Hello friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital, North Delhi, I am also a visiting consultant at Fortis Hospital Shalimar Bagh. Friends we get a lot of enquiries about unwanted pregnancy, how to avoid unwanted pregnancy. Well, we have a lot of options available in the market but I believe there are a lot of myths surrounding those options that are available to you. First of all, I will be briefly talking about emergency contraception, what is emergency contraception? Initially, contraceptive was devised in cases where women had an emergency situation like if there was an intercourse against their will or if there was rape. Friends the purpose of emergency contraception is to avoid an emergency situation please remember that, that means ideally speaking there should not be an emergency they should not be seeking contraception in emergency, there should not be intake of more than twice in a year of an emergency contraception please remember that, that emergency contraception is not a regular contraceptive. It is effective if taken within 72 hours of an unwanted situation if there is unprotected intercourse or a woman is planning to protect herself, then if taken within 72 hours she will be protected. It is quite effective but please remember it is not hundred percent effective. When taken a woman may face some unwarranted bleeding within few days of intake of this particular pill and if she is facing any other problem or if she is not getting her period despite her waiting adequately say for example more than one week of the arrival of her last period, then it is advisable to seek help of a doctor and if we be briefly talking about oral contraceptive pills are normally started from the first day of the menstrual cycle and they are taken regularly almost same time every day for 21 days, as soon as the pill is over within 4 to 5 days the lady will experience some bleeding. The oral contraceptive pills ideally should not be forgotten but if forgotten as soon as the woman remembers she should take that pill and the next pill should be taken as per the schedule. So oral contraceptive is a great choice than the other choices are copper-containing devices or medicine containing devices called the long active reversible contraceptives. These are basically devices which are kept in the uterine cavity and you have to seek the help of your healthcare provider or your doctor for use of these devices. They can be copper-t or non-copper containing medicinal devices, then there are so many other choices available like the depo drug which is given as in the form of an injection which is effective for 3 months from the day of intake but so this depo injection which I just talked about can have some side effects like the lady may experience irregular bleeding or she may have the weakness of the bones if it is taken for long. Friends the contraceptive choices which I just enumerated that temporary contraceptive choices, if a woman has completed her family and she no longer wants any more children then there are permanent methods of sterilization also available. They can be done laparoscopic early or by opening a small hole in the abdomen and doing sterilization call tubectomy, that is there in the women, in men they can undergo vasectomy which is a very very easy procedure it is called a No-Scalpel vasectomy and or NSV. This is a very simple procedure than on an OPD basis and the man who has undergone this procedure can very soon after resume his normal daily life activities. So friends I briefly enumerated to you about the contraceptive choices that are available to you. In case you have any more query you are free to ask us on our regular working days or you can approach me through Lybrate and ask your questions. Dear friends, whatever method of contraceptive choices you are taking do not forget to visit your health care provider or on regular basis or if you have any queries feel free to ask us, thank you.read more
Hello friends, I am Dr Shakuntala Kumar, I am practising obstetrician and gynaecologist at New Life Hospital in North Delhi, I am also visiting consultant at Fortis Hospital Shalimar Bagh. Today I will be highlighting about some points about nutrition in pregnancy, why it is important to eat right during pregnancy. Eating right helps a woman gain weight during pregnancy, depending on the pre-pregnant weight of a lady, she is required to gain something like 9 to 14 kilograms during pregnancy, during the whole pregnancy. If she is underweight then she is allowed to gain something like 14 to 15 kilograms also but if she is grossly overweight then gaining not more than 8 to 9 kgs will be apt for this woman. So eating right will help her gain weight which is very-very imperative for the development of the child. If she is eating right then she stays energize throughout pregnancy and that is very important because problems like lethargy, fatigability are very-very common during pregnancy and they can be avoided if a woman is eating right. Thirdly, if she is eating right then she can avoid a lot of pregnancy-related problems like constipation, heartburn, mood swings and fatigability. So eating right friends is important during the whole of the pregnancy. Now the second of the aspect of nutrition which I wanted to highlight was how we should eat during pregnancy. Now in the first trimester, the lady suffering from nausea, vomiting, fatigability and tiredness so to avoid that she is required to eat smaller helping several times a day. So these are some very small-small tips which we must remember about nutrition in pregnancy, number 1, she should