Navigating Radiological Tests During Pregnancy: Ensuring Safety for Mother and Child

Navigating Radiological Tests During Pregnancy: Ensuring Safety for Mother and Child

Author: Dr. Archit Singhal

MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine,

Consultant – Fetal Medicine Specialist, Noida.

Introduction:

Pregnancy is a delicate and pivotal period in a woman’s life, and the well-being of both the mother and the unborn child is of utmost importance. According to Dr. Archit Singhal, MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine, Consultant – Fetal Medicine Specialist, Motherhood Hospitals, Noida, Radiological tests, including X-rays, CT scans, and MRIs, involve exposure to ionizing radiation or strong magnetic fields, prompting apprehension among pregnant women. In this blog, we will delve into the nuances of this topic to help you make informed decisions regarding radiological tests during pregnancy.

Understanding the Concerns:

The primary concern associated with radiological tests during pregnancy revolves around potential harm to the developing fetus. Ionizing radiation has the ability to ionize atoms and molecules, potentially causing damage to DNA. However, it’s crucial to recognize that the risk depends on the type and amount of radiation, as well as the stage of pregnancy.

Trimester Matters:

The first trimester is considered the most sensitive period for fetal development. During this time, the organs and tissues are forming, making the fetus more vulnerable to the potential effects of radiation. In contrast, the second and third trimesters are generally considered to be less susceptible to radiation-related risks.

Types of Radiological Tests:

X-rays:

When possible, X-rays are usually avoided during pregnancy, especially in the abdominal and pelvic regions. However, if a diagnostic X-ray is deemed essential, abdominal shielding can be employed to minimize fetal exposure.

CT Scans:

Computed Tomography (CT) scans involve higher doses of radiation compared to X-rays. Nevertheless, if the information gained from a CT scan is crucial for diagnosis, the benefits may outweigh the potential risks. The use of shielding and adjustments to imaging protocols can minimize radiation exposure.

MRI:

Magnetic Resonance Imaging (MRI) does not use ionizing radiation but powerful magnetic fields. As of current knowledge, MRI is considered safe during pregnancy, particularly after the first trimester. However, it’s vital to inform the radiologist about the pregnancy so that appropriate safety measures can be taken.

Balancing Act:

In many cases, the decision to undergo a radiological test during pregnancy involves a delicate balance between the diagnostic benefits and potential risks. If a test is deemed necessary for accurate diagnosis and management of a health condition, healthcare providers will carefully assess the potential risks and take appropriate measures to minimize them.

Key Takeaways:

Communication is Key:

It is imperative for pregnant women to communicate their condition to their healthcare providers. This ensures that appropriate precautions are taken, and alternative imaging modalities are considered when feasible.

Informed Decision-Making:

Pregnant women and their healthcare providers should engage in open discussions about the necessity of any radiological test. The decision should be based on a thorough understanding of the potential risks and benefits.

Minimizing Exposure:

When radiological tests are unavoidable, steps such as the use of shielding, adjustments to imaging protocols, and selecting imaging modalities with lower or no ionizing radiation can help minimize fetal exposure.

Conclusion:

While caution is warranted, radiological tests can be conducted during pregnancy when necessary, provided that the potential risks are carefully evaluated and appropriate precautions are taken. Every case is unique, and decisions should be made collaboratively between the patient and healthcare provider.

Remember, a well-informed and open dialogue between the expectant mother and the healthcare team is the cornerstone of ensuring the safety and well-being of both mother and child during pregnancy.

As a Radiologist and Fetal Medicine specialist, Dr. Archit Singhal believes in the power of technology to enhance our understanding of pregnancy and improve outcomes for both mothers and babies. Doppler ultrasound exemplifies this commitment, offering a window into the intricate world of fetal development and ensuring that every pregnancy is monitored with precision and care.

If you have any questions or concerns about Doppler ultrasound or prenatal care in general, feel free to reach out to Dr. Archit Singhal, Motherhood Hospitals, Noida. Remember, informed and proactive care is the key to a healthy and joyous pregnancy. please book your appointment here.

Please make an appointment with the best women’s care hospital in Noida at a center closest to you. Please meet with our doctors who will conduct the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life.

Decoding the Wonders of Pregnancy: When and Why Ultrasound Scans Take Center Stage

Decoding the Wonders of Pregnancy: When and Why Ultrasound Scans Take Center Stage

Author: Dr. Archit Singhal

MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine,

Consultant – Fetal Medicine Specialist, Noida.

Introduction:

Bringing a new life into the world is a miraculous journey, and modern medicine has provided us with incredible tools to witness and monitor this process. One such invaluable tool is the ultrasound scan, a window into the womb that allows healthcare professionals to ensure the well-being of both the mother and the developing fetus According to Dr. Archit Singhal, MBBS, MD (Radiodiagnosis), Fellowship in Fetal Medicine, Consultant – Fetal Medicine Specialist, Motherhood Hospitals, Noida, Peoples often asked about the significance of ultrasound scans during pregnancy. In this blog, we will unravel the mysteries surrounding the timing and purpose of these scans.

The Timing of Ultrasound Scans:

Ultrasound scans are a routine part of prenatal care, and their timing is strategic, providing crucial insights at different stages of pregnancy. The American College of Obstetricians and Gynecologists (ACOG) recommends the following schedule for ultrasound scans:

First Trimester (6-13 weeks):

Dating Scan: This initial scan helps determine the gestational age, estimated due date, and the number of fetuses.

Nuchal Translucency (NT) Scan: Conducted between 11 and 14 weeks, this scan assesses the risk of chromosomal abnormalities.

Second Trimester (18-22 weeks):

Anatomy Scan: Also known as the mid-pregnancy scan, it provides a detailed look at the baby’s anatomy, ensuring normal development.

