Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.

Causes of recurrent pregnancy loss

Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.
Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss. 

Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X  ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.
Treatment
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.

In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
Prenatal genetic studies are carried out by some couples to know about the offspring s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization can be carried out.
In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.
Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply.

Recurrent Pregnancy Loss - Know the Reasons Behind it!

Yearly flu vaccination is the best tool currently available to protect against influenza (flu).

While how well the flu vaccine works can vary, the Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccination as the first and most important step in protecting against flu and its potentially serious complications. Millions of people have safely received flu vaccines for decades. Flu vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations.

A flu vaccination does not guarantee protection against the flu. Some people who get vaccinated might still get sick. However, people who get a flu vaccine are less likely to get sick with flu or hospitalized from flu than someone who does not get vaccinated.

Why do I need to get vaccinated every year?

New flu vaccines are released every year to keep up with rapidly adapting flu viruses. Because flu viruses evolve so quickly, last year's vaccine may not protect you from this year's viruses.

After vaccination, your immune system produces antibodies that will protect you from the vaccine viruses. In general, though, antibody levels start to decline over time   another reason to get a flu shot every year.

Flu vaccines bring down the risks of suffering from flu. However, its effectiveness is based on different factors.

Age: Usually, the flu vaccine happens to work the best for healthy adults. However, these vaccines cannot work as well with children, especially infants (below the age of 2-3 years). Nevertheless, the efficacy improves with age. Since older people are more prone to contracting the flu virus, it is essential that they get themselves vaccinated. Even if the vaccine is not able to ward off the flu entirely, it can still help reduce the risks to some extent.

General Health: Vaccine spurs immunity into action. It helps your body in identifying and fighting the virus. The efficacy of the flu vaccine solely depends on the capability of your body s immunity system and how well it responds to the virus. Chronic illnesses weaken your body s defense mechanism and with a poor immunity system, the vaccine may not work properly.

The time of the vaccination: For optimal protection, it is advised to go for the vaccination every year right before the  flu  season starts. This is because after the flu season gets done with, old vaccines may not work as effectively.

The flu vaccine needs to be updated every season to guard you against the kind of flu dominant in that particular year. Getting yourself vaccinated is also not a guaranteed foolproof protection, however, it does render partial immunity and helps reduce the severity of the symptoms. However, it should be noted that flu vaccine cannot shield one from cold viruses.

Flu Vaccine Effectiveness: How Well Does It Work?

C-section or Caesarean section is a surgery performed to deliver a baby. The baby is taken out from the abdomen through an incision in the abdominal wall. This surgery is performed when there is some sort of physical difficulty in natural childbirth through the vagina. Other reasons for performing a C-section are when the mother is carrying more than one baby, or the health of the baby is in danger. It could also be because of an undesirable fetal position, or when the mother is physically unable to push the baby out of the uterus. 


Procedure followed in C- Section
The procedure is most often done when the mother is in her senses and awake. However, epidural or spinal anaesthesia is provided to numb the body from chest to the feet, before the surgery is performed.


An incision is made on the lower abdomen, above the pubic area. A cut is made through the uterus and amniotic sac. The baby is pulled out from this opening. The umbilical cord is cut and cleaned. The fluids are cleaned from the baby s mouth and nose. The infant s breathing rate, heart rate and other vitals are kept under observation. 


Recovery from a C-section can take several weeks. The stitch wounds need to heal, including the recovery of pelvic muscles. It is important to walk around and do some very light exercises to boost the healing procedure. Doctors may prescribe painkillers in some cases and advice on effective post-operative care. Though the surgical procedure is quite safe now, with the use of highly advanced technology, there are risks that cannot be entirely ignored. 


Risks associated with C-section
Infections: Any surgery has some risk of infection associated to it. In the case of a C-section, an infection can occur around the site of incision that may rapidly spread in the uterine wall and other internal pelvic organs.
Haemorrhage: Blood refuses to clot and dangerously high quantity of blood is lost in the process. In such a case, it requires immediate transfusion and intensive care.
Injuries: The mother or the baby, both have a risk of getting injured during the surgery. Although these are rare, but the infant may suffer nicks and cuts while being manually pulled out from the womb. Other organs of the mother located near the pelvis may suffer minor or major wounds.


After the C-section, the mother and child will be retained in the hospital for 2 to 3 days, under intense care and constant monitoring. It is important to exercise and take the medications as advised by the physician to prevent any complication. 

C- Section - Understanding the Procedure and Risks

Top 6 things that revive acne prone skin

Male or female, it affects us all at some point of time in our lives. Stress, pollution, improper diet, high blood sugar, and hormonal imbalance are the main reasons behind acne. 

Amongst the external intake related causes caffeine, dairy products, fried food, sweets and cola are the foods to be avoided. Also smoking, as cigarette smoke alters skin lipids and also causes relative deficiency of antioxidants contributing to the onset and/or exacerbation of acne. Alcohol consumptions on the other hand both directly and indirectly causes acne. Heavy drinking or binge drinking does more harm than light drinking.

