fighting from varicose veins is not a tough job when you have the best varicose veins treatment hospital in Indore.

Motherhood Hospital is the best vascular surgery hospital in Indore. We have a team of expert gynaecologists and super specialists who are capable of addressing a range of health issues and conditions that are related to women and children. Do take an appointment with our doctor at a centre close to you, and we assure you with effective investigations, proper diagnosis and treatment, you will be able to lead an active life.

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

Pregnancy Calculator – Block The Date For The Greatest Arrival Of Your Life

Author: Dr. Sushruta Mokadam (MBBS, MD)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi

Online Pregnancy Calculator

For any couple planning a family, the happiest moment is when the doctor says, “Congratulations, you are pregnant!” After this, a good amount of time is spent on discussions that involve estimating the due date. Of course, the doctor will share the date with the couple and unravel the mystery. Let’s look at the science behind the estimation of the date of delivery.

The human egg can fertilize for only 12 to 24 hours after ovulation, so the date of ovulation could be a reasonably good indicator to estimate the date of conception. Ultrasound which is used to determine the date of ovulation is not too perfect because this only suggests the gestational age. In fact an accurate date of conception is usually arrived at only with IVF (In Vitro Fertilization).

Also to be considered is that although a woman is most likely to conceive if she has had sex on the day of ovulation, pregnancy could occur from active sperm in her reproductive tract on the day of ovulation, even if the woman had intercourse five days prior to that date.

Determining the Estimated Due Date 

Estimated Due Date (EDD or EDC) is that date on which a non-induced delivery is expected to occur. This date is arrived at by taking the first day of the Last Menstrual Period (LMP) and adding 280 days

(9 months and 7 days) to it. This is the method followed by ‘pregnancy wheels’, also called a Gestation Calculator. The accuracy of the estimation of EDD in this method depends on how accurately the mother can recall the day of intercourse, assuming she has regular 28 day cycles and that ovulation and conception occurs on the 14th day of the cycle. Assumption of LMP to arrive at the due date of pregnancy may result in an overestimation of the pregnancy duration to the tune of over 2 weeks.

Coming to ultrasound, this approach considers the size of the foetus to determine the gestational age (the time since the first day of LMP). The accuracy of such an estimate of the gestational age varies. Using ultrasound to measure the foetus in the first trimester (up to and including 13 6/7 weeks of gestation) is the most accurate method to arrive at the gestational age.

Canada’s Society of Obstetricians and Gynaecologists recommends the earliest ultrasound presenting a crown rump length that indicates at least 7 weeks (or 10 mm) should be used as the benchmark to arrive at the gestational age.

In the case of Vitro Fertilization (IVF), the date of conception will be known accurately and EDD can be calculated by adding 266 days to that date.

The American College of Obstetricians and Gynaecologists recommends that the dates arrived at through ultrasound should be considered over those indicated by LMP when the variation between ultrasound and LMP is:

  • More than 5 days before 9 0/7 weeks as indicated by LMP
  • More than 7 days from 9 0/7 weeks to 15 6/7 weeks as indicated by LMP
  • More than 10 days from 16 0/7 weeks to 21 6/7 weeks as indicated by LMP
  • More than 14 days from 22 0/7 weeks to 27 6/7 weeks as indicated by LMP
  • More than 21 days after 28 0/7 weeks as indicated by LMP

There are possibilities that a foetus could have a restriction in growth leading to a risk of inaccurate dating of a small foetus.  Considering this, decisions based on ultrasonography alone (in the third-trimester) are not conclusive and the doctor has to consider the entire clinical status of the woman. This could include repeat ultrasonography to assess the correct growth in the interval.

Other methods used to estimate gestational age

Clinical Examination

For a patient with a good menstrual record in the first trimester, a simple pelvic examination has proven to be a reliable method to accurately date the pregnancy.

Doppler Ultrasonography

A foetal heart beat can be heard with a Doppler ultrasound if the gestational age of the patient is 10 to 12 weeks in most cases. This is the minimum age for the foetal heart tone to be registered.

Human Chorionic Gonadotropin Pregnancy Test

Human Chorionic Gonadotropin is detectable in the mother’s blood or urine from 6 to 14 days after fertilization (3 to 4 weeks of gestational age). The gestational age can be assessed as at least 3 to 4 weeks at the time of an hCG pregnancy test.

