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Dr. J J Mirchandani

Gynaecologist, New Delhi

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Dr. J J Mirchandani Gynaecologist, New Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. J J Mirchandani
Dr. J J Mirchandani is a trusted Gynaecologist in New Delhi, Delhi. You can meet Dr. J J Mirchandani personally at Dr J J Mirchandani's Clinic in New Delhi, Delhi. You can book an instant appointment online with Dr. J J Mirchandani on Lybrate.com.

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MD
Sexologist, Srinagar
Weight gain between pregnancies may influence baby’s chance of survival
A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life.


SWEDEN : A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life. The findings are being published in The Lancet and build on data from more than 450,000 women in Sweden.

"These tragic events are still very rare among infants of mothers with high weight gain. However, as many women gain weight between pregnancies, our results are very important from a public health perspective", says principal investigator Sven Cnattingius, professor of reproductive epidemiology at Karolinska Institutet.

In their study, researchers reviewed data from the first two pregnancies of nearly 457,000 women who gave birth in Sweden from 1992 to 2012. The women's information was recorded in the Swedish Medical Birth Register, which since 1973 has collected information on about 98 percent of all births in that country. Weight was assessed at the beginning of each pregnancy. The results show that stillbirth risk rose with larger gains in body mass index (BMI) from first to second pregnancy. Compared with women who kept their weight, women whose BMI increased more than four units had a 50 percent increased risk of stillbirth.

Among women of normal weight in first pregnancy, high weight gain also increased the risk of infant mortality: when their BMI increased by 4 units or more, risk of infant mortality increased by 60 percent. On the other hand, the results also point to the opposite situation. Women who were overweight by their first pregnancy, defined as a BMI of 25 or more (corresponding to at least 70 kg of women with average height), but who lost weight before the second pregnancy, reduced their risk of infant mortality.

Every fifth women in the study material gained so much weight that it influenced risks of stillbirth and infant mortality (i.e. at least 2 BMI units, corresponding to 5.5 kg). However, the researchers point out that stillbirth and infant mortality are very rare events in Sweden, and only 2.4 per 1000 births resulted in a stillbirth and 2.1/1000 in infant mortality. There are annually around 100,000 births in Sweden.

"Previously, we have published that risks of stillbirth, infant mortality and morbidity increase with maternal weight, and in this new study we find that find that weight gain influence mortality risks. Taken together, our results support the conclusion that mother's weight per see may influence infant chances of survival", says Dr Cnattingius. "Still, the explanation for the findings is still speculative. We cannot differentiate from the data whether it is the weight gain during the pregnancy or in between pregnancies that is of significance".

Financial support was provided by the Swedish Research Council for Health, Working Life and Welfare, and a Karolinska Institutet Distinguished Professor Award to Sven Cnattingius.
5 people found this helpful

Early Signs of Pregnancy

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Early Signs of Pregnancy
Early Signs of Pregnancy

Every woman is different. So are her experiences of pregnancy. Not every woman has the same symptoms or even the same symptoms from one pregnancy to the next.

1. Fatigue - If you're suddenly exhausted, it might be a response to the increasing hormones in your body. Don't treat fatigue with excessive caffeine if there is a chance you may be pregnant.

2. Sensitivity to certain Smells – Certain pleasant or unpleasant smells can make you nauseous. If you're repulsed by certain smells, or have an increased sensitivity to odors.

3. Nausea and Vomiting – This is due to rising hormones levels in early pregnancy

4. Breast Tenderness – Tender and heavy-feeling breasts, darkening of the areolas and even more pronounced veins on your chest can be a first sign that you're pregnant. Get a well fitted bra to ease the discomfort

5. Frequent Urination – In early pregnancy the uterus grows and pushes on the bladder, triggering the urge to urinate more often.

6. Shortness of Breath - This is because you need extra oxygen due to the growing embryo

7. Spotting and Cramping – This is due to implantation of the fertilized egg to wall of the uterus. Is it PMS or pregnancy? It's hard to tell, but if you're feeling crampy, it might be your uterus stretching to get ready for a baby.

8. Mood swings- These are also related to changes in hormones

9. Constipation - The higher levels of the hormone progesterone can make you constipated. You swear you fit in your skinny jeans just last week. If you're feeling a little puffy or backed up, it might be extra progesterone due to pregnancy, which slows down your digestive system.

10. Late Period
Many of the early signs of pregnancy are also symptoms of PMS. How to tell the difference? The most telling clue yet will be a missed period. If your cycle is fairly regular and you're late, you should head to the drugstore for pregnancy test kit or a gynecologist
A pregnant woman could have all of these or maybe have only one or two. If any of these symptoms become bothersome, then visit your Gynecologist and Obstetrician for consultation.

