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Dr. Bhawana Mishra

DNB, DGO

Gynaecologist, Bangalore

16 Years Experience
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Dr. Bhawana Mishra DNB, DGO Gynaecologist, Bangalore
16 Years Experience
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Personal Statement

I’m dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I’m dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Bhawana Mishra
Dr. Bhawana Mishra is a trusted Gynaecologist in Jayanagar, Bangalore. She has over 16 years of experience as a Gynaecologist. She is a qualified DNB, DGO . She is currently associated with Cradle Hospital in Jayanagar, Bangalore. Don’t wait in a queue, book an instant appointment online with Dr. Bhawana Mishra on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 39 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Specialty
Education
DNB - National Board of Examinations - 2007
DGO - RGUHS - 2003
Languages spoken
English

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Cradle Hospital

#25, 46Th Cross, 5Th Block, Opp Sevasharam Hospital & Rghavendra Temple, Jayanagar, Bangalore - 11Bangalore Get Directions
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Miscarriage and Tips to Ensure a Healthy Conception

DGO, MBBS
Gynaecologist, Delhi
Miscarriage and Tips to Ensure a Healthy Conception

Miscarriage refers to a pregnancy that has ended prematurely, within 20 weeks. Research shows that around 10-25% of all clinically recognized pregnancies end in miscarriages. Chemical pregnancies cause 50-75% of all miscarriages. The condition happens when a pregnancy is lost not long after implantation, bringing about bleeding that happens around the time of her normal period. The woman may not understand that she has conceived when she encounters a chemical pregnancy.

The normal period where miscarriages are expected to occur is during the first 13 weeks of pregnancy. While pregnancy can be an overwhelming and exciting experience, it is beneficial that the woman keeps herself informed about the possibilities of miscarriages.

Some types of miscarriage are:

  • Threatened Miscarriage
  • Inevitable or Incomplete Miscarriage
  • Complete Miscarriage
  • Missed Miscarriage
  • Recurrent Miscarriage
  • Blighted Ovum
  • Ectopic Pregnancy
  • Molar Pregnancy

Symptoms:
In case of any of the following signs, the doctor should be consulted immediately,

  • Mild to Severe Pain
  • White-Pink Mucus
  • Weight loss
  • True Contractions
  • Sudden Decrease in Signs of pregnancy
  • Tissue made of clot-like material passing from the vagina
  • Bright red or Brown bleeding with or without cramps
  • Investigations

Ultrasound:

  • The majority of women will require a transvaginal ultrasound (TVS) and 98% of complete miscarriages can be diagnosed in this way.
  • If a transvaginal ultrasound scan is unacceptable to the woman, then a transabdominal ultrasound scan should be offered and the woman should be made aware of the limitations of this method of scanning.
  • If there is no visible heartbeat then a second scan should be performed. This is either done at a minimum of 7 or 14 days, depending up the measurements of the crown-rump length or the mean gestational sac.
  • Be aware that a woman with a pregnancy of unknown location may have an ectopic pregnancy.
  • Serum hCG
  • Serum hCG tests can help to exclude an ectopic pregnancy in women with a complete miscarriage (or pregnancy of unknown location), determined by ultrasound.
  • Serial tests are required but results should complement clinical assessment and not replace it. Two tests are taken as close as possible to 48 hours apart:
  • >63% increase suggests ongoing pregnancy.
  • >50% decrease suggests pregnancy is unlikely to continue.
  • A woman with results between these parameters should be reviewed in the EPAU withing 24 hours.
  • Slow doubling times are associated with miscarriage and declining values have high sensitivity of 93-97% in diagnosing a complete miscarriage[1].
  • Rare causes of a raised hCG should also be borne in mind, including gestational trophoblastic disease or cranial germ cell tumour, which must be considered.

Progesterone

One meta-analysis has shown that a single low progesterone measurement for women in early pregnancy, presenting with bleeding or pain and inconclusive ultrasound assessments, can rule out a viable pregnancy. However, a very low serum progesterone can be seen in normal viable pregnancies, so progesterone should not be used as the definitive diagnostic test without other evidence.

Management

  • Admission to hospital can be avoided in 40% of women with threatened or actual early pregnancy loss.
  • Following a miscarriage, all women should have access to support, follow-up and formal counselling when necessary.
  • Anti-D rhesus prophylaxis (250 IU) should be offered to all rhesus-negative women who have a surgical procedure to manage a miscarriage.
  • However, anti-D rhesus prophylaxis does not have to be given to those women who:
  • Receive solely medical management for an ectopic pregnancy or miscarriage.
  • Have a threatened miscarriage.
  • Have a complete miscarriage.
  • Have a pregnancy of unknown location.
  • Women need evidence-based information to guide their decisions, as well as access to support and counselling; leaflets, web addresses and helpline numbers for support organisations should be offered to all women experiencing miscarriage.
  • There is no evidence to support a couple delaying attempts to conceive following a miscarriage.