Gender Identification: For parents who wish to know, this is often the time when the baby’s gender can be determined.

Third Trimester (28-32 weeks or as needed):

Growth Scan: Monitors the baby’s growth and checks the amniotic fluid levels.

Position Scan: Determines the baby’s position in preparation for delivery.

The Why Behind Ultrasound Scans:

Monitoring Fetal Development:

Ultrasound scans allow us to closely monitor the baby’s growth, ensuring that the fetus is developing at the expected rate.

Detecting Abnormalities:

Early ultrasounds, especially the NT scan and anatomy scan, help identify potential chromosomal abnormalities or structural defects in the fetus.

Ensuring Placental Health:

Scans help assess the health and position of the placenta, vital for the baby’s nourishment.

Guiding Medical Interventions:

In cases of high-risk pregnancies or complications, ultrasound scans provide essential information to guide medical interventions and treatment plans.

Preparing for Delivery:

The position scan in the third trimester helps healthcare providers determine the best mode of delivery and anticipate any potential challenges.

Bonding and Reassurance:

Beyond medical necessity, ultrasound scans offer an emotional connection for parents, providing glimpses of their growing baby and fostering a sense of reassurance.

Conclusion:

Ultrasound scans during pregnancy are not just routine procedures; they are windows into the intricate process of fetal development. These scans empower healthcare professionals to ensure the health and well-being of both the mother and the unborn child. As we continue to unlock the mysteries of pregnancy, ultrasound technology stands as a beacon, guiding us through this miraculous journey.

 

As a Radiologist and Fetal Medicine specialist, Dr. Archit Singhal believes in the power of technology to enhance our understanding of pregnancy and improve outcomes for both mothers and babies. Doppler ultrasound exemplifies this commitment, offering a window into the intricate world of fetal development and ensuring that every pregnancy is monitored with precision and care.

If you have any questions or concerns about Doppler ultrasound or prenatal care in general, feel free to reach out to Dr. Archit Singhal, Motherhood Hospitals, Noida. Remember, informed and proactive care is the key to a healthy and joyous pregnancy. please book your appointment here.

Please make an appointment with the best women’s care hospital in Noida at a center closest to you. Please meet with our doctors who will conduct the required investigations, diagnose the issue, and recommend the most appropriate treatment, enabling you to lead an active life.

Understanding the Menopause Journey – Embracing Change with Confidence

Menopause Journey

Author : Dr. Babita Rajesh Chauhan

MBBS, MD(OBG)

Consultant – Obstetrician & Gynaecologis

Understanding the Menopause Journey – Embracing Change with Confidence

Menopause is not just a biological process; it’s a significant chapter in a woman’s life that merits understanding and attention, especially in the culturally rich and diverse landscape of India. As women approach their late 40s or early 50s, they embark on a journey that marks the end of their reproductive years. According to Dr. Babita Rajesh Chauhan, MBBS, MD(OBG), Consultant – Obstetrician & Gynaecologist , This phase, often shrouded in silence and stigma, needs to be discussed openly to empower women. At Motherhood Hospitals, we emphasize the importance of embracing this change with awareness and confidence. This article delves deep into the nuances of menopause in the Indian context, exploring its symptoms, the efficacy of hormone therapy, and the essentiality of a healthy lifestyle tailored for Indian women. Our aim is to guide and support women through this natural yet often misunderstood phase of life.

In India, menopause is a topic that is rarely discussed openly, leading to a lack of awareness and preparedness among many women. The journey through menopause can be bewildering without proper information and support. This article serves as a comprehensive guide, shedding light on what to expect and how to navigate the changes both physically and emotionally. With a focus on the unique aspects of Indian culture and healthcare, we aim to provide insights that resonate with the experiences of Indian women, ensuring that they do not feel alone in this journey. Understanding menopause is the first step towards managing its challenges effectively, and Motherhood Hospitals is dedicated to being a trusted partner in this journey.

Understanding Menopause

Menopause, medically defined as the cessation of menstruation for 12 consecutive months, signifies the end of a woman’s natural reproductive period. In the Indian context, the average onset of menopause is around 49 years, though it can vary widely. The perimenopausal phase, leading up to menopause, is characterized by fluctuating hormone levels, resulting in irregular menstrual cycles. This phase is crucial for Indian women, who often balance complex roles in both their personal and professional lives. Early recognition of perimenopausal symptoms enables women to seek timely advice and support, which is particularly important in a culture where such topics might be less openly discussed.

The journey to menopause is unique for every woman, but in India, it is often influenced by factors like lifestyle, diet, and genetic predispositions. Understanding these individual differences is vital in providing personalized care and support. Women may experience a range of symptoms, from hot flashes and mood swings to more subtle changes like sleep disturbances and decreasing bone density. Awareness and education about these symptoms are key to empowering Indian women to take proactive steps towards their health. At Motherhood Hospitals, we focus on providing culturally sensitive and informed care, helping women navigate this transition with knowledge and confidence. Recognizing and understanding the early signs of menopause can lead to better management of this life stage, emphasizing the importance of regular health check-ups and open conversations with healthcare professionals.

Common Symptoms and Hormone Therapy Options

Common Symptoms of Menopause in India The symptoms of menopause in Indian women can be as varied as the cultural tapestry of the country itself. Predominant symptoms include hot flashes, a feeling of intense heat that spreads over the body, often accompanied by sweating and flushing. These can be particularly challenging in the Indian climate, especially during the warmer months. Mood swings are another common symptom, manifesting as sudden tears or irritability. This emotional volatility can be perplexing not just for the women experiencing them but also for their families, necessitating a supportive and understanding environment.

