Prenatal supplements before pregnancy

Prenatal supplement for pregnant women

Author – Motherhood Medical Team

In order to have a healthy pregnancy, you need to incorporate balanced nutrients in your diet which may fall short during this stage. To make sure you are healthy enough to start a pregnancy with a healthy body, prenatal supplements are highly recommended conferring to their advantages.

Quick Fact:

If you didn’t take prenatal supplements before pregnancy, you can still use them throughout pregnancy.

Best time to take prenatal supplements

When you decide to start your family, you can consult your health care professional to begin this phase in a healthy way. When it comes to recommendations for prenatal care, prenatal supplements are considered important to cover up the deficiency of important vitamins and minerals during pregnancy. Prenatal supplements are multivitamins that are needed during the course of pregnancy. So to make sure you are able to nourish your body and your baby with the nutrients during pregnancy, it is important to start taking these supplements before it.

Prenatal supplements

Prenatal supplements should be rich in nutrients that are most important for the body, as:

  • Folic acid: Folic acid as a nutrient helps in the development of neural tube and structure that makes up the brain and spinal column. Taking folic acid supplements decrease the chances of any neural tube defects.
  • Calcium: Your baby needs calcium to form his teeth and bones which can be provided by prenatal calcium supplements. If you are lacking calcium in your body, you can suffer from temporary bone loss as the baby can take the calcium prevailing in your bones.
  • Iron: Iron is important in producing red blood cells where it also helps in the growth and development of the baby. During pregnancy, you iron demand can be more where you have to supply another life growing in your womb. To cope with this demand, iron supplement can be used.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Nutritionist customized diet plans for pregnant women and monitor their health throughout the period of pregnancy, in consultation with gynaecologists.

Do take an appointment with the Best Maternity Hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Preconception counselling in Pregnancy and Postnatal care

Preconceptual Counselling

Author – Motherhood Medical Team

You may be wishing to have a healthy and happy pregnancy where having a consultation can help you. Preconception counselling concurs to planned and healthy pregnancy. During this, you can have an appointment with your healthcare specialist to plan about your pregnancy along with mitigating prevailing risk factors.

Quick Fact:

If there is poor control of diabetes, it can increase the chances of birth defects and other problems for pregnancy.

Preconception counselling

Appointment with your doctor regarding preconception counseling should be planned before three months of pregnancy. During your appointment, the following areas may be considered and discussed:

  • Your medical history: Your healthcare provider will go through your overall health before pregnancy. Any pre-existing medical condition, if any, would be discussed along with the need of medications.
  • Family history: Knowing about family history can help in identifying any genetic condition that may be passed over.
  • Lifestyle: A proper and healthy lifestyle means a healthy pregnancy where your health care provider will recommend a nutritious diet, exercising, and stoppage of smoking or alcohol.

While these are the topics discussed, there are some tests as well that can be conducted during preconception counseling, as:

  • Physical examination: Your healthcare provider may take your physical exam where he can check your heart, lungs, breast, thyroid, abdomen, weight etc. Besides, a pelvic exam and blood pressure may also be checked.
  • Tests: In case of any disease or condition, various tests for cell blood count (CBC), thyroid issues, diabetes screening etc. may be conducted as well.

Postnatal care

Postnatal care refers to the immediate care dispensed towards a mother after delivery. It includes prevention, elimination, early detection and medication for health complications. Mothers need care after delivery as they suffer from physical as well as emotional changes. Postnatal care involves taking care of nutrition, proper rest, and vaginal care for the mother to help her recover quickly.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist who are experts in handling complex deliveries, gynaecological needs, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Gynaecology hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

How to get your body ready for pregnancy: 5 important steps?

Physical Aspect of getting pregnant

Author – Motherhood Medical Team

Before trying to conceive and assume parenthood, it is important to take some steps that can provide the best possible chances of a healthy pregnancy along with a heathy baby. Some changes are needed to incorporate in daily lifestyle for being at better odds to conceive.

Quick Fact:

The beginning of pregnancy can relate with tiredness and morning sickness making a women feel worn out.

