Postpartum Essentials For New Moms

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Indiranagar

Perhaps one of the most charming moments for a woman is to become a mother. However, those moments can gradually wane weeks on, punctuated thereafter by moments of physical and emotional challenges. The body naturally experiences a lot of changes after giving birth and while the focus has turned to caring for the baby, most forget that postpartum care for the mother is by far the most important aspect to take note of.

Every birth is unique, and therefore tough to determine the exact postpartum life of the mom. Understanding the ways a mother’s body may change, and taking appropriate steps during this postpartum period is a priority that will help you ease your life.

What to expect:

Some of the common postpartum changes can be:

Constipation
Hormonal changes
Haemorrhoids
Discomfort from C-section incision
Fatigue
Abdominal pain
Difficulty urinating
Soreness of the breasts and nipples
Perineum
Vaginal bleeding or discharge.

Postpartum care tips to follow:

The various ways in which pregnancy and childbirth affect the body may seem very intimidating, especially for new mothers. It can actually be tough to adjust to these changes; but postpartum health care tips help immensely in healing and taking care of the body, after giving birth.

1. Heal your body

The body experiences a lot during childbirth be it a vaginal delivery or C-section. It’s not as if you will get rid of postpartum challenges within a few days. It takes time and sometimes even months for the body to recover completely after pregnancy and childbirth. Let’s look at some of the steps that one can follow to gradually heal:

Vaginal soreness: Sit on a pillow or padded ring, use ice packs and keep your perineum away from irritation by spraying the area with warm water while urinating.
C-section scar: Consult your doctor about the care you need for C-section scar and clean it gently before applying an antibiotic ointment.
Pelvic floor changes: Perform regular Kegel exercises to provide your vagina and perineum with enough recovery after stretching during delivery.
Tender breasts: Frequent breastfeeding helps relieve engorged breasts and you can also try ice packs, warm compresses and gentle massaging in case of aches.

2. Give priority to rest

The extreme physical toll of labour and then having sleepless nights with the new-born can exhaust the new mom. Do not forget to give priority to your sleep to avoid postpartum fatigue. Make it a point to take a quick snooze whenever the baby is asleep.

3. Ask for help

At times new moms may feel shy and hesitant to ask for help from others. Do not forget that you definitely need postpartum care, and life for a new mother can be much easier and recovery faster, once you have assistance from friends and family.

4. Keep moving

Regular exercise and physical activity have shown great results in recovery from postpartum symptoms. Exercise is a great tool to boost energy levels, relieve stress and strengthen muscles after childbirth, however, it is best to consult your doctor before getting on a regime. Usually, most of the doctors will ask you to avoid rigorous activity and focus on gentle exercise such as walking in the garden and so forth.

5. Healthy diet

Eating well and healthy is always beneficial in postpartum care. It will help you fight constipation and fatigue while assisting you to shed the extra weight you gained during pregnancy.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Lullanagar, Pune.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 Indiranagar 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.Vijayalakshmi, please book your appointment here

Learn About Gestational Diabetes

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

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

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.

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.

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

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.

Nutrition and Exercise Until D Day – Pregnancy Tips

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

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

Maintaining good health during the weeks of pregnancy provides your baby with the nutrition it needs as it steps into the world. Doing regular exercise, following a balanced diet and keeping up with scheduled appointments with your doctor are some of the pregnancy care tips that help you to have a healthy pregnancy. Let’s learn more about the steps you could take right from the first month of pregnancy:

1. Focus on eating healthy – Inculcate a healthy and balanced diet in your regime: Here is what you could include:

Have five portions of fresh fruits and vegetables daily. Consume fresh fruits or fresh juices and avoid drinking packaged or canned ones. Along with this, also avoid vegetables that come packed in saltwater. Do not forget to drink plenty of water.
Starchy foods such as pasta, rice, bread and potatoes should make more than one-third of all the food you are eating. Furthermore, always choose whole grain variants instead of the white ones since you need plenty of fibre. Also, leave the skin on potatoes while cooking to provide more nutrition for you and your baby.
Have daily servings of protein from good sources like eggs, fish (two portions weekly should be oily such as mackerel, salmon or sardines), pulses, lean meat, beans, or nuts.
Consuming dairy foods such as yoghurt, milk and cheeses is also recommended right from the first trimester of your pregnancy.

