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The Birthplace Blog

Vaginal Rejuvenation: The Route to Painless Happiness

The Birthplace


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She’s happy with a meal of leftovers from her children’s plate. She’s happy being the trouble-shooter of the family. From being the designated chef to the homework master, women often make their families their world, protecting and nurturing them with all their love and care.

From being a daughter and sister to being a wife and mother, it’s beautiful how you can transition into any role effortlessly. That’s partly because as a woman, selflessness comes to you quite easily and putting others before yourself is just a natural instinct.

It’s no surprise, therefore, that you ignore the ‘small niggles’ your health encounters, often labelling them as nothing serious. Even though this might bring great satisfaction, yet, ladies, you need to understand that it’s only when you are healthy will you be happy in the truest sense of the term.


Genital Wellness: A Topic That Needs Attention

Many women often take their genital well-being very lightly. Even though some attention is being paid to this important aspect with the introduction of creams and other products specifically for female genitalia, yet, most women either feel embarrassed to talk about it, or just brush it under the carpet thinking it’s not necessary at all.

The fact of the matter is problems in the female intimate parts have more repercussions than one in the overall health of a woman and they need to be addressed by booking an appointment with a reputed obstetrician and gynecologist. Before we get into details of what those problems are, it’s important for you to understand everything about the female genitalia.

Structure of The Female Genitalia: What Is Normal And What Is Not

The female genitalia is a rather complex system. There are several parts that together form the external reproductive organs in women and all of these parts are extremely critical in their own ways. Broadly, these parts can be categorised as:

  • The Mons Pubis: This is the soft fleshy part that covers the upper portion of the pubic bone. One of the characteristics of this portion is that upon puberty, one can find hair growth here.

  • Labia Majora: Literally translating to big lips, it refers to the folds that cover some of the internal genital parts.

  • Labia Minora: These are the fleshy parts that lie inside the labia majora and loosely translate to small lips. The texture of this not the usual skin-like appearance of the labia majora - it’s moist because of the presence of blood vessels that give it a pink colour. This part covers the opening of the urethra and the vagina.

  • Introitus: This is the opening to the vagina and it is where the penis enters during intercourse. This is also the part through which menstrual bleeding and the final stages of childbirth happen.

  • Clitoris: This sensitive part is located between the labia minora at their upper end. Its most important function is during intercourse.

  • Vagina: Then of course, there’s vagina where the sperm gets deposited to kick-start reproduction.

 Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.  To know more or to meet Dr. Pratibha, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.

To know more or to meet Dr. Pratibha, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Even though every woman has her own unique body type and the shapes and sizes of genitalia might differ, yet, there are a few things that are not normal. It’s important to understand these problems so that the doctor can take corrective measures without wasting too much time. 

While bulging of the labia minora during arousal is normal, yet, if you find that the inner or outer lips are enlarged most of the times, it might be indicative of a problem. Apart from posing health threats, such bulging could also prevent you from opting for certain types of clothing and might dampen your confidence.

Any itching or redness should be addressed immediately. It could be hiding an infection that could impact your routine life. Also talk to your doctor if you are suffering from smelly or discoloured discharge. Urinary incontinence could be another problem as well. If the appearance of your genital parts bother you (like looseness), your doctor will be the best person to suggest treatments to you.

Problems in Female Genitalia

Being an extremely complex yet sensitive region, any problem in the female genitalia should not be ignored. There are appearance related issues that crop up after a certain age, but they are not limited to that. Problems in the region could include:

  1. Loose muscles, causing problems in appearance

  2. Infections

  3. Loss of elasticity in vaginal muscles due to sex, childbirth or age

  4. Urinary Incontinence

  5. Vaginal Dryness

  6. Vaginismus

Even though these are just a few problems that we have outlined, there are several other issues, like we had mentioned above, that have burning, pain while urinating and excessive vaginal discharge as symptoms. Whatever the case might be, since the genitalia plays a critical role in your sexual and overall well-being, any aberration must be immediately reported to your doctor.

How Do These Problems Impact Your Life?

Imagine being inside an important meeting, delivering the presentation you have been meticulously working upon. Just when you are about to present the game-changer, your bladder alerts you. You had just gone to the washroom right before the meeting, but you still have the urge to relieve yourself immediately. It’s most probably caused by urinary incontinence. Now imagine you sneeze and you feel a trickle. That’s stress incontinence. It’s not a very pleasant situation, obviously.

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Problems in your genital area could have a direct impact on your sexual well-being as well. That can have ripple effects on your relationships and overall mental health as well. Apart from these important points, the appearance of the genital area has a lot to do with the levels of confidence many women have.

It therefore becomes critical to identify these issues with the help of a reputed doctor and get them treated as soon as possible, so that you are spared from having long-term impacts.

So, What Are Your Options: Surgical Help?

With plastic and cosmetic surgery seeing a demand unlike anytime in history, for many women, a surgical reconstruction looks like the only option. However, not many of you opt for it because of various reasons.

  • In a country like India, many women find it embarrassing and difficult to talk about issues down there.

  • Surgical options are expensive

  • They are also perceived to be very painful.

  • The downtime involved is quite high, keeping you off your hectic routine for far too long.

