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Management of Pregnancy Query
Avoiding Pregnancy Procedures
Treatment of Pregnancy Symptoms
Pre And Post Delivery Care
Management of Labor Pain
Treatment of Gynae Problems
Treatment of Gynae Problems
Treatment of Disorders of the Female Genital Tract
Treatment of Swelling in feet during pregnancy
Treatment of Premature Labor
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In a healthy individual, there are millions of microorganisms in different parts of the body which are essential for normal functioning of that particular organ. Be it the mouth or the gut or the reproductive tract, there are normally organisms. These form part of the normal flora of that body part. It is when there is an imbalance between the good and bad bacteria, where the bad ones take over, then there is a problem. This results in an infection, which manifests with symptoms and requires treatment.
Vaginal yeast infection is one of the most common such conditions and almost 75% of the women would have had it at least once in their lifetime. It is most commonly caused by the yeast Candida albicans, which is normally present in the vagina. Though it can be sexually transmitted, it is not a usual STD.
Causes: The vagina also contains the bacteria Lactobacillus, which produces acid and is essential for maintaining an acidic environment. This acidic environment ensures there is no overgrowth of the yeast. For various reasons, this balance is lost and there is an overgrowth of yeast leading to vaginal yeast infections. Some of the common causes are listed below.
- Antibiotic usage, which kills the Lactobacillus count and increases vaginal pH
- Uncontrolled diabetes
- Weakened immunity due to various reasons
- Increased levels of oestrogen due to use of birth control pills or hormone replacement therapy
Symptoms: The symptoms would depend on the severity of the infection.
- Vaginal itching, burning, and irritation
- Vulvar swelling, irritation, and redness
- Burning sensation with urination or intercourse
- Vaginal rash
- Vaginal soreness and pain
- Vaginal discharge that can be thick or thin, white or clear, odor-free or foul-smelling
Diagnosis: Though the symptoms can be helpful in diagnosis, sometimes a pelvic exam and swab of the vaginal discharge might be required to confirm the diagnosis. This is especially required in cases of repeated infections.
Diabetes is a health condition that occurs due to the lack of insulin and when the body fails to regulate the blood sugar levels. It has been observed that it is a medical complication for many women during their pregnancy. It is best to follow some course of action in order to have a healthy pregnancy and avoid any complications. Diabetes is an autoimmune disease and it can be classed in to 2 categories or types. The type 1 diabetes requires use of insulin on daily basis and its symptoms include weight loss, blurred vision and increased urination. The symptoms of type 2 diabetes include kidney or bladder infection and it is the most common form of diabetes.
Do the babies also develop diabetes?
It is not necessary that babies who are born to diabetic mothers are also diabetic, but if diabetes is not controlled during pregnancy, there are chances that the baby will produce a large quantity of insulin while they are still in the womb. It is quite possible that the sugar levels would be low immediately after birth and a close watch of the newborn is a must till the body adjusts to the amount of insulin it makes.
It has been observed that large babies develop diabetes later in life, mostly type 2 diabetes, and are likely to become obese. It is very important that children are encouraged to develop regular exercise habits and healthy eating habits to reduce the chances of obesity.
Who’s at risk of gestational diabetes
- If your BMI above 30
- One of your parents or sibling has diabetes
- History of gestational diabetes in previous pregnancy.
- Screening for gestational diabetes is very important which is done at 24 weeks by oral glucose tolerance test (giving 75gm glucose) done after 2 hours
Effect of Diabetes on Pregnant Women
Normal Blood Sugar For Pregnant Women
The healthy blood sugar levels in a pregnant woman for fasting sugar should be less than 95mg/dL and the blood sugar level after one hour of eating should be 140mg/dL. The blood sugar level after 2 hours of eating should be 120mg/dL.
Treatment of gestational diabetes
- Includes proper diet and exercise approx 150 minutes in a week.
- Medication includes oral hypoglycaemic (metformin) or insulin.
- Close monitoring of baby by regular scans is very important.
- Finally ideal time to deliver is around 38-40 weeks.
Gestational diabetes that begins during pregnancy has become very common and can lead to defects in the infant. If the blood sugar level is high, then it can lead to complications during labor due to excessive growth of the fetus. It is therefore best to maintain blood sugar levels to avoid risks for the child such as respiratory distress, low glucose levels and jaundice.
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