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The Birthplace Blog

Filtering by Category: Birthing

The Birthplace Tales: Birthing And Beyond

The Birthplace

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Some relationships last forever, and at the Birthplace, we go beyond just your health and delivery. We support, pamper and walk the extra mile with you, for you..

There are some dreams that fizzle away as soon as you flutter your eyelids in the morning. Just like the night’s sleep, they too, are stuck in your thoughts, but you know they are just your imagination. Then there are dreams that you see while you are awake and do everything to make them possible. Having a child is one of those many dreams that couples see with eyes wide open, hopes brimming in their hearts, but a sense of uncertainty in their guts, weighing them down. While your heart is desperate to let a little fist clutch your fingers, your brain asks you to slow down.

Couples struggling with infertility have a lot to handle. In India, the 20s are when you are ‘supposed’ to get married and once that’s done, the nagging isn’t quite yet over. The demand for good news just takes over and God forbid if it doesn’t happen within the expected timelines, not just do the couples in question feel lost, the whole desire to even step out for a family get together vanishes considerably. Understandably, there’s a lot at stake for such couples.

The Story Of Gunjan and Yash

As traced in the last three blogs, Gunjan and Yash could not conceive naturally. But, their determination to have little feet running around in their house meant that they didn’t leave any stone unturned. In their quest to become parents, they visited a series of doctors who could help understand the cause and recommend tests and treatments, but it all went futile. That’s when they found a hospital and a doctor who clicked.

Dr. Pratibha, an experienced and celebrated obstetrician, and gynaecologist has been with the Birthplace for a long time and has earned her reputation because of her stellar career as a doctor. But then, records don’t always mean anything if a doctor’s people skills are off track, right?

With Dr. Pratibha, Gunjan and Yash found someone they could trust blindly. The first example of her merit evolved when Gunjan was asked to go in for IVF at the nick of time, without wasting effort on unnecessary tests and treatments. For the uninitiated, treatments for infertility are very tiring as they drain a patient not just physically, but leave them mentally tired, too. Therefore, if you are someone going through what Gunjan and Yash went through, you can save yourself some time by learning something from their experience.

Finding The Right Doctor

Your journey of becoming parents is an ongoing one. Therefore, instead of switching from one doctor to another, repeating yourself over and over again, it’s best to settle in on a doctor who you know can be your guide on this path.

Of the many things you would be considering, one question that’s sure to cross your mind is: Is this doctor going to put me through unnecessary tests? Every time your doctor asks for a test, or prescribes a medicine, if you are able to say that you are sure there is a reason behind it, then congratulations, you’ve hit a sweet spot. During your pregnancy, you need to focus on being happy, your health being at the able hands of a doctor you trust. So, find yourself a doctor who is able to do that for you. In Dr. Pratibha, Gunjan and Yash found exactly that.

That said, your doctor also needs to have medical intelligence capable enough to keep you and your child healthy at all times. With several high risk pregnancies pulled off with ease, Dr Pratibha is more than her degrees. She’s aware, abreast of all the cutting-edge technologies that the Birthplace has put in order and of course, keeps the interests of her patients as her top priority.

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.

Why Fear When The Support Is Here?

Pregnancy can bring in a wave of so many emotions. There’s anxiety, pure fear and excitement all bundled together to make this experience like nothing else you have experienced before. More often than not, it’s the diagnostic tests that are the most nervous phase in this journey. From cold gels on your abdomen to equipment that slide into uncomfortable parts, you need the right kind of support staff to prepare you and take you through the tests with minimal discomfort.

In fact, the first time you hear your baby’s heartbeat, chugging away like a little train; the first time you see him or her cuddled in your womb -- all these make for some really blissful memories that the album of your life will forever hold and cherish. But, as excited as you are, you need the right person to explain all these things that are going on!

For Gunjan and Yash not just had they found a great doctor for themselves, they had also  found a place where everybody would come together to make their pregnancy and delivery the best time for their lives. One such person was Dr Saroja, fetal medicine specialist, who made sure that Gunjan’s tests were all comfortable and that she could explain what was happening to her during the tests.

In addition, anesthesiologists, who assisted with Gunjan’s epidural made sure that she could sustain the vaginal birth and long labour of her twins with ease and their able support will be cherished by her forever. She also thanks the paediatric division for their efforts.