In addition to these, Indian women often report sleep disturbances, which can range from insomnia to disrupted sleep patterns. Vaginal dryness and discomfort during intercourse are also noted, but these symptoms are less frequently discussed due to cultural sensitivities. It’s important to highlight that these changes are natural and manageable with the right approach. The varied diet and lifestyle across different regions of India can also influence the intensity and nature of these symptoms. Therefore, a personalized approach to symptom management, acknowledging these cultural and regional differences, is crucial in providing effective care at Motherhood Hospitals.

Hormone Therapy Options in India

Hormone therapy (HT) is a significant medical intervention for managing menopause symptoms in India, offering relief from hot flashes, night sweats, and vaginal dryness. However, it’s not a one-size-fits-all solution. The decision to use hormone therapy must be made on an individual basis, considering the woman’s health history, severity of symptoms, and personal preferences. Indian women, like their counterparts globally, must weigh the benefits against the potential risks, such as a slightly increased risk of certain diseases when using HT for prolonged periods.

In the Indian healthcare context, the availability of hormone therapy and the awareness of its benefits and risks vary. At Motherhood Hospitals, our approach is to provide comprehensive information, allowing women to make informed decisions about their health. We discuss the types of hormone therapies available, including systemic estrogen, which is the most effective treatment for menopausal symptoms, and low-dose vaginal products for localized symptoms. Alternative and complementary therapies are also gaining popularity in India, with many women seeking natural or plant-based remedies. It’s vital to discuss these options with healthcare professionals to understand their efficacy and safety.

Healthy Lifestyle Choices and The Role of Self-Care

Healthy Lifestyle Choices During Menopause Adopting a healthy lifestyle is paramount for Indian women navigating the menopausal transition. A balanced diet, rich in calcium and vitamin D, is essential for bone health, as menopause increases the risk of osteoporosis. Indian diets, traditionally rich in vegetables and grains, can be optimized by including more leafy greens, dairy products, and foods fortified with calcium and vitamin D. Regular physical activity is another cornerstone of a healthy menopausal journey. Exercises such as yoga, which is deeply rooted in Indian culture, not only help in maintaining a healthy weight but also reduce stress and improve mood, countering some of the psychological symptoms of menopause.

Another aspect of a healthy lifestyle is stress management, particularly crucial in the fast-paced life many Indian women lead. Practices like meditation, mindfulness, and deep breathing exercises can be immensely beneficial. In addition, getting adequate sleep is vital for overall well-being. Sleep disturbances, common during menopause, can be mitigated through good sleep hygiene practices like maintaining a regular sleep schedule and creating a comfortable sleep environment. At Motherhood Hospitals, we emphasize the importance of these lifestyle modifications, offering guidance tailored to the unique needs of Indian women during this transitional phase.

The Role of Self-Care and Support

Self-care during menopause goes beyond physical health; it encompasses emotional and mental well-being. For Indian women, this might mean taking time out for themselves, engaging in activities they enjoy, or simply resting. It’s a time to prioritize their own health and needs, often a challenging task in a culture where women are accustomed to putting their family’s needs first. Emotional support from family, friends, and peers who are going through similar experiences can be incredibly valuable. Sharing experiences and coping strategies can help in normalizing the menopause transition and reducing feelings of isolation.

Moreover, professional support from healthcare providers is crucial. At Motherhood Hospitals, we offer counseling and support groups where women can discuss their concerns and learn from the experiences of others. These forums provide a safe space to talk about sensitive issues like sexual health and emotional changes, which are often not discussed openly in Indian society. Empathy, understanding, and informed guidance from healthcare professionals can make a significant difference in how women experience and manage menopause. By fostering an environment of care and support, we aim to empower women to embrace this phase of life with confidence and positivity.

Motherhood Hospitals: A Partner in the Menopause Journey

At Motherhood Hospitals, we understand the multifaceted challenges Indian women face during menopause. Our commitment is to provide a holistic approach to menopausal care, combining medical expertise with empathetic support. We offer a range of services tailored to the needs of menopausal women, including specialized health check-ups, hormone therapy consultations, and dietary advice. Recognizing the importance of mental and emotional well-being, we also provide counseling services and support groups, facilitating a supportive community for women undergoing similar experiences.

Our approach is grounded in the understanding that menopause is not merely a medical condition but a significant life transition. Therefore, we emphasize education and awareness, empowering women with the knowledge they need to navigate this phase confidently. From understanding the physiological changes to managing symptoms effectively, our healthcare professionals are dedicated to providing personalized care. We also encourage women to participate actively in their health decisions, fostering a sense of control and positivity towards the menopause journey. At Motherhood Hospitals, we stand as a trusted ally, guiding women through this transition with care, respect, and expertise.

Embracing menopause with confidence is a journey of self-discovery and adaptation. This transition, while challenging, offers an opportunity for women to focus on their health and well-being in new ways. Through this article, we have explored the various facets of menopause in the Indian context, highlighting the importance of understanding symptoms, exploring treatment options like hormone therapy, adopting healthy lifestyle choices, and the indispensable role of self-care and support.

At Motherhood Hospitals, we are committed to supporting women through every stage of this journey. We believe that with the right information, care, and support, menopause can be a phase of life approached with assurance and positivity. As women in India and around the world navigate this natural transition, it is our hope that they do so with an empowered and informed perspective, embracing the change as an integral part of the extraordinary journey of womanhood.

Dr. Babita Rajesh Chauhan will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Mohali. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries. 

Do take an appointment with the best woman care hospital in Mohali at a center 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. Babita Rajesh Chauhan, please book your appointment here.

Women and Heart Health – Recognizing Risk Factors and Prioritizing Prevention

Women Heart health

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, 

Consultant Obstetrician and Gynaecologist, Mohali.