In case of a twin pregnancy

In case of a twin pregnancy due to an IVF procedure, the gestational age has to be considered from the date of embryo transfer. Considering the possibility of an early intrauterine growth restriction in one of the foetuses, specialists feel that it is advisable to consider assessing the gestational age using the larger foetus.

For those of you curious to access a pregnancy calculator, here’s one right here! 

We at Motherhood Hospitals have a team of experts specialising in all kinds of maternity and childbirth related issues and woman and child care – from teens to those in their post menopause years. Take an appointment with our specialist at a centre close to you and you will be assured of an accurate investigation, diagnosis and treatment. 

Book your appointment with Dr. Sushruta Mokadam for all Gynaecological issues. 

Skin & Hair – How Your Pregnancy Affects Them

Author: Dr. Preethika Shetty MBBS, DNB, M.S(OBGY), Fellowship in Reproductive Medicine (ICOG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi

Hairfall During Pregnancy

So you are pregnant! You are excited, so is the family and your days of anticipation begin. But along with it are surprises, some comfortable and some not so comfortable that begin to happen day after day. To begin with, the first sign of pregnancy is that there will be an increase in breast size. This will be due to a higher level of production of hormones – estrogen and progesterone. The woman’s breasts could continue to grow throughout the pregnancy and there may be a need for a replacement of the bras more than once. Of course this apart, there could be nausea, bloating, morning sickness and a craving for foods that are intense in terms of their taste such as saltiness, sourness and spice.

Skin and hair changes – the most visible ones

Pregnant women will have an increase in blood volume that aids additional blood supply to the uterus, kidneys, and other organs. The increase results in extra supply of blood to the vessels and further activates the oil glands. Sure, friends congratulate on that pregnancy glow! That’s one among the many effects that come from hormonal changes and the stretching of the skin. This stretching could also cause itching and flaking. The woman is advised to use a moisturizer cream or something appropriate to soothe the dry skin.

Some women could also develop brown or yellow patches, referred to as chloasma, also called the ‘mask of pregnancy’ on their faces. In some cases a dark line will appear in the centre, usually from the navel to the lower abdomen called linea nigra. There could also be a hyperpigmentation (darkening of the skin) of the nipples, external genitals and the anal region. It is the hormones that cause the body to produce more pigment. Although Chloasma cannot be avoided, a sunscreen could be used to reduce its impact.

The other side effect of pregnancy is acne. The sebaceous glands get activated and produce more oil resulting in moles or freckles becoming more pronounced as the pregnancy progresses. These skin changes subside post-delivery. Pregnant women could also suffer from heat rashes caused due to dampness and sweating.

Hair

Several women experience changes in their hair texture and the volume of hair growth during pregnancy. The hormones encourage denser hair growth and also reduce hair fall. These changes are not permanent however and women usually lose some hair post-delivery or after they stop breast feeding the child. Hair could also grow in unwanted areas for example on the hair, belly or around the nipples.

Nails too change during pregnancy. The hormones enhance the rate of growth and the nails also tend to get a bit stronger. Nails could also split more during pregnancy.

‍Most changes subside post-delivery although changes on the skin such as stretch marks could remain. It is advisable to consult a specialist on how best to minimize it and get back the flexibility and suppleness. In all, pregnancy is an unforgettable phase and the woman would find it really interesting to observe the changes in her body, all the way to the D-day, when she would welcome her bouncing bundle of joy. A gynecologist would be the best suited to offer advice on these matters to ensure the woman experiences a memorable phase.

At Motherhood Hospitals we have a team of doctors and super-specialists with the expertise to investigate, identify and treat a range of conditions related to girl children and women. All our centres are equipped with modern equipment and dedicated staff and strategically located across India. Do take an appointment with our doctor who will ensure the right tests and treatment to help you get back to an active life.

Book your Appointment with Dr. Preethika Shetty for all Gynaecological issues.

Dos and Don’ts Of Postpartum

Postpartum Recovery

Author –Dr Preety Aggarwal

MBBS, DGO, DNB,

 

Medical Director (Gurgaon)- Obstetrics and Gynaecology at Motherhood Hospitals, Lullanagar

Post pregnancy care

So, you’ve finally delivered your bouncing bundle of joy. Your family is ecstatic, you are relieved, and things are relaxed. Soon, you want to get back to your normal routine – work, chores, regular activities etc. But wait, let it take time. Take it easy. Your recovery postpartum cannot happen in a few days. In fact a full recovery from delivery can take months. While you will begin to feel normal in about 6-8 weeks, it does take a longer time to heal completely.

