Doctor in Motherhood
Ante-natal check & Counseling
High Risk Pregnancy Management
Painless Delivery (with anesthesia)
Well Woman Checkup (Below 30 years and Above 30 years)
DUB – Dysfunctional Uterine Bleeding
Carcinoma - Cervical Cancer
Tests & Treatments
Polycystic Ovary Syndrome (PCOS)
New Born Screening
Level 3 NICU
Liposuction and Liposculpting
Patient Review Highlights
Truly amazing experience. It took me some time to decide on which hospital to choose. Now i am confident that my choice was right with Motherhood. The staff have a very courteous approach towards patients. Thanks to Tabitha for taking an extra care. It really makes us feel special. Our experience with Dr.Kavitha has been wonderful, she has been very supportive and caring throughout my pregnancy and attended to me even during late hours. Considering all complications I had during my Pregnancy she gave us the confidence to deliver Normally, In the end, I did have a normal delivery, this wouldn't have been possible without Dr.Kavitha support. Her Expertise during the delivery really helped me in all positive ways to deliver in a very short duration. I am glad to find such a professional and conscientious Doctor in a world where we find many depraved once. She has been a blessing to me and so to all mothers who can reach out to her.
She has a very warm, caring personality and made me feel very comfortable. I would like to express my thanks for her professionalism, understanding and the top class treatment I was given. As frankly speaking, now a days having a normal delivery is a big task as other hospitals Strictly follow C-Sec. and most of the Doctors also suggest for C-sec. but I must say Dr. Nupur Sood is a perfect doctor for those patients who has a fear of C-sec. she tries her best for the normal delivery. In simple word I can say she is a lucky charm filled with positive nature. After the post delivery I had breathing problem as it doesn't not involve gynaecologist involvement. But still Dr.Nupur has taken all the initiative to guide me and she also visited me to know my Heath condition. And over the phone also she was asking about my recovery. No such doctors does this to any patients. I definitely recommend Dr. Nupur Sood. Rashmi Shetty
I would say , she is down to earth person. She has enough patience to hear the problem from the patient and guides accordingly. She provides her personal Number and will provide guidance if we call her anytime for any problem during pregnancy period. Our first baby but unfortunate that as per customs we went to our native for delivery. But for 8 and half months we were under her guidance and it was awesome treatment. She prefer to control anything via natural methods like in Food habitat, Exercises and so on. She avoids giving unwanted medicines to the conceived women as she cares about the health of both Baby and Mother. She is not money minded rather she is conscious on the health of the patient. Also she advise not to take unwanted scans and waste the money which is very difficult to find doctor like her in this money minded world. We can only find only few doctors and she is one among them
She is very down to earth, gives enough time for consultation, is not money minded, does not give any extra medicines only the bare minimum, counsels well - speaking to her gives satisfaction, aleays available on call and msgs. Above all she helped me to deliver normally, unlike todays docs who are ok with c section. She motivates and tries her best to help you deliver the baby normally.
I was shocked to experience complications at the time of delivery. I visited Motherhood - Sarjapur and it was no nicely done, it was so clean. With hertreatment, I am completely cured from the disease. Dr.Archana Pathak is very talented and seasoned doctor. Immediatley she identified the solution to my problem. During the complete delivery process she always supported and motivated me.
It's so common these days that for any pregnant lady to be advised to go under c section by their gyno,s with slightest complications… dr. Geetha was such an exception to this. we feel fortunate to have opted her for my wife.s pregnancy.. even under all complications she made us got a very safe normal delivery n all through the pregnancy she was a great support to us..
My sister had a sudden water breakdown with zero dilation.. we had to admit her on an emergency….. chances of normal delivery in her case was very less as she had fluid loss.. still Dr. Geetha made a normal delivery n my sis n baby are v healthy now.. all thanks for Dr.Geetha Nagarjuna.. you are extremely knowledgeable and skillfull..
