Book Clinic Appointment
Treatment & Management of Stress
Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Piles Treatment (Non Surgical)
Anger Management Therapy
Treatment of Child and Adolescent Problems
Treatment Of Pregnancy Problems
Thyroid Problems Treatment
Weight Loss Diet Counseling
Alopecia Areata Treatment
Treatment of Pcod Problems
Irritable Bowel Syndrome (Ibs) Treatment
Viral Fever Treatment
Submit a review for Dr. Mansi AryaYour feedback matters!
Patient Review Highlights
Never thought I will suffer from something body weakness like the. One of my friend referred dr Mansi Arya. the overall atmosphere in the SBL Sponsored Homoeopathic Clinic (Shivalaya Wellness Centre) is very soothing. As someone I knew, consulted the Mansi Arya and they referred us. the SBL Sponsored Homoeopathic Clinic (Shivalaya Wellness Centre) is designed in such a way that every patient feels at ease. she is very courteous and behaves very aptly with elder patients. In the past i consulted so many doctors, but nobody was able to help me with my body weakness, but she has helped me immensely. she definitely is aware about the latest and advanced ways to treat serious cases.
Thanks to the expert care and guidance, I feel much better than before. As someone I knew, consulted DR. Mansi Arya and they referred us. It has been quite some time that i was suffering from diabetes. Everything was just spick and span in the SBL Sponsored Homoeopathic Clinic (Shivalaya Wellness Centre). The guidance Mansi Arya gave me has helped me immensely with my situation. The SBL Sponsored Homoeopathic Clinic (Shivalaya Wellness Centre) is designed in such a way that every patient feels at ease. The diabetes was increasing day by day. She is very professional and is a really patient listener.
One of my colleague referred dr Mansi Arya. she is very patient with all her patients. In order to diagnose my problem completely she asked me a number of questions. the constipation was increasing day by day. Both dr Mansi Arya and staff were very helpful. the SBL Sponsored Homoeopathic Clinic (Shivalaya Wellness Centre) have proper facilities for disabled patients as well. It's been more than a year now, and I have noticed considerable change in myself.
One of my colleague referred Dr Mansi Arya. She is very patient with all herpatients. In order to diagnose my problem completely she asked me a number of questions. The constipation was increasing day by day. Both Dr Mansi Arya and staff were very helpful. The SBL Sponsored Homoeopathic Clinic (Shivalaya Wellness Centre) have proper facilities for disabled patients as well. It's been more than a year now, and I have noticed considerable change in myself.
I was panicked, because I never thought I will suffer from hair loss like this. I consulted numerous doctors but none of them were usefull. Finally one of my friends suggested me to consult Dr Mansi Arya. She is very knowledgeable homeopathy doctor. I had a great experience with her. Iowe her a big thanks for making my hair gorgeous as before.
She is very courteous and behaves very aptly with elder patients. I found the SBL Clinic itself quite pleasant. I was diagnosed with problem greying hair. Someone from the office, referred us Dr.Mansi Arya. Mansi Arya certainly knows the in and out of her speciality. he gave me a greying hair treatment.
I am really impressed with Dr. Mansi, it is hard to find ausuch doctors who devote their full time for their patients. I am really happy with her treatment techniques the way she listens to my problem.
It was really nice to consult Dr. Mansi Arya. She told me the actual reasons for my problem and has given me medicines and prevention steps accordingly.
Excellent, She has an eye for the detail and provides treatment to the best.
One should have to visit definitely.....
V good Doctors thankyou for giving time
Once a baby is born, a mother's world centers around her bundle of joy. Post pregnancy period can be challenging for a first-time mother. From breastfeeding to her diet, there are a lot of things going on in her mind post pregnancy. In this article, we answer some common yet important post pregnancy questions.
Lactating mothers with small or inverted nipples: For women with small or inverted nipples, breastfeeding may not always be smooth sailing. During pregnancy, the base of the nipples (one or both) may adhere together resulting in inverted nipples. The inversion can occur in one or both the nipples. However, inverted or small breasts seldom interfere or affect the milk flow. In some cases (deeply inverted nipples), during breastfeeding, the baby may face some problem to latch on. There is, however, nothing to press the panic button. Instead, consult a lactation consultant.
If your nipples are flat or inverted, it is helpful if you have help from a Lactation Consultant if possible during the first feedings, as these are likely to present the most problems. Useful techniques include:
- Nipple Stimulation. Unless it retracts completely, grasp the nipple and roll it between your thumb and index finger for 30 seconds, then touch it with a moist, cold cloth immediately before offering it to your baby
- Pulling back on the areola before you latch the baby on. Support your breast with your thumb on top and your other fingers underneath, and pull back on the breast toward the chest wall. This will help the nipple protrude.
- Using a nipple shield. This is a thin, flexible silicone nipple with holes in the end that fits over your nipple during feedings. Modern nipple shields are made from a clear, thin layer of silicone, which means that more stimulation reaches the areola, and the reduction of milk volume is minimized.
How many times should the baby be breastfed?
The needs and requirements may not be same for all the babies. The initial few days may require frequent breastfeeding. In the next few weeks, for a healthy baby, the recommendation is about eight times a day. As the baby grows (from six months onwards), the requirement may drop down to three- four times a day.
Signs that your baby is getting enough breast milk-
- Your breasts feel softer after nursing.
- Your baby seems satisfied and relaxed after taking a feed.
- Your baby continues to gain weight. Your baby should gain about 6 to 8 ounces a week for the first four months, then about 4 to 6 ounces per week from 4 to 7 months.
- Once your baby starts getting regular breast milk, he/she will start having at least six wet diapers a day.
Tips to ensure that the baby latches on during breastfeeding: The position of the mother and the baby can be a determining factor in how well the baby latches on during breastfeeding. While breastfeeding the baby, your breast should be within the range of the baby's mouth. Many mothers make the mistake of putting their hands on the nipples during breastfeeding. Use your hand to position the nipples towards the baby's mouth, but do not cover the nipples. Your hands should be at some distance from the nipples. Do not breastfeed your baby forcefully.
Heal your stitches-
- Take bath at least once a day
- Change your sanitary pad regularly,
- Wash your hands frequently.
- Keep doing your pelvic floor exercises, as it improves circulation to the area, and will help in quick healing.
- Expose your stitches to the air for 10mins a day. Take your panties off and rest on your bed. Put an old, clean cloth underneath you to protect the sheets.
