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The Birthplace Blog

Filtering by Tag: Antenatal Tests

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!