Non-Surgical Vaginal Rejuvenation: The Significance

With healthcare progressing leaps and bounds, painless and non-surgical interventions are taking on almost every aspect of medicine. From minimally-invasive surgeries to incision less and scarless procedures, healthcare now provides ‘tear-less’ solutions to several health conditions. That’s where cosmetic and aesthetic gynaecology comes into the picture.

With several non-surgical methods to help women achieve healthy genitalia without the need for surgical procedures, cosmetic and aesthetic gynaecology is the next big thing for women. Let’s understand how non-surgical procedures can help you.

  • Vaginal Laxity: When the vaginal muscles lose their tightness, they could bring along several problems for women associated with body image and sex life. The causes of vaginal laxity are often attributed to age, hormones and most of the times, childbirth. With the use of lasers and RF (Radio Frequency), doctors are now able to tighten the vaginal canal, as both these procedures uses heat to promote collagen production.

  • Labia Majora Looseness: With age, the labia majora could lose its volume, thereby affecting appearance and the confidence levels of the woman. Rejuvenation and contouring of labia majora is now possible with the use of dermal fillers that give it the volume it needs. In this case too, laser and RF can be used if the doctor feels it will be effective.

  • Urinary Incontinence: Believe it or not, now your embarrassingly high number of loo visits can be cut short using cosmetic and aesthetic gynaecology. Specific treatments are administered to fix stress and urinary incontinence. 

  • Scar Correction: If you have had a surgical procedure down there, it could leave behind scars that might affect you psychologically. With the use of non-surgical treatments, your doctor can now correct stretch marks, cesarean scars and episiotomy scars.

  • Vaginal Dryness: With what is now popularly known as the ‘O’ shot or a shorter version of orgasm shot, women can now experience easy arousal and bid goodbye caused due to vaginal dryness. PRP or platelet rich plasma is drawn from your own blood and injected just above the clitoris. This helps reduce pain during sex and promotes more natural lubrication.

  • Others: Right from taking care of your mons pubis, to fixing wrinkles in your intimate area, non-surgical aesthetic and cosmetic gynaecology procedures can help get rid of vaginismus and even help you bleach the sensitive area down there. They also take care of recurrent vaginal infections, especially after normal deliveries and during the perimenopausal period.

Looking for one-on-one counselling?

Choose The Right Doctor

Cosmetic and aesthetic gynaecology is a relatively new field and not many have ventured into it. Even though it looks like a great option, you should always be careful as to who you get it done from. If these procedures are performed by capable doctors, you will not experience any pain, but there are chances of mild discomfort. In that case, please notify your doctor so that appropriate medical action can be taken. You might experience mild vaginal discharge too, which your doctor will tell you about. However, any excessive discharge must be brought to the doctor’s notice immediately.

At Hyderabad, The Birthplace is the pioneer in this field. With reputed doctors and state-of-the-art equipment to assist the experienced hands, if you are thinking of getting vaginal rejuvenation done, please do visit us and we’ll be happy to help!


Planning Pregnancy after 35..?

The Birthplace


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Have you crossed 35 and are planning to conceive?

Yes! Then you are in good company. Many women are delaying pregnancy well into their 30s and beyond and are delivering healthy babies. The risks of pregnancy after 35 tend to get exaggerated but taking special care can help give you and your baby the best start.

Here are some challenges that you may face if you are planning to conceive post 35.

  • Getting pregnant might take a longer time. You are born with a limited number of eggs at birth. By puberty, you lose half of your eggs and by the time you reach your mid-to-late 30s, your eggs decrease in quantity and quality. Also at an older age, the eggs aren’t fertilized as easily as it would when you were younger. If you are in your late 30’s and haven’t been able to conceive for six months, consider consulting your obstetrician for advice.

  • Multiple pregnancy is very likely to occur. Hormonal changes with older age could cause the release of multiple eggs at the same time and hence increasing the chances of having twins. Pregnancy through assisted reproductive technologies may also result in conceiving twins.

  • The risk of pregnancy loss is higher. As you get older, perhaps due to pre-existing medical conditions or fetal chromosomal abnormalities, you are at a higher risk of having a miscarriage or a stillbirth. Research suggests that this may be due to a combination of a decrease in the quality of your eggs and an increase in the risk of chronic medical conditions such as high blood pressure and diabetes. During your last weeks of pregnancy, your obstetrician might suggest regular monitoring to ensure the well - being of the mother and the child.

  • The risk of chromosome abnormalities is higher. Babies born to mothers above the age of 35 are at a higher risk of certain chromosome problems, such as Down syndrome.

  • You’re more likely to develop gestational diabetes. Gestational diabetes occurs only during pregnancy and is more common for women conceiving at an older age. Diabetes during pregnancy can cause the baby to grow larger than the average - increasing the risk of injuries during delivery. It is needed to control blood sugar levels through diet and physical activity to decrease the risk of preterm delivery, high blood sugar, and complications to your infant post birth.

  • You’re also likely to develop high blood pressure during pregnancy. High blood pressure that develops during pregnancy is most commonly seen in older women. You will need to visit your obstetrician more frequently to monitor your blood pressure and your baby’s development. If needed, you might have to deliver before your due date to avoid complications.

