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The Birthplace Blog

The Birthplace Tales: 9 Months Of Bliss!

The Birthplace

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All about Gunjan’s pregnancy and Dr Pratibha Narayan’s take patient-doctor trust..

Are you expecting?

Congratulations are in order! In the happiness of seeing the two lines on your home pregnancy test, do not forget that with this happiness comes great responsibility. This is not just towards your unborn child, but also towards every single decision that you are going to be taking for the next 9 months, extending all the way into the next 18 years!

So, where do you begin?

Choose A Doctor You Can Trust

Often, your nine months of pregnancy will be spent a great deal with your Ob/Gyn, so taking the right decision there is paramount. While you’d have several checklists on your mind in helping you decide as to who the right doctor would be, let’s understand one aspect that many people miss out on.

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 040-45208108.

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 040-45208108.

Thanks to the extent to which information is available through the internet, everybody can now claim that they are the experts. Unlike a decade back when diagnostic reports could only be decoded and explained by doctors, today, search engines prompt people to arrive at conclusions of their own. That’s not a great sign at all. While it’s good to be well-informed, it’s best to trust the doctors, who have degrees to their credit, with the medical expertise.

The keyword here is: trust. So, the first step in a happy pregnancy is finding yourself a doctor you can trust, so that search engines are useful for online shopping and other stuff. When Gunjan conceived her twins, she had already consulted Dr Pratibha at the Birthplace before. Therefore, she had no doubt in her mind that all she needed was Dr Pratibha’s guidance and assurance.

In fact, Dr Pratibha believes that the level of comfort between the doctor and the patient can determine several things. With a patient as lovely as Gunjan who Dr Pratibha says followed her instructions to the last alphabet, a great relationship is already established. To add to that, when the doctor spends all the time needed to explain every minute detail and concern, the trust evolves naturally. That’s one of the factors that made Gunjan and Yash’s experience at the Birthplace memorable and comfortable.

Dealing With An IVF Pregnancy And Associated Anxiety

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At 33, when Gunjan couldn’t conceive naturally, she had to go through IVF to get pregnant with her twins - Suhaani and Yuvaan. Considering this was a very precious pregnancy that happened after years of prayers and treatments, Dr Pratibha knew that the parents-to-be would be very anxious. Therefore, she exercised all clinical requirements very carefully, as is the norm at the Birthplace, while being warm and considerate.

It was natural that Gunjan and Yash had a lot of questions. Dr Pratibha spent time meticulously clarifying all their doubts ensuring they didn’t have to rely on their phones for reassurance. In fact, father-to-be Yash was the one who was more nervous than his wife Gunjan. He says that Dr Pratibha was the best choice that they had made and also felt that her motherly nature put them at immediate ease.

The Pregnancy: Routine And Normal

Usually, having IVF can bring about complications in a pregnancy, especially when they are multiples. In Gunjan’s case however, everything was normal and the babies were very healthy. Even then, as a precautionary measure, Dr Pratibha ensured that there were a few special tests performed apart from the routine tests instead of leaving things to assumption.

  1.  Nuchal Translucency Test: This test was recommended to Gunjan by Dr Pratibha to pick up on any chromosomal defects that the babies might have had. Usually performed in the first trimester, this test is also an indicator of Down’s Syndrome and even fetal heart defects.

    This test consists of two parts: one, the collection of a blood sample and two: an ultrasound scan that’ll feel like the usual scans, measuring the skin thickness at the nape of the baby’s neck.

  2. Anomaly Scan: While the first test is conducted to identify chromosomal abnormalities, this one is done to look for any structural problems. This test is usually conducted between the 18th-20th week mark and this gives the doctor a clearer understanding of the shape of the baby’s head, the alignment of the spine and the bones, the stomach, the heart and even the position of the placenta.

  3. Serial Growth Scan: This test is recommended to understand how the baby is growing by taking various measurements that include the circumference around and across the head, abdomen and thighs. This scan also helps estimate the weight of the baby to determine the type of delivery and so on.

The Significance Of Antenatal Tests

Would You Like To Schedule An Appointment?

Even though the mother-to-be can get overwhelmed by the number of tests, antenatal tests play a big role in rolling in a healthy pregnancy. Dr Pratibha believes that these tests help her determine the bigger picture to ensure that everything is perfectly fine with the mother and the baby. Even for the expecting parents, the results of these antenatal tests can help them remain stress-free, which is one of the most critical factors in a happy pregnancy.

Right from checking if the baby is growing fine to looking for any abnormality that could lead to birth defects, many of these screenings help catch problems early on. Then there are tests to ensure that the mother-to-be has no health conditions that are determined by urine tests, ultrasound tests, blood tests and some vaginal tests like pap smear.

