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!

Gestational diabetes, as the name suggests, occurs during gestation or pregnancy when the blood sugar levels exceed the normal level. Gestational diabetes, like other form of diabetes, affects how your body cells use glucose or sugar during pregnancy, and usually disappears after you ve given birth.

Causes and symptoms to look out for!
During gestation, the placenta produces hormones that lead to the accumulation of blood glucose. Under normal condition, the pancreas forms enough insulin to counter the buildup of blood glucose. The level of blood sugar rises when the pancreas fails to produce adequate insulin to manage your blood sugar.

Usually, women with gestational diabetes do not show symptoms. So, the presence of the condition can go unnoticed if they are not diagnosed during routine checkups and screening tests. Nevertheless, if the condition goes out of control, you may feel tired, feel thirsty or hungry, or feel the urge to urinate more often.

What are the risk factors?
About 2-10% of pregnant women are affected by gestational diabetes every year. The following factors are likely to put you at risk of developing gestational diabetes-

Excess body weight- You may develop gestational diabetes if you were overweight or had gained excess weight (BMI equal to or greater than 30) before getting pregnant
Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
Age- Women aged more than 25 years are at a greater risk of developing this condition.
Diabetic history- A slightly raised blood sugar level may act as the precursor to Type-2 diabetes, which in turn increases your chance of getting affected by gestational diabetes.
Previous pregnancy- Women who ve previously given birth to a child weighing more than 4.1 Kg (9 pounds), or have delivered a stillborn child are likely to have gestational diabetes.
What is the treatment for gestational diabetes?
Urine tests are performed to check for ketones. In a non-diabetic person, glucagon, insulin and other hormones avert ketone levels in your blood from soaring up too high. Once you re diagnosed with gestational diabetes, it s important that you consult your doctor for treatment. Uncontrolled blood sugar level can affect you and your baby s health after birth. This condition can be treated in the following ways-

Keep a check on your blood sugar- During pregnancy, your doctor will have you tested for gestational diabetes 4-5times a day to keep a tab on your blood glucose level. For this, a small drop of blood is first drawn from the finger using a needle. The sample of blood is then placed on the test strip inserted into a device called the blood glucose meter to measure and monitor the level of blood sugar in your body.
Medication- Anti-diabetic medications and insulin are prescribed to control the amount of glucose or sugar in the bloodstream. Your doctor may also suggest oral medications like Diabeta and Glynase to manage your blood glucose level.
Healthy diet- Diabetic diet- one that helps control blood sugar levels- is highly prescribed by doctors during pregnancy. Cut down on carbohydrates and sugar, and switch to food items that provide your body sufficient nutrients and calories.
Post treatment the blood sugar levels usually come down to normal within 4-6 weeks of giving birth.

Gestational Diabetes - Know The Risk Factors!

The primary difference between pickle and chutney lies in the fact that pickles are meant to be preserved for months together while chutneys are devoid of preservatives and are required to be consumed very soon. Both of these food items proffer a host of health benefits including an optimum supply of all the needful minerals and vitamins along with the antioxidants. Some of the ingredients present in the pickle and chutney help in controlling high blood pressure, diabetes, improves digestion and immunity.

Pickles and the process of preparing the pickles
The process of making pickles is known to have originated in India, and it was the most viable way of preserving food items so that it can be stored for future usage. The process started as a means of preserving those food items, which are not available all through the year. The conventional means of preparing pickles in oriental style incorporates the usage of ingredients like oil, salt, chilli powder along with other condiments. The ingredients are mixed as per the set proportions, and there are many health benefits of eating pickles on a regular basis.

As per the reports of NSDA, pickles contain moisture, energy, fat, protein, carbohydrates, fibres, vitamins and sugar. The long list of vitamins includes Vitamin A, Vitamin B, Vitamin B-12, Vitamin C, Vitamin E, Vitamin K, riboflavin, niacin, thiamin, and folate. Indian pickles abound in phosphorus, iron, magnesium, sodium and potassium. The health benefits of pickles include the supply of necessary antioxidants, probiotics which are the gut-friendly antibiotics, helps in digestion, improve haemoglobin levels in anaemic people. There are some pickles which aid in controlling blood pressure levels and have hepatoprotective properties.