Tips to get pregnant fast

Following are some important steps that can help you begin your motherhood in a healthy way:

  1. Know your body: You should know about your ovulation period- the time when you can get pregnant. Tracking your ovulation can help you know your most fertile days and accordingly plan your pregnancy. Ovulation can be tracked using some apps, ovulation predictor strips etc.
  2. Taking prenatal supplements: Before beginning your pregnancy, prenatal supplements including prenatal vitamins should be taken. The nutrient composition in these vitamins can sustain and nourish your body along with providing protection to your baby against birth defects.
  3. Handling stress: Stress can impact your overall health being which can affect your fertility as well. Stress can impact your menstrual cycle which can affect your ability to conceive. It is important to reduce stress to think clearly along with making proper decisions and improving relationships.
  4. Staying active: You should stay active where exercising for 30 minutes a day is recommended for sound health and body. This can help you maintain weight and stress which can help your body to stay healthy.
  5. Changing diet plan: You need to optimize you diet before trying to conceive where your diet should include low carbohydrates, increased portions of proteins and healthy fats, and lots of fruits and vegetables. Besides taking nutritious foods, some foods should also be cut off like fishes’ rich in mercury.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist who are experts in handling complex deliveries, gynaecological needs, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best maternity hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Second child syndrome

Sibling Jealousy

Author – Motherhood Medical Team

Second child syndrome is a situation in which the second or middle child is adversely affected by the presence of his/her siblings. There are times when parents often end up pampering the youngest child and giving all the responsibilities to the eldest one. This induces a sense of rivalry and jealousy in the mind of the younger ones.

Renowned psychologist Kevin Leman argues that when children are caught between two siblings, they often feel ignored and suffer badly. This is known as second child syndrome. He further stated that the younger ones may not give words to their experience, but rather communicate their distress with their behavior. The situation arises when parents exercise an extreme amount of favoritism and partiality towards one child.

Signs of child syndrome:

  • Low self-esteem
  • Jealousy
  • A feeling of directionlessness
  • Feeling that nothing is expected from them
  • Anger
  • Irritability
  • Shying away

Characteristics of child syndrome:

  • The child yearns for affection
  • Tries to grab attention
  • Hates comparison
  • Sibling rivalry
  • Confusion between behaving as an introvert Or an extrovert

Possible triggers:

Identity crisis – looking for places to fit in and struggles to understand the situation

Parental support – looking for parental support. The child hates the feeling of biasness and unfulfilled needs.

Prevention:

  • The parents must be mindful of each child’s individual needs.
  • Try to be a listener, not a judge
  • Play along with them. Encourage them. Stay connected.
  • Instill a feeling of love for the siblings
  • Try not to over pamper
  • Let them be different
  • Make them feel special
  • Teach them to share with you.

Second child syndrome often results in low self-esteem in the child. Parents must take care of the individual needs of each of their kids. The middle child usually suffers from jealousy. Parents must try to instill feelings of love and acceptance towards the elder sibling.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist who are experts in handling complex deliveries, gynaecological needs, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best women and childcare hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

How can OB/GYN help with your family planning

How can OB/GYN help with family planning?

Author – Motherhood Medical Team

You may want to plan the size of your family ahead along while also thinking about a feasible space between children. This is referred to as family planning where a gynaecologist or an obstetrician (OB/GYN) can help you to preset a family plan that is suitable for you.

Quick Fact: As per WHO, 1.1 billion women among 1.9 billion reproductive women have a need for family planning.

Family Planning

You can plan the coming of your children along with controlling their number. Besides, you can keep a space between the children as well while planning with an obstetrician or gynaecologist who can help you with the rightful decisions. Planning for pregnancy

You can begin the course of planning by starting to draft a healthy plan for pregnancy with your OB/GYN. The guidelines can comprise of making the required lifestyle changes that can increase the chances of conception along with having a healthy pregnancy. You may be suggested:

  • To take prenatal vitamins
  • Consuming nutrient rich diet
  • Stopping smoking and drinking
  • Exercises and overview of medications you take

Besides, there are women who wish to conceive soon after their first child, and some prefer keeping space between the two children. While this can be a matter of safety, your OB/GYN can suggest you the right choice as per your health condition.

Preventing Pregnancy

You may want to prevent your pregnancy temporarily in case your family is complete or you don’t want children for then. There are some birth control measures where OB/GYN can guide you towards determining the right type for you. Following are some ways by which you can control the birth:

  • Birth control pills
  • Intra Uterine devices
  • Vaginal rings
  • Hormonal birth control patches
  • Birth control shots

Birth control decision is a personal decision where your healthcare professional can help in you in following effective ways.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist who are experts in handling complex deliveries, gynaecological needs, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best delivery hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Family planning and child care

How to make a family plan?

Author – Motherhood Medical Team

Family planning is the right of everybody where it depends upon the couples whether they choose to have a baby or not. Family planning allows you to understand the importance of pregnancy spacing and the factors that are to be considered before trying to conceive. If you are planning on for a pregnancy, you should also know about the care your child will require at different stages of life.

