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Dr. Yashica Gudesar - Gynaecologist, DELHI

Dr. Yashica Gudesar

94 (167 ratings)
MBBS, DNB - Obstetrics and Gynecology, DGO

Gynaecologist, DELHI

18 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Yashica Gudesar 94% (167 ratings) MBBS, DNB - Obstetrics and Gynecology, DGO Gynaecologist, DELHI
18 Years Experience  ·  500 at clinic  ·  ₹300 online
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I am Dr Yashica Gudesar and I am a gynaecologist. I am in this profession since 17 years and I am...

I am Dr Yashica Gudesar and I am a gynaecologist. I am in this profession since 17 years and I am working in Dwarka at my own private clinic. I am attached to Hospitals also. In this profession, I ahve come across many issues. The most common problem people are facing these days is a Pre conceptional Counselling which is very important and a younger generation is not aware of this.

What is Pre conceptional Counselling?

Pre conceptional counselling is educate the patient in a way that when she starts planning a pregnancy, it should be a planned pregnancy and she should have a healthy baby and a healthy pregnancy.

What is the aim of having a Pre conceptional counselling?

The patient should not be suffering from any existing disease which might not be diagnosed. Or if the patient is suffering from some disease then the baby should not be harmed. In case a patient is taking some drug, then the drug should be stopped or continued, should be confirmed before planning the pregnancy. So, the main aim is to ahve a healthy baby.

What a patient should do when they are coming for Pre conceptional counselling?

They should carry all the reports and they should give the proper history to the doctor about the previous health issues, any surgery or the medicines they are taking. They should discuss clearly about the drinkng and smoking habits

  • In case a patient is planning for pregnancy, then they should take folic acid supplimentation. These suppliments prevent the neural tube defects.
  • The alcohol consumption hsould be stopped.
  • All medicines which are dangerous during the pregnancy should be stopped.
  • The ideal time for Pre conceptional counselling should be taken 3-6 months before planning the pregnancy. But even if you have planned then 1 month is also a best time to go to a doctor.
  • Start taking folic acid atleast 3 month before. This will prevent you from abortion

What Doctor might go for a Pre conceptional counseling?

  • The doctor will take your BMI. If you are over weighted then they may ask you to reduce weight.
  • There might be a questionair in all the history and all the examination of your body should be done.
  • Infections should be ruled out.
  • History of your vaccination should be taken. And the vaccination history is very important because you should go for measles, HPV which is for Cervical cancer and Rubella. This should be included in your Pre conceptional counselling. If any patient has not been vaccinated in childhood for Rubella then they should take the vaccination 3 months before they plan for pregnancy.

What you should do?

  • You should take folic acid
  • You should take Multi vitamins which includes B complex, Vit- D and Calcium
  • If somebody's haemoglobin is less then they should take Iron.
  • Any genetic disease in the family should be screened out before the planning for pregnancy.
  • Thalassemia is one of the important disease which can be prevented
  • Negative blood groups are important if the patient is hard and aborted earlier then it may give impact on the pregnancy.

So the main motive is to tell you that please do not undergo unplanned pregnancy. Take a Pre Conceptional counselling.

If you have any query, you can contact me through Lybrate or you can visit my clinic in Dwarka or you can aso take online appointments. If you need more information about the above discussed topic, you can read my blog as well.

Thank you.

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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. Yashica Gudesar
Dr. Yashica Gudesar is a popular Gynaecologist in Dwarka Sector 3, Delhi. She has over 22 years of experience as a Gynaecologist. She is a qualified DNB (Obstetrics and Gynecology). She is currently practising at MOTHER AND CHILD CARE CLINIC in Dwarka Sector 3, Delhi. She has received 13 excellent feedbacks. Don?t wait in a queue, book an instant appointment online with Dr. Yashica Gudesar on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 30 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 - Delhi University - 1999
DNB - Obstetrics and Gynecology - National Board Of Examinations - 2004
DGO - Lady Hardinge Medical College, New Delhi - 2004
Past Experience
Working at Fortis Hospital
Working at Rockland Hospital
Working at Bhagat Chandra Hospital
...more
Worked at Mata Chanan Devi Hospital
Worked at Lady Hardinge Hospital
Worked at Deen Dayal Upadhyay Hospital
Worked at St Stephens Hospital
Languages spoken
English
Hindi
Punjabi
Awards and Recognitions
Post Partem IUD trainer by PSI -
Sex education classes given at schools and colleges
Clinic Recognized as Adolescent Friendly clinic by FOGSI
Professional Memberships
DMA
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
Association of Obstetricians & Gynaecologists of Delhi (AOGD)
...more
Registered at D.M.C and M.C.I

Location

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Mother & Child Care Clinic

Flat No.33, Sector 13, Netaji Subhash Apartments, Phase 1, Pocket 1, DwarkaDelhi Get Directions
  4.7  (167 ratings)
500 at clinic
...more

Venkateshwar Hospital

sector 18 A, DwarkaDelhi Get Directions
  4.7  (167 ratings)
500 at clinic
...more
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Premarital Counseling

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
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Why is Premarital Counseling important?