Making Birth An Experience

Suhaani and Yuvaan are one-and-a-half-year old twins who have captured Gunjan and Yash by the twinkle in their eyes. They are adorable, naughty and as bubbly as they could get. The parents are smitten and why not?! Their cuteness is almost magical. Ask Yash and he would be beaming as he says that the twins mean the world to him. Gunjan feels they are perfect. Suhaani is sharp and naughty, while Yuvaan is the easy-going-one, making an adorable  mess all the time. Their lives are full of beautiful moments, but behind the curtains of this picture perfect scene, there were people who made it happen.

For Yash, the birth of his twins was more than that. He saw the raw emotions in the labour room, the sheer perseverance on Gunjan’s part and just what a miracle childbirth is. With his perspective in life taking a 360-degree shift, this would not have been possible had he not been in the labour room. 

Dr Pratibha believes that birth is an experience that both parents deserve to have. While the mother experiences it physically, in the form of labour, Dr Pratibha insists on the fathers being present in the delivery room, too. In fact, she lets them cut the umbilical cord! Getting the father to live this unique, yet life-changing experience is not something many doctors do, but it makes sense, because not just does the father witness the birth first hand instead of waiting nervously outside, he gets to be with his partner through the challenging time.

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Birth and Beyond

At the Birthplace, our doctors and staff share a relationship with the patients that extends beyond the birth or treatment. Gunjan and Yash share such a bond with Dr Pratibha, that they keep her updated on their kids’ latest stints! They keep in touch with her regularly through whatsapp, sharing pictures and videos of Suhaani and Yash. It’s a great feeling for Dr Pratibha too, as she fondly talks about them.

The Birthplace believes that every set of parents who walk in don’t just walk out with their bundle of joy carefully cuddled in their arms, but also carry back a relationship that will be fostered for a long, long time. There are some things that money can buy, but if you are looking for a birth experience that’s curated for you that you can’t put a price tag on, come, join hands with us.

The Birthplace Tales: And They Arrive!

The Birthplace

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As the big day for Gunjan and Yash just stood on the threshold, here’s how Suhaani and Yuvaan made their grand entry..

Being pregnant is great as all the excitement of holding your child makes time fly past. Meeting your baby for the first time, just looking at them in awe, in utter disbelief that you created them - there are perhaps no apt words coined to describe this feeling. But then, between these two wonderful phases, there is one nerve-wracking time when the transition from pregnancy to parenting happens.

The D-Day, or the day of the delivery!

26th Jan, 2018

If you were to ask either Gunjan or Yash as to what the most important day of their lives would be, this is the day both of them will answer with in chorus. There are several milestone days in every person’s lives - first job, first promotion, meeting their significant others and even marriage - but everything becomes a blurred event the moment they have children. Gunjan and Yash are no different, especially considering all the physical and emotional challenges that they underwent.

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.

On the morning of 26th January, as the rest of the nation was busy wearing its patriotic skin, Gunjan had a different celebration awaiting. At 34 weeks, she knew that it wouldn’t be too long before her two bundles of sheer joy would be in her arms. But, before that, she had to pull off, in what would be the bravest stint of her life - delivery.

The Pre-Delivery Moments

Twin pregnancies are a real challenge. That’s why, if you are expecting twins or multiples, which is a routine outcome of In-Vitro Fertilisation and other assisted reproduction techniques, then you should consider consulting with the best.

Thankfully for Gunjan and Yash, they had found someone downright trustworthy in Dr Pratibha Narayan, an Ob/Gyn with years of rich experience in handling high risk pregnancies and deliveries. It wasn’t just her medical expertise that attracted the couple towards her; it was her thorough professionalism and motherly warmth that made them feel at ease.

Even though Dr Pratibha understood that twin pregnancies normally warrant for a cesarean delivery, she did what she does best. She knew there was no need for her to put Gunjan through the risks associated with an unnecessary c-section delivery, so she spoke to the couple and explained the pros and cons of trying for a vaginal birth. 

The Challenge

Even though Gunjan had a smooth and routine pregnancy all through the nine months, when it finally came to gearing up for the delivery, there was a slight hitch. Her first twin was all set to make a healthy arrival into this world, taking position and ready for a normal delivery. But, the second twin was not too keen, locked up at breech position.

So, what exactly are we talking about here?

The ideal and natural position for a baby just before birth is head down, in which case, the baby’s head, the biggest part, is delivered first, making the rest of the delivery quite routine. However, some babies do not turn around with their heads facing downwards till about the 35th or 36th week. In most cases, the babies are still expected to turn around, but some just don’t. When either the baby’s bottom or feet face downwards after the 36th week, that’s when doctors medically term the baby as being breech.

What Makes It Difficult?