She is very good and understanding. I consulted her 3years back for my 1st delivery. She never stopped me for eating anything. Very down to earth dr, she understand your concern and suggest you with best solution.
I found the answers provided by the Dr. Anantharaman Ramakrishnan to be very helpful, knowledgeable, inspiring, caring and practical. Thank you Sir very much from bottom of my heart..thank you again Sir.
I found the answers provided by the Dr. Anu Joseph to be very helpful, professional, prompt, knowledgeable and inspiring. She is so king and explained very well . Simply superb
Great Dr for normal delivery. I would like to thank you a lot Dr. Geetha because she made my pregnancy so easy and treated me so well. Thank you so much
Dr is so understanding with the patient. She listens all the issues with patience. Dr asha has a great experience of all gynaec related issues..
Dr is so understanding with the patient. She listens all the issues with patience. Dr asha has a great experience of all gynaec related issues..
I found the answers provided by the Dr. Anantharaman Ramakrishnan to be knowledgeable. We are consulting Dr Gandhi in dhantoli
I found the answers provided by the Dr. Anantharaman Ramakrishnan to be very helpful. Thank you
Dr. Anantharaman Ramakrishnan provides answers that are very helpful. Its v helpful
Dr.treats very good . She is very friendly in treating. Totally good experience
She explained things in detail and did not prescribe any unnecessary medicine
Dr. Anantharaman Ramakrishnan provides answers that are knowledgeable. Gud
Doctor is very interactive. ..clinic is neat and clean.
She's a very nice person who's highly knowledgeble.
Good and given some medicine..
Most women stay confused with the time of their ovulation. Couples who are sexually healthy and are in their 20s and 30s and are not using any birth control measures have 20% chances of getting pregnant. It is interesting to know that you have a high chance of getting pregnant at the time of ovulation. It is a small window period that comes each month. It is the time when your ovary produces ovum or egg and the egg is open for fertilisation. Even if you are having sex two or three days before ovulation, there is a high possibility of fertilisation. After ovulation is over, the window period gets shut for the next cycle. It is the safe period. Though doctors say that it cannot be considered 100% safe to have unprotected sex during this period, the chances of getting pregnant are considerably lower.
When does ovulation actually start?
It should be remembered that ovulation takes place at the middle of your menstrual cycle. It usually occurs halfway through the cycle. Commonly, the average time period of a cycle is 28 days. But, in some cases, women may have cycles as long as 23 to 35 days.
How will you know that you are ovulating?
- Check your calendar: It is a healthy habit to keep a menstrual calendar. You must maintain the dates for a few months. This will give you an idea as to when you actually ovulate.It is difficult to know the actual time of ovulation if you are having irregular periods.
- Carefully listen to your body: It is a common thing that your body spontaneously sends a memo to you before ovulation starts. You get cramps or feel pain in the lower abdomen before ovulation starts. This pain is called mittelschmerz. It is a reminder of the coming periods.
- Chart your body temperature: Well, you will need to keep a record of your basal body temperature. You can measure it after three to five hours of sleep. Your basal body temperature changes throughout the monthly ovulation cycle. Progesterone hormone is responsible for the increase in body temperature. In the first half of the month, the progesterone levels are low and hence the temperature remains low as compared to the second half of ovulation.
- You can go for saliva test: Your saliva contains the estrogen hormone. Its level changes throughout the cycle. You can also use an ovulation detector kit to know the dates.
It is a well-known fact that the placenta is one of the most important organs related to pregnancy. However, it can also be said that when there is not enough placenta, the stage is set for a lot of complications.
This sort of condition goes by a variety of names. Among them are placental insufficiency, which is most commonly used, placental dysfunction as well as uteroplacental vascular insufficiency, which sounds like a mouthful to pronounce!
The condition refers to the case where the blood supply itself is not large enough. The placenta is the key connection, which exists between the mother and the developing child. By making use of this connection, the mother can transfer nutrients and oxygen to the child for it to develop in a sufficient manner.