Women and Heart Health – Recognizing Risk Factors and Prioritizing Prevention

Understanding the Importance of Women’s Heart Health in India: Heart health is a critical issue for women in India, where changing lifestyle patterns and socio-economic conditions have led to an increase in cardiovascular diseases (CVD). Traditionally perceived as a lesser risk for women, heart diseases are now being recognized as a significant health concern. According to Dr Ekawali Gupta , MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist the need for awareness and proactive measures is more crucial than ever, as these conditions not only impact individual lives but also pose a broader social and economic challenge.

Redefining Awareness and Action for Heart Health: The conversation around heart health in India has predominantly focused on men, leaving women’s unique health needs in the shadows. This article aims to bridge that gap by shedding light on the distinct risk factors, symptoms, and preventive strategies pertaining to heart health in women. It emphasizes the critical role of regular health screenings and lifestyle choices in mitigating heart disease risks, and how early intervention can significantly improve health outcomes.

Unique Risks for Women’s Heart Health in India

Prevalence and Impact on Indian Women: Heart disease in Indian women is a growing concern, with studies indicating a rising trend in cardiac issues among this demographic. While traditionally heart diseases were associated with men, the reality today is starkly different. For Indian women, heart health risks escalate particularly post-menopause, but younger women are not immune. Factors like high blood pressure, diabetes, and high cholesterol play a significant role, along with a lack of awareness and delayed diagnosis contributing to the severity of the situation.

Age-Related Risks and Menopause: The risk of heart diseases in women significantly changes with age. Prior to menopause, women generally have a lower risk of heart diseases compared to men, partly due to the protective effects of estrogen. However, this risk increases post-menopause, when estrogen levels decline, leading to an increased risk of high cholesterol, high blood pressure, and heart failure. Understanding these age-related risks is crucial for effective prevention and management of heart diseases in women.

Gender-Specific Symptoms and Diagnosis Challenges

Atypical Symptoms in Women: Heart attack symptoms in women often differ from the classic symptoms experienced by men. While chest pain is a common symptom for both genders, women are more likely to experience atypical symptoms such as shortness of breath, nausea, back or jaw pain, and fatigue. This divergence in symptoms can lead to misdiagnosis or delayed treatment, as these symptoms are often mistaken for less severe conditions.

Gender Disparities in Heart Health Care: The healthcare system has historically been more attuned to male-centric symptoms and treatment of heart diseases, leading to disparities in how women’s heart health issues are diagnosed and managed. Women are less likely to receive aggressive treatment post-heart attack and are more likely to have their symptoms dismissed or misdiagnosed. This gap in healthcare, compounded by socio-cultural factors that often prioritize men’s health, places women at a higher risk of adverse outcomes.

Lifestyle Factors Influencing Heart Health

Diet, Exercise, and Stress: Lifestyle choices play a significant role in heart health. For Indian women, balancing professional and personal responsibilities often leads to neglecting dietary needs and physical activity. A diet high in trans-fats, sugar, and salt, coupled with sedentary habits, contributes significantly to heart disease risk. Moreover, chronic stress, common in fast-paced urban environments, exacerbates these risks, impacting heart health negatively.

Urban Lifestyle and Professional Stress: The urban lifestyle presents unique challenges for women’s heart health. Increased professional responsibilities and societal pressures can lead to unhealthy coping mechanisms such as poor diet and lack of exercise. Stress management is often overlooked, yet it is a crucial factor in preventing heart diseases. Emphasizing the importance of a balanced diet, regular physical activity, and stress reduction techniques is essential for heart health, particularly for women in urban settings.

The Importance of Regular Screenings and Early Detection

Emphasizing Heart Health Screenings: Regular health screenings play a pivotal role in early detection of heart diseases, particularly for women. In India, where health check-ups are often neglected, especially among women, emphasizing the importance of regular screenings is crucial. Screenings like blood pressure checks, cholesterol levels, ECGs, and stress tests should be a routine part of healthcare, especially for those with a family history of heart diseases or other risk factors such as diabetes or obesity.

The Significance of Early Detection: Early detection of heart diseases can significantly improve treatment outcomes and reduce the risk of severe complications. For Indian women, understanding and recognizing the early signs of heart issues is key. Awareness campaigns and health education should focus on educating women about symptoms and the necessity of timely medical consultation. This can not only save lives but also reduce the long-term impact of heart diseases on women’s health.

Prevention Strategies and Healthy Lifestyle Habits

Diet and Exercise for Heart Health: A heart-healthy diet and regular exercise are fundamental in preventing heart diseases. For Indian women, incorporating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins is essential. Limiting the intake of saturated fats, trans fats, and sugars can also contribute to better heart health. Additionally, engaging in regular physical activities like brisk walking, yoga, or swimming can help maintain a healthy weight, reduce stress, and improve overall cardiovascular health.

Stress Management and Mental Well-being: Mental health and stress management are integral to preventing heart diseases. Chronic stress, common among women juggling multiple roles, can have adverse effects on heart health. Techniques such as mindfulness, meditation, and adequate rest are vital for mental well-being. Creating a supportive environment, both at home and at work, can help in managing stress and promoting heart health. Community support groups and counseling can also be beneficial in addressing mental health concerns that impact heart health.

Conclusion

Emphasizing the Priority of Women’s Heart Health: The significance of heart health for women in India cannot be overstated. In a landscape where lifestyle changes and socio-economic factors contribute to rising cardiovascular risks, it becomes imperative to focus on proactive health management. Recognizing the unique challenges women face regarding heart diseases, from atypical symptoms to gender-specific risk factors, is a crucial step towards better health outcomes.

Advocating for Comprehensive Health Strategies: To effectively combat heart diseases in women, a multi-faceted approach is needed. This involves not only individual efforts in terms of regular health screenings and adopting healthier lifestyle choices but also broader initiatives from healthcare systems and policymakers. By ensuring that women’s heart health is addressed with the same diligence and urgency as men’s, we can begin to close the gap in healthcare disparities.