 Dr. Samatha Kumar, is a senior gynecologist at the Birthplace with more than 11 years of experience, specializing in infertility, multiple births, and high-risk pregnancies.  To know more or to meet Dr. Samatha, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Samatha Kumar, is a senior gynecologist at the Birthplace with more than 11 years of experience, specializing in infertility, multiple births, and high-risk pregnancies.

To know more or to meet Dr. Samatha, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

  • You’re more likely to have a premature birth. Premature birth often comes with complicated medical problems, especially for the babies born the earliest. They may also have very low birth weight.

  • You might need a C-section. Women conceiving at an older age are at a higher risk of pregnancy-related complications that might lead to a Cesarean. One such example of a complication is Placenta Previa, a condition in which the placenta blocks the cervix not allowing a natural birth.

There are certainly a list of challenges that older women may face while conceiving or during their pregnancy. But few of these conditions can be avoided if you can take very good care of yourself. Remember! Your baby is healthy if you are!

Here are a few basics you need to pay attention to -

  • Consult your Obstetrician before you start planning for a baby.  It is always good to speak to your obstetrician about your overall health and lifestyle before you plan. Your obstetrician may advice few lifestyle changes, if necessary, to improve your chances of a healthy pregnancy. In case you have trouble conceiving or otherwise, do not hesitate to discuss your concerns about fertility or pregnancy.

  • Seek regular prenatal care. Regular prenatal visits are a must and they help your obstetrician to monitor your health and your baby’s health. Mention any signs or symptoms that concern you. Talking to your obstetrician is likely to put your mind at ease.

Looking for one-on-one counselling?
  • Eat a healthy diet. During pregnancy, your body will need more of folic acids, calcium, iron, vitamin D and other essential nutrients. Maintain a healthy diet to enrich your body with these nutrients. Starting a daily prenatal vitamin, ideally a few months before conception can help fill any gaps.

  • Gain weight wisely. Gaining the right amount of weight is necessary to support your baby’s health. It also makes it easier to shed the extra weight after delivery. Work with your obstetrician to determine what’s right for you.

  • Stay active. Regular physical activity can help you prepare for labor and childbirth by increasing your stamina and muscle strength. It can also help boost your energy level and improve your overall health. Consult your obstetrician before you start or continue an exercise regime.

  • Avoid risky substances. Smoking and alcohol consumption must be avoided right from the time you start planning to conceive.


Menstrual Health Management

The Birthplace

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No pickles, healthy diet, dark clothes are few of the many rituals which we follow religiously during menstruations. It may start with leaving you in a little bad mood, but soon after your periods, you ought to have a gentle upliftment of mood, full of life, good hair and skin day, making you feel very attractive.  

Imagine, taking care externally, without even having the slightest clue that menstruation, though a self-cleaning system, may need some extra pinch of love and care and thereby missing out on our cleanliness checklist by an inch and infecting ourselves!

Menstruating? Embrace the womanhood. Period.

Here are some tips to help you have a happy menstruation this month.

  • Wash yourself

Bathe yourself at least once a day. Make sure you wash your vagina or wipe it off after urination to avoid the excess blood which clings to the outer of the vagina. This also helps in minimising foul odor. Wash appropriately your genitals by going right; from the vagina to anus to stay away from any terrible transmission of microorganisms. It is advised to wash your clothes or bed-sheets with a disinfectant liquid.

  • Avoid using vagina hygiene products

The vagina is a self-cleaning biome which hates external interference and shows its irritation in form of discomfort or infections. Therefore, never use any external agent to clean the inside of the vagina. However, make sure you clean the vulva with mild soap and warm water to avoid vaginal or urinary tract infections.

  • This might sound against the regime but stick to one method of sanitation

The ways of menstrual sanitation have evolved from clothes to sanitary napkins and now menstrual cups, tampons have found their ways to the menstrual essentials of women. With various methods available, frequent switching of brands and methods are becoming commonplace. However, it is advised to stick to a particular brand or method to understand if it suits you well. Frequent shifts of brands or methods can lead to a bad-tempered vagina and cause discomfort including rashes.

Some women tend to use a combination of sanitation during heavy flows such as two sanitary napkins or one tampon and one sanitary napkin. Though this is a smart technique against heavy flows, yet it can be a source of infections. This is because women might find napkins/tampons not completely used up and delay the process of discarding the pads at regular intervals.

  • Beware of a pad rash

Try to stay dry during heavy flows by changing your pads frequently. Keep changing your pad as necessary or after every 6 hours. In case, you get rashes, visit your doctor for medication.

Looking for one-on-one counselling?
  • Discard the sanitary napkin properly

This is one of the most important steps towards ensuring a community health. Used sanitary items are a source of infection and can cause health problems if they spread. It is advisable to wrap them properly before discarding to quarantine the bacteria. Ensure you wash your hands properly after discarding it. 

  • Wear different underwear for periods

It is recommended to keep different sets of panties for periods as they might be infected. In case of stains, use lemon or bleaching powder to remove them. Make sure you wear well-fitting cotton panties to let your vagina breathe.

  • Be prepared with essentials before your periods

The average menstrual cycle is of 28 days. So, while you’re on the go, carry an extra sanitary napkin or preferred type of sanitation and wrap them properly to avoid contamination along with some tissues. And yes! Stay hydrated.  

Having irregular periods or trouble with your menses? Reach out to our Expert Gynecologists today!

