Gynaecologist

A doctor skilled in the treatment of women's diseases, especially those of the reproductive organs.

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Vaginal infections durng pregnancy

Pregnancy is the time when your body undergoes significant hormonal changes. Due to these changes, women often find their immunity levels dipping, making them susceptible to an array of infections. Infections in the vaginal region such as the yeast infections, Trichomoniasis, and Bacterial Vaginosis are a common occurrence during pregnancy. However, one may encounter other kinds of vaginal infections as well. If left untreated they may harm the foetus too. Therefore, it is best to stay well informed about the causes and symptoms of the different vaginal infections during pregnancy in order to identify and treat them at the earliest. Vaginal Infections To Watch Out For During Pregnancy #1. Bacterial Vaginosis One of the most common vaginal infections during pregnancy, Bacterial Vaginosis or BV is seen in every one out of five pregnant women. Cause: BV is caused when the vagina’s naturally existing bacteria start multiplying excessively due to hormonal imbalances, leading to unpleasant symptoms. Symptoms: Pain and burning sensation during urination Inflammation, irritation, and itchiness inside and around the vagina Thin, watery, greyish white vaginal discharge, which has a very foul odour Diagnosis: Your doctor, through a pelvic examination, can diagnose BV. She may take a swab sample of the discharge to observe it microscopically and even send it to the lab for a vaginal culture for further confirmation. Treatment: Antibiotics are a good line of treatment for Bacterial Vaginosis. Your doctor will prescribe you a dosage safe for use during pregnancy. However, if you are in your first trimester, she may avoid giving any medication at all. Points to remember: If detected early BV may go away on its own without medication. However, if left untreated for long it may lead to serious problems such as – low birth weight of the baby, preterm delivery, pelvic inflammatory disease in the mother, eventual damage to the fallopian tubes, increase in risk of contacting Sexually Transmitted Infections (STIs), and even infertility. What you can do: In order to prevent BV during pregnancy you must – Drink at least 2-3 liters of water daily Keep your vagina clean and dry to prevent bacterial build-up Do not use bath oils or thick applications in the vaginal region. These may block pores and lead to infections. Maintain good hygiene and wash yourself dry twice or thrice a day Wear cotton undergarments and change your underpants twice a day to prevent the area from being sweaty. Wear loose pants and avoid tights to prevent sweat buildup. Sleep without your underpants to prevent infections. Adopt safe sex practices and avoid having intercourse with multiple partners during your pregnancy. While using toilet paper, wipe from front to back to avoid infections from anal bacteria to spread to the vagina. Avoid frequently douching the vagina in an attempt o clean it. This may worsen the infection. #2. Yeast Infection A yeast infection is commonly seen during the second trimester of pregnancy. It features an overgrowth of the naturally existing vaginal fungus – Candida. Causes: A spike in the levels of progesterone and estrogen in your body cause yeast infections during pregnancy. This hormonal imbalance disrupts your vaginal pH, thus, causing fungal infections. An antibiotic or steroid treatment during pregnancy may also cause a yeast infection. Some other causes include – excessive douching, having intercourse, having STD, or diabetes.   Symptoms: Burning pain while passing urine or during intercourse Appearance of whitish brown discharge from the vagina that looks like cottage cheese. Yeast like foul smell from discharge Inflammation, irritation, and redness in the labia and vulva. Diagnosis: Your doctor can easily diagnose a yeast infection upon a vaginal examination. To further confirm the possibility she may take a swab sample of the discharge and check it under the microscope or send it to a lab for further testing and conclusive results. Treatment: A yeast infection can be treated using an anti-fungal cream prescribed by your doctor. The cream must be applied to the infected area as suggested on a regular basis. You may alternatively be prescribed an oral anti-fungal medication or an ovule to insert in the vagina.  Points to remember: If undetected or untreated yeast infections get transferred to the baby at the time of delivery. They infect the baby’s mouth in the form of an oral condition called thrush. What you can do: In addition to the above mentioned tips you must - Reduce your intake of sugar as it is inflammatory and may worsen the fungal infection. Add complex carbohydrates to your diet to improve your digestion and immunity. Eat yogurt. It is probiotic and helps improve the gut and vaginal pH. #3. Trichomoniasis This vaginal infection results from a parasitic protozoan microbe known as the Trichomonas vaginalis. Causes: A pregnant woman may contact this infection from a sexual encounter with an infected partner. The disease also spreads through infected pool water, towels, or toilet seats. Symptoms: Yellow/white/clear discharge from the vagina Fish-like foul smelling discharge Redness, inflammation, and irritation in the vaginal area Pain while passing urine Diagnosis: Besides identifying the evident symptoms, your doctor can diagnose Trichomoniasis by taking a swab sample of the vaginal discharge. This can either be studied under the microscope to visually identify the parasite or can be sent for a lab culture to get a confirmed result. Alternatively, a urine test may also reveal Trichomoniasis infection. Treatment: Trichomoniasis is treated with a course of oral antibiotics. Make sure to take only prescribed drugs in recommended dosage only so that your baby is not harmed by the medication. Points to remember: If detected and treated timely the Trichomoniasis infection can be completely cured. It is one of the most easily curable vaginal infections. What you can do: In addition to the above mentioned precautions related to proper hygiene and safe sex practices, one must avoid using swimming pools, shared bath towels, and public toilets during pregnancy.