Breech babies make for slightly difficult deliveries. Like Dr Pratibha explains, the baby’s head being a bony structure, which is best delivered first. However, in the case of a breech baby, either the feet or the bottom are delivered first, leaving the head inside. When delivered after the legs and the body, the head is unable to mould itself through the vaginal passage.

Once the rest of the baby is out, an obstetrician just has a minute’s time to deliver the baby, failing which, there is a risk of injury and a condition called Erb’s Paralysis, where the group of nerves in the hand are damaged, leading to paralysis.

With some risks that are significant, it all depends on the doctor’s skills and the comfort of the parents in choosing their options. It isn’t uncommon for breech babies to be delivered vaginally, but many prefer going in for c-sections.  

The Choice

Dr Pratibha has always been an advocate of normal deliveries, of course, after weighing all the pros and cons. With her assessment making her believe that a vaginal delivery was an absolute possibility in Gunjan’s case, she had a detailed session with them, explaining why she felt that a vaginal delivery could be opted for. Dr Pratibha, a firm believer of giving the parents-to-be all the options, and going by consent, prefers the patients to play an active role in decision making, keeping her recommendations very clear.

When the option of vaginal birth was presented to Gunjan and Yash, they could not believe that they could opt for a normal delivery. While they did have their anxiety, the bond that they had formed with Dr Pratibha over the nine months comforted them and made them believe that she could indeed pull it off. In fact, Dr Pratibha’s confidence rubbed off on Yash too, as he was all set to witness his babies being born.

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The Birth

The next few hours just borrowed a pair of wings and flew by. Even though Gunjan says that the three-four hours before delivery were painful, she feels it was worth every bit. Knowing Gunjan’s limited threshold for pain, Yash says his first experience in the labour room turned out to be more than just seeing the delivery of his children. His respect towards Gunjan and all women in general increased manifold.

Thanks to Dr Pratibha’s deft hands, even though at a few moments during the delivery when Gunjan’s body was giving up due to the sheer exhaustion of already delivering a baby and pushing for the second one, there was no complication at all. Dr Pratibha kept encouraging Gunjan to push and ultimately, even the baby in breech position was born without too many hitches!

The Trio Feat!

Like mentioned above, parents-to-be generally make decisions based on a lot of parameters, one of them being to do with the obstetrician. They had complete faith in Dr Pratibha and the fact that she had managed to deliver twin babies vaginally in the past just made them believe that nothing would go wrong. In fact, of all the many things that happened, there was also a feat that Dr Pratibha had achieved. Suhaani and Yuvaan - the newborn twins - completed a trio for her. Dr Pratibha had successfully delivered a pair of twin girls, twin boys and now, a boy and a girl!

What Next?  

Even as Gunjan and Yash couldn’t take their eyes off their new arrivals, they knew their lives would change in the most beautiful way. In the next blog, the final one of this series, we will talk about how having the right medical support can change the way pregnancies and deliveries are experienced and why the relationship between the doctors at the Birthplace and the patients is a forever one.

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

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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

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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.

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 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!

Fetal Kick Counts - Why is it critical?

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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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Planning Pregnancy after 35..?

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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 040-45208108. 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

  • 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.

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  • 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.


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 040-45208108. 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 040-45208108. 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. 

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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.


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!

Looking for one-on-one counselling?

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!


Multiple Pregnancy: Expecting Twins...or Triplets?!

The Birthplace


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Having twins, triplets or even quadruplets can be exciting, but it may also bring worries and concerns for you, your partner and family members. If you are expecting more than one baby, it is important that you are well prepared for the changes that will take place both during your pregnancy and after the babies’ birth.

Here is everything you need to know to be prepared!

What is a multiple pregnancy?

A ‘multiple pregnancy’ is the term used when you are expecting two or more babies at the same time. It occurs in about one in 80 pregnancies. Fertility treatment increases the chances of multiple pregnancy.

What are the different kinds of multiple pregnancy?

At your early ultrasound scan which confirms whether you are carrying twins or triplets, it is important to find out the ‘chorionicity’ of your pregnancy. This is to help identify whether your babies share a placenta and it is important because babies who share a placenta have a higher risk of complications.

Twins can be:

  • Dichorionic-Diamniotic (DCDA) – if two eggs are fertilized or if one egg splits soon after fertilization, each baby has its own placenta with its own outer membrane called a ‘chorion’ and its own amniotic sac

  • Monochorionic Diamniotic (MCDA) – if the fertilized egg splits a little later, the babies share a placenta and chorion but they each have their own amniotic sac; these babies are always identical

  • Monochorionic Monoamniotic (MCMA) – much less commonly, the fertilized egg splits later still and the babies share the placenta and chorion and are inside the same amniotic sac; these babies are always identical; this is rare and carries additional risks.