Quick Fact: Many unplanned pregnancies can occur in the very few months after giving birth to a child.

Family Planning

It is always better to plan your pregnancy so that you are ready for conception or otherwise. While you may not be ready to have a child for some years, family planning gives you another benefit to prepare and time your pregnancy as well. For those who already have a child, trying for another pregnancy can be question they might be pondering upon. Therefore, spacing between pregnancy becomes also important where your preferences matter. While the research suggests than you should plan your second pregnancy after 18 to 24 months, but keeping this space below five years is considered better.

When it comes to not having a baby, it is better to look out if you are having unprotected intercourse. Talking to your doctor and conferring with the use of contraceptives can help you plan your life accordingly.

Child Care

If you planned to go ahead with pregnancy and start your family, you need to be committed towards the care and development of your child as well. It is up to the parents to ensure their child is safe, stimulating and growing in the environment along with yielding opportunities for his development. Parents need to understand that how children grow and how to respond to their needs as well. Besides, they should also make up to the clean and safe environment around them along with looking upon their nutritional requirements.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist who are experts in handling complex deliveries, gynaecological needs, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best women and childcare hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Essential steps to a safe and healthy pregnancy

Tips to safer pregnancy

Author – Motherhood Medical Team

Pregnant? Its more than important to take care of yourself where you have to make sure you and your baby are as healthy as possible.

Quick Fact: Babies start to cry in the womb silently as early as 28 weeks.

Steps for healthy pregnancy

Here are some essential steps that you should undertake in order to have a safe and healthy pregnancy:

  • Educate yourself: There may be some questions revolving in your mind regarding childbirth along with specific concerns. You can voice your thinking by joining a childbirth class where you can learn about the pregnancy and infant care along with preparing for delivery. Besides, you can get to a healthy start by consulting a health care provider for prenatal care.
  • Eat well: While you are feeding two in your pregnancy, you need to increase your calorie intake by 300 mg a day. You need to consume a diet inclusive of calories, proteins, calcium etc. Moreover, along with having a nutritious diet you equally should stay away from food items that can pose danger to you and your baby, like undercooked meat or eggs, raw seafood, fish with mercury, etc.
  • Avoid toxins: Tobacco, alcohol, drugs etc. have been related with birth defects, preterm labor and other problems during pregnancy where they should be avoided to ensure your journey is safe.
  • Stay hydrated and drink well: You should drink ample amounts of water to stay hydrated along with keeping a healthy bowel movement. While water is the best liquid to drink, other liquids as caffeine should be limited for it lacks nutritional value.
  • Sleep and move well: While pregnancy can relate with some exhaustion, there is a need to take naps and rest enough. You can improve your sleeping with some relaxation techniques before going to bed like yoga, stretching etc. Additionally, rest is good along with exercising quotient that will help you to stay strong while keeping your heart and lungs healthy. Regular stretching and exercising can relieve you from pregnancy discomforts like backaches, constipation, morning sickness etc.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist who are experts in handling complex deliveries, gynaecological needs, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best delivery hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Family Planning Made Easy – Check Out Our Pregnancy Calculator

Family Planning
Author: Dr. Kavya Krishna Kumar MBBS, FMAS, MS

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Alwarpet

Family Planning

It’s good to know your due date when you are pregnant. And this is much easier if you have a pregnancy calculator. Every woman can use the pregnancy calculator to track her pregnancy schedule and due date.

With pregnancy comes family planning and sometimes it may become overwhelming. The excitement is real, but so is the work and the stress. With a child on the way, family planning becomes more significant.

With the help of a pregnancy week calculator, you, the ‘Mother-to-be’ can keep track of your pregnancy schedule based on the date of your last period, ultrasound, and conception.

Pregnancy Week Calculator

The Pregnancy Week Calculator helps women confirm their pregnancy and track the week of pregnancy they are currently in. Based on that, the woman can plan her visit to the doctor/ check up.

Know your due date using a pregnancy calculator

The Pregnancy Week Calculator by due date helps women to prepare for the delivery date. However, it is essential to note that not every baby is born on the exact estimated due date. Only 4% of all babies are born on the estimated due date. Some are born within weeks of the due date. Usually, every healthy pregnancy lasts up to 37 to 42 weeks. The usual way to estimate the due date is to count 280 days (40 weeks) from the first day of the woman’s LMP or Last Menstrual Period.