Treatment:

The main purpose of treatment is to prevent haemorrhage and infection. It is common that the body expels all the fetal fluid during the earlier stages of the pregnancy. In case it doesn t, a procedure known as D&C (Dilution & Curettage) is performed to remove the fluid and prevent infection.

Since most miscarriages occur due to chromosomal abnormalities, nothing significant can be done to prevent them.

Tips to be taken to ensure a healthy conception are:

  • Regular Exercise
  • Stress Management
  • Daily consumption of folic acid
  • Not smoking. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

 

2469 people found this helpful

Some tips from Ayurveda -1

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Some tips from Ayurveda -1
  1. Indigestion : Take one spoon Harde Powder with water in morning and bed time.
    Diarrhoea : take one spoon dry ginger powder with buttermilk every two hours and stop to intake any food for some time. You can add Cumin(jira) powder in it too.
    Insomnia : In sleep problem take one spoon Piparimool ( Root of Long pepper) with buffalo milk at bed time.

    Acidity : In this problem have to take two grams of Amla powder empty stomach with water in morning and two grams at bed time with water. Avoid Oily, Spicy, stale and fermented food like pickles too.

 

I am female in my face has full of pimples. is this because of excess of masturbation ?

BAMS, MD Ayurveda
Sexologist, Navi Mumbai
I am female in my face has full of pimples. is this because of excess of masturbation ?
One of the simplest home remedies Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
1 person found this helpful

I am 4months pregnant and i am struggling with vomitings and sleepiness and i am not feeling like eating anything please suggest me something which can help me through this.

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
I am 4months pregnant and i am struggling with vomitings and sleepiness and i am not feeling like eating anything ple...
Hi usually pregnancy related vomiting is very uncommon at this time of gestation, if happens __ 1- go for prenatal examination, if already not doing so 2- get your blood test done especially liver function tests 3- eat small, frequent meals as empty stomach can increase nausea 4- take vitamin b6 twice daily 5- stop taking iron tables as it causes gastritis so increases vomiting. You can start again once problem settle. 6- avoid rich, spicy & fried foods 7- drink plenty of fluids eg lemon water. Green tea, fresh juice & lassi but no to aerated drinks 8- keep bland snacks handy e. G. Biscuits and eat throughout the day. Lastly take proper physical & mental rest. Always remember all this happen because of your baby. This will give you strong will power to fight it back.
1 person found this helpful

6 Top Reasons Why Women May Fake Orgasm!

MBBS, M.D Psychiatry , Diploma In Psychological Medicine
Sexologist, Navi Mumbai
6 Top Reasons Why Women May Fake Orgasm!

Human sexuality is a fairly complicated process and differs a lot between men and women. While most men can easily achieve orgasm, for women, is a completely different story. Many studies and self-reporting done on this subject have shown that very few actually get to orgasm most of the time and many fake it for a host of reasons. Let’s look at a few of the top reasons why women may fake it.

  1. To make a session end – A woman, while in the act, may feel bored or want the session to end quickly especially if her partner is close to or has already achieved orgasm. She would want to fake an orgasm to bring conclusion to the session and get on with other things.

  2. To boost the ego of the partner – Women may fake orgasms to ensure that their partners don’t feel guilty or inadequate about not making them climax. Although this usually happens in long term relationships, women may even do it in short term relationships to not hurt the ego of their men.

  3. The partner doesn’t know how to bring a woman to climax – Many men don’t know how to bring their women to orgasm and thus, will try many things. There are other men who may not even care to know about pleasing their partners. In such cases, a woman may fake an orgasm as a ritual to show that she is also enjoying the act when she is actually not.

  4. Used as a strategy to retain their partner in long term relationships – Many married women or women in long term relationships use fake orgasms to ensure that their partners feel happy. This is done so that their partners continue to stay with them and feel that they have been satisfying them well enough.

  5. Faking an orgasm may lead to an actual one – Although this happens to a few women, some have reportedly stated that faking one orgasm might get them to have a real one. Some women also report being turned on by faking an orgasm.

  6. She is afraid she will be judged – Many women feel insecure that if they are unable to orgasm with their respective partners, they might be judged as inadequate or incomplete. Thus, they would fake orgasms to bring finality to cover their own insecurities. If you wish to discuss about any specific problem, you can consult a Sexologist.

5866 people found this helpful

What should we do if a girl gets pregnant it's her 1to 3 months can any pills be given to her to avoid pregnancy or what can we do?

BHMS, Diploma in Dermatology
Homeopath, Hyderabad
What should we do if a girl gets pregnant it's her 1to 3 months can any pills be given to her to avoid pregnancy or w...
Hi, There is no chance with any tablets to terminate pregnancy at third month. Only way is Abortion, Avoid abortion, don't kill your baby it's an advise because you're baby organs already developed so don't do such things. Once consult a gynaecologist she will tell you.