Gunjan had to go through all these tests and perhaps that’s one of the reasons why her pregnancy was smooth without any hassle. In fact, it was her trust with Dr Pratibha that made her comfortable unlike many patients who feel that the doctor is prescribing unnecessary tests.

The Next Chapter: Birth!

After a full-term pregnancy that Gunjan says she enjoyed to the fullest, in the next blog, we’ll find out about how the big day was! From all the emotions to the details of the birth, the next blog will talk about the grand arrival of twins Suhaani and Yuvaan and how Dr Pratibha worked through the challenges. Stay tuned!

The Birthplace Tales: Double Lines and Double Celebrations

The Birthplace

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Gunjan and Yash’s first chapter in having twins and how it all began at the Birthplace...

Blaring TVs are suddenly replaced by cute babbles; toys and mini-sized clothes occupy almost every corner of the house. From their first smiles to their oh-so-adorable sneezes, everything they do warrants being frozen in time. Phone galleries brim with their photos and their giggles just ripple through your heart - having children is one of the most beautiful experiences and motherhood, an absolute blessing.

Suhaani and Yuvaan are now 18 months old - their laughter pierces through the silence of the room, reflecting in the eyes of their parents - Gunjan and Yash. Their lives have got a new meaning ever since these two little ones have made their way into their lives. But, having them wasn’t easy - to hold them for the first time in their arms, both Gunjan and Yash had to cross several hurdles. Yet, here they are now, happier than ever before, their life full of cute cuddles and adorable stories.

With very intense maternal instincts, Gunjan Nolkha knew for sure how much she wanted to experience the bliss of motherhood. So, at 33, when she couldn’t conceive naturally, she was determined to utilise the advancements of medicine to its optimal best. But, what’s all the medicine worth without the touch of an excellent doctor? When Gunjan had shared her desire to consult with a good doctor, one of her friends had referred her to Dr Pratibha Narayan, an experienced senior gynecologist and a high risk pregnancy expert at the Birthplace.

With a heart full of hope and eyes full of dreams, Gunjan and Yash first met Dr Pratibha to discuss their issues and understand what their next steps would be. After a thorough examination as is the standard procedure at the Birthplace, Dr Pratibha’s recommendation for Gunjan was for her to go through a couple of cycles of IUI (Intrauterine Insemination) to check the response and chart further treatment plans.

What Exactly Is An IUI?

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 040-45208108.

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 040-45208108.

There can be several reasons why a woman can’t conceive. It could either be because of the partner’s low sperm count or lower sperm mobility, or because of fertility issues in the woman. This could include several factors like the eggs not getting fertilised, or conditions of the uterus like having a hostile environment, endometriosis or even a scar tissue from a previous treatment or procedure. Sometimes, the causes of infertility remain undermined.

 In Gunjan’s case, Dr Pratibha wanted to initiate the process of IUI, in which sperm is placed in the uterus through a catheter. To begin the procedure, many women are asked to take ovulation inducing medicines and are then monitored to track the maturing of the eggs. As soon as the lady experiences a surge in the LH hormone, indicating that ovulation is around the corner, the procedure of IUI is then performed.

 With the goal of helping her eggs get fertilised, Dr Pratibha administered a couple of rounds of IUI to Gunjan, because this is one of the least invasive treatments for infertility and causes minimal discomfort.

What Happened Next

Even though the success rates of IUI are as much as 20% per cycle, in this case, the eggs have to get fertilised on their own. When that didn’t happen in Gunjan’s case, Dr Pratibha swiftly moved on to the next course of plan.

 The next part of the treatment procedure was to go for IVF or In-Vitro Fertilization. This is one of the most popular forms of assisted reproductive techniques that involves gathering matured eggs from the woman and sperm from the man and helping the sperm fertilise the eggs in a controlled environment inside a lab.

 Once that happens, depending on the patient, a number of these fertilised eggs are transferred to the lady’s uterus, monitoring her developments closely. If one or more of these eggs attach themselves to the lining of the uterus, the procedure is successful and the lady conceives.

Two Lines Of Joy!

Gunjan is a firm believer of will-power. She says that the processes of artificial reproduction are tiring, painful and very uncomfortable, but having the determination to become a mother, alongwith the unwavering support from Yash held her through the arduous journey. That said, she says she cannot thank Dr Pratibha enough. When Dr Pratibha realised that IUI wasn’t going to be of great help, she immediately pulled the plug at the right time and advised the couple to go for IVF, unlike many other doctors who keep dragging the process, causing inexplicable amounts of discomfort to the patient, which leaves them very disheartened.

