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Dr. Ravi Kumar

Gynaecologist, Bangalore

350 at clinic
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Dr. Ravi Kumar Gynaecologist, Bangalore
350 at clinic
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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. Ravi Kumar
Dr. Ravi Kumar is a trusted Gynaecologist in K R Puram, Bangalore. You can consult Dr. Ravi Kumar at Dr. Ravi Kumar@Brookefield Hospital in K R Puram, Bangalore. Book an appointment online with Dr. Ravi Kumar and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 27 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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Brookefield Hospital

#521/522, Vijayalakshmi Square, ITPL Main Road, K R Puram Hobli, Kundalahalli Landmark : Near Cosmos MallBangalore Get Directions
350 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Dear, my wife miss mc after, that I check the result is positive so that my wife take mifegest kit after take mifegest kit bleeding start and small amount of tissue come, today is 13 day bleeding come continuously what I can do my wife is pregnant or not at that time plzz help m I don't know what I can do right now.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Dear, my wife miss mc after, that I check the result is positive so that my wife take mifegest kit after take mifeges...
bleeding due to remain product of conception inside.you need to consult doctor personally for further managemen
2 people found this helpful
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Decrease In Amniotic Fluid - What Are The Reasons Behind It?

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
Decrease In Amniotic Fluid - What Are The Reasons Behind It?

Are you aware of the condition known as oligohydramnios during pregnancy, in which there is too less amniotic fluid? The amniotic fluid is an important part of your baby’s support system. It helps in protecting your baby and in the development of lungs, muscles, limbs, and the digestive system. The amount of this fluid can be measured via several methods. amniotic fluid index (AFI) evaluation is commonly used for measurement. When the results show a fluid level less than five centimeters, you need to diagnose yourself for oligohydramnios.

Causes
There are several causes, which may lead to low amniotic fluid levels in your body. They are as follows:

Treatment
The treatment for low amniotic fluid level depends on your gestational age. In case you are not full term, you will be closely monitored and your fluid levels will be observed. Non-stress and contraction stress tests may be conducted for monitoring the activities of your baby. If you are almost near full term, delivery is recommended by most health practitioners, in case of low amniotic fluid levels.

Other treatment methods that are used include the following:

  1. Amino infusion during labor via an intrauterine catheter is carried out. The added fluids help with the umbilical cord padding during delivery. It also helps in lowering the chances of a Cesarean delivery.
  2. The injection of amniotic fluid before delivery via amniocentesis is also undertaken. It is likely for the oligohydramnios to reoccur within one week after this treatment procedure, but it helps doctors to visualize your fetal anatomy and diagnose the condition.

Maternal rehydration using oral fluids and IV fluids also helps in increasing the amniotic fluid levels. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2105 people found this helpful

I am diabetic and i am 20 years old. Married 2 years ago. Is there any complication to get pregnancy my sugar level 250.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am diabetic and i am 20 years old. Married 2 years ago. Is there any complication to get pregnancy my sugar level 250.
Please do not get pregnant when your blood sugar levels are uncontrolled. It's always best to first control them, get pregnant & continue to keep them controlled throughout pregnancy. This way, you will decrease the risks to both you & your baby.
1 person found this helpful
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What are the Advantages of Robotic Surgery?

MBBS, DNB Gen Surgery, DNB Surgical Oncology
Oncologist, Bangalore
What are the Advantages of Robotic Surgery?

Robotic surgery as the name suggests is a high-end robot-assisted surgery which lets the doctors perform various types of complex procedures that would be difficult otherwise. They are a type of minimally invasive surgery and is one of the most technically advanced treatment methods across the world.

About Robotic Surgery: 
One of the common misconceptions is that in a robotic surgery often the robots would take care of the surgery. This is incorrect. Robotic surgeries involve an expert surgeon who performs the surgery and it is exactly as per his/her maneuver that the robotic surgery takes place. The procedure includes a high precision camera that is placed into our systems. This gives a 3D high definition vision to the surgeon, who sits at the console and operates. The controls on the console resemble a joystick, the doctor proceeds with the actual surgery – where the mechanized arms of the robot perform the surgery. So be rest assured! Nowhere does the robot perform the surgery with a mind of their own.