2. Take your supplements

During your pregnancy, you and your growing baby need to have regular folic acid and Vitamin D supplements. These will be required even if you are having a well-balanced diet. Although it is recommended to eat healthily and have your daily quota of vitamins, minerals and nutrients from your diet, if you are having issues with consuming the right kind of food, talk to your doctor for all the required supplements your body might need for a healthy pregnancy.

3. Regular exercise

Regular exercise gives your body several benefits not only during pregnancy but also in post-pregnancy care. Make sure to include the following exercises during your pregnancy weeks:

Brisk walking
Yoga
Swimming
Pilates
Aquanatal classes

Get in touch with your exercise instructor and inform that you’re pregnant so he/ she can tailor classes or exercises specifically for you.

4. Perform pelvic floor exercises

The wide sling of muscles present at the base of your pelvis is what’s known as your pelvic floor. The functionality of these muscles is to support your bladder, vagina and back passage. During the weeks of pregnancy you may feel these muscles are getting weaker because of the extra pressure on them. To ensure adequate strength is maintained in these muscles, perform pelvic floor exercises including Kegel exercises regularly. Do take your doctor’s advice on which type of exercise best benefits you. The benefit will be experienced once you start building up to 10 long squeezes of 10 seconds followed by 10 short squeezes thrice a day.

5. Stop smoking and drinking alcohol

Regardless of the concentration, alcohol of any type will reach your baby rapidly via your bloodstream and placenta. Hence, there is no safe or minimum level of alcohol to drink during your pregnancy and one should avoid drinking to put the baby under any harm. Similarly, smoking during pregnancy can expose you and your baby to serious health problems such as miscarriage, ectopic pregnancy or placental abruption.

6. Stop caffeine intake

High caffeine content elevates the risk of stillbirth and miscarriage late in pregnancy. Hence try not to consume too much coffee, energy drinks, cola, tea or chocolates. Apart from the mentioned risks, caffeine can also contribute to having a low-birth-weight baby or premature birth.

At Motherhood Hospitals, we have a team of expert doctors, super specialists and highly trained nurses backed by the latest in infrastructure and facilities. We ensure complete care and advice to ensure a safe delivery at any of our centres. All our centres are equipped with modern equipment and the expertise to handle complex deliveries. Do take an appointment at a centre closest to you with our doctor and have a safe delivery of your baby.

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

How Accurate Are Pregnancy Calculators

Author: Dr. Padma Srivastava, MBBS, MD(OBG)

Consultant – Obstetrician & Gynaecologist Lullanagar, Pune

Once you skip your period, the excitement sets in. Have you conceived? Is it finally happening? Next is a visit to the doctor, who will test you to confirm it and then calculate a date. By that time, you would definitely have come across a pregnancy calculator online, something that would be advised by friends or relatives.

So how accurate are pregnancy calculators? According to BabyCenter, an online media company, only one in twenty women deliver on their due dates. To begin with, it is important to understand that a pregnancy calculator at best offers an approximation of your delivery date based on your date of conception.
The weeks of pregnancy are dated from the first day of your last period. This actually means that in the first two weeks, you would still not have conceived. The body would just be preparing to ovulate which means, realising an egg from your ovaries.

It is indeed a logical question and one of the first any woman would ask on being informed she is pregnant – “What’s the due date?” It is important to estimate the due date as it can help you plan your pregnancy and for the baby’s arrival. From this context, a pregnancy calculator can be helpful even if it is an estimate at best and cannot be on point always. Now let’s explore how it works.

Typically there are two methods of calculating a delivery due date. One is to estimate the date based on the last menstrual period. The second is to estimate based on the date of conception. Now, the due date based on the menstrual cycle is calculated as forty weeks from the date of the last period. The due date based on the date of conception is arrived at by adding thirty eight weeks to the exact/ approximate date of conception, which is a presumption again. The issue is that most women won’t know their exact date of conception. This makes the calculation of the delivery date an approximation. There is a possibility that the conception would not have happened on the day when the woman was sexually active and the egg could have been fertilized a day or two days later by the sperm that was lodged in the fallopian tube. Considering this variation, most healthcare specialists recommend that a calculation based on the last menstrual period is reasonably more accurate. Even with this, one can arrive at only an estimated due date. The doctor could reassess this date based on the results of an ultrasound that would indicate the size of the baby. So it is advised that you use the pregnancy calculator as a guide, but be prepared to welcome your little one anytime within one to two weeks around the due date. It could be a couple of days after the specified date too. It would be a surprise but a pleasant one, isn’t it? At Motherhood Hospitals, we have a team of gynecologists and super specialists capable of addressing a range of health issues and conditions related to women and children. Do take an appointment with our doctor at a centre close to you and you are assured of effective investigations, diagnosis and treatment enabling you to lead an active life.

