Recurrent pregnancy losses happen to a very small fraction of the population. Only 1% of couples are affected by it. Nevertheless, it is a very difficult and serious process to deal with due to the sensitivity of the issue. A woman is said to have recurrent pregnancy losses if she has lost 3 or more of her pregnancies. Although the exact reason for recurrent pregnancy losses are not known, there are several suggested reasons.

Reasons why it may happen 

Anomalies in the uterine lining such as polyps (abnormal tissue growth, usually in the cervix), or fibroid tumors can result in miscarriages if left untreated.
Hormonal factors such as thyroid malfunctions or pituitary problems can cause an imbalance in the luteinizing hormone (a hormone which triggers ovulation) resulting in miscarriage.
Age is also an issue one must keep in mind while addressing pregnancy losses. Women over the age of 35 are more likely to experience recurrent pregnancy losses. As women get closer to menopause, their bodies produce reduced levels of hormones and eggs which cater to a pregnancy. Therefore, due to the reduced levels of hormones, an older woman is susceptible to losing a baby as they have elevated levels of hormones and therefore are more fertile.
Lifestyle factors also have been linked to recurrent pregnancy losses. Constant exposure to toxic chemicals can result in pregnancy problems. Along with that, constant drug use, smoking and excessive consumption of alcohol are some of the lifestyle choices that can cause recurrent pregnancy losses.
Infections such as syphilis, malaria, measles, herpes simplex etc. can cause recurrent pregnancy symptoms if left untreated as they can obstruct and complicate the growth of the baby, resulting in premature development or pregnancy loss.
Management of Pregnancy Loss

Polyps and fibroid tumors are complicated disorders which should be given immediate medical attention. Although surgical methods are available, the best way to treat polyps and fibroid tumors is through the intake of progestin hormone pills which shrink the size of the polyps/cysts.
Eating a healthy diet to ensure the prevention of diabetes is highly recommended. Fruits, leafy green vegetables and whole grain cereals are a prerequisite for the complete growth of the baby as well as arming the body with the necessary strength it needs for pregnancy transitions as well as a stronger immune system.
A regular workout routine is also advised for pregnant women as it ensures a healthier and stronger immune system.
Although recurrent pregnancy loss is very emotionally debilitating for a woman and her partner, there are several means and measures to overcome this tragedy. One should not be disheartened by such an occurrence and get the required help needed.


Recurrent Pregnancy Loss - Possible Reasons Behind It!

Premature labor is also known as preterm labor. This is the term given when the body gets ready for an early delivery in the pregnancy. Labor is considered to be premature if it starts almost three weeks prior to the due date. Premature labor usually leads to early birth, but now this can be delayed with medical help. It is better that the baby grows inside you because there are fewer chances of problems after birth. 

Risk of Preterm Labor:
Some of the things, which can increase the risk of a preterm labor are:
- Being underweight or overweight before pregnancy
- Poor prenatal care
- Use of alcohol and drugs during pregnancy
- Smoking
- Health conditions, such as preeclampsia, infections, diabetes, high blood pressure and clotting disorders
- Pregnant with a bay with birth defects
- Getting pregnant through vitro fertilization
- Pregnant with multiples like twins and triplets
- Becoming pregnant soon after having a baby

Symptoms of preterm labor:
Warning signs should be heeded to stop the stop premature labor, as acting quickly can help. Consult your doctor or midwife immediately in case you have the following:
1. Backache, especially in the lower back. Back ache can be a constant feature or might keep coming in intervals, but does not change with a change in position.
2. Contractions that take place in each 10 minutes.
3. A leaking feeling in the vagina or fluid leakage from the vagina.
4. Cramps in the lower abdomen very similar to menstrual cramps. These usually give a feeling of gas pains and come with a diarrhea.
5. Symptoms of flu like vomiting, nausea and diarrhea. Must to see a doctor if the liquids cannot be tolerated for more than 8 hours. 
6. The pressure in the vagina or pelvis increases.
7. Vaginal discharge increases.
8. There might be light bleeding from the vagina.