Similarly, triplets can be Tri-chorionic (each baby has a separate placenta and chorion), Di-chorionic (two of the three babies share a placenta and chorion and the third baby is separate), or Mono-chorionic (all three babies share a placenta and chorion).

What does a multiple pregnancy mean for my babies and me?

For you:  Minor problems that many pregnant women experience, such as morning sickness, heartburn, swollen ankles, varicose veins, backache, and tiredness, are more common in multiple pregnancies. They get better naturally after the babies are born. Any problems that arise in any pregnancy are more common with twins and include:

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

  • anemia – this is usually caused by a shortage of iron because developing babies use up a lot of iron

  • pre-eclampsia – a condition that causes high blood pressure and protein in your urine

  • a higher chance of bleeding more heavily than normal after the birth

  • a higher chance of needing a caesarean section or assisted vaginal delivery to deliver your babies

For your babies: You are more likely to have premature babies if you are expecting twins or triplets. Babies born earlier than 37 weeks of pregnancy have an increased risk of problems, particularly with breathing, feeding, and infection. The earlier your babies are born, the more likely this is to be the case. They may need to be looked after in a neonatal unit.

Also, having twins increases the chance of the placenta not working as well as it should. This can affect the babies’ growth and wellbeing. Twins sharing a placenta (monochorionic pregnancies) also share the blood supply. In around 15 in 100 monochorionic twin pregnancies, the blood flow may be unbalanced. This is called twin-to-twin transfusion syndrome (TTTS). One baby, the ‘donor’, receives too little blood and has a low blood pressure while the other baby, the ‘recipient’, receives too much blood and has a high blood pressure. You will be monitored with frequent scans for signs of TTTS. It can be mild and may not require any treatment, or it can be serious, in which case you will be offered treatment in a hospital with specialist expertise.

How will my pregnancy be managed?

You will be under the care of a specialist healthcare team and will be advised to have your babies in a consultant-led maternity unit that has a neonatal unit. Your team will usually include an Obstetrician who specializes in multiple pregnancies, Fetal medicine expert, Nutritionist, Lactation consultant and an excellent Neonatal Team.

  • Having a multiple pregnancy means that you will need more visits to the antenatal clinic at your hospital.

  • You will be offered extra ultrasound scans to monitor your babies’ growth more closely. It could be as frequent as every 2 weeks from 16 weeks of pregnancy.

  • You may be advised to take iron tablets and folic acid each day throughout your pregnancy. Also, if there are risk factors for pre-eclampsia, you may be advised to take low-dose aspirin from 12 weeks of pregnancy onwards to reduce the risk.

  • Ultrasound / clinical assessments of the cervix may be done at regular intervals for measuring the length since a short cervical length is found to be associated with a higher chance of premature delivery. In case of a short cervix length, a cervical cerclage is done to suture the cervical opening.

Looking for one-on-one counselling?

How will I deliver my babies?

Delivery depends on many factors including fetal positions, gestational age, the health of the mother and babies. If both the babies are in a head down positions and there are no other complications a vaginal delivery is possible.

Caesarean delivery is for babies that are in abnormal positions, who are discordant in growth, or in higher order multiples, like triplets and more. In latter case, the babies are usually delivered by cesarean section unless you are in very premature labor or you give birth to the first baby very quickly.

Vaginal delivery may take place in the operating room because of a greater risk of complications which may require a Caesarean Section. 

Your own preference is also important and you should be given enough time to consider all of the relevant information before deciding what suits you best.

Will I be able to sufficiently breastfeed my babies?

Breast milk is best for new-born babies and your body should produce enough milk for your babies. If you encounter difficulties, our lactation expert will offer you the advice and support you need.

How will I cope with two babies at once?

Twins often come early and you will have a bigger bump than if you were having just one baby. You might consider stopping work early, possibly at around 28 weeks. When the babies are born, it will be a very busy time for any household but it is made much easier if you are supported and accept help when it is offered.

What is the Multi-Fetal Pregnancy Reduction?

In recent years, a procedure called multi-fetal pregnancy reduction has been used for very high numbers of fetuses, especially four or more. This procedure involves injecting one or more fetuses with medications, causing fetal death. The objective of multi-fetal reduction is that by reducing the number of fetuses in the pregnancy, the remaining fetuses may have a better chance for health and survival.


Vaginal Birth After C-Section Delivery (VBAC) – Is it an option for me?