However, certain foods when included in daily diet, help curb acne.

1. Lots of water - One reasons of acne is when the toxins in our body start reflecting on our skins. It is advisable to drink at least eight glasses of water to flush out the toxins, ensure smooth digestion, regulate acidity and ensure that your skin glows from within.

2. Cool cucumbers - Cucumbers have high water content, along with cooling properties. It has antioxidants, vitamin c and silica which are all good for the skin. Cucumbers are also known to fight inflammation causing enzymes.

3. Nourishing carrots - Carrots are rich in beta carotene and vitamin a. They help cure acne by eliminating the oils and proteins which cause them. Broccoli and green leafy vegetable also serve the same purpose.

4. Saviour berries - Berries have high content of anti-oxidants which prevent the skin from damage within, thus preventing acne and inflammation.

5. Anti-oxidant green tea - Also a rich source of anti-oxidants, green tea is known to balance the blood sugar, which in turn protects the skin from acne.

6. Yummy yogurts - Even though dairy products are known to be bad for acne, yoghurt happens to be very good for prevention of acne. Keep in mind that it is fresh and not too fermented.


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Top 6 Things That Revive Acne Prone Skin

It is sad to hear of a loved one suffering, but it is downright painful if that someone is your own child. Attention deficit hyperactivity disorder (ADHD) is a condition which was not paid much attention to for many years. The fact remains, however, that ADHD is something that can adversely affect the life of your child and their relationships. One example is Olympian Michael Phelps, who had been diagnosed with this disorder. In order to know if a child does suffer from it, it is important to pay attention to a few signs.

Signs You Must Not Ignore

To start off, if a child seems to be fidgety all the time, it is a good sign that there is a chance that he or she may have ADHD. While it is true that children often display feelings of excitement as well as a degree of restlessness most of the time, the ability of a child suffering from ADHD to sit still, quite literally, surpasses any normal standards for even a very restless child who does not have ADHD. 
As a matter of fact, most children who are diagnosed with the disorder are diagnosed by the time they are 7 or 8 years old. For many kids, this has something to do with the signs that are displayed once they join school, which are related to their behavioural habits. For example, children who have ADHD are likely to show their inability to await their turn in a group activity. As a result, they are likely to interrupt not only their peers, but also their teachers to say express their thoughts.
For those who are not well versed with this issue that so many children face, the behaviour of a child with ADHD come across as being outright selfish. However, this is really not the case. In many cases, since children with ADHD find it difficult to follow plans and set out tasks, their inability to do so is often considered as lack of intelligence. Such judgements can lower the morale of the child and make him or her feel inadequate, insecure and left out.
Many children who have ADHD are not loud and usually do not stand out in a group. Rather, they are more likely to be the quiet ones who daydream. All this can have major effects on the academic record of the child, and it is fair to say that he or she is quite likely to under perform compared to the rest of the students in the class.

If you see any of these signs, do not be alarmed. However, do seek a doctor s opinion to know for sure if your child has ADHD.

Attention Deficit Hyperactivity Disorder - How To Know If Your Child Is Suffering?

8 Foods To Never Eat Before Bedtime
    
Hunger before bedtime is common esp. when you are used to staying up late. The craving to eat something before going to bed makes a person consume anything that is available. Bedtime hunger is not wrong, but there certainly are foods that shouldn't be consumed before going to sleep as they can create health issues. 

Avoid these 8 foods before going to bed.

1. Dairy fat - Having calorie rich cheese or butter for dinner or even before bedtime ensures that your digestive system is going to have a hard time at the night, thus disrupting your sleep.
2. Caffeine - Caffeine from the coffee doesn't let you sleep. It is used to kick our sleepiness so it should never be consumed before bedtime.
3. Spiced/Oily foods- Spices cause flatulence and oils lead to indigestion, ensuring incomplete and disturbed sleep.
4. Red meat - Dinner should always be the lightest meal of the day. If you make your digestive system work heavily overnight, it’s difficult for you to get sound sleep! Red meat being a very heavy, must be avoided to ensure a good night’s sleep.
5. Beans- Beans before bed simply fastens the process of flatulence! Avoid it to have a trouble free night.
6. Sugars- Sugars give you instant energy. That’s exactly what you don’t need before a good night’s sleep so avoid it before bedtime.
7. Aerated drinks- These drinks have acidic content with a lot of sugar and caffeine. Drinking them can destroy you sleep for the whole night so keeping it for the day is wiser!
8. Alcohol- Alcohol makes you drowsy and in a way bogs you down. But that’s really not the kind of sleep you’d like to have. Avoid alcohol to invite the perfect sleep!

If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

8 Foods To Never Eat Before Bedtime

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