The Role of Advanced Laparoscopic Surgery in Modern Gynaecology

The-Role-of-Advanced-Laparoscopic-Surgery-in-Modern-Gynaecology

Author: Dr. Darshan H B

Advanced laparoscopic surgery has transformed the way many gynaecological conditions are treated today. Women go through several changes in their reproductive health across different life stages, sometimes due to hormonal shifts and sometimes because of medical conditions. While some concerns can be managed with medicines, others need surgical care. In such cases, minimally invasive methods like laparoscopy offer a safer, faster and more comfortable recovery. At Motherhood Maternity Hospital in Hebbal, Dr Sireesha Reddy focuses on helping women heal with minimal discomfort and quicker return to daily life.

What is Advanced Laparoscopic Surgery?

Advanced laparoscopic surgery is a modern surgical technique that allows doctors to treat gynaecological problems using small incisions instead of large cuts.

Benefits of Advanced Laparoscopic Surgery in Modern Gynaecological Treatments

Advanced laparoscopic surgery procedure has benefits like faster healing which help women return to normal life with confidence:

  • Smaller incisions mean less pain and minimal scarring
  • Faster recovery allows women to resume daily activities sooner
  • Reduced blood loss during surgery
  • Low risk of infections
  • Hospital stays are shorter
  • Better cosmetic results
  • Stress is reduced
  • Improved precision for complex procedures
  • Better outcomes for fertility-related conditions
  • Lower need for strong pain medication

Preparing for Modern Laparoscopy in Gynaecology

Preparation plays a key role in recovery and comfort, before the surgery begins. Doctors explain the procedure, expected outcomes and the advanced laparoscopic surgery time, which is usually shorter than open surgeries. Patients may undergo blood tests, imaging scans and a detailed medical review. They are advised on fasting, medications and lifestyle adjustments before the procedure. Knowing what to expect reduces anxiety and makes the experience smoother. Dr Sireesha Reddy ensures that each woman understands every step, which builds trust and confidence.

Step-by-Step Procedure of Advanced Laparoscopy

Understanding the advanced laparoscopy procedure helps women feel more at ease before surgery.

  1. The patient is given anaesthesia for advanced laparoscopic surgery to ensure comfort and no pain.
  2. Small incisions are made on the abdomen through which a camera and surgical tools are inserted.
  3. A high-definition camera is used that sends magnified images to a screen. This allows the surgeon to see internal organs clearly.
  4. Precision instruments are guided inside carefully. These are used to remove fibroids, cysts or endometriosis tissue with high accuracy.
  5. Unlike open surgery, surrounding tissues remain largely untouched.
  6. Closure with tiny stitches. This results in smaller scars and faster healing.

When to Opt for Advanced Laparoscopy

Advanced laparoscopy is recommended when medical treatment alone is insufficient. It is often used for the treatment of fibroids, ovarian cysts, endometriosis, infertility evaluation and abnormal bleeding. Women who want less physical strain and a faster recovery prefer this option.

Recovery After Advanced Laparoscopy

When compared to traditional methods, the recovery is usually smoother after advanced laparoscopic surgery:

  • Minimal pain or discomfort for a few days
  • Faster return to light activities
  • Reduced need for pain medication
  • Scarring is minimal
  • Risk of complications is lower
  • Better emotional comfort

Why Modern Gynaecology Prefers Laparoscopy

Women experience various reproductive health changes at different stages of life. Some changes are hormonal and temporary while others are structural or pathological. In such cases, with modern gynaecology, opting for the least invasive option can make a big difference. Traditional surgeries usually have a long recovery time, create visible scars and require extended rest. With advanced laparoscopic techniques, the cosmetic benefits help boost confidence. Smaller scars mean fewer reminders of surgery. Faster healing means women feel normal again sooner.

The Role of Expertise in Laparoscopic Care

The success of laparoscopic surgery depends not just on technology but also on the surgeon’s experience. At Motherhood Hebbal, Dr Sireesha Reddy specialises in advanced gynaecological procedures with a patient-first approach. She ensures that every woman receives personalised care, clear communication and gentle handling throughout the process.

Frequently Asked Questions

What are the two types of advanced laparoscopic surgery?

The two main types of advanced laparoscopic surgery include diagnostic laparoscopy and operative laparoscopy. Diagnostic laparoscopy helps identify conditions while operative laparoscopy treats issues like fibroids, cysts and endometriosis.

Is advanced laparoscopy painful?

Advanced laparoscopy generally causes less pain than traditional surgery. Since small incisions are made, the discomfort is minimal and can be managed with mild painkillers. Most women feel better within a few days.

Is modern laparoscopy safe for infertility investigations?

Modern laparoscopy is used widely for evaluation of infertility. With its help, doctors can examine reproductive organs clearly and treat issues like blocked tubes or endometriosis safely and effectively.

How soon can I resume normal activities after advanced laparoscopy?

Most women can start doing light activities within a few days. Complete recovery usually takes one to two weeks, depending on the procedure and individual healing.

Can Pneumonia in Newborns Be Prevented? Know the Role of Vaccines and Hygiene

Author: Dr. Manu C

Pneumonia in newborn babies is a serious and potentially life-threatening infection; however, with early medical care, most babies recover well. Since a newborn’s immune system is still developing, infections can affect them quickly. Understanding pneumonia in newborns, recognising early warning signs, and following preventive care measures can help parents act in time and protect their baby’s fragile lungs.

Pneumonia in a newborn baby occurs when the lungs become inflamed due to infection, making it difficult for babies to breathe properly. While it can sound frightening, proper medical care, hygiene, and vaccination can greatly reduce the risk and support recovery.

What Causes Pneumonia in Newborn Babies?

Causes of pneumonia in newborn babies can vary depending on exposure, immunity, and delivery conditions. Since newborns have weaker defence mechanisms, even mild infections can become serious if not addressed early:

  • Bacterial infections like Group B Streptococcus or E. coli
  • Viral infections such as respiratory syncytial virus or influenza
  • Fungal infections in rare cases
  • Infection passed from the mother during delivery
  • Exposure to infected caregivers or visitors
  • Premature birth which weakens lung development
  • Babies requiring NICU care
  • Babies born after prolonged rupture of membranes
  • Poor hand hygiene around the baby
  • Crowded or unhygienic living environments

What are the Symptoms of Pneumonia in Newborns?

Symptoms of pneumonia in newborn babies can be subtle and often look different from those in older children or adults. Parents should watch closely for early warning signs, as babies cannot express discomfort:

  • Rapid or laboured breathing
  • Flaring of nostrils while breathing
  • Chest retractions or indrawing
  • Poor feeding or refusing feeds
  • Unusual sleepiness or reduced activity
  • Bluish tint around lips or fingertips
  • Fever or low body temperature
  • Persistent cough or noisy breathing

These signs and symptoms of pneumonia in newborns may not always appear together. Even a few of these signs should prompt immediate medical attention. Knowing the early signs of pneumonia in newborn babies can save lives.