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Fetal Movements: is your baby kicking?

Nothing reassures you more about the baby growing in your womb than the first kick. These tiny movements keep you guessing about what the baby would be doing at that time. Was what you felt actually a kick or just gas bubbles coursing through your body. Every pregnant woman waits for that moment when they would feel the first kick of their babies. When would I feel my baby kick? Most women feel their baby kick between week 18 and week 22, though some may report feeling it as early as week 13. Usually, second-timers feel it earlier as they know a kick when they feel a kick. Another reason why they might feel the kicks earlier is that their abdominal muscles are laxer. Further, thinner mothers also tend to feel a baby kick earlier as they lack the fat to cushion the movements. Actually, a first-time mother-to-be might have already felt the baby move but was unable to recognize the movement. Does this mean that the baby moves only at the time I feel the kick? No. The baby moves all the time in the amniotic fluid. But, because it is very small, one may not feel its movements. As the baby grows and becomes stronger, it is able to make more distinguishable movements and these are the ones you feel. What do the baby kicks feel like? Most mothers-to-be define the first movements of their babies as gas bubbles, butterflies flying or soft flutters. Medically, this is known as quickening. It would take some time for the quickening to graduate to firmer movements. Is it true that I would feel the baby moving less as my pregnancy progresses? Not exactly. There would definitely be down times when the baby is sleeping or resting and you might not feel any movements. However, the bigger the baby gets, the lesser the space it has to move and the more you should feel its movements. Once you have determined a pattern and understood their sleep cycle, you would be able to predict their movements and rest time. How often should I feel the baby kick? Before week 28, there is no need as such to record baby movement. At times, up to three days may pass between movements. Once you cross the 28th-week mark, you need to keep a watch on fetal movements. Your doctor would give you a rough estimate of how much movement you should feel. A healthy baby kicks around a lot. Apart from their sleep time, if you notice the baby’s activity levels reducing or weakened movements, talk to your doctor. Pregnancy is a beautiful time for any mother-to-be, therefore, sit back, relax and enjoy yours to the fullest. Featured Image Source  

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Hello everyone.. Mere urine m andar k side bht jalan hoti h vaise to ye 5 months se ho rahi h par maine kisiko btaya nhi ..uss waqt to hadd se jyada hoti thi ...par abhi thodi km h par fir b me bht pareshan ho rahi h..maine doctor ko bola to unhone ZYDIP cream di mujhe lgane k liye...par ye sirf bahar k side lgani h or jalan mujhe andar se ho rahi h...kbhi kbhi toilet bhi ruk ruk k aata h..pls tell me main kya karu..

