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The Birthplace Blog

Filtering by Category: Pregnancy

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!

Laparoscopic Surgery: All you need to know

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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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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.

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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.

Bleeding During Pregnancy

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Bleeding or spotting during pregnancy is a very common sign noticed by most pregnant women. Research indicates that around 12% of women report spotting or bleeding during their first 12 weeks of pregnancy. This bleeding is usually very light compared to your regular periods and often varies in colour from pink to red to brown. Although this spotting is not something you should worry about, but any kind of bleeding during your pregnancy has to be reported to your obstetrician to ensure the cause is validated to rule out anything serious and to make sure you and your baby are healthy.

This article will help you understand the causes of bleeding or spotting during each trimester.

First Trimester

As indicated earlier most women report spotting or bleeding in the first 3 months of their pregnancy. Possible causes of first trimester bleeding include:

  • Implantation bleeding:  Bleeding that occurs when the fertilised egg implants itself into the uterine lining is called implantation bleeding. This is usually experienced within 6 to 12 days of conception, even before you know you are pregnant, and is often mistaken as a pending period. This bleeding is usually very light and lasts from a few hours to a few days.

  • Miscarriage: Miscarriage is one of the biggest concerns associated with the first trimester bleeding as it also occurs within 12 weeks of pregnancy. However, bleeding during the first trimester does not necessarily mean that you’ve lost the baby or going to miscarry. 90% of women who experience first trimester bleeding will not miscarry if there is a heartbeat noticed in the ultrasound.

    Strong cramps in the lower abdomen and tissue passing through the vagina are the other symptoms of miscarriage.

  • Ectopic Pregnancy: An ectopic pregnancy occurs when the fertilised embryo implants outside of the uterus, usually in the fallopian tube. It occurs in about 2% of pregnancies and is potentially dangerous. If untreated immediately, the embryo keeps growing and can cause the fallopian tube to burst and can be life-threatening to the mother.

  • Molar pregnancy: This is a less common condition in which abnormal tissue grows inside the uterus instead of a baby. In some cases, this tissue is cancerous and can affect the other parts of the body.

    Apart from bleeding, nausea and vomiting and rapid enlargement of the uterus are the other symptoms of this condition.

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

Second and Third Trimesters

Bleeding in the second or third trimester of your pregnancy calls for immediate attention as this may be more serious and can signal a problem with the mother or the baby. You must report to your Obstetrician with no further delay.

Here are few possible causes of bleeding in late pregnancy:

  • Placenta Previa: This is a condition when the placenta is attached to the lower part of the uterus and covers the cervix partially or completely. In this scenario, a vaginal delivery is not possible and a C-section is recommended as the placenta blocks the baby’s path of your body. This is very rare in the late third trimester, and stats show only 1 in 200 pregnancies have placenta previa. A bleeding placenta previa is an emergency which requires immediate medical attention.

  • Placental Abruption: This is a serious condition wherein the placenta detaches itself from the uterus wall before or during labor. The abruption usually causes stomach pain and the other symptoms may include abdominal pain, clots from the vagina, tender uterus and back pain.

  • Uterine Rupture: Uterine rupture occurs when a scar from a previous C-section tears open during pregnancy. This is a life-threatening condition and requires an emergency C-section. Pain and tenderness in the abdomen are the other symptoms of uterine rupture.

  • Vasa Previa: This is a very rare condition in which the developing baby's blood vessels in the umbilical cord cross the opening to the birth canal. Vasa previa can be very dangerous as it can cause the blood vessels to tear open which in turn causes the baby to bleed severely and lose oxygen. Abnormal fetal heart rate and excessive bleeding are signs to look out for.

  • Premature Labor:  This is the most common sort of bleeding seen late in pregnancy wherein a small amount of blood with mucus leaves the body.  This is an indication that your body is preparing for labor. This is also called as ‘Show’. If bleeding and symptoms of labor begin before the 37th week you should contact your obstetrician immediately as this might be a sign of preterm labor.

    Contractions, vaginal discharge, abdominal pressure, and ache in the lower back are the other symptoms of Premature labor.

Other  causes of bleeding in late pregnancy could be injury to the cervix or vagina, polyps or cancer.

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What should you do if you have unusual bleeding during pregnancy?

Vaginal bleeding in any trimester should not be ignored and you should report to your Obstetrician immediately. Use a sanitary napkin to track the flow and record the type of blood. Do not use a tampon and refrain from having sex while you are bleeding. Make sure you bring any tissue that passes through your vagina to your obstetrician for testing.

You will be expected to undergo an ultrasound scan to understand the underlying cause of bleeding and treatment is given accordingly depending on the stage of your pregnancy.

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.


Diabetes during Pregnancy? Know more.

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

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

THE CAUSE

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

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

Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception. She has also trained in hysteroscopy and laparoscopy. She has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids and even menopause related issues through medical and surgical interventions.  To know more or to consult Dr. Girija, please call 040-45208108. 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

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

WHO SHOULD BE CAREFUL?

  • Moms who were overweight before expecting

  • Moms who had gestational diabetes in the earlier pregnancies

  • Moms who have given birth to a stillborn baby before

  • Moms who have given birth to a baby of over 9 pounds before

  • Those who've had a family history of diabetes

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

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HOW CAN YOU DETECT IT? 

Following are the few symptoms of gestational diabetes:

  • Impaired glucose tolerance or impaired fasting glucose (blood sugar levels are high, but not high enough to be diabetes)

  • Sugar in urine

  • Too much amniotic fluid (polyhydramnios)

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

PREVENTIVE MEASURES

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

  • Exercise and maintain your diet before planning a pregnancy.

  • Healthy diets and recommended exercise help towards its treatment

  • Maintain regular visits to your Obstetrician / Gynecologist

  • Keeping a check on your blood sugar levels

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

Postpartum Depression: All You Need To Know

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New to parenthood?

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

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

Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.  To know more or to consult Dr. Jyotsna, please call 040-45208108. You can also write in to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

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

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

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

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

Prevention is better than cure

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

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Treatment

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

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