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Dr. Malar Selvi

Gynaecologist, Chennai

300 at clinic
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Dr. Malar Selvi Gynaecologist, Chennai
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Malar Selvi
Dr. Malar Selvi is a renowned Gynaecologist in Adyar, Chennai. You can consult Dr. Malar Selvi at Dr.kannan's Clinic in Adyar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Malar Selvi on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 40 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai 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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#3,5th Parallel Road, 3rd Street, Bakthavatchalam Nagar. Landmark: Opp Adayar Bus Stand, ChennaiChennai Get Directions
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Oral Health Complications During Pregnancy

BDS
Dentist, Faridabad
Oral Health Complications During Pregnancy

Oral Health Complications During Pregnancy

Recent findings have reported that oral bacteria and their by-products can possibly pass the placental barrier keeping oral health at prime importance during pregnancy. An awareness related to oral health during pregnancy cannot be neglected or avoided in order to minimize the complications.

This article focuses on few points related to the necessity of oral health during pregnancy. 

Pregnancy comes with many responsibilities making expecting mothers more concerned about their health. However, many pregnant women may not be aware of oral health and its effect on the developing child. Negligence of oral health is quite common during pregnancy due to lack of alertness of oral hygiene and its effect on systemic health.

Moreover, pregnancy discomforts like frequent bouts of nausea, increased physical demands, weight gain or certain dental problems like pregnancy gingivitis or inflammation of gums may be dangerous to developing fetus.  

Risk of oral problems during pregnancy:-

Few common oral problems associated with pregnancy are as follows. 

Pregnancy Gingivitis: 

Hormonal changes during pregnancy leads to pregnancy gingivitis. It is a condition of bleeding gums, redness. Moreover inflammation, swelling and tenderness are also observed. Ignorance of such problems may lead to serious gum disease.  Frequent cleaning can avoid such dental issues. Progesterone levels are elevated during pregnancy which stimulates the production of prostaglandins and leads to inflammation of blood vessels in gums.

Tooth Decay:

Diet during pregnancy is of high importance. It is designed to nourish both mother and unborn baby. Diet rich in carbohydrates actually increases the risk of tooth decay. The morning sickness increases acid secretion in the mouth which is harmful to enamel. 

Pregnancy tumors: 

Overgrowth of tissue on gums in pregnant women are called as pregnancy tumors. They are noncancerous and generally observed in the second trimester of the gestation period. It is nothing but swollen gums between teeth. The bleeding and reddening of gums observed in such conditions.  

Periodontal disease and preterm birth:

Untreated gum disease or periodontal problems can development periodontitis characterized by inflammation and infection of the gums and supporting structures of the teeth. 

This ultimately leads to loss of supporting material and finally the teeth themselves. 

A study result has revealed that there is a relation between preterm birth and presence of gum diseases in the pregnant women. The reason is not yet known. 

However, research study findings have evidence that oral bacteria or their byproducts can pass placental barrier. This initiate inflammatory response leading to preterm birth. 

Another correlation exists between the gum disease and the increased rate of pre-eclampsia, a condition of high blood pressure during pregnancy. The positive correlation suggests that gum disease may cause stress to the blood vessels of the mother, placenta and the fetus.

The basic periodontal therapies like oral hygiene instructions, scaling, root planing and prophylaxis can substantially decrease the level of prostaglandin responsible for inflammatory response. 

The regular treatment and follow-up in pregnant women can maintain good oral health and minimize the risk of preterm birth. 

Dental treatment during pregnancy: 

The dental procedures mostly include the use of X-rays and use of anesthesia. In the case of pregnancy, these procedures can be used with precaution. 

Therefore, before sitting on dental chair patient should declare her pregnancy to the physician. Untreated dental infections can harm fetus as well as the mother. 

The emergency situations request use of dental radiographs which can’t wait. The radiation of dental x-ray is generally very low and precaution is always taken for lowest radiation exposure. A leaded apron including collar, shields can be used to prevent abdominal exposure to the x-ray radiation. 

Use of dental X-ray is not at all contraindicated in pregnancy when used with precaution. 

The use of local anesthesia is also not contraindicated in the pregnancy. 

A clinical trial result showed that there is no harm in the use of local anesthetics during pregnancy. It is not linked with increased risk for major medical problems like cerebral palsy, cleft lip and heart defect in newborns. 

The medication prescribed during dental treatment mainly includes local anesthetics, analgesics, and antibiotics. Most of them can be used with safety precautions. Each drug has its own pregnancy category which should be considered during its use. 

The antibiotic like tetracycline can permanently cause discoloration of developing teeth.  

Prevention: 

Dentists can educate patients with following points to avoid problems associated with oral hygiene. 

  • The patient should declare the pregnancy to  the Dentist 
  • Follow routine oral checkup. 
  • Undergo all elective and emergency procedures. 
  • Follow good oral hygiene practice ask for a better toothpaste.
  • In the case of morning sickness avoid sweets and snacks which increase the risk of tooth decay. 
  • Have healthy and balanced diet. 

Awareness of oral health during pregnancy is a must to avoid complications.

3 people found this helpful

Hi, my Bf ejaculated in his panty twice. N we were close to each other. But we have alys been In clothes, never been off clothes. Is there any chance of being pregnant.

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
Hi, my Bf ejaculated in his panty twice. N we were close to each other. But we have alys been In clothes, never been ...
It is extremely unlikely that you r pregnant. Peno vaginal intercourse is required. Best confirmatory test to rule out pregnancy is urine pregnancy test.
2 people found this helpful
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Does eating chocolates during periods have good or adverse effects on mensuration cycle? How to regulate menstruation flow and be healthy.