Taking this into account, it can be imagined what a ruinous impact the shortage of these nutrients and even basic oxygen can have on the baby. In fact, there is a 1 in 300 chance of there being placental insufficiency for a woman who is expecting a baby.
What causes placental insufficiency?
Complications such as placental insufficiency are caused in a general sense, by some lifestyle bad habits such as smoking and the consumption of drugs. However, it also depends on the health of the mother when she conceives. Some women are already suffering from diseases, such as diabetes and chronic high blood pressure as well as disorders which relate to the clotting of blood when they get pregnant.
A case of placental insufficiency cannot be cured fully but the good news is that a lot can be done by the way of medication and practices to try to reduce the ill effects it has on the development of a baby. It can be said crucial for this purpose that the condition of placental insufficiency is detected well in advance of the expected date of delivery. When the case is such that there is a serious chance that the baby may be delivered prematurely, it is very important that a doctor is consulted.
The course of medicine, which is likely to be suggested is the administration of steroids by a qualified medical professional to the mother who is expecting a baby. The reason why this is done is so that the steroids can transfer from the mother to the developing child by making use of the placenta and can work to strengthen the lungs of the baby.
Pregnancy is a normal life function that many women go through. Yet, this is a function or a part of life where one has to take special care of one’s health and condition as there are many biological changes that happen in one’s body. Swollen legs and ankles are a common part of one’s pregnancy. This condition is most commonly known as edema and it usually occurs when fluid collects in the tissue. This in turn happens when the blood chemistry changes and the fluid gets routed to the tissue. This is a common occurrence due to the hormonal changes that one goes through during pregnancy. The condition usually troubles pregnant ladies during their third trimester.
Read on to find out the various ways in which one can deal with it.
- When to call a doctor: Call a doctor or a midwife for a thorough check up if you happen to see any puffiness or swelling in your face and eyes. This could point at a more serious problem like the onset of preeclampsia. Also, if you happen to notice that one leg is more swollen than the other, then you may want to see a doctor about it, as it could mean that there is a blood clot in the leg.
- Put your feet up: This is especially important if you are at a desk all day. The best way to deal with such swelling is to put your feet up every once in a while, so that the swelling may reduce. You can use a foot stool or even a pile of books for this purpose.
- Breaks: If you are constantly sitting or lying down, it would be a good idea to give it a break and walk around a little so that there is better blood circulation. This also keeps the blood from pooling into the lower regions of the legs, which can prevent an increase in the swelling.
- Comfortable footwear: One should stick to flat and comfortable footwear with an even elevation as well as foam soles so that the comfort level while walking and standing is optimum. Choose your shoes so that they can accommodate your swelling instead of pinching your feet. Also, you can choose to wear snug socks and stockings, which will form a band around your feet. This will ensure that the swelling does not increase to a painful level. At the same time, you must avoid socks that have bands, which are too tight as this may lead to blood pooling and subsequent swelling in the legs and ankles.
- Water: Drinking plenty of water ensures that there is less fluid retention. This is one of the best ways of fighting edema whether or not you are pregnant.
The uterus or womb is a strong structure that is held up by the pelvic muscles and tendons. In case that these muscles or tendons extend or get distinctly powerless, they are no longer ready to support the uterus, bringing about prolapse. Uterine prolapse happens when the uterus hangs or slips from its ordinary position, into the vagina or birth channel.
Uterine prolapse might be fragmented or complex. A deficient prolapse happens when the uterus is just halfway drooping into the vagina. An entire prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina.