Advantages:

  1. Flexibility: In spite of tremendous advancements in the medicinal field, human error is still the leading cause of surgery failures. The ENDO-WRIST of robot makes this precision possible, this considerably reduces the errors and one gets a precise and flexible option.
  2. Better Visuals: Since almost the entire operation is done with the help of a high precision 3D HD monitor, doctors are able to identify the predicaments better. Also, their judgment becomes of high value when surgeries are opted for.
  3. Minimal Blood Loss: The very factor that many individuals still dread is the loss of blood during a surgery; the risk of the same is also minimised to a great extent with the use of a robotic surgery. Also, the pain after the treatment is comparatively lesser.
  4. Fewer Complications: One of the major effects of a regular surgery is the complications that might arise post the treatment. This is considerably reduced when opting for a robot surgery. The treatment plans are precise and to the point.
  5. Less Recovery Time: Your recuperation period is considerably reduced when you opt for robotic surgery, as the procedures are minimally invasive. Also, your stay in the hospital too doesn’t require more than few days.

Robotic surgeries have gained popularity in the recent years as they are accurate, less painful and carried out with utmost meticulousness. It is a special branch of medicinal science and only a doctor who is qualified for it can opt to give the services. Robotic surgeries cannot be done for every part and is advancing by the day. Currently, the most common robotic surgeries are performed in the complex procedures of oncology.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3038 people found this helpful

I am 4 month pregnant. And have lots of hair on my face. What to do at this stage?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
I am 4 month pregnant. And have lots of hair on my face. What to do at this stage?
Cosmetic help in form of bleaching, waxing or threading, don't go for laser treatment at this stage, you may do that later after the baby is born.
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I want to postpone my period due to an occasion. Doctor advised to take sysron n tablet. Is this tablet for delaying period or for getting periods. Can you confirm?

MBBS
General Physician, Mumbai
I want to postpone my period due to an occasion. Doctor advised to take sysron n tablet. Is this tablet for delaying ...
It is a progesterone derivative and can be used for periods adjustment and till the time we take it periods will not come and as soon as we stop it than after three days withdrawal bleeding happens
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How safe is usage of birth control pills? What if I miss it for a couple of days? Do I need to take it regularly, or can I start using it just a couple of days prior to sex (in case it is infrequent)? Is there another contraception method for infrequent sex, other than condoms, given that I trust the partner?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
Birth pills are very safe, although in some diseases we cannot use it (like if the patient is having severe heart disease etc). But it should be taken regularly. Now, if you take pills only around sex, those pills are not very effective and may lead to adverse effects in your body (like I-pills). in facts, I-pills are never meant for regular use. Again, there are numerous methods of contraception, each haing pros and cons. Just consult your gynaecologist who will guide your regarding which method will be best suitable for you.
1 person found this helpful
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This is exam time now and I have to take care of my health. So what kind of food should taken. What are some good examples of diet during this period? Suggest.

BHMS
Homeopath, Noida
This is exam time now and I have to take care of my health. So what kind of food should taken. What are some good exa...
Try to tk light diet. That can be digested easily. Nutrition n proteins rich food. Eat green vegetables n fresh vegetables. Try green tea n salad in your diet. Avoid oily n spicy fat rich food. Eat fibrous fruit. Tk juice n liquid intake should be more.
1 person found this helpful
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Pregnancy Changes

BAMS, Msc-Psychoneurobics, Diploma in Counseling and Spiritual Health
Ayurveda, Faridabad
Pregnancy Changes

Pregnancy brings a variety of changes to the body. They can range from common and expected changes, such as swelling and fluid retention, to less familiar ones such as vision changes. Read on to learn more about them.

Hormonal changes:
Hormonal changes during pregnancy
The hormonal and physiological changes that come with pregnancy are unique.