Chutney and their health benefits
Chutneys are a ubiquitous component of Indian cuisine, and some of the most common flavours added to the chutneys include ginger, garlic, onion salt, sugar and tamarind among others. Homemade chutneys prepared in almost all Indian households can be preserved for about a week in the refrigerator. Chutneys are filled with vitamins along with other nutrients, and less usage of oil makes it fat-free. They are rich in antioxidants, and sometimes fresh leaves are added to ensure inclusion of chlorophyll.

Just like pickles, chutneys also offer a wide range of advantages for one s health. It provides the body with the needful amount of antioxidants which are the micronutrients that aid in protecting the body from the free radicals. These free radicals are a type of unstable chemicals being generated at the time of cellular metabolism and react with the cells and cause damage to the DNA. The DNA then becomes unstable and gives way to the production of more free radicals which can be controlled by the consumption of antioxidants. The chutneys also supply the body with all the vitamins, minerals and other micronutrients which are necessary for sustaining healthy living.

To conclude, both pickles, as well as chutneys, are a significant part of the Indian food habits. Both of these items have a great taste and offer a wide variety of health aids which testifies to their consumption on a regular basis.

Pickle vs Chutney - Which Is Healthier?

The presence of red blood cells in the urine is called hematuria. If there are sufficient red cells, the urine turns to a bright red, pink or cola shade. Frequently, the urine looks totally ordinary because there is insufficient blood to change the colour. In this situation, the condition is called 'microscopic' hematuria.

The most common causes of hematuria are given below:

    Urinary tract infection (UTI)
    Kidney stones
    Tumours in the kidney or bladder
    Exercise: In this case, the blood is produced in the urine after strenuous activity. It is more commonly experienced by male patients.
    Injury: Traumatic damage to any part of the urinary tract, from the kidneys to the urethral opening, can cause hematuria.

The symptoms of hematuria vary depending upon the condition. These are as follows:

    Glomerulonephritis: If the glomerulonephritis is not serious, it may not show any signs. If the symptoms do show up, they can cause swelling, particularly in the lower furthest points(the thighs, legs, feet, and toes), decreased urine, and hypertension.
    Kidney or bladder infection: Symptoms rely on the site of the diseaseand can even cause extreme pain on one side of the lower back, fever, chills, nausea with vomiting, and pain in the bladder.
    Prostate infection: There can be pain in the lower back or in the region between the scrotum and rearend. Pain with discharge, blood in the semen, andfever and chills can also occuronce in a while.
    Tumour in the kidney or bladder: Most kidney and bladder problems develop without bringing about any pain or uneasiness. At the point when side effects build up, abdomen pain may be persistent.
    Kidney stones: When a kidney stone gets attached to the ureters, it can bring about extreme pain in the back, side or crotch, with nausea and difficulties in urination.

Based upon the suspected cause of hematuria, some of the treatments may include the following:

    Urine culture: In this test, a urine sample is extracted and examined to check whether bacteria has developed. This test is used to find a case of a kidney or bladder disease.
    Computed tomography (CT) of the kidneys, ureters and bladder: For most cases,a CT scan is conducted. This helps in viewing the internal organs and finding the areas that may have been affected by the condition. It also shows the extent of the damage and the spread of the disease so that a proper treatment plan may be laid out.
    Ultrasound: This test uses sound waves to create images that can show whether or not a kidney mass is a non cancerous. This method can also be used to find out whether or not there are any kidney stones, which may be causing hematuria.
    Cystoscopy: In this test, the specialist embeds an adaptable telescope into the urethra and passes it into the bladder to investigate the bladder lining for tumours or different issues.

Can Hematuria Be Treated?

Having a baby is nothing less than a dream come true, but it comes with its own share of problems for new mothers. A lot of women today are opting for a C-section, or a Cesarean surgery to deliver their babies. While it is safe for most, at times certain complications can arise as a result of the operation.

