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Management of Abortion
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The first six weeks after the baby is born is termed as the postpartum period. While this is a joyous phase for a mother, it requires healing and adjustments for the mother. While the mother bonds with the baby during this period, adjusting to surroundings with the new baby can be challenging affair. The postpartum care, therefore, becomes more important. Here is a brief guideline about the essential precautions of postpartum care and its importance-
- Get as much rest as possible: Postpartum care can be demanding for a mother. Sleeping is required to beat the fatigue and tiredness during this period. The baby wakes up from the sleep every alternate hour and the mother needs to feed him. To ensure that the mother is not physically exhausted, it is important that she sleeps whenever the baby does.
- Eat healthily: Maintaining a healthy diet during the postpartum care is extremely important. Food such as whole grain, protein, fruits, and vegetables can contribute to incremental healing. If a mother is breastfeeding the baby, consumption of fluid is equally as important as a healthy diet. A good diet helps a mother to gain sufficient energy that she is burning during the initial few weeks of giving birth to the baby.
- Avoid strenuous work: Each mother should take at least 2-3 months after delivery to get back to work. If the situation arises where a mother is forced to join back her job or take up professional activities, it should be ensured that she should not take up any strenuous activities. It will not only wear her out but take a heavy toll on the mental health as well.
- Exercise: Usually a doctor suggests the right time to exercise and prescribes the right exercise that is necessary to a mother. The exercise should not be too strenuous. A quick walk around the park, brisk jogging for 10 minutes, some easy-to-follow free-hand exercises can be extremely beneficial for a mother during this stage. Exercise can keep fatigue and boredom at bay and helps a mother increase the energy levels throughout the day.
- Seek help: Postpartum depression is very common among new mothers. It often shows up during the first few weeks after giving birth. Close to 80 percent of the mother explains abrupt mood swings, irritability, restlessness, insomnia, sadness, unexplained crying etc. It makes sense to visit a doctor or seek professional help if these symptoms do not go away after a couple of weeks of giving birth to the baby. Doctors can suggest ways to get over this phase easily. If not for these symptoms, a doctor should be consulted in any which case for a span of first three months to refrain from unwanted complications.
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All painkillers work by interfering with the pain-transmission process.Although there are many different types, painkillers-or analgesics-usually relieve pain in one of two ways:
· By predominantly reducing inflammation or
· By predominantly affecting the central nervous system.
PAIN KILLERS THAT ACT BY REDUCING INFLAMMATION
Inflammation is the body’s way of responding to injury, infection or invasion by foreign bodies. Inflammation is controlled by inflammatory mediators, substances that are made by the body and which may make inflammation worse by sensitizing pain receptors.Drugs like aspirin and ibuprofen are called non-steroidal anti-inflammatory drugs (NSAIDs).
As their name suggests, they work by preventing or limiting inflammation-specifically by blocking the manufacture of prostaglandins. Although prostaglandians do not cause pain themselves, they sensitize nociceptive nerve endings to other inflammatory mediators (like bradykinin and histamine) and thereby amplify the basic pain message. Prostaglandins are manufactured in the body by an enzyme called cyclo-oxygenase, or COX for short.
The COX enzyme helps to metabolise (or breakdown) a larger substance called arachidonic acid, into pain-causing prostaglandins. By attacking COX and stopping it from doing its job properly, aspirin-like drugs slow down the production of the pain-causing prostagladins. However,slowing down COX is not always a good thing. Confusingly, there are two forms of the COX enzyme- COX-1 and COX-2. Blocking COX-2 ultimately helps to relieve pain. But, most NSAIDs block COX-1 as well, which disrupts other biological processes that are far removed from pain transmission. One of these processes is the production of protective mucus in the stomach. This explains why some people develop gastric ulcers, indigestion and general nausea after taking NSAIDs.
WHEN PAIN ‘GETS ON OUR NERVES
Pain becomes a problem to us when it affects the way in which we live our
lives (i.e. becomes chronic). For example, if we injure our backs or are suffering from a disease like arthritis, we can experience pain that is persistent. But when does pain become ‘a pain’?
When our pain machinery becomes sensitized and is activated when it shouldn’t be. Pain can be triggered by the irritation of nerve endings (one cause of which is inflammation) or by damage to the nerves.
Pain is generally divided into three types:
· Acute nocicpetive pain usually originates from the site of injury.
· Inflammatory pain involves the activation of the immune system.
· Neuropathic pain is usually caused by damage to the peripheral or central nervous systems.
Type of pain
1. Acute nociceptive Cause- injury to muscle, soft tissue, bones, joints or skin.
How it feels-sharp, stabbing, aching, throbbing, can be excruciating but is not usually long lasting.Example-twisted ankle, bee sting, childbirth.
2. Inflammatory Cause- generation of inflammatory mediators following a painful stimulus.
How it feels- burning, dull ache, can be excruciating, can come and go, or be virtually permanent.Examples-rheumatoid arthritis.
3. Neuropathic Cause- damage to nerve tissue.
How it feels- aching, tingling, numbness. Can be excruciating, can come and go, or be virtually permanent.Examples- trapped or compressed nerve, nerve damage caused by diabetes.
A. Ayurveda is an art and science of healing, a way of long, happy and healthy living. It literally means'to know about life.
Q. How it is defined?
A. It is defined as one which informs to look after the welfare of all human beings in particular and beings in general with regard to their physical, socio-cultural and spiritual well being.
Q. What is its antiquity?
A. It existed right from the beginning of life on the surface of this globe, in some systematize form. A systematize knowledge of ayurveda came into existence thousands of years before christ (b. C.).