be eating smaller helpings of foods several times a day. She should remain well hydrated so drinking lot of fluids which are non-caffeinated and which are not very high in sugar and salt are encouraged. Natural drinks like lemon water, coconut water may be buttermilk are recommended. Now thirdly, if she has food cravings then she can have snacks like salted crackers, a bland diet like boiled rice, bananas etc. which help avoid nausea and vomiting in the first three months of pregnancy. So if she is having several, the food is eaten in small quantities several times a day that is always recommended. What are the foods to be avoided during pregnancy? Uncooked poultry or raw meat should be avoided caffeine and alcohol are a big no-no and pasteurized milk then food which is stale and kept in refrigerator for long is a very big no, then junk food should be totally avoided if possible, please avoid food from outside home cooked fresh food is what a pregnant lady should be taken. Friend’s diet in pregnancy is mainly about nutrition which is holistic and healthy for the baby. Please remember diet should not just be containing necessary requisites but it should be wholesome, it should be healthy and it should be good for the women, it should be palatable and it should be easily digestible. Vegetarian food which is freshly cooked, which is easily available and seasonal is what is recommended during pregnancy because vegetarian food is mostly low in calories, less condensed it does not contain items which are difficult to digest by a pregnant lady is what a recommended during pregnancy. My request to all my friends who are pregnant is to have a diet which is holistic and which is seasonal and readily available, preferably home cooked food. Friends in case you have any queries regarding pregnancy-related problems or if you want to know anything about pregnancy or anything in obstetrics and gynaecology, I am available we are here to answer all your queries. Thank you very much.read more
I am Dr. Shakuntla Kumar. I am practicing obstetrician and gynecologist at new life hospital Delhi, and fortress hospital Shalimar bagh.
Today we will be discussing a very commonly encountered problem named Polycystic ovarian syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods or difficulty in becoming pregnant. Chances are you may be suffering from Polycystic ovarian syndrome. Polycystic ovarian syndrome is because of a hormonal imbalance. Mainly the female hormones like estrogen and progestogen imbalanced between the excess of male hormone happening in these women. These women also has insulin resistance in their body leading on to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends, the cause of Polycystic ovarian syndrome is at interplay of hormonal disbalance compounded with environmental factors like lifestyle of the person. Because of this there is development of multiple eggs in the ovary rather than formation of one single egg. These small small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances. Now let us talk about the diagnosis of polycystic ovarian syndrome. So friends, just an ultrasound finding of multiple cists in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose polycystic ovarian syndrome. A women may be having normal ovaries but suffering from PCOS, on the other hand she may be having Polycystic ovaries but she is a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. It is not one single criteria of polycystic ovarian coming from the ultrasound. Coming to the treatment part of these women. The treatment depends on the problems that these women’s are facing but in the root cause of these problems like the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management. So please listen to your doctor when she is saying and requesting you to lose weight, that is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs. If she is suffering from acne or excess body hair we will be giving certain drugs to tackle that. If she is suffering from anovulation or, by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation. This may require intake of tablets or sometimes intake of certain injections. So friends Polycystic ovarian syndrome is no longer an enigma. It can be very much cured. The only thing that is required is you, helping your doctor curing it by managing a very healthy lifestyle and through the drugs that we prescribe you taking them diligently.
Thank you very much.read more
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Pregnancy is a time of many changes. Your body, your emotions and the life of your family are changing. You may welcome these changes, but they can add new stresses to your life.
Feeling stressed is common during pregnancy. But too much stress can make you uncomfortable. Stress can make you have trouble sleeping, have headaches, lose your appetite or overeat.
High levels of stress that continue for a long time may cause health problems, like high blood pressure and heart disease. When you’re pregnant, this type of stress can increase the chances of having a premature baby (born before 37 weeks of pregnancy) or a low-birthweight baby (weighing less than 5½ pounds). Babies born too soon or too small are at increased risk for health problems.
What causes stress during pregnancy?
The causes of stress are different for every woman, but here are some common causes during pregnancy:
• you may be dealing with the discomforts of pregnancy, like nausea, constipation, being tired or having a backache.
• your hormones are changing, which can cause your mood to change. Mood swings can make it harder to handle stress.