The Role of Community and Support Networks: The fight against heart diseases in women is not just a medical challenge but a social one as well. Building strong support networks, increasing community awareness, and promoting education about heart health are integral. Empowering women with the knowledge and resources to manage their heart health effectively can lead to a transformative shift in the way heart diseases are perceived and treated in India.

Looking Forward to a Healthier Future: As we move forward, the goal should be to create an environment where women’s heart health is a priority, not an afterthought. Encouraging regular medical check-ups, fostering environments that support mental well-being, and advocating for gender-specific research in heart health are key. Together, we can work towards a future where every woman in India has the opportunity to lead a heart-healthy life.

Dr Ekawali Gupta will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

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

Do take an appointment with the best woman care hospital in Mohali 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. Ekawali Gupta, please book your appointment here.

Amniotic Fluid: What It Tells Us About Fetal Health

Fetal Health

Author: Dr. Tejinder Kaur

MBBS, Diploma in Hospital Administration, Diploma of National Board training, Fellowship in Reproductive Medicine

Consultant: Obstetrician & Gynaecologist at  Motherhood Hospital, Mohali

 

Amniotic Fluid: What It Tells Us About Fetal Health

Introduction:

The journey of pregnancy is a profound experience, woven with intricate biological processes that nurture the flourishing life within. Central to this developmental saga is the amniotic fluid, a serene aquatic environment that envelops the fetus, ensuring its well-being and facilitating its growth. This protective liquid not only acts as a safeguard against external adversities but also serves as a mirror reflecting the health of the fetus. This article delves into the depths of understanding amniotic fluid and unveils the insights it offers into fetal health.

The Multifaceted Functions of Amniotic Fluid:

  • Protection:
    • The cushioning essence of amniotic fluid safeguards the fetus from potential injuries, mitigating the impact of external pressures and maternal movements​.
  • Developmental Aid:
    • It is a playground where the fetus learns to breathe and swallow, crucial activities that foster the development of the respiratory and digestive systems.
  •  
  • Temperature Regulation:
    • The fluid retains a stable temperature around the fetus, warding off external temperature fluctuations and creating a warm, comfortable milieu for growth​​.
  • Nutritional and Hormonal Support:
    • Amniotic fluid carries essential nutrients and hormones from the mother to the fetus, aiding in its overall development.

Diagnosing Disorders Through Amniotic Fluid Levels:

  • Oligohydramnios (Low Amniotic Fluid):
    • An indicator of potential problems with the placenta, or congenital conditions affecting the fetus’s kidneys or urinary tract​2​ and maternal diabetes and hypertension.
  • Polyhydramnios (High Amniotic Fluid):
    • An excess of amniotic fluid could stem from gestational diabetes, issues with the fetus’s ability to swallow, or problems with the fetus’s stomach or the placenta.

The Prognosis of Abnormal Amniotic Fluid Levels:

  • Low Amniotic Fluid:
    • Early Pregnancy: Risks encompass miscarriage, physical deformities, or impaired lung development.
    • Late Pregnancy: The fears extend to umbilical cord compression, fetal growth restriction, and respiratory issues, potentially leading to a cesarean delivery.
  • High Amniotic Fluid:
    • The excessive fluid can exert pressure on neighboring organs, triggering symptoms like swollen feet and breathlessness. Severe scenarios may precipitate preterm labor, the fetus becoming too large, postpartum hemorrhage, or stillbirth.

Monitoring and Therapeutic Interventions:

  • Monitoring:
    • Ultrasounds serve as a vigilant sentinel, monitoring the amniotic fluid levels and paving the way for early detection and intervention.
  • Treatment:
    • Low Amniotic Fluid: Strategies include close monitoring, possibly increasing water intake, or induction of labor if near full-term.
    • High Amniotic Fluid: Treatment might involve monitoring the size of the fetus, medication to manage fetal urine production, or in severe cases, draining a small amount of amniotic fluid.

Conclusion:

The elucidation of amniotic fluid unveils a realm of insights into fetal health, portraying a vivid picture of the fetus’s well-being. Its analysis transcends a mere procedural protocol, morphing into a narrative that intricately narrates the tale of growing life. Understanding the significance of amniotic fluid and the implications of its abnormalities empowers expectant parents and healthcare providers with knowledge, enabling a proactive approach towards nurturing a healthy pregnancy and ensuring a safe passage into the world for the burgeoning life.

If you are on the verge of menopause or are going through menopause along with urinary symptoms, consult Dr Tejinder Kaur at the Motherhood Hospitals.

At Motherhood Hospitals, we have a team of experienced supers specialists backed by the latest infrastructure and facilities. We have the best gynecologist in Mohali. We are experts in handling complex deliveries, gynecological, and other surgeries including a range of laparoscopic surgeries.

Do make an appointment with the best woman care hospital in Mohali at a center 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. Tejinder Kaur, please book your appointment here.

Postpartum Hair Loss: Causes and Coping Strategies

Postpartum Hair Loss

Author –  Dr Ekawali Gupta

MBBS, MS Degree in OBG, 

Consultant Obstetrician and Gynaecologist, Mohali.

Postpartum Hair Loss: Causes and Coping Strategies

Introduction:

The journey of motherhood brings with it a whirlpool of emotions and changes, both joyous and challenging. One such change that often catches new mothers by surprise is postpartum hair loss. As you navigate through the ups and downs of motherhood, the sight of hair strands on the pillow or in the shower drain can be disconcerting. However, it’s important to know that postpartum hair loss is a common and temporary phase. This article by Dr Ekawali Gupta, MBBS, MS Degree in OBG, Consultant Obstetrician and Gynaecologist, aims to demystify postpartum hair loss, delve into its causes, and offer coping strategies to manage and mitigate this phase gracefully.