As if life for mothers wasn t tough already, post Cesarean wound infection is another concern some new mothers have to face. It usually occurs due to a bacterial infection in the area where the incision was made during surgery. If you have recently had a C-section, look out for signs in the first couple of weeks such as fever (100.5 F to 103 F), wound sensitivity and pain in the lower abdomen area. Other symptoms include swelling at the incision point or in the legs, discharge from the wound, smelly vaginal discharge or blood clots and difficulty in passing urine. If you notice any of these signs, act fast and visit your gynaecologist at the earliest, to avoid complications from the infection.

Why does it happen?
There can be various reasons that an infection happens, just like on any other part of the body where a wound is exposed. Generally, it is more prevalent among obese or overweight women or those taking any form of steroids. Other causes include, an incision closed with staples or nylon sutures, in cases of an emergency C-section, or from an infection of the amniotic sac.

Types and Treatment
C-section wound infections are of two types that is Cellulitis or wound abscess and thrush.

Cellulitis and wound abscesses are caused by bacteria and are treated with antibiotics. If you re in the hospital, you will be given the antibiotics intravenously, but if not, they can be taken orally as well. In case of abscesses, the pus is first drained out and smeared with antiseptic before being covered with gauze, after which the wound will heal on its own.
Thrush is caused by a fungal infection and is normally seen in women taking steroids or in those who have a weak immune system. Anti-fungal drugs are provided to combat the issue.
How can it be prevented?
Here are some things new moms can do to prevent the C-section wound from getting infected:

Regular follow-up visits with your obstetrician
Practising good hygiene and healing
Stay hydrated and drink plenty of fluids
Avoiding any strenuous exercises that may put pressure on the abdomen area and stitches
Resting as much as possible
Remember, even if you do develop an infection, it can be treated if addressed in time. New mothers need to take extra care of themselves, as a healthy mom, makes a happy mom!

Post Cesarean Wound Infection - How It Can be Prevented?

Women with low or diminished ovarian reserve often have to hear that becoming pregnant with their own eggs may not be possible and they may have to rely on a donor s eggs. Poor or low ovarian reserve has always been considered to be an alarming ovarian condition among women. To have a better understanding regarding the seriousness of this particular condition, keep on reading the article.

What is a low ovarian reserve?
The term ovarian reserve refers to the pool of eggs that is present at any time in the ovaries of a woman. When a physiological decrease in the number of the eggs present there is observed, it is termed as poor or low ovarian reserve. The lower quantity of the eggs the lower gets the chance of conceiving or becoming pregnant. However, it doesn t hamper the normal function of the ovaries in any way.

What causes low ovarian reserve?
The low ovarian reserve can happen due to various reasons. Some of the most common causes are the presence of genetic abnormalities, undergoing ovarian surgery, having aggressive treatments such as radiation or chemotherapy for cancer, leading life in an unhealthy way such as smoking or constantly worrying or suffering from anxiety.

However, one must remember that this physical condition is very common in women who are in their 30s or 40s. But those who have children already, the low ovarian reserve may not be a problem for them at all which is not so in case of others.

Symptoms to look for-
There are no specific visible symptoms for women who suffer from the low ovarian reserve. However, with the progress of this issue, women may find their menstrual rhythm to become shorter. For example, the cycle of 28 days may become a cycle of 24 days. Women who are near their menopause can experience signs of low estrogen, vaginal dryness, trouble in sleeping and missing out on their period dates as symptoms of low ovarian reserve.

Are there any treatment options?
It's true that there's no particular cure or treatment solution has been invented yet, but early diagnosis of low ovarian reserve helps women in having a better chance of conceiving with their own eggs. Once diagnosed with it, such treatments are offered that works towards making the conception time a faster one or cryopreserve the woman's embryos or eggs for future use. As long as the ovary responds to the stimulation, maximizing the number of harvested eggs is possible. Once the ovary fails to respond to stimulation, opting for the eggs of young women to get pregnant becomes the only option.

With more and more young couples now running into problems regarding conceiving naturally, the low ovarian reserve has become a serious threat to having children with a woman s own eggs. However, by being aware and well-informed about this particular condition and its symptoms, women can better deal with the problem.


Not Able To Conceive? Low Ovarian Reserve May Be The Reason

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