 

Diabetes during Pregnancy? Know more.

The Birthplace

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When you are expecting, you often go through rounds of tests to ensure that your baby is healthy. You maintain a good diet, follow an exercise regime and do a lot of things you never did before. And while you find yourself changing externally, there are numerous changes which occur in your body unmasking themselves at various stages of pregnancy.

One of these changes is the high blood sugar level, which often shows itself up when you are halfway through your pregnancy. Medically, this condition is known as Gestational Diabetes and its dismaying  to know that Asian, African and Native American women are at higher risk of acquiring it. It is also a fact that gestational diabetes occurs in about 4% of all pregnancies.

THE CAUSE

Gestational diabetes is a condition characterised by high blood sugar (glucose) levels that is first recognised during pregnancy.

During pregnancy, increased levels of certain hormones made in the placenta help shift nutrients from the mother to the developing  fetus. To help prevent the mother from developing low blood sugar, the placenta produces other hormones which work by resisting the action of Insulin. Over the course of the pregnancy, these hormones lead to higher blood sugar levels. To try and bring these down, the body produces more insulin.

 Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception.  She has also trained in hysteroscopy and laparoscopy. She  has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids  and even menopause related issues through medical and surgical interventions.  To know more or to consult Dr. Girija, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception.  She has also trained in hysteroscopy and laparoscopy. She  has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids  and even menopause related issues through medical and surgical interventions.

To know more or to consult Dr. Girija, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Usually, the mother's pancreas is able to produce more insulin to overcome the effect of the pregnancy hormones. If, however, the pancreas cannot produce enough insulin, blood sugar levels will rise, resulting in gestational diabetes.

WHO SHOULD BE CAREFUL?

  • Moms who were overweight before expecting
  • Moms who had gestational diabetes in the earlier pregnancies
  • Moms who have given birth to a stillborn baby before
  • Moms who have given birth to a  baby of over 9 pounds before
  • Those who've had a family history of diabetes

To-be-moms diagnosed with gestational diabetes are vulnerable towards developing Type-2 diabetes later, though this may not hold true in all the cases. Usually, the screening tests for gestational diabetes are done between 24 to 28 weeks of the pregnancy age. Gestational diabetes, if treated in time, does not have any influence on the health of the baby. If left untreated, this can have major effects on the baby which includes stillbirth, or an unhealthy baby which has a likelihood of developing Type 2 diabetes in the long run.

Looking for one-on-one counselling?

HOW CAN YOU DETECT IT? 

Following are the few symptoms of gestational diabetes:

  • Impaired glucose tolerance or impaired fasting glucose (blood sugar levels are high, but not high enough to be diabetes)
  • Sugar in urine
  • Too much amniotic fluid (polyhydramnios)

The above conditions can be detected through an Oral Glucose Tolerance Test (OGTT), Urine dipstick for sugar and an Ultrasound scan respectively.

PREVENTIVE MEASURES

There is always some amount of precaution we can take even for situations not in our control!  

  • Exercise and maintain your diet before planning a pregnancy.
  • Healthy diets and recommended exercise help towards its treatment
  • Maintain regular visits to your Obstetrician / Gynecologist
  • Keeping a check on your blood sugar levels

Don’t worry! With proper treatment, you can deliver a healthy baby despite having diabetes.

Postpartum Depression: All You Need To Know

The Birthplace

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New to parenthood?

Raising a new-born baby is deemed to be one of the most beautiful moments in the lives of parents; nevertheless, it can also be an extremely action-packed, emotional, dramatic few weeks of the journey. Call them baby blues or an adaption towards parenthood, blame the hormones or the mood swings, but if you’re struggling with it, it’s time to give it a serious consideration.

It’s been more than two weeks, but you are still going through chapters of extreme sadness, low energy, anxiety, crying, change in sleep and eating patterns, fatigue etc., then there's a possibility that the baby blues are now shaping themselves into what medically is called ‘Postpartum Depression (PPD)’.

 Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.  To know more or to consult Dr. Jyotsna, please call 040-30911234. You can also write in to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.

To know more or to consult Dr. Jyotsna, please call 040-30911234. You can also write in to her at contactus@thebirthplace.com or visit www.thebirthplace.com

There is no sure-shot conjecture of the cause, but some premises indicate that depression, PMS, an earlier postpartum depression, stressful environment, social challenges, unwanted pregnancy, genetics and hormonal changes affect it. Some forms of postpartum depression also manifest themselves as hallucinations and homicidal thoughts.

The screening for postpartum depression is done by doctors typically in the first month of childbirth. It is suggested that new-moms should also visit doctors in the second and fourth month as symptoms of PPD, if any, tend to appear during these months. Some doctors also advise screening during the pregnancy phase.

Prevention is better than cure

For better health of the mother and her child, it is recommended to be aware of the factors that may inflict the journey emotionally. The presence of loved ones and a healthy environment is important for an expecting mother to be comfortable and happy. Emotional closeness, proper diet, and exercise are found to be helpful in inhibiting the symptoms of PPD.

Looking for one-on-one counselling?

Treatment

Administration of anti-depressants has been found to be effective and certain antidepressants do not have any effect on breast-feeding. However, other techniques like counselling by a mental health expert, support groups, proper diet and other recreational activities are also effective in subsiding the feeling of loneliness in women suffering from PPD.