• you may be worried about what to expect during labor and birth or how to take care of your baby.
• if you work, you may have to manage job responsibilities and prepare your employer for time away from your job.
• life is busy and it sometimes takes unexpected turns. That doesn’t stop just because you’re pregnant.
What types of stress can cause pregnancy problems?
When you handle it right, a little stress can help you take on new challenges. Regular stress during pregnancy, such as work deadlines and sitting in traffic, probably don’t add to pregnancy problems.
However, serious types of stress during pregnancy may increase your chances of certain problems, like premature birth. Most women who have serious stress during pregnancy can have healthy babies. But be careful if you experience serious kinds of stress, like:
• negative life events. These are things like divorce, serious illness or death in the family, or losing a job or home.
• catastrophic events. These are things like earthquakes, hurricanes or terrorist attacks.
• long-lasting stress. This type of stress can be caused by having financial problems, being abused, having serious health problems or being depressed. Depression is medical condition where strong feelings of sadness last for long periods of time and prevent a person from leading a normal life.
• racism. Some women may face stress from racism during their lives. This may help explain why african-american women in the united states are more likely to have premature and low-birthweight babies than women from other racial or ethnic groups.
• pregnancy-related stress. Some women may feel serious stress about pregnancy. They may be worried about miscarriage, the health of their baby or about how they’ll cope with labor and birth or becoming a parent. If you feel this way, talk to your health care provider.
Does post-traumatic stress disorder affect pregnancy?
Post-traumatic stress disorder (ptsd) is when you have problems after seeing or experiencing a terrible event, such as rape, abuse, a natural disaster, a terrorist attack or the death of a loved one. People with ptsd may have:
• serious anxiety
• flashbacks of the event
• physical responses (like a racing heartbeat or sweating) when reminded of the event
As many as 8 in 100 women (8 percent) may have ptsd during pregnancy. Women who have ptsd may be more likely than women without it to have a premature or low-birthweight baby. They also are more likely than other women to have risky health behaviors, such as smoking cigarettes, drinking alcohol or taking street drugs. Doing these things can increase the chances of having pregnancy problems. If you think you may have ptsd, talk to your provider or a mental health professional.
How does stress cause pregnancy problems?
We don’t completely understand the effects of stress on pregnancy. But certain stress-related hormones may play a role in causing certain pregnancy complications.Serious or long-lasting stress may affect your immune system, which protects you from infection. This can increase the chances of getting an infection of the uterus. This type of infection can cause premature birth.
Stress also may affect how you respond to certain situations. Some women deal with stress by smoking cigarettes, drinking alcohol or taking street drugs, which can lead to pregnancy problems.
Can high levels of stress in pregnancy hurt your baby later in life?
Some studies show that high levels of stress in pregnancy may cause certain problems during childhood, like having trouble paying attention or being afraid. It’s possible that stress may also affect your baby’s brain development or immune system.
How can you reduce stress during pregnancy?
Here are some ways to reduce stress:
• figure out what’s making you stressed and talk to your partner, a friend or your health care provider about it.
• know that the discomforts of pregnancy are only temporary. Ask your provider how to handle these discomforts.
• stay healthy and fit. Eat healthy foods, get plenty of sleep and exercise (with your provider’s ok). Exercise can help reduce stress and also helps prevent common pregnancy discomforts.
• cut back on activities you don’t need to do.
• have a good support network, including your partner, family and friends. Ask your provider about resources in the community that may be able to help.
• ask for help from people you trust. Accept help when they offer. For example, you may need help cleaning the house, or you may want someone to go with you to your prenatal visits.
• try relaxation activities, like prenatal yoga or meditation.
• take a childbirth education class so you know what to expect during pregnancy and when your baby arrives. Practice the breathing and relaxation techniques you learn in your class.
• if you’re working, plan ahead to help you and your employer get ready for your time away from work.
• if you think you may be depressed, talk to your provider right away. There are many ways to deal with depression. Getting treatment and counseling early may help.
Be happy and enjoy your journey to motherhood.
What is menopause?
Menopause is that phase in the life of a woman when she can no longer reproduce. It involves the loss of fertility and the cessation of the menstrual cycle. The woman will stop bleeding every month and the ovaries stop producing eggs that can be fertilized. Menopause normally sets on after the age of 40 and bleeding may permanently stop by the age of 50.