Would You Like To Schedule An Appointment?

 However, thanks to the timely suggestion by Dr Pratibha, the miracle of modern day medicine brought about two glorious lines on the home pregnancy test, something that Gunjan and Yash had been praying so hard for! But then, they were in for a bit of a surprise.

 Of the several fertilised eggs that had been implanted into Gunjan’s womb, four of them had attached themselves to her uterus! While the joys of being pregnant had been immense, yet, knowing that she had four babies inside of her was, well, slightly unexpected and quite challenging to digest. With inputs from Dr Pratibha and in the interests of the couple, Gunjan went through the process of reduction, all set to welcome a pair of twins in the next nine months.

 Ask how the feeling of having twins was and the one word in which Gunjan would describe it would be - interesting!

Onto Parenthood

Gunjan and Yash had been to several other doctors before consulting with Dr Pratibha, but it was with her that they had finally found the comfort and right medical advice. With the expertise and warmth of Dr Pratibha to guide them through the nine months of pregnancy that Gunjan says she absolutely enjoyed, the next blog will talk about all the things that Gunjan and Yash experienced during this beautiful phase and Dr Pratibha take on the case.

 Keep reading!

Bariatric Surgery: Treat obesity and associated problems safely

The Birthplace


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Weight is no longer a laughing matter. Obesity is a pandemic of the 21st century and is associated with at the very least 20 other diseases along with about 6 different types of cancers.

India has the 3rd largest obese population in the world and because of obesity, associated Type 2 Diabetes patients are increasing too. Obesity and Diabetes together are now termed Diabesity. Diabetes is a silent killer which gradually starts affecting our kidneys, blood vessels, nerves, heart, joints etc. Hence, it is time that the problem of obesity is tackled head on in an aggressive manner.

Dr. Deepti is trained general, laparoscopic and bariatric surgeries. Graduating from a very prestigious college at KEM, Mumbai, she has also completed a fellowship of International Bariatric Club. She is actively involved in raising awareness regarding women related surgical problems.  To know more or to meet Dr. Deepti, please call 040-45208108. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Deepti is trained general, laparoscopic and bariatric surgeries. Graduating from a very prestigious college at KEM, Mumbai, she has also completed a fellowship of International Bariatric Club. She is actively involved in raising awareness regarding women related surgical problems.

To know more or to meet Dr. Deepti, please call 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Bariatric procedures offer simple and effective solutions not only to help a person lose weight but also to keep it off. These procedures have shown effective and lasting weight loss along with great improvement in obesity associated problems like Diabetes, Cholesterol, Heart disease, Joint pains, Infertility etc. The International Diabetes Federation (IDF) has accepted Bariatric Surgery as an effective means for the treatment of Type II Diabetes.

With recent advances in the surgical field, these surgeries can be performed via Laparoscopy i.e. using small keyhole incisions and camera. Hence the patient recovery is fast with short hospital stay & early return to work.

Some of the procedures in Bariatrics include

1.     Restrictive Procedures like Gastric Balloon, Gastric Sleeve, Gastric Imbrication. These procedures work by reducing the amount of food a person can eat at one time and increasing body metabolism.

2.     Malabsorptive Procedures like Roux-en-Y Gastric Bypass, Mini Gastric Bypass etc. These procedures work by reducing absorption of calories in the body with a positive effect on hormones controlling blood sugar.

The diabetes and associated problems dramatically reduce as a person loses weight and risks of many associated condition such as heart attacks, stroke, cancer, infertility reduce.

Looking for one-on-one counselling?

Criteria for Bariatric Surgery are based on Body Mass Index (BMI)

1.     If BMI > 32 kg/m2 with associated Diabetes/Hypertension/Cholesterol/sleep apnoea/joint disease

2.     If BMI > 37 kg/m2 even without any associated medical problems.

Bariatric surgery is not a cosmetic surgery but is a gastro surgery like appendix or gall bladder surgery and is performed to treat a medical problem.

It is time to be more aware about this simple tool for effective weight loss if you are dealing with obesity. These procedures will help you achieve benefits beyond weight loss. You can get rid of the associated medical problems as well to live a healthier & fulfilling life.

After all, Happiness begins with Good Health!


Counter the Challenges of Ageing Ovaries in Young Women!

The Birthplace


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Inability to get pregnant, somehow always springs nasty surprises. Sample this…What if you were told that though you are young…..you have OLD eggs and that you need to borrow some from another donor so that you may be a mother!! Bizarre as it may sound, this too happens thereby prolonging the agony of any family in the making. The field of infertility poses many challenges every day, but the sweet success achieved somehow makes the journey worth it. In recent times, it is not uncommon to come across young women, trying to conceive and planning their first pregnancy, being diagnosed with decreased ovarian reserve. In other words, even though these women are young but have aged ovaries with very few eggs. 