Make sure you maintain regular visits to your obstetrician during pregnancy and do not brush aside your post-delivery check-ups!

Ease Your Body. Erase Your Worries.

The Birthplace


A developing bump, pregnancy glow, good hair days are welcoming changes which pregnancy brings, along with a sense of happiness. They also bring with it a multitude of not- so welcoming changes to your body. Evidence shows that physiotherapy, in principle, is helpful in tackling these unpleasant changes and provide relief from certain pregnancy related conditions like pelvic pain, urinary incontinence, lower back pain etc.

Before we get to these conditions, lets understand why exercising is important and how does it affect you and your baby.

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WHY SHOULD YOU EXERCISE DURING PREGNANCY?

Exercising during pregnancy has a positive influence, both, on the mother and the baby. It can also help during the postpartum rehabilitation period. It can  ensure a comfortable nine months of pregnancy compared to not exercising at all. It is important to consult your obstetrician before starting any exercise regime.

Benefits for mom-to-be:

  • Reduction in risk of developing gestational diabetes and pregnancy-induced hypertension
  • Fewer obstetric intervention (forceps, vacuum extraction)
  • Reduction in the ‘active stage’ of labor
  • Quicker return to pre-pregnancy weight
  • Reduction in bone density loss during lactation state
  • Decreased incidence of ‘incontinence’ during pregnancy and postpartum
  • Reduction in common pregnancy complaints (leg cramps, back pain, hemorrhoids etc.)

Benefits for the baby: 

  • Infants have less body fat at birth
  • Infants are less cranky which in turn has reduction in the incidence of infant colic
  • Greater neurodevelopmental scores in oral language and motor areas (tested at age 5)
 Dr. Snigdha Reddy is a certified Physiotherapist with over 7 years of clinical experience . She has worked as a Consultant in various hospitals in Hyderabad & has been associated with the Birthplace for the last 4 years. She is the co-owner/founder of Physio Pro.  To know more or to consult Dr. Snigdha, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com

Dr. Snigdha Reddy is a certified Physiotherapist with over 7 years of clinical experience . She has worked as a Consultant in various hospitals in Hyderabad & has been associated with the Birthplace for the last 4 years. She is the co-owner/founder of Physio Pro.

To know more or to consult Dr. Snigdha, please call 040-30911234. You can also write to her at contactus@thebirthplace.com

PREGNANCY-RELATED CONDITIONS

Most women during pregnancy experience one or more of these conditions at different stages of gestation, at different levels of severity. Physiotherapy can help you deal with all these conditions for a smooth labor and easy recovery. Here are few pregnancy-related conditions that you may experience during your 9 months. 

Lower Backache:

As your belly gets bigger throughout your pregnancy, the hormonal changes that cause the otherwise stable joints to ease up; because of which, the lower back and pelvis loosen up, preparing the body for a vaginal delivery. In turn, your lower back curves more than usual to accommodate the load – resulting in strained muscles, soreness, stiffness, and pain in the lower back.

Urinary Incontinence:

Do you accidentally leak urine when you exercise, laugh, cough or sneeze? Do you experience a need to get to the toilet in a hurry?

Urinary incontinence is defined as a complaint of any involuntary loss of urine. This is due to the weakening of the pelvic floor muscles, which play a major role in bladder control, with the progression of pregnancy. As the pelvic floor muscles and the pelvis stretch and widen to accommodate the growing baby and its increasing weight, particularly in the final trimester, the muscles become weak and make it difficult to control the bladder.

Coccydynia:

Does it pain between your buttocks when you sit on a chair for long hours?

Coccydynia is commonly known as the Tailbone (Coccyx or bony area located deep between the buttocks above the anus) pain.  It is caused due to inflammation of the tailbone manifested by pain and tenderness. Your tailbone is right behind your uterus and as the baby develops and gets larger, it's bones push against yours, causing discomfort. The other cause is the pregnancy hormones. They make the ligaments (support and connect bones) in your body relax anticipating a vaginal delivery during which the bones could shift causing discomfort and pain. 

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Carpel Tunnel Syndrome:

Do you have tingling sensation and numbness in your hands?

The carpal tunnel is a bony canal formed by wrist bones on three sides and a ligament that runs across the wrist on the other. Fluid retention and swelling which is common during pregnancy can increase pressure in the narrow space compressing the median nerve that runs through it. This pressure on the nerve causes a tingling sensation, numbness, pain or a dull ache in the fingers, hand or wrist, worsening at night.

Diastasis Recti:

Noticed any obvious gap in your stomach muscle near the belly button area?

It is the separation of your outer most abdominal muscles  which creates a gap that allows your belly to pooch out. This may not be a painful condition but affects the physical appearance of your belly.  You may still look pregnant even after you delivered your baby.  Training your core abdomen muscles can help treat this condition. 

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Pelvic Girdle Pain:

Does it pain while moving your legs apart, especially when sitting, lying down or getting out of the car? Is turning over in bed painful?

Your pelvic girdle is the bony arched structure in your hip area that supports your legs - including the symphysis pubis joint, hip joint, coccyx, sacrum, and sacroiliac joint. Pain can occur during pregnancy when there is a mechanical problem within these joints. 