- Avoid wearing tight trousers.
Post Delivery FAQs
- Post pregnancy, a woman needs at least 4-6 weeks rest before she can resume her sex life.
- A woman should not lift heavy objects post pregnancy at least for a month (or as recommended by the doctor). Women who had a C-section should be extra careful.
- A healthy mother with no complications can get on with her normal life within 2-3 weeks. However, doctors recommend 6-weeks (or till the first check-up) before resuming the daily activities.
- Take care of the stitches (especially, C-section) to avoid infection. The area around the stitches should be kept clean and dry. Rest as much as possible. In the case of any discomfort, consult your physician.
- Pay attention to your diet post pregnancy. Lactating mothers should avoid foods that have high mercury content. Avoid smoking and drinking while breastfeeding. Some believe that having clarified butter (ghee) may speed up the recovery. However, there is no scientific evidence to prove this fact. Drink plenty of water, and eat fibre-rich foods, such as brown rice, whole-wheat roti, wholemeal bread, green vegetables, and fruits, in order to prevent constipation.
Stress is the new-age disease, which though not a disease in itself, leaves its effect on the entire health of a person, both physical and psychological. Diseases which are extremely common today were not as common some decades ago. The constantly changing lifestyle where there is no demarcation between work and home, the to-do list is neverending, multiple responsibilities, etc., puts a constant pressure on a person. People switch roles on the go and keep performing, and that takes a toll on even the best task-masters.
Diabetes and heart disease definitely have an underlying physiological connection, but outlined is the overall picture.
Inflammation is the body’s most common way to respond to anything – including infection and trauma. This is, however, acute and passes away with the infection or trauma.
On the other hand, chronic inflammation is the bigger culprit. This induces changes at a genetic level in the immunity system, producing more immune cells than normally required for a body. The body is in a constant state of fight, which is not required.
While both diabetes and heart disease cannot be completely prevented, stress management will definitely help in reducing the onset of these as well as in reducing their severity and complications where possible. The following measures would be very helpful.
If you are at risk for either of these, take a step back and evaluate.
If you are obese, make sure the target weight is achieved with proper planning and supervision of exercise and diet control.
From then on, it is a constant maintenance phase, requiring an altered lifestyle.
Quit smoking and alcohol. If you think it is not possible, reduce the addictions significantly. Smoking, in particular, causes damage to multiple organs and is best avoided.
Monitor your blood sugar and cholesterol levels. If they are beyond acceptable limits, they need to be brought under control aggressively.
Incorporate dietary changes by increasing fiber, reduced meat and reducing fatty/processed/sugary foods. Include supplements like omega-3 fatty acids in your diet. Also, spending quality time with family and friends is also helpful.
Exercise in any form should be a part of daily regimen. Take up enjoyable activities like Sports of ur choice/ dance /zumba/ swimming etc.
Other stress management measures like
Meditation: Spending even a few minutes in meditation can restore your calm and inner peace. Meditation can give you a sense of calm, peace and balance that can benefit both your emotional well-being and your overall health.
Cultivating Hobbies: Indulging in a hobby can be a great way to calm an overactive mind. It helps you take a break from your busy, stressful life and clear your mental plate. So, just rekindle an old interesting hobby or cultivate a new one to lift your spirits and tune into the real you.
Yoga: Yoga brings together physical and mental disciplines that may help you achieve peacefulness of body and mind. This can help you relax and manage stress and anxiety.
Music Therapy: Music Therapy uses music to promote healing and improve one’s overall emotional well-being. This may include listening to music, playing a musical instrument, singing along to music, and using guided imagery with music. Music stimulates the production of opiates and endorphins, the “feel good” hormones in our bodies. This stimulation can result in relaxation of mind and body.
Herbal Remedies: Herbs can also play a fundamental role in a stress management program. Herbs can facilitate a dramatic change in the quality of life experienced by anyone under stress.
Spending quality time with family: Having a chat with family members could help reduce your stress levels. Young girls benefit from a boost in the feel-good hormone oxytocin after talking on the phone with their mothers – and it seems logical that the effect may last as you get older. Talk about your worries with anyone you have a close relationship with – if not your mother then your partner, for instance – to help you feel more at ease.
Controlling stress can help prolong the onset of these and also delay or reduce complications. If you wish to discuss about any specific problem, you can consult a Homeopath.
Is it just that more cases are being reported or is there an actual increase in child abuse cases? This can be debated, but the hard-hitting fact is a definite increase in the number of child abuse incidents. Unbelievable as it may sound, the abuse is not always about strangers. It could come from unsuspected corners – close family and friends who frequently visit the home and have access to the child. It is not just limited to the girl child; male child abuse is equally likely and is happening.
As much as we try to look for possible culprits, it would not be. Given the number of people in our social circles, both close and extended, it is very difficult to always be on the look. Plus, there are a number of people who are totally unfamiliar (schools, workplace, parks, shops, etc.). The best defense for the parents would be to teach the child about what he or she should watch out for. This should be further enhanced by the parent knowing the signs to watch for as a result of child abuse.
Educating the child is extremely important. Also, emphasize on the child coming back and telling you if anything unpleasant has happened. This is the most difficult and effective aspect for parents.
- Talk to your child about good touch and bad touch.
- Teach them names of private parts (or alternates if you prefer) and get them to use these.
- Emphasize that unless someone is involved in their health and hygiene, there is no need to touch their private parts.
- Even lingering touches inappropriately in certain parts (buttocks, chest, thighs, etc.) should be discussed.
- Give them the confidence to talk to you, if they even doubt that someone touched them badly.
- Do not chide or scold the child, as it is not their mistake.
- Even if they are complaining about someone close, do not disbelieve them.
- Give them a patient hearing about the full episode, let them talk, and if required, you can always ask for more details.
- Cutting them off in the first instance will take away their complete confidence, and they will never confide again. This is very important, as the child needs to believe that he/she is being listened to and believed.
- Do not be mad at them; it was not their fault. Give them this assurance multiple times, and let them know that nothing changes as you will help them.
Children get scared and withdraw into a shell if anything happens, and unless they have the confidence, they may not open up at all. Therefore, educating the child is the most important and effective way to control child sexual abuse. If you wish to discuss about any specific problem, you can ask a free question.
