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Dr. Adarsh Purang

Gynaecologist, Delhi

300 at clinic
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Dr. Adarsh Purang Gynaecologist, Delhi
300 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Adarsh Purang
Dr. Adarsh Purang is a renowned Gynaecologist in Vishal Enclave, Delhi. He is currently practising at Purang Eye Centre & Gynae Clinic in Vishal Enclave, Delhi. Save your time and book an appointment online with Dr. Adarsh Purang on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Purang Eye Centre & Gynae Clinic

A-114, Vishal Enclave, Rajouri Garden. Landmark: Near TDI Mall, DelhiDelhi Get Directions
300 at clinic
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Anemia During Pregnancy

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur
Anemia During Pregnancy

Anemia during pregnancy is a common condition and a worrisome one. Therefore, understanding the details of anemia, its causes, symptoms and potential treatments is important.

What is anemia during pregnancy?

Anemia is a condition that can affect anyone and is defined as a deficiency in iron, an essential mineral in our body. Anemia during pregnancy is a common affliction of pregnant women, due to many physical and hormonal changes that occur during pregnancy.

Any deficiency in nutrients can be fatal and leaves your body without the key resources it needs, but this can be a dangerous concern during pregnancy. Iron is an essential mineral in the production of red blood cells and hemoglobin, which is necessary to carry oxygen and other nutrients to different areas of the body. Expecting mothers contribute a large amount of their nutrient intake to their growing fetus ;which makes it even more important for them to ensure that their nutrient levels are adequate.

Unlike traditional anemia, which can affect anyone during pregnancy, it is risky, especially during the first and the third trimester.

During third trimester

In the third trimester, the final three months of a pregnancy term, there is a particular risk of anemia. Even if you aren’t anemic at the start of your pregnancy, the chances of being anemic get high by the end of your term. Approximately 15-20% of women experience anemia during pregnancy. Having anemia during the third trimester can increase the risk of a pre-term baby or a low birth weight of the baby.

Having anemia during your late pregnancy term will also increase the risk of fetal anemia, which is rare, but extremely dangerous, and can even lead to heart failure or death of the fetus.

Causes

  • The causes of anemia during pregnancy include loss of blood, natural fetal development, poor diet and pre-existing chronic disease.
  • Loss of blood: if you suffer from heavy menstruation or have a bleeding disorder, you are at a much higher risk of anemia during pregnancy. This basic loss of blood will require the body to produce more hemoglobin and red blood cells, putting a strain on your iron reserves.
  • Fetal development: as the fetus grows within the womb, it will require its own supply of blood, independent of the mother. This is a large sink for iron intake, and is the primary reason for anemia during pregnancy, albeit an unavoidable one.
  • Unique pregnancy: for women who have recently had a pregnancy, or if you are carrying multiples (twins, triplets etc.), the risk of anemia during pregnancy is considerably high.
  • Poor diet: the main source of iron in your body comes from dietary choices. A diet that is low in protein or high in sugars and fats can unbalance your nutrient levels, leading to anemia.
  • Chronic disease: certain chronic diseases, such as cancer, diabetes, crohn’s disease, ulcerative colitis and other inflammatory conditions can decrease your body’s ability to produce hemoglobin, leading to anemia.

Types

Contrary to popular belief, anemia is not exclusively caused by a deficiency in iron. While a lack of iron causes 80-95% of anemia cases, deficiencies in other essential compounds can also result in anemic symptoms.

1. Iron-deficiency anemia

This is the most common form of anemia caused by a lack of iron in the body. It limits your body’s ability to produce hemoglobin and deliver oxygen to the necessary organ systems and tissues.

2. Folate-deficiency anemia

Folic acid is a part of the b family of vitamins and is closely linked to metabolic processes and the risk of neural tube defects in a fetus. While rarer than iron-deficiency anemia, it still requires specialized treatment to bring folate concentration back to a healthy level.

3. Vitamin b12 deficiency anemia

Pernicious anemia is a rare form of anemia in which your body attacks the cells in the stomach that are required to absorb vitamin b12. Without this essential vitamin, similar to a lack of iron, your body is unable to produce red blood cells.

Symptoms

Some of the most common symptoms of anemia during pregnancy are fatigue, shortness of breath, irritability, dizziness, muscle weakness, preeclampsia and irregular heartbeat, among others.

1. Fatigue:

Exhaustion is one of the first and most notable symptoms of anemia, making you feel physically sluggish and cognitively slow.

2. Muscle weakness:

Without proper oxygenation, muscles are unable to function properly, leading to muscle aches, soreness, and general weakness.

3. High blood pressure:

Preeclampsia, high blood pressure duringpregnancy, can be a very serious symptom of anemia during pregnancy, and will often require additional treatment to keep under control.

4. Breathing problems:

The physical exhaustion caused by anemia and the lack of oxygen to organ systems can make normal respiration a struggle. This can also cause dizziness in some pregnancies.

5. Irregular heartbeat:

Tachycardia is a potentially life-threatening symptom of anemia during pregnancy, in which your heart “skips” beats. This can lead to more complicated cardiovascular issues during pregnancy.