How Is Pneumonia Treated in Newborn Babies?

Early identification of the causes of pneumonia in newborn babies helps doctors begin appropriate treatment without delay. Antibiotics are usually prescribed for bacterial infections, antiviral medications in specific viral infections (when indicated), and oxygen support if breathing is affected. In severe cases, hospital care and IV medications may be needed.

Early diagnosis and appropriate treatment greatly improve recovery and reduce complications.

How to Avoid Pneumonia in Newborn?

Preventing pneumonia in newborn babies is possible with a combination of medical care and hygiene practices. Preventing exposure to infections is the best way to protect your baby:

  • Limiting exposure to sick people
  • Ensuring clean surroundings
  • Regular paediatric check-ups
  • Timely vaccinations
  • Exclusive breastfeeding to boost immunity and protect against respiratory infections

Role of Pneumonia Vaccine for Infants

Pneumonia vaccine for infants is one of the most effective ways to prevent serious lung infections:

  • Helps protect against common bacteria that cause pneumonia
  • Reduces the severity of infection if the baby does fall sick
  • Lowers hospitalisation risk
  • Protects against complications like meningitis and blood infections
  • Builds long-term immunity

Vaccination schedules should always be followed as advised by your paediatrician. While some pneumonia vaccines begin at 6 weeks of age, maternal vaccination during pregnancy (such as influenza and Tdap vaccines) also helps protect newborns during the early weeks of life.

How Does Good Hygiene Prevent Pneumonia?

Good hygiene stops germs from entering your baby’s body through the nose and mouth. Washing hands before handling the baby, sterilising feeding bottles, keeping surfaces clean, and avoiding crowded places help reduce exposure to harmful bacteria and viruses.

Frequently Asked Questions

Can pneumonia be prevented by vaccination in newborn?

Vaccination can significantly reduce the risk of pneumonia in newborns. While not all types of pneumonia are vaccine-preventable, routine immunisations protect against many serious bacterial infections that can lead to pneumonia.

What are the best ways to prevent pneumonia in newborns?

The best ways include proper hygiene, recommended vaccinations, breastfeeding, avoiding exposure to sick individuals, keeping the baby warm, and ensuring clean living conditions. Regular doctor visits also help in early detection.

Can poor hygiene cause pneumonia in newborns?

Yes, poor hygiene can increase the risk of infections that may lead to pneumonia. Germs from unwashed hands, dirty feeding tools, or contaminated surfaces can easily enter a newborn’s respiratory system.

Can a newborn baby recover from pneumonia?

Yes, most newborns recover well with timely medical care. Early diagnosis, proper treatment, and supportive care help babies regain strength and normal breathing within a few weeks.

How long does pneumonia last in babies?

The pneumonia recovery time in babies varies depending on severity. Mild cases may improve in one to two weeks, while more serious infections can take longer and may require hospital monitoring.

What are the danger signs of pneumonia in newborns?

The danger signs of pneumonia in children include severe difficulty in breathing, bluish lips, refusal to feed, constant crying, irritability, extreme sleepiness, and high fever. These signs require immediate emergency care.

What are the first signs of pneumonia recovery in newborns?

Early pneumonia recovery symptoms include improved feeding, better sleep, more alertness, easier breathing, and reduced fever. These signs show that the baby’s body is responding well to treatment.

When to Consult an Obstetrician-Gynaecologist About Cervical Mucus Concerns

Author: Dr. Darshan H B
Cervical mucus keeps changing throughout the month. It can help detect fertile days, early pregnancy, or even an infection. Understanding the stages of cervical mucus can help you take better care of your reproductive health.

What is Cervical Mucus?

Cervical mucus refers to the natural fluid produced by glands in the cervix. This mucus protects the uterus from harmful bacteria and helps sperm survive and travel during your fertile days. Its colour, thickness, and amount change depending on hormones, stress, illness, and life stages.

Types of Cervical Mucus and Its Role in Reproductive Health

There are different types of cervical mucus, each with a distinct purpose:

White Cervical Mucus

White cervical mucus’ meaning varies based on texture. When it looks creamy or lotion-like, it usually appears after ovulation and is a sign of low fertility. This type of discharge can also be noted in early pregnancy, sometimes due to rising progesterone levels.

Watery Cervical Mucus

Watery discharge often occurs near ovulation. Its texture is wet and light and signals rising oestrogen levels. This type of mucus supports sperm movement, improving chances of conception.

Sticky Cervical Mucus

Sticky cervical mucus may mean low fertility. It often appears right after your period or before ovulation begins. This mucus feels tacky and does not stretch easily, making it harder for sperm to pass through.

Thick Cervical Mucus

Thick cervical mucus is common after ovulation. Progesterone causes the mucus to become dense. This helps it form a natural barrier that protects the uterus from infections and signals the end of the fertile window.

Common Cervical Mucus Concerns Women Experience

Many women worry about changes in cervical mucus discharge, especially when it looks or feels unfamiliar:

  • Sudden changes in colour
  • Strong or unpleasant smell
  • Very thick or clumpy discharge
  • Constant wetness
  • Vaginal itching or burning
  • Pain during urination or intimacy
  • Unexpected bleeding

While some changes are harmless, others may need medical attention.

What Can Cause Changes to Cervical Mucus?

Cervical mucus is sensitive to many internal and external factors. Some changes are temporary, while others can signal a deeper issue:

  • Hormonal shifts during puberty, pregnancy, or menopause
  • Ovulation and menstrual cycle changes
  • Stress, lack of sleep, or dehydration
  • Birth control pills or hormonal treatments
  • Vaginal infections
  • Sexually transmitted infections
  • Lifestyle and diet

Effective Treatment Options for Abnormal Cervical Mucus

Cervical mucus treatment depends on what is causing the change. If there is an infection, your doctor may prescribe antibiotics or antifungal medicines. Hormonal imbalances may need lifestyle changes or hormone support. Fertility-related concerns may require targeted medical guidance.

When to Consult an Obstetrician-Gynaecologist

You should consult a gynaecologist doctor in the following instances: your discharge has a strong smell, the colour is unusual, or there is itching or pain without explanation. Women who are trying to conceive, facing repeated infections, or observing unexpected changes in cervical mucus after ovulation should speak to a doctor.