BHMS
Homeopath, Faridabad
Does eating chocolates during periods have good or adverse effects on mensuration cycle? How to regulate menstruation...
According to the Food and Drug Administration's Center for Drugs and Biologics, though chocolate contains a small amount of caffeine, it contains large amounts of theobromine,which is classified as a mild stimulant of the central nervous system. Because of this, chocolate can create a nervous condition that actually accentuates pain and discomfort. Management of pain: Place a heating pad or hot water bottle on your lower back or abdomen. Taking a warm bath may also provide some relief. To relieve menstrual cramps, you should also: Rest when needed. Avoid foods that contain caffeine and salt. Avoid smoking and drinking alcohol. Massage your lower back and abdomen. Keep yourself hydrated as dehydration also leads to cramps. Intake of warm things may help you in some cases. Women who exercise regularly often have less menstrual pain. To help prevent cramps, make exercise a part of your weekly routine. Medication: Take homoeopathic medicines - Schwabe's Mag. Phos. 6x and Colocynthis 200 - both every 2 hrly till menstrual pain is there.
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I have taken an unwanted 72 pill on 19 Jan, Today I got my first period but the quantity of blood is very less only some drops, My period start before 6-7 days. Is there any sign of pregnancy. What should I do to get the perfect period Please help and suggest me. Thanks.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
I have taken an unwanted 72 pill on 19 Jan, Today I got my first period but the quantity of blood is very less only s...
Withdrawal bleeding happens 7-10 days after unwanted 72. Just observe for bleeding, if in doubt do urine or blood pregnancy test.
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Hello doc, I had an unprotected sex last month. She missed her periods this month and pregnancy test came positive. We both are quite young and don't want this pregnancy. What options do we have. Please help.

MBBS; M.S.
Gynaecologist, Sri Ganganagar
Hello doc, I had an unprotected sex last month. She missed her periods this month and pregnancy test came positive. W...
Consult gyno. If your married think all aspects before going for abortion. Sometimes abortions lead to infertility.
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My wife wants to have sex without condom on. Since we don't want any baby for a year what are our options for temporary birth control?

BHMS
Homeopath,
My wife wants to have sex without condom on. Since we don't want any baby for a year what are our options for tempora...
U can take every month birth control pill. Or copper-T.this are the options you hv. I think better to consult with your gynaecologist.
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Does squats and leg press machines exercises in gym makes vagina loose or does it affect hymen? I am 22 virgin.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It does not make it loose nor it affects hymen. Fir tightening the vagina we advise kegel exercise. While performing these exercises similar group of muscles also contract so it can not get loose.
1 person found this helpful
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Causes and Symptoms of Menorrhagia

Multi Speciality Clinic
Multi Speciality, Pune
Causes and Symptoms of Menorrhagia

Menorrhagia is a medical condition in which a woman experiences excessive blood loss during menstruation. Though for some women, heavy bleeding might be normal, but Menorrhagia refers to such a condition in which a woman encounters anomalous bleeding. Generally, menstrual bleeding continues for a maximum period of seven days, however, in case of Menorrhagia, the bleeding continues for more than seven days.

Different causes are responsible for Menorrhagia. Some of the causes are mentioned below:

  1. In case of some women, miscarriage during pregnancy can lead to the development of Menorrhagia.
  2. Hormonal imbalance (especially Estrogen and Progesterone) can cause Menorrhagia.
  3. Any fibroid growth in the uterus region can also result in Menorrhagia.
  4. Birth control procedures like birth control shot, vaginal ring or intake of birth control pills can sometimes lead to a condition of Menorrhagia.
  5. For some women, anovulation (unable to ovulate at least once in a month) may result in Menorrhagia.
  6. Disorder related to platelet count can also cause Menorrhagia.
  7. Uterus cancer can also result in Menorrhagia.
  8. Maladies, related to kidney, liver or thyroid can also result in Menorrhagia.
  9. Sometimes, hereditary bleeding complications like Willebrand's disease (drop in the blood's clotting protein) can also cause Menorrhagia.
  10. At times, pelvic inflammatory diseases such as a fallopian tube infection can cause Menorrhagia.

The most common symptoms of Menorrhagia are as follows:

  1. Constant necessity to replace sanitary pads
  2. Unbearable menstrual cramps
  3. You may often notice passage of blood clots with regular bleeding
  4. Sometimes, the person may become anemic
  5. Body fatigue and drowsiness

Treatment for Menorrhagia: Menorrhagia is easily curable. Many treatment methods are available such as intake of iron tablets to prevent anemia, painkillers like Ibuprofen to control menstrual cramps and hormone therapy to cease excess bleeding. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

6559 people found this helpful

I'm 26 year old female and I'm recently married and I have irregular periods with small ovaries I want to conceive as early as possible please tell me the solution for this doctor.

BAMS
Ayurveda, Ambala
I'm 26 year old female and I'm recently married and I have irregular periods with small ovaries I want to conceive as...
For making regular your period these are some instructions given below: • Take proper diet full of nutrition . Eat green leafy vegetables and seasonal fruits and a glass of milk daily. Eat a fruit daily . • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb .Do some meditation for maintain hormonal balance. • Do jogging and running exercise daily .If you are obese lose some weight this is also a cause of irregular periods. • Do skipping regularly for 2 to 3 minutes daily. • you can take these medicines for regular periods. Syrup Dashmolarishtha or ,syrup EVECARE of himalya. 2 tsf daily once in a day after meal but only under the guidance of ayurvedic doctor. .• Practice Yogasana like Chakrasana & Pawanmuktasana daily under the guidance of yoga expert. • Check out Thyroid hormone level & if your T3, T4 , TSH hormone are abnormal then get treatment of it to make your periods regular. You can consult me privately for more detailed treatment & doubts.
2 people found this helpful
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