Usually the postpartum period is referred to as the six week period post-delivery. This is a delicate time for you, the mother, the baby, and the members of the family. Slowly adjust to the fact that you are a mother. There is a certain rhythm that needs to fall into place. Discover it. Firm it up. Adjust it in such a way that it works for you and your baby. Here is what you need to do postpartum.

Get plenty of rest. Sleep as much as you can. Take your time as you cope with the fatigue and tiredness.

Take the help of people around you. If you have relatives or professional help do ask them to do things for you. You need all the help you can get.

Food is extremely important. Maintain a healthy diet consisting of proteins and carbs. Eat in time and follow the same time each day. Ensure you are consuming fibre-rich foods (whole grains, vegetables and fruits). Use stool softeners to ensure a regular bowel movement and avoid straining. This is not good for your perineal tears or C-section scar if you have one.

As your recovery progresses, do begin to walk/ exercise after talking to your doctor. Don’t overdo it. Definitely do not ignore it.

Here are a few things you are advised not to do in this period.

Do not insert anything into the vagina – Based on the kind of delivery you have had, you will be surprised at the kind of changes in your vagina. This includes the stress, stretching and the bleeding. You may feel you are back to normal, opt to resume sex or using tampons. Do wait till your doctor approves these activities. The important thing is the risk of infection.

Postpartum Recovery

Your uterus would still be healing post-delivery and if you had vaginal stress, that region would be healing too. It is advised not to use any internal devices such as menstrual cups or tampons considering that there could be an infection on these wounds. Usually bleeding post birth lasts up to 6 weeks. So use pads during this period and remember to change them frequently and wash your hands to prevent infections. As for resuming sex, doctors may recommend waiting for up to 6 weeks after delivery.

Do not overexert yourself – Of course you want to do the best for your baby. Feedings, diaper changes, cleaning all resulting in very little sleep. Take rest and recharge yourself. If you stress yourself too much, you might bleed, cause muscle strain and suffer from anxiety. Take it easy. Do only what you can. Walk gently and do not exercise heavily. Stop exercising if you feel pain. Rest to the maximum.

If there is pain, speak to your doctor – Women could have some pain after delivery but the duration could vary. The usual pain includes:

  • Cramping as a result of the uterus shrinking to its previous (pre delivery) size
  • Pain between the vagina and anus
  • Pain in the region of the incision and sutures
  • Pain or stiffness in the neck, back, and joints
  • Pain due to swelling of breasts

It is advisable to see the doctor if you have: 

  • A headache that cannot be addressed with medication or one that affects your vision
  • Pain and fever over 100.4°F
  • Pain when passing urine
  • Heavy bleeding
  • Pain in a specific region of the breast with reddishness or fever
  • Smelly discharge
  • Pain along with swelling in the legs
  • Difficulty in breathing

Do speak with the doctor who may examine and recommend OTC pain relievers or other medications.

Do not ignore if you are feeling depressed – If you are feeling sad or anxious or stressed in the first fourteen days postpartum, speak to your doctor. Remember you are not alone. Several women go through these symptoms and you must be checked for postpartum depression. Symptoms could include crying, anger, feeling withdrawn, not willing to interact with others or feeling positive.

Don’t fail to use birth control – Remember you could get pregnant after 6-8 weeks post-delivery. Do speak to your doctor about birth control and the options available to you and use them as you resume having sex. Options include: Intrauterine Device (IUD), birth control implant, birth control injection, sterilization or progestin-only birth control.

Stop smoking and drug usage – If you or your partner is a smoker, get immediate support to quit. Smoking damages your health and secondhand smoke is a key risk factor for Sudden Infant Death Syndrome (SIDS). Smoking could also cause asthma or other respiratory problems in babies.

With usage of drugs too, you risk your or your baby’s life Stop using opioids, cocaine, cannabis or other commonly used recreational drugs and practice a clean and healthy lifestyle.