How Cervical Mucus Changes Through the Cycle

The distinct cervical mucus stages are:

  • After periods: sticky or dry mucus
  • Ovulation: watery mucus
  • Fertile phase: stretchy and clear mucus
  • Post ovulation: thicker and creamier mucus

Cervical Mucus and Pregnancy

Women notice a change in discharge post conception. Cervical mucus after fertilisation often becomes thicker and more constant. In early pregnancy, the discharge usually increases to protect the uterus from infection. This is normal unless accompanied by itching, pain, or foul smell.

Frequently Asked Questions

How does cervical mucus change throughout my menstrual cycle?

Cervical mucus changes in response to hormones. It starts off dry or sticky after your period, becomes watery and stretchy near ovulation, and then turns thick after ovulation. These changes help indicate fertile and non-fertile days.

What is the difference in cervical mucus in pregnancy vs. ovulation discharge?

Ovulation discharge is clear, slippery, and stretchy. Pregnancy discharge is usually thicker, creamier, and more consistent due to hormonal changes. Both are normal, but pregnancy discharge does not dry up like ovulation mucus.

How to check cervical mucus for fertility?

You can check mucus for fertility by observing what appears on toilet paper or by gently using clean fingers. Check the colour, texture, and stretch. Clear and stretchy mucus signals a fertile window.

How do I check my cervical mucus?

  1. Wash your hands.
  2. Gently insert one finger into the vagina and get a small sample.
  3. Observe its colour, thickness, and stretchiness.
  4. Record daily changes to better understand your cycle.

Why does cervical mucus deserve more attention?

Many individuals might never receive proper education about cervical mucus. It is often treated as embarrassing or unimportant. In reality, it is one of your body’s most helpful signals. Changes in mucus can hint at ovulation, pregnancy, infections, or hormone imbalance. Paying attention helps you respond early instead of waiting for bigger symptoms.

PMS Diet Plan: How to Manage PMS Symptoms

Author: Dt. Mausam Katoch 

Premenstrual syndrome (PMS) affects many women each month and often interferes with daily routines, emotional balance, and physical comfort. A carefully designed PMS diet plan can play a strong role in reducing discomfort and supporting overall hormonal health.

PMS can feel overwhelming, but the right PMS food plan helps the body respond better to monthly hormonal shifts. From easing cramps to improving sleep and calming mood swings, PMS food choices matter more than most people realise.

Common Symptoms of PMS

PMS symptoms appear due to hormonal changes, nutritional gaps, and lifestyle habits. Recognising these symptoms helps women take early steps toward better management through diet and self-care.

PMS Symptoms Table

Category Symptoms
Emotional Mood swings, anxiety, sadness, irritability, lack of focus
Physical Bloating, cramps, headaches, body aches, breast tenderness
Digestive Constipation, diarrhoea, nausea, food cravings
Energy-related Tiredness, sleep issues, low motivation
Skin and body Acne, water retention, weight fluctuations

Nutrients That Help with PMS

A supportive PMS diet focuses on nutrients that stabilise hormones, improve digestion, and support mental health:

Calcium and Vitamin D

Calcium reduces cramps, bloating, and fatigue. Vitamin D helps the body absorb calcium and supports emotional health. Together, they may improve mood and reduce physical discomfort.

Magnesium

Magnesium relaxes muscles, reduces cramps, and improves sleep. It also supports the nervous system, helping reduce stress, anxiety, and irritability during PMS.

Omega-3 Fatty Acids

Omega-3 fatty acids reduce inflammation, relieve painful cramps, support brain health, and improve mood during the premenstrual phase.

Iron and Protein

Iron prevents fatigue, especially during heavy periods. Protein helps maintain stable blood sugar, reducing sudden hunger and mood swings.

B Vitamins

B vitamins support energy production and regulate mood. Vitamin B6 is particularly helpful in reducing bloating, irritability, and emotional sensitivity.

A good balance of carbohydrates, protein, and healthy fats keeps energy levels stable and supports hormone production, which is essential for managing PMS symptoms.

Best PMS Foods to Eat During Periods

Choosing the right foods can make a noticeable difference in how you feel:

  • Whole grains like oats and brown rice provide slow-release energy
  • Leafy greens like spinach and kale supply iron and magnesium
  • Yoghurt supports gut health and improves digestion
  • Nuts and seeds provide healthy fats that reduce inflammation
  • Eggs and fatty fish support hormone balance and satiety

Foods to Avoid During PMS

  • Salty snacks, sugary desserts, fried foods, and highly processed meals
  • Too much caffeine, which can worsen anxiety and sleep problems
  • Sugary foods, which can cause energy crashes and mood swings

Best Fruits to Eat During PMS

  • Bananas – reduce bloating and cramps
  • Oranges – aid hydration and energy
  • Berries – rich in antioxidants to reduce inflammation
  • Apples – improve digestion
  • Papaya – helps reduce bloating

Tips for a Holistic Approach to Managing PMS

Food alone is not enough to manage PMS fully. A holistic approach includes:

  • Proper sleep and hydration
  • Gentle movement like yoga, walking, or stretching to ease cramps
  • Stress management through meditation or relaxation techniques
  • Supplements such as magnesium, calcium, vitamin B6, and omega-3 under medical guidance
  • Limiting screen time before bed to improve sleep quality

Frequently Asked Questions

What should I eat 7 days before my period?

Focus on meals rich in fibre, iron, and healthy fats. Include leafy greens, lentils, yoghurt, fruits, and whole grains. Choosing the right food helps reduce bloating, fatigue, and emotional ups and downs.

What is the role of diet therapy in managing PMS?

PMS diet therapy uses food as a natural way to support hormone balance and reduce inflammation. A smart diet can improve mood, reduce cramps, control cravings, and support better digestion without heavy reliance on medication.

How can I deal with PMS?

Dealing with PMS requires a mix of mindful eating, gentle movement, rest, and emotional care. Understanding PMS and diet helps women choose foods that calm the body, stabilise mood, and make monthly cycles easier to manage.

Postpartum Bleeding Timeline: Week by Week

Author: Dr. Pooja Ramesh 

For many new mothers, postpartum bleeding can come as a surprise, particularly when it seems heavy or does not stop quickly. It is a normal part of recovery, as your body slowly resets after childbirth. Understanding the changes that happen each week can bring a lot of peace of mind.

What is the Meaning of Postpartum Bleeding (Lochia)? 

Postpartum bleeding refers to the discharge that comes from the uterus after childbirth, commonly called lochia. It is made up of blood, mucus and leftover tissue from pregnancy. This process allows your uterus to clean itself and slowly return to its pre-pregnancy size.

Why Does Postpartum Bleeding Happen?

Postpartum bleeding symptoms can look intense in the early days, but they happen for important reasons:

  • The uterus sheds the thick lining built during pregnancy
  • The area where the placenta was attached begins to heal
  • Blood vessels slowly close and repair themselves
  • Hormone levels drop after delivery
  • The body clears out leftover pregnancy tissue

This is your body’s natural way of resetting after months of carrying your baby.

