Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Apollo Cradle RoyaleYour feedback matters!
Patient Review Highlights
During pregnancy, a woman needs to take care of her body and her baby. One of the most important parts of pregnancy is the level of nutrition and diet of the woman. This has a direct bearing on the growth of the baby as well as the progression of the pregnancy. Nutrition is a matter of deciding what kind of food one should eat and the kind of food that one should stay away from, at this point. Weight management and looking after your sugar and blood pressure levels is also a part of this nutrition plan that you will follow during your pregnancy.
In case you are confused about the diet and nutrition plan that you must follow during your pregnancy, then here is a plan that you can use. Do remember to consult your doctor so that it may be customised as per your body and specific conditions.
- Grains: You will need to ingest at least seven to eight pounds of grains in a day. These may include wheat, rice, and other local grains like Ragi, Bajra, Jowar and other such grains. You must create a good balance of these grains. But do remember to find out if you doctor would recommend the use of grains, depending on the state of your health. You may also want to watch out for signs like constipation and loose motions in case your body is not able to tolerate excessive amounts of grains. You can also stick to cereal for breakfast and other grains for lunch and dinner. Try and create a mix of grains with which you can make rotis or flatbread to be had with vegetables.
- Fruit: You will need to have at least two cups of fruit a day. In case you are diabetic or you are suffering from gestational diabetes or even a high level of sugar, you may want to consult your doctor about the amount of fruit that you can have during the day. This is also a good substitute when you are having sugar cravings during your pregnancy. Try and have plenty of fruit and mix up the colours as the fibre will also help in dealing with any constipation that you may be going through.
- Vegetables: It is imperative to have at least three to four cups of vegetables a day when you are pregnant, as this will supply a lot of nutrients, minerals and vitamins to the growing baby. You may especially want to stick to vegetables like broccoli that have a high iron and folate content which can give a good amount of folic acid. This is usually required for good growth of the foetus. As with fruit, you will need to mix up the colours and have something from each colour group every day. You can combine this with some amount of meat as well.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The uterine fibroids are one of the most common gynecologic problems, with over 40-50% of women having them at some point in their life. The number and size of the fibroids, the age of onset, associated symptoms like dysfunctional bleeding and pelvic pain will determine the management of fibroid. The following is a series of management measures, starting from the most conservative to the most invasive.
1. Wait and watch: In women who are asymptomatic, it is best to watch them for the development of symptoms without any intervention. Also, in women nearing menopause, it is best to just watch the fibroids as they just shrink once menstruation ceases.
2. Medical therapy: In some women, menstrual cycles could be heavy or irregular and require hormonal replacement. They could also have occasional pain, and so may require painkillers.
- Tranexamic acid is a non-hormonal medication that can be used on heavy bleeding days only to ease the heavy menstrual flow.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) are useful in pain control. Iron and vitamin supplements are also useful in managing anemia and weakness associated with heavy bleeding.
- Oral contraceptives and/or progestins are also used to control abnormal menstrual bleeding. They do not have any effect on fibroid size though.
- Progestin could also be delivered through an intrauterine device (Mirena) to relieve heavy bleeding and prevent pregnancy.
- Gonadotropin-releasing hormone (Gn-RH) agonists: They block the production of oestrogen and progesterone, and so induce a temporary postmenopausal state. This can also be used to shrink the fibroid so it is easier to remove it surgically. This is not used for more than 3 to 6 months as they can cause hot flashes and bone loss.
- Newer drugs like Mifepristone and Ulipristal acetate are being used to shrink the size of fibroids.
3. Noninvasive procedure: MRI-guided focused ultrasound surgery is when the women are inside the MRI scanner and an ultrasonic transducer is used for treatment. The exact location of the fibroids are identified and sound waves are used to destroy the fibroid. Done on an outpatient basis, it is safe and effective.
4. Minimally invasive procedures: Uterine artery embolization is where the arterial supply is cut off to reduce fibroid growth. Myolysis is where laparoscopically heat or cold waves are used to lyse off the fibroids. Endometrial ablation is where the uterine lining is destroyed through high-intensity heat or cold waves.