The danger of having a prolapsed uterus increases as a woman ages and her estrogen levels diminish. Estrogen is the hormone that keeps the pelvic muscles solid. Harm to pelvic muscles and tissues during pregnancy and labor may likewise lead to prolapse. Women with more than one vaginal birth and in their postmenopausal period are under the most significant risk. Any action that puts weight on the pelvic muscles can expand your danger of a uterine prolapse. Different variables that can increase your risk for the condition include:
Women who have a minor uterine prolapse might not have any side effects. Direct to serious prolapse may bring about side effects, for example:
- Having an inclination that you are sitting on a ball
- Vaginal bleeding
- Expanded discharge
- Issues with sex
- Feeling the uterus or cervix leaving the vagina
- A pulling or substantial feeling in the pelvis
- Bladder infections
In case that you experience these symptoms, it is important to see your specialist. Without appropriate diagnosis, the condition can weaken your vagina, bladder, and sexual capacity. Treatment is not generally fundamental for this condition. In case that prolapse is serious, talk with your specialist about which treatment choice is suitable for you. Nonsurgical medicines include:
- Shedding pounds to take the strain off of pelvic structures
- Maintaining a strategic distance from truly difficult work
- Doing Kegel works out, which are pelvic floor exercises that strengthen the vaginal muscles
- Taking estrogen substitution treatment
- Wearing a pessary, which is a device embedded into the vagina that fits under the cervix and pushes up and settles the uterus and cervix
Surgical medications include uterine suspension or hysterectomy. During uterine suspension, your specialist puts the uterus once again into its normal position by reattaching pelvic tendons or utilizing surgical materials. During a hysterectomy, your specialist expels the uterus from the body through the stomach area or the vagina. Surgery is usually successful; however, it is not suggested for women who anticipate having a baby later on.
Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.
- Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
- Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
- Premature menopause: Early menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
- Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
- Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus.
Breast cancer is a form of cancer which develops from the breast tissue. Breast cancer is indicated by signs such as a lump in the breast, changes in breast shape, fluid flowing from the nipple, dimpling of skin, or the development of red scaly patches. Breast cancer is a fatal form of cancer in women and immediate diagnosis is required on observing the symptoms.
Diagnosis of breast cancer
Other than the regular breast screening, the diagnosis of breast cancer involves the following steps and methods:
- Seeing your general practitioner (GP): It is very important to visit your GP soon after noticing the symptoms of breast cancer. Your GP will examine you properly and in case your symptoms need more assessment, he/she will refer you to a breast cancer clinic.
- Mammogram and breast ultrasound: You will be required to have a mammogram, as recommended by a specialist breast unit. This is an X-ray of the breasts. An ultrasound scan may also be required. Breast ultrasound should be undertaken only if you are less than 35 years of age. This is because, young women have denser breasts and a mammogram is not as effective as ultrasound in the diagnosis of breast cancer. In ultrasound, high frequency sound waves are used for obtaining an image of your breasts. It is observed to notice any abnormality or lumps. A breast ultrasound is also important for determining whether a lump is solid or contains liquid.
- Biopsy: In this diagnosis process, a sample of the tissue cells is taken from the breasts and tested under a microscope to find out if it is cancerous. A scan and needle test for the lymph nodes present in your armpit is also done to check whether they have also been affected. A biopsy is undertaken in several ways, depending upon the condition and severity. A needle aspiration biopsy is used for testing a sample of your breast cells without the removal of the tissues. This is the most common form of biopsy and it is also used for draining a small fluid-filled lump or benign cyst. During the process, you will be given a local anesthetic. Usually, a needle biopsy is carried out guided by an X-ray, ultrasound and an MRI scan as well. This helps in distinguishing it from non-invasive changes such as ductal carcinoma in situ.
Another form of biopsy used for the diagnosis of breast cancer is called vacuum assisted biopsy or mammotome biopsy. In this process, a needle gets attached to a suction tube, which helps in obtaining the sample and for clearing the bleeding.
Hysterectomy is a procedure that is used to treat a wide variety of conditions. A partial hysterectomy is performed for the removal of the uterus whereas a myomectomy is performed for the removal of the fibroids. A complete hysterectomy is performed in order to remove the uterus and the cervix. With hysterectomy, there comes some critical and sensitive topic that needs to be discussed with the surgeon. Here is a list of top 10 things that need to be known about hysterectomy:
- The sex life concern: Unlike common apprehension, hysterectomy doesn’t necessarily mean the end of sex life. In the worst case scenario where the cervix is removed, it takes around 6 weeks before one can resume the sex life.
