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Dr. Mukti Sethi  - Gynaecologist, Ghaziabad

Dr. Mukti Sethi

90 (36 ratings)
MBBS, DGO, Ceritification in Minimal Invasive Surgery

Gynaecologist, Ghaziabad

21 Years Experience  ·  400 at clinic  ·  ₹300 online
Dr. Mukti Sethi 90% (36 ratings) MBBS, DGO, Ceritification in Minimal Invasive Surgery Gynaecologist, Ghaziabad
21 Years Experience  ·  400 at clinic  ·  ₹300 online
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Miscarriage: Causes and Treatment for Early Pregnancy Loss<br/><br/>Hello friends, I'm Dr. Mukti ...

Miscarriage: Causes and Treatment for Early Pregnancy Loss

Hello friends, I'm Dr. Mukti Sethi. I'm a Consultant Gyenic specializing in life expectancy and infertility. I've done my graduation from GSV Medical COllege Kanpur, and my post graduation from Aligarh Muslim University. Today, on this session I'm going to talk on the subject which is a great cause of stress and anxiety among patients who are expecting pregnancy or area pregnant, that is early pregnancy loss. So early pregnancy loss, what exactly do we mean by early pregnancy loss. Early pregnancy loss is a loss of pregnancy during the first thirteen weeks of pregnancy, that is, the first trimester of pregnancy. It is commonly mentioned as miscarriage or spontaneous abortion.

So how many pregnancies lands into a pregnancy loss or what is the incidence of pregnancy loss? Around one in every five pregnancy, which is, unfortunately, a very high incidence rate, lands in a non-developmental form or loss of a pregnancy or a miscarriage. So what are the causes of this pregnancy loss? The most common cause, around 60% of the pregnancy loss, is due to are due to random chromosomal defects are seen during the process of fertilization. What is the process of fertilization? Fertilization is when the female's ova or egg combines with the sperm to form a fetus or a zygote. During the process, the mismatch of the chromosomes results in an abnormal chromosomal formula of the fetus. So these pregnancies won't be able to grow further and nature has its own process to curtail these pregnancies or abnormal pregnancies from growing. So these pregnancies are going to land in an abortion or miscarriage or missed abortion or blighted abortion that we generally see. So a big number, that is 60% is because of these chromosomal defects which we do not have any control over.

So coming over other causes, it might be a defect in the reproductive system of the female like a defect in uterus, fibroid or septa. Then coming over to infections, yes there are a set of infections that can be a cause of these pregnancy losses or abortion, like torch infections or tuberculosis. Then coming onto the hormonal causes, we have seen so many patients coming who have a thyroid problem or are diabetic. Again coming onto patients who are suffering from PCOD. So they have high chances of having an abnormal pregnancy or unhealthy pregnancy which might result in abortion. Then there are certain medical conditions or toxins, environmental conditions which might land a patient into a pregnancy loss. Now, what can an individual or a girl who is planning to get pregnant do to reduce the risk of having an abortion? First of all, you need to maintain a healthy lifestyle and then prelating, that is before getting pregnant always see a gynecologist or a consultant. There is a set of investigations that you people should go through- your blood group, your CBC, your diabolic sugars. You should go through these tests before planning a pregnancy. Next is a healthy lifestyle, certain vitamins like folic acid are extremely important. Taking them for 3-4 months before getting pregnant might reduce the risk of getting abnormal pregnancies like deformities seen in the fetus is considerably reduced. Then yes, coming over to the lifestyle that we see today, females planning to get pregnant should stop smoking, alcohol intake should be reduced or stopped if possible.

Then there are some general questions patients do ask me that should we stop coffee. Yes, you can take coffee but try to restrict it to two cups a day. Then any food or anything which can cause abortion is more of a myth. Generally, all foods like vegetables, fruits which god has created for us is quite healthy and generally do not result in any injury to the fetus. But still certain foods like Chinese or Ajinomoto, we do ask the patient to reduce the intake for the first trimester of pregnancy. Then there can be certain girls or females that are working in an environment which can be hazardous for the growing fetus like many of our staff that are woking with X-rays or chemical setups or factories which are there, also around fumes. So you need to be a little cautious about the environment where you are working so that there is no harm in the early fetus. So yes you can take certain steps to have a healthy pregnancy.