How Long Does Postpartum Bleeding Last? 

Postpartum bleeding duration is different for every woman, but most follow a similar pattern:

  • Usually lasts between 4 and 6 weeks
  • Heaviest in the first 7 to 10 days
  • Gradually becomes lighter and thinner
  • May stop and restart briefly
  • Can increase after too much activity

There is no perfect timeline. Your body heals at its own pace.

Postpartum Bleeding Stages

Postpartum bleeding stages change in colour, texture and flow as your uterus heals. Each phase has a purpose, and none of them should be rushed.

  • Week 1: Heavy Red Bleeding (Lochia Rubra)

During the first week, bleeding is bright red and often heavy. There might be small clots and strong flow, similar to a very heavy period. This is the time when the uterus is working hardest to shrink and repair. It is especially important to rest during this period.

  • Week 2: Lighter Red to Brown Discharge 

By the second week, the bleeding usually becomes lighter and darker. Bleeding takes on a more brownish or deep pink colour. This means that healing is happening as expected.

  • Week 3–4: Pink or Brown Discharge (Lochia Serosa)

By this stage, the discharge becomes lighter in colour and more watery. It may look pink or light brown. There might be spotting on days when you are more active. This is normal and often a reminder to slow down.

  • Week 5–6: Yellow or White Discharge (Lochia Alba)

In the final stage, the discharge turns pale yellow or creamy white. The flow is very light. This means the uterus is nearly healed and returning to its original size.

When Postpartum Bleeding is Not Normal

Most postpartum bleeding is harmless, but some signs should not be ignored:

  • Soaking through a pad every hour
  • Passing very large clots
  • Strong or foul-smelling discharge
  • Fever or chills
  • Sudden return of heavy bleeding
  • Severe abdominal pain
  • Feeling faint or weak

These can point to infection or other complications.

Treatments to Manage Postpartum Bleeding Safely

Postpartum bleeding treatments are meant to support healing, not stop the process completely.

  • Plenty of rest and hydration
  • Iron-rich foods to prevent weakness
  • Medications if the uterus is not contracting well
  • Antibiotics if infection is suspected
  • Gentle movement instead of heavy exercise
  • Medical procedures only when absolutely necessary

Avoid home remedies or unverified methods to stop bleeding.

When to Call Your Doctor

If you suddenly start bleeding heavily, smell anything unusual or get a fever, feel dizzy or experience sharp pain, call your gynaecologist doctor immediately. 

Frequently Asked Questions

How long does postpartum bleeding last after a caesarean section?

Bleeding after a C-section has a similar timeline to vaginal delivery. Even though the baby is delivered surgically, the uterus still needs to shed its lining, so bleeding may last 4 to 6 weeks.

Can breastfeeding affect postpartum bleeding?

Breastfeeding releases a hormone called oxytocin that causes the uterus to contract. These contractions can increase cramping and bleeding for a short time, but they actually help the uterus heal faster.

Can postpartum bleeding stop and then start again?

Bleeding may slow down or stop, then return briefly, especially if you have been active. This usually means your body needs more rest in the postpartum recovery.

How to stop postpartum bleeding faster?

There is no safe way to stop it instantly. Healing takes time. Resting well, eating nourishing foods and avoiding strain are the best ways to support recovery.

What is IVF? How does it assist childless couples?

What is IVF?

In Vitro Fertilization (IVF) is a process involving the combination of male sperm and female eggs in a special laboratory to generate an embryo(s). Various factors determine the success of IVF.

The factors may include:

  1. Usage of donor eggs/embryos
  2. Ovulatory dysfunction
  3. Dual infertility factors
  4. History of previous pregnancies or recurrent miscarriage
  5. Age factor
  6. Type of infertility (Fertility problem)
  7. Duration of fertility issues

is IVF treatment?

An IVF cycle typically consists of the steps given below:

  1. Medications to facilitate the growth of multiple eggs
  2. Retrieval of egg(s) from the ovaries
  3. Insemination of eggs using the sperm
  4. Culture of the resultant embryos
  5. Transfer of single or multiple embryos in the uterus
  6. Usage of hormones to nourish the uterine lining to facilitate healthy pregnancy

What is the IVF process? How is IVF done??˜

In Vitro Fertilization (IVF) or IVF treatment involves four main stages. IVF technology is a technology employed to help infertile women achieve fertility.?˜

  1. The first stage includes the woman taking injections towards the stimulation of her ovaries. The ovaries produce follicles. These follicles are the cysts in the ovaries filled with fluid. These fluid-filled cysts contain the egg. 
  2. Subsequently, a procedure carried out under anaesthesia removes eggs from the ovaries under the guidance of an ultrasound.
  3. The next stage involves fertilization of the egg and sperm in the laboratory under a controlled environment. 
  4. The embryos (Fertilized eggs) are subsequently transferred into the woman’s uterus to induce pregnancy.

What are the types of infertility issues IVF can treat?

A. Unexplained infertility

B. Poor or unhealthy quality of eggs

C. Low sperm count

D. Low motility of sperm

E. Problems with ovulation

F. Inability of sperm to pass through the cervical mucus or survive there

G. Issues with the uterus or fallopian tubes

H. Endometriosis

How does IVF work?

IVF shines out as one of the most popular forms of Assisted Reproductive Technology (ART). IVF functions by combining surgical procedures and medicines to facilitate the fertilization of an egg by the sperm. The fertilized egg subsequently implants in the uterus.?˜

What are the advantages of IVF?

IVF helps women with

A. Endometriosis:

Endometriosis involves the growth of some parts of the womb lining outside the womb. IVF offers relief from infertility caused by endometriosis. 

B. PCOS:

Polycystic Ovary Syndrome (PCOS is a condition involving irregular menstrual cycles caused by hormonal imbalance. IVF helps women with PCOS to conceive even when ovulation induction fails to address infertility. 

C. Unexplained Infertility:

1 in 6 couples suffers from unexplained infertility issues nowadays. The intervention of IVF may offer promise to couples grappling with unexplained infertility.

D. Premature ovarian failure:

Menopause and premature ovarian failure may complicate the outcomes of effective pregnancy. IVF intervention using donor eggs may bring relief to the couples.

E. Damaged Fallopian tubes:

Women with blocked or damaged fallopian tubes may grapple with infertility. IVF may help increase the chances of having a baby with their eggs.?˜

F. Male infertility:

Male infertility problems are growing lately due to various health issues. Natural conception may become a challenge for couples with male factor infertility. With the interventions using IVF, couples with male factor infertility may get some promise of conception.?˜?˜

G.?˜Patients with a low ovarian reserve or older patients:

IVF helps raise the chances of conception in patients with advanced age. Women with a low ovarian reserve may struggle with conception. IVF technology assesses the overall possibility and helps older women and women with low ovarian reserve.?˜

What are the features of IVF?

