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Dr. Uma Swan

Gynaecologist, Delhi

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Dr. Uma Swan Gynaecologist, Delhi
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Uma Swan
Dr. Uma Swan is a popular Gynaecologist in Malka Ganj, Delhi. She is currently associated with Gauri Hospital in Malka Ganj, Delhi. Save your time and book an appointment online with Dr. Uma Swan on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 43 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.

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Gauri Hospital

#30, Malka Ganj Road, Kamla Nagar. Landmark: Near Jawahar Nagar, DelhiDelhi Get Directions
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Gouri Hospital

#30, Jawahar Nagar, Malka Ganj Road, Malka Ganj. Landmark: Opp. Hansraj College & Near Subway Jawahar Nagar, Near ICICI Bank.Delhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

How to know pregnancy test by prega sure is correct, I missed my periods from last 27th june, today I had done the test and it is showing two dark pink lines. How to know about confirm pregnancy in hospital and how much it cost, and there result will be 100% accurate or instant or not please help me and guide?

MBBS, DGO - Preventive & Social Medicine
Gynaecologist, Sri Ganganagar
How to know pregnancy test by prega sure is correct, I missed my periods from last 27th june, today I had done the te...
Two dark lines is confirm positive, if you want to be double sure then you can get blood test done. Even in ultrasound, pregnancy can be confirmed by now.
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I always major back pain and vomits during my periods. It is so extreme that without medicine I can't survive that day. So ultimately I have to take a pain killer. Please tell what maybe the possible reason for this. Is this any deficiencies in my body or something else and what I can do to relieve it?

B.A.M.S
Ayurveda, Mandsaur
I always major back pain and vomits during my periods. It is so extreme that without medicine I can't survive that da...
This is Dysmenorrhea.It looks that you are living in a comfort zone and not doing any physical work. Ta k e cap.Evecare morning evening after meal. Do sweep flooring daily sitting on legs. Use indian style sheet in toilet.
1 person found this helpful
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Yesterday we had unprotected sex. We do not want any trouble to avoid any trouble can we use UNWANTED-72 or any other pills like this? We are in tension since last night Please suggest what we should do.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Yesterday we had unprotected sex. We do not want any trouble to avoid any trouble can we use UNWANTED-72 or any other...
Hello, You can take unwanted 72 for now but do not make it a habit. Use a proper contraceptive barrier next time.
1 person found this helpful
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Her periods regular at 28 days, bleeding for 3 days, manageable abdominal pain. She is suffering from bad infections for the past 6 months. She has cuts and pain at vagina. We're unable to have comfortable intercourse because of pain. There were no issues earlier. We tested Chlamydia Trachomatis, but that seems to be normal. Please provide some medication for this issue. A permanent solution needed, ma'am. We have consulted few doctors, but nothing worked for the infections issue. Please advise.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Her periods regular at 28 days, bleeding for 3 days, manageable abdominal pain. She is suffering from bad infections ...
Hello- Good hygiene can help alleviate symptoms of intercourse pain. Avoid scented bath products, such as body washes and shower gels, as they can irritate your genital area and deplete your natural lubrication. Douche with infusions made from antiseptic herbs such as calendula, garlic, goldenseal, fresh plantain, St. John's wort or tea tree oil along with other herbs such as comfrey leaves to soothe irritation.
1 person found this helpful
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If during early pregnancy while having intercourse light red spotting is not risk for baby.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
If during early pregnancy while having intercourse light red spotting is not risk for baby.
Hi Neda please avoid intercourse as it may increase risk of abortion. And also risk of vaginal infection. Please take rest you need to start some medications to stop bleeding. Have a safe uneventful pregnancy .
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I am married since 2000. During periods the sexual thirst of my partner arises considerably forcing me to have sex on 4th day when bleeding stops considerably. please advise me whether this sexual activity is safe. Whether I should go for deep penetration.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am married since 2000. During periods the sexual thirst of my partner arises considerably forcing me to have sex on...
Hello, It is safe if the menses have stopped else there are chances of increased incidence of causing endometriosis if sex is performed during menses.
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All About Cerebral Palsy!