Now how can your doctor or your gynecologist help to reduce the risks? Very thorough check up with the doctor so that she would be able to diagnose any hormonal problems or any defects in the uterus, something which she can do about and that way she will surely be able to help you out. But again coming back to the point, the majority of pregnancy loss is due to chromosomal abnormality during the process of fertilization which are not in control of the doctor or the patient. So you need to be somewhat relaxed, nature has its way , and if there is something or some abnormality in the foetus then nature will not allow it to grow. But yes there are other causes in which you can or your doctor can help you out so that you have a healthy pregnancy. Now, how to know that you might be heading towards a pregnancy loss or towards an abortion. The main symptoms that the patient will complain about are spotting or bleeding or cramps. Patients come to us with a history of missing periods and there is an episode of bleeding. Now here I would like to say that all patients who have bleeding during the first trimester of pregnancy are not going to land in an abortion. But yes you need to be extra cautious, you need to see your doctor, your doctor would like to help with certain hormones or support with the hormones or pregnancy with the vitamins which might avert the abortion.

So the first symptom is pain and bleeding. Now all patients of bleeding will not land in an abortion but yes when you are having it you need to undergo certain investigations so that there is a diagnosis to know the problem. So how would your doctor diagnose that yes it is a case of abortion or missed abortion or a blighted one? A physical examination by the doctor, the general upper vaginal examination will guide the doctor towards the cause of bleeding. Doctor will ask or recommend a certain set of investigations like ultrasound and even beta HCG that is a blood test which will help to diagnose, and sometimes you know these tests need to be repeated, and at that moment of time patients tend to get very anxious that why the doctor is not able to answer my questions that it is a healthy pregnancy or not. Because sometimes the pregnancy needs to be of a certain duration to assess that yes it is going at par or not. So we have to repeat the investigations like ultrasound needs to be done after an interval of a week or ten days to see the difference in growth, has the baby grown in ten days or not, or to say with confidence that it is a growing pregnancy. Once the diagnosis of missed abortion or abortion has been made, now what is the treatment or what would be the next step. Sometimes a patient comes to us that it is a very early pregnancy, very small sac or she is bleeding, having a heavy flow like a periods flow. Then we would just ask the patient to wait and watch. Let her clear off with the periods and sometimes the pregnancy will be washed on its own and doctor would decide not to interfere with the natural process, and at times it is sufficient. But yes if the sac is a little larger in size or the bleeding is not that much in flow, or period is not there, the doctor might give some medicines to you so that there is proper flow and pregnancy is washed off.

But there might be certain cases which would require intervention by the doctor that is a surgical procedure or such an evaluation or dilation and then by the patient to remove whatever products of conception still remain. Even after medicines, sometimes you know all the products of conception won't be washed out then after a period of two weeks the doctor might advise you to go for another ultrasound to confirm that everything is clear and if still there are some fragments then surgical procedure might be advised to you. Generally, the next question is will it in any way harm the next pregnancy. No, it is not like that. Generally, these are safe procedures and very necessary at that period, therefore, you people are advised about it and they are not related to any long term consequences. So here we have discussed the treatment of early pregnancy loss. Generally, these people do quite well, have good chances of having a healthy pregnancy the next time they become pregnant. So my advice to you all doesn't get anxious, look for support from your doctor, from your family, with your partner. Decide well in advance before your next pregnancy.

If any of you need to consult me about this you are most welcome. You can get in touch with me through Lybrate.com or if you want to see me in your clinic I'm available at Indirapuram at Ghaziabad NCR. You can fix an appointment and see me personally and I hope this talk was useful for you.

