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The Birthplace Blog

Filtering by Tag: Severe Pain

Laparoscopic Surgery: All you need to know

The Birthplace

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

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

Where is laparoscopy applicable in Gynecology?

As a diagnostic tool laparoscopy can be used to treat-

  • Infertility

  • Ovarian cyst or tumors

  • Ectopic pregnancy

  • Tubal abscess or adhesions

  • Endometriosis

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

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

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

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

  • Ovary

    • Ovarian drilling for PCOD to boost fertility

    • Ovarian cystectomy for removal of cysts in the ovary

    • Cauterisation for endometriosis treatment

  •  Uterus

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

    • Hysterectomy  for removal of the uterus

  •  Tubes

    • For treating a tubal abscess and ectopic tubal pregnancy

    • Tubal sterilisation (Family planning)

What are the advantages?

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

  • It minimises the number of incisions needed

  • Decreases pain

  • Reduces blood loss when compared to open surgery

  • Early mobilisation and faster recovery

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

How soon can a patient resume regular activities after laparoscopy?

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

What is the role of laparoscopy in unexplained infertility cases?

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

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Can emergency surgeries be performed under laparoscopy?

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

 What is the type of anaesthesia administered?

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

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

Come visit the Birthplace today!

 

Bleeding During Pregnancy

The Birthplace

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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.

Ectopic Pregnancy: All you need to know

The Birthplace

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Have you got your periods too late? Are you feeling nauseated? Are you undergoing those pregnancy cramps or shoulder pain with a lot of queasiness? Do you experience some discomfort in the abdomen?

We know, it would be hard to identify what’s normal and what needs a medical examination, given the minimal expression of unique characteristics.  But experiences such as these may call for immediate medical attention, as this might be a typical case of ectopic pregnancy.

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

Ectopic pregnancy is a condition when the embryo implants itself outside the uterus, or as called in medical terms “Extra-uterine Implantation”. Such pregnancies are often considered complicated and exhibit certain symptoms. Listed below are few of the experiences which to-be-moms undergo:

  • Common symptoms include vaginal bleeding and torrents of sharp abdominal or pelvic pain. Other symptoms in some cases can be diarrhea, nausea or vomiting accompanied by pain.

  • Ectopic pregnancy is qualified when there is a very less increase in the amount of hCG during the test or also when the hCG level does not double in 48 hrs.

  • Fallopian tube rupture may cause severe discomfort in the pelvic region in addition to dizziness or fainting.

Medical demonstration of ectopic pregnancy generally occurs between 4-8 weeks counted from the last normal menses.

Ectopic pregnancies, medically, have never been regarded as safe for expecting mothers and can lead to death if left untreated. Ectopic embryos, which do not have a normal development, may reduce the chances of further normal pregnancies, esp., in the advancing age, therefore, necessitating immediate embryo removal for mother’s health and fertility. Embryo removal is administered through medication or surgery depending on the location of the implanted embryo.

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Since the symptoms are masked and largely imitate symptoms of first-trimester pregnancy, I advise you to maintain regular visits with your doctor, and follow the suggested regime and tests.

An ectopic pregnancy can be very overwhelming and unaccounted for. Engage yourself in various activities and care for yourself  through healthy diet and proper rest.

Talk to your doctor about how to ensure a healthy pregnancy in future.