Dr. C Jyothi is a fertility expert and ADV.ART Specialist (Dubai) with an M.S in Reproductive Medicine (UK), D.GO.MRCOG(London), and DIP-ART(Germany). She is also the Founder and Managing Director of a very reputed fertility clinic in the twin cities. Coming with over 15 years experience as a specialist in the field of fertility, Dr. Jyothi is known for her focus on optimising pregnancy rate and quality care using international standards, while keeping the treatment easy and cost-effective  To know more or to meet Dr. Jyothi, please call 040-45208108. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. C Jyothi is a fertility expert and ADV.ART Specialist (Dubai) with an M.S in Reproductive Medicine (UK), D.GO.MRCOG(London), and DIP-ART(Germany). She is also the Founder and Managing Director of a very reputed fertility clinic in the twin cities. Coming with over 15 years experience as a specialist in the field of fertility, Dr. Jyothi is known for her focus on optimising pregnancy rate and quality care using international standards, while keeping the treatment easy and cost-effective

To know more or to meet Dr. Jyothi, please call 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Causes 

The known causes for diminished ovarian reserve could be inherent genetic factors, previous surgeries, radiation exposure and environmental factors. But in some women, it may not be possible to establish a definitive cause for decreased egg numbers. The condition comes in as a harsh reality for the woman, who has been trying to get pregnant. We encountered such a lady with diminished ovarian reserve at our clinic. She had been advised to go for donor Oocyte for conception elsewhere before she came to us. But the lady was very keen to try with her own eggs. After discussing her condition in detail, she was counselled about the pros and cons of trying IVF with her own Oocyte.

Treatment

A novel treatment protocol called double stimulation was started for her. Herein, the follicles are stimulated and Oocyte is obtained twice within a single menstrual cycle. The idea is to pool maximum number of embryos as early as possible. This lady got three eggs in two back to back stimulations within a single menstrual cycle and 3 embryos were formed. The embryos were then transferred in a frozen cycle. The lady conceived in the first cycle itself. Today she is a happy mother with her own genetic child.

Frequently asked questions for common disorders:

A lady aged 25 years married for 3 years trying for pregnancy since 2 years asked “I have PCOS. How can I conceive.”? 

PCOS is a treatable cause of infertility and is associated with ‘Anovulation’. So you can get your hormonal profile checked and then doctors can induce ovulation with the help of medication/injection and when your egg reaches adequate size, they can proceed for procedures like IUI which will lead to a positive result.

Looking for one-on-one counselling?

A patient aged 34yrs, married for 6 years asked “I have got my semen analysis done few months back and my sperm count is zero. How can I have my own genetic baby”?

These days there are procedures such as TESE/TESA available through which your sperms are procured and thereafter IVF-ICSI can be performed by which you can have your own genetic baby.

Do you have more queries as such or have you been advised fertility treatment? Come visit Dr. Jyothi C at the Birthplace today!


On-boarding Happy Hygienic Vagina!

The Birthplace


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Glowing skin, shiny hair, manicured hands and slim body, nail the priority list of every woman. Crazy enough, shuttling amidst all these concerns we miss out on something. Let’s face it. Our vaginas are just amazing ecosystems which need the same pint of love and hugs from us as other parts do.

Vaginas, for long, have been much undercover and a lot has been said about it. Sigh.

No more fiction. No more stories. Let facts do the talking today!

1. The vagina is a self-cleaning system and does not require external cleansers…. or does it?

While it is a fact that vaginas clean themselves, using plain, un-perfumed soaps to wash the area around the vagina gently every day is a good new school mantra.

Washing vagina the correct way is important in maintaining a healthy pH balance while also preventing infections. A normal pH is under the bracket of 3.5-4.5 is perfect for the vaginal environment.

Wash your vagina before washing your anus and use a different clothe to wipe it. Doing this ensures anal germs do not disturb the vaginal area which can be the underlying reason for catching urinary tract infections. Keep calm, you will feel fresh!

Warning!

  • Don't use soap inside your vagina.

  • Do not use a loofah, it may tear off the skin.

2. Is dryness becoming an awful discomfort?

Remember, those dull days when dryness down there made the day too tough?Time to clear the clouds now! Petroleum jelly is a wonderful moisturiser to use on the vulva after bathing and can be used anytime for comfort.

Do not use petroleum jelly with condoms—it can break down the condom so it gets holes in it.