IVF technology is in use for a long time with a safe track record:

IVF processes have advanced ever since the birth of Louise Brown, the first IVF baby. IVF went ahead to emerge as the IVF technology creating safer and successful options. Most effective IVF cycles promote the usage of fewer drugs to minimize any side effects like Ovarian Hyperstimulation Syndrome (OHSS). 

IVF facilitates an easy diagnosis of the fertilization problems:

Unexplained infertility may pose threat to the couple’s marital bliss. Unexplained infertility may imply miscellaneous issues. The problems as such may not become evident until someone experiments on the fertility issues. 

IVF allows effective usage of unutilized embryos:

Those who have embryos left for subsequent usage may allow others to use them to treat fertility issues. They may even save lives. These are the embryos that may facilitate various research projects. It may help other childless couples to attain parenthood. 

Embryos may be used to study inherited diseases:

IVF with Preimplantation Genetic Diagnosis (PGD) allows a conception safe from genetic disorders. They may be Huntington’s Disease, Muscular Dystrophy and Cystic Fibrosis. IVF allows proper examination of inheritable diseases and techniques to help prevent such health concerns. 

What determines the number of embryos being created or transferred?

Multiple factors are affecting the number of eggs to create or transfer. It may mainly depend on how many eggs are collected and maternal age. The rate of implantation may go on to diminish with the women ageing. It may facilitate the implantation of more eggs if a lady is older. More number of eggs transferred may lead to multiple pregnancies. It’s important to discuss with your IVF expert the number of embryos to implant.

Are there any precautions before IVF?

Yes. IVF doesn’t just intend to help you achieve pregnancy but a healthy pregnancy. Your obstetrician or IVF expert may ask you to change your lifestyle.

Diet:

You may have to change your diet. A few species of fish containing Mercury may affect the foetal nervous system. Shortly before, during and even after IVF, you may have to stay away from some fish species. They may be King Mackerel, Tilefish, Canned Tuna Fish, Shark and Swordfish. You may have to avoid a few other fish species as your IVF expert guides you. Your IVF expert may study your medical history and help you round off a proper dietary regimen.

Drugs:

Drugs are just meant to be avoided as the efforts towards conception are about to start. Recreational drugs may interfere with the ability to conceive or to carry the pregnancy to term. Some drugs like Marijuana may decrease sperm concentration and hinder the production of Testosterone. 

Caffeine:

The correlation between caffeine and its effects on fertility is under analysis. Caffeine may be linked to a decrease in the chances of conception. The cause-and-effect relationship between caffeine intake and conception is still to be confirmed. But studies show that women should limit the caffeine intake as they start trying for pregnancy. 

Smoking:

We are precisely aware of how smoking affects our health and the environment around us. Smoke in every form may be linked to an increase in the risk of complications. Men and women who smoke may lose their reproductive health. Studies have shown the harmful effects of smoking on foetal health in multiple ways. Parental dependence on tobacco in pregnancy and after pregnancy may raise the risk of paediatric cancers in kids. 

Alcohol:

We know how alcohol interferes with our overall health. It affects our physical and mental health. Alcohol intake can lead to poor reproductive health. Your obstetrician may advise you to avoid alcohol. Alcohol in pregnancy may create irreversible dangers. 

Medication use:

Non-fertility medications should be avoided as you start preparing for an IVF cycle. Your General physician deserves to know about your IVF cycle. You should start avoiding medications like Aspirin and those resembling Aspirin. Certain medications interfere with ovulation. 

How much does IVF treatment cost?

Motherhood has a dedicated team that oversees standard IVF protocols and helps couple achieve parenthood at reasonable rates.?˜

Book an Appointment Now!

What are the factors affecting IVF Success Rates?

IVF is a standard procedure including various stages starting from ovarian stimulation and ending with the embryo transfer and luteal phase. The main determinants of pregnancy and successful implantation are transfer efficiency, uterine receptivity and embryo quality. Embryo transfer is the final step in a standard IVF procedure. 

Below are the factors affecting IVF success:

Age: (H3 Tag)

The correlation between age and IVF success rates is an important factor. Women below 35 years of age may have higher chances of live births. The percentage of live births per egg retrieval for those below 35 might be about 55%. Women between 35 years and 37 years may denote a lower percentage of live births. Women aged between 35 and 37 may have about 42% chances of live births per egg retrieval. Women between the ages of 38 to 40 may see 26.7% chances of live births. Women who cross 40 years of age but are below 42 may witness 13.8% chances of live births per egg retrieval. And women aged about 43 and above may be left with merely 4.2% chances of live births per egg retrieval.

Types of fertility issues:

IVF treatment or IVF procedure offers success rates in some medical conditions. The tubal blockage is one of those conditions effectively treated by standard IVF protocols. Persistent miscarriage or thin endometrial lining may, however, complicate the success rates of IVF. Uterine malformations, fibroids and TB are some of the conditions hampering the overall success rates of IVF. Male factor infertility is another cause why the IVF success rate may be reduced. 

Duration of infertility:

Duration of infertility may warrant many consequent actions. Since the duration of infertility associates itself with advanced maternal age, it may hamper the success rate. The solution to the advanced maternal age may be egg donation.

Recurrent or persistent miscarriage:

Medical history involving previous pregnancy or persistent miscarriage may present additional challenges. The IVF experts may ask a couple to take additional precautions and specific medications based on their medical history. Live birth in such cases may be a hurdle. A persistent or recurrent miscarriage may be hard to tackle in the absence of alternative therapies. 

Dual factor infertility:

These scenarios are exceptionally difficult. As the category suggests, dual-factor infertility involves both partners suffering from infertility. These conditions may diminish the overall quality and success rate of IVF procedures. 

Ovulatory dysfunction:

Ovulatory dysfunction may present many obstructions to effective IVF cycles. Patients with high FSH levels and low AMH levels may end up being disadvantaged. And ovarian dysfunction disrupts the overall IVF success rate. 

Use of donor eggs:

Advanced maternal age emerges as an undesirable element in Assisted Reproductive Technology (ART). Women above 35 or 40 years of age require donor eggs. Using eggs of young females may increase the chances of IVF success rate. 