Tests

If you suspect that you are experiencing anemia during pregnancy, a visit to the doctor is highly recommended. They can perform a simple blood test to determine your levels of hemoglobin. This is the most reliable and rapid means of determining whether you are experiencing anemia during pregnancy.

Treatments

Given, how common it is for women to experience anemia during pregnancy, there are a number of formal treatments, as well as home remedies and natural therapies that can prevent or effectively treat this condition.

1. Iron supplements

This is the easiest and most common recommendation for addressing anemia during pregnancy. Though iron supplements may increase the concentration of iron in the body, the greater issue may be an inability to absorb iron, which can be mitigated by vitamin c intake.

2. Prenatal vitamins

Considered a preventative measure, more than a treatment option, prenatal vitamins can ensure that your iron levels remain adequate throughout pregnancy.

3. Iron-rich diet

Your dietary choices will have the largest impact on the amount of iron in your body. Within the boundaries of your pregnancy diet, add foods like spinach, red meat, legumes, high-starch foods and dried fruit.

4. Vitamin c intake

Ascorbic acid is critical to iron absorption in the gut. By ensuring that you have proper levels of vitamin c, you can effectively avoid anemia during pregnancy. Include foods like citrus fruits, leafy green vegetables and bell peppers in your diet for better results.
 

Vitamin b1 deficiency

Please tell me. When is the best time for having a quantitative Blood Pregnancy Test after sex for accurate result?

MBBS, PG Diploma in HIV Medicine
General Physician,
Please tell me. When is the best time for having a quantitative Blood Pregnancy Test after sex for accurate result?
Ovum or egg releases on 14 or 15th day from the first day of the menstruation in a woman having regular cycles. It servives for 24 hrs only but sperm survives 4 days after ejaculation inside the uterus. So if a person had sex between 10th to 17 th day of a monthly cycle then there will be more chance of getting pregnant and the period is known as unsafe period. Home based pregnancy tests look for urinary HCG for presence of pregnancy.. for accurate result we need to perform the test after stoppage of menstruation least for one time.. But the confirmation has to be done by physician only.. Contact for any further assistance
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Hlw My name is puja.. 19 yrs..mera pcod hai ..pet mai dard hota hai 3 mbth se periods nahi ho raha hai . Aisa q ho raha hai

MD - Alternate Medicine, BHMS
Homeopath, Surat
Dear, You better consult homoeopath...dont go for allopathic treatment...because they will give you hormonal treatment...and such treatment in 19 yrs of age is harmful to you in your near future... So better consult a homoeopath...if possible contact me...8460523004
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I am 38 years old and my wife is 33 years old but she is not interested with me intercourse month after months what I can I do, she is having a nine years old girl. But she is never insisted me for sex. Why?

MBBS
General Physician, Chandigarh
I am 38 years old and my wife is 33 years old but she is not interested with me intercourse month after months what I...
Talk to her find out why she is not interested there may be sime physiological or psychological reasons you can find a solution for that only if you know it if required take the help of a professional psychotherapist.
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Dear doctors my wife pregnant in 13 week. I have a son 4years from down syndrome the doctor advised me to chorionic villus biopsy test. Please answer me to what risk of this test.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
Dear doctors my wife pregnant in 13 week. I have a son 4years from down syndrome the doctor advised me to chorionic v...
If it is done through abdomen the risk of pregnancy loss is lesser than if it done vaginally. Difference in risk maybe 0.5% to 5%.
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One of my female friend don't want to have sex with her husband but he force her to have sex he mixed alcohol With drink and made her unconscious and had sex Now she want to know how she can reduce his sex desire By giving any tablet to him and she can sleep peaceful Because she feels he is handling her like a animal.

MD - Psychiatry
Psychiatrist, Chennai
There are medications to reduce sexual desire and urge, for which she has to consult a psychiatrist and explain in detail about the events and circumstances to ascertain if her hubby has excessive desire and based on the evaluation treatment can be suggested. All the best.
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Hi. It's more than 13 days and my periods are not coming to an end. What could be the reason for this. This is the first time this has happened. Otherwise it was quite normal with regular intervals.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi. It's more than 13 days and my periods are not coming to an end. What could be the reason for this. This is the fi...
Hi lybrate-user. It needs proper physical examination and radiological investigation to diagnose the problem. Till then you may take homoeopathic medicine. Phosphorus 30 one dose. Better consult for proper treatment.
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Hi, As I have Seen, Some Girls are Gain weight after abortion operation. What are the reasons for that?

BHMS, Masters in Nutritional Therapy
Homeopath, Mumbai
After abortion there are changes in the uterus take place which give rise to the hormonal imbalance that may be a cause of the increase weight.
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I had missed my period by 4 days and I had done the pregnancy test also but it's negative. What should I do? I am very much tensed. Plzz suggest me what should I do now?

Advanced Aesthetics
Ayurveda, Gulbarga
I had missed my period by 4 days and I had done the pregnancy test also but it's negative. What should I do? I am ver...
wait for periods another 5 days check once again not to worry result r nagative sometime its due to harmonal ombalence
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