Looking for one-on-one counselling?

Pelvic pain is likely to be caused by a combination of factors, including:

  • the joints in your pelvis moving unevenly
  • changes to the way your muscles work to support your pelvic girdle joints
  • one pelvic joint not working properly and causing knock-on pain in the other joints of your pelvis

All the above conditions can be alleviated. Meet a certified physiotherapist today  at the Birthplace to cope with these pregnancy conditions.


Ectopic Pregnancy: All you need to know

The Birthplace

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Have you got your periods too late? Are you feeling nauseated? Are you undergoing those pregnancy cramps or shoulder pain with a lot of queasiness? Do you experience some discomfort in the abdomen?

We know, it would be hard to identify what’s normal and what needs a medical examination, given the minimal expression of unique characteristics.  But experiences such as these may call for immediate medical attention, as this might be a typical case of ectopic pregnancy.

 Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception.  She has also trained in hysteroscopy and laparoscopy. She  has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids  and even menopause related issues through medical and surgical interventions.  To know more or to consult Dr. Girija, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception.  She has also trained in hysteroscopy and laparoscopy. She  has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids  and even menopause related issues through medical and surgical interventions.

To know more or to consult Dr. Girija, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Ectopic pregnancy is a condition when the embryo implants itself outside the uterus, or as called in medical terms “Extra-uterine Implantation”. Such pregnancies are often considered complicated and exhibit certain symptoms. Listed below are few of the experiences which to-be-moms undergo:

  • Common symptoms include vaginal bleeding and torrents of sharp abdominal or pelvic pain. Other symptoms in some cases can be diarrhea, nausea or vomiting  accompanied by pain.
  • Ectopic pregnancy is qualified when there is a  very less increase in the amount of hCG during the test or also when the hCG level does not double in 48 hrs.
  • Fallopian tube rupture may cause severe discomfort in the pelvic region in addition to dizziness or fainting.  

Medical demonstration of ectopic pregnancy generally occurs between 4-8 weeks counted from the last normal menses.

Ectopic pregnancies, medically, have never been regarded as safe for expecting mothers and can lead to death if left untreated. Ectopic embryos, which do not have a normal development, may reduce the chances of further normal pregnancies, esp., in the advancing age, therefore, necessitating immediate embryo removal for mother’s health and fertility. Embryo removal is administered through medication or surgery depending on the location of the implanted embryo.

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Since the symptoms are masked and largely imitate symptoms of first-trimester pregnancy, I advise you to maintain regular visits with your doctor, and follow the suggested regime and tests.

An ectopic pregnancy can be very overwhelming and unaccounted for. Engage yourself in various activities and care for yourself  through healthy diet and proper rest.

Talk to your doctor about how to ensure a healthy pregnancy in future.

Struggling To Understand Your Newborn?

The Birthplace


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Holding a newborn in one’s hand gives immense happiness. At the same time, parents struggle to understand the typical anomalies. Even simple questions like ‘when to feed my baby?’, ‘is the stool normal?’, ‘how long should my baby sleep?’ and ‘can my baby see me?’ haunt the minds of the parents. 

In our earlier article, we have covered  Apprehensions And Concerns About Breastfeeding  and this learning exercise is to provide insight into various aspects of care-taking and healthy development of infants between 0 to 3 months of age. Here are few questions commonly asked by new parents. 

What are the sleeping patterns in a newborn?

Babies sleep 16 to 22 hours per day in the newborn period and this gradually decreases to 12 to 16 hours in the 3rd month. Initially, most babies sleep well during the day and are awake during nights. To facilitate proper sleep patterns simple things may be followed like allowing natural light during the day and dim light during sleep time in the night with soft music.

How to prevent infection in the umbilical region?

The cord will shrivel and fall between 7 to 13 days of age and  some sticky blood stained secretion is common. Avoid applying any cream or antibiotic powder. The umbilical area must be kept dry and must not be allowed to smudge with the diaper. Frank pus and reddish changes of the skin around the cord region warrants immediate attention from a pediatrician.

When and how to bathe a newborn?

Bathing can be initiated once the cord falls off and the area becomes dry. Until then sponge bath is recommended. In the first few weeks, bathing twice a week is more than enough. Mild soap and shampoos can be used for the same. Refrain using any other items like bath-powder or turmeric to bathe the baby. Massaging can be started from the 2nd week. Coconut oil or olive oil is preferred when compared to mineral oils. For hair, only coconut oil is recommended to prevent cradle cap. It is recommended not to apply any lotion, cream or powder following bath.

Does a newborn have a taste?

Newborns have a sense of sweet and bitter taste. Reactions to salty foods can be seen after 5 months of age. They can also smell and localise the source of odour including breast milk.

How much vision does a newborn have?

During the first one week after birth, the eyesight of the baby is fuzzy. Babies can look with crossed eyes in the first 3 months of age. Babies are pretty sensitive to light and can see in 3 dimensions.

 Dr. Madhavi, a senior Pediatrician, is an author of more than 600 articles in the field of medicine and nursing.  An expert in the field of Pediatric Asthma and Neonatal Resuscitation, she is trained to meet the unique needs of children, through all of their developmental stages, as they grow and mature.  To know more or to consult Dr. Madhavi, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Madhavi, a senior Pediatrician, is an author of more than 600 articles in the field of medicine and nursing.  An expert in the field of Pediatric Asthma and Neonatal Resuscitation, she is trained to meet the unique needs of children, through all of their developmental stages, as they grow and mature.