A lot of people are obsessed with the idea of having a soul mate. This is probably because of the countless books and movies that have equated the idea of a soul mate with that of true love. Now, the idea of being with a soul mate is not unappealing at all, because after all, who would not want to be with the perfect partner? The idea of having someone who gets you is totally wonderful. However, it is also important to understand that the concept of a soul mate is very ambiguous and can, in fact, ruin your potential love life. Instead, when you are going out with someone, it is important to enjoy their company and be grateful for what they can offer, rather than scaring them off by constantly trying to impose your expectations of what they should be giving you. Here are some reasons why it is important to put your hunt for that elusive “soul mate” on a permanent halt.
Nobody Is Perfect!!
This is one of those quintessential reasons why you have to stop looking for your soul mate immediately. After all, what is a soul mate? Most people believe that a soul mate is someone who is completely perfect not only for them, but also as a person. However, these are very unrealistic expectations. It is not possible for an individual, whether a boy or a girl, to be completely perfect. If you are hung up on the idea, you might not be able to handle the problems and the shortcomings in your partner, because after all, it will not comply with your idea of how “perfect” your partner is and should be.
You Will Never Be Able To Accept Completely
A relationship consists of two people, where both individuals are equal participants. If one of the partners is in the relationship because they have found something attractive about you, and the other partner is in the relationship because they think you are soul mates, then an immediate imbalance is created. In the process, the latter would never be able to accept the smaller quirks, mistakes, flaws, and habits which do not coincide with their own, because obviously that is not what “soul mates” are supposed to be like, are they? Work on accepting your partner as they are instead of fitting them into the mold that you have created, because you never know, they might become your partner in life.
Expecting too much from a relationship or your partner can lead to heartbreak. So, keep your expectations real!
- People associate the concept of a soul mate with statements like “We share a special connection,” or “We are made for each other,” or even “We love each other unconditionally.” No matter how appealing and fairytale-like it sounds, you also have to make sure that you are firmly grounded in reality. Although thoughts like these can enhance a relationship, it is also important to note that a relationship cannot be solely based on such things. No matter what, there will be some amount of consternation, fighting, and misunderstandings, which will only increase when your idea of a having a perfect soul mate is violated.
- Marriage makes you complete and ends your loneliness: Marriage definitely provides you a companion (for life), but being lonely is something dependent on the person. As they say, be alone, don’t be lonely.
- You will know at first sight if the person is right for you: Not necessarily. The person may have been nicely groomed and dressed when you first met them. However, there is more to that person, and as you get to know them more, you will become aware of your likes and dislikes and other aspects, which are more important in helping you decide if the person is right for you.
- You need to remember every date that was a milestone in your life – the day you met, the day you proposed, the day you agreed, the day you spoke to your parents, the day they agreed…… the list can be very long Get real! All these lead to you two being together. They are good to remember, but do not call for a celebration every single time. Also depends on what you call as a celebration.
- Celebration: Instead of talking about past events, keep small milestones for yourselves and celebrate each event together. Celebration means going for a ball party where all break into a well-rehearsed song and dance. Celebration is being together and talking something meaningful. It could be cooking together or going for a drive or a movie. Important is to spend time together.
- Romance is in the air: Depends on your definition of romance. But, as the routine daily life begins, you realize you need to clean the house, cook food, and buy groceries to ensure it is running smooth. Romance is definitely there, but there are other things too to do.
- Love will help overcome all problems: Love definitely helps tide through problems, but whether it is money or people, you need to work on them.
- Communication: My spouse knows me so well, I don’t have to say a word: 'Totally wrong'. If you want it, say it. It is as simple as that. Telepathy does work, but it is better to talk out than assume. Communication is key to any relationship, especially marriage.
- Marriage is the bed of roses: No Married couples are always happy. Married couples also fight and argue and quarrel. No two people can think the same way. So agree to disagree and respect the differences.
- Possessiveness: Being possessive is a way to show love. After a certain point, being possessive can get a little irksome. Everybody needs their own space, so learn to give and take space and enjoy your own things. It becomes essential.
5 Do's In Marriage
- Accept that a marriage has ups and downs, is not always a jolly happy ride.
- Give time and be patient, marriage takes time and evolves over a period of time.
- Build trust over a period of time.
- Be frank in expressing your opinion, even if not during an argument.
- Give each other space and respect it.
- Talk and plan finances because you need to be planning together.
5 Don'ts In Marriage
- Don’t try to gain the upper hand always - the dictatorship times are over.
- Don’t expect every celebration to be grand; time spent together doing simple things matter.
- Don’t get possessive with your partner.
- Don’t expect to be aware of every activity that he/she is involved in.
- Don’t impose your friends on your partner, unless they also enjoy their company. If you wish to discuss any specific problem, you can consult a homeopath.
Being a mom is a full-time job in itself and working mothers often feel stressful balancing the home and office. The key to balancing parenthood and professionalism lies in creating a plan, putting a support system in place and getting organized. Here are a few tips that could help you.
- Share the load: There’s only so much you can do yourself so get your partner to share duties and responsibilities with you. If you drop your kids to school, let him pick them up.
- Don’t carry work home and home to office: Avoid taking work calls and answering emails at home and when you’re in office, trust your caregiver to look after your child and don’t constantly call to check on them.
- Involve your children: Give your children duties of their own. This frees up your time and makes them feel independent. When cooking, give them small tasks like washing vegetables. This gives you quality time with your children.
- Schedule calls while traveling: Make the best use of time by prioritising and scheduling tasks. Phone calls and emails can easily be answered while commuting as long as you’re not driving. Sneak in errands on lunch breaks or when you drop or pick up your children.
- Outsource: Get someone else to do regular time taking tasks like deep cleaning your home, gardening or maintaining the pool. The key is to outsource tasks that do not require your attention and focus on those that do.
- Prep for the next day: Putting together your outfit at night for the next day can save you precious time in the morning especially when your little one is fussing about going to school. The weekend is a great time to put together the week's outfits for you and your children.
- Cook smart: Prepping is important in the kitchen as well. Freezer meals that can be cooked on the weekend are a great help to working mothers. Alternatively, cook meals that do not involve you standing in the kitchen for hours. Try out a few slow cooker meals or baked dishes during the week and save your specialities for the weekend and holidays.
- Schedule your vacation days strategically: Divide your vacation days by 12 so that you get a few extra days at home each month.
- Follow a consistent routine: Consistency is important for you and your child. This helps your child know what to expect and makes them less dependent on you.
- Turn off the TV: It is very tempting to make your child sit in front of the television while you go about getting other things done but this is not healthy and robs you of time to spend with them.