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
All About Cerebral Palsy!

Cerebral Palsy: What You Need to Know

  • Injuries to the brain before, during or after birth can cause cerebral palsy.

  • Symptoms of cerebral palsy are usually noticed in infants and toddlers.
  • There is currently no cure for cerebral palsy, but treatment options are available to treat associated orthopaedic conditions.
  • The functional abilities and intellect of a person with cerebral palsy can vary greatly.

What is cerebral palsy?

Cerebral palsy (CP) is a condition that is a result of a brain injury. This injury can occur before, during or shortly after birth. Cerebral palsy affects movement and muscle tone.

What are the symptoms of cerebral palsy?

Signs of CP are usually noticed during infancy or in toddlers. It can be associated with exaggerated reflexes, floppiness in the trunk or limbs, or stiffness in the trunk and limbs. It can present with involuntary movements and abnormal gait.

Cerebral Palsy Treatment

There is no cure for CP, but there are many treatment options to help with the orthopaedic problems associated with CP.

Common Orthopaedic Conditions Seen in Children with Cerebral Palsy

Hip Dysplasia

This is a deformity of the hip that can be found on one or both hips in children with an underlying neuromuscular condition, such as CP. Increased or decreased tone in the muscles can lead to migration of the femoral head out of the hip socket, requiring additional treatment.

Treatment:

  • Proximal Femoral osteotomy:This surgical procedure can be used to correct hip subluxation or dislocation in children who have an underlying neuromuscular disorder. It is used to correct the position of the proximal femur for better coverage by the acetabulum, leading to better distribution of weight on the femur. A wedge of bone is typically removed to place the proximal femur into the hip joint. A plate and screws are used to secure the femur bone properly in place.
  • Acetabular osteotomy: This surgical procedure can be used to provide better coverage of the femoral head by the acetabulum. A wedge of bone is cut and placed in a position to add coverage. Hardware is used to secure the bone in place.

Neuromuscular Scoliosis

Neuromuscular scoliosis is a condition of the spine associated with an underlying neuromuscular condition, such as cerebral palsy, muscular dystrophy or spinal cord injury. The underlying condition typically causes changes in the muscles, leaving them unable to support the spine adequately. This leads to a curvature of the spine. The typical presentation is an abnormal S- or C-shaped curvature. The spine can also have rotation creating a multidimensional curve. The curvature can be progressive, especially with growth spurts.

Treatment:

  • Bracing: A back brace may assist in better positioning and supply better support, but it usually does not stop the progression of the curve. In children who are nonambulatory, modifications to the wheelchair can also assist in better spine support and sitting position.
  • Spinal usion surgery: This is a common treatment option for neuromuscular scoliosis when the curvature of the spine interferes with function or becomes a high degree of curvature. The spinal fusion surgery fuses the spine with metal hardware to stabilize the curve and secure the spine.  

Equinovarus Foot

This is a foot deformity commonly seen in children with CP. Due to muscle imbalance, the deformity can make weight-bearing activities challenging.

Treatment:

  • Split anterior tibial tendon transfer: This surgical intervention releases and transfers tendons in the foot to correct the deformity.
  • Calcaneal Osteotomy: This bony surgical procedure is used in patients who have more rigidity of the deformity in the hind foot.

Neuromuscular Flatfoot

This is a deformity of the foot due to an underlying neuromuscular condition. The abnormality of the muscles in the feet leads to a flat foot with minimal or no arch. This condition is commonly seen in children with hypotonia or low tone.

Treatment:

Orthotics: In children with flexible flatfoot, a brace or orthotic may be helpful to provide better arch support and decrease pain. In children with rigid or painful flatfoot, a surgery may be recommended to correct this deformity and improve the alignment of the foot.

Toe Walking

This is a condition in children with an underlying neuromuscular disorder that leads to high tone or muscle tightness in a child’s ankles, and can cause them to walk on the toes or balls of the feet.