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

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.

Everything moms and moms-to-be need to prep for a post-pandemic world By Dr. Manisha Ranjan

The year that went by threw all our learnings and wisdoms handed down to us from our mothers and grandmothers, out of the window. Moms and moms to be had to learn to wing it and hone new skills to sail through the pandemic. Keeping yourself and your family safe and healthy became a challenge like no other. As we navigate back into a post pandemic world there are a million things that both moms and moms-to-be need to keep in their mind when it comes to ensuring the safety and wellbeing of themselves, their children and their soon-to-be born children. Now is the time to pause, reflect and take stock as we step into a post pandemic world. Few things to keep in mind:

The pandemic is not over

Even with the roll out of vaccinations across the globe, the pandemic is far from over. We need to continue to practise social distancing, sanitising and wearing masks while out in public places. Moms need to convey this to their children and ensure they are protected and that they follow social distancing wherever applicable. Moms-to-be need to practice extra care and precaution with the help of a support system which includes their medical practitioners, primary care givers and immediate family.

Doctor visits and check-ups

One of the most critical and important steps, is to ensure that all children below 6 are vaccinated with age appropriate vaccinations which are imperative for a child’s growth and development. Moms-to-be must also ensure that their immunisation records are up to date and be in constant touch with their doctors and attend all scans and tests as they progress with their pregnancy

Building immunity

Keeping up with our age old traditions of eating immunity boosting fruits and nutrients, it is very important that we focus on building and keeping immunity levels high as we step back into the world. A good and robust immunity helps safeguard the entire family against seasonal infections and allergies. Our body is the most important tool we possess and nourishing it adequately will help keep infections at bay.

Mental Well-being & Mindfulness

While physical health is important, the pandemic has made us unlearn a lot of things when it comes to keeping calm. Especially in case of children, families and moms-to-be. Mental well-being is as important as physical fitness, for a happy and sane mind dwells in a healthy body. The pandemic has adversely effected children as it has taken away their freedom of movement, hence it’s up to the moms to ensure that kids have a safe place at home to speak their mind and share feelings. Mindfulness is very important when it comes to both moms and moms-to-be, for stress is not good and can lead to several health complications.

Self-care

One can never stress enough on the importance of self-care for moms. Sometimes balancing home, children, family and work can get a little overwhelming and it is important for moms and/or moms-to-be to take a step back and pause. It is an old saying which holds true that the woman of the house is the glue holding everything together and we must ensure that she is happy, hale and hearty.

The world as we know is undergoing a change and we must keep up with the changing pace while keeping in mind that our fight with COVID19 is far from over. Ensuring the health and well-being of the family is of utmost importance as we step back into a semblance of our lives pre COVID.

Stretch marks in pregnancy

Approximately 50% to 80% of women are likely to develop stretch marks in pregnancy. Miscellaneous creams are known to offer some benefit in striae gravidarum. But no reliable evidence is available to conclude that any creams or topical ointments can help prevent stretch marks. Although not an illness, stretch marks can give nervousness to many expectant mothers. Some studies indicate that women who have developed stretch marks in pregnancy can avoid getting further marks in pregnancy.

What are stretch marks?

Stretch mark is a scar developed when the skin stretches or shrivels abruptly. The abruptness of these changes leads to the rupture of the collagen and elastin. When the skin starts to heal, stretch marks can appear. Stretch marks may not be present on every expectant mother??s body.Fluctuations in hormonal levels play a role. Stretch marks may run in families. If someone close to an expectant mother had stretch marks, such an expectant mother is more prone to develop stretch marks.

What are the body parts most prone to develop stretch marks?