Post menopausal bleeding
You are known to reach menopause when you have not been bleeding for 1 entire year. Even a small amount of spotting should not have taken place. Post-menopausal bleeding is when bleeding occurs after a year of attaining menopause. It can be a serious health disorder and requires medical attention without any further delay.
Reasons behind post menopausal bleeding
- Polyps that are mostly non-cancerous, unwanted growths on the cervical canal, uterus or ovaries are known to cause post-menopausal bleeding.
- Thinning of the endometrium that lines the uterus can cause unexpected bleeding. It can be due to the rapidly receding levels of estrogen in the blood. It is also known as endometrial atrophy.
- Endometrial hyperplasia is a condition that leads to the thickening of the inner lining of uterus (endometrium). It also leads to the growth of abnormal and malignant cells.
- Endometrial cancer
- Other health conditions such as reaction to hormone therapy, infections of the blood or reproductive organs, certain medications and blood-thinning drugs
- Cancer of the ovaries, uterus or cervix
How it can be treated?
- For diagnosis, you can undergo blood tests, ultrasounds, sonography and biopsy.
- Hysterectomy is done to remove the uterus and cervix can be conducted for a complete cure. It also removes the ovaries, fallopian tubes and other lymph nodes.
- Chemotherapy and other radiation therapies may be done for those who are in an advanced stage of endometrial cancer.
- Medications such hormone regulators must be taken to prevent complications.
Amenorrhea is the medical condition wherein a woman misses the menstrual periods. Girls aged 15 or more who have not yet started menstruating are at the maximum risk of this condition. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems concerning the reproductive organs or glands that help to regulate hormone levels. Treatment of the underlying conditions often resolves amenorrhea.
Some of the main causes and solutions of amenorrhea are:
- Dieting: In some women, dieting may cause amenorrhea. This is reversible, simply by eating a balanced diet.
- Anorexia: Women who suffer from anorexia nervosa are highly likely to suffer from amenorrhea. In this case too, the only solution is to eat a healthy balanced diet.
- Obesity: In some women, being overweight can cause amenorrhea. They should restrict the amount of fat consumed and should exercise daily to maintain an ideal body weight.
- Vigorous Exercise: However, extreme exercise is also a cause of amenorrhea. More than 8 hours of vigorous workout, in a week, for a prolonged period of time, can cause amenorrhea. Try to strike a balance between the right kind of exercises and the time devoted to them.
- Emotional Stress: Excessive stress can often cause normal menstrual cycles to be disrupted. This can be cured by simply dealing with the cause of stress. Once stress levels come down to normal, so will menstruation.
- Addiction: Excessive consumption of alcohol or smoking of cigarettes can also cause amenorrhea. Maintaining a safe distance from all such intoxicants is advised.
Once the cause of amenorrhea is determined, treatment is directed at correcting the underlying disease, which should restore normal menstruation. In case of any anatomical abnormalities of the genital tract, surgery may be advised. Treatment with medications such as dopamine agonists, Glucophage or oral contraceptives is also helpful. Hormone replacement therapies are used in those cases wherein a lack of estrogen is the cause behind it.
A word of caution:
While many individuals and companies have marketed herbal therapies as a successful treatment for amenorrhea, none of these have been conclusively proven to be of help. In fact, some of these have been associated with serious and even fatal side effects, though in rare cases. Some preparations have been found to contain high levels of toxins. Before deciding to take a natural or an alternative remedy for amenorrhea, it is best to seek the advice of a health care practitioner.
Amenorrhea is very easily avoidable by eating healthy and balanced diets, exercising moderately, maintaining ideal body weight and avoiding excessive alcohol consumption and smoking.
When you become a mother for the first time it is a completely new experience which may often leave you feeling exhausted and wondering whether all the things are being done right. First time motherhood is a beautiful as well as a harrowing experience at the same time. Although there are many important things to keep in mind, you can keep the responsibilities simple and streamlined in order to remember them.
Some of these are mentioned below
- Properly handling your baby – New mothers tend to be very careful anyway with their new born children. However, first time inexperience may cause harm to your baby inadvertently. Some of the things you need to be careful about while handling you baby are
- Supporting and cradling the head and neck of your baby, especially while handling them is very important.