Exercise:

We all know how crucial exercise is for our day-to-day health. It allows us to stay mentally and physically fit. Taking care of one’s physical health is vital to reserve the benefits of IVF. Follow your IVF expert’s advice while you exercise when your IVF cycle is in progress. Mild or moderate exercise allows you to stay active and alert throughout the day. Make sure you aren’t indulging in any risky postures in your exercise regimen. Working in your comfort zone is important as your exercise shouldn’t interfere with your IVF cycles. It’s better to avoid cardiovascular activities. Avoid them at least till your childbirth. Work comfortably for 5-6 hours a week. Focus more on the activities that refresh you keeping you relaxed and contented. Ask your obstetrician to share her viewpoints if you find any exercise risky or strained. 

Stress:

The stress during an Assisted Reproductive Technique is palpable. Couples have already grappled with a lot of stress and low spiritedness. And when it comes to IVF, they may be worried about its parameters including chances of success, complications, contraindications and fear of failure. Emotional stress during IVF may play a unique role in the overall IVF outcome as multiple factors are shaping the stress. They may be previous experiences and overall psychological predisposition while opting for the IVF cycle. Mood swings, migraines, dejections and past flashes are some of the emotional effects of IVF. Couples undergoing IVF may sustain many issues based on various factors. They may include financial, religious, socio-ethnic or sociocultural, physical and emotional factors. 

How would you maximize the IVF success rates?

Stay ahead and updated:

You are preparing for a cycle that may need updated information. Collect the relevant details from your IVF expert and plan appropriately. A well-informed decision will keep you away from anxiety and misinformation. Stay informed about the body, the IVF process and treatment schedule.

Confide in your IVF expert:

Be clear and precise about how you communicate your thoughts and feelings. Be firm about the decision you have made. Your ordeal coping with the infertility diagnosis may have changed your overall emotional situation. 

Find the right pillars of emotional support:

Many others have been through what you may be going through now. They overcame those barriers and are parenting a kid now. They successfully surmounted it and so will you. Get the right confidante. It may be your sibling, best friend, colleague or relative. You may consider having a spokesperson. Start chatting or sharing rapport with others grappling with infertility. They know and understand what you wish to hear today. Emotional support groups throng the internet today and are keen on knowing your expectations. 

It’s time to be choosier:

Be choosy about what you wish to take control over and how you can do it. Avoid unnecessary stress and decisions interfering with your overall welfare. You may count on your favorite hobbies and exercises. You will no longer feel lonely or overridden by the sense of alienation. 

Enhance your knowledge base:

IVF treatment will be better if you will stay informed. Discuss how many embryos will be transferred and what best you may incorporate to maximize the chances of a successful pregnancy. Your knowledge base will guide you on how you can reduce the possibility of multiple babies. You may even discuss how you can manage the leftover eggs or extra eggs. Extend the discussion appropriately so that the IVF procedure is more effective. Avoid improper disposal of the eggs. 

Strengthen the communication with your partner:

Set a proper schedule to discuss everything about how IVF is done. Know what IVF pregnancy is and how many injections you may need for IVF treatment. Shedding light on how to make IVF successful for the first time will help you and your partner plan better. You may have already studied how IVF works step by step. Carefully consider together how many days you may rest as the IVF patients. Plan everything about what to do after IVF transfer/embryo transfer. Render the necessary emotional support to each other throughout the IVF process. 

Motherhood hospital is always here to transform your expectations into a fantastic reality. Let us know how we can help you in your journey to blissful parenthood.

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Preparation for IVF treatment?

IVF: An overview

When it comes to fertility treatments, IVF tops the list of almost everyone. In vitro fertilization (IVF Process) signifies fertilization that occurs in a glass. IVF treatment involves the fertilization of an egg by sperm in a plastic dish. IVF entails a technique of assisted reproduction. In the IVF procedure, the egg and sperm are fertilized outside the body towards the formation of an embryo. The embryo gets transferred subsequently to a uterus for implantation and pregnancy. IVF was brought into existence to assist women having blocked fallopian tubes. IVF procedure still actively helps women with disadvantaged fallopian tubes. IVF assists even when a couple grapples with unexplained infertility. 

Below are the other conditions wherein IVF may offer some promise to the couples willing to become parents:

  1. Cervical issues
  2. Polycystic Ovary Syndrome 
  3. Fibroids
  4. Endometriosis
  5. Ovulatory problems
  6. Male factor infertility

Is IVF procedure stressful?

IVF isn’t an event or technique that completes in a day. IVF treatment involves a series of events to be completed. Some couples may feel bored with mood swings and anxiety often joining the joy and excitement. The women and their experience going through IVF may hugely depend on various factors around them. They may be their overall emotional predisposition, thoughts or ideas about IVF, their support pillars, and relationship with the partners. The way they respond to fertility medicines and their length is yet another factor.

How would you prepare your body for IVF?

You should consider giving time for relaxation and recovery after each phase of treatment. You mustn’t lead a life you did before starting IVF. The couples should develop a proper level of sensitivity to the treatment. They should accept the transformations brought to their energy levels. The couples should try to abstain from the activities harmful to the conception. They may consider prioritizing the activities mentioned by theirIVF experts or support members at the clinic. 

Prepare your body for the IVF in some easy steps:

Being diagnosed with infertility itself may distress you. You should give yourself at least 3-6 months and start preparing your body for IVF. You may have lesser time than 3-6 months. It’s best to start preparing yourself physically and emotionally for an experience lasting for months.

Achieve the desired weight and prepare yourself metabolically:

Evidence suggests that body mass index (BMI) has a role to play before pregnancy. Weight gain and nutritional history are two important determinants in an effective pregnancy. A poor nutritional history before IVF may hinder IVF. Being obese may interfere with the overall IVF outcome. Therefore, it’s important to maintain an ideal weight to increase the chances of IVF’s success. Various clinics may issue various guidelines about IVF. And the experts at motherhood guide you as to how you can achieve your target. 

Eat whatever boosts your reproductive health:

Enjoy fresh fruits and add some vegetables to your platter as directed by your IVF expert/staff members. Stop consuming burnt meat, red meat, sugar, refined grains or processed foods. Add spices and herbs to your routine diet. Avoid foods containing mercury including various fish species. You may even design your diet under obstetric or expert supervision. Include chickpeas, lentils and various other leguminous products. Start relying on low-fat milk and low-fat dairy food. Take Avocado, nuts and seeds in abundance. You may start taking prenatal vitamins. You must take an obstetrician’s advice before starting any prenatal vitamin. Your obstetrician will surely alert you about a category of chemicals. The category is called Endocrine-disrupting chemicals (EDC). 

Don’t drink and avoid smoke in every way possible:

One good decision to kick the butt brings hundreds of sighs of relief. Smoking is a dependence that creates many hindrances. Stop smoking preferably at least 6 months before you start planning for IVF. Studies show that Nicotine can interfere with ovaries and age them. They may render eggs resistant to fertilization. One can’t even imagine how severely it may damage foetal development and health. Alcohol is also known to hinder the success levels of IVF by more than 50%. Caffeine is another ingredient you should abstain from as you progress to your IVF treatment. 