Thighs
Hips
Bottom
Chest
Stomach

What are some of the most common situations to develop stretch marks?

Pregnancy
Growth series occurring in puberty
Sudden weight gain or sudden weight loss
Weight management program while undergoing rapid muscle growth

What are the risk factors identified in the development of stretch mark?

General risk factors:

Body mass index
High pre-pregnancy weight
Family history of stretch marks
High weight during the delivery
High gestational weight gain
Young age

Maternal risk factors in pregnancy:

Low intake of water
Low level of serum relaxin
Increase in the abdominal and hip circumference
Low level of serum vitamin C
Increased body mass index at delivery

Are there any techniques to prevent the stretch marks?

Genetics, as per experts, are the causes for stretch marks. But it may not always mean that a person will get stretch marks if either of the parents has it. Maintaining a healthy body mass index could be the first effective step towards preventing stretch marks. Ample consumption of water can help prevent the possible damage caused by the stretches of the skin.

It??s best to include the foods rich in zinc in the diet. Foods rich in Vitamin A, Vitamin C, Vitamin D such as milk, citrus and sweet potatoes can benefit in stretch marks.

Diets and exercise:

Aerobics:

Aerobic is a kind of exercise mostly known to augment the blood circulation. It assures that the nutrients needed to the skin are aptly supplied to the surface. It may lessen the severity of the stretch marks. Morning walks can help those with stretch marks to an enormous extent. Half an hour every day or at least four days of a week should be spent in aerobics.

Push-ups:

Push-ups help reduce the stretch marks around the breasts. One can start push-ups and increase their inclusion as needed.

Abdominal exercises:

Abdominal stretch marks can be a reason for public embarrassment. While the stretch marks on abdomen are hard to treat, sit-ups and crunches can work wonders provided they are performed regularly.

Squats:

Squats are a known ally to the muscle tone in hips, thighs and butts. Even when it comes to squats, those who are new to them can start with fewer squats and go on increasing them every day.

What are the methods to remove the stretch marks?

The efficacy and results of the removal methods may vary from person to person. The results may be satisfactory in the first few days.

Microdermabrasion
Surgical intervention
Radiofrequency treatment
Light therapy and laser intervention
Topical medications and creams or ointments

Almond Oil:

Oils have been known for centuries to generate moisture and increase the blood flow to various areas. There is no enough evidence to demonstrate whether the combination of massage and oil prevents stretch marks or not. Bitter almond oil is used by some people to treat the expectant mothers as it doesn??t pose a risk to mother or the foetus.

Hyaluronic Acid:

There are creams available in the modern marketplace today such as Verum and Alphastria. Alphastria is a proprietary medicine with Hyaluronic Acid, Vitamin A, Vitamin E, Allantoin and Calcium Pantothenate as the main constituents. Verum is another proprietary cream that contains Vitamin E, essential fatty acids, panthenol, hyaluronic acid, elastin and menthol.

Hyaluronic acid is the constituent common in both the proprietary medicines. Hyaluronic Acid is reported to facilitate tensile resistance to mechanical pressures and palliate the atrophy by inducing fibroblast activity and collagen synthesis thereby increasing the skin volume.

Tretinoin:

Tretinoin is a category C drug in pregnancy and therefore caution is required while administering it in patients. Patients are advised not to use it until the lactation period. Erythematous Stretch marks become less severe after Tretinoin is administered in the treatment of stretch marks.

Centella:

Centella in combination with other ingredients is reported to help prevent stretch marks. Centella is a medicinal herb whose usage in various creams can help prevent the stretch marks or minimize their severity. Centella is a popular name for Centella Asiatica, a plant commonly found in South Asia. It??s used to treat Leprosy, Venous stasis, ulcers and eczemas. Trofolastin is a proprietary medicine containing centella extracts.

Lasers and other light devices:

Lasers and treatments involving lasers and other light devices are becoming popular nowadays. 585-nm flashlamp-pumped pulsed-dye laser is one of the most preferred lasers to treat stretch marks. Pulsed-dye laser, Excimer Laser, 1450-nm Diode Laser and Copper-Bromide Laser are some of the other laser variants used to treat stretch marks.