5. Invasive procedures: Abdominal or Laparoscopic myomectomy is where the fibroids are removed through an abdominal incision or keyhole surgery. If fibroids are extensive and completed family, hysterectomy is the choice of treatment. Given their high incidence, fibroids require management based on symptoms, age, and other considerations as discussed and decided between the patient and the doctor.
Pregnancy is a joyous journey of surprises and new experiences. It is really hard to understand the changes that your body goes through during this beautiful period. You might have heard stories from your elders and friends. But, what it exactly feels like and what it takes or gives to be pregnant, can only be realised when you are pregnant yourself.
The most interesting part of this journey is that it’s nature and characteristics differ from one woman to the other. The symptoms experienced are completely or partially different for different expecting moms. But, one most common symptom of pregnancy is exhaustion. Almost every mother has gone through this experience during the first trimester. You might get a feeling of flu or feel as if you haven’t slept for five days. But don’t worry as this exhaustion is temporary. It vanishes as your pregnancy enters the second or third trimester or ends.
Here’s how you can cope up with the exhaustion of the first trimester:
- Maximise your happy or good hours: Exhaustion is not constant throughout the day. It hits hard either during the day or night. You need to identify these hours. It is best to avoid your work and social life at this time. You can use the other half of the day, when you are active, to carry out your day-to-day activities.
- Increase your sleep schedule: You need to get proper rest for your body and fetus. Sleeping for just seven or eight hours might not be enough. You may have to sleep for ten or eleven hours in the night to get rid of the exhaustion.
- Take short naps: A major way of coping up with the exhaustion is to take short naps. A power nap in between your working schedule can help you regain your lost energy. You will feel refreshed. Take the nap for 20 minutes only. Don’t take a too much longer nap. Doing so will only make you feel more lethargic.
- Drink water like a fish: You will have to keep your body hydrated. Make sure that you stay hydrated all the time by drinking the right amount of water. Dehydration can increase your exhaustion. A rule for drinking water is to equalise your body weight divided by two in ounces plus 8 ounces more with that
- Take help: You must not try to do things alone. You will have to take help from others like the house taker, relatives, family members or friends to do the housework. Also, request your employer to give you less work during this period.
Apart from these indulge in light exercise and eating a balanced diet along with small portions of healthy snacks in between meals is also a must for an expecting mother.
Breastfeeding has shown to have an incredible impact on the growth and development of an infant on account of the nutrients which are provided to the baby. The mental development which occurs due to breastfeeding is said to show even years from the time that a person was an infant. When a person considers just how important breastfeeding truly is, she would not want to make a mistake, would she?
A lot of new mothers are concerned, if their babies seem to fall asleep while feeding a lot quicker than they should. As a matter of fact, they worry that the babies will not get enough breast milk and this can stunt the development of the young ones. While this is true, it can be said that a few steps taken can make sure of the fact that there would be nothing for the mothers to worry about.
- Inadequate consumption: It is natural for a baby to have a tendency to fall asleep, after all, that rapid rate of growth is likely to consume a lot of energy. In order to make sure the baby consumes enough milk prior to falling asleep, what should be done is that the mother should transfer the baby from one breast to the other one when she notices that the rate at which the baby is consuming is slowing down. The effect this has is to make sure that the rate of transfer is maximised; as the fastest rate, the milk transfers is when the baby begins suckling, for the first few minutes.
- Risk of Infection: Taking into due account what a sensitive and important process breastfeeding is, it can be said that an infection is something which can disrupt the process. One of the infections happens to be thrush. This is one which can spread from the mouth of the baby to the breasts of the mother. The effects of the infection include soreness and possibly even a rash. A doctor would probably provide the patient with some anti-fungal medication in order to fight the infection off.
- Latching problems: Another issue which is faced by new mothers is that there is a pain when the baby is to latch on to the nipple. In order to reduce this, what can be done is that the mother can try keeping the baby in a position to cover as much of the area under the nipple than over and adjust the baby to cover the nipple when he or she yawns.
