Tag Archives: Pregnancy

Pregnancy guide if you are going to become a Mom

18 May

Body: In a woman’s life, pregnancy is one of the most exciting times and thus during this period the mothers need to very careful and conscious for the growth of their growing child. This time period starts being a great mother when these mothers come to know about their pregnancy. Once they conceive, along with that the growth of their unborn child tends to grow and below is some guidelines to keep themselves and their baby healthy during the time period of pregnancy.

First of all go to doctor for regular checkups and treatments

In India, the prenatal care at the regular intervals of time is very much important and thus it is quite helpful for a woman to keep her baby fit and fine in her womb. Most of the women have normal pregnancies and it is only due to the proper care and thus prevents pregnancy related complications. These complications could be life threatening and thus a mother needs opt be very careful during this time period. A physician specializing in obstetrics and midwives are healthcare professionals that particularize in caring for expecting mothers.

Go for healthy diet

A well balanced and healthy diet can help the mother as well as the baby to get the right nutrients.  The pregnancy always keeps in mind that the diet they take helps in the growth of their baby. The baby food intake all depends upon the diet of the mother. If the mother takes the wrong diet and goes for hard drinks then it could adversely affect the baby’s growth. Ladies are supposed to make sure that they eat good deal of whole grains, lean protein, veggies and fruits. Swordfish, canned tuna, undercooked meat, hot dogs and delicatessen meats should be fended off.

In addition, ladies may ask their doctor or midwife about considering a fish oil supplement. Fish oil contains omega 3 carboxylic acid, which are necessity for the baby’s mental capacity growth. Omega 3 fatty acids can also help out in reducing the risk of preeclampsia, which is the chosen cause of parental and fetal death.

Stay away from smoking and hard drinks

This may seem like a contributed, but both hard drinks and smoke can harm the growing baby. Smoking enhances the danger of bearing to a low-birth weight baby. Hard drinks increase the danger of a circumstance called FAS (fetal alcohol syndrome). It has been connected to heart defects, retarded growth and facial disfigurations.

Pregnancy specialist exercises

Many doctors and experts suggest that women gain amongst 25-30 pounds throughout pregnancy. Women who acquire more than the suggested amount of weight gain their risk of formulating preeclampsia and gestational diabetes. Proper exercise helps pregnant ladies to maintain standard weight. It also put in order the body for labor and finally the delivery. It not only does well for the mother, but it also does well for the baby. Researchers have shown that light exercise during this time period helps in strengthening the baby’s heart. Yoga or the great Indian meditation techniques have been practiced since centuries to cure many diseases and disorders. It helps the pregnant women to relieve stress and increase fertility who face problem in conceiving. Perform these techniques either at home or join some center to take better care of your unborn child.

About the Author:

Anna Cleanthous is a enthusiastic author who writes about various topics such as health, travel and tourism. She enjoys traveling and teaching.
My mail id: anna.cleanthous@gmail.com


Hyperhomocysteinemia in Pregnancy

26 Apr

Hyperhomocysteinemia in Pregnancy

About the Author:

Dr. Vivek D. Patkar,  M.D., D.G.O

Ex Honorary Professor, LTMMC & LTMGH, Sion, Mumbai

Contact: vivekpatkar49@gmail.com

Quality Control of Conferences

29 Mar

‘Whatever you do, do it well.’
This is the principle I and my friends were taught-by parents, grand parents and teachers.
The recent Commonwealth games sadly brought to the notice of India and the world that Indians believe problems will sort themselves out. And embarrassed a young nation with shabby construction and toilets. And corruption and poor hygiene standards.
The west used to laugh at Japanese goods, till the Japanese took care of quality-in their cars, electronics and everything.
In the movie 127 hrs, the hero uses a Chinese knife to cut stone and then curses it for being Chinese and regrets leaving his Swiss knife at home-as if the Swiss knife would cut the boulder! Western nations never miss an opportunity to criticise Chinese goods.
India escapes this criticism because we don’t make that many finished goods.
But the quality of what we produce, would even make the Chinese laugh.
A recent decree by the Medical Council of India has made it mandatory for Indian doctors to attend conferences and get credit points to renew their licence to practice.
There is hence a mad rush to attend all conferences.
But the MCI would do well to evaluate conferences that they are forcing us to attend.
Most speakers are chosen from among the elected committee members of the body organising the conferences or their friends.
The topic the speaker speaks on is sometimes not of their core competency, or a field where the speaker has researched. Occasionally, the entire talk is downloaded from the Net or books or Journals or prepared by the company whose product the speaker uses. As a result the audience gets no information about the actual practical issues in a topic or can well read up the topic themselves without attending the conference!
Most speakers have a set of prepared subjects that they keep repeating all the time. So we hear the same things at various conferences for years on the end.
The same thing is seen with panel discussions/workshops/debates-tremendous repetition of inconsequential data.
To all the Presidents and managing committee members of various medical organisations-past, present and future, may I offer the following suggestions to make the conference worth our while when we leave our patients, families and leisure to come and listen to you?
1. Choose the topics  and the sub topics for the conference well-let it be approved by atleast 2 more members so as to be relevant and practical to an average gynaecologist while highlighting newer fields and problem areas.e.g High Intensity Focussed Ultrasound with MRI guidance. Pelvic floor repair. The latest in Ovulation Induction.
2. Get Surgeons, Physicians, Anaesthetists, Urologists, Embryologists-all the people from allied fields to talk and let this be followed up by a talk by a Gynaecologist who has extensive experience in the same field. e.g. Cholecystectomy/ Appendectomy/  Multi drug resistant TB/ Malaria in pregnancy
3. Instead of saving up money for the organisation, spend it to get good international speakers who are actually doing path breaking research in their fields. Members fees come from their tax-they won’t mind paying a bit more. Pharma companies are more than happy to help. Organise for more people instead of closing limited registrations.
4. For all the time and energy spent by managing committee members, don’t give them meaningless lectures but let them get extra credit points for organising a conference. They can also be given preference for a lecture if they are doing work in the area.
5. Invite talks from all ordinary gynaecologists-let them present the jist of their talk beforehand and let it be approved by the managing committee before the person is given the opportunity e.g. removal of large fibroids through a minilaparotomy incision using a tonsillar knife to core out the fibroid.
6. Have a feedback form for the audience-speakers who get very adverse comments should not be repeated. e.g. a speaker who showed several different incisions for a caesarean section but had no explanation for choosing those incisions. Overseas speakers who are incomprehensible. Speakers who quote fake statistics, exceed their time and repeat their talk too often.
7. Introducing some standards like ISO 9000 towards conferences will help improve the level of the conferences.
In today’s information age where all lead journals are available at the click of a button, conferences will be relevant only if they highlight actual work and practical problems faced.
Conferences are for the benefit of the audience and not for the speakers or organisers.