Understanding Postpartum Hair Loss

The anatomy of hair growth is a delicate and complex process regulated by various factors including hormonal levels. Under normal circumstances, as per the best Gynecologist and Obstetrician in Sector 32, hair goes through a growth cycle that consists of the anagen (growing), catagen (transitional), and telogen (resting) phases. During pregnancy, elevated estrogen levels prolong the anagen phase, leading to thicker, lusher hair. However, post-childbirth, as the hormonal tide ebbs, a larger number of hairs transition into the telogen phase, eventually leading to increased shedding, known as postpartum hair loss.

Causes of Postpartum Hair Loss

  1. Hormonal Changes:
  • The primary cause of postpartum hair loss is the sudden drop in estrogen levels after childbirth. During pregnancy, high levels of estrogen prevent the usual rate of hair shedding, leading to thicker hair. Post childbirth, as estrogen levels plummet, the extra hairs start to shed, manifesting as postpartum hair loss.
  1. Thyroid Issues:
  • Some women may experience thyroid imbalances post-pregnancy, which can further contribute to hair loss. Thyroid hormones play a vital role in regulating the hair growth cycle. An overactive or underactive thyroid can disrupt this cycle, leading to increased hair shedding.
  1. Iron-Deficiency Anemia:
  • Iron is crucial for hair health, and a deficiency can lead to hair loss. Pregnancy can deplete iron stores, and if not adequately replenished, may lead to iron-deficiency anemia and subsequent hair loss post-pregnancy.
  1. Vitamin and Mineral Deficiencies:
  • Deficiencies in essential vitamins and minerals like vitamin D, B vitamins, and zinc can also contribute to postpartum hair loss.
  1. Stress:
  • The postpartum period can be stressful, and stress can further exacerbate hair loss. It’s a vicious cycle that needs attention and management.

Coping Strategies

  1. Maintaining a Balanced Diet:
  • A nourishing diet rich in essential vitamins, minerals, and proteins can support hair health. Incorporate a variety of nutrient-dense foods like leafy greens, nuts, seeds, lean meats, and whole grains. Ensure adequate intake of iron and vitamins, particularly vitamin A, which is known to support hair growth.
  1. Gentle Hair Care:
  • Adopt a gentle hair care regimen to minimize breakage and further loss. Use mild shampoos, avoid harsh chemical treatments, and be gentle while combing and styling your hair. Avoid tight hairstyles that pull on the scalp.
  1. Stress Management:
  • Practice stress-reducing techniques like yoga, meditation, and deep breathing. Creating a supportive and serene environment can significantly help in managing stress levels during this transitional phase.
  1. Regular Scalp Massages:
  • Scalp massages can promote blood circulation, nourish the hair follicles, and create a relaxing routine. Use nourishing oils like coconut or almond oil for the massage, and if possible, indulge in a professional massage session.
  1. Consulting a Healthcare Provider:
  • If you notice severe hair loss or bald patches, or if the hair loss continues beyond six months, it’s advisable to consult with a healthcare professional. They can provide a proper diagnosis and suggest a treatment plan if necessary.
  1. Patience and Understanding:
  • Understand the temporary nature of postpartum hair loss and practice patience. Your body has undergone significant changes, and it’s crucial to give it the time and care it needs to recover fully.

Conclusion

Postpartum hair loss, though startling, is a temporary and natural part of the post-pregnancy journey. By understanding the underlying causes and adopting a holistic approach to managing it, you can navigate through this phase with grace and confidence. Remember, every strand of hair that sheds makes way for new growth, mirroring the beautiful journey of motherhood.

Dr Ekawali Gupta will respond to your query as soon as possible. For emergencies please call and reach Motherhood Hospital, Mohali.

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

Do take an appointment with the best woman care hospital in Mohali 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. Ekawali Gupta, please book your appointment here.

Fertility and Cancer: What are Your Options?

Fertility and Cancer

AuthorDr Shruti Mane

MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS),

Consultant Infertility Specialist

Fertility and Cancer: What are Your Options? 

Introduction:

Cancer can be frightening regardless of your age. It is more difficult when you are in your reproductive years. According to Dr Shruti Mane, MBBS, M.S, PG Diploma in ART and Reproductive Medicine, Fellowship in Reproductive Medicine (MUHS), Consultant Infertility Specialist, a lot of couples are worried about their chances of conceiving when fighting cancer. Modern medicine, however, provides solutions and allows cancer survivors to embrace parenthood. On this note, the best IVF doctor in Navi Mumbai recommends cryopreservation.  

What is Cryopreservation? 

Cryopreservation embryo freezing or embryo preservation is a process of storing and freezing embryos for future use. The best IVF specialist in Navi Mumbai recommends this technique to safeguard your chances of pregnancy. 

What is the Procedure for Cryopreservation? 

The primary goal of cryopreservation or embryo preservation is to save embryos for later use. The produced embryos are controlled and maintained in such environmental conditions to ensure that the embryo does not die. The top IVF doctor in Navi Mumbai explains the following steps: 

1.Embryo Selection: 

 Initially, the IVF doctor may give certain medications or injections to stimulate your body to produce more eggs. Similarly, your partner is also given medications to produce more sperm cells. Both sperm and eggs are mixed in the laboratory to generate plenty of embryos. The embryos go through extensive testing to select the healthiest one. These healthy embryos are stored for later use. 

2. Removing Water Content: 

The selected healthy embryo cannot be frozen directly since the water content from cells has to be replaced. According to the best IVF doctor in Navi Mumbai, the water from the cells is removed as it also freezes or crystallizes. These crystals can expand over time and burst the cell open to die. 