- Find Quality Daycare: Ask your network of friends and family for references to nannies, babysitters, and daycare centers. Create a list of criteria that are important and then schedule time to interview qualified childcare providers or to tour local daycares. Hiring nannies with a history of long-term commitments to families is always recommended. In case of nannies it is best to schedule play dates where you could easily evaluate how the nanny interacts in formal settings. If you choose a daycare facility, choose one that has employees with a good background, flexible hours, a low teacher-to-student ratio, outdoor space and up-to-date licenses.
Stop feeling guilty! that’s the rough take-home message – or perhaps more precisely, the message many working mothers will choose to take home. Well, rather than dwell on how you're not with your child, think about how your role in the company is benefitting the family. Perhaps you can afford certain classes or educational opportunities for your children or you're able to put away savings for college.
The solution: Your kids will turn out just fine. No matter how much you angst about missing baseball games, school plays and trips to the pumpkin patch, your children still love you more than you know. Working-moms guilt is inevitable at some time or other, but how you manage the guilt will determine if it smothers you or not.
Anger is one of the most common negative emotions, in that when a person is upset or frustrated over somebody or something, it manifests as anger. Though we may not notice on a routine basis, there are various forms of anger and it has a lot of negative effect on the overall physical and emotional health. Some people also are more prone to feel angry and manifest it openly, who is known as “short-tempered.” Read on to know more about anger and how to manage anger effectively.
In today’s world though, you cannot throw a fit of rage and say it is because of your short-tempered nature. There are extreme instances of violence triggered by anger, so it is necessary to learn to conquer your anger.
DIFFERENT PEOPLE RESPOND TO ANGER IN DIFFERENT WAYS, COMMONLY AS:
- Verbal anger: The person who is angry, abuses the other person or sometimes throws rage at a totally different person to vent out the anger.
- Passive anger: Though these people are less expressive when angry, they show their anger through sarcasm directed at the person who induced anger.
- Self-inflicted Anger: These people inflict anger on themselves through self-harm acts like minor cuts, bruises, beating oneself, digging nails into their flesh or burns to release their anger.
SYMPTOMS OF ANGER AND AGGRESSION
We may respond to anger in physical and psychological ways such as those listed below:
- Anger – physical responses: increased heart rate and blood pressure, sweating, muscle tension, clenched jaw
- Anger – psychological responses: feelings of frustration, feelings of rejection, feelings of mistreatment, hostility towards some people
- Aggression: shouting at people (e.g. family, colleagues, strangers, physical violence (e.g. hitting, punching people or slamming doors), ignoring or socially excluding others (passive aggression)
WHY ARE SOME PEOPLE SHORT-TEMPERED
Some people really are more impetuous than others. They get aggressive more easily and more intensely as compared to others. There are also those who don't show their anger in loud ways but are chronically irritable and grumpy. People who are easily angered don't always curse and throw things; sometimes they get off socially, sulk, drink/smoke or get physically ill.
Easily angered people generally have what we call as "A low tolerance for frustration, aggravations and hassles of daily living" and sometimes overreact to the many common problems of daily living. They feel that they should not be subjected to frustration, annoyance, or inconvenience. They can't take things in stride, and are particularly infuriated if the situation in some way seems illogical: for example, such people might be miffed on being corrected for even a minor blunder.
HOW ANGER AFFECTS OUR LIVES
Physical effects of anger: Anger triggers the body’s ‘fight or flight’ response. Other emotions that trigger this response include anxiety, fear and excitement. The adrenal glands flood the body with stress hormones, such as adrenaline and cortisol. The brain shunts blood away from the gut and towards the muscles, in preparation for physical exertion. Heart rate, blood pressure and respiration increase, the body temperature rises and the skin perspires. The mind is sharpened and focused.
Health problems with anger: The constant flood of stress chemicals and associated metabolic changes that go with recurrent unmanaged anger can eventually cause harm to many different systems of the body. Some of the short and long-term health problems that have been linked to unmanaged anger include:
- Digestion problems, such as abdominal pain
- Increased anxiety
- High blood pressure
- Heart attack
- Skin problems, such as eczema
IMPACT OF ANGER ON OUR RELATIONS
- Anger at home: Anger is a normal emotion but not being able to control your anger at home can damage your personal relationships. When you get angry, it stresses your partner out and breaks the trust in your relationship. When it comes to children, shouting at them can confuse them and make them afraid of you. In the long run, this can affect their social skills.
- Anger at the workplace: Getting angry at your workplace can reduce your productivity and harm your relationships with your colleagues. The angrier you get in the office, the more your colleagues and clients will avoid you. Thus, you may risk missing out on crucial teamwork projects that can affect your career growth. A reputation for anger can also make you a target for revenge and lawsuits.
- Anger in society: Nobody wants to interact with a person who has a reputation for getting easily offended and angered. Thus the angrier you get, the more your friends will keep away from you. This can be quite frustrating and can make you an even angrier person. Uncontrolled anger can also lead to physical outbursts that can put you in trouble with the law.
Anger is a strong and powerful emotion. If it isn’t handled appropriately, it may have destructive results for you and those closest to you. Uncontrolled anger can lead to arguments, physical abuse, physical fights, self-harm and assault. On the other hand, well-managed anger can be a useful emotion that motivates you to make positive changes
ANGER MANAGEMENT - SUGGESTIONS FOR LONG-TERM ANGER MANAGMENT
The way you typically express anger may take some time to modify. Suggestions include:
- Keep a diary of your anger outbursts, to try and understand how and why you get mad.
- Learn relaxation techniques, such as meditation or yoga.
- Consider assertiveness training, or learning about techniques of conflict resolution.
- See a counsellor or psychologist if you still feel angry about events that occurred in your past.
- Exercise regularly.
BENEFITS OF REGULAR EXERCISE IN MOOD MANAGEMENT
People who are stressed are more likely to experience anger. Studies have documented that regular exercise can reduce stress levels and improve one's mood. This may be because physical exertion burns up stress chemicals, and it also boosts production of mood-regulating neurotransmitters in the brain, including endorphins and catecholamines.
TEACHING CHILDREN HOW TO EXPRESS ANGER
Expressing anger appropriately is a learned behaviour. Suggestions on helping your child to deal with strong feelings include:
- Lead by example.
- Treat your child’s feelings with respect.
- Let them know that anger is natural and should be expressed appropriately.