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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Mukti Sethi
Dr. Mukti Sethi is a renowned gynaecologist from Ghaziabad. She has an experience in this field for 18 years. She completed her MBBS from GSVM Medical College in Kanpur in the year 1997. She did DGO from Jawaharlal Nehru Medical College in Aligarh in the year 2002. Dr. Mukti Sethi completed her Certification in Minimal Invasive Surgery from AIIMS in the year 2007. Dr. Mukti Sethi is a dedicated professional who is geared to providing optimal health care, and her patients have a 100% satisfaction and trust in her services. Presently she specializes in infertility treatment, semen lab for IUI, maternal care, and checkup, high-risk pregnancy care, recurrent pregnancy loss, cervical cerclage, In-Vitro Fertilization or IVF, Intrauterine Insemination or IUI, Mirena, caesarean section or C-section, hysterectomy, ovarian ablation, laparoscopic surgery, hysteroscopy and medical abortion. She is a member of the Federation of Obstetric and Gynaecological Societies of India or FOGSI and Indian Medical Association or IMA. If you are facing any of the problems mentioned above and looking for a gynecologist care, book an appointment with her online.

Info

Specialty
Education
MBBS - GSVM medical college Kanpur - 1997
DGO - Jawaharlal Nehru Medical College, AMU, Aligarh - 2002
Ceritification in Minimal Invasive Surgery - AIIMS - 2007
Languages spoken
English
Hindi
Professional Memberships
Federation of Obstetric and Gynaecological Societies of India (FOGSI)

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Male Infertility - 4 Possible Reasons Behind It!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Male Infertility - 4 Possible Reasons Behind It!

More than 15 percent of couples are infertile which means that they are unable to conceive even after repeated trials for a long span of time. In about half of these couples, male infertility plays a significant role. Male infertility is primarily caused by inadequate production of sperms, blockages leading to prevention of sperm delivery, and abnormal sperm function. And no single factor is responsible for this were injuries, illnesses, medications and also lifestyle choices play an important role in bringing about male infertility.

What are the causes of male infertility?
Male infertility is a complex procedure which can stem from some variables including:

  • A varicocele happens when the veins that drain the testicle become swollen. This is one of the commonest causes of infertility among men and can be reversed with ease. Treating the condition can improve the number of sperms and their function while potentially boosting the chances to reproduce.
  • Some infections may also interfere with a man’s ability to produce sperms and can also lead to scarring which blocks the way of the sperm. Even though severe infections can lead to permanent damage to the testicles, some of them can still be dealt with if diagnosed in time.
  • Retrograde ejaculation is yet another cause of male infertility which takes place when semen mistakenly enters the bladder at the time orgasm. There are numerous causes behind this including prostate or urethra surgery, spinal injuries and high blood sugar. Some men with spinal cord injuries fail to ejaculate altogether even though there is an optimal production of sperm.
  • Tumors and cancerous fibroids can directly affect the male reproductive system through various ways. In some instances, radiation, surgeries, and chemotherapy can affect male fertility as well.

What are the signs and symptoms of male infertility?
The main sign of male infertility is the inability on the part of the female to conceive. Besides this, there is no other symptom. But even though this is the generalized picture, other men may experience male infertility signs such as difficulty in ejaculating, meagre amounts of fluid ejaculation, reduction in sexual desire and inability to maintain an erection which is commonly known as erectile dysfunction. Other symptoms include pain and swelling in the testicle area, inability to smell, and respiratory infections. Some men also have abnormal breast growth, decrease in hair in the face and body and hormonal inability.

How is male infertility diagnosed and treated?
Infertility diagnosis is one of the most difficult challenges that a man can face. In most cases, medicines, surgeries, and alternative treatments can help in reducing the problem. In most cases, the main goal of the treatment is to help a woman conceive, and the treatment entirely depends on the cause of infertility. However, the treatment entirely depends on the cause of infertility. If diagnosed in time, most infertility issues in men can be solved. All one needs to do is visit a specialist and seek help to lead a healthy life.

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

