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Dr. Nidhi Aggarwal  - Gynaecologist, Delhi

Dr. Nidhi Aggarwal

90 (17 ratings)
MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery

Gynaecologist, Delhi

12 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Nidhi Aggarwal 90% (17 ratings) MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Su... Gynaecologist, Delhi
12 Years Experience  ·  500 at clinic  ·  ₹300 online
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Hello Friends!<br/><br/>I am Dr. Nidhi Aggarwal, a consultant obstetrician, and gynecologist. In ...

Hello Friends!

I am Dr. Nidhi Aggarwal, a consultant obstetrician, and gynecologist. In simple words, taking care of the mother, baby, and the womb. Today I will be discussing, rather I would say but a very important topic that is about the fetal movements. Maternal perception of fetal movement is one of the first sign of fetal life. It is regarded as a manifestation of fetal well-being. Movements are first perceived by the mother. And those who are carrying 2nd or 3rd pregnancy, they can even perceive it as early as 16 weeks of pregnancy i.e around completing their 4th month. Now ladies start perceiving fetal movements, she may describe it as a flattered, some describe it as a kick, and gradually they acquire a regular pattern, the mother becomes well acquainted with it. She becomes comfortable with it and becomes aware of it. Now what is to more focus on today, is the awareness. The awareness of fetal movements.

What is it to have the right amount of fetal movements? Now there are no fix numbers because babies keep moving or rolling, cross body movements are there. Sometimes the mother perceives and sometimes they miss. Now what we have observed is the mother is more aware of the fetal movement when they are in lying down position and little less aware when they are sitting. And sometimes totally oblivious when they are walking or working. Sometimes we ask the patient, are you feeling fetal movements, she might say no, I have not noticed. So, what you have to do especially when you complete your 6 months of pregnancy, enter the 7 months, after that, you have to be really aware.

I am not trying to create a anxiety but you have to be aware. If you do not notice the movements, you should lie down, preferably in left lateral position and keep one palm on your abdomen and just concentrate on the movements. Most lightly you will feel good movements. Why I am focusing on this thing because reduced and absent fetal movements can be a warning sign of impending fetal death. Now that is something we never want. So, reduces and absent fetal movements are to be taken very seriously by the patient and by the doctor. Why are movements important because they indicate that the baby is doing well. Now sometimes these movements are actually normal that's when the baby is sleeping. Baby sleep for 20-40 minutes at one go and these may be repeated even 7 times during a day sometimes during the night. But in a normal healthy fetus, sleep cycle will not exceed 90 minutes.

So, if you are not feeling any single fetal movement even after concentrating for 90 minutes, it is the time to see a doctor and this should not be postponed to the next day because then the results may differ. And we don't want that result. Now, what your doctor will do. First, he will use a stethoscope to look for the baby's heartbeat, then a doctor can use a doppler. Electric fetal heart monitoring and a doctor will note minute to the minute fetal heartbeat. In case, there is still a doubt, we will go for an ultrasound. Some patients are at a little high risk if the baby's growth is a little restricted and not growing well. In such cases, if you have a reduced movement or if you have high BP, in these cases you have to more alert. If we have told you that these are high-risk condition, you should see a doctor immediately. So, to conclude, I would stress upon the maternal well-being that the perception of the fetal movements which will ensure the fetal well-being in case, the mother is not sure about the fetal movements.

She should first take rest. Give herself 2 hours. Look for discrete fetal kicks. If still, she is unsure, contact the doctor and get a CTG, ultrasound. Find out where is the problem. In more than 70% of cases, this may occur in once in pregnancy and it may not affect the outcome. But we have to screen so that we could get that 30% where we need t to intervene early and make a difference and give a healthy baby to our smiley mother. Thank you very much for your time and your attention. You can meet me at Mahesh Hospital, Parparganj Area. You can also consult me online through Lybrate or you can fix your appointment through Lybrate app and very easy to use.

Thank You.