You can also use coconut, mineral, or olive oil which have a neutralised pH and function as great moisturisers. Aloe Vera, grandma’s remedy for skin care, and vulva have been found to be great buddies! Furthermore, it can be used for genital skin aggravation, similar to herpes, and it's insignificant rundown of advantages incorporates a two of every one regular ointment and cream.

Word of Caution!

Remember to use pure forms of these products to avoid any damage!

3. A little too humid?

Talcum Powder Helps You Keep It Dry. Make it an everyday after-bath practice to apply some talc on your vagina. This will help you keep your vagina clean and dry for hours.  Humid vulva and microbes can be painful mates which will make you a walking-gynec appointment. Let it breathe!

Looking for one-on-one counselling?

4. Under the weather?

Unsweetened yogurt might help you provide a cooling sensation when applied to the vulva but it doesn't show any magical powers to fight it out. Anti fungal treatments are recommended as a follow up.

Warning!

Make sure you use unsweetened yogurt as added sugar in the yogurt will help the bacteria to multiply and worsen the condition.

Welcome to the Freaky Clean Squad! Do you have more questions regarding your Vagina? Reach out to us!


Constipation and Related Problems

The Birthplace


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Constipation is a difficult problem, not because we cannot treat it but we hesitate to get treated in the first place. Our diet and food habits are increasingly becoming westernised which is resulting in low intake of fiber and increased consumption of refined carbohydrates, all of which causes constipation. Frequent constipation results in perianal problems such as Piles, Fissures, Fistulae, and Abscesses etc.

Piles, also known as Hemorrhoids, are swollen veins in your anus and lower rectum, similar to varicose veins. In the third trimester of pregnancy, the baby’s head descends into the pelvis and can result in pressure in that area resulting in piles. As a General Surgeon, I regularly see people suffering from all these perianal conditions but they usually ignore immediate treatment and come to a surgeon as a last resort.

Dr. Deepti is trained general, laparoscopic and bariatric surgeries. Graduating from a very prestigious college at KEM, Mumbai, she has also completed a fellowship of International Bariatric Club. She is actively involved in raising awareness regarding women related surgical problems.  To know more or to meet Dr. Deepti, please call 040-45208108. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Deepti is trained general, laparoscopic and bariatric surgeries. Graduating from a very prestigious college at KEM, Mumbai, she has also completed a fellowship of International Bariatric Club. She is actively involved in raising awareness regarding women related surgical problems.

To know more or to meet Dr. Deepti, please call 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

In India, especially, women suffer a lot before consulting a doctor. They are also hesitant to share such problems with their family or even to their husbands and keep postponing treatment while suffering in silence. I agree that perianal diseases like piles, fissure, fistulae etc are not life threatening but they are so painful and inconvenient! Why go through all this pain when they are all amenable to simple treatment?

Another challenge with most of the Indian patients is that they try to avoid surgery at all costs. Even if it means years of suffering, medications, living a hermit lifestyle, it doesn’t matter to them as surgery is considered a curse.

It’s the 21st century! We have the most advanced and simple procedures available today to treat piles, fissure, fistulas etc. With LASER technology, the surgeries have become completely painless.

It is high time we stop postponing right treatments in favour of home remedies and non scientific techniques. We must educate ourselves and seek help when essential.

Looking for one-on-one counselling?

So here are some simple signs that tell you the need to see a Surgeon

  • Pain while passing stools

  • Bleeding with or after stool

  • Passage of very hard stool

  • Pus coming from anywhere near your anus

  • Sensation of some mass/tissue coming out of your anus

    Of course, Prevention Is Better than Cure. So we must

  • Drink 8-12 glasses of water per day (that’s 2-2.5lit)

  • Include a portion of fruit and vegetables in our diet

  • Cut down on refined foods, breads, non-veg, spice, fried food

  • Avoid sitting for long hours at a stretch

    So, to conclude, do not hesitate to get yourself treated for constipation in the initial stages itself. Go for a consultation right away!


Struggling with Painful Sex?

The Birthplace


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Do you experience severe pain while having sex? Does it hurt when you try to insert a tampon into your vagina? If yes, then you are most likely dealing with acute involuntary contraction of your vaginal muscles which causes pain when something tries to penetrate through it. This condition is called Vaginismus.

What is Vaginismus?

Vaginismus is a condition that happens when the muscles around the opening to the vagina tighten up. The muscles tend to tighten when something is about to be placed in the vagina, such as a penis, tampon, or a medical device. It causes pain during sex and women might also complain of pain if a doctor or nurse tries to do a pelvic exam.

Vaginismus can happen if a woman has anxiety about sex or pelvic exams or has had a bad experience with either of these in the past. It can also happen if a woman has an infection or other medical condition in the vagina.