Remember, the first few months post-delivery, is a period of learning for you and your family. Take it easy and adjust slowly, as your new life falls into a routine. Enjoy the experience without stressing yourself too much and just be mindful and aware.

At Motherhood Hospitals, we have a dedicated team of experts and super specialists with years of experience in addressing a variety of issues related to women and children. If you have an issue you wish to discuss, do take an appointment with one of our experts at a centre near you. You are assured of an accurate investigation, effective diagnosis and treatment ensuring you lead an active life.

Book your Appointment with Dr Preety Aggarwal for all Gynaecological issues.

Laparoscopy – The Miracle Of Keyhole Surgery And Its Benefits

Best Minimal Access and laparoscopic Surgery

Author: Dr. Beeresh C.S MBBS, MS(OBG), Fellowship in Minimal Invasive Surgery

Consultant – Obstetrician & Gynaecologist Surgeon at Motherhood Hospitals, Banashankari

Best Minimal Access and laparoscopic Surgery

In recent years, Laparoscopy has been widely used as a surgical procedure of choice to address a range of ailments and conditions. The surgery has become widely popular with doctors and patients alike considering the large number of benefits it offers and the faster time to recovery. Let’s look at what exactly this procedure involves and where it can be deployed.

Laparoscopy as a surgery has become widely popular in recent years. It takes a revolutionary approach to conducting the procedure wherein several smaller cuts are made instead of the traditional approach of making one large incision to access the site to be operated. The procedure uses a device called the laparoscope, a narrow tube with a tiny video camera and a bright light at the tip. The doctor inserts this tube through a small cut of width of about 1 cm to take a clear look at the internal organs.

A few more incisions are made in other regions in and around the site through which a few other tools are inserted to perform the surgery. Laparoscopy is also known as ‘minimally invasive’ surgery. This kind of surgery was initially used for gallbladder surgery and a few gynaecological operations but it is widely used now to operate various other organs such as intestines, liver, abdomen and other organs.

Best Laparoscopic Treatment

Benefits of laparoscopic surgeries

  • The patient can get discharged from the hospital quicker
  • There will be less scars post-surgery
  • The patient experiences less discomfort as the scars heal, and they heal quicker
  • The patient can resume normal activities quicker

To elucidate the advantages of laparoscopic surgery, let’s take an example of a typical intestinal procedure.  If a patient stays in the hospital for around a week with a traditional surgery and takes about 4 to 8 weeks to recover, under a laparoscopic surgery, the patient would have to stay for 2 nights in the hospital and the recovery could be as little as 2 – 3 weeks. A shorter hospital stay translates to less cost and the patient can also resume his/ her activities within a shorter time. 

The following surgeries are done using a laparoscopic procedure: 

Hernia Surgery: Hernias occur when an internal organ pushes against a wall of muscle or tissue that it is contained in. Usually hernias occur within the abdomen or between the hips and chest. The common hernias are: 

Inguinal Hernia: The inguinal canal consists of a ligament that supports the womb. With an inguinal hernia the fatty tissue or portion of the intestine pushes into the groin at the upper end of the inner thigh. This type of hernia usually affects women more than men. 

Hiatal (hiatus) Hernia: In this case a portion of the stomach pokes against the chest cavity through a gap in the diaphragm.

Umbilical Hernia: Another very common type of hernia usually occurring in women, in this case the fatty tissue or portion of the intestine pushes out of the abdomen near the navel.

Femoral Hernia: In this case fatty tissue or a portion of the intestine pushes into the groin at the upper end of the inner thigh. This commonly affects older women.

Appendectomy: An appendectomy is the process of surgically removing the appendix. It is a small, tube-shaped sack attached to the large intestine and situated in the lower right side of the abdomen. The functioning of the appendix is not very clear though it is presumed that it may help us to recover from infections of the small and large intestines. Usually, appendectomy is performed as an emergency surgery to address appendicitis, a condition that causes the inflammation of the appendix.

Gallbladder removal: The gallbladder is a pear-shaped organ positioned just below the liver on the right side of the abdomen. A cholecystectomy is performed to surgically remove the bladder using a laparoscopic procedure.

Colon Surgery: Laparoscopic procedures are commonly used to treat Fistulas, Haemorrhoids and other colorectal conditions.