3. Embryo Freezing: 

 As the water is removed, the embryo is cooled and frozen. The embryos are put inside a tube to save them from any damage. The temperature inside the tubes is gradually lowered to prevent ageing and damage. Once an optimal temperature is reached, the tube is transferred from the freezer and stored in a liquid nitrogen container to maintain a temperature of -196 degrees Celsius.  

How are Embryos Used Again? 

The process to de-freeze an embryo is called thawing. When embryos are required, it is retrieved from the liquid nitrogen container and kept in a water bath to gradually increase the temperature. Once a required temperature is reached, the embryo is ready to be transferred into your uterus. 

Fighting cancer has its challenges as it hampers every aspect of your being. Mostly, it affects your chances of parenthood. The modern assisted reproductive techniques, however, including IVF and cryoprotection have made it easier for you to get pregnant after your cancer therapy. It is, however, also important for you to visit the top IVF doctor in Navi Mumbai when you are diagnosed with cancer to discuss your future options. You can visit Dr Shruti Mane at the Motherhood IVF for expert guidance. 

Dos and Don’ts Post Hysterectomy

Dos and Don’ts Post Hysterectomy

AuthorDr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology.

Dos and Don’ts Post Hysterectomy

Hysterectomy or removal of the uterus, whether laparoscopic or abdominal, is one of the common surgeries today. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, the surgery is performed to remove fibroids from the uterus or to get rid of uterus-related complications. Although the surgery is uncomplicated post-operative care is important for the complete recovery of the patient. The best gynaecologist in sector 55 recommends taking extreme care after the surgery.

Dos and Don’ts Post Hysterectomy

If you went through a hysterectomy or going under one, you need to know the post-operative for recovery. The gynaecologist in Gurgaon suggests the following tips after the surgery:

1. Care of the Stitches 

Whether laparoscopic or abdominal, the stitches always need to be clean and dry. Wash the stitched-up area once the dressing has been removed, however, do take a bath daily and maintain good hygiene. Dry the stitched-up area as suggested by your gynaecologist in Gurgaon. Make sure that you also keep checking for any signs of infection including redness, wound discharge, or fever. Moreover, wear loose-fitting clothes to avoid irritation on the incision.

2. Eat Balanced Diet

Diet is an important factor after any major surgery as it replenishes the body with the required nutrients. Hence, make sure that you follow a balanced diet. Here are a few tips that can help you maintain your diet:

  • Include all seasonal fruits in your diet: Each fruit has its unique nutritive value that helps in post-operative healing. 
  • Increase fibre and water content: Hysterectomy can cause constipation in some patients. To avoid constipation, include high-fibre foods including fruits and green leafy vegetables. You can also increase your water intake by drinking water every 2 hours. Do not, however, drink fruit juices and try to have fresh fruits as much as possible. 
  • Increase protein intake: Healing of tissues after surgery requires protein. To boost your healing process, you can include lean proteins in your diet including skinless chicken and reduced-fat dairy products such as plain yoghurt.  
  • Avoid saturated fats and include good fats in your diet including cashews, eggs, and so forth. 
  • Additionally, the best gynaecologist in sector 55 will also prescribe calcium and vitamin D supplements to protect yourself from fractures. 

3. Lifestyle Changes

Apart from a balanced diet and medications, certain lifestyle changes can also add to your healing process. This includes:

  • Adequate rest and sleep: Make sure to have at least eight hours of undisturbed sleep. Do not use a smartphone or watch TV while sleeping as it can disrupt your sleep cycle. Also, avoid having tea or coffee before sleeping. 
  • Meditation: You need to relax as much as possible to boost your healing process. Meditate every morning or practice yoga; whichever works for you. This can help you stay healthy and active. 
  • Avoid lifting heavy: Lifting heavy after the surgery can put extra pressure on your stitches and increase your chances of a hernia.

4. Exercise

It is important to note that women who are physically active before the surgery will have an easier recovery and will be able to return to routine sooner. Do not, however, start any physical activity immediately after the surgery. Usually, you may be able to resume around 4 weeks after a hysterectomy. Make sure to discuss this with your gynaecologist in Gurgaon to understand the extent of physical activity permitted. 

Recovery after a hysterectomy can take time. The more you listen to your body after the surgery, the easier will be your recovery. Moreover, you can also consult Dr Preety Aggarwal  at the Motherhood Hospitals for speedy recovery.

Fibroids: Symptoms and Treatments 

Fibroids Symptoms and Treatment

AuthorDr Preety Aggarwal

MBBS, DGO, DNB,

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Fibroids: Symptoms and Treatments 

Introduction

Fibroids or Uterine fibroids refer to the abnormal growth in or on the uterus. These are non-cancerous tumours that might not even go unnoticed for several years. According to Dr Preety Aggarwal, MBBS, DGO, DNB, Medical Director (Gurgaon)- Obstetrics and Gynaecology, not all fibroids show symptoms, but when they do, it may lead to heavy menstrual bleeding, frequent urination, and pain during sex. Moreover, small fibroids do not require any treatment, the larger ones, however, need to be treated with medications or surgery.  

What are Uterine Fibroids? 

Uterine fibroids are abnormal growths of muscle and tissues in or on the wall of your uterus. These can either grow as a single nodule or in a cluster. According to the best gynaecologist & obstetrician doctors in Gurgaon, cluster fibroids can range from 1 millimetre to more than 20 centimetres in diameter. Although non-cancerous, these can show severe symptoms in some patients.  

What are the Types of Uterine Fibroids? 

The type of uterine fibroid depends on where they are located and attached. The common types are: 

1. Intramural fibroids: These grow on the muscular wall of the uterus. 

2. Submucosal fibroids: These grow under the inner lining of the uterus. 

3. Subserosal fibroids: These grow under the lining of the outer surface of the uterus. 

4. Pedunculated fibroids: These grow like mushrooms on your uterus

What are the Symptoms of Uterine Fibroids? 