- Teach practical problem-solving skills.
- Encourage open and honest communication in the home.
- Explain the difference between aggression and anger.
- Teach your child different ways of calming and soothing themselves.
- Punish aggression or violence, but not appropriately expressed anger. If you wish to discuss about any specific problem, you can consult a Homeopath.
The advent of smartphones has made mobile phones far more pervasive in your life. You can now remain connected with friends and family on social media for much longer, share your life events through pictures and videos, stay on track with professional information and generally remain updated about information from all around the world. However, this constant barrage of information and the over dependence on the smartphone for work and personal affairs has taken epidemic proportions where people are unable to log off. It has now been classified as a general anxiety disorder commonly known as nomophobia which is "the fear or being away from your cellphone".
Addiction and the validity of Nomophobia
While cell phone addiction is a valid disorder, the designation of nomophobia is loosely attributed to the anxiety disorders connected to not being able to use cell phones. It’s less of a phobia and more of an addiction as you cannot be without it. These can be better enumerated by the typical symptoms when not being able to use a mobile phone.
Symptoms of mobile phone addiction:
- The ability to spend hours and hours on the cell phone without realizing how much time has passed by.
- Forced attempts to separate from the cell phone result in more time being spent with it (akin to a drug addiction).
- Incremental usages in a number of hours as you end up spending more and more hours on the phone.
- Personal and professional lives being hampered due to excessive mobile phone usage.
- Surfacing of withdrawal symptoms such as irritability, restlessness, anger and depression.
How mobile phone addiction affects people?
Different age groups are affected differently by mobile phone addiction; although some of the symptoms are fairly common. The effect tends to be far more severe on children and teenagers. Let’s look at how different age groups are affected by mobile phone addiction:
Children – Increasingly, younger children are carrying cellphones, especially smartphones. This tends to disrupt their lives as they get easily distracted and thus addicted to chatting with friends and connecting on social media. With children, appetite as well as mental development, is also hindered. In a study in the U.K., it was found that young children with mobile phones had less nutritional intake and thus had lesser and slower physical development than normal. It also affects their eyes. Direct exposure to blue light – like the one that comes from cellphone screens – can cause damage to the retina of the eye.
- Development: Apart from the similar problems mentioned with children, the performance in school tends to suffer the most along with other developmental disabilities in the brain. The human brain is still forming till the age of 25 and many of the finer faculties that develop during the teenage years get badly affected. Holistic development like hobbies, sports, communication skills are greatly hindered.
- Information overload: Teenagers also tend to be very impressionable and thus are at a risk of predation from sources all-round the internet. While aggressively watching porn, the adolescent brain is being shaped around a sexual experience that is isolating, visceral, and completely void of any love or compassion. This has the potential to lead to great problems in sexual compulsivity and sex addiction throughout the adolescent boy's life because his brain gets shaped to expect the "heroin-like" porn dopamine rush from all of his real-life sexual experiences.
- Peer pressure: Teenagers seek more and more expensive phones in order to compete or to fit in with the crowd. this not only puts more financial strain on the parents but also leads to disharmony at home.
- Friends! Let's stay connected: Very often parents complain that their teenager can do nothing else but sit by their mobile phone waiting for calls or text messages. They no longer communicate with family members and its not uncommon! Catching teenagers staying up till early hours of the morning texting or talking with friends. Their studies greatly suffer, hobbies no longer take priority and problems like irritability, poor concentration, bunking classes and other health issues are on alarming rise due to lack of sleep.
- Emotional issues: In the era where assignments, notes, outing plans, party invites and important messages are passed on in Whatsapp groups. Getting a phone call or a text message implies an importance, ‘Somebody wants Me’!! It boosts the receivers self-esteem and self-worth. The phone also feeds the desire for attention, acceptability and satisfies a teenager’s emotional drive.
- Life on Social media: Nowadays teenagers are more focussed on their Vitual lives rather than enjoying the real moments. Their Life and happiness is all about social display of every single activity and number of likes and comments on posted pictures/ status.This is particularly true for teenagers who are struggling with their identity and social status. Phone usage does not only increase the opportunity to bond with friends and to organise a social life on the move, it also provides a symbol for acceptance. This is important to a teenager’s individuality and confidence. The mobile phone feeds the personal requirements of a teenager - they provide a sense of worth ensuring popularity.
- Strained relation with parents: A great number of teens do not let anyone touch their phones. Most teenagers turn rebellious and aggressive when parents try to limit their mobile usage. When they lose their phones, they show signs of aggression which results in constant mood swings, feeling of unhappiness, and irritation on little things.
Adults – Adults, in general, tend to suffer more from disruptions at work as well as problems in their personal lives. Shortening of attention spans, irritable behavior, fatigue, inability to communicate, breakdowns in spousal relationships or even with friends and family are fairly common consequences. However, the biggest concern is the contribution to depression and anxiety which may run into non-mobile phone related extensive disorders as well.
- Communication Gap in Marriage: Believe it or not, smartphones are damaging and even ending relationships. If you are emotionally attached to your smartphone and rely on it every waking minute, it may be harming your relationship. Psychologists claim that increasing numbers of people in long-term partnerships are having to compete with their partner’s smartphone for attention, making it the ‘third wheel’ in their relationship. A survey found that almost three quarters of women in committed relationships feel that smartphones are interfering with their love life and are reducing the amount of time they spend with their partner. Spouses spend more time in social networkings like Whatsapp, Facebook and days passby without talking to each other. Do you really remember your spouse's phone number or have you just saved it in your iPhone?
- Impact on Child Bearing: Parents stay so busy with their mobiles that they don't spend quality time with their children and fill in the Lacunae by splurging on costly gifts and give them tablets/TV for passing kissing their spare time.
Mobile Use During Driving And Safety Hazards
There is considerable concern that using a mobile phone while driving creates a significant accident risk, to the user and to other people on the road, because it distracts the driver, impairs their control of the vehicle and reduces their awareness of what is happening on the road around them. When using a hand-held mobile phone, drivers must remove one hand from the steering wheel to hold and operate the phone. They must also take their eyes off the road, at least momentarily, to pick up and put down the phone and to dial numbers.While using a hand-held phone, the driver must continue to simultaneously operate the vehicle (steer, change gear, use indicators, etc) with only one hand.
Some tips for de-addiction
Some easy tips that you can follow to start your de–addiction process are mentioned below –
- Ensure that the first 30 minutes of the day after waking up are only for you. Don’t be tempted to look at the phone immediately after you wake up.