HIV Positive Women - 4 Associated Issues

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
HIV Positive Women - 4 Associated Issues

People who have the Human Immunodeficiency Virus, commonly known as 'HIV', are known as HIV positive people. The virus is the agent of AIDS that is currently incurable. HIV is known to alter the human immune system and makes people much more susceptible and vulnerable to diseases and infections. Body fluids such as semen, blood, breast milk, vaginal fluids etc. of an infected individual contain the virus which can be passed from one person to another during blood-to-blood and/or sexual contact. HIV positive women may even pass on this virus to their children during pregnancy, delivery or by breastfeeding them. HIV is also transmitted during oral, anal or vaginal sex, by contaminated hypodermic needles and by blood transfusion. 
Mentioned below are a few issues that an HIV positive woman has to face apart from discrimination and stigma, fear of infecting their children or partners, violence and abandonment. 

1. Menstrual Disorders: Changes in menstrual cycles are frequently reported by HIV infected women. However, menstrual dysfunctions are due to varied reasons that aren't directly related to the disease. Although most of the HIV positive women suffer from amenorrhea i.e. the unusual absence of periods, it is not just due to HIV but also because of weight loss or immunosuppression.  

2. Contraception: It is very important that the contraception an HIV positive woman chooses not only acts as birth control but also to prevent the transmission of sexually transmitted diseases and HIV. Although condoms do not provide exceptional pregnancy prevention, they are excellent at preventing transmission of the HIV virus. Permanent sterilization is usually the most chosen contraceptive method for HIV serodiscordant couples.

3. Surgical Complications: HIV positive women are at a higher risk of undergoing gynecologic surgery. This is because they are more vulnerable to pelvic infectious disease that requires surgical intervention. There is also a greater risk of developing vulval cancer in HIV positive women. 

4. Fertility: There has been an increase in the number of seropositive women contemplating pregnancy and childbirth. Most couples resort to assisted reproduction to lower the risk of horizontal HIV transmission. Studies show that undergoing HIV treatment and having an undetectable viral load is helpful in preventing the transmission of HIV. It is important to consult a medical expert if you are unable to get pregnant after at least 6 months of trying. Fertility problems are more common in HIV positive women than HIV negative women. 

4353 people found this helpful

Preconceptional Counseling

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Play video

I am Dr Yashica Gudesar and I am a gynaecologist. I am in this profession since 17 years and I am working in Dwarka at my own private clinic. I am attached to Hospitals also. In this profession, I ahve come across many issues. The most common problem people are facing these days is a Pre conceptional Counselling which is very important and a younger generation is not aware of this.

What is Pre conceptional Counselling?

Pre conceptional counselling is educate the patient in a way that when she starts planning a pregnancy, it should be a planned pregnancy and she should have a healthy baby and a healthy pregnancy.

What is the aim of having a Pre conceptional counselling?

The patient should not be suffering from any existing disease which might not be diagnosed. Or if the patient is suffering from some disease then the baby should not be harmed. In case a patient is taking some drug, then the drug should be stopped or continued, should be confirmed before planning the pregnancy. So, the main aim is to ahve a healthy baby.

What a patient should do when they are coming for Pre conceptional counselling?

They should carry all the reports and they should give the proper history to the doctor about the previous health issues, any surgery or the medicines they are taking. They should discuss clearly about the drinkng and smoking habits

  • In case a patient is planning for pregnancy, then they should take folic acid supplimentation. These suppliments prevent the neural tube defects.
  • The alcohol consumption hsould be stopped.
  • All medicines which are dangerous during the pregnancy should be stopped.
  • The ideal time for Pre conceptional counselling should be taken 3-6 months before planning the pregnancy. But even if you have planned then 1 month is also a best time to go to a doctor.
  • Start taking folic acid atleast 3 month before. This will prevent you from abortion

What Doctor might go for a Pre conceptional counseling?

