Placenta Praevia: A Difficult Road to a Beautiful Destination

 

The placenta is your baby’s main support system. It provides nourishment to your baby through the umbilical cord. It also filters the nutrients, oxygen, and waste your baby receives. For most women, the placenta attaches itself to the side of the womb but for some it attaches lower down and could cover a part or all of the cervix.

It is first seen in early ultrasound scans, during this time it is called a low lying placenta. In most cases, the placenta moves upwards as your baby grows. The placenta for some women, however, remains in the lower part of the uterus even after 20 weeks. This is condition is known as placenta praevia. It is observed in 1 of 200 pregnancies.

 

Why does Placenta Praevia happen?

Your placenta grows wherever the embryo has implanted itself in your uterus. If the embryo attaches itself to the lower part of your uterus, the placenta may grow in the lower part of your uterine wall or even over your cervix.

Initial placenta praevia usually resolves itself, that is if your placenta doesn’t completely cover your cervix. The situation gets complicated if the placenta is covering your cervix at any point in time. Read More

Fetal Cardiac Scan

Fetal Cardiac Scan

 

Have you been asked to take a fetal cardiac scan? Don’t panic; it’s a simple and painless procedure that won’t take up much of your time.

A fetal cardiac scan is a detailed ultrasound of your baby’s heart before your baby is born. It gives your doctor the chance to completely evaluate your baby’s heart. This is not quite possible during your regular obstetric ultrasound.

It is usually done in your second trimester, between weeks 20–24. A fetal cardiac scan looks for heart defects, the most common abnormality your baby can be born with.  It checks the flow of blood in your baby’s arteries and veins and detects other abnormalities such as:

  • Narrowing of the arteries
  • Holes in your baby’s heart
  • Valves that don’t open and close properly

This test uses waves of sound that ‘echo’ off your baby’s heart. The echo machine then analyzes these waves and creates a picture of your baby’s heart. These pictures help your doctor carefully analyze your baby’s blood flow and heartbeat.

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Vaginal Birth After C-Section (VBAC)

Vaginal Birth After Cesarean (VBAC) - Fernandez Hospital

She believed she could. So, she did.

Many women believe that the only way to have their child after undergoing a Caesarean section is another Caesarean section. This is not true in all cases. Studies show that about 60 to 80% of women who attempted a trial labour after Caesarean section (TOLAC) had successful normal deliveries. VBAC or Vaginal Birth after Caesarean is a formidable mode of birthing for women with uncomplicated pregnancies.

What is VBAC?

VBAC is a term used for having a normal vaginal birth after having undergone a Caesarean section previously. It is an achievable task and depends on several factors.

Most women fear for the safety of themselves and their babies. VBAC is a safe means of birthing in the absence of underlying complications. All you need is an optimal environment with the right guidance and support.

Undergoing a C-section can be a pretty traumatizing experience for some women as it paralyzes them into a singular position and their choices and wishes aren’t well respected.

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Birthing, Naturally: Going Mother Nature’s Way

Natural Birthing - Fernandez Hospital

 

“The whole point of natural birth is the knowledge that the woman is the birth power source.

She may need help, but in essence, she always had, currently has and will always have that power.”

                                                                                                                      – Heather McCue

India’s caesarean section rates are on a rise. There are 6.6 million children born via C-section annually and the numbers have increased from 8.5% in 2005-06 to 17.2% in 2015-16. 80% of women in India have uncomplicated pregnancies and would have normal births if supported to do so, 20% with medical complications would require obstetric interventions. There is growing evidence highlighting that children born via C-section have a greater risk of asthma, allergies, autism and collagen disorders. Medical interventions, while extremely important in complicated high-risk pregnancies, should be totally avoided in case of uncomplicated pregnancies. Childbirth is a normal physiological event. Having a professional midwife has been well researched to increase the chances of achieving a normal birth, reducing unnecessary interventions and enhancing a positive birth experience. Read More

What are the common complication during pregnancy?

Pregnancy is a natural process, which ideally requires a minimal or non-invasive procedure. However, there are few complications that may occur during pregnancy which require immediate medical attention to ease the process. The complications may affect either the mother’s or the baby’s health and sometimes both. Most of the complications can be avoided or treated with the right supervision and treatment.

Loss of pregnancy within the first 20 weeks is termed as a miscarriage. A miscarriage happens when there are chromosomal abnormalities in the fertilised egg which keep the embryo from developing further.

The first symptom to identify a miscarriage is excessive vaginal bleeding. However, it is common to spot blood during early pregnancy. It is best to consult the doctor at the earliest to detect a miscarriage.