Babyweight is nt increaing...dr. gives me protien biscuits...bt it could nt help much....baby is only 1.80.......i m worried...please help me she gives me one week....n water level is nt also adequate.....

I have entered my 7th month....can I have coffee once in a week(if whenever I wish to)

Hiii. Kal mera due date Hai. Abhi tak labour pain k koi symptoms Nhi Hai. Walk exercises Sab kr rahi hu. Dr ne Kal admit hone ko bola hai. M very much scared Kya hoga. Mai normal delivery chahti hu. 😔

Mera eight months cmplt hone mai 10 din baki h agr baby avi ho jaye to dikkat hota h kya kyu kiya mera water level km ho gya h full bed rest docter boli than tk ki bathroom ke liye v nali lgai h sirf potti ke liye uthna h bs isliye bhut jyda tension mai hu agr baby eight mai hi hogya to koi dikkat hota h sb bolte h ki eight mai nhi hona chahiye.

Jst wanted to share something with u all n want ur opinion In my 20week ultrasound report it is mentioned dat i hav low lying placenta. Gynaec told me to take cmplt rest. Zyada der khade n rhe, abdomen pr pressure aae aise kaam n kre. Otherwise pregnancy me risk bdh jaega. Bt i live in a joint family. To sb kaam krna hota h. Khana bnao to 2hrs khada rhna hi hota h. Koi help nhi krta h. Kbi subh acha feel n ho jldi na utho to 1-2 bj jae khana tk nhi bnata h koi. Hubby job k wjh se out of town h. To mai unse b kuch nhi kehti hu. Bt jaise gynaec ne kaha h k low lying placenta h aur usme jo taklif hoti h wo symptoms muzme nhi h. No abdominal pain, no bleeding. To ky mai dusre gynaec se consult kru? N ky mai aise me travel kr skti hu mayke jane k liye. 16hrs by train.

Can anybody tell what is process of c section delivery ? Anesthesia kaha diya jata ? N anesthesia ka asar khatam hone k baad cramping hoti h kya is it painful?

I have low laying plasenta...can I do exercise??...plz suggest me

hi friends,jo jo betnesol injection lagaye he kya unka bache movement kam ho gaya he?kitne dino tak kam raha?

I have been advised by my doctor to go for steroid cover so as to help my baby's lung mature. Please advise of it is safe?