  • The doctor will take your BMI. If you are over weighted then they may ask you to reduce weight.
  • There might be a questionair in all the history and all the examination of your body should be done.
  • Infections should be ruled out.
  • History of your vaccination should be taken. And the vaccination history is very important because you should go for measles, HPV which is for Cervical cancer and Rubella. This should be included in your Pre conceptional counselling. If any patient has not been vaccinated in childhood for Rubella then they should take the vaccination 3 months before they plan for pregnancy.

What you should do?

  • You should take folic acid
  • You should take Multi vitamins which includes B complex, Vit- D and Calcium
  • If somebody's haemoglobin is less then they should take Iron.
  • Any genetic disease in the family should be screened out before the planning for pregnancy.
  • Thalassemia is one of the important disease which can be prevented
  • Negative blood groups are important if the patient is hard and aborted earlier then it may give impact on the pregnancy.

So the main motive is to tell you that please do not undergo unplanned pregnancy. Take a Pre Conceptional counselling.

If you have any query, you can contact me through Lybrate or you can visit my clinic in Dwarka or you can aso take online appointments. If you need more information about the above discussed topic, you can read my blog as well.

Thank you.

1 person found this helpful

The 4 Stages Of Endometriosis

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
The 4 Stages Of Endometriosis

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time. 

Here is everything you need to know about this ailment.

Symptoms:

Owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 

Stages: There are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.

  1. Minimal Stages: In this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.
  2. Mild Stage: In this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.
  3. Moderate Stage: In this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.
  4. Severe Stage: As the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.

Treatment:

Non-Medical Treatments

  1. Eliminate nonorganic dairy products, beef, and chicken – because organic foods contain no added growth hormones. Increase nutrient-rich foods, especially cruciferous vegetables (broccoli cauliflower, Brussels sprouts, kale, cabbage, and bok choy), soy, cold-water fish (small fish when possible) and fiber.
  2. Limit alcohol intake. Remember to eat protein at each meal and at each snack to keep the hormones more stable.
  3. Maintain healthy levels of body fat to limit endogenous estrogen production.
  4. Supplement with vitamins and minerals (especially calcium and magnesium) to make up for what is lacking in your daily food intake – pharmaceutical grade is the best.
  5. Supplement with omega–3 essential fatty acids as a natural anti-inflammatory.

Medical Treatments

There are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like Danazol, Medroxyprogesterone, 

Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed. 

One must discuss all risks and complications before going in for a certain form of treatment for this ailment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4502 people found this helpful

Trouble Conceiving? 3 Methods For You

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Trouble Conceiving? 3 Methods For You

If you have been trying to get pregnant for a long period of time, but not succeeding, it is time for you to see a doctor immediately.
In case you have tried for pregnancy and not getting near it for a long duration, do not get disheartened and worried. There a lot of fertility techniques which have evolved over the time due to the advancement of medical technology.
If you have failed again and again, you should not wait anymore and visit a doctor. The doctor would help you locate the problem behind your failure and would provide you with other options of getting pregnant.

They are as follows:

Fertility drugs
They are the primary remedy for women who struggle to get naturally pregnant as they cannot perform ovulation.
Mimicking the body's own hormones, drugs such as Clomid work to trigger the ovaries into discharging eggs. This strategy prompts pregnancy accomplishment in a couple of months without further delay. Different drugs can, likewise, be utilized to control the menstrual cycle or thicken the womb's coating to set it up for pregnancy. Your doctor will prescribe you fertility drugs if you have an extremely irregular menstrual cycle and your ovulation is unusual, and you are not producing eggs. Sometimes, these drugs are given to women with pituitary failure.

Intrauterine insemination
In this process, a tube which contains sperms of best quality is inserted into the vagina of a woman into the uterus via the cervix. This process is carried out during the fertile-most period of the woman's menstrual cycle. It may be repeated for two or three days.
Your doctor may recommend this method in case you have unexplained infertility, or if you have problems in ovulating. If your partner is impotent or in case that you do not have a partner, this process can be undertaken.

In vitro fertilization (IVF)
This treatment includes the preparation of an egg outside your body. Eggs are accumulated from a woman's ovaries and are blended with sperm. The fertilization process happens in a leveled, flat shaped glass dish. The prepared egg or embryo is then put back into the uterus, which is called embryo transfer. A solitary treatment cycle can take anything between six weeks and two months and involves stages where you need regular injections and general ultrasound observing. This will be recommended by the doctor if you have unexplained fertility or when your fallopian tubes get blocked.
If you are struggling to get pregnant for a long time, you should not wait and consult a doctor, who would provide you with alternatives.