Those who might have forgotten their LMP or cannot seem to figure out the time of their LMP can go or opt for an ultrasound. This can confirm if the woman is actually pregnant and can also determine her the date of delivery.

Once your pregnancy is confirmed, you will notice a lot of changes in your body. Based on that, you and your partner can start planning accordingly. This is where it will get all the more exciting and stressful, marking the beginning of the wonderful journey towards parenthood.

Pregnancy Calculator Week by Week

Using the Pregnancy Calculator Week by Week you can share your motherhood experience with your partner. In the 9th / 10th week of your pregnancy, you can hear your baby’s heartbeat for the first time. It’s one of the most beautiful moments you will experience during the start of your pregnancy.

Between the 18th and 22nd week of your pregnancy, you might start feeling your baby’s movement inside you. You can feel fetal movement earlier or sometimes later. With the help of the Pregnancy Calculator you can determine if you are due for anomaly scan.

Another essential aspect of pregnancy is that the due date may vary. It is not always necessary that the baby will be born on the assigned due date as mentioned earlier. Don’t let this stress you out. Stress is neither good for you, nor for the baby. However, with your partner and Pregnancy Calculator, it will become easier for you to prepare for the event.

It is always good to have plans made ahead of the due date. With the data provided by the Pregnancy Week Calculator, you can prepare well for the D Day. Always remember to reach out to your doctor in case you are unsure of something. Keep in mind that you and your partner need to be calm and plan wisely for the baby. But don’t forget to enjoy the experience of bringing a healthy child into the world. You can make a birth plan and discuss with your doctor.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best experts in Alwarpet, Chennai capable of handling complex deliveries, gynaecological and other surgeries including a range of laparoscopic procedures.
Do take an appointment with the best Gynaecology hospital in Alwarpet, Chennai at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr.Kavya Krishna kumar, please book your appointment here.

Pregnancy Calculator – Block The Date For The Greatest Arrival Of Your Life

Author: Dr. Sushruta Mokadam (MBBS, MD)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi

Online Pregnancy Calculator

For any couple planning a family, the happiest moment is when the doctor says, “Congratulations, you are pregnant!” After this, a good amount of time is spent on discussions that involve estimating the due date. Of course, the doctor will share the date with the couple and unravel the mystery. Let’s look at the science behind the estimation of the date of delivery.

The human egg can fertilize for only 12 to 24 hours after ovulation, so the date of ovulation could be a reasonably good indicator to estimate the date of conception. Ultrasound which is used to determine the date of ovulation is not too perfect because this only suggests the gestational age. In fact an accurate date of conception is usually arrived at only with IVF (In Vitro Fertilization).

Also to be considered is that although a woman is most likely to conceive if she has had sex on the day of ovulation, pregnancy could occur from active sperm in her reproductive tract on the day of ovulation, even if the woman had intercourse five days prior to that date.

Determining the Estimated Due Date 

Estimated Due Date (EDD or EDC) is that date on which a non-induced delivery is expected to occur. This date is arrived at by taking the first day of the Last Menstrual Period (LMP) and adding 280 days

(9 months and 7 days) to it. This is the method followed by ‘pregnancy wheels’, also called a Gestation Calculator. The accuracy of the estimation of EDD in this method depends on how accurately the mother can recall the day of intercourse, assuming she has regular 28 day cycles and that ovulation and conception occurs on the 14th day of the cycle. Assumption of LMP to arrive at the due date of pregnancy may result in an overestimation of the pregnancy duration to the tune of over 2 weeks.

Coming to ultrasound, this approach considers the size of the foetus to determine the gestational age (the time since the first day of LMP). The accuracy of such an estimate of the gestational age varies. Using ultrasound to measure the foetus in the first trimester (up to and including 13 6/7 weeks of gestation) is the most accurate method to arrive at the gestational age.

Canada’s Society of Obstetricians and Gynaecologists recommends the earliest ultrasound presenting a crown rump length that indicates at least 7 weeks (or 10 mm) should be used as the benchmark to arrive at the gestational age.

In the case of Vitro Fertilization (IVF), the date of conception will be known accurately and EDD can be calculated by adding 266 days to that date.