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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nidhi Aggarwal
Dr. Nidhi Aggarwal is one of the best Gynaecologists in Patparganj, Delhi. She has helped numerous patients in her 12 years of experience as a Gynaecologist. She is a qualified MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery . She is currently practising at Mahesh Hospital in Patparganj, Delhi. Save your time and book an appointment online with Dr. Nidhi Aggarwal 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.

Info

Education
MBBS - Manipal University - 2006
DNB - Obstetrics and Gynecology - National Board of Examinations, New Delhi - 20011
MNAMS - General Surgery - Diplomate National Board, India - 2010
Languages spoken
English
Hindi
Professional Memberships
Indian Fertility Society (IFS)
Association Of Obstetricians & Gynecologists Of Delhi (AOGD)
World Association Of Laparoscopic Surgeons (WALS)

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Mahesh Hospital

Patparganj Societies Complex, D-437, West Vinod Nagar, I.P.ExtensionDelhi Get Directions
  4.5  (17 ratings)
500 at clinic
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Menstrual Disorder - Know The Different Possible Reasons Behind It!

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Menstrual Disorder - Know The Different Possible Reasons Behind It!

Each woman has her own menstrual cycle pattern. Some women have almost same menstrual cycles that begin and end almost in a synchronized manner with little problem, but some women face various difficulties in menstruation period due to major fluctuations. Although minor fluctuations usually occur but there is a medical condition called menstrual disorder which is characterized by some peculiar signs and symptoms.
The menstrual disorder is actually diagnosed when a woman is facing a problem of irregular periods along with profoundly painful cramps, premenstrual syndrome, abnormally high bleeding and missing their menstrual cycles very often.

There can be different causes due to which menstrual disorder occur which are listed as following:

  1. There can be certain problems associated with ovulation in females
  2. There can be abnormal secretion of hormones which can cause imbalance in hormonal levels
  3. There can be genetic link to this disorder such as abnormality in chromosomes or genes
  4. There can be clotting issues
  5. Stressful situations cause a major effect in regulation of menstrual cycles. The more the women feel stressful, the more irregularities in menstrual cycles are observed.
  6. MenstrualThyroid problems and eating disorders are also associated with menstrual disorder.

Menstrual disorder is not only about heavy bleeding but in certain condition, there could be be no bleeding at all. This condition is called as amenorrhea. It is usually diagnosed when a girl does not get her periods even after 16 years of age. It can occur due to hyperthyroidism, cysts in ovaries, not controlling birth frequencies, pregnancy, recurrent pregnancy loss, eating disorders etc.

Hence, to diagnose this medical condition, the affected female should immediately contact the gynecologist. The doctor can speculate the symptoms and for how long they are persisting. The gynecologist may conduct a pelvic exam in order to ensure if there is any inflammation in the vagina or cervix region. The blood tests can also determine the hormonal imbalances. The possibility of cancer in cervical region can be checked by conducting Pap smear test. In order to diagnose the additional menstrual disorder, the gynecologist or the respective medical healthcare provider may conduct additional tests such as endometrial biopsy, hysteroscopy and ultrasound.

Once the diagnosis is performed, the treatment can be given maybe in terms of medicines or other alternatives to treat this problem effectively. Make sure that certain irregularities in periods are completely normal, but as soon as you may see the menstrual cycle patterns going abnormally for persistently more extended periods of time, then you should immediately contact your healthcare practitioner. In case you have a concern or query you can always consult an expert & get answers to your questions!

3770 people found this helpful

Your Baby's Movements In Pregnancy

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Play video

Hello Friends!

I am Dr. Nidhi Aggarwal, a consultant obstetrician, and gynecologist. In simple words, taking care of the mother, baby, and the womb. Today I will be discussing, rather I would say but a very important topic that is about the fetal movements. Maternal perception of fetal movement is one of the first sign of fetal life. It is regarded as a manifestation of fetal well-being. Movements are first perceived by the mother. And those who are carrying 2nd or 3rd pregnancy, they can even perceive it as early as 16 weeks of pregnancy i.e around completing their 4th month. Now ladies start perceiving fetal movements, she may describe it as a flattered, some describe it as a kick, and gradually they acquire a regular pattern, the mother becomes well acquainted with it. She becomes comfortable with it and becomes aware of it. Now what is to more focus on today, is the awareness. The awareness of fetal movements.