 

Preeclampsia

This is a serious complication which can occur during the first 20 weeks of pregnancy, causing high blood pressure. Women with preeclampsia are advised to deliver the baby at the earliest. If it is too early to deliver the baby, the mother and baby will be under medical surveillance until the due date.

This condition can also lead to some serious problems and affect other organs.

An ideal time for delivery is once the mother reaches 37 weeks of pregnancy. If the baby is delivered before 37 weeks, it is a preterm birth and the baby is considered a premature baby. A preterm birth can sometimes be fatal to the baby.

 

Gestational diabetes

This condition occurs when the pregnant woman cannot process her sugar intake. This fairly common condition is serious enough to cause complications during pregnancy. Therefore, it is important for the mother to maintain a healthy diet and exercise plan in order to deliver a healthy baby.

A poorly-maintained diet will lead to sugar imbalance in the blood. This problem can be cured by modifying the diet accordingly. In few cases, insulin will be prescribed by the Doctor to help keep sugar levels in control.

Ectopic pregnancy

An ectopic pregnancy is when the fertilised egg attaches itself to places other than the uterus. 1 out of 50 pregnancies is an ectopic pregnancy. It occurs in the fallopian tubes, which aren’t designed for holding a growing embryo. The growing embryo creates a rupture in the fallopian tubes and causes internal bleeding. One can identify an ectopic pregnancy through symptoms like vaginal bleeding, sharp pain in the intestines, weakness and some others.

This condition can be cured if a doctor is immediately consulted upon experiencing a sharp pain or spotting blood.

As the famous saying goes, “prevention is better than cure”. It is important for a pregnant woman to be in a positive and healthy environment.

At Stork Home, we believe that every woman is capable of giving birth naturally and is treated with utmost care and warmth. We always encourage the mother to follow the required diet, therefore, avoiding any kind of complication. However, during any complication, our specialist team of doctors, midwives and support staff are on their toes to provide the required care and treatment to the mother and the baby.

Is heavy bleeding normal during menstruation?

Heavy bleeding during menstruation is a fairly common problem. It is also one of the most ignored problems, often waived off as something normal. An abnormal menstruation, with heavy bleeding, big clots, and cramps, needs immediate medical attention. Visit your doctor immediately in such a case. 

Women with heavy bleeding during menstruation experience severe cramps which make day-to-day functioning difficult. Effective medical treatment can cure the issue.

  • Abnormal vaginal bleeding
  • Need to change the pad/tampon every hour
  • Big blood clots
  • Need to change over soaked pad/tampon in the middle of the night
  • Periods lasting more than 7 days
  • Women with heavy menstrual bleeding also experience fatigue, shortness of breath and anaemia.

Hormone imbalance: A thin line builds up inside the uterus. It sheds during periods. Estrogen, makes the lining thicker, whereas Progesterone makes it thinner. It is important that these hormones are balanced. If estrogen levels are high, the lining gets thicker and leads to heavy bleeding when it is shed.
Fibroids and Polyps:  Fibroids and polyps are non-harmful growths within the uterus. These cause heavy bleeding during periods. In many cases, fibroids influence the blood flow.
Cancer:  Women in their postmenopausal phase, or those who have had an abnormal Pap test in the past, are potential victims of uterine and cervical cancers. These cancers cause excessive and prolonged bleeding.
Bleeding disorders:  Mostly, these disorders are inherited. They cause blood clots and heavy menstrual bleeding.
Medical conditions:  Women with liver disease, kidney disease and thyroid issues are more likely to develop heavy bleeding.
Pregnancy complications:  A miscarriage causes heavy periods. Ectopic pregnancy also causes heavy bleeding. During this pregnancy, the fertilized eggs get attached outside the uterus. 
Intrauterine device:  This birth control device is a common cause for heavy bleeding. Many women use IUDs for birth control. This can lead to heavy menstrual bleeding.

At Stork Home, we have the finest gynecologists. They provide holistic care and treatment for a range of women’s medical conditions. We provide specific treatment for heavy menstrual bleeding. Our experts take various factors into consideration. They discuss the medical history and menstrual cycle period. The treatment is continued after taking into account the woman’s tolerance levels. She is given absolute freedom to make the right, informed choice for herself.

Heavy menstrual bleeding is treated with surgery on an Outpatient basis and the patient is likely to be discharged the same day.

Trimesterwise Pregnancy Meal Planning — 1st Trimester

When a woman becomes pregnant, a little bit of extra care is needed as the body undergoes several transformations. The foetus needs different nutrients to develop into a healthy baby. And all these requirements are fulfilled by the mother through a healthy diet and vitamin/mineral supplements. Eating well becomes very important as unhealthy foods may harm your baby.  The weight gain in pregnancy is based on the pre pregnancy body mass index (BMI). If you’re starting pregnancy at a healthy weight, a weight gain of 0.5 – 2 .0 kgs is recommended in the first trimester. The focus is on having a balanced and nutrient rich diet.

