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The Birthplace Blog

Filtering by Tag: High Risk 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!

Menopause: Pausing Periods, Not Life!

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‘That time of the month’ is often the phase characterised by mood swings, cramps, pain and discomfort. Women share a love-hate relationship with their periods. Often times, the onset of periods brings about tremendous changes in a woman’s life - right from altering her physical appearance, to changing her routine completely. This is the time when women are worried about staining their clothes and plan important events in a way that they don’t clash with their periods. One thing that crosses many young girls’ minds when they first have their periods is - when will this thing end?

The answer to this question is simple - periods end when menopause happens.

Understanding Menopause

Medically defined as the full-stop to a woman’s fertility, menopause marks the end of menstruation in a woman’s life. While it might seem like a really good deal that life has to hand over to you (imagine, you don’t need a period tracker, you don’t have to worry getting your periods when you are on a vacation and all that), what menopause actually introduces is a different ball game altogether.

 Menopause happens when a woman hasn’t had her periods for 12 consecutive months. Typically, the average age for menopause is 51 years, but many women experience an early onset, too. When the ovaries produce less reproductive hormones and there is a considerable decline in estrogen (needed to regulate your periods) and progesterone (needed for pregnancy), that’s when the symptoms of menopause begin to appear. It also often triggers the rise of another hormone called follicular stimulating hormone or FSH.

When Will You Have Menopause And How Long Will It Last?

There are a lot of factors that determine when you will hit this phase. Even though the average age, like mentioned above, is 45-55 years, yet, your genetic make-up, your body type and health will play a role. The symptoms of menopause, which we will describe in the paragraphs to come, start anywhere between 2-4 years before you have your last period, and might go on till around 5 years after that.

What Does Menopause Do To Your Body?

Just like the beginning of puberty brings about evident physical and psychological changes, the onset of menopause also has the same impacts. While the absence of periods might seems like a great relief, yet, the symptoms of this phase can impact you more than you can think.

  • Period Problems: One of the most common impacts that the onset of menopause, or what is typically known as perimenopause, is problems in your menstruation. This can range from irregular periods, or changes in your flow - while sometimes you’d experience a very light period, on other occasions, you might experience heavy bleeding. During this phase, it’s important that you be mentally prepared as your periods can arrive without much warning, or be absent for long.

  • Lack of Sleep or Insomnia: Menopause is characterised by hot flashes, when your upper body feels warm, and night sweats, when you break into a sweat while you are sleeping. It’s obvious therefore that these lead to disturbed sleep cycles, often times causing insomnia.

  •  Vaginal Dryness: Decline in the production of estrogen can lead to genital tract atrophy, which is known to cause problems in the vulva and vaginal region, because of which you might experience swelling of the genital region, vaginal dryness and consequently, painful sexual intercourse.

  •  Urinary Issues: Such issues become very common with advancing age, yet, the impact that menopause has on the urinary system is quite high. If you are going through menopause, you are more susceptible to urinary tract infections or UTIs and you would also have an urge to visit the washroom often, which in medical terms will be explained to you as urinary incontinence. 

  •  Mood Swings and Cognitive difficulties: Just like your premenstrual symptoms or PMS as it’s popularly known as, mood swings will become a part of your routine when you hit menopause. Because your body is going through several hormonal changes, it is likely to impact your mood, as well as your cognitive abilities like remembering things.

  •  Physical Changes: While puberty results in a growth spurt, both in terms of your breasts and bodily hair, menopause does the exact opposite. If you find that you need to switch to a smaller bra size, then don’t be worried - it’s probably one of the effects of menopause. It might also lead to hair fall and thinning of hair.

Apart from these, palpitations, regular headaches, muscle and bone pain, stiff joints and weight gain can be clear signals that you are going through menopause.

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

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

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

Early Menopause: The Causes And Impacts?

Menopause is a natural process, so please don’t consider it as a disease or disorder. As the body ages, its ability to produce certain hormones also decreases. Like mentioned before, when the levels of estrogen and progesterone come down, your body prepares itself for a goodbye to periods. However, apart from natural causes, there are a few other reasons why you might have an early menopause.

  • Hysterectomy: This is the procedure of removing your uterus, ovaries or both. If only your uterus is removed, you will not have menopause immediately, and the transition will be gradual. However, if your uterus and both your ovaries are removed, you will stop producing estrogen and progesterone, will cause immediate menopause.