Pregnant women experience sudden and dramatic increases in estrogen and progesterone. They also experience changes in the amount and function of a number of other hormones. These changes don’t just affect mood. They can also:

Create the “glow” of pregnancy
Significantly aid in the development of the fetus
Alter the physical impact of exercise and physical activity on the body
Estrogen and progesterone changes

Estrogen and progesterone are the chief pregnancy hormones. A woman will produce more estrogen during one pregnancy than throughout her entire life when not pregnant. The increase in estrogen during pregnancy enables the uterus and placenta to:

Improve vascularization (the formation of blood vessels)
Transfer nutrients
Support the developing baby
In addition, estrogen is thought to play an important role in helping the fetus develop and mature.

Estrogen levels increase steadily during pregnancy and reach their peak in the third trimester. The rapid increase in estrogen levels during the first trimester may cause some of the nausea associated with pregnancy. During the second trimester, it plays a major role in the milk duct development that enlarges the breasts.

Progesterone levels also are extraordinarily high during pregnancy. The changes in progesterone cause a laxity or loosening of ligaments and joints throughout the body. In addition, high levels of progesterone cause internal structures to increase in size, such as the ureters. The ureters connect the kidneys with the maternal bladder. Progesterone is also important for transforming the uterus from the size of a small pear — in its non-pregnant state — to a uterus that can accommodate a full-term baby.

Pregnancy hormones and exercise injuries

While these hormones are absolutely critical for a successful pregnancy, they also can make exercise more difficult. Because the ligaments are looser, pregnant women may be at greater risk for sprains and strains of the ankle or knee. However, no studies have documented an increased rate in injury during pregnancy.

A pregnant woman’s entire posture changes. Her breasts are larger. Her abdomen transforms from flat or concave to very convex, increasing the curvature of her back. The combined effect shifts the center of gravity forward and may lead to changes in her sense of balance.

Weight gain, fluid retention, and physical activity

Weight gain in pregnant women increases the workload on the body from any physical activity. This additional weight and gravity slow down the circulation of blood and bodily fluids, particularly in the lower limbs. As a result, pregnant women retain fluids and experience swelling of the face and limbs. This water weight adds another limitation on exercise. Learn about natural treatments for swollen hands.

Many women begin to notice slight swelling during the second trimester. It often continues into the third trimester. This increase in fluid retention is responsible for a significant amount of weight gain women experience during pregnancy. Tips for easing swelling include:

Rest
Avoid long periods of standing
Avoid caffeine and sodium
Increase dietary potassium
Weight gain is usually the primary reason that the body can’t tolerate prepregnancy levels of exercise. This even applies to the seasoned, elite, or professional athlete. Round ligament strain, increased size of the uterus, and pelvic instability from laxity of the ligaments may lead to increased discomfort during exercise.

Tip: for fun, take a photograph of yourself from the side profile early in your pregnancy, using your best posture. Take another photo near your due date and compare these side profiles. The changes are remarkable, aren’t they?

Senses
Sensory changes
Pregnancy can dramatically alter how a woman experiences the world through sight, taste, and smell.

Vision changes

Some women experience vision changes during pregnancy, characterized by increased nearsightedness. Researchers don’t know the precise biological mechanisms behind changes in vision. Most women return to prepregnancy vision after giving birth.

Common changes during pregnancy include blurriness and discomfort with contact lenses. Pregnant women often experience an increase in intraocular pressure. Women with preeclampsia or gestational diabetes may be at an elevated risk of rare eye problems, such as retinal detachment or vision loss.

Taste and smell changes

Most women experience changes in their sense of taste during pregnancy. They typically prefer saltier foods and sweeter foods than non-pregnant women. They also have a higher threshold for strong sour, salty, and sweet tastes. Dysgeusia, a decrease in the ability to taste, is most commonly experienced during the first trimester of pregnancy.

Certain taste preferences may vary by trimester. Although many women experience a dulled sense of taste for a short period of time postpartum, they typically regain full taste capability after pregnancy. Some women also experience a metallic taste in the mouth during pregnancy. This can aggravate nausea and may indicate a nutrient imbalance. Learn more about impaired taste.

At times, pregnant women also report changes in their sense of smell. Many describe a heightened awareness and sensitivity to a variety of odors. There’s little consistent and reliable data indicating that pregnant women actually notice and identify certain odors and intensity of odors more than their non-pregnant counterparts. Nevertheless, the vast majority of pregnant women report a perceived increase in their own sensitivity to odors.