It??s mandatory to consult the obstetrics and gynaecology department or a seasoned dermatologist before administering any treatment. A gynaecologist may ask for the medical history before administering the standalone treatment or combinations. A good diet and regular exercise are the best ways to prevent stretch marks.

What care should be taken during first three months of pregnancy?

precautions during first three months of pregnancy

Author: Dr. Shefali Tyagi MBBS,DGO, FRCOG, MRCOG, PGDMLE, PGDPC, FRANZCOG

By the time a woman conceives, her body prepares itself for various changes. These changes are important to help a pregnant lady carry her pregnancy to term. A list of changes occurs in the first three months of pregnancy. These occurrences are a precursor to signs that develop throughout all the trimesters.

The first trimester of pregnancy:

The first trimester of pregnancy starts the day a woman conceives and lasts till the 12th week. The need for first-trimester care strikes right here as the first trimester involves crucial changes and challenges. The pregnant lady may gain weight or feel apathetic followed by the common episodes of morning sickness. Various other symptoms associate themselves with the first trimester. It’s a phase that involves quick foetal growth. This is when various vital organs of the foetus develop phenomenally. They include the spine, nervous system and digestive tract. The foetus obtains a human form by the end of the first trimester. A healthy lifestyle is a mandate during the first trimester. Pregnant women may have to maintain dietary control throughout the pregnancy. Pregnant women should seek an obstetrician’s advice early in pregnancy for better outcome (healthy child).

Below are the precautions to take as a crucial part of pregnancy care:

Hydration – marking your healthy pregnancy:

A rise in blood volume is a significant part of the first trimester. The blood volume increases to actively contribute to the oxygen and nutritional requirements of the foetus. The expectant mother needs more fluids throughout the pregnancy. Various sudden changes in the body warrant a steep rise in the demand for fluid intake. Fresh juices and clean water support you like never before in the pregnancy.

Stay away from smoking:

Pregnancy is the time when all kinds of addictions negatively influence foetal growth. Smoking in pregnancy raises the risk of miscarriage, premature labour, and ectopic pregnancy. The inhalation of the unhealthy vapours hinders the foetal development risking the overall success of the pregnancy. Practice a lifestyle free of addictions and especially smoking to ensure the safety of yourself and your munchkin.?

Hb electrophoresis test
Screening tests may be needed to find out if the baby is at risk for certain inheritable health issues.
Blood type and antibody screen
Complete Blood Count (CBC) to check if you have Anaemia or low platelet count.
RPR tests to detect any exposure to Syphilis
Fasting glucose checks for diabetes(HbA1c)
Prenatal vitamins:

Vitamins play a crucial role in determining the overall status of health. Take prenatal vitamins based on your doctor’s recommendation. The early phase or first-trimester health remains crucial for both mother and her unborn. Folic Acid is the most important supplement as it helps prevent birth defects. Iron helps in the prevention of Anaemia.

Avoid hot baths and sauna:

High temperatures may interfere with healthy foetal development. Avoid hot showers. Consult your orthopaedic doctor or general physician if you have a history of back pain or joint pain. Some pregnant women can use pads wrapped in a towel to treat their pain. However, it’s important to keep the temperature of the pad below 100-degree F or 37-degree.

Avoid or restrict seafood:

Seafood is widely accepted as a source of dozens of essential nutrients. Various seafood items contain abundant proteins and fats. But shark, swordfish and other similar fish species contain high levels of mercury. Some seafood items may lead to growth deficits in kids. The first trimester is the best phase to avoid seafood. It’s even better to avoid seafood throughout pregnancy. And if you feel like eating any seafood items in pregnancy, consult the right dietician or your obstetrician.?

Avoid processed foods:

Majority of the processed foods are dangerous in pregnancy. They contain additives and substances detrimental to foetal development. Many food additives contain traces of sodium nitrate and carcinogenic substances. Pesticides are also known to leach into processed foods. It’s, therefore, essential that you stick to organic foods and avoid packaged items. Make sure that the fruits and vegetables in your kitchen are properly washed and sanitized.