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 040-45208108. 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 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

What are the symptoms of Vaginismus?

The main symptom of vaginismus is pain when something is tried to be put in the vagina. It could be a penis, finger, tampon, or medical device. Sometimes, the pain is so severe that you might not even allow trying to insert something into your vagina.

Should I see a doctor?

If having sex is painful then you must see your doctor. Your doctor will look for the cause through a pelvic exam. If the pain is severe that you can't start or continue an exam, let your doctor know when you feel it and where the pain is.

Is there a test for vaginismus?

No. There is no specific test to detect vaginismus. Your doctor should be able to tell if you have it by learning about your symptoms and doing a pelvic exam. He or she might be able to feel the muscles around the opening to your vagina tighten during an exam.

Looking for one-on-one counselling?

How is vaginismus treated? 

Treatments to cure vaginismus include - 

  • Treatment of any medical condition that is causing pain, such as an infection or skin irritation

  • Exercises to help relax the tight muscles

  • Physical therapy to loosen the muscles around your vagina

  • Using "dilators". These are devices that you place in your vagina that help you to get used to having something in the vagina. This is used along with numbing medicine to reduce the pain while inserting the dilators.

  • Using vaginal oestrogen. This treatment can help if you have been complaining of dryness or have been experiencing thinning of the tissues near the vagina. This usually occurs when a woman goes through her menopause (the time when you stop having monthly periods).

Don’t worry! You do not need to deal with this condition forever. Vaginismus is perfectly curable with the above treatments. Come visit the Birthplace today!

Customer Testimonial

“It’s been 6 years we have been married we were trying to conceive for last 3 yrs but nothing happened. We consulted 3 gynaecologists and all of them said we did not have any problem and suggested I do a pelvic scan to check if everything was well. When I had my first pelvic scan, it hurt me a lot and I never wanted to do it again. Days went by, but I had nothing positive but a lot of pressure from home & people around for not conceiving. I began to loose hope and couldn’t concentrate at work. When I discussed my problem with my cousins, they asked me to change my doctor & with the help of my sister, I visited the Birthplace & consulted Dr. Samatha. Dr. Samatha explained everything about vaginismus & suggested I purchase the Vaginal dilator kit. She didn’t encourage me to go for any treatment & asked me to come for 5 week session to try the dilators. I mentally prepared myself that I have to overcome my vaginismus problem & underwent my 1st dilator insertion successfully with the help of doctor. Within a month I conceived & look forward for a healthy pregnancy! Thanks a ton to Dr. Samatha, who helped me to come out of Vaginismus & proved it's treatable.”

-Radhika Reddy (Name changed to conceal identity)


Laparoscopic Surgery: All you need to know

The Birthplace

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Laparoscopic or minimally invasive surgery is a modern surgical technique in which operations are performed through small incisions (0.5 – 1.5 cm). This surgery is named after the laparoscope, a tool that has a high definition video camera and light at the end which is inserted through the small incision to view the affected organs. Through this laparoscope a video is relayed on the monitor which enables the surgeon to view. In case of a surgery, few more incisions may be made and required instruments are inserted to perform the surgery. These instruments are sleek and slender and hence do not require a larger incision. And smaller incisions mean faster recovery!

Laparoscopic surgery was initially used for gallbladder surgery and gynecological surgeries but now it has expanded to play a major role in surgeries related to abdomen and intestine areas. It also has a key role in infertility treatments.

Where is laparoscopy applicable in Gynecology?

As a diagnostic tool laparoscopy can be used to treat-

  • Infertility

  • Ovarian cyst or tumors

  • Ectopic pregnancy

  • Tubal abscess or adhesions

  • Endometriosis

As a therapeutic tool  it can be used to treat the following organs in the mentioned ways

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 040-45208108. 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 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

  • Ovary

    • Ovarian drilling for PCOD to boost fertility

    • Ovarian cystectomy for removal of cysts in the ovary

    • Cauterisation for endometriosis treatment

  •  Uterus

    • Myomectomy for removal of fibroids without affecting the healthy tissue of the uterus

    • Hysterectomy  for removal of the uterus

  •  Tubes

    • For treating a tubal abscess and ectopic tubal pregnancy

    • Tubal sterilisation (Family planning)

What are the advantages?

Compared to a traditional surgery, laparoscopic surgery goes a long way its advantages and is usually the advised type of surgery.

  • It minimises the number of incisions needed

  • Decreases pain

  • Reduces blood loss when compared to open surgery

  • Early mobilisation and faster recovery

  • Shorter stay at the hospital. This also means reducing hospitalisation bills.

