Caesarean section or C-section is fairly common today and most mothers do not realize that once their incision has healed completely, the scar tissue problems can still occur. Unfortunately, there are no instructions for how to heal and care for C-section scars after they go home. The general post-operative instructions from hospital include a list of activities to avoid like lifting heavy articles and driving.

Caesarean scars can cause pain well after they've healed. This happen at the site of incision, but in other areas as well. It's important to remember that the scar you see on a mother's lower abdomen is just one spot that scar tissue has formed. There are also internal scars which can spread throughout the body over a time period. This scar tissue can cause lingering pain and dysfunction well after delivery.

When our body tissue gets damaged, scar tissue forms. After a C-section, scar tissue forms along the abdomen and uterus as part of the natural healing process. Caesarean scars can be painful and mothers feel pain or tightness in their scars when they are reaching, leaning, lifting or standing up straight. The scar can cause muscle, connective tissue, and nerve damage in areas adjacent to scarred area. Over time this can lead to pelvic pain, bowel problems like constipation and irritable bowel syndrome and painful sex.

C-section scars are typically located in an area where they can entrap nerves. This can cause pain and also create an urgency or frequency to urinate. The best thing for a new mother is rest and recovery and doing too much, too soon, after a caesarean is a health risk. It is important that to keep incision clean, eat well and avoid lifting heavy articles to support healing. It is recommended that mothers have lymphatic and myofascial massage two days prior to surgery and as soon as possible post-surgery. Lymphatic massage is a light massage assisting in drainage and allows the collagen to align with the incision.

At three months post-caesarean mothers can begin scar tissue release therapy that involves massaging of the scar tissue so it becomes softer and more flexible like the surrounding skin and internal tissues. It needs to be done with three dimensional focus, slowly and gently separating the adhered tissues in all directions. The scar tissue release therapy painful with a burning sensation for some mothers, while some only feel mild discomfort or no pain at all.

Regardless of the age of the scar, one could get benefits from scar tissue release therapy from injuries to burns to surgical scars. Surface and internal scarring from surgeries could be contributing to many of the issues. Sometimes scarring is just a piece of the puzzle of your pain and so a pelvic floor physiotherapy in addition to scar tissue release therapy is recommended. The scar tissue release therapy reduces the appearance of C-section scars. It softens tissues and increases circulation, which all lead to a lightening in colour of the C-Section scar.

Tips to Deal with Caesarean Section Stiches

What You Must Know About ZIKA VIRUS

Introduction to the ZIKA VIRUS:

After the deadly Yellow Fever and Ebola pandemics, Zika Virus is yet another disease borne out of the African soil and spreading across the world right now. Named after the Zika forest in Uganda, where it originated, this virus spreads through a mosquito bite - that of ‘aedes aegypti’ mosquito. It can also be passed on from mother to child, blood transfusion and sex. 

What’s so deadly about ‘Aedes Aegypti’ Mosquito?

Zika Virus spreads via ‘aedes aegypti’ mosquito, same mosquito that also spreads Dengue and Chikungunya.These mosquitoes typically lay eggs in and near still water found in buckets, bowls, animal dishes, flower pots and vases.  They are aggressive daytime biters, prefer to bite people, and live indoors and outdoors near people.
These mosquitoes become infected when they feed on a person already infected with the virus. Infected mosquitoes can then spread the virus to other people through bites.

Symptoms of Zika Virus Attack
A person bit by an infected mosquito takes about 2-7 days to show symptoms like:
- Mild fever 
- Skin Rash
- Conjunctivitis
- Muscle and joint pain 
- Weakness and Fatigue

However, it lasts no more than a week and is usually milder than its cousins Dengue or Chikungunya. Although it is not a fatal disease, the real reason behind the panic is for the women who are pregnant. Zika is found to be a major cause of microcephaly – a birth defect due to which children are born with visibly smaller heads, severely limiting their mental and physical abilities. 

Should India Worry?

While it originated in the African continent, Zika has already taken South American countries like Brazil, and most others. Although the virus hasn’t reached Indian shores yet, we are very prone to mosquito borne diseases. The Dengue menace since last few years says it all. Since it is from the same family, we need to be all the more cautious. 

Preventions and Precautions:

Since no vaccine exists to prevent Zika virus attack, it’s best to act with caution to prevent the spread.

1. Mosquitoes that spread Zika virus bite mostly during the daytime. Stay in places with air conditioning or that use window and door screens to keep mosquitoes outside.
2. Use Mosquito Repellents during the day when exposed to areas prone to mosquitoes and cover yourself very well.
3. Never allow water to stagnate in or around your habitation. Avoid letting the water stand for long eg: puddles, or water in buckets or potted plants, sewage etc.



What is ZIKA VIRUS? Is it Deadlier than Dengue? Is India Ready To Face the ZIKA 

6 pregnancy complications you need to know about

The biggest wish of a to be mother's mind is a smooth and safe pregnancy. One of the ways you can deliver your baby safely is by being aware of the complications that may arise during this period and taking precautionary measures to reduce your chances of developing them.