How your twins are developing at week 8

When you come to know that you are expecting twins or multiple babies, you are nervous and excited at the same time. By the time you complete two months of your pregnancy, the continued onslaught of nausea and morning sickness and the irritation will reduce and your belly will start showing. As you see your belly, you will start thinking about raising your kids and the different preparations you will have to do to make sure that your little ones are comfortable. All these preparations are necessary but you must not stress yourself instead take one step at a time. By 2 months of pregnancy, i.e 8 weeks, your tiny twins or multiples will undergo a significant development. Find out by 8 weeks how much your kids will have developed.  Baby Growth at 8 Weeks Around the 8th week of pregnancy, a lot of important organs and physical attributes of the babies start developing in a strong and consistent manner. The neural growth is the most important in this regard and the brain undergoes a substantial progress. The newly formed nerve cells that constitute the majority of the brain, start reaching out to each other and create numerous branches and connections.This is primarily what helps their brain function and the existence of such neural pathways contributes to it. The formation of eyes already begins a couple of weeks ago, however, it isn’t that evident. By the 8th week of pregnancy, eyelids begin to form in a translucent tissue-like material and begin to cover the eyes of your babies. The growth of limbs is substantial as well. Although the hands and arms are yet to develop completely, the flexing that occurs at the wrist is very much present and they are positioned closer to the heart. Their fingers also continue to grow. By the 8th week, their arms and legs develop and start bending as well too. Most babies tend to start showing a knee that can be recognized by a doctor in the scan. Certain babies have a larger feet growth, which can make the legs long enough to be bent in the front of the body. Size of the Babies at 8 Weeks If your twins or multiples were barely the size of a seed or a pea in the previous weeks, the growth in the 8th week will make them as large as a kidney bean. Most growth is only around a millimetre on a daily basis, which might not seem much, but is substantially large when compared to their overall size. Your twins or triplets will also start gaining some weight. Common Bodily Changes Most of the changes that occur in twins or triplets in the womb are internal, while their physical growth is slowly moving ahead at its own pace. However, a woman’s body will undergo many changes: If you are pregnant with twins or multiple babies, your waistline will expand. This may not be evident always, but wearing certain pants which fit you comfortably earlier, may feel constricted. The uterus will begin to increase in size in accordance with the growth of the babies. It may appear larger than an orange and would start pushing into the abdominal space and can be felt from within. These could even result in abdominal cramps and might hurt some women intermittently. The 2-month mark, in a way, also signals the breasts that they would have to be ready for the babies when the delivery comes through. By this time, your breasts also swell, and the areolas have small bumps around them as they morph in a nature to support lactation of the little ones. The blood levels in the body increase tremendously, and so do the levels of various hormones, particularly progesterone. These increased hormones further start aggravating the morning sickness symptoms, while a few women might see a reduction in them. The increased blood flow may or may not have enough blood cells in it, which could disturb the brain’s requirement and set in headaches at random times. Symptoms of Twin Pregnancy at 8 Weeks The signs of having twins or triplets at 8 weeks get very prominent and you can even celebrate it at the completion of two months if you haven’t done so already. Apart from that, there are tons of other symptoms that get evident at this stage of your journey. Morning sickness and constant nausea are common pregnancy symptoms, and you will experience it mostly in the first trimester of your pregnancy. But when expecting twins or multiple babies, you will have to bear these for some more time. Your hormones will be at the highest levels and their effect will be compounded as a result of multiple babies. If nausea is too severe for you, going for alternative aromas or eating food items that don’t have strong flavours could help you keep that under control. As mentioned above, aromas generally work to your benefit but sometimes it could even be the reason to set in nausea. This is primarily due to the fact that your olfactory senses level up and can spot a range of smells than before. Such a change is usually an evolutionary response in keeping yourself and your babies free from any foreign substances that could cause harm. The increased amount of blood, the extra pumping that your heart undertakes, the headaches, and the intensive tapping into nutrients can make you feel low on energy and a lost-out exhausted mood of sorts. This is pretty natural for women pregnant with twins or multiples. If your doctor has given the go-ahead to continue with sexual intercourse, there might be occasions when you spot a little bleeding in the vagina. The sensitivity of the cervix is the culprit here. Another strange sign that many women mention around this stage of the pregnancy is the occurrence of absurd dreams. Some might be ecstatic while others might cause you to wake up sweating. This is basically a result of the changes happening inside your body, and even if you have had a bad dream, there’s no reason to worry about it or be stressed and anxious. Belly at 8 Weeks Pregnant with Twins The belly continues to grow larger, a little faster in case of twins and multiples as compared to the usual pregnancies. Your waistline will also expand and the baby bump will start making itself evident since the placenta of the children will gradually take over most of the supporting responsibilities. 8 Weeks Twin Ultrasound Up until now, you must have believed that the hazy black coloured spots and shapes to be your children only because the doctor said so, but by the 8th week of your pregnancy, you will be able to see the clear pictures of your twins or multiple babies. Undergoing an ultrasound scan at this stage will make it easy for you to spot the babies since their limbs would be better formed than before and would be clearly visible. What To Eat Your diet in the 8th week of pregnancy and in fact throughout the pregnancy should constitute of healthy foods. A balanced diet will support the all-round development of your twins or triplets. Protein and calcium intake needs to be substantial since it plays a vital role in the bone and muscle development of the babies. Other vitamins along with iron and a good amount of folic acid are necessary as well. Combining a good nutritive diet with a healthy amount of water can help reduce the chances of constipation. Pregnancy Care Tips The 8th week of pregnancy can be tough for women who are pregnant with multiple babies since it takes a lot from their body to keep the babies healthy and to keep their growth on track. But here are a few tips that can make things easier for you. Dos Read up on pregnancy from various books or proper websites. These can give you a better idea of how your twins or triplets are growing. Undertake a full blood and urine exam. This is also a great time to get the blood group of your babies checked and mitigate any complications. Dont’s Stay away from attempting strenuous exercises in an attempt to keep your weight in check. Eating healthy foods and light exercise is the safest measure for you. Don’t take any medication for headaches or body pain without checking with your doctor. What You Need To Shop For The swelling of the breasts can definitely shift up your cup size by a size or more. So, you must buy good maternity bras which are a size larger than what you need so that these can be used easily until the end of your pregnancy. For a woman who is 8 weeks pregnant with twins or triplets, the first couple of months can be quite tough and may worry you about the months to come. However, do not stress yourself, as with time everything will be fine. content source