Date: 29th March 2011

Author: Dr. Swati Allahabadia

About: Dr. Swati Allahabadia is a Consultant Gynaecologist practicing in Mumbai since the last 19 years. She has wide ranging experience in every aspect of Gynaecology having worked in the Family planning area for two years, as Lecturer and then Associate Professor at the Sion Hospital-a teaching Hospital in Mumbai. She currently practices at: Rotunda Hospital, Brach Candy Hospital and Wadia Hospital. She has a website from website for doctors

Contact: www.gyno4u.comswatiallahbadia@gmail.com / Blog: http://saadharanaari.blogspot.com/

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IVF versus ICSI – which is better ?

15 Jun

Date: 13th June 2010

Author: Dr. Aniruddha Malpani

About: Medical Director, Malpani Infertility Clinic

Both IVF ( in vitro fertilisation) and ICSI ( intracytoplasmic sperm injection) are types of assisted reproductive techniques, but patients still get confused between the two. Which do we select and when and why ?

The technique which was first developed was IVF . ICSI is a modification of the basic IVF technique. From the patient’s point of view, everything remains the same, as regards superovulation, scans, monitoring, egg collection and embryo transfer. The only difference is what happens in the lab. In IVF, we allow the sperm to fertilise the eggs on their own. In ICSI, we give the sperm a piggy-back ride into the egg with the help of a micromanipulator.

For male factor infertility ( men with very low sperm counts or those with azoospermia) , ICSI is the only option, so there’s no question of choosing between the two

However, for men with normal sperm counts, is IVF better ? or is ICSI better ?

The answer is – both are equally good, as long as the sperm fertilise the egg. This is because the embryo implantation rate for both IVF and ICSI is the same. As long as we have an embryo, whether the embryo is formed as a result of IVF or ICSI does not affect success rates at all

Some clinics believe that doing ICSI can harm the egg ( because we are mechanically introducing a sperm in the egg). However, this is not true – and with a skilled embryologist, the egg damage rates after ICSI are less than 2%

What about the risk of injecting an abnormal sperm in ICSI ? Theoretically, some doctors believe that IVF will ensure that only the healthy ” best” sperm will fertilise the egg, whereas with ICSI if the embryologist selects an abnormal sperm, the embryo will be abnormal. However, years of experiences with millions of ICSI cycles has proven this is not a valid concern in practise.

It is important to emphasise that the risk of birth defects is not increased after ICSI. It is true that azoospermia men with Y chromosomal microdeletions who do ICSI will have sons who also have the same microdeletion. However, the children of men with normal chromosomes who are born after doing ICSI will also have normal chromosomes . The procedure of ICSI by itself will not cause genetic problems !

Even though the success rates with IVF are as good as with ICSI, we prefer doing ICSI in our clinic, even when the sperm are normal. This is for two reasons.

In ICSI , we need to denude the oocytes before doing the ICSI. This allows us to assess the oocyte quality much more closely – and we think this is important for older women and women with poor ovarian reserve, because this allows us to assess egg quality.

The other reason is that the major disadvantage of IVF over ICSI ( in men with normal sperm) is that in some patients for whom we do IVF, we will have total failure of fertilisation . This can be a big blow, because this is totally unexpected. Even though the sperm count and motility are completely normal, the sperm are not capable of fertilising the eggs, and we only find this out after doing IVF. If there are no embryos, then the chances of achieving a pregnancy are zero – and this means the patient has to start another fresh cycle, in which we have to do ICSI to ensure fertilisation. Doing ICSI for all patients routinely helps to prevent this heart-breaking problem.

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