Changes related to childbirth
Breast and cervical changes
Hormonal changes, which begin in the first trimester, will lead to many physiological changes throughout the body. These changes help prepare the mother’s body for pregnancy, childbirth, and breastfeeding.

Breast changes

Pregnant women’s breasts often undergo a series of significant changes during pregnancy as their bodies prepare to supply milk to the newborn baby. Pregnancy hormones that affect skin pigmentation often darken the areola. As the breasts grow, pregnant women may experience tenderness or sensitivity and notice that the veins are darker and the nipples protrude more than before pregnancy. Some women may develop stretch marks on the breasts, particularly if they undergo rapid growth. Many women will also notice an increase in the size of the nipple and areola.

Small bumps on the areolas often appear. Most women will begin producing, and even “leaking,” small amounts of a thick, yellowish substance during the second trimester. This substance is also known as colostrum. In addition to producing the colostrum for the baby’s first feeding, milk ducts in the breasts expand in preparation for producing and storing milk. Some women may notice small lumps in the breast tissue, which can be caused by blocked milk ducts. If the lumps don’t disappear after a few days of massaging the breast and warming it with water or a washcloth, a doctor should examine the lump at the next prenatal visit.

Cervical changes

The cervix, or the entry to the uterus, undergoes physical changes during pregnancy and labor. In many women, the tissue of the cervix thickens and becomes firm and glandular. Up to a few weeks before giving birth, the cervix may soften and dilate slightly from the pressure of the growing baby.

In early pregnancy, the cervix produces a thick mucus plug to seal off the uterus. The plug is often expelled in late pregnancy or during delivery. This is also called bloody show. Mucous streaked with a small amount of blood is common as the uterus prepares for labor. Prior to delivery, the cervix dilates significantly, softens, and thins, allowing the baby to pass through the birth canal. Learn more about the stages of labor and how they affect the cervix.

Hair, skin, and nails
Changes in the hair, skin, and nails
Many women will experience changes in the physical appearance of their skin during pregnancy. Although most are temporary, some — such as stretch marks — can result in permanent changes. In addition, women who experience some of these skin changes during pregnancy are more likely to experience them again in future pregnancies or even while taking hormonal contraceptives.

Hair and nail changes

Many women experience changes in hair and nail growth during pregnancy. Hormone changes can sometimes cause excessive hair shedding or hair loss. This is especially true in women with a family history of female alopecia.

But many women experience hair growth and thickening during pregnancy and may even notice hair growth in unwanted places. Hair growth on the face, arms, legs, or back can occur. Most changes in hair growth return to normal after the baby is born. It’s common, however, for hair loss or increased shedding to occur up to a year postpartum, as hair follicles and hormone levels regulate themselves without the influence of pregnancy hormones.

Many women also experience faster nail growth during pregnancy. Eating well and taking prenatal vitamins adds to the growth hormones of pregnancy. Although some may find the change desirable, many may notice increased nail brittleness, breakage, grooves, or keratosis. Healthy dietary changes to increase nail strength can help prevent breakage without the use of chemical nail products.

“Mask” of pregnancy and hyperpigmentation

The vast majority of pregnant women experience some type of hyperpigmentation during pregnancy. This consists of a darkening in skin tone on body parts such as the areolas, genitals, scars, and the linea alba (a dark line) down the middle of the abdomen. Hyperpigmentation can occur in women of any skin tone, although it’s more common in women with darker complexions.

In addition, up to 70 percent of pregnant women experience a darkening of skin on the face. This condition is known as melasma, or the “mask” of pregnancy. It can be worsened by sun exposure and radiation, so a broad-spectrum uva/uvb sunscreen should be used daily during pregnancy. In most cases, melasma resolves after pregnancy.