The first trimester or the first 12 weeks of pregnancy is very crucial as during this stage the foetus starts growing. The brain, spinal cord, heart, arm and leg buds of the baby starts forming. So you should make sure to have healthy foods. It is even better to focus on your diet before planning your pregnancy.

You may not feel like eating due to nausea and morning sickness during the first trimester, but you should try to eat, and that too, healthy. A properly nourished mother can even lower the risk of any postpartum complications.

A healthy balanced diet during pregnancy should be rich in good quality proteins, essential fatty acids, iron, calcium, B complex vitamins and vitamin C with optimum calories. Folic acid is especially important during the first trimester.

So, plan your meal with nutrient-rich foods. You can include the following foods in your diet during the first trimester:

 Cereals: 9 servings of cereals should be consumed per day of which at least 3 to 4 servings should be whole grains. Whole grains have more vitamins and minerals than processed grains, as well as fibre. Fibre helps in maintaining proper bowel function and lowers the risk of developing constipation. You can have:

  • Brown rice
  • Whole wheat, broken wheat
  • Millets (ragi, jowar, bajra, foxtail millet, quinoa)
  • Oats
  • Whole grain bread

Protein-rich Foods:  Focus on having good quality proteins and have at least 3 to 4 servings daily. Your diet can include:

  • Lean meat like chicken and fish
  • Whole Egg
  • Beans/Legumes like kidney beans, black beans, black eyed beans, peas etc
  • Lentils/Pulses/Dals
  • Nuts
  • Paneer
  • Soya and soy products

Dairy Products: As dairy products contain calcium and protein, 2 to 3 servings (approximately 500 ml) per day are necessary during the first trimester. Calcium is needed for development of bones and teeth of the baby. You can have low fat or non-fat dairy products like:

  • Cheese
  • Yoghurt/Curd
  • Milk
  • Paneer

Vegetables: You should have around 3 to 5 servings of vegetables daily. Vegetables contain essential vitamins like folate, minerals like calcium and iron, fibre and are low in fat, as well. You can include vegetables like:

  • Green leafy vegetables such as spinach, amaranth, gogu, fenugreek
  • Tomatoes
  • Sweet potatoes
  • Carrots
  • Pumpkin
  • Gourd and squash vegetables
  • Cauliflower
  • Capsicum/ Bell peppers
  • Green beans
  • Broccoli
  • Corn
  • Peas

Fruits: 2 to 4 servings of fruits daily are necessary during the first trimester. You can choose fresh, dried or frozen fruits. Whole fruits are preferable to juices as they contain fibre. As citrus fruits are rich in vitamin C, you should include at least one type of citrus fruits on your daily meal chart. In addition to vitamin C and fibre, fruits provide folate, vitamin A and potassium. You can include fruits like:

  • Apple
  • Banana
  • Orange
  • Sweet lime
  • Grapefruit
  • Melons
  • Berries
  • Ripe papaya
  • Pomegranate
  • Watermelon
  • Guava

Acne During Pregnancy – Causes and Ways to Treat It

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Acne during pregnancy is quite common and nothing to worry about.  Though it is not a special form of acne, some pregnant women do have trouble with it. Usually, it occurs during the first trimester and disappears within the third trimester. If you do not have acne during the first trimester, the chance of its occurrence during the second and third trimester is low.

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Yeast Infection (vaginal thrush) During Pregnancy

What is a yeast infection?

2_10-Preventive-Measures-To-Avoid-Yeast-Infection-During-Pregnancy

Vulvovaginal candidiasis, often referred to as yeast infection, is a common gynaecologic ailment, affecting 75% of women at least once in their lifetime. More than 40% will have 2 or more episodes and infection occurs more frequently in pregnant women. Yeast infection is caused by a fungus called Candida. This is found in small numbers in the normal vagina. However, when the balance of bacteria and yeast in the vagina is altered, the yeast may overgrow and cause symptoms. Read More

Ultrasound During Pregnancy

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Ultrasound or sonogram is a method that uses sound waves to study the internal parts of a human body. It is widely used in all branches of medicine, especially in obstetrics and gynaecology. Undergoing an Ultrasound scan is a special part of a pregnancy, as you get to see your baby for the first time in the visual image created by an ultrasound. This imaging technique helps the doctor to evaluate various aspects of a pregnancy, including detection of birth defects and determination of the well-being of the unborn baby. Read More