- When you handle your baby, be careful enough to ensure that you don’t shake or jerk them too hard. Always be very mindful of the fragility of your baby’s body.
- Keeping your hands clean every time before you handle your baby is extremely important.
- Keep a hand sanitizer handy for this reason. Also, if you have to attend to your baby in the middle of house chores, such as kitchen work, wash your hands thoroughly with soap and wipe clean before handling your baby.
- Perfecting your breast feeding technique is very important – One of the more important things to consider is getting attuned to your lactation cycles; either storing the excess milk for later or ensuring your baby is fed properly according to your cycles as well as his or her demand. Some of the points that need to be kept in mind are
- It is important to know how to improve and make the best out of your breast milk through improved breast feeding techniques. Thus, visit a lactation consultant who can easily formulate a plan for you and optimize your breast feeding techniques.
- Although breast milk is very important, some minerals can only be supplied by specialized formulas. The best way to balance between breast milk and formulas and you lactation consultant along with your doctor should be able to give you some pointers.
- Your breasts will become sore after repeated feeding or suction. It is important to perform warm compress and heat massages to ensure that they don’t hurt.
- Soothing your baby – The only way your baby can communicate with you is via sounds such as crying and babbling. Thus soothing and comforting the baby is something which you may already do instinctively, but you may have to fine tune your technique slightly. Some of the things to keep in mind would be –
- Swaying or swaddling you baby in a way that mimics the coziness of your womb
- The baby can be kept entertained with sound and lights
- Keep your baby warm, but not too warm depending on the season. Striking the correct balance is very critical.
- Try to make the cleaning and changing process enjoyable for your baby by integrating play and fun into it.
- Sleep for the mother and the baby – The priority at this point in time is to ensure your baby’s growth and health. Thus, live by the principle that you sleep when your baby sleeps. Ensure that you adjust your routine to get the best results to minimize feeling tired all the time. New mothers tend to lose a lot of sleep and thus have interrupted circadian rhythms that affect their body. It is very important to maintain your mental composure and also be able to focus on your baby better.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Let's first get to know what are menstrual cramps?
Menstrual cramps, also known as dysmenorrhea or period pains are throbbing or cramping pains in the lower abdomen.Many women experience menstrual cramps just before and during their menstrual periods.
Who gets menstrual cramps?
About half of women experience menstrual cramps and about 15% describe the pain as severe. It has been shown that women who do not exercise experience more painful menstrual cramps. Certain psychological factors such as emotional stress may also increase the likelihood of having uncomfortable menstrual cramps. Additional risk factors for these cramps include:
- Being younger than 20 years of age
- Starting puberty at age 11 or younger
- Menorrhagia - heavy bleeding during periods
- Never given birth
Symptoms of menstrual cramps include:
- Pain in the lower back and thighs
- Loose stools
- Bloating in the belly area
- Lightheadedness or feeling faint.
How can you 'AVOID' menstrual cramps?
- Eating fruits and vegetables and limiting intake of fat, alcohol, caffeine, salt and sweets
- Exercising regularly
- Reducing stress
- Quitting smoking
- Yoga or relaxation therapy
- Acupuncture or acupressure.
- Apply heat to lower abdominal part.
- Make sure you're getting enough vitamin D.
- Dietary supplements.
10 Ways to treat period cramps:
1. Improve Your Diet to Alleviate Period Cramps
2. Pop a Safe Painkiller
3. Turn to Tea to Calm Menstrual Cramps
4. Try Fish Oil and Vitamin B1
5. Needle Away Period Cramps
6. Massage With Essential Oils for Pain Relief
7. Curl Up With a Heating Pad to Ease Period Cramps
8. Boost Endorphins Your Way
9. Up the Magnesium in Your Diet
10. Lean on Your Contraceptive
In case you have a concern or query you can always consult an expert & get answers to your questions!
Childbirth is a very strenuous procedure, one has to undergo. Just like pregnancy, vaginal childbirth can take a toll on your health. But, there are certain simple tips and tricks you can have up your sleeves which can ensure you stay in optimal health post child birth.