- Hysterectomy can’t cure endometriosis: Endometriosis is a condition that is characterised by menstrual cramp, painful intercourse and chronic pain. Hysterectomy is not the first line of treatment for a condition like this. If any doctor has suggested it, it makes sense to take a second opinion.
- Hysterectomy doesn’t mean menopause: This procedure doesn’t mean a menopause or an inability to get pregnant. There are certain other misconceptions such as getting night sweats, hot flashes and menstrual cramp etc. On the contrary, a well-performed procedure will ensure that a person doesn’t feel a thing after the surgery.
- The loss in ovaries: Depending on the condition of a patient, a doctor might remove the fallopian tube, uterus and ovaries. It necessarily means a sudden loss of oestrogen and progesterone hormone abruptly. Both this hormone are critical for bone and sexual health. It might also lead to menopause, decreased urge in sex and hot flashes during the night. It is therefore very important to discuss each and every aspect of the procedure before the surgery begins.
- Hormonal therapy: Since the removal of ovaries is likely to cause physical discomfort to the body, hormonal therapy can come to the rescue of an individual. Hormonal therapy can curtail the risk of blood clot formation, heart diseases, stroke etc.
- Explore other non-surgical options: Hysterectomy is not the last word for any uterus or ovary related problems. The goal is to keep the uterus intact. There are certain less evasive procedures to save ovaries and uterus. This is where multiple opinions come handy.
- Less invasive options: There exist less invasive surgeries for treatment related to uterus and ovaries. For instance, a robotic hysterectomy causes far less pain as compared to traditional procedure. It also ensures less loss of blood from the system resulting in less weakness.
- The morcellation technique: In case a uterus has to be removed, doctors these days use a process known as morcellation. The latter involves making small cuts into various places of the uterus in order to bring it out. The false apprehension of this process causing cancer cells in the body is not true. Only if a patient is suffering from a particular kind of cancer, it might spread to other parts of the body. A doctor has to be consulted to assure such a thing doesn’t happen.
- Cancer apprehension: For people facing a gene defect such as BRAC1 and BRAC2 hysterectomy can reduce the chance of ovarian cancer by a good 80 percent.
- Physiological healing post hysterectomy: Although physical healing takes no more than 6 weeks after the procedure, the emotional healing might take some time. It makes sense to seek professional help for postoperative depression.
Pregnancy can wreak havoc in your body; be it your hormones overflowing or the constant crying of your newborn that makes you agitated after a point of time. Your baby will probably be your top priority in times like these but maybe, you can put yourself on the list as well once in a while because carrying a human inside isn’t a very easy task.
On the off chance that you suffered a vaginal tear or an episiotomy while delivering, the injury may sting for a couple of weeks. Broad tears may take more time to heal. Meanwhile, you can promote healing by:
- In case of sitting becoming uncomfortable, try sitting on a cushion or cushioned ring.
- Utilize a squeezer-bottle in order to pour lukewarm water over the vulva while you're urinating. Press a cleansed washcloth immovably against the injury when you hunker down for passing stool.
- Cool the injury using an ice compress, or place a cool witch hazel cushion between the wound and a clean sanitary napkin.
- Take stool softeners or analgesics as prescribed by your healthcare provider.
- For treatment of episiotomy wound in 1st week - betadine wash should be used 3-4 times a day.
While you're recovering, anticipate that the uneasiness will gradually reduce. Contact your doctor if the pain increases; the injury gets swollen, hot and excruciating; or if you notice a discharge with pus.