- Create specific no phone time zones in a day where no matter how big the urge is, you don’t check your phone. These could be during any time of the day and try incrementally stretching the amount of time that you can be without your phone each time.
- Use driving as an excuse to turn off your phone. This not only helps in fighting addiction but also lowers the chances of automobile accidents caused due to distracted driving.
- Keep a cutoff time for phone usage and switch your phone off at least an hour before your hit the sack. This will stop you from playing late night games and help you sleep better as well. When you feel the urge to check your phone, close your eyes and take a deep breath. If you wish to discuss about any specific problem, you can consult a Homeopath.
"I have a severe stomach ache, I feel like vomiting ... Mom, please!! I can't go for exam."
"I read it! I knew it all ... But I just blacked out."
"I just couldn't write! My hands were trembling."
"I messed up this question! I can do nothing right... I can never succeed in life!!"
It's not uncommon for students to experience such problems before/ during an exam.
Most of us suffer from some degree of anxiety when we prepare or sit for an examination. Examination usually leads to a lot of tension and anxiety commonly known as examination phobia. Examination phobia or Examophobia is a mental disorder found in most of the students. When exams arrive, students become extremely worried and make plans about how to study, how to perform better and get good grades. Some students find exams so difficult that the phobia makes them sick as they simply find themselves unable to cope up with the exam fear. There may be sweating, palpitations that disturb so much that one cannot think straight and end up messing up the paper. Also, in subsequent exams, it becomes worse and the fear intensifies. The person may end up feeling a failure, feeling guilty and may even be suicidal!
Anxiety is a normal human feeling that is part of life and can often serve as a good form of adrenaline. However, in few people, this adrenaline rush exceeds normal limits and at times may lead to some negative consequences.
Exam anxiety is:
1. Excessive worry about upcoming exams
2. Fear of being evaluated
3. Apprehension about the consequence
4. Experienced by many normal students
(I) Environmental Causes
1. High expectations of parents
2. Parents imposing their ambitions on children
3. Parents competing for higher social status through child's scores
4. Constant comparison with other kids
5. Fear of teachers
6. Insulting remarks from teachers
(II) Poor studying styles:
1. Irregular coverage of the entire syllabus
2. Trying to memorize the course book
3. Binge learning
4. Studying all-night right before exams
1. Reading without understanding the topic
2. Unable to recollect the material
3. Not making revision notes
4. Not revising
(III) Psychological factors:
1. Feeling little or no control over the exam situation (rather than knowing and applying exam strategies)
2. Negative thinking and self-criticism
3. Irrational thinking about exams and outcomes
4. Irrational beliefs "If I don't pass, my (family/boyfriend/girlfriend/friends) will lose respect for me"
5. Irrational demands "I have to get at least 98% or I am worthless."
6. Catastrophic predictions "I'll fail no matter what I do—there’s no point."
7. Low Self-esteem
8. Fear of failure
SYMPTOMS OF EXAM ANXIETY
The symptoms can range from minor nervousness to a panic attack, which can ruin the test. But whatever the level of your anxiety, learning to keep yourself calm and managing the fear of sitting for an examination is what it takes to come out with flying colors.
1. Physical symptoms. Headache, nausea, diarrhea, excessive sweating, shortness of breath, rapid heartbeat, lightheadedness and feeling faint can all occur. Test anxiety can lead to a panic attack, which is the abrupt onset of intense fear or discomfort in which individuals may feel like they are unable to breathe or having a heart attack.
2. Emotional symptoms. Feelings of anger, fear, helplessness and disappointment are common emotional responses to test anxiety.
3. Behavioral/Cognitive symptoms. Difficulty concentrating, thinking negatively and comparing yourself to others are common symptoms of test anxiety.
HOW TO PREPARE WELL FOR AN EXAMINATION
Fortunately, there are several methods that you can adopt to reduce your examination stress, which will not only help you to get higher grades but also improve your overall mental health.
1. Regular Studies Develop good study habits- ATTEND classes regularly, finish all the assignments on time, make notes properly and be an actively engaging student in school. Leave plenty of time to revise so that you don't have to do last minute cramming. Giving yourself adequate time will help to boost your confidence and reduce any pre-exam stress as you know you have prepared well. Instead of waiting for the eleventh hour, start studying as and when the academic year commences. With a good amount of time before hand, you will certainly feel more relaxed as you have plenty of time to give-in your best.
2. Exercise Matters - It is of paramount importance to maintain mental, psychological and physical health to ace any exam. Exercising regularly, deep breathing and ‘pranayama’ help in improving one’s cognitive faculties, that results in lesser anxiety and simultaneously better grades in the tests.
3. Don’t Undermine the Importance of Diet - Be careful about your diet during the exams. A diet lacking in essential nutrients can put a major dent in your preparations; make you feel nauseated, SLEEPY OR overstressed during the crucial hours.
4. SLEEP WELL - Adequate sleep is also vital. SLEEPING TOO LESS OR TOO MUCH CAN ALSO HAMPER YOUR ABILITIES
5. Support - Take short breaks in between and spend some quality time with your family; share your feelings and state of mind with them. Spending time with the family can turn out to be a major stress buster.
6. Set a Study Time: Lastly, drawing up a schedule will help you make the most of your study time. Set aside a time for your studies and follow it meticulously. Keep it flexible so that you can make the necessary adjustments.
7. Stay focused: Concentrate on your studies, not others during the examination time. Avoid talking with other students about the subject before an examination.
8. Use Mnemonics: Mnemonics are the techniques of memorization. You can make chart, rhymes or phrase to memorize your lessons.
9. Practice Deep Breathing Regularly - Meditation is one of the best medicine that can reduce your anxiety. Make a habit to Meditate at least 10 minutes per day. It surely increases your concentration power.
10. Consult Psychologist: If your anxiety becomes uncontrollable, don’t hesitate to consult a psychologist or therapist. CBT (Cognitive Behavioural Therapy) is pretty effective in treating anxiety disorders. It helps to change your thought process and negative beliefs. Performance or test anxiety is highly treatable so you can get absolutely get a better result.