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Can repeated scans affect the baby?

Ultrasound scans are used more frequently today than even just 10 years ago. It is quite normal for a mum to have five scans even if she has a completely normal, uncomplicated pregnancy. This is because scans are more accessible and affordable now and doctors use them to gather information more accurately on all points of your pregnancy, from the due date to the position and growth of your baby. That being said, the long term effects of repeated ultrasound exposure on a fetus are not fully known. It is therefore best to only have as many scans as your doctor feels necessary for medical reasons. The ultrasound probe emits high frequency sound waves that bounce off your baby to produce an image. These waves also produce heat. Scientists say that increasing the temperature of the tissues being scanned by 4 degrees C - for example, from 36 degrees C to 40 degrees C - may cause harmful effects. In practice however, ordinary 2D, 3D or 4D scanning that is used to get images of your baby produces very little heat (less than 1 degree C). This is because the ultrasound intensity used is low, and spread over a large area. Your baby is further protected from the heat by the amniotic fluid he is floating in. The fluid helps distribute any heat that is produced so that no single part of your baby's body is exposed to the heat. Your baby is also moving around which helps distribute the heat more evenly. When does the Doctor Advice to Perform Scans Multiple Times and Why can't they be avoided? You may require more frequent ultrasounds if you: Carry twins or multiples Have an existing medical condition that may complicate your delivery Are over 35 years of age Have a problem that has been detected in your previous scans Have a history of miscarriages or stillbirth     Are ultrasounds safe? There’s no evidence that scans are harmful, if used according to the guidelines. Ultrasound scans have been used in pregnancy for decades.  The person carrying out the scans (sonographer) will follow all the right guidelines to ensure that you and your baby are safe. Will the way ultrasound works affect my baby? No, having an ultrasound won't affect your baby. Ultrasound sends sound waves through your womb (uterus), which bounce off your baby's body. The echoes are turned into an image on a screen, so your sonographer can see your baby’s position and movements. The frequency or length of the sound waves depends on how far along your pregnancy is and the type of scan being carried out. Studies have found no link between ultrasound and birth weight, childhood cancers, dyslexia, or problems with eyesight or hearing.  Almost all women want a scan during pregnancy, so it's hard to find women who haven't had one to make a comparison. That in itself may reassure you.  During an ultrasound scan, the equipment generates a small amount of heat which is absorbed by the part of the body that's being scanned.  Antenatal scans produce less than one degree C. This means they're fine for you and your baby. It's only if the temperature of the scanned body tissue rises by four degrees C that harm may be caused.  Ultrasounds are a medically endorsed way to look into the pregnancy and see how your little one is coming along. The benefits of the ultrasounds weigh out the possible risks in cases where your pregnancy requires monitoring. However, it is safe to address any concerns you may have about this with your doctor.  

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