Ways to check for contractions
To spot and early labor one must be sure to check for the contractions. Contractions can be checked by the following:
1. When the fingertips are placed on the abdomen and the uterus feels too soft or tight then these are contractions.
2. Contractions if felt, should be timed and the starting time of these should be noted.
3. Contractions should be stopped by changing the position and drinking some water or by walking around.
4. Doctor or midwife should be contacted if the contractions occur every 10 minutes and the symptoms worsen.
5. Sometime women might experience false labor also known as Braxton Hicks contractions. These are not so strong, are erratic and stop on moving around.

Preterm Labor: What You Should Know

For a mother, the first few months after delivery are crucial since the uterus after expanding due to delivery, shrinks back to its normal size. Moreover the tendons, ligaments and muscles connected to the uterus begin to regain the power and strength lost during labor. A lot of emphasis is put on postnatal care in Ayurveda.

Ayurveda suggested diet tips:
According to your digestive system, you must take Sesame oil i.e. Til oil and ghee i.e. clarified butter after mixing it with panchkola. Once this mixture has been digested, you must consume rice gruel and milk that is medicated with Vidharigandhadi gana or panchkola. Apart from these, you must consume jaggery water for about a week. After a week, you must eat foods that are easily digestible to help you regain your strength.

Do's and Don'ts:
1. Do massage yourself with Vatahara Oil
2. Do bathe with warm water
3. Do keep your perineum and breasts clean
4. Do urinate every 5 hours
5. Do breastfeed properly
6. Don't consume food irregularly
7. Don't have stale or cold food
8. Don't retain urine or feces
9. Don't indulge in sex or exercise

Ayurvedic medicines and herbs:
All the medicines and herbs mentioned below are never advised together. An ayurvedic specialist will usually give you a combination of a few medicines depending on your symptoms and condition.
1. Dashamoolarishtam: Dashamoolarishtam is extremely effective in boosting your immunity and keeping infections at bay. It is usually prescribed for the first few months as it also helps reduce inflammation and pain.
2. Jeerakarishtam: Jeerakarishtam is well known for inducing normal lactation, and is usually prescribed to mothers during the monsoon or winter seasons. This is because it keeps the body warm owing to its hot nature.
3. Shatavari Gulam: Improve lactation and achieve overall hormonal balance by consuming Shatavari Gulam.
4. Pulileham: Pulileham is administered to new mothers from the third week onwards for about a month and half.
5. Shatavari: Shatavari herb is mixed with boiling milk to improve the production of breast milk and avoid post partum depression. It is also useful for normal involution of the uterus.
6. Musta: Apart from improving breast milk production, musta herbs also relieves clogs in milk ducts and inflammation.

How Ayurveda Helps In Postnatal Care - Post Pregnancy Health 

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Gestational Diabetes - How It Can Be Treated?

The year 2014 has seen a massive increase in the number of patients affected by Gonorrhoea. The most infected age group is between 15 and 24. This is mainly due to lack of knowledge in this age group about the disease. Here are some facts about Gonorrhoea that one must know.

Gonorrhoea Transmission
Gonorrhoea, also known as drip, is transmitted when a normal person comes in contact sexually with an infected person. Infected fluid of a mother can also pass to her newborn infant during delivery. The disease can affect both the genders.

Cause of Gonorrhoea
Neisseria gonorrhoeae bacteria cause the disease. The bacteria grow in mucus membranes and usually grow in the warm and moist areas of humans' reproductive tracts such as uterus and fallopian tube of women. These can also grow in anus, mouth as well as throat. As a matter of fact, the infection can be passed even via oral or anal sex.

Symptoms of Gonorrhoea
An infected person will develop symptoms of the disease in 2 to 14 days. Men may feel burning or painful sensation while urinating. Other symptoms are as follows:

1. Swollen and painful testicles
2. Swollen or redness at the tip of the penis
3. Penis may have a drip or discharge
4. Frequent urination
5. Recurrent soreness of throat

Females have milder symptoms of the infection. This makes it difficult to diagnose, and is sometimes misinterpreted as common vaginal yeast or other bacterial infection.