Stay committed to Yoga and other exercises:

The way you breathe has many things to convey about you. When you take healthy breaths, many issues may start resolving on their own. And nothing replaces Yoga when it comes to assuring those healthy breaths naturally. Yoga will be the first good move to help you relax and rejuvenate effectively. Light yoga and relaxation techniques will guide your healthy way through those IVF protocols. You may consider registering for online exercise classes. They are mostly conducted by experts. They will inspire you to adopt a healthy lifestyle and stay on track from the day you conceive with IVF till the day you deliver your baby.  

Start preparing for healthy sleep as you do for a successful IVF:

Sleep is vital to ensure many aspects of your health. The quality of sleep influences sperm production, sex hormones, and ovulation. Make sure both you and your partner are getting ample sleep as your IVF expert directs. 

You may consider adopting the following habits for healthy and undisturbed sleep:

  1. Unwind by reading some comic or light-hearted stuff before getting off to bed.
  2. Make sure you have made a timetable and are sticking to it every night.
  3. Stop using alcohol or any stimulant ingredients that may interfere with your sleep.
  4. Enjoy some good exercise routines every day.
  5. Exercise routines come up with many perks. Aligning you with a peaceful sleep pattern every night is one of those invaluable perks.
  6. It may create psychological burdens if you have a TV, laptop, or other electronic items in the bedroom.
  7. Try to keep your bedroom free of any professional material like journals, books, files, or other documents.
  8. Address and treat stress. Emotional stress may hamper many good things you enjoy every day.

These steps will allow you to stay active and refreshed as you progress to various phases of your IVF cycle. Your obstetrician will always be there to guide you on essentials or lifestyle choices based on your medical history. 

Team Motherhood is always here to help you in your blissful journey to parenthood. Book an Appointment!

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Are you getting enough vitamins during pregnancy?

Pregnancy care involves a balance of nutrition and optimum personal hygiene. Enjoying a healthy and vivid diet in pregnancy allows you to make the most out of the three trimesters. Pregnancy includes physiological changes resulting in increased plasma volume. The other physiological changes in pregnancy are a rise in red blood cells and a decrease in the concentration of proteins and micronutrients that bind nutrients. Nutrition in pregnancy starts always with taking the necessary steps. The steps may include taking prenatal vitamins and designing a balanced diet. Pregnancy tips on safety and nutrition may mainly include a full-fledged dietary regimen. It may follow clinical guidelines depending upon various factors. 

Many women prefer attending pregnancy exercise class or aerobics. In a few geographical regions, undernutrition or deficiency may affect the physiological changes of pregnancy. During pregnancy, a baby receives necessary nutrition from the mother. A pregnant woman needs more nutrition from the day she conceives. Make sure that the prenatal vitamins you include have folic acid, calcium and iron in them. Ask your obstetrician/gynaecologist to round off a diet supplying ample vitamin D, DHA and iodine each day. 

Prenatal vitamins:

As the name suggests, prenatal vitamins are the multivitamins for pregnant women or those willing to conceive. Contrary to regular vitamins, prenatal vitamins contain major ingredients you need for a healthy pregnancy. It’s great to follow the multivitamin prescribed by an obstetrician or midwife. 

Your body thrives on the nutrients, minerals and other nutritional availabilities in the food. If you are a vegetarian or prone to food allergies, your healthcare provider may prescribe a suitable supplement. Some supplements will help you get the most out of the nutritional availabilities. 

How does your nutritional journey start with prenatal vitamins?

Prenatal vitamins allow you to get the right nutrition throughout the pregnancy.

The ideal prenatal vitamins are:

400 mcg of folic acid

400 IU of vitamin D

2mg of riboflavin

3mg of thiamine

6mcg of vitamin B12

10mg of vitamin E

15mg of zinc

17mg of iron

150 mcg of iodine

200-300 mg of calcium

70 mg of vitamin C

20mg of niacin

  • Folate:

Folate is a B vitamin aiding the process of DNA synthesis, foetal growth and development and red blood cell production. Folic acid is the synthetic form of folate available in various supplements. The body receives an active form of folate with folic acid. The active form of folate the body gets is called L-methyl folate. Expert obstetricians recommend at least 400 mcg of folate or folic acid to cut the risk of neural tube defects and congenital malformations. Folate is essential to prevent the abnormalities such as heart defects and cleft palate. 

  • Iron:

The iron requirement of pregnant women rises drastically due to the rise in maternal blood volume by 45%. Iron is irreplaceable in pregnancy for various reasons. Iron promotes oxygen transport and the healthy development of your baby and placenta. Various health issues are linked to the lack or scarcity of iron in pregnancy. Maternal depression, infant anaemia and preterm delivery are the 3 main health issues due to lack of iron in pregnancy. 17mg of iron per day is enough to meet the nutritional requirement. Your obstetricians may recommend higher doses of iron if you are suffering or have suffered from anaemia. Don’t exceed the dosage recommended by your obstetrician. An excessive dose of iron may cause nausea, constipation and abnormally high haemoglobin. 

  • Vitamin D

Vitamin D deficiency in pregnancy may increase the risk of caesarean section, preeclampsia, gestational diabetes and preterm birth. Vitamin D is a fat-soluble vitamin aiding various functions such as immune responses, bone health and cell division. The recommended intake of vitamin D in pregnancy is 400 IU per day. Many experts recommend extensive doses of vitamin D in pregnancy. However, you mustn’t exceed the dose recommended without consulting your obstetrician. 

  • Calcium

Calcium is a mineral aiding the development of a baby’s bones, heart, muscles, teeth and nerves. The requirement for calcium rises in pregnancy. You may require 200-300 mg of calcium every day when you are pregnant. You may optimise the calcium intake by following the dietary recommendations. You may consider taking more calcium by introducing certain foods to your platter. They may be Broccoli and kale, orange, milk, yoghurt and cheese. 

  • Iodine:

Iodine is a mineral aiding the synthesis of thyroid hormones. Thyroid hormones allow the body to reserve and utilize energy from food. Pregnant women require iodine in pregnancy to aid the growth of their baby’s nervous system. The brain, nerves and spinal cord form the nervous system. The nervous system helps the baby to move, feel and think. Pregnant women may seek their obstetrician’s guidance to determine how much iodine they need in pregnancy. Not every prenatal vitamin contains iodine. The total amount of iodine needed in pregnancy may differ from person to person. Make sure that you are regularly consuming the foods that contain iodine. 

  • Thiamine:

Thiamine usage is recommended based on the obstetrician’s guidance. The recommended daily allowance (RDA) for thiamine in pregnancy is 1.4mg/day regardless of the pregnant woman’s age. Some obstetricians may recommend 3mg of thiamine in pregnancy. Women carrying more than one foetus may require a higher dose of thiamine. 