How soon can a patient resume regular activities after laparoscopy?

 For minor procedures under diagnostic laparoscopy and infertility, you can resume to work in 1-2 days. But in case of a major surgery like Hysterectomy,  2-7 days of rest is recommended. It is also advised to avoid intercourse, douching, strenuous exercise or lifting body weights for 4 weeks.

What is the role of laparoscopy in unexplained infertility cases?

 Many times when the cause of infertility cannot be ascertained a diagnostic laparoscopy can evaluate the uterine cavity, tubes and ovaries and correct them if needed. This increases the success rate by 20-30%.

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Can emergency surgeries be performed under laparoscopy?

Gynec emergency surgeries like ruptured ectopic pregnancy, twisted/torsion of ovarian cyst or a ruptured ovarian cyst can be performed laparoscopically but this majorly depends on the surgical experience and expertise of the performing surgeon.

 What is the type of anaesthesia administered?

General anaesthesia is usually administered for most of the gynecological surgeries.

At the Birthplace, we are equipped with the best laparoscopic equipments along with the most experienced Laparoscopic surgeon, Dr. Girija Lakshmi who is trained to perform all kinds of gynec laparoscopic surgeries. She has also helped a lot of women with infertility issues to conceive through diagnostic laparoscopy and treatments.

Come visit the Birthplace today!

 

Eating for Two..?!

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Nutrition Image .jpg

During your pregnancy eating healthy is more important than ever. Without a doubt, a nutritious, well-balanced diet can be one of the first and best gifts you can give to your developing baby.

Nutrients in pregnancy:

Protein: It is critically essential for the body as it ensures proper growth of the fetal tissue, including the brain. It also helps with breast and uterine tissue growth during pregnancy and plays a major role in increasing blood supply, allowing more blood to be sent to the baby.

Servings per day: 3

Sources: Lentils, paneer, green peas, dals, beans, chicken, salmon, nuts, peanut butter, cottage cheese.

Calcium: It helps build your baby’s bones and regulates body’s use of fluids.

Servings per day: 3

Sources:  Milk, yogurt, cheese, cabbage, tofu, eggs, pudding.

Folate: Also known as folic acid, this drug plays an important part in reducing the risk of neural tube defects. This is a major birth defect that affects the baby’s brain and spinal cord, such as spina bifida and anencephaly.

Servings per day: 600 to 800 micrograms

Sources: Liver, nuts, dried beans and lentils, egg, nuts and peanut butter, dark green leafy vegetables.

Iron: It works with sodium, potassium, and water to increase blood flow which helps to ensure enough oxygen is supply to both the mother and the baby.

Serving per day: 27 milligrams

Sources: Dark green, leafy vegetables, citrus fruits, enriched breads or cereals, lean beef and poultry, eggs and dried fruits.

Looking for one-on-one counselling?

Evaluate your diet

Diet is important during pregnancy but it is a lot more important to make sure you’re eating a balanced and nutritious diet, so that, you and your growing baby can be as healthy as possible. Focus on the nutritional value of your diet and limit the intake of high fat, sugar, and sodium foods.

Eat:

  • three servings of protein per day

  • six or more servings of whole grains per day

  • five to six or more servings of fruits and vegetables per day

  • three or more servings of dairy products per day 

  • foods with essential fats

  • prenatal vitamins

Avoid:

Alcohol, excessive caffeine, raw meats and seafood, high-mercury fish, uncooked processed meats and unpasteurised dairy.

Nutrition is the key:

Women have increased nutritional needs during pregnancy. They need more protein, iron, calcium, and folic acid than they did before pregnancy. They  also need more calories.  Although the old adage of "eating for two" isn't  correct, a mom-to-be does require more micronutrients and macronutrients to support herself and her baby. It’s best to start adopting a healthy eating plan before pregnancy.

No matter the number of weeks left on your countdown calendar, it’s never too late to start! Supplying your body with a tasty blend of nutritious food can improve fertility, health during pregnancy, and pave the way for an easier labour.

Your body will gain weight during your pregnancy!

Your weight begins to increase as gestational weeks progress. Take it as proof that the body is nurturing the growing baby. On an average the baby has to grow to weigh 2.75-4 kilograms and to accomplish these productive changes, pregnant women need approximately 350 extra calories per day during their 2nd and 3rd trimester of pregnancy than they did before they were pregnant.

The ideal weight gain is usually 1-2 kgs in total during the first trimester and 1.5-2 kgs per month for the second and third trimester.

Other considerations

Apart from eating well, it’s important to drink at least eight glasses of water per day. You should also consume enough prenatal vitamins.