  • Cancer Treatments: Chemotherapy and radiation, as you understand, have several radical impacts on your body, one of them being menopause. Sometimes, however, many women observe the return of their periods after a prolonged absence.

  • Ovarian Issues: Lifestyle and other health issues could cause your ovaries to have issues. Such problems might impact that the production of certain hormones, which in turn trigger the onset of menopause.

Early menopause is often associated with higher risks of cardiovascular diseases, anxiety and depression and psychosexual disorders.

Diagnosis of Menopause

Menopause is clinically confirmed if you are 45 or above and you haven’t had your periods in 12 straight months. Even though this is one way of diagnosing menopause, yet, your gynaecologist is likely to carry out some tests to rule out anything else. During this consultation, your doctor will check for:

  1. Your last period, the kind of flow you experienced and whether it was regular or late.

  2. Medications you are using, if any.

  3. Your symptoms and how long you have been having them for.

 Once that is done, your gynecologist might also ask for the following tests:

  1. Vaginal pH levels (women in the reproductive age have a level of 4.5, while a level of 6 could indicate menopause)

  2. A Thyroid Test

  3. Lipid Profile

  4. Liver Function Test

  5. Kidney Function Test

 Even though there are some kits available to check for yourself, yet, it’s always best to consult a reputed gynaecologist for a proper diagnosis.

Will Menopause Impact Your Sex Life?

Menopause causes several of your hormones to be in a state of imbalance. Because your production of estrogen and testosterone (yes, women also have it) has decreased, it might contribute to a lower sex drive. Apart from that, other symptoms such as mood swings and muscular pain might also prevent you from enjoying sex. 

Lower production of estrogen could also limit blood supply to your vagina, resulting in swelling and dryness. This could impact sex as well, making it slightly more uncomfortable and painful than usual.

However, you needn’t lose hope! Some studies have suggested that many women report having an increased sexual appetite because of the lower chances of pregnancy. While most women hit menopause after their children-related responsibilities are taken care of, the chances of having more relaxed sex also increases!

Managing Menopause: The Guidelines

The phase of menopause can be quite a challenging one, especially because some of the symptoms will leave your drained and in pain. The first step is to be calm and gather more information about it, so that you can manage the symptoms well. There are some things that you can do to help yourself.

  • Eat right: Include plenty of calcium and Vitamin D in your diet

  • Avoid drinking and smoking

  • Massage your breasts with herbal oils

  • Use lubricants to have better sex

  • Do not stop using birth control measures till your doctor asks you to

  • Keep yourself engaged in activities to help your mood swings

  • Exercise well to manage your weight gain

  • Kegel exercises can help with your sex life as well as urinary incontinence

 Why Do You Need To Visit A Gynecologist?

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You are capable of managing many of the symptoms, but the absence of periods might not necessarily mean menopause. So, it’s essential to confirm the cause and only a gynaecologist can help with that. Apart from that, if your symptoms are severe, your doctor will be able to suggest several treatment options including hormone replacement therapy or HRT to help you.

Please understand that you are not alone in this journey. At the Birthplace, we intend to help you sail through the phase of menopause with maximum comfort and information. Our doctors listen to your concerns and recommend treatments and therapies based on your needs. So, don’t do this alone. Let us join forces with you to help you live your life on your own terms!


Vaginal Rejuvenation: The Route to Painless Happiness

The Birthplace


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

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

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


Genital Wellness: A Topic That Needs Attention

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

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

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

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

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

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

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

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

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

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

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.  To know more or to meet Dr. Pratibha, please call 040-45208108. 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. She is also an expert in Cosmetic and aesthetic gynaecology.

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

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

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

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

Problems in Female Genitalia

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

  1. Loose muscles, causing problems in appearance

  2. Infections

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

  4. Urinary Incontinence

  5. Vaginal Dryness

  6. Vaginismus

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

How Do These Problems Impact Your Life?

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

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

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

So, What Are Your Options: Surgical Help?

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

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

  • Surgical options are expensive

  • They are also perceived to be very painful.

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

Non-Surgical Vaginal Rejuvenation: The Significance

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

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

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

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

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

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

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

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

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Choose The Right Doctor

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

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


Planning Pregnancy after 35..?

The Birthplace


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Have you crossed 35 and are planning to conceive?

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

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

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

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

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

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

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

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

Dr. Samatha Kumar, is a senior gynecologist at the Birthplace with more than 11 years of experience, specializing in infertility, multiple births, and high-risk pregnancies.  To know more or to meet Dr. Samatha, please call 040-45208108. 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.