What is it to have the right amount of fetal movements? Now there are no fix numbers because babies keep moving or rolling, cross body movements are there. Sometimes the mother perceives and sometimes they miss. Now what we have observed is the mother is more aware of the fetal movement when they are in lying down position and little less aware when they are sitting. And sometimes totally oblivious when they are walking or working. Sometimes we ask the patient, are you feeling fetal movements, she might say no, I have not noticed. So, what you have to do especially when you complete your 6 months of pregnancy, enter the 7 months, after that, you have to be really aware.

I am not trying to create a anxiety but you have to be aware. If you do not notice the movements, you should lie down, preferably in left lateral position and keep one palm on your abdomen and just concentrate on the movements. Most lightly you will feel good movements. Why I am focusing on this thing because reduced and absent fetal movements can be a warning sign of impending fetal death. Now that is something we never want. So, reduces and absent fetal movements are to be taken very seriously by the patient and by the doctor. Why are movements important because they indicate that the baby is doing well. Now sometimes these movements are actually normal that's when the baby is sleeping. Baby sleep for 20-40 minutes at one go and these may be repeated even 7 times during a day sometimes during the night. But in a normal healthy fetus, sleep cycle will not exceed 90 minutes.

So, if you are not feeling any single fetal movement even after concentrating for 90 minutes, it is the time to see a doctor and this should not be postponed to the next day because then the results may differ. And we don't want that result. Now, what your doctor will do. First, he will use a stethoscope to look for the baby's heartbeat, then a doctor can use a doppler. Electric fetal heart monitoring and a doctor will note minute to the minute fetal heartbeat. In case, there is still a doubt, we will go for an ultrasound. Some patients are at a little high risk if the baby's growth is a little restricted and not growing well. In such cases, if you have a reduced movement or if you have high BP, in these cases you have to more alert. If we have told you that these are high-risk condition, you should see a doctor immediately. So, to conclude, I would stress upon the maternal well-being that the perception of the fetal movements which will ensure the fetal well-being in case, the mother is not sure about the fetal movements.

She should first take rest. Give herself 2 hours. Look for discrete fetal kicks. If still, she is unsure, contact the doctor and get a CTG, ultrasound. Find out where is the problem. In more than 70% of cases, this may occur in once in pregnancy and it may not affect the outcome. But we have to screen so that we could get that 30% where we need t to intervene early and make a difference and give a healthy baby to our smiley mother. Thank you very much for your time and your attention. You can meet me at Mahesh Hospital, Parparganj Area. You can also consult me online through Lybrate or you can fix your appointment through Lybrate app and very easy to use.

Thank You.

3563 people found this helpful

Recurrent Pregnancy Loss - Know More About It!

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Recurrent Pregnancy Loss - Know More About It!

Recurrent pregnancy loss can be defined as the consecutive loss of three of more pregnancy. Recurrent Pregnancy loss is a medical condition in which the pregnancy loss occurs before completing 20 weeks in an involuntary manner. Pregnancy loss can be visualized using ultrasound technique.

What are the causes of recurrent pregnancy loss?
Most of the pregnancy losses occur due to various abnormalities in the genetic makeup of an organism or any chromosomal abberities. The abnormality can be present during the formation of an egg or sperm or the embryo. However it is well said that the miscarriage usually happens within first 12 weeks of conception. Almost half of the times, women even don’t realize that she is pregnant during first three months. The risk of recurrent pregnancy loss increases with the increase in previous miscarriages.

Recurrent pregnancy loss is more common in the women who conceive late according to their age. It is because the quality of egg formation decreases and this may lead to abnormalities in chromosome formation or division. Sometimes, it may happen that father and mother, both suffer from slight abnormality in their genes and hence, the fetus can be more severely affected and hence causes recurrent pregnancy loss in the uterus.

The weakening of immune system can also lead to recurrent miscarriages. Abnormality in the functioning or secretion of hormones can cause severe diseases such as diabetes and thyroid which can cause an impact. Also, blood clotting issues may also play an important role.