Stretch marks

Stretch marks (striae gravidarum) are perhaps the most well-known skin change of pregnancy. They’re caused by a combination of physical stretching of the skin and the effects of hormone changes on the skin’s elasticity. Up to 90 percent of women develop stretch marks by the third trimester of pregnancy, often on the breasts and abdomen. Although the pinkish-purple stretch marks may never fully disappear, they often fade to the color of surrounding skin and shrink in size postpartum. Stretch marks can itch, so do apply creams to soften and reduce the urge to scratch and possibly damage the skin.

Mole and freckle changes

The hyperpigmentation caused by changes in hormones during pregnancy can cause changes in the color of moles and freckles. Some darkening of moles, freckles, and birthmarks can be harmless. But it’s always a good idea to see a dermatologist or physician about changes in size, color, or shape.

Pregnancy hormones can also cause the appearance of dark patches of skin that are often unpreventable. Although most skin pigmentation changes will fade or disappear after pregnancy, some changes in mole or freckle color may be permanent. It’s a good idea to have a skin check for potential skin cancer or pregnancy-specific skin conditions if you notice any changes.

Pregnancy-specific rashes and boils

Small percentages of women may experience skin conditions that are specific to pregnancy, such as puppp (pruritic urticarial papules and plaques of pregnancy) and folliculitis. Most conditions involve pustules and red bumps along the abdomen, legs, arms, or back. Although most rashes are harmless and resolve quickly postpartum, some skin conditions may be associated with premature delivery or problems for the baby. These include intrahepatic cholestasis and pemphigoid gestationis.

Circulatory system
Circulatory system changes
The following are common during pregnancy:

Huffing and puffing while climbing stairs
Feeling dizzy after standing quickly
Experiencing changes in blood pressure
Because of rapid expansion of the blood vessels and the increased stress on the heart and lungs, pregnant women produce more blood and have to utilize more caution with exercise than non-pregnant women.

Heartbeat and blood volume during pregnancy

During the second trimester of pregnancy, the mother’s heart at rest is working 30 to 50 percent harder. Most of this increase results from a more efficiently performing heart, which ejects more blood at each beat. Heart rate may increase up to 15 to 20 percent during pregnancy. It’s not uncommon to approach 90 to 100 beats per minute in the third trimester. Blood volume increases progressively during pregnancy until the last month. The volume of plasma increases 40-50 percent and red blood cell mass 20-30 percent, creating a need for increased iron and folic acid intake.

Blood pressure and exercise

There are two types of circulatory changes that may have an impact on exercise during pregnancy. Pregnancy hormones can suddenly affect the tone in blood vessels. A sudden loss of tone may result in the feeling of dizziness and perhaps even a brief loss of consciousness. This is because the loss of pressure sends less blood to the brain and central nervous system.

Additionally, vigorous exercise may lead to decreased blood flow to the uterus while diverting blood to muscles. However, this has not been shown to have a long-term impact on the baby. Furthermore, there’s evidence to suggest that individuals who exercise have improved blood supply to the placenta at rest. This may be beneficial to placental and fetal growth and weight gain.

Dizziness and fainting

Another form of dizziness can result from lying flat on the back. This dizziness is more common after 24 weeks. However, it can happen earlier during multi-fetal pregnancies or with conditions that increase amniotic fluid.

Lying flat on the back compresses the large blood vessel leading from the lower body to the heart, also known as the vena cava. This decreases blood flow to and from the heart, leading to a sudden and dramatic decline in blood pressure. This can cause dizziness or loss of consciousness.

After the first trimester, it’s not recommended to do exercises that involve lying on the back due to the impact from blood vessel compression. Lying on the left side may help relieve dizziness and is a healthy position for sleep.

Women experiencing any of these conditions, particularly during exercise, should consult their doctor.

Respiratory and metabolic changes
Respiratory and metabolic changes
Pregnant women experience increases in the amount of oxygen they transport in their blood. This is because of increased demand for blood and the dilation of blood vessels. This growth forces increases in metabolic rates during pregnancy, requiring women to up energy intake and use caution during periods of physical exertion.

Breathing and blood oxygen levels

During pregnancy, the amount of air moved in and out of the lungs increases by 30 to 50 percent due to two factors. Each breath has a greater volume of air, and the rate of breathing increases slightly. As the uterus enlarges, the room for movement of the diaphragm may be limited. Therefore, some women report the feeling of increased difficulty in taking deep breaths. Even without exercise, these changes may cause shortness of breath or the feeling of being “air hungry.” exercise programs may increase these symptoms.