4377 people found this helpful

Infertility - 10 Myths & Facts

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Infertility - 10 Myths & Facts

There are some commonest misconceptions about infertility, and these misconceptions should be eliminated as soon as possible so that the actual facts can be known. There are many online sites where you can find detailed information on the scientific explanations regarding infertility, and you can follow them.

List of myths and facts regarding infertility:

1.Myth: The menstrual cycle of a woman is for 28 days.
Fact: Normal cycle ranges between 21-36 days.

2.Myth: A woman can have pregnancy on the day one of menstrual cycle.
Fact: The released eggs remain viable for almost 12-14 hours, and a woman can get pregnant after an intercourse done two-days after ovulation and five-days before ovulation.

3.Myth: Infertility occurs due to stress.
Fact: Ovulation can surely get delayed due to hormone suppression, but infertility does not occur due to stress.

4.Myth: Sperms stay active for few hours.
Fact: Sperms stay alive at least for five days.

5.Myth: Men with a higher sexual-drive will have a normal sperm-count.
Fact: No relation is there in between fertility and virility. Sometimes, it has been found that men having a higher sex-drive do not produce sperms.

6.Myth: Women have to wait for three months to conceive after stopping the usage of contraceptive pills.
Fact: As soon as a woman stops pill usage, hormonal levels go back to normal condition, as a result of which ovulation begins immediately.

7.Myth: Only females have infertility troubles.
Fact: Both women and men suffer from infertility troubles as per the current scientific studies.

8.Myth: Ovulation occurs in a woman on the 14th day of menstrual cycle.
Fact: Ovulation can be calculated by counting 14 days backwards from the past menstrual cycle's last day.

9.Myth: Daily sex can increase conceiving chances.
Fact: During ovulation, having sex each day, especially in between 12-16th day of the cycle can be the best timing.

10.Myth: Fertility troubles occur at 35.
Fact: Peak fertility timing in a woman's life is 20, and this might continue until late 30s. Fertility troubles might even arrive at a younger age. With age, conception chances get declined, especially after 35. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

4280 people found this helpful

Is there any pills to abort pregnancy at a very initial stage? Or any other way to abort.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Only after ultrasound showing intrauterine pregnancy you can abort. That happens at minimum 5 weeks.
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She is having pain and bleeding from vagina every time she is going for urinating and its paining too much while doing so what could be the problem?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
She might be having urine infection. Show to a gynaecologist. Do a urine test. Take lot of water and cranberry juice. But the only way to treat is antibiotics.
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I had an Ectopic Pregnancy in March Month of 2017. Can I get safe pregnant again. What all the precaution have to take for safe Pregnant?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
I had an Ectopic Pregnancy in March Month of 2017. Can I get safe pregnant again. What all the precaution have to tak...
Don't plan pregnancy for 3-6 mths. Or as per your doctor has said who operated you. You can have a healthy pregnancy.
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I am 2 and half months pregnant can I use unwanted kit and suggest me medicine for abortion.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
At this time there are more chances of failure or incomplete abortion. If possible do an ultrasound and then decision can be taken.
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I did sex on 1st april without condom, Gf ke periods 1 din pehle hi gye the But maine sperm uski vagina me nahi dala After sex she eaten papaya, Is there any problem like pregnancy or any?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
I did sex on 1st april without condom, Gf ke periods 1 din pehle hi gye the But maine sperm uski vagina me nahi dala
...
First 8-10 days starting from 1 st day of period are same depending on your cycle duration. I don't think you need to worry. If she does not have period then do a pregnancy test. Don't depend on papaya.
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Sir, is there any chance of pregnancy if any girl use to make sex during her second day of period and take an I pill during 23 hours?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
One can not get pregnant if have sex during periods. It is just that there is chance of infection during periods. There is no need to take I pill if you have Sex up to 8-10 days of your periods, depending on your cycle length. To confirm safe days discuss with your doctor. If you take I pill during these days cycles will become irregular and as the lining of endometrium is very thin already there will be lot of confusion. But one person should be very sure that the bleeding is normal periods and not some other cause of period.
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I had sex with my boyfriend a month ago and I missed my period, but I have gone through the pregnancy checkup and it was negative. Please suggest any medicinal help immediately. Thank you.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
I had sex with my boyfriend a month ago and I missed my period, but I have gone through the pregnancy checkup and it ...
Wait for 10 days after periods. Repeat pregnancy test .if still negative. Show to a gynaecologist. Don't wait long. Pregnancy test can be falsely negative at times. If you are not pregnant take medicine for periods from the doctor.
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What are the chances of pregnancy .she takes ipill within 4 hours of intercourse. Nd she had withdrawal bleeding. Nd two negative test after 10 and 15 days of intercourse. Withdrawal has came before one day of her due date of periods. Nd it remains upto 3 days. Bt now suddenly she spotting little bit blood. Frm 5th may to 6 th may. Now it stops. So is this due to pregnancy. Or is she is pregnant.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
What are the chances of pregnancy .she takes ipill within 4 hours of intercourse. Nd she had withdrawal bleeding. Nd ...
I pill is an emergency contraceptive...don't take it multiple times...only once in case of contraceptive failure...go for and ultrasound and show to a Gynae.
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I have 4 months plus baby. Me and my husband want to avoid pregnancy. What is the best way to avoid pregnancy.