Dr. Jyotsna Gupta
http://gynecologist-delhi.webs.com
40 people found this helpful

My period is two days late when should I take pregnancy test at home rpl me soon thank you.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My period is two days late when should I take pregnancy test at home rpl me soon thank you.
if you have doubt for pregnancy then do urine pregnancy test done.otherwise wait for 5-6 day .menses delayed may be due to hormonal imbalance.
2 people found this helpful
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I am having a lot of vaginal discharge. What do I do to stop it and what is the cause of it?

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training In USG
Gynaecologist, Delhi
Hi You should get yourself examined by gynaecologist first to find out reason of discharge. Also you should do fasting blood sugar levels done as this problem is more if patient has diabetes.
1 person found this helpful
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How To Prevent Tuberculosis(TB) From Spreading And Safeguard Yourself

MBBS
General Physician, Delhi
How To Prevent Tuberculosis(TB) From Spreading And Safeguard Yourself
Ways To Prevent Tuberculosis

Tuberculosis happened to be a life threatening disease till some years ago. Now, it is curable with medication, however there is very little awareness about the same. It is crucial that awareness is spread to put a stop to this disease. TB spreads through infection, so a simple sneeze or a cough can also be hazardous. Here is how you can stop the spreading:

1. Curb the Spread - If someone already has tuberculosis, they need to cover their mouths when coughing or sneezing. This is actually a habit everyone should follow, as there are many people in whom the tuberculosis virus exists but is dormant.
2. Don’t let it activate - If you have latent tuberculosis, where you have none of the symptoms yet have been identified, you need to take the medication prescribed so that it doesn’t become active.
3. Complete the course - TB is curable but only when medications are taken regularly, strictly, and as prescribed.
4. Avoid exposure to the infected people - People who have been exposed to TB patients should get themselves tested. Remember it spreads through infection; patients need not be kept in isolation if taking proper care and medication.
5. Boost your immunity - Ensure that your own immunity is strong. People with low immunity are at extreme risk of contracting tuberculosis. Take special care if you are a caretaker of someone being treated for tuberculosis, if you do drug and/or alcohol abuse, if you live in crowded spaces like shelters, etc.
6. Improve your lifestyle - Lead a healthy lifestyle by eating healthy, exercising often, reducing alcohol consumption, sleeping well and maintaining good hygiene.


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2373 people found this helpful

Can I take allopathy and homeopathy tablets for same purpose ,that I am taking tablets for conceiving in allopathy and for follicle growth in homeopathy can take like this please help me.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Can I take allopathy and homeopathy tablets for same purpose ,that I am taking tablets for conceiving in allopathy an...
lybrate-user, Thanks for the query. Before I answer your query, let me know if you have checked thyroid gland funcntion? If yes what is the TSH level? Because if TSH is more than 3 mU/L conception is unlikely to occur. Secondly if you are on allopathic medication, for helping getting conception, then it is fine to take the other medication as mentioned by you. Because whether that has any effect at all is a big question mark. Thanks.
1 person found this helpful
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Impotence In Women - What Is It?

MBBS Bachelor of Medicine and Bachelor of Surgery, Fellow of The Royal Society of Health, Certification In Sexologist
Sexologist, Delhi
Impotence In Women - What Is It?

It's not that you feel the same responsiveness while having a sexual relationship with your partner like you used to have earlier; impotency in women can occur at any stage due to various reasons. Sometimes such problems may strain your relationship with your partner.

If you know what impotency in women is, it will be helpful for you to get it treated:

  1. Inhibited desire disorder: Most women who are impotent in sex have almost no desire to have sex. Different causes that lead to such a situation are illness, tiredness, depressionanxietystress, relationship disharmony, and drug or alcohol abuse. Apart from these reasons, there are certain days in the monthly cycle of women when they lose the sexual desire. Medication and child birth can also be another cause for this. It may not seem serious in the beginning but gradually with time, things will change and frustration and unhappiness creep in a lovely relationship.
  2. Pain during intercourse: Dyspareunia or pain during intercourse also sometimes leads to impotency among women. It can be a superficial or deep pain. The main cause of the pain is that the womb is not able to lift up, and the discomfort for this does not allow the walls of the vagina to swell and allow the penis to enter the vagina. Mainly lack of lubrication and endometriosis is an important cause for such a pain. You will have superficial pain when there are issues like genital herpes, muscle spasms and other such problems. With experience of such pain, many women fear the feelings of intercourse, and they start lacking the sexual desire in total.
  3. Lack of ability to reach orgasm: It is a common belief that women have an orgasm with the penile penetration. The truth is that it's not. Only 25% of women are found to get orgasm in this way and others need clitoral stimulation for having orgasm. Thus, most women while having sex do not reach the climax! Women who love their partner without getting orgasm during sexual intercourse may feel different. And gradually they lose their desire for having sexual relations. There are a few factors like poor blood flow to the vagina, hormone imbalance that create this problem.