To know more or to consult Dr. Madhavi, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

What are normal newborn stools?

In the first 3 to 5 days, the baby passes dark-green colored stools. Typical breastfed babies pass 3 to 7 times soft, semisolid, yellow colored, mushy, stools with white freckles and organic smell. Some babies can pass stools once in a few days. Hard pellet-like stools, any number of times in a day, is a sign of constipation and must be reported to the pediatrician immediately. Formula fed babies can have stools that are solid in consistency and grey or green in color. Blood in stools, black colored stools, pellet-like stools and clay-colored stools are abnormal and must be reported to the pediatrician. The consistency and color of stools can vary depending on the mother’s diet in some babies.

What to know about urination in newborn babies?

Babies pass urine about 6 to 20 times a day depending on the season and the milk intake. The color is light yellowish or colorless. However, in the first few days, when the babies have mild jaundice, the urine is yellow in color. Pinkish orange deposits in the diaper is due to urate crystals. These deposits are typically seen in the first week of life and may indicate dehydration in some cases. Blood in urine warrants investigation. Crying before passing urine may be normal. In boys, one must check whether there is a good stream of urine.

What is the appropriate clothing ?

The tummy, palms and soles of the baby must be as warm as the mother’s tummy. The baby must be wrapped appropriately and the room temperature must be maintained around 28 degree Celsius. Swaddling must be done necessarily. Cloth diapers or disposable diapers can be used. Petroleum jelly may be applied to prevent diaper rash.

How to wash clothes of a newborn?

In the first month, clothes must be soaked in warm water for few minutes and then  washed using plain water. They must be dried in sunlight or must be ironed after drying. Use of antiseptic or disinfectant liquids  and detergents must be strictly avoided. Incase of staining, baby shampoo can be used to remove stains. From the third month, baby friendly detergent can be used.

What activities does a newborn do?

A Newborn is a bundle of joy!  Their activities are mere reflexes which gradually fade away as they advance. Few reflexes that you may observe are - 

  •  Startle reflex -  makes the baby arch her back and extend her legs or arms in response to sudden noise or movement.
  • Babinski reflex - occurs when the sole of the foot is stroked firmly. This reflex lasts during the first several months of life.
  • The tongue-thrust reflex  - makes the baby push out anything that is placed in the mouth.
  • Step reflex  - is seen when the baby's feet touch a solid surface.
  • Rooting reflex -  is seen when the baby starts turning head towards the nipple when the nipple is touched to the cheek of the baby. 

What developments can we expect in a normal newborn?

Babies change and grow at an astounding pace and every month new developments can be seen. In the first 3 months of age, the brain and body of the baby are learning to adapt to the outside world. It tracks objects with its eyes and follows light by the end of 3 months. The baby opens & shuts and starts bringing its hands to mouth. This is the beginning of 'mouthing' wherein the baby tries to put anything it holds into its mouth. It learns to grip objects in its hands and tries to reach out to dangling objects in front of it, although, it won't be able to get hold of them yet.

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What are the warning signs in a newborn which warrant immediate attention?

You must watch out for signs like sick, dull, bluish, pale or yellow appearance.  A Pediatrician must be contacted if the baby has been cranky for more than 2 hours, is vomiting excessively, has frequent loose stools, is feeling cold to touch, has skipped more than 2 feeds in a row, has a shrill cry, has abnormal movements or is not responding well.


Is Your Toddler a Fussy Eater?

The Birthplace


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Are you at a constant war with your little one over food? Are constant power struggles between you and your child a common thing at the dining table?

Feeding a fussy child can be a problem and could be a source of worry for most parents. Around 25-35% of toddlers and preschoolers are described by their parents as picky or fussy eaters. But fret not, as childhood food jags, fear of new food or other feeding challenges is usually part of normal development.

To rule out any acute or chronic illness, a detailed history and general physical examination of your child by a Pediatrician is necessary. This helps to diagnose the underlying cause(s) of food refusal and address the problem from the root.

But let’s face it, we cannot always blame it on our kids. Sometimes, children’s refusal to eat may come from “Unrealistic Parental Expectations”.

Unlike the common notion, the statement, “I’m born this way” may not be applicable to all picky eaters. Most of the times, parents’ effort to make their little ones eat more, makes them fussy. Parents should decide only the quality of food and let the child decide the quantity.

Most common complaint of parents, especially new mothers, is decrease in the appetite of their child. You must know, this is normal for children between 2-5 years of age as food consumption moderates to match a slower rate of growth.

 Dr. Rajesh, is a senior pediatrician at the Birthplace with more than 15 years of experience.  Being a pediatrician has been a lifelong dream for Dr. Rajesh and he truly enjoys the privilege of caring for young children. He has a calm and reassuring approach to explain things in a way that is easy to understand - especially for new parents in the early stages of their baby’s life.  To know more or to meet Dr. Rajesh, please call 040-30911234. You can also write to him at contactus@thebirthplace.com or visit  www.thebirthplace.com

Dr. Rajesh, is a senior pediatrician at the Birthplace with more than 15 years of experience.  Being a pediatrician has been a lifelong dream for Dr. Rajesh and he truly enjoys the privilege of caring for young children. He has a calm and reassuring approach to explain things in a way that is easy to understand - especially for new parents in the early stages of their baby’s life.