Here are the 6 pregnancy complications that you need to know about?

1. Preeclampsia

Preeclampsia is a condition that normally occurs after the 20th week and is characterized by high blood pressure, kidney abnormalities and the presence of protein in your urine. Most of the time, symptoms are mild, which can be easily resolved with proper care. But the condition can progress quickly, causing several of your organs to not function properly and even proving to be life-threatening.

2. Gestational diabetes

Gestational diabetes happens when hormonal changes during this period hamper your body's use of insulin. As a consequence, the insulin hormone is unable to normalize blood sugar levels, leading to abnormally high blood sugar levels. While the condition is not usually a cause of concern for the mother, it can pose several health problems for the baby, more specifically, the occurrence of macrosomia (a condition wherein the baby has an abnormal body weight).

3. Premature labor

You're said to suffer from premature labor or preterm labor if you experience regular contractions that lead to your cervix dilating and effacing before the 37th week. Preterm birth can prove dangerous for the baby, not to mention make it prone to several health problems. In order for it stay alive and be healthy, you child needs to reach its full maturity before birth.

4. Ectopic pregnancy

When the fetus develops outside the womb, more specifically in the fallopian tube, a condition known as ectopic pregnancy is said to occur. It is highly important to put a stop to this pregnancy complication as it the developing embryo might bring about the rupturing of the fallopian tube, and may result in internal bleeding.

5. Placenta previa

The condition of placenta previa sees your placenta occupying a very low position in the uterus, most commonly, adjacent to or over your cervix. If the placenta continues to be at this position during the whole course of the pregnancy, it can lead to bleeding as well as other complications.

6. Low amniotic fluid

It is the fluid-filled amniotic sac that supports and protects your baby in the womb. It is said that about 4% of pregnant women worldwide experience low amniotic fluid levels during their pregnancy. This condition is also known as oligohydramnios. When this happens, labor is usually induced as you come close to the end of your pregnancy.

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Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

6 Pregnancy Complications You Need to Know About

4 Dietary Changes that can Increase Your Chances of Getting Pregnant

At times being able to conceive becomes a challenge due to certain biological reasons. Feeling positive and eating healthy naturally takes you a step nearer to getting pregnant. In case of no medical condition acting as an obstruction, consuming the right food can increase your chances of getting pregnant.

Here?s a list of supplements you can include in your diet to maximise your chances of getting pregnant.

1. Choose whole grains over refined carbohydrates: Reducing the intake of refined carbohydrates (found in milk, potatoes, corn to name a few) can reduce inflammation of the genitals, which will help increase fertility. You can still continue to have your favourite foods, but ensure they are low gi (glycaemic index- a figure used to represent the ability of carbohydrate to increase glucose in blood) carbohydrates.

You can consume whole grains, which help in reducing insulin levels that in turn reduce the risk of heart diseases and diabetes and also help lower cholesterol levels. Try having whole grain bread instead of white bread and porridge instead of sugary processed cereals to reduce your gi ingestion.

2. Harness the power of proteins: Proteins are an important part of your diet and the type of proteins you require careful consideration as they help make new hormones. Try having 25gms of vegetable protein like seeds, legumes and nuts instead of animal protein.

Add dairy foods to your diet as they are also a rich source of protein. They provide vital minerals and nutrients like magnesium, calcium and vitamin b12 to the body and at the same time are low in calories. Include milk, yoghurt and cottage cheese to your meals so that you have a minimum of three servings of dairy products a day, which is essential to meet your nutritional needs and increase your chances of having a baby.

3. Welcome good fats: Processed foods, fatty meats and takeaways are high in saturated fats including trans fats. These lead to inflammation and an increase of oxygen free radicals in the body, which decrease fertility. So, incorporate good fats in your diet in controlled quantities. Try having avocado and tomato on a whole grain toast, for instance.

4. Make folate an integral part of your diet: Folate is an essential nutrient that helps in decreasing the incidence of birth defects in the babies, while ensuring a healthy conception. Along with the prescribed supplements, try to increase its intake in its natural form. The best way to do this is by having green leafy vegetables, which are a rich source of folate. You can also have veggie sticks and vegetable soup along or green vegetable dishes to increase your folate intake.


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4 Dietary Changes that can Increase Your Chances of Getting Pregnant

Pregnancy brings with it a slew of changes in the physiological parameters of women. Women are susceptible to a number of complications, including respiratory complications during this stage. An abnormal chest X-ray or a complaint regarding some kind of respiratory trouble guides doctors to explore the possibility of pregnancy leading to respiratory complications.

Respiratory Complications During Pregnancy

Let us explore the likely respiratory complications during pregnancy. 

Infectious Pneumonia
Though studies do not indicate any increase in risk of pneumococcal infection during pregnancy, it has been observed that complications arising out of pneumonia are increased during this time. Anemic or asthmatic women are more susceptible to this infection, and the risk of complications is also more common in such women. It entails risk for both the mother and the child. While the child can be born preterm or low in weight, the mother can even suffer respiratory failure.