Here are few myths busted related to eating habits in pregnancy:

Myth: Pregnant women should be eating for two.

Fact: It is true that nutrient needs increase, but energy requirements only increase by about 150 calories / day in the first trimester and 350 calories per day for the second and third trimester of pregnancy.                                       

Myth: Low weight gain during pregnancy will make delivery easier.

Fact: Mothers who do not gain the required weight during pregnancy put their babies at a risk for severe complications. Complication like premature birth can cause lung and heart problems.

Myth: If the right amount of weight is gained during pregnancy, none of it will be fat gain.

Fact: A healthy pregnancy includes fat storage. A lot of energy is required during labor and breastfeeding which is used from these fat reserves.

Myth: A healthy pregnant woman will not experience discomforts.

Fact: Nausea, heartburn, and constipation are not biased! They will afflict women regardless of healthy living. However, women who regularly eat healthy food avoiding excess sugar and fat, drink plenty of water, exercise regularly may significantly reduce the uncomfortable symptoms of pregnancy.

With over 17 years of experience as a Clinical Nutritionist Dt. Manjusha K. R is a pioneer in the field. She has done her Masters in Nutrition & Dietetics and is a Life Member of Indian Dietetic Association & Nutrition Society of India .  She started her career as a Lecturer in Nutrition and was working with different multi speciality hospitals from 2001. Since 2014 she is associated with the Birthplace. With her experience as a clinical nutritionist and her association with doctors & physiotherapists she is perfectly equipped to deal with prenatal, postnatal and pediatric patients through one-on-one counselling.  To know more or to consult Dt. Manjusha, please call 040-45208108. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

With over 17 years of experience as a Clinical Nutritionist Dt. Manjusha K. R is a pioneer in the field. She has done her Masters in Nutrition & Dietetics and is a Life Member of Indian Dietetic Association & Nutrition Society of India .

She started her career as a Lecturer in Nutrition and was working with different multi speciality hospitals from 2001. Since 2014 she is associated with the Birthplace. With her experience as a clinical nutritionist and her association with doctors & physiotherapists she is perfectly equipped to deal with prenatal, postnatal and pediatric patients through one-on-one counselling.

To know more or to consult Dt. Manjusha, please call 040-45208108. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Coffee is sometimes debated, as is fish. It is currently considered safe to drink up to one 12-ounce cup of coffee per day during pregnancy.

Fish contains essential fatty acids which are important for your baby’s brain development but some fish are high in mercury which can cause birth defects in your baby. Avoid eating Shark, Swordfish and King mackerel. Shrimp, Salmon, Catfish, and Pollock on the other end are generally considered safe.

Lastly, it goes without saying, avoid all alcohol and tobacco products during pregnancy for your baby’s healthy development.

Fetal Kick Counts - Why is it critical?

The Birthplace

You are probably worried about what’s going on with your baby because there’s no way to tell unless you see your doctor. But by the time you are in your third trimester, there is an easy technique that you can use at home - Fetal Kick Counts.

Feeling your baby’s kicks and jabs and wriggles is one of the most exciting things in your pregnancy! It is almost as if it’s your baby’s way of constantly reminding you to be excited and surprised about what’s going on in your tummy!

Kick counts are important because it gives you an insight into your baby’s pattern and helps you understand if something is off. Keeping your doctor informed of your babies movements may help her address any problems if the baby is in distress. Usually earlier than 28 weeks, your baby doesn’t have a pattern, so any movement is good. Once you hit your third trimester, your baby’s kicks become stronger and more predictable - that’s when you can start on your kick counts.

Here is what you need to look out for:

When - Sometime in the morning when the baby’s kicks are less frequent because you are more active and then sometime in the evening when you are relaxing is when the kicks can be more frequent and noticeable. Its better felt when you are hungry and when you have just eaten.

How - Make a note of the time and count upto 10 kicks and record the time again. This includes any kicks, wriggles, swishes or flutters. 10 kicks in 10 hours - Cardiff count of 10!

Note - 3 kicks in 1 hour, post major meals is very reassuring.

What if you don’t feel 10 movements - Eat a snack or drink a juice and lie down then count for next 1 hour. If you still do not feel at least 3 movements then, contact your doctor. This may not necessarily mean something is wrong but it’s always a good idea to get it checked.

Remember - As you move closer to your due date, regular checking of fetal movements becomes more important. If you notice a sudden decrease in the movements, contact your doctor.

Even if your pregnancy is not a high-risk one, it is important that you count your baby’s movements regularly. In fact, it could save your baby’s life! Counting kicks is an important way to help prevent stillbirth because monitoring can help identify any problem.

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 040-45208108.

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 040-45208108.

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