Signs and Symptoms of Bile Duct Cancer

MBBS FELO CARDIO DIABETIC
General Physician, Bangalore
Signs and Symptoms of Bile Duct Cancer

Cholangiocarcinoma (Bile duct cancer), like any other cancer, leaves a person physically, mentally and emotionally drained. It has been mostly found to affect people above 60 years of age. The signs and symptoms associated are so common that very few people consult a physician. A delayed diagnosis implies delayed treatment. This goes on to aggravate and complicate the situation further. One needs to be a little alert. Any symptoms, no matter how common, should not be taken lightly. Look for the early signs and symptoms and bile duct cancer can be fully cured.

Signs and symptoms associated with Cholangiocarcinoma:
Bile duct cancer can be Extrahepatic (occurs in the duct outside the liver) or Intrahepatic (cancer develops within the smaller ducts inside the liver). It must be noted that Intrahepatic Bile duct cancer and Liver cancer are different.
-      Bile duct cancer results in blocking the bile duct. This blockage severely effects the secretion of bilirubin and bile from the liver. Thus, the secretions (bile and bilirubin) which are supposed to flow into the intestine move back into the bloodstream. An elevated level of bilirubin in the blood gives rise to a condition, known as Jaundice (a condition resulting in yellowing of the eyes and the skin). The problem lies in the fact that many other factors can equally contribute to Jaundice. Consulting a physician at the earliest is the best resort.

-      A sudden or drastic weight loss and loss of appetite is an alarming sign of Cholangiocarcinoma.
-      Excessive itching can be an indication of something as big as bile duct cancer. Itching can be an outcome of the increased bilirubin (blood) reaching the skin.
-      At an advanced stage of Cholangiocarcinoma, a patient may experience severe abdominal pain.
-      At times, the tumour in the bile duct might exert immense pressure on the nearby organs. This can give rise to an enlarged abdominal mass. Bloated feeling is also very common amongst the patients.
-      An unusual change in the colour of the stool and urine should not be neglected. The elevated bilirubin level from the intestine is usually eliminated out of the system through the urine.  Thus the stool appears lighter and the urine a shade darker.
-      A cholangiocarcinoma patient can, at times feel nauseated. Fever is also a common but an extremely important indication.

Bile duct cancer or cholangiocarcinoma can lead to many other complications. Click below to know every minute detail associated with Cholangiocarcinoma.

What happens when you eat garlic on empty stomach.

Dietitian/Nutritionist, Haridwar
What happens when you eat garlic on empty stomach.
What happens when you eat garlic on empty stomach?
Garlic is one of the most powerful natural cures, which we know and it is available to everyone. In the popular medicine it is used for curing diseases and angst. Because it is strong natural antibiotic, it kills a big number of bacteria, and besides that, it stimulates the immunity system and it normalizes the gut flora. However, here do not end whole its positive effects among our organism.
We often consume garlic as addition in meals, which makes the food tastier, but have you ever asked yourself what makes consumption of garlic on empty stomach to organism?
Scientists had this duty and they found out that this is especially very effective way to prevent and cure many diseases. They claim that when you consume garlic on empty stomach, you increase its power and with that the dangerous bacteria is more exposed to its direct impact.
Garlic instead of antibiotic
Garlic contains nitric substances, sodium, potassium, selenium, calcium, magnesium, silicon, sulfur, phosphoric acid, vitamin C, D, B, phytosterol and aerial oils. Besides that, garlic is rich with phytocide, such as allicin. According to some studies, allicin is exceptionally effective among infections and affections. Garlic consists of more than 400 various mineral constituents, including many antioxidants.
9 unbelievable healthy benefits of garlic:
– It impedes the aging
– Thanks to its curative characteristics, it helps to decrease the level of bad cholesterol in the blood
– It kills a large number of various diseases
– It protects from heart diseases – it reduces the synthesis of triglycerides in the liver, which helps to avoid the growth of arthrosclerosis.
– It decreases the blood pressure and it helps against affections
– Garlic is natural antibiotic and it is effective cure against colds and flu.
– Its consumption is recommended for diseases of nervous system
– Garlic helps killing the cells of malignancy of brain tumor
– It strengthens the immunity system
2 people found this helpful

Super Fact of the Day: Your thigh bone is stronger than concrete!

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
Super Fact of the Day: Your thigh bone is stronger than concrete!
Your thighbone is the longest and strongest bone in your body. Because your thighbone or femur is so strong, it generally takes a lot of force to break it, yet it gets fractured.

Would you like to share this interesting fact with family or friends? go ahead and share!
456 people found this helpful
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