Vaginal discharge (lochia) might be a problem for several weeks post-delivery. Expect a red, overwhelming stream of blood for the initial few days. The release will continuously decrease, getting to be watery and changing from pink or chestnut to yellow and finally white. Contact your doctor if:
- You have substantial vaginal drying
- The discharge has a foul scent
- You have a temperature of 100.4 F (38 C) or more
You may feel contractions for the initial few days post-delivery. These constrictions, which frequently seem like menstrual cramps help in preventing excess bleeding by compressing the vessels. These contractions have a tendency to get more intense with subsequent deliveries. Your healthcare supplier may suggest an OTC pain reliever as well. Contact your healthcare personnel in the event of fever or if the stomach area is tender to your touch. These symptoms and side effects could show a uterine disease.
Menstruation is the monthly discharge of blood from the vagina, which lasts for about 5 to 6 days. It is the shedding of the inner lining of the uterus, when pregnancy does not occur after the release of egg from the ovary. Menstrual periods are generally often accompanied by painful cramps in the lower abdomen, heavy bleeding, weakness, water retention, irritability and malaise.
What is Menorrhagia?
Very heavy or prolonged periods are medically termed as menorrhagia. It is abnormally heavy bleeding if there is a requirement to change sanitary napkins or tampons several times within a very short span of time. Passing large blood clots, night time bleeding, bleeding for over 7 -8 days, are other symptoms that one might be suffering from menorrhagia.
Common Causes Behind It
Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.
History of miscarriage or failed pregnancies.
Use of contraceptives
How can you treat heavy bleeding during menses
Some non steroidal anti inflammatory drugs such as ibuprofen may be prescribed to reduce the blood loss.
Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.
Increasing magnesium intake to balance out levels of oestrogen.
It is best to stick to natural remedies, as it generally does not create complications in other bodily functions.
If the bleeding cannot be controlled even after a change of diet and home remedies, you must visit the gynaecologist as soon as possible. Heavy bleeding is a serious problem, especially if accompanied by dizziness, fluctuations in the blood pressure, nausea and weight loss. Severe cramps and constant bleeding can hinder daily routine, therefore, the earlier you receive medical attention, the quicker you will get relief.
What is Prenatal care?
It is crucial for a woman who is on her way to becoming a mother to pay special attention to her health. Health care offered to a pregnant woman is also known as prenatal care or antenatal care. It is a very important phase in a woman's life, so go for regular prenatal checkups as they go a long way in reducing risks of complications during pregnancy and child birth. This, in turn, increases the chances of giving birth to a healthy baby.
Contrary to popular belief, prenatal care does not begin when a woman is told that she is pregnant. Prenatal care should ideally be started at least three months before you try to conceive a child. This prepares your body and mind for the changes that pregnancy will bring. Some healthy habits to follow during this period include:
- Quit Drinking alcohol and smoking
- Consult a gynecologist about any existing medical conditions, medication you may be on and what supplements you should start taking
- Avoid contact with chemicals and toxic substances
Once your pregnancy is confirmed, you will need to visit the doctor regularly for checkups.
Prenatal checkups are meant to keep an eye on your health and the health of your baby. In most cases, you will be asked to come in every month for the first two trimesters and every two weeks during the seventh and eighth month of your pregnancy. During the ninth month, your doctor may want to see you once a week until the delivery. In cases where a pregnancy is considered high risk because of existing medical conditions, the age of the mother or any other factors, the doctor may ask a for more frequent checkups.
A prenatal checkup involves a physical examination, tests, screenings and dietary consultations. Some of the common tests include blood tests to check for HIV, the mother’s blood type and anemia. Your blood pressure will also be monitored. When it comes to the baby’s health, determining the rate at which the baby is growing and heart rate are most important. In the later stages of your pregnancy, the position of the baby will also be noted. It is important to not skip these checkups even if you are feeling fine.
Keep your doctor informed about any changes you may notice in your health. Do not take any medication without consulting your doctor even if it is for something as simple as a cold. Do not feel shy about talking to your doctor and ask him or her anything you would like to about your pregnancy and childbirth.