These are just some of the common issues faced by new mothers. However, following a few simple measures can ensure that the experience of breastfeeding is most satisfying for both mother and child. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Pregnancy and child birth are some of the most important functions of a woman’s life, and they have a life long bearing on how her body functions as well. A normal delivery or a vaginal delivery is something that a majority of women prefer because it is one of the most normal ways of delivering a baby without having to go through an invasive or surgically induced method that will also include the aid of medication. So what all can you expect when you are going through a normal or a vaginal delivery? Here is a quick list.
- Birth plan: During the final trimmest of your pregnancy and especially during the ninth month, it is important to have a birthing plan in place. By this time, it will be clear that you are going through your pregnancy in a normal manner without any problems or complications that may have a bearing on the way you will deliver the child. It will be pretty clear that you are going to have a normal delivery, in which case it is important to talk to your doctor and your partner about who will be with you when you deliver the child, and at what point you may ask for an epidural. Also, remember to include the complications that can lead to the employment of other delivery methods like forceps or a caesarean section.
- Early phase of delivery: During the early phase of your delivery, the amniotic sac, which is a fluid filled protective sac, will burst. This sac usually protects the baby. Once this water breaks, you will be in active labour. For many women, the contractions and labour pains begin before the water actually breaks, in which case, the doctor may have to rupture the sac manually or with the help of medication.
- Contractions: The tightening and releasing of your uterus is known as a contraction. These contractions will start to come in lesser intervals as the delivery progresses. It is important to keep track of the number of minutes between each contraction as this will help the doctor monitor the delivery. These may not be the most reliable indication of the progression of your labour and delivery, because sometimes, these contractions may also be false alarms like Braxton Hicks contractions, which may happen at various points during your third trimester.
- Opening of the Cervix: The opening or dilation of the cervix will usually take place eventually along with the contractions. Usually, this opening is about 3 to 4 centimeters with a passage connecting the vagina with the uterine cavity. When this dilation reaches 10 centimeters, it means that the baby is ready to start crowning. At this point, the contractions will also be closer and you will be urged to begin pushing so that the baby may enjoy a safe passage. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Let's first get to know what are menstrual cramps?
Menstrual cramps, also known as dysmenorrhea or period pains are throbbing or cramping pains in the lower abdomen.Many women experience menstrual cramps just before and during their menstrual periods.
Who gets menstrual cramps?
About half of women experience menstrual cramps and about 15% describe the pain as severe. It has been shown that women who do not exercise experience more painful menstrual cramps. Certain psychological factors such as emotional stress may also increase the likelihood of having uncomfortable menstrual cramps. Additional risk factors for these cramps include:
- Being younger than 20 years of age
- Starting puberty at age 11 or younger
- Menorrhagia - heavy bleeding during periods
- Never given birth
Symptoms of menstrual cramps include:
- Pain in the lower back and thighs
- Loose stools
- Bloating in the belly area
- Lightheadedness or feeling faint.
How can you 'AVOID' menstrual cramps?
- Eating fruits and vegetables and limiting intake of fat, alcohol, caffeine, salt and sweets
- Exercising regularly
- Reducing stress
- Quitting smoking
- Yoga or relaxation therapy
- Acupuncture or acupressure.
- Apply heat to lower abdominal part.
- Make sure you're getting enough vitamin D.
- Dietary supplements.
10 Ways to treat period cramps:
1. Improve Your Diet to Alleviate Period Cramps
2. Pop a Safe Painkiller
3. Turn to Tea to Calm Menstrual Cramps
4. Try Fish Oil and Vitamin B1
5. Needle Away Period Cramps
6. Massage With Essential Oils for Pain Relief
7. Curl Up With a Heating Pad to Ease Period Cramps
8. Boost Endorphins Your Way
9. Up the Magnesium in Your Diet
10. Lean on Your Contraceptive
If you wish to discuss about any specific problem, you can consult a gynaecologist.
Planning your pregnancy means thinking about what it means to have a baby and making decisions with your partner about the future of your family. Are you ready to be parents now? Or do you want to wait a while?
Certain tips you must follow before you try to get pregnant:
- Schedule a preconception visit: You don't have to have a doctor or midwife lined up to deliver your baby yet, but consult gynaecologist, midwife or family doctor now for a preconception checkup.Your practitioner will likely discuss diet, weight, exercise and any unhealthy habits you may have (such as smoking, drinking, and taking drugs); recommend a multivitamin; make sure you're up to date on your immunizations.