HOW TO ATTEMPT THE EXAMINATION IN BEST POSSIBLE WAY
(I) ON THE DAY OF EXAM
1. Get a restful, uninterrupted sleep the night before so you wake up refreshed and revitalized the day of the exam.
2. Have a healthy breakfast but strictly avoid oily and heavy food
3. Recheck your required stuff (pen, pencil, compass box, eraser, admit card, watch etc) before leaving home.
4. Take the water bottle along with you to the examination hall.
5. Avoid touching new/left-out topic at the last moment.
6. Aim to reach the examination hall well in time.
7. Avoid being part of Before-exam peer discussions on How well-prepared or unprepared others are! The classic "Tera kitna ho gaya" question followed by undue comparisons can be a complete confidence killer. So Beware !!
8. If feeling tensed, take deep-long breaths and engage in positive self-talk; reminding yourself that you prepared best to your ability and tell oneself " I CAN DO IT "
(II) IN THE EXAMINATION HALL
- First of all, fill the required information on the answer sheet.
- Read the instructions carefully to figure out if you have a choice of questions, no. of questions to be attempted etc.
- Read the question paper thoroughly before u begin writing and mark the questions under 3 categories: (a) Easy (b) Manageable (c) Difficult
- Manage your time: This is where you strictly need to stick to the plan:
- Before you begin, allocate time for each question based on the marks it carries and difficulty level.
- If you are not able to complete an answer within planned time-frame, leave some space and move onto the next question.
- Always divide time in such a way that you are left with some time at the end to go back over incomplete answers and revise/recheck.
- Always try to attempt all the questions.
- Attempt the Easy questions first, followed by Manageable and Difficult questions at last. That way you stay secure, calm and confident.
- Avoid writing too lengthy answer just because you know it well.
a. Handwriting should be neat & readable.
b. Instead of very long paragraphs, put your answer point-wise.
c. Wherever possible, illustrate the information via Flowcharts/diagrams etc.
d. Highlight: underline or highlight the main points using pencil / coloured markers but you should keep it for last spare moments.
(III) TIPS FOR PARENTS:
Encourage your kids! Parents have the ability to address underlying fears that may be present with test-taking. At a deep level, even subconsciously, a student may fear failure for a variety of reasons. There could be a fear of looking dumb to friends, of not getting into the best school, or of not meeting parent’s expectations. A great help is for parents to reinforce their unconditional support and encouragement to the child. Parents, let your children know that their grade does not determine their worth. Believe in your child.
Help them get over the myth that "Success in exam is a predictor of success in life".
Good marks = Great job.
Poor marks = End of life!!
In short, "There are no secrets to success. It is the result of Time Management, Hard work and Learning from mistakes"
Feeling stressed out? Don’t reach for the pills just yet; there is a better option out there. Almost all conventional methods of treatment come with side effects, no matter how effective they are. Why not opt for an equally effective method, but without side effects, yes you heard it right! Homeopathy is a method of treatment that is effective and free from side effects.
Here are some homeopathic remedies that can help you de-stress:
1. Be active: Feeling stressed of late? Time to get your running shoes on. Research proves that exercise is one of the best remedies for stress, activities such as running and swimming release ‘endorphins’ in the system, which uplift your mood. So go for an early morning jog or a late evening swim, whatever suits you just make sure that you get some exercise on a regular basis.
2. Diet: Stress can result from an improper diet where the body is not well nourished. The body needs its share of various vitamins and minerals to function optimally. So it is important to eat a well balanced meal and avoid eating junk food. Eating unhealthy food can cause reactions in the body that lead to various diseases.
3. Be connected: Being connected does not mean being connected on social media, rather forming and nurturing ‘people to people’ connections. Talk to people, getting involved in team activities and participating in various sports. Form meaningful relationships with others so that you have someone to listen to you when you feel weary and low. Staying isolated can cause symptoms of stress to aggravate.
4. Start a hobby: If you don’t already have one, spend some time doing things that give you pleasure. It can be something that gives you a sense of accomplishment. Doing such activities will keep your mind active and reduce stress levels.
5. Medications: Apart from the above, homeopathy has medications such as Nux Vomica which is used to reduce anger and impatience. For people who are stressed due to overwork, Kali Phos is an effective remedy. In case of prolonged grief such as the one resulting from a sudden demise in the family, Natrum Mur and Ignatia are advised. If you wish to discuss about any specific problem, you can consult a homeopath and ask a free question.
Diabetes is a public health concern that is rapidly rising in numbers across the world due to higher stress levels and the industrialization of most economies all across the world. Although medication and early diagnosis have been able to stop diabetes-related problems and reduce deaths occurring from it, it still remains a problem as it severely reduces the quality of life.
Diabetes poses some unique risks for women as compared to men. There are some problems areas created by diabetes which are common in both men and women and there are certain problems which are very unique to women. Let’s look at some of the facts and figures as mentioned below-
Incidence Of Diabetes –
Women are prone to diabetes as much as men are in most populations. Although specifically in India, according to a study conducted in 2014, about 7.1% of the population gets affected in total. However, in certain populations, it has been seen that the incidence of diabetes among women tends to be higher than men.
Race as a Factor -
Some races tend to be even more predisposed to diabetes than others such as Pacific islanders, some people of South American descent such as Mexicans, South Asians and people of African descent. Some of the risk factors for this could be –
A culture of no exercising among some groups
Prevalence and preference for a sedentary lifestyle
Industrialized societies and urbanization which lead to poor eating habits
Higher percentage of body fat
PCOS and Diabetes –
PCOS is a disorder that disrupts a woman’s endocrine system and increases her levels of androgens, or male hormones.
This disruption can cause irregular menstruation, excessive hair growth, acne, and obesity. It can also impact a woman’s ability to have a child. It’s often diagnosed when small pockets of fluid appear in a woman’s ovaries during an ultrasound.
While the cause of PCOS remains unknown, it’s believed that insulin resistance, which leads to high levels of insulin, as well as low-grade inflammation and hereditary factors, may all play a role.
How does PCOS relate to Diabetes?
Insulin resistance can create an adverse reaction involving the immune system and help bring about type-2 diabetes.
Type-2 diabetes is a condition in which the cells of the body become resistant to insulin, an inadequate amount of insulin is made, or both.
While type-2 diabetes is typically preventable or manageable through exercise and a proper diet, research shows that PCOS is a strong independent risk factor for developing diabetes. In fact, women who experience PCOS in young adulthood are at an elevated risk for diabetes and potentially fatal heart problems later in life.
It is advisable that you take steps to control insulin levels in any case.