The American College of Obstetricians and Gynaecologists recommends that the dates arrived at through ultrasound should be considered over those indicated by LMP when the variation between ultrasound and LMP is:

  • More than 5 days before 9 0/7 weeks as indicated by LMP
  • More than 7 days from 9 0/7 weeks to 15 6/7 weeks as indicated by LMP
  • More than 10 days from 16 0/7 weeks to 21 6/7 weeks as indicated by LMP
  • More than 14 days from 22 0/7 weeks to 27 6/7 weeks as indicated by LMP
  • More than 21 days after 28 0/7 weeks as indicated by LMP

There are possibilities that a foetus could have a restriction in growth leading to a risk of inaccurate dating of a small foetus.  Considering this, decisions based on ultrasonography alone (in the third-trimester) are not conclusive and the doctor has to consider the entire clinical status of the woman. This could include repeat ultrasonography to assess the correct growth in the interval.

Other methods used to estimate gestational age

Clinical Examination

For a patient with a good menstrual record in the first trimester, a simple pelvic examination has proven to be a reliable method to accurately date the pregnancy.

Doppler Ultrasonography

A foetal heart beat can be heard with a Doppler ultrasound if the gestational age of the patient is 10 to 12 weeks in most cases. This is the minimum age for the foetal heart tone to be registered.

Human Chorionic Gonadotropin Pregnancy Test

Human Chorionic Gonadotropin is detectable in the mother’s blood or urine from 6 to 14 days after fertilization (3 to 4 weeks of gestational age). The gestational age can be assessed as at least 3 to 4 weeks at the time of an hCG pregnancy test.

In case of a twin pregnancy

In case of a twin pregnancy due to an IVF procedure, the gestational age has to be considered from the date of embryo transfer. Considering the possibility of an early intrauterine growth restriction in one of the foetuses, specialists feel that it is advisable to consider assessing the gestational age using the larger foetus.

For those of you curious to access a pregnancy calculator, here’s one right here! 

We at Motherhood Hospitals have a team of experts specialising in all kinds of maternity and childbirth related issues and woman and child care – from teens to those in their post menopause years. Take an appointment with our specialist at a centre close to you and you will be assured of an accurate investigation, diagnosis and treatment. 

Book your appointment with Dr. Sushruta Mokadam for all Gynaecological issues. 

How Accurate Are Pregnancy Calculators

Pregnancy Weeks Calculator Online
Author: Dr. Padma Srivastava, MBBS, MD(OBG)

Consultant – Obstetrician & Gynaecologist Lullanagar, Pune

Pregnancy Weeks Calculator Online

Once you skip your period, the excitement sets in. Have you conceived? Is it finally happening? Next is a visit to the doctor, who will test you to confirm it and then calculate a date. By that time, you would definitely have come across a pregnancy calculator online, something that would be advised by friends or relatives.

So how accurate are pregnancy calculators? According to BabyCenter, an online media company, only one in twenty women deliver on their due dates. To begin with, it is important to understand that a pregnancy calculator at best offers an approximation of your delivery date based on your date of conception.
The weeks of pregnancy are dated from the first day of your last period. This actually means that in the first two weeks, you would still not have conceived. The body would just be preparing to ovulate which means, realising an egg from your ovaries.

It is indeed a logical question and one of the first any woman would ask on being informed she is pregnant – “What’s the due date?” It is important to estimate the due date as it can help you plan your pregnancy and for the baby’s arrival. From this context, a pregnancy calculator can be helpful even if it is an estimate at best and cannot be on point always. Now let’s explore how it works.

  Typically there are two methods of calculating a delivery due date. One is to estimate the date based on the last menstrual period. The second is to estimate based on the date of conception. Now, the due date based on the menstrual cycle is calculated as forty weeks from the date of the last period. The due date based on the date of conception is arrived at by adding thirty eight weeks to the exact/ approximate date of conception, which is a presumption again. The issue is that most women won’t know their exact date of conception. This makes the calculation of the delivery date an approximation. There is a possibility that the conception would not have happened on the day when the woman was sexually active and the egg could have been fertilized a day or two days later by the sperm that was lodged in the fallopian tube. Considering this variation, most healthcare specialists recommend that a calculation based on the last menstrual period is reasonably more accurate. Even with this, one can arrive at only an estimated due date. The doctor could reassess this date based on the results of an ultrasound that would indicate the size of the baby. So it is advised that you use the pregnancy calculator as a guide, but be prepared to welcome your little one anytime within one to two weeks around the due date. It could be a couple of days after the specified date too. It would be a surprise but a pleasant one, isn’t it? At Motherhood Hospitals, we have a team of gynecologists and super specialists capable of addressing a range of health issues and conditions related to women and children. Do take an appointment with our doctor at a centre close to you and you are assured of effective investigations, diagnosis and treatment enabling you to lead an active life. 
If you wish to get in touch with Dr. Padma Srivastava, please book your appointment here