  • Zinc:

Women trying to conceive should try to increase the intake of zinc. Both the partners should introduce zinc to their regular diet. It’s unlikely for you to suffer from a deficiency of zinc provided your diet is healthy and balanced. The recommended intake of zinc is 8mg per day for adult women. Your obstetrician may recommend an intake of up to 12mg or 15mg of zinc per day in pregnancy and lactation.

  • Vitamin E:

Vitamin E helps in the production and nourishment of red blood cells, eyes and healthy skin. It promotes a healthy immune response. It’s best to include a healthy amount of vitamin E in your platter based on your obstetrician’s guidance. The recommended daily intake of vitamin E in pregnancy is 3mg. A healthy and balanced diet should suffice. If your medical history denotes higher doses of vitamin E, your obstetrician may recommend a dose of up to 10mg.  

  • Riboflavin:

Riboflavin is vitamin B2. Riboflavin is essential in the maintenance of various tissues of the body. Riboflavin is used to treat or prevent deficiency of vitamin B2. Ask your obstetrician if it’s safe for you to administer riboflavin in your regular diet. Your obstetrician may study the medical history. If you have a history of cirrhosis or other liver disease or any gallbladder issues, riboflavin should be carefully used. Don’t use riboflavin without your obstetrician’s advice. 

  • Niacin:

Niacin or Nicotinic acid (Vitamin B3) is a water-soluble chemical. Nicotinamide is another form of Vitamin B3 available for human consumption. Niacin plays a crucial role in the growth and development of the foetus. Niacin may help prevent birth defects and miscarriage. It may be essential in the baby’s brain development. It energizes us. It provides optimum nutrition for the skin and other organs. It helps reduce nausea and improve digestive power. Niacin is also linked to a reduction in migraines. The recommended intake of niacin is 20mg. 

  • Vitamin B12:

Vitamin B12 is vital in the production of red blood cells. It may help nourish the nerve tissue. The deficiency of vitamin B12 may lead to anaemia, nerve damage and brain damage. 6mcg of vitamin B12 may be essential in pregnancy. If you need higher doses of vitamin B12, your obstetrician may recommend them based on your medical history and current health status.

  • Vitamin C:

Proper intake of vitamin C helps reduce the risk of placental abruption. Vitamin C alone helps reduce the risk of preterm labour and prelabour rupture of membranes (PROM). However, some studies suggest that vitamin C in combination with vitamin E raises the risk of PROM. Pregnant women should be careful while including vitamin C in the platter. We recommend that you seek your obstetrician’s guidance on the amount of vitamin C to include in your platter. 

Daily Post and Cover story

As Hospital OPDs Shut In Coronavirus Lockdown, E-consulting Comes To Patients’ Rescue

E-consulting is especially useful for those who are in the family way, say in their third trimester who need regular monitoring. Doctors say there is a changing pattern in the queries of the patients.

Aruna Roy, an auto-immune warrior who has been suffering from lupus would visit her doctor every two months for a review. She had a severe sepsis attack a couple of years ago and has to taper and increase the dosage of her medicine every time her bones hurt or when she suffers from severe fatigue. She has a long-term medical condition and a weak immune system.

Due to the Coronavirus scare, she is unable to visit her doctor but is regularly in touch with her doctor through tele-consultation. Ÿ??Lupus is a disease where your white blood cells instead of protecting your body from invaders attack your cells, tissue and all vital organs. My body is prone to infection. Hence I have opted for tele-consultation and online OPD with my doctor during this period of coronavirus scare,” says Roy

Online consultation, which many doctors have started, is like a virtual visit to your doctor. The appointment is booked online, a link is sent to the patient through an SMS. The patient dials the doctor at the appointed time, get the check up done and doctor uploads the prescription with her electronic signature. “We are doing about 200 online consultations a day since the national lockdown began,” says Vijayarathna Venkatraman, CEO, Motherhood Hospitals, Bangalore.

E-consulting is especially useful for those who are in the family way, say in their third trimester who need regular monitoring. Doctors say there is a changing pattern in the queries of the patients. Dr Suhasini Inamdar, Obstetrician and Gynaecologist says: Ÿ??The queries of the patients are quite different now. Expecting mothers are concerned about their health and baby during this Coronavirus lockdown. They are concerned about the virus affecting their health. Since some pregnancies are complicated and immunity of some of the patients are low, they are worried that they might get COVID-19.Ÿ?

Most big hospitals in the metros have started e-consulting. Wockhardt Hospitals in Mumbai for instance is providing a solution for any health-related problem to every family via its virtual consultation facility. Dr Parag Rindani, centre head, Wockhardt Hospitals: “ItŸ??s a video conference between a doctor and a patient at home. The motto of this service is to provide the best healthcare facilities to the patients without them having to visit the hospital in the time of lockdown.”

According to reports, AIIMS will begin a teleconsultation facility for its patients by the end of this week as it has shut down its OPD. Majority of the issues can be solved via online consultation for minor illnesses. But for anything serious, doctors say they can’t come to a conclusive diagnosis in the absence of a physical examination and inability to prescribe tests. However, a general plan of treatment can be discussed to put the patient at ease. As Dr. Ritu Garg of Fortis Memorial Research Institute, Ÿ??While we physically canŸ??t examine our patients, we hear them out and take down the questions and symptoms they have. However, a lot of these are follow up patients of the doctors. For example, diabetes patients check their blood sugar at home and then video consult with the doctor to titrate their medications.Ÿ?

In this worrying lockdown situation, there has been an increase in demand for support from mental health professionals too. Many psychiatrists are offering virtual sessions and telephonic support which is extremely important. Says Dr Sapna Bangar, psychiatrist, Mpower, Mumbai, who is offering online consultation to her patients, Ÿ??Counselling has always been about emotions and a large part of it is interpreting what may not have been said but communicated by body language, eye contact and reading the cues some of which maybe lost online. However, with advanced technology and skilled therapists a lot can be solved too.”

The Medical Council of India has also released guidelines about prescriptions and tele-medicine. Health and wellness Apps are also witnessing a huge increase in doctor consultation on their platform. For instance, vHealth, a doctor consultation service has seen a surge in its queries. Dr Sneh Khemka of vHealth says people are using their services to check their symptoms for COVID-19. In such cases vHealth doctors are screening symptomatic patients to identify COVID-19 risks. They are proactively staying in constant touch with high and medium risk patients to help them get the required guidance. Since COVID-19 is a notifiable disease, such cases are also being reported to the government authorities.


E-consulting platforms like these, and hospitals offering virtual OPD in your city can be easily found by a simple internet search.