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
I have 4 months plus baby. Me and my husband want to avoid pregnancy. What is the best way to avoid pregnancy.
Best was is an intrauterine device...IUD...you can discuss with your doctor....condoms and progesterone only pills are also an option
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Sir, I have done sex with my gf on 31 jan, 2017.but she got her period two times after sex. Now she felt a lower back pain 2 days ago ie on 13 april. I am assuming it as a pregnancy sign. Can she get pregnant sir?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Sir, I have done sex with my gf on 31 jan, 2017.but she got her period two times after sex. Now she felt a lower back...
Less chances. But do a pregnancy test and ultrasound. Very rarely bleeding can happen after periods.
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My bf ejaculated near my vaginal area. But I am virgin. Is there any chances of getting pregnant?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
My bf ejaculated near my vaginal area. But I am virgin. Is there any chances of getting pregnant?
Yes there can be chance as sperm is motile it can travel. If you don't have periods in time do pregnancy test. If less than 72 hrs take emergency pill.
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Rotating the Fetus - Understanding the Procedure!

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Rotating the Fetus - Understanding the Procedure!

In a normal pregnancy, the baby develops with its head pointed down, and the head is usually the part which comes out first during normal delivery. However, in many cases, the baby could have its legs, feet, or buttocks pointing to the cervix. In a majority of cases, the baby may have this position, but rotates to have its head pointing down before the third trimester. However, this may not happen, and this is referred to as breech.

In a lot of cases, the doctor would try to move the baby’s head downwards usually around the 37th week, and this is referred to as external cephalic version (ECV) or even as version. The process is done externally by manipulation and hence the name external. It is done before labor and may allow for a vaginal birth. In very rare cases, it may be done during labor, but before the amniotic sac has ruptured. As a backup, there should be a provision for the patient to undergo C-section, if ECV is not successful.

Indications:

  1. Single pregnancy, into 36 weeks of pregnancy, with no complications, and preferably not the first pregnancy
  2. No engagement of the fetus (any part) in the uterus
  3. Adequate amniotic fluid, which will provide a good environment to move the baby with minimal injury

Contraindications:

  1. Suspected/known birth defects
  2. Multiple pregnancies (twins/triplets)
  3. Ruptured amniotic sac
  4. Fetus with a hyperextended neck
  5. Mother’s health is not optimal and is on cardiac medications
  6. Condition that mandates a cesarean section (placental separation from the uterus, placenta covering the cervix, etc.)

Procedure

The fetal position is first estimated using an ultrasound. The position of the placenta and the amount of amniotic fluid are also closely monitored. Under constant monitoring, the uterus is relaxed through medications. With one hand on the fetal head and another on the buttocks, the doctor tries to rotate the fetus. Depending on how much pressure the mother is able to tolerate and how flexible the uterus is, version may be successful (success rate is about 60%).

A second attempt under epidural anesthesia may be done, if the first one did not succeed. However, the chances of success with subsequent attempts is very doubtful. The fetus is constantly monitored through ultrasound and fetal heart rate monitoring. A fetus is considered healthy if the heart rate moves up during this procedure. However, if the heart rate seems abnormally high, the procedure would be abandoned.

After the procedure, the mother and the fetus would be monitored for a while before being sent home. As the fetus is constantly monitored throughout pregnancy, the doctor would be able to tell if this procedure is required. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4116 people found this helpful

Complete Infertility Investigation - Why is It Important?

MBBS, DNB - Obstetrics and Gynecology, DGO
Gynaecologist, Delhi
Complete Infertility Investigation - Why is It Important?

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term.

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

  1. Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
  2. Tests for women: 
    1. Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
    2. Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
    3. Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
    4. Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
  3. Tests for men
    1. Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man’s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
    2. Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.

Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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