Listed below are a few steps one can undertake to take care of your body after childbirth:
A healthy meal: Since childbirth, both vaginal and C-section, are strenuous procedures, you should choose to eat healthy and balanced meal which provides your body with the necessary nutrients and energy. Since, you are also breast-feeding, you need the required nutrients to pass off to your child.
Good rest is a must: You need to sleep on time and rest to relax your body. If you do not rest enough, you will be able to see the negative effects on your skin, manifesting in the form of puffy eyes and reduced energy levels. This puts extra strain on your body. Hire a nanny if you must; but, make sure you sleep on time to give your body the desired rest.
Work-out: You definitely cannot work-out in full flow after you have just had a child as your body is still healing. However, what you can do is engage in mild forms of Yoga stretches and breathing exercises to relax your body. Working out will help you relax your muscles and lose the fat, your body has gained during pregnancy. It also releases ‘endorphins’, the ‘happy hormones’ which make you feel better, both physically and psychologically.
Drink a lot of fluids: It is advisable for you to consume fluids after childbirth. The fluids relieve your body from toxin build-up and help in detoxifying and relaxing your body. Opt for vitamin based drinks and smoothies which impart sufficient nutrition to your body.
Heal your perineum: The best way to take care of your perineum is by cleaning it with lukewarm water and a few drops of aromatherapy oils or bath salts. Invest in a hazel pad if required as the gentle squirts of water help in cleaning the bacteria and blood off your perineum.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Taking care of a newborn is round-the-clock job as the baby needs constant attention. There are many parents who get stressed out as taking care of a newborn as a first-time parent is challenging. There is no need to get stressed out and the best way to keep a cool mind is to make use of practical strategies.
Practical strategies to follow to stay stress-free
A newborn baby in the family definitely brings a lot of excitement, but it also brings along much stress and fatigue to the parents. It is very important that during this time, you take care of yourself by eating a healthy diet and avoid giving up on sleep.
- It is also essential that you drink a lot of water and when the baby sleeps you should also sleep. You can work out a suitable night time schedule with your partner so that both of you can take care of the baby and rest as well.
- This way, you will be able to take care of your baby without getting extremely tired.
- It is important that you set up some visiting rules for your relatives and loved ones so that you get the required rest. It is equally important that you insist your friends to wash their hands with a hand sanitiser and then carry the baby.
- As a parent, it is very important that each day you set aside plenty of time for the nursing sessions, and if you plan to go out you must give yourself added time to pack the required supplies.
- It is essential that you spend more time with your newborn as it needs more attention and love from you.
- It is very important that you create a proper and perfect sleeping environment for your baby, and you should make use of a good mattress so that the baby sleeps comfortably and even you get to sleep.
Share your emotions with your partner
It is important for parents of a newborn to share their emotions with each other and stay connected with each other. By sharing your thoughts and emotions, you can lighten your mood. Parenting is definitely a challenging job and to enjoy this phase of life, it is important that the stress associated with it is handled properly. In case you are finding it hard to handle your baby, it is advisable that you consult your doctor, who will help you adjust to your new life with your newborn.
- Cramps often result from
- Vigorous exercise
- Trauma to the muscle
- Keeping the leg in an awkward position for too long, such as sitting in a crowded theater.
- Other causes can include medications such as birth control, diuretics (which are often prescribed for people with high bp) and steroids.
- A lack of potassium or calcium can also be the underlying cause, as well as cold weather.
How to prevent leg cramps
- There are a number of ways you can alleviate nighttime leg cramps. Once leg cramps set in, the best method to relieve them is movement, either walking around or simply jiggling or shaking your leg. In addition, things like pumping your ankles up and down or rubbing the muscles can help as well.
- Some people with chronic leg cramps have found relief using cool compresses, which work by numbing pain and reducing soreness. But anyone who regularly suffers leg cramps should also work to strengthen their muscles, which will make cramps less frequent.
Blood clots can be alarming, more so during pregnancy. The seriousness is much more because of the baby growing inside you. However, the good part is that this condition is considerably rare.
However, one can take steps to minimize the risks of this condition during pregnancy.
What is a blood clot?
Blood clots develop when the platelets obstruct blood flow. Normally, this happens after any injury or a cut, in order to prevent continuous bleeding. During pregnancy, blood clots act as a safeguard against losing excessive blood at the time of labor. Deep vein thrombosis (DVT) is however, a serious condition wherein a blood clot forms within the leg’s deep veins or the pelvic area. DVT is linked to Pulmonary Embolism, a condition wherein a blood clot ruptures and travels all the way to the lungs’ blood vessels.