As mentioned earlier, fibroids do not cause any symptoms and do not even require any treatment. Larger fibroids, however, cause a variety of symptoms as follows: 

1. Excessive bleeding during periods. 

2. Bleeding between your periods. 

3. A feeling of fullness in the abdomen or bloating. 

4. Frequent urination. 

5. Pain during sex. 

6. Constipation. 

7. Chronic vaginal discharge. 

8. Low back pain. 

9. Increased abdominal distention. 

What are the Causes of Uterine Fibroids? 

 The exact cause of uterine fibroids is not known, the best gynaecologist & obstetrician doctors in Gurgaon, believe that hormones like oestrogen and progesterone play a vital role. Fibroids develop when these hormone levels are higher. Apart from this, some risk factors also increase your chances of developing fibroids: 

1 .Obesity and high body mass index (BMI). 

2. A family history of fibroids. 

3. Early onset of menstruation. 

4. Late menopause. 

How are Uterine Fibroids Treated? 

The treatment of uterine fibroids depends on the size, number, location, and symptoms of fibroids. If you are not experiencing any symptoms, you may not need any treatment. Small fibroids, usually, are not treated. The larger ones, however, may require the following treatments: 

1. Over-the-counter medications. 

2. Iron supplements. 

3. Birth control pills. 

4. Oral therapies. 

5. Fibroid surgery. 

Fibroid surgery or myomectomy is a procedure to remove fibroids. The procedure is performed in the following ways: 

1Hysteroscopy: In this procedure, the best gynaecologist & obstetrician doctors in Gurgaon insert a scope (a thin, flexible tube) into your vagina to reach the uterus and the fibroids are removed. 

2. Laparoscopy: In this procedure, the doctor inserts a laparoscope (a thin, flexible tube attached to the camera and tiny surgical instruments) through a small incision in your abdomen. 

3. Laparotomy: In this procedure, the doctor creates a large incision on your abdomen to remove fibroids with one cut. 

 Fibroid treatment depends largely on the medical condition of the patient. Some patients may not require any treatment, the others may need immediate medical attention. If you feel sudden pain and discomfort along with heavy menstrual bleeding, visit Dr Preety Aggarwal at the Motherhood Hospitals for immediate medical attention. 

PCOS: 5 Lifestyle Strategies

Polycystic Ovary Syndrome

AuthorDr Preety Aggarwal,

MBBS, DGO, DNG

Medical Director (Gurgaon)- Obstetrics and Gynaecology

Navigating Polycystic Ovary Syndrome (PCOS): 5 Lifestyle Strategies   

Introduction          

Polycystic ovary syndrome (PCOS) is a hormonal disorder affecting approximately 10% of women around the globe. Women with PCOS generally experience infrequent menstrual periods, infertility due to lack of ovulation, increased hair growth, weight gain, and acne. According to Dr Preety Aggarwal, MBBS, DGO, DNG, Medical Director (Gurgaon)- Obstetrics and Gynaecology, PCOS is one of the prominent reasons for infertility in women. If you are diagnosed with PCOS, the best gynecologist doctor in Gurgaon will create a treatment plan to manage PCOS with both medications and lifestyle changes. 

5 Lifestyle Strategies to Navigate Through PCOS 

PCOS is a lifestyle disorder that can be managed by tweaking your daily lifestyle. Here are the following lifestyle strategies that you can inculcate in your routine: 

1. Maintain a Healthy Weight 

Women with PCOS are prone to type 2 diabetes due to insulin resistance. Weight loss can lower insulin levels, androgen levels and restore ovulation. The best gynecologist in Gurgaon for normal delivery recommends cutting back on processed foods and formulating a sustainable weight loss plan. The doctors recommend a low-calorie diet combined with exercise. Even a 5-10% reduction in weight can result in improved symptoms. 

2. Increase Exercise 

Moderate exercise (up to 1 hour per day) helps in lowering blood sugar levels. With PCOS, you should target to increase your physical activity to prevent insulin resistance. To avoid boredom, you can include different workouts in your exercise routine including yoga, Pilates, or gym. 

3. Follow a Low Carb and High Fibre Diet 

 A high carbohydrate diet can make your insulin levels shoot up. Hence, women with PCOS should not have more than 24 grams of added sugar per day. Instead of a high carbohydrate diet, switch your food choices with complex carbohydrates including whole grains, vegetables, quinoa, and whole wheat pasta. 

4. Monitor Blood Sugar Levels 

One of the symptoms of PCOS includes problems responding to insulin which is called insulin resistance. Insulin resistance does not allow your body to respond to insulin and results in high blood sugar and low energy. Eventually, this causes weight gain and obesity. Moreover, a high blood sugar level also increases the risk of type 2 diabetes.  

Women with PCOS, hence, need to monitor their blood glucose levels especially if they have type 2 diabetes. If you do not yet have diabetes, visit the best gynecologist in Gurgaon for a blood glucose test.  The doctor can help you keep a check on the levels and monitor your risks of developing diabetes. 

5. High Protein Intake 

Protein is known to help manage weight. Adding clean protein to your diet keeps your weight under check and also provides your body with the required energy and strength. On average, you should aim to consume at least 0.8 grams of protein per kg of your body weight. For instance, if you weigh 60 kg, you should at least have 48 grams of protein daily. 

PCOS is a disorder that can be greatly managed by lifestyle changes. You need to adopt a clean and holistic lifestyle. This will improve both your physical and mental well-being. You can also try breathing techniques such as pranayama to manage stress as stress is also known to trigger PCOS. For expert guidance and an accurate treatment plan, consult Dr. Preety Aggarwal at the Motherhood Hospitals