- Take folic acid (and watch out for vitamin A): You can buy folic acid supplements at the drugstore, or you can take a prenatal or regular multivitamin. Check the label on multivitamins to make sure they contain the 400 mcg of folic acid you need.
- Give up binge drinking, smoking, and drugs and get help if you need it: If you smoke or take drugs, now's the time to stop. Many studies have shown that smoking or taking drugs can lead to miscarriage, premature birth and low-birth-weight babies.
- Stock your fridge with healthy foods: You're not eating for two yet, but you should start making nutritious food choices now so your body will be stocked up with the nutrients you need for a healthy pregnancy.
- Check your caffeine intake: While there's no consensus on exactly how much caffeine is safe during pregnancy, experts agree that pregnant women and those trying to conceive should avoid consuming large amounts.
- Aim for a healthy weight: You may have an easier time conceiving if you're at a healthy weight. Having a low or high body mass index (BMI) makes it harder for some women to become pregnant.
- Create and follow an exercise program: Start and stick to a fitness plan now, and you'll be rewarded with a healthy body that's fit for pregnancy.
Pregnancy is an ideal time to start taking really good care of yourself, both physically and emotionally. If you follow the few simple guidelines below, you should give yourself the best chance of having a problem free pregnancy and a healthy baby.Healthy and fit baby is all what mother demands so here are the tips for a healthy pregnancy.
- See your doctor or midwife as soon as possible: As soon as you find out you're pregnant, get in touch with your GP or a midwife to organise your antenatal care.
- Eat well: Aim to eat a healthy, balanced diet whenever you can. Try to have, at least five portions of fruit and vegetables daily. Plenty of carbohydrates, such as roti and rice, as the basis of your meals. Choose wholegrain carbohydrates rather than white, so you get plenty of fibre. Daily servings of protein, such as fish, lean meat, eggs, nuts or pulses, and some milk and dairy foods. Two portions of fish a week, at least one of which should be oily.
- Take a supplement: Pregnancy vitamin supplements aren't a substitute for a balanced diet. But they can help if you're worried you're not eating well, or you're too sick to eat much.
- Be careful about food hygiene: There are some foods that are not safe to eat in pregnancy. This is because they can carry a health risk for your baby. It is always recommended to avoid foods such as raw papaya and raw pineapple during pregnancy as cause pregnancy or birth complications. It can even lead to miscarriage. Avoid eating outside food.
- Exercise regularly: Good exercise choices for pregnancy include, brisk walking, swimming, antenatal classes, yoga, pilates, etc. One should do exercise which she is used to doing regularly when not pregnant and should avoid starting any new exercise during pregnancy without supervision.
- Begin doing pelvic floor exercises: Your pelvic floor comprises a hammock of muscles at the base of your pelvis. These muscles support your bladder, vagina and back passage. They can feel weaker than usual in pregnancy because of the extra pressure upon them. Pregnancy hormones can also cause your pelvic floor to slacken slightly.
- Cut out alcohol: Any alcohol you drink rapidly reaches your baby via your bloodstream and placenta. There is no way to know for sure how much alcohol is safe during pregnancy. That's why many experts advise you to cut out alcohol completely while you're expecting.
- Cut back on caffeine: Coffee, tea, cola and energy drinks are mild stimulants. There are concerns that too much caffeine may increase your risk of miscarriage. It's also thought possible that too much caffeine may contribute to your risk of having a low birth weight baby.
- Stop smoking: Smoking during pregnancy can cause serious health problems, for you and your baby. These risks include an increased risk of, miscarriage, premature birth, low birth weight.
- Get some rest: The fatigue you feel in the first few months is due to high levels of pregnancy hormones circulating in your body. Later on, it's your body's way of telling you to slow down.To wind down ready for bed, try relaxation techniques, which are safe in pregnancy, such as yoga, stretching, deep breathing, visualisation, massage.
What will happen if you don't follow these tips?
- Insufficient Growth
- Neurological Disorders
- Low Birth Weight
- Body Weakness
- Fetus and Infant Death