The Birthplace

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Sunita was excited to learn she was expecting again. She and her husband had a three year old little boy and they felt that their family wasn't complete yet. Her excitement was tempered by one concern, though. Several hours into labor with their son, he had started to show signs of fetal distress. Her doctor made the decision to do an emergency C-section and almost before she'd known what was going on she'd been wheeled into an operating room. Now, years later, Sunita wondered whether there was any chance she'd be able to have a vaginal delivery this time or if the only option was a repeat C-section.

Sometimes pregnancy can feel like a dizzying whirl of decision-making. Will you breastfeed or use formula? Should you do genetic screening? What about circumcision? Things get even more complicated if you've previously given birth via C-section and are expecting again. Suddenly, there's an additional important decision to consider: attempt a VBAC or not?

VBAC, or Vaginal Birth After Cesarean, is when you have a normal delivery after having a previous C-section. While a number of factors affect whether you're a good candidate for VBAC, in many cases it is a safe alternative to having a planned C-section and one that should be given serious consideration.

For many people, C-sections have come to be viewed as virtually routine, despite the fact that they remain invasive and expensive surgeries. While no one can debate the fact that C-sections can be critical, life-saving procedures, the rise in Cesareans in India over the last few decades raises concerns. Until 2010, C-sections represented only about 8.5% of births in India. Since then, the rates have skyrocketed, averaging around 50% for some areas of the country

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.  To know more or to meet Dr. Pratibha, please call 040-45208108. 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.

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

This is an unfortunate trend, considering the possible advantages of VBAC compared to a C-section. First, VBAC, like all vaginal deliveries, involves a shorter hospital stay, a shorter recovery, and less pain after delivery. Babies born naturally are also less likely to experience neonatal breathing problems because vaginal birth forces fluid out of the baby's lungs. There may be emotional benefits as well as you and your partner will be more likely to play an active role in the delivery experience than you would during a C-section.

The choice of VBAC versus C-section becomes especially important if you are considering becoming pregnant again in the future. Each time a C-section is performed, it causes scarring to the uterus. As the amount of scarring increases, there is a greater likelihood of problems in subsequent pregnancies, especially with the placenta. Conditions such as placenta previa, placenta accreta, and placenta abruption all become more common with multiple C-sections. Bowel and bladder injuries are also more likely to occur with repeat C-sections. For these reasons, conventional wisdom suggests limiting the total number of C-sections a woman experiences.

Of course, there are also risks associated with having a VBAC. Most serious among these is the possibility of the uterus tearing at the site of a previous C-section incision. Known as uterine rupture, this rare condition can have dire consequences for both mother and baby, especially if the tear goes through all layers of the uterus. Fortunately, uterine rupture is rare, and may happen in only 0.5 percent of VBAC labors; and of the cases where ruptures do occur, less than 5 percent result in serious outcomes for the mother or baby.

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Besides uterine rupture, there is also the possibility that a VBAC attempt will result in an emergency C-section. Typically, a VBAC begins with a trial of labor where the mother is either allowed to begin labor naturally, or is induced to start contractions. The labor proceeds similarly to a typical vaginal delivery, although during a VBAC the doctor monitors both mother and baby closely in case an emergency C-section becomes necessary. While the majority of women who begin a trial of labor will complete a successful VBAC, roughly 20-30 percent will ultimately require a C-section to deliver.

If you are considering a VBAC, it's important to identify an obstetrician with specific experience performing these kinds of deliveries. She will be able to discuss what factors may affect your likelihood of having a successful VBAC, such as the reason for your previous C-section, the type of incision made during your C-section, whether you've previously had a successful vaginal delivery, the time since your last C-section, etc. She should encourage you to ask questions and fully explore all of your options. While not every woman is a good candidate for a VBAC, for most it is a safe option that the right doctor will feel comfortable discussing.

An experienced doctor will also be able to help you select the best place to deliver when considering a VBAC. Each hospital and birthing center is likely to have unique guidelines regarding VBAC attempts, so it's important to find out ahead of time what policies affect your choice to give birth at a specific location. It's also a good idea to confirm the location's ability to provide rapid access to surgery and anesthesia in case an emergency C-section becomes necessary. Locally, the Birthplace is proud to support mothers who choose to attempt vaginal births after having C-sections and has several successful stories to it’s credit.

For Sunita, like most women, a VBAC ended up being a safe alternative to having a C-section. If you've had a previous Cesarean delivery, taking time early on in your pregnancy to discuss with your gynecologist whether a VBAC is right for you, will help put your mind at ease and leave you more time to wrestle with other important pregnancy decisions...like nursery colors and baby names!

Best Wishes from the Birthplace !