Be choosy while zeroing your search for the right diet:

Effective weight management and healthy metabolism are the two essential parts of a well-defined pregnancy. And healthy food choices facilitating a balanced diet give you all you expect from a healthy lifestyle. Make sure you are getting abundant vitamin D, mostly from the sunlight. Incorporate more nuts and seeds that fulfil your need for omega-3 fatty acids. Omega-3 fatty acids aid the healthy development of your baby’s brain, eyes, and nerves. Include more calcium through spinach, tofu and broccoli. Dairy products are rich sources of Calcium.

Exercise:

Start with the mild sessions of warm-up or leisurely walks. Avoid brisk walks in the pregnancy. Yoga forms the irreplaceable part of a healthy lifestyle, specifically in pregnancy. Avoid heavy or strenuous exercises that may interfere with your baby’s healthy growth. Some exercises may even lead to preterm labour. Activeness and metabolism are the two essentials of a healthy pregnancy. Light exercises serve the purpose to the fullest, especially during pregnancy.

Be cautious about prescription medications:

Your obstetrician may scrutinize you for at least 30 minutes if you have a sensitive medical history. He or she may ask you about the prescription medicines you are taking when you are in the first trimester. Some medications may contain teratogens – substances causing birth defects. Antibiotics like streptomycin and tetracycline, anticonvulsants like Coumadin, and Acne medication Accutane are some detrimental medications in pregnancy. It’s better to avoid a different doctor or physician prescribing any medication for you in pregnancy. If you have no other choice, it’s better to consult your midwife/obstetrician.

Occupational hazards:

If your occupation involves anything risky like handling chemicals such as mercury, it’s better to inform your immediate supervisor. It’s difficult for pregnant women, irrespective of their trimester, to pursue a job that demands strenuous physical effort. Consider taking early maternity leave or cut back on your routine.

Practice mindful eating during pregnancy:

Practicing mindful eating is a key component of maintaining a healthy and nutritious diet. Mindful eating involves being present and fully engaged in the eating experience, paying attention to hunger and fullness cues, and making conscious choices about the foods you consume. To ensure healthy eating during pregnancy, focus on a balanced diet that includes a variety of nutrient-rich foods. This means incorporating ample amounts of fruits, vegetables, whole grains, lean proteins, and healthy fats into your meals. To alleviate nausea during pregnancy, it is advisable to avoid foods that trigger discomfort.

Which foods increase breast milk?

A healthy pregnancy and childbirth skyrocket you to cloud nine. Another phase of affection and mushiness approaches you right after childbirth. That’s right! It’s about how a mother starts feeding her munchkin. Good pregnancy care is the doorway to many subsequent reasons to celebrate. And motherhood sets out to become a complete pack of elation when a new mother starts feeding her new-born.

Mother nutrition is yet another subject of importance both during and after the pregnancy. A few important tips for new mothers may help them make the most out of their newfound motherhood. Manufacture of milk functions like a supply and demand system. The mother’s body provides milk in response to the demand received. Distributing the right proportion of milk regularly from the breasts is critical to consolidating and maintaining an ample milk supply.

Here’s how you can start:

A. The first few days after childbirth are most important. Make sure you regularize skin to skin contact from birth.

B. You may have a regular attendant or lactation consultant at the hospital. Ask them to audit positioning and latch techniques. It will help you maximize effective breastfeeding.

C. Feed your baby each time you notice the signs of hunger in him/her. The signs may include but may not be limited to licking lips, fondling the mouth and tongue thrusting.

D. It’s obvious and usual for the babies to expect to breastfeed as often as every 1-3 hours. Breastmilk is digestible and wholesome. It’s recommended to breastfeed the baby frequently.

E. Hunger cues in babies are important. Avoid using pacifiers at least until the milk supply is well established. Once the baby starts gaining weight, it would be the right time to resort to pacifiers. But using pacifiers in early motherhood may decrease milk supply. They might even lead to weight loss in a baby.?

And below is the list of foods to regularly include in your diet and enjoy breastfeeding your munchkin. These are the foods that will increase your breast milk.

Unripe Papaya:

As your journey from motherhood progresses to a new phase, you may plan on a diet that suits your nutritional requirements. Unripe papaya functions as a natural sedative. It allows you to relax. You may consider using the unripe papaya even in your salad preparations. Many Asian countries consider unripe papaya as a noteworthy galactagogue.