Treatment:

  • Physical therapy: Several sessions to work on stretching the tight muscles may be beneficial to decrease the amount of toe walking.
  • Serial casting: Short leg casts can be applied for two-week intervals to progressively work on stretching the tight muscles to improve the position of the foot and ankle. The addition of Botox injections to help stretch the tight muscles in casts may be more effective in some children.
  • Achilles tendon or gastrocnemius lengthening: When physical therapy and serial casting are ineffective in correcting the tight ankle, a surgery may be necessary to achieve a flat foot position with walking. A lengthening is a surgical procedure in which the tight Achilles tendon or gastrocnemius muscle is lengthened to allow greater range of motion and function of the foot and ankle. The lengthening also allows children to better tolerate ankle-foot orthosis and achieve a flat foot position with walking.

Limb Length Inequality

Limb length inequality is a difference in the lengths of a child’s lower extremities (legs). The difference in length can be found in children with hemiplegic CP.

Treatment:

The application of a shoe lift inside a child’s shoe on the shorter side assists in lessening the discrepancy. Surgical treatment to shorten the longer leg is also a way to decrease the discrepancy in children with a greater than 2-centimeter discrepancy. The procedure is called epiphysiodesis, and it is a carefully calculated surgery to close the growth plate in the longer leg and allow the shorter leg to continue to grow and balance out the discrepancy.

Torsional Disorders

Some children with CP develop an inward or outward twist in their lower extremities. When this is excessive, it can interfere with their gait pattern.

Treatment:

Tibial or femoral rotational osteotomy: This surgical procedure is used to correct deformity of the tibia or femur bone. The bone is cut, placed in a corrected position and secured with hardware. The deformities can be surgically corrected with different techniques to provide improved function, especially with gait.

Muscle Contracture

In a child with an underlying neuromuscular disorder, muscle tone can be increased, which can lead to a contracture of the muscle. This means the muscle does not stretch well. Common muscles involved are the hamstrings, adductors, hip flexors and gastrocnemii.

Treatment:

  • Physical therapy and bracing: Physical therapy and bracing techniques can help keep muscles stretched to improve range of motion and assist in preventing a muscle contracture.
  • Botox: An injection of this is used to temporarily weaken the muscle to allow for stretching of the muscle. The effects of Botox typically last about three months and then wear off. During this time, it is important to aggressively stretch the affected muscle to optimize the medication. Physical therapy and serial casting are commonly used in conjunction with Botox treatment.
  • Tendon lengthening surgery: When stretching and bracing are not effective in improving range of motion, tendon lengthening surgery can be used to provide additional stretch and function at various muscle sites. Common muscles lengthened include hamstrings, gastrocnemii and adductors.
6 people found this helpful

Hi doc, I am 22 years old my lmp is 29th June today 55 days over my doc ask me to take USG and hcg my endometrium is 11 mm and hcg is <0.1 what does it means? Doct ask me to wait for 1 week and take UTP test. please clarify.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Hi doc, I am 22 years old my lmp is 29th June today 55 days over my doc ask me to take USG and hcg my endometrium is ...
As your hcg is <0.1 it suggests pregnancy negative. As endometrial thickness is 11 mm its suggestive of pregnancy positive. So doctor has adviced you for upt test to confirm pregnancy. After 1 week.
2 people found this helpful
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Sir, my wife is 22 yr old. We have a female baby of 2.5 year old.* she has inserted by copper t before 6 months .At present we are going for family planning by tubectomy. The people say after few years these ladies will suffer by by many diseases related to uterus etc. What may be the safety measure .please suggest.

MBBS, DGO, FICOG, Master of Population Studies (MPS)
Gynaecologist, Ghaziabad
Sir, my wife is 22 yr old. We have a female baby of 2.5 year old.* she has inserted by copper t before 6 months .At p...
If your does not have any problems with Copper T, then continue with it. She should not get Tubectomy done before 30 year. My advice.
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