Impact of Diabetes on Sex Life -
Sex is good for diabetes. It's good for your heart and blood flow, helps you sleep, and boosts your mood.
If you have diabetes and have had painful sex or trouble getting aroused, though, sex may not seem too sexy. About 35% of women with diabetes seem to have sexual issues. That doesn't mean you have to live with them. There's help to get your sex life going again.
Sexual Challenges For Women :
- Vaginal Dryness. This is the biggest sexual complaint in women with diabetes. Vaginal dryness is, this twice as likely if you have diabetes. If you are in menopause or postmenopause, less estrogen may be the cause. If you aren't, damage to the nerves that lubricate your vagina may be. Vaginal dryness can become a painful cycle. If sex hurts because of it, you may tense up during sex, causing more pain, or avoid sex altogether.
- Vaginal Infections. Urinary tract infections (UTIs) may make sex painful. Yeast infections can also cause pain during sex, as well as vaginal dryness. If you have poorly controlled diabetes, you're more likely to have yeast and other vaginal infections.The burning and pain can make sex very uncomfortable -- and when there is chronic infection, there is chronic discomfort that can cause a woman to avoid sex for long periods of time.
Avoiding sex may only make the problem worse.
Diabetes and Pregnancy -
Diabetes can affect a person without warning and sometimes may even occur without any family history. For a woman of child bearing age, this is stressful as the desire to become a mother and the thought of bringing harm to the child. Although the risks associated with pregnancy in a diabetic woman can’t be ignored, the number of misconceptions is huge and adds to the stress. However, the situation is not as bad as it is made out. A diabetic woman can get pregnant and deliver healthy babies. You just need to take certain precautions to become a mother.
How Diabetes Affects Pregnancy?
The most commonly seen complications of diabetes are those that affect the kidney, eyes and the nervous system. These are also known as diabetic-nephropathy, retinopathy and neuropathy respectively. After delivery the symptoms might disappear; however, treatment may be required. Ensure that you inform your doctor about any changes in your body as they can be symptoms of a condition. Common conditions seen among mothers are:
High blood pressure leading to fluid build up.
Swelling in limbs and face.
Protein excretion in urine.
Build-up of ketone bodies.
Risk of premature delivery or requirement of c-section.
If undetected for long, there could be worsening of eye problems, nerve damage and severe kidney disorder. Medication may be provided, including suggestion for having complete bed rest, early admission to the hospital or early delivery.
Unchecked diabetes can also put the baby at risks such as:
High blood sugar levels leading to fat accumulation in shoulders and trunk.
Low blood sugar level after birth.
Risk of getting obese or diabetic later in life.
Macrosomia (having a large baby)
Respiratory distress syndrome (difficulty breathing)
Target blood glucose goals before getting pregnant:
Pre-meal (before eating): 60-119 mg/dl
1 hour after meals: 100-149 mg/dl
Can Diabetic Women have Normal Pregnancy?
Most women look to this moment with equal parts fear, dread, and excitement. While many women with diabetes have a vaginal birth without complications, the chances of having a cesarean section or having labor induced before your due date are increased. That's partly because women with diabetes are more likely than others to have large babies, in which case vaginal delivery can damage the baby's collarbone or shoulders. It's also because diabetes and obesity increase a woman's risk for high blood pressure and a condition called preeclampsia (see box). These conditions often require early delivery to prevent harm to the mother and baby. The upside is somewhat more control of the circumstances around labor and delivery; the downside is that induction often leads to more intense, painful contractions that come faster, plus an increased chance of having a cesarean section.
Planning Pregnancy and Reducing the risks for you and your baby-
Starting a family requires a bit more planning when you're a mother-to-be with diabetes. But you can take some simple steps to make sure your pregnancy and your baby are safe and healthy.
Start with a checkup: The first step in preparing for pregnancy is to talk to your health care provider. He or she might recommend:
Treatment for certain conditions.
Consulting with specialists.
Focus on Blood Sugar Control: Controlling your blood sugar level is the best way to prevent diabetes complications. When you're preparing for pregnancy, blood sugar control is more important than ever. Your health care provider might want you to reach a specific hemoglobin A1C level — a reflection of your blood sugar level for the past two to three months — before pregnancy.
Keep up a Healthy Diet: Your diabetes diet probably includes plenty of fruits, vegetables and whole grains. You can eat the same foods while you're preparing for pregnancy. If you're having trouble keeping your blood sugar level in your target range or you want to lose excess pounds before pregnancy, consult a registered dietitian. He or she can help you customize your diabetes meal plan to meet your pre-pregnancy needs.
Get Active: Physical activity is another important part of your diabetes treatment plan. During your preconception appointment, get your doctor's OK to exercise. Then choose activities you enjoy, such as walking, swimming or stationary biking, and make them part of your daily routine.
Manage Stress: When you are preparing for pregnancy, try to keep stress under control. Too much stress can interfere with your blood sugar level and make it harder to take good care of yourself — and your baby.
Gestational diabetes –
Gestational diabetes is diagnosed during pregnancy when your body cannot cope with the extra demand for insulin production resulting in high blood glucose levels. Gestational diabetes is managed by monitoring blood glucose levels, adopting a healthy eating plan and performing regular physical activity. Effective management of gestational diabetes will reduce the risk of complications during pregnancy and the birth of your baby.
Your gynecologist and dietician can help you with blood glucose monitoring, healthy eating and physical activity.
There are three basic components in effectively managing gestational diabetes:
Monitoring blood glucose levels
Adopting a healthy eating pattern
Gestational diabetes can often initially be managed with healthy eating and regular physical activity. However, for some women with gestational diabetes, insulin injections will be necessary for the rest of the pregnancy. Approximately 10 – 20% of women will need insulin; however, once the baby is born insulin is no longer needed. This is safe for both the mother and the baby.
After the baby is born, gestational diabetes usually disappears. A special blood glucose test (Oral Glucose Tolerance Test - OGTT) is performed six weeks after delivery to ensure that blood glucose levels have returned to normal. However, women who have had gestational diabetes have an increased risk of developing type 2 diabetes later in life and should be tested for diabetes at least every 2 – 3 years.
Can gestational diabetes affect my baby?
If gestational diabetes is not well looked after (blood glucose levels remain high) it may result in problems such as a large baby, miscarriage and stillbirth. A large baby can create the risk of injury at delivery, caesarean delivery, forceps delivery and a need for the baby to be looked after in special care until the glucose level stabilises after delivery.type diabetes