Overall, pregnant women have higher blood oxygen levels. Studies have shown that pregnant women consume more oxygen at rest. This does not seem to have an impact on the amount of oxygen available for exercise or other physical work during pregnancy.

Metabolic rate

Basal or resting metabolic rate (rmr), the amount of energy the body expends while at rest, increases significantly during pregnancy. This is measured by the amount of oxygen used during periods of total rest. It helps estimate the amount of energy intake required to maintain or gain weight. Changes in metabolic rates explain the need to increase calorie consumption during pregnancy. The body of a pregnant woman slowly increases its energy requirements to help fuel the changes and growth taking place in both the mother and baby.

Metabolic rates increase substantially by just 15 weeks’ gestation and peak in the third trimester during the greatest growth phase. This increased metabolic rate may put pregnant women at a higher risk of hypoglycemia, or low blood sugar. Although the metabolic rate may drop slightly as the pregnancy reaches term, it remains elevated over prepregnancy levels for several weeks postpartum. It will remain elevated for the duration of breastfeeding in women producing milk.

Body temperature changes

An increase in basal body temperature is one of the first hints of pregnancy. A slightly higher core temperature will be maintained through the duration of pregnancy. Women also have a greater need of water during pregnancy. They can be at higher risk of hyperthermia and dehydration without caution to exercise safely and remain hydrated.

Hyperthermia – overheating during pregnancy

Heat stress during exercise creates concern for two reasons. First, an increase in the mother’s core temperature, as in hyperthermia, can be harmful to the baby’s development. Second, loss of water in the mother, as in dehydration, can decrease the amount of blood available to the fetus. This can lead to increased risk of preterm contractions.

In non-pregnant women, moderate aerobic exercise causes significant increases in core body temperature. Pregnant women, whether they exercise or not, experience a general increase in base metabolic rate and core temperature. Pregnant women regulate their core temperature very efficiently. Increased blood flow to the skin and the expanded skin surface release increased body heat.

It’s been shown that pregnant women do not have as much of an increase in body temperature during exercise as those who are not pregnant. However, pregnant women should avoid exercising in non-breathable clothing and in very hot or humid conditions, since the impact of hyperthermia can be severe. The following may help reduce the risk of overheating while exercising:

Use fans during indoor activity
Exercise in the pool
Wear light-colored, loose-fitting clothing
Dehydration

Most women who exercise for 20 to 30 minutes or who exercise during hot and humid weather will sweat. In pregnant women, loss of bodily fluids from sweat can decrease the blood flow to the uterus, the muscles, and some organs. The developing fetus needs a constant supply of oxygen and nutrients carried through the blood, so injury may result from a lack of fluid.

In most conditions, uterine oxygen consumption is constant during exercise and the fetus is safe. However, exercising can be dangerous for women with pregnancy-induced hypertension. That’s because this condition limits uterine blood volume as the vessels clamp down and deliver less blood to the area.

If you’re cleared for exercise during pregnancy, be sure to follow common-sense tips. Avoid excessive heat and humidity and rehydrate, even when you’re not thirsty.

4 people found this helpful

I always feel wet in vaginal area and my inner clothes get smelled due to this wetness always. (Im embarrassed to sit with widened legs due to that smell. I'm getting that white thing even if my periods are completed. Is it common to get like that. If not suggest me what to do for this problem?

BHMS
Homeopath, Murshidabad
Dear lybrate user, you may be suffering from leucorrhoea. To get rid of your problem you need the following homoeopathic medication:- 1) mix 5 drops of each of homoeopathic syphilinum 1m + homoeopathic alumina 200 + homoeopathic borax 200 in a cup of water & take that mixture early morning before brushing your teeth daily. 2) take 2 tablets from homoeopathic calcarea ova tosta 3x tablets just before bathing daily. 3) take 30 drops of homoeopathic mother tincture blumea odorata q, thrice daily, after meals, in a cup of water.
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