Bariatric Surgery: A Bariatric Surgery is performed when diet and exercise do not yield the expected results and the patient is posed with serious health problems due to excessive weight. Some procedures govern and limit the amount of food the patient can consume while some work to reduce the body’s capacity to absorb nutrients.

Anti-reflux Surgery: Anti-reflux surgery, also referred to as Laparoscopic Nissen Fundoplication is a decisive approach for GERD when regular medication fails to offer relief towards stopping acid reflux into the stomach. Here the upper portion of the stomach is wrapped around the LES to reinforce the sphincter and prevent acid reflux.

At Motherhood Hospitals, we deliver exceptional healthcare services to women and children with highest standard of care and competence.

Book your Appointment with Dr.Beeresh C.S for all the Gynaecological issues.

Dos and Don’ts For A Safer And Healthier Pregnancy

Author: Dr. Nusrat A H, MBBS, M.S.

Consultant – Obstetrician & Gynaecologist at Bangalore, Banashankari

Becoming a mother and expecting your newborn is an overwhelming experience for a woman. This experience brings along various responsibilities that need to be followed even before the baby is born to ensure the newborn comes safe and healthy. In this segment, we’ll talk about the healthy pregnancy tips that you should focus on to take care of your unborn baby and how you can be prepared to make parenthood easier.

Start with the preconception period

Your body should be prepared mentally and physically before you look to conceive and it starts from knowing about the potential risk factors and health conditions that may affect you or your baby.
Many pregnancies take place without planning. No matter how advanced the prenatal care and medicine available are in today’s time, unplanned pregnancies come with the risk of low birth weight or preterm birth of the baby. Experts suggest women should focus on leading a healthier lifestyle before they plan to conceive, so they can avoid any risk or problems that may occur with the mother or her baby.
 

Taking care of the mother and baby’s health during pregnancy

A mother encounters a lot of doubts and questions during pregnancy – What should I eat? What are the must-haves? What do I avoid? How do I change my routine to ensure best safety and health for my baby?

Let’s talk about the important things to take care of:

Diet: There is endless advice on how much a pregnant woman should eat or avoid eating. However one needs to note that when you are “eating for two” your diet shouldn’t be doubled! In reality, it’s all about including the foods in your diet that are rich in nutrients for both mother and baby – where eating a balanced meal is enough for both.

Food items that are good for both mother and baby:

  • Fruits and vegetables
  • Grains, cereals, and wheat germ
  • Low or no-fat dairy products (milk, yoghurt)
  • Meats, poultry, and a few selective fishes

Food items that are best avoided:

  • Refrigerated meat spreads and refrigerated smoked seafood such as mackerel, salmon, or fishes that have a high concentration of mercury
  • Unpasteurised milk, juices, and cheeses such as feta or blue cheese
  • Trying new variations of herbs and plants
  • Raw sprouts

Stop smoking: Apart from damaging your body and increasing the risk of cancer and heart diseases, smoking is bad for the health of your unborn baby too. Smoking during pregnancy contributes to having a baby with low-weight or heart problems that may take place soon after birth. Along with this, the baby can suffer from cleft lip/palate, and has an elevated risk of Sudden Infant Death Syndrome (SIDS). Smoking has also been the cause of miscarriages in certain women.

Improve your oral health:  Apart from the usual dental check-ups that most women go through before getting pregnant, it is advised for them to undergo a complete oral exam during the initial stages of pregnancy. This is because pregnancy gingivitis is very common. It is a condition where gums become swollen and bleed easily. It could be the result of both poor oral hygiene and increased hormone levels during pregnancy. Though there’s little evidence to support this, gum diseases may contribute to having a baby with low birth weight.

Stop drinking Alcohol:  Lastly, drinking alcohol during pregnancy can put your baby at high risk of developing Foetal Alcohol Spectrum Disorder (FASD), which results in learning disability, behavioural issues, and abnormal facial features. This damage can take place during the earliest stages of pregnancy, even before the mother is aware that she is pregnant.

If you are looking for the best maternity hospital for normal delivery in Bangalore, then Motherhood Hospital is the answer for you. We have an excellent team of experienced super specialists backed by the latest in infrastructure. We have the expertise to handle complex deliveries, gynaecological, and various other surgeries. Do take an appointment at a centre closest to you and our doctors will make 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. Nusrat A H, please book your appointment here.