Carrots:

A carrot is a root vegetable. Being a rich source of Vitamin A, carrot boosts the quality of milk production. Carrots facilitate healthy lactation. You may consider eating raw carrots in salads or enjoy them as juice. Take a cup of carrot juice for your breakfast. Carrots are readily available worldwide and are the facilitators of healthy lactation.

Asparagus:

Asparagus is a rich source of fibre, vitamin A and vitamin K. It stimulates the hormones responsible for lactation. You may consider using asparagus as a garnish on your favourite delicacies or saut?? it with your desired snack.?

Barley:

Barley facilitates lactation. It helps keep your water levels healthy. You may use barley in your favourite salad. Soak the barley overnight and drink the water the next day.

Bitter gourd:

Bitter gourd shines out as a nutritious vegetable with many features. The water content in bitter gourd boosts healthy levels of hydration. Being easy to digest, it helps boost a healthy production of breastmilk. Most of us dislike bitter gourd for its bitter taste. We can, however, make it far more palatable and tastier with recipes available nowadays online and in magazines.

Sweet potato:

Energy is one of the irreplaceable aspects of a healthy pregnancy. While facilitating trimester care, pregnant women count on the foods that energize them. Sweet potato is a rich source of carbohydrates providing energy. B-Complex, vitamin c and magnesium are the other important vitamins present in it. You may use sweet potato in various regional and national delicacies. It’s easy to cook and available almost everywhere.

Almonds:

Dry fruits are revered worldwide for various properties and health benefits. Almonds are rich in vitamin E and omega-3 fatty acids. Full of polyunsaturated fats, almonds make a fabulous choice for all who want nuggets of nutrition. Raw almonds are a favourite food for many dynamic people worldwide. You may consider using almond supplements to boost a healthy milk supply. Baked and roasted almonds make memorable snacks worldwide. We love them for their health benefits and a piquant aroma. Many doctors prescribe almonds for nursing mothers.

Water:

We often love drinking a large dose of water after an hour of strenuous workout. And when the climate becomes warm, cool water is something we love relying on. How can we overlook water while considering breast milk production? Hydration is an irreplaceable part of a diet dedicated to healthy milk production. Enjoy every glass at regular intervals or sporadically. Don’t consume a large amount in a go.

Milk:

The nutritional value of breastmilk plays a crucial role in shaping your baby’s health. Milk is a rich source of healthy fats, calcium and folic acid. These are the nutrients helpful not only in the production but also the nutrition of the breastmilk produced. Enjoying a glass of milk twice a day may facilitate ample milk production.

Chickpeas:

?Chickpeas are known for various health benefits. Chickpeas are also regarded as a superfood rich in fibre, protein and B-complex. Being a source of calcium, chickpeas may aid breast milk production.?

You may include various other food items in your platter. They may be Fenugreek seeds, garlic, green leafy vegetables, fennel seeds, sesame seeds, cumin seeds and holy basil// ensure that you are producing enough breastmilk?

Healthy breastfeeding will be comfortable for you and your baby. It will involve nil to negligible pain.
A healthy daily schedule of feeds involves at least 8 to 12 feeds a day.
It’s a good sign that your baby wishes to feed often. Breastmilk is easily digestible and your baby may enjoyably nurse again and again. Most healthy babies prefer breastfeeding every 1.5 to 2 hours.
When you produce enough breastmilk, your breasts tend to feel mushier and lighter after every feed.
Assess your baby’s reflexes each time your baby swallows while feeding.
After each healthy feed, your baby would be off the breast on his/her own.
Check your baby’s weight regularly.
You may prefer getting your munchkin assessed regularly by a good paediatrician.
Don’t feel apprehensive if you notice weight loss in your baby immediately after birth. This may resolve within five to six days after birth.
By the end of the fourteenth day, he or she will be back to the original weight carried at birth.
Nurse your baby regularly so that the milk gets removed from the breast properly at definite intervals.
You may prefer nursing your munchkin at a frequency of 1.5 to 2 hours.

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Indiranagar

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Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

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2. Take your supplements

3. Regular exercise

4. Perform pelvic floor exercises

5. Stop smoking and drinking alcohol

6. Stop caffeine intake

Consultant – Obstetrician & Gynaecologist Lullanagar, Pune

Consultant – Obstetrician & Gynaecologist at Bangalore, Banashankari

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