To know more or to meet Dr. Rajesh, please call 040-30911234. You can also write to him at contactus@thebirthplace.com or visit www.thebirthplace.com

Also, as toddlers struggle to develop a sense of autonomy, they may prefer “self-feeding” and become selective in their choice of food. If pressurized or forced to eat, their need for autonomy may lead them to resist eating. Sometimes food is not an issue at all, children often tend to use the dining table as a stage to express their mere independence. The eating process is just one more way they learn about the world.

Following are the secrets to outsmart your toddler!

  • Eating should be an enjoyable activity. Bribes, threats or punishments have no role in healthy eating. Try to be creative, include a variety of colours. Appealing food presentation might entice your child to try food items which he/she might otherwise avoid.
  • Give small portion of each food item at every meal. If your child finishes everything on the plate, more food can always be added.
  • Snacks work best mid-way between meals but should not be offered if the timing or quantity of snacking interferes with the child’s appetite. Choose the snack items that are dense in nutrients. Try not to offer juice as a part of the snack. A child should not be allowed to graze throughout the day or to drink an excessive amount of milk or juice as both practices lead to eating less at meal times.
  • Parents should only insist on table manners that are appreciated to the child’s age and try not to make discipline an issue at meal time. A child who is crying or upset is unlikely to eat well.
  • Toddler’s time at the table should generally be limited to about 20 minutes. When mealtime is over, all food should be removed and only be offered again at the next planned meal or snack. It is unlikely that subsequent meal will be refused.
  • Exercise and play always help to stimulate the appetite, but they should not be tired or overstimulated. A 10-15 minutes heads-up before any meal will help to prepare and settle them down to eat.
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  • Distracting your child with toys/books/television during meals is a complete “No-No”. Eating with the family provides the toddler with a pleasurable social experience and the opportunity to learn by imitation. In this case, it’s up to parents to set a good example for their kids by making wise food choices, exercise regularly and follow an overall healthy lifestyle.
  • Get your child involved in meal planning. It always helps! If possible, read recipes together, even put your child in charge of writing down the grocery list. Do grocery shopping together during which you can teach your kid how to make healthy nutrition choices.

To conclude, “Make sure your child is hungry by meal time".


Passive Smoking is Equally Injurious when you are Expecting!!!

The Birthplace


Are you planning to have a baby?  Are you pregnant? If the answer to either of these questions is "Yes".  Then there is another important question for you, do you or your partner smoke?

Smoking is an addiction not many find easy to let go, but if you ’re planning to or already having a baby, here are a few things you must be aware of. 

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What does smoking do to your body?

Cigarette contains more than 4,000 chemicals, including cyanide, lead and other carcinogens. The smoke enters your bloodstream which is the only source of nutrition for the baby.

Usually, the first nicotine dose also makes a large difference by significantly tightening the blood vessels and it also hinders oxygen flow to the baby. If the baby doesn’t get sufficient oxygen it could lead to altered brainstem development, altered lung structure, and cerebral palsy, stunned growth, premature birth, or low weight during birth or stillbirth.    

What if you are not the one smoking?

Even if you are not smoking, being exposed to smoke during pregnancy has a detrimental effect on the prenatal health of the baby. It could lead to the following –

  • Delivery before full term is complete
  • Low weight at birth
  • Undermined psychological and physiological development
  • Asthma or allergic rhinitis
  • Unexpected Miscarriage
  • Sudden Infant Death Syndrome

Passive smoke, also known as Second Hand Smoke, that  gets transferred from husbands, friends or other family members can also affect the growth of the baby. The baby’s source of breathing is what you breathe in and if you inhale carcinogens and other harmful chemicals, it finds a way to get into your baby’s lungs too!

What are the other means of transferring smoke?

Toxins have a very sly way of creeping into your breathing or living space. This is usually referred to as Third Hand Smoke, which is residue left behind on furniture, rugs, paint on the walls etc. The surroundings could smell of smoke even if no one is currently smoking, there is a good chance that there is tobacco residue still there. Upon inhaling, these toxins are absorbed into your blood and shared with your baby.

Can effects of smoking be passed down genetically?

Yes! They can! If your grandmother smoked while your mother was pregnant with you, there is a high chance of you being affected by Asthma and other genetic disorders. Genetic history of smoking also alters your genetic make-up and increases your chances of acquiring and transferring diseases to your unborn child.

How can you ensure a smoke-free prenatal zone?

  • Encourage your partner to quit
  • Wear a mask to cover your nose
  • Practice breathing exercises and Prenatal Yoga
  • Avoid places where smoking is prevalent
  • Visit open area places, preferably the ones with a lot greenery!
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How can we help you in getting the best prenatal growth for the baby?

We at the Birthplace have an excellent team of Obstetricians and Gynaecologists who can guide you and your partner on improving the prenatal health of your baby. We also have a specialist team of Nutritionists, Yoga and Lamaze  Instructors who can work with you to ensure your baby eats and breathes well!

Interested in what we have to offer? Reach out to us!