Bear in mind that statistically, a blood clot may affect one or two out of every 1000 women. So there should be no real alarm unless you realize that you could be at risk. The risks of this condition are at their highest, either during the initial six weeks post-childbirth or the first 3-4 months post pregnancy.
The risk factors are:
- Family history of DVT
- Smoking or having been exposed to passive smoke
- Age- especially above the age of 35
- Being overweight or obese
- Sedentary lifestyle devoid of any exercise
- Childbirth via a C-section
Although rare, some of the common symptoms include:
- Pain or swelling in the affected leg
- Pelvic pain
- Pain that deteriorates while walking/moving around
- Abnormally large veins
Placental abruption or blood clots in the placenta
Treatment and prevention
Adopting a healthier way of life by following a proper diet and exercising regularly is the basic preventive measure you can take. Discuss the type of exercises you can do with the healthcare provider. Exercising regularly ensures better circulation, thus averting the formation of blood clots. Now is as good a time as ever when it comes to quitting tobacco. An anticoagulant will be administered that prevents blood clotting.
Hello friends, I am Dr Shakuntala Kumar I am practising obstetrician and gynaecologist at New Life Hospital, North Delhi, I am also a visiting consultant at Fortis Hospital Shalimar Bagh. Friends we get a lot of enquiries about unwanted pregnancy, how to avoid unwanted pregnancy. Well, we have a lot of options available in the market but I believe there are a lot of myths surrounding those options that are available to you. First of all, I will be briefly talking about emergency contraception, what is emergency contraception? Initially, contraceptive was devised in cases where women had an emergency situation like if there was an intercourse against their will or if there was rape. Friends the purpose of emergency contraception is to avoid an emergency situation please remember that, that means ideally speaking there should not be an emergency they should not be seeking contraception in emergency, there should not be intake of more than twice in a year of an emergency contraception please remember that, that emergency contraception is not a regular contraceptive. It is effective if taken within 72 hours of an unwanted situation if there is unprotected intercourse or a woman is planning to protect herself, then if taken within 72 hours she will be protected. It is quite effective but please remember it is not hundred percent effective. When taken a woman may face some unwarranted bleeding within few days of intake of this particular pill and if she is facing any other problem or if she is not getting her period despite her waiting adequately say for example more than one week of the arrival of her last period, then it is advisable to seek help of a doctor and if we be briefly talking about oral contraceptive pills are normally started from the first day of the menstrual cycle and they are taken regularly almost same time every day for 21 days, as soon as the pill is over within 4 to 5 days the lady will experience some bleeding. The oral contraceptive pills ideally should not be forgotten but if forgotten as soon as the woman remembers she should take that pill and the next pill should be taken as per the schedule. So oral contraceptive is a great choice than the other choices are copper-containing devices or medicine containing devices called the long active reversible contraceptives. These are basically devices which are kept in the uterine cavity and you have to seek the help of your healthcare provider or your doctor for use of these devices. They can be copper-t or non-copper containing medicinal devices, then there are so many other choices available like the depo drug which is given as in the form of an injection which is effective for 3 months from the day of intake but so this depo injection which I just talked about can have some side effects like the lady may experience irregular bleeding or she may have the weakness of the bones if it is taken for long. Friends the contraceptive choices which I just enumerated that temporary contraceptive choices, if a woman has completed her family and she no longer wants any more children then there are permanent methods of sterilization also available. They can be done laparoscopic early or by opening a small hole in the abdomen and doing sterilization call tubectomy, that is there in the women, in men they can undergo vasectomy which is a very very easy procedure it is called a No-Scalpel vasectomy and or NSV. This is a very simple procedure than on an OPD basis and the man who has undergone this procedure can very soon after resume his normal daily life activities. So friends I briefly enumerated to you about the contraceptive choices that are available to you. In case you have any more query you are free to ask us on our regular working days or you can approach me through Lybrate and ask your questions. Dear friends, whatever method of contraceptive choices you are taking do not forget to visit your health care provider or on regular basis or if you have any queries feel free to ask us, thank you.