If you are facing any of the above problems, you may be suffering from impotency. However, do not get threatened as you are not alone, and getting to your doctor will help you out of such problems. In case you have a concern or query you can always consult an expert & get answers to your questions!

5929 people found this helpful

If my gf date over on 30 july and we have sex on 4 aug is there any chance of pregnancy.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
You have to count from the first day. So her period may have started 5 days before, say 26 July. So on 9th day of cycle she had intercourse. There is a slight risk of pregnancy, particularly if her cycles are shorter the normal 28-30 days.
1 person found this helpful
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The 3 Doshas- Vata, Pitta and Kapha

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ambala
The 3 Doshas- Vata, Pitta and Kapha

Ayurveda basics

Ayurveda (pronounced i-yer-vay-da) is a rich and holistic nature based medical system designed to prevent disease, promote health, and unlock the potential for living beings to thrive. It is the oldest surviving medical system in the world, dating back over 5, 000 years to ancient india. “ayurveda” is derived from the sanskrit words “ayus” (life) and “ved” (wisdom). Ayurvedic medicine is a complete system because is rooted in all 4 dimensions of health: physical, mental, emotional, and spiritual. One of the main premises of ayurveda is that each person has a unique constitution of doshas, or elemental vital bioenergies, known as vata (air and space), pitta (fire and water), and kapha (earth and water). By assessing a person’s unique combination of these elements, we can help determine their individual physical and mental characteristics and detect imbalances that may be contributing to disease. Using this information, we can customize a plan to optimize the patient's health and well being so they can reach their highest potential. The sister science to yoga, ayurveda teaches us how to live in balance with nature, and learn how to be at peace with ourselves so we can then reflect that happiness and abundance to those around us. 
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-the 3 doshas- vata, pitta and kapha

Have you ever wondered why each person is so unique?

  • Some people just look at a slice of cake and gain a pound while others can eat mountains of food and stay as thin as a rail. Why do some people have excessive anxiety and fear while others trend towards anger and irritability? ayurveda answers these questions with the concept of the three doshas: vata, pitta, and kapha. The doshas are biological energies that control all of the functions in the body and have a powerful effect on the mind. They are comprised of the five basic elements and their individual properties. Vata is composed of air and space, pitta of fire and water, and kapha of earth and water. 
  • Ayurveda is based on the premise that we are all born with a unique constitution comprised of these five elements, and that constitution will remain the same throughout our entire lives. Although our basic constitution does not change, the three doshas are in a constant state of flux. For example, a person living a chaotic lifestyle who is constantly on the move, eating too much cold, dry and raw food, drinking coffee and not sleeping enough will eventually experience an increase in vata dosha (air and space). If this intensive diet and lifestyle is maintained for some time, the person will eventually develop certain symptoms that are associated with an excess of air and space in the body. In the beginning, symptoms may be mild such as constipation, anxiety or pain in the body. However, if the imbalance is not addressed by altering the diet and lifestyle to bring the body back to a state of equilibrium, more advanced excess-vata-related diseases may occur such as osteoporosis or parkinson's disease
  • The best way to keep your body properly nourished and balanced is to know your basic constitution, and your current imbalances so you can eat, drink, sleep and exercise to best suit your needs. There are tests and quizzes available online that can help to give you a basic idea of any current imbalances. However, in order to get a true assessment, it is best to make an appointment with a well trained ayurvedic practitioner because there are many factors in the diagnostic process that a computerized test cannot determine.
     
1 person found this helpful

Meri syster ko left overy cyst hai age 21 years unmarried hai Keya surgery karana zaruri hai? Surgery me ovrary safe rahega? Plse reply.

BHMS, Masters in Homeopathic Remedies, Post Graduate Diploma In Hospital Administration (PGDHA)
Homeopath, Hyderabad
Meri syster ko left overy cyst hai age 21 years unmarried hai Keya surgery karana zaruri hai?
Surgery me ovrary safe ...
Alam Ji! dawaayiyon se cyst ko kam kar sakte hain. uske liye patient ki case history ka jaankaari jaanni padti hai. isliye aap ek Homoeo doctor se miliye.. Nothing to worry!
1 person found this helpful
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