Coccidioidomycosis
It is a kind of fungal infection that affects the respiratory system, especially in the last trimester of pregnancy. It is a respiratory tract infection that is self- limiting in nature. However, owing to reduced immunity during pregnancy, this fungal infection may turn out to be severe. It may cause a variety of complications, including pneumonia, fever, chest pain, difficulty in breathing, etc.

However, timely diagnosis and administration of antifungal therapy has reduced maternal mortality to a large extent.

Pulmonary Embolism
There is a risk of formation of blood clots during pregnancy due to hypercoagulability of blood during this stage. This leads to an enhanced risk of embolic pneumonia, where blood clots may block an artery in the lungs. It is an emergency condition where patients usually have difficulty breathing, chest pain, cough, etc.

Asthma
Pregnancy is not a risk factor for asthma, but asthma during pregnancy may exacerbate the risk of complications such as premature birth, restricted growth, preeclampsia, etc.

Tips to Avoid

These and other respiratory complications during pregnancy, if any, increase the risk of complications for the mother as well as the fetus. However, there are ways that pregnant women can adopt to get over these problems and give birth to a healthy baby.

Avoid Crowded Place in Pregnancy: Pregnancy enhances the risk of Pneumonia, and Pneumonia is mostly a community acquired. Pregnant women can try to avoid Pneumonia by avoiding going to crowded places.
Eat Immune Boosting Food: Coccidioidomycosis is a fungal infection that is mostly diagnosed during the third trimester. However, it is usually a self-limiting infection. Along with avoiding going to crowded places, she also needs to take immune-boosting food such as citrus fruits, green vegetables, etc.
Walk Regularly: Pulmonary Embolism is the result of being immobile for a long time. This happens during pregnancy and this is what makes pregnant women susceptible to the problem. One can tide over the problem by taking regular strolls at home or outside and doing regular chores.
Consult with Gynecologist in Case of Asthma: If she is suffering from asthma, she must discuss it with the gynecologist. Most asthma medications are safe to be taken during pregnancy.
Take Care of Infant Breath: Pregnant women should regularly visit gynecologists for checkups. They should also take a balanced diet and stay happy for the healthy life of the child.

Respiratory Complications During Pregnancy - Tips To Avoid Them!

Menstrual cycle is an integral part of a woman's life. Isse mahilao ki reproductive shakti ka pata lagta hai. A typical menstrual cycle has a timeframe of about 28 days. Lekin kuch ladies mein yeh timeframe 35 days tak bhi ho sakta hai. Every female has different cycle. Usually, it is 11th to 14th day, counting from 1st day of the period, are the most fertile days.

Periods are important because it signifies the childbearing age of a woman. In a normal menstrual cycle, the innermost lining of the uterus starts to thicken to prepare itself for embedding of a growing foetus. In the absence of a foetus, the lining breaks down and results in periods.

Aap periods ke baad kitne din mein pregnant hote hain ye aapke menstrual cycle ki length pe depend karta hai. Typically, in a woman with a normal menstrual cycle length of 28 days, ovulation happens around the 14th day.

Ovulation ke waqt aapki ovary ek mature egg release karti hai. The released egg sits in the Fallopian tube to meet a sperm for fertilization, jiske turant baad aapki pregnancy start ho jaati hai. While a sperm can survive in the uterus of a woman for up to three to five days, female egg sirf 12 to 24 hours ke liye available rehta hai.

Yadi is timeframe ke beech sperm, egg se mil jaata hai toh aapke pregnant hone ke chances zyada hote hain. While it may not be a great idea to try getting pregnant after ovulation, egg release hone se pehle agar aap koshish karein toh pregnancy possible hai.

Therefore, periods hone ke baad se 12th to 16th day pregnancy ke liye kaafi crucial hote hain. In case you have unprotected sex during these days, then there are bright chances that you may get pregnant in this window.

There are certain signs of ovulation that indicates that your body is the most fertile in those particular days. For example, ovulation ki date ke aaspaas aap abdominal bloating, pet ke ek side mein dard aur increases sense of smell mehsus kar sakte hain.

In addition, there is an excessive production of clear cervical mucous, which closely resembles egg white. Agar aap ye symptoms experience karein to iska matlab hai ki your ovulation date is near and you can try and get pregnant around this time.

One way to determine your individual fertile period is to keep a record of your menstrual cycle (for eight or more months, if possible). Select your shortest cycle (say 27 days) and subtract 18 from it. The resulting number nine is your first potentially fertile day. Subtract 11 from your longest cycle (say 30 days) and you get 19. This marks your last potentially fertile day. So if the cycles you measured over several months were between 27 and 30 days long, you would be most fertile somewhere between days 9 and 19. 

This is still a very wide window of opportunity. You can narrow it further by charting your basal body temperature (your morning temperature before getting out of bed). For most women, it ranges from 96 to 98 degrees Fahrenheit. When your temperature rises slightly (four- to eight-tenths of a degree), it usually means you have ovulated within the past 12 to 24 hours. 


Periods Ke Kitne Din Baad Pregnant Hote Hai

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