Following are a few symptoms of the disease in women:

1. Burning or painful urination
2. Frequent urination
3. Vaginal discharge
4. Soreness in throat
5. Fever
6. Lower abdominal pain
7. Pain while sexual intercourse

If the disease is not treated, infection spreads in blood stream leading to rashes, fever and even pain in the joints. Such unnoticeable symptoms make it difficult to treat.

Testing Methods of Gonorrhoea
One method is that penile or vaginal discharge samples are taken from patients and examined under a microscope by adding reactive stain. However, this is not an accurate assessment.
Another test is conducted where exposing samples are incubated. In case of infection, colony of gonorrhoea shows growth. Preliminary test may take 24 hours. Final assessment may take around three days. Samples can be from the patient's anus, joint fluid, blood, throat, vagina or tip of the penis.

Treatment
The disease is treatable under proper medical supervision. However, the bacterial resistance to Azithromycin drug has made it more difficult for treatment.

Protection
It is highly recommended to have a protected intercourse. Women of age group less than 25 need to have STI evaluation once a year.

Know All About Gonorrhoea

The Movie 'PadMan' is making waves much across India and is now attracting the attention of the international media as well, to a problem most women and girls have been facing in India. The movie is inspired by the life of Arunachalam Muruganatham, the inventor of a low-cost sanitary pad the manufacturing machine. He fought social stigma and faced social ostracization for trying to understand the fears and discomfort of women. He worked hard to come up with a low-cost sanitary pad that could be afforded by the poor women all across India.

Taboo:

The taboos, misgivings, and fears surrounding the menstruating women are not new, it is deeply rooted in our culture and its teachings. Such reservations exist in all the cultures whether it is Islam, Hinduism, Judaism, Christianity or Buddhism. There are several kinds of rules imposed on women like the prohibition of visiting a temple, physical intimacy, cooking and many more.

Present Condition:

India is a land of contrasts and while there are working women who do not think twice about pulling an 'all-nighter' at work, you also have women who have probably never stepped into a well-constructed or a clean bathroom in all their lives. What any woman of this generation would consider basic menstrual hygiene is probably grossly missing in the latter s case.

Apart from having minimum water to clean themselves, they use sanitary cloths (really old and discarded cloth) which are washed and reused for every period. They have very less water to wash these sanitary cloths and they are forced to dry them out in a dark and dingy corner of their house lest anyone sees it. In fact, there are several reports of women in rural India using straw, ashes, and sand instead of sanitary pads.

Complications:

Majority of such women in the rural areas report reproductive tract infections.

Lack of awareness amongst men about menstruation makes them ill-informed. As a result, they follow the mindless rituals and beliefs which make the problem much larger than it already is.

Lack of awareness about menstrual hygiene management has resulted in several young girls picking up infections thanks to the usage of hay, straw, and sand as a replacement for sanitary pads.

But, Bollywood's latest blockbuster 'PadMan' has broken the silence and stigma by starting out the conversation openly about sanitary pads. Having said that, below given are some of the basic hygiene tips that should be encouraged in every single woman.

Some Basic Hygiene tips

There are several small things women can do to prevent issues and problems. This can be done by following some simple changes in your routine:

Make sure you change pads frequently to avoid infections.

Soaps and Vaginal washes should be avoided as these can wash the  good bacteria  away.

Avoid wearing jeans and tight-fitting clothes as this can cause excessive sweating.

Make sure you dispose of the used pads correctly and wash your hands with warm water and soap to prevent bacterial infections.

While such awareness about menstrual hygiene is in its nascent stages, there is hope and that is thanks to men like Arunachalam Muruganantham. So, take a step forward and play your part in spreading awareness about menstrual hygiene and its effect on a female s overall health.

The PadMan Effect - Why Menstrual Hygiene is Such a Big Deal In India!

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