The gynecologists may help in the treatment of this medical condition but their treatment option depends upon the underlying cause of recurrent pregnancy loss.

The gynecologist recommends genetic counseling to those patients who have any chromosomal abnormality in their genetic makeup. Some of the couples can opt for prenatal genetic studies while expecting a child so as to keep a check on whether the child has normal genetic makeup. Some of the techniques used by the medical health providers are chorionic villi sampling, or amniocentesis.

For genetic diagnosis, in vitro fertilization can also be done along with pre implantation. If there is any abnormality in the uterus or the tract in the female then surgery can be done so as to cure the defect. If there is a syndrome such as anti-phospholipids syndrome, then medications are provided in order to decrease the formation of blood clot.

Therefore, gynecologists are assisting in the treatment of recurrent pregnancy loss in females.
 
 

3733 people found this helpful

Pregnancy In 35 Plus Years - Things You Need To Know About It!

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Pregnancy In 35 Plus Years - Things You Need To Know About It!

Usually, when it comes to doing anything or trying something new, we say age doesn’t matter at all. But that is not the case with pregnancy. Pregnancy should be planned at earlier ages to keep your baby as well as the conceiving mother healthily. Although it has been observed that those women who conceive their babies at the age of 35 (or maybe even more than that), experience no difficulties but one should take precautionary steps before planning a baby so that no difficulties arise.

Increase in age can lead to increase in the potential risks when it comes to pregnancy. Along with age, the quantity of the egg cells produced in the female body decreases along with the reduced quality of eggs. Also, the fertility of the sperm in males gets declined with age which makes the pregnancy at the later ages more difficult.

There can also be certain risks associated with 35+ pregnancies such as genetic disorders like Down syndrome occurrences increases with the increase in maternal age. Recombination irregularities also take place because due to increase in age the regulation of recombination process becomes inefficient that may lead to many chromosomal abberities or abnormalities such as a change i60538n the number of sex chromosomes and increased chances of rearrangements of chromosomes.

Pregnancy in thirty five plus years can increases the chance of miscarriage. One of the possible reasons could be the decline in fertility of the egg. The researchers have found that the risk of getting gestational diabetes, or the breeching position of the child. There could be an emergency delivery of the baby or postmortem hemorrhage can also occur. The baby born could have reduced birth weight or high birth weight, both can be dangerous for the health of the baby.

There are some of the prenatal tests which can be done in case of mothers who conceive at 35+ age. These tests can assist the gynecologists to determine whether there are any complications during the pregnancy or not. Hence, gynecologists always recommend the expecting ladies to maintain a properly balanced diet, take vitamins such as folic acid supplements, exercise on a regular basis, and refrain from taking drugs and regularly ask your doctors for prescribed medicines.

The women who are planning the pregnancy at such ages should go for regular prenatal checkups and further counseling. Also, one should take proper prenatal care for keeping your baby healthy and avoiding complications. In case you have a concern or query you can always consult an expert & get answers to your questions!

3467 people found this helpful

3 Types Of Anemia That Can Affect You During Pregnancy!

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
3 Types Of Anemia That Can Affect You During Pregnancy!

Anemia refers to a medical problem which is characterized by lack of red blood cells that carries oxygen to the different body parts in the body. This condition can cause many adverse effects on the functioning of tissues and organs because of the insufficient oxygen reaching to them. But anemia during pregnancy can lead to many serious problems such as reduced birth weight, premature baby.

Anemia is a condition which can be easily treated once diagnosed and helps in having a healthy motherhood.

Anemia in pregnancy is very common due to the fact that red blood cells are produced in more number because of the supply of nutrients to the growing baby. If this condition can be detected early by the gynecologist, then it can be easily treated. But if this condition goes untreated, then it can cause bad health condiitons to the mother as well as the baby.

The researchers have found that there are around 400 different types of anemia that can be caused during pregnancy but the three major forms of anemia during pregnancy are:

  • Iron deficiency anemiaIt is the most common form of anemia in which there is an iron deficiency during pregnancy. The iron is an essential micronutrient that is responsible for carrying oxygen to the different cells and tissues from the lungs. Also, iron helps in storing oxygen in muscles and using it whenever required.
  • Folate deficiency anemia: Folic acid is a very essential vitamin which helps in preventing any defects in the formation of neural tube during pregnancy. Doctors recommend expecting ladies to take folic acid supplements and food rich in this vitamin such as green leafy vegetables, bananas, leafy vegetables etc.
  • Vitamin B12 deficiency anemia: It is a very essential vitamin which helps in the production of red blood cells so as to keep the oxygen flow in a regular manner. Some women prefer to take vitamin B12 supplements in their diet but if the vitamin does not get processed by the body, then it may cause deficiency of this particular vitamin.

There are various symptoms that can be prevalent during anemia in pregnancy which are as following:

  • Difficulty in breathing
  • Pain in chest
  • Concentration problems
  • Heart related problems
  • Dizziness and fatigue

There can be various causes of anemia such as lack of iron because the deficiency of iron can cause hindrance in the supply of blood to the developing fetus. Those women who have heavy blood flow during menstruation can cause heavy loss of red blood cells and hence it can lead to lack of blood in the body.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3506 people found this helpful

Hi, I had pill abortion (6 week) on 7th May. Heavy bleeding was there for 5-6 days. Then spotting got started. On 21st May heavy bleeding started again that ended on 25 May. Now today is 14 June and my periods has not come yet. According to post abortion ultrasound, it was complete abortion. But doc said that my periods would be near 7th June. Please help.

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
After the process of abortion and the associated hormonal changes, the first period after abortion can be a variable date. And most likely it will be around 21st June. Don't worry since your USG shows complete abortion. Just wait n watch.
1 person found this helpful
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Maine. Mifegest kit use kiya 2 days pehele but abhi tak periods Nahi aya. Abortion pill use karne ke Kitna din baat periods aya hy. Plzzzz help me.

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
MTP pill should be taken under the guidance of a gynecologist only. Taking over the counter drugs without prior testing can be dangerous. Please visit your nearest gynecologist soon.
1 person found this helpful
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I am pregnant and completed 8 weeks. I had vobiron 50, painkiller in 2nd month as I was not aware of pregnancy. So, is that affect my pregnancy anyway? I also have polycystic ovary. I am in worry for that pain killer. Please let me know. What should I do?

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
I am pregnant and completed 8 weeks. I had vobiron 50, painkiller in 2nd month as I was not aware of pregnancy. So, i...
A single dose of voveran doesn't cause adverse effects on the growing fetus. In future, take tab paracetamol as the first drug as it is a category B drug and us safer. Other medicines under medical supervision only.
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Hello, Me and my wife are planning for kids from last 9 month in this series we done 7 times treatment and 1 time iui but still there is no pregnancy for my wife. At the 3rd cycle she got pregnant but it doesn't stay for long time. We done all test including me every thing is perfect for we are unable to conceive. My sperms analysis and my wife all test like prolactin etc etc all are normal. Don't now what we have to do next Please advise.

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Hello,
Me and my wife are planning for kids from last 9 month in this series we done 7 times treatment and 1 time iui...
One third of cases of infertility are unexplained. U have been undergoing treatment for past 9 months. I would advice you to take a break for next 6 months, and in case you do not conceive, then test your AMH value and plan further treatment accordingly.
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Hi doctor, I had 2 miscarriage due to tubal pregnancy and my right tube has been removed at 1st miscarriage and 2nd miscarriage is done through mtx shot. After that I gone for diagnostic lap to check my uterus and left tube. Everything is normal and TTC for 5 months now but no positive result. Kindly suggest I am very much depressed.

MBBS, DNB - Obstetrics and Gynecology, MNAMS - General Surgery
Gynaecologist, Delhi
Hi doctor, I had 2 miscarriage due to tubal pregnancy and my right tube has been removed at 1st miscarriage and 2nd m...
Stress is an important factor that contributes towards failure of conception. Visit your nearest gynecologist and get follicular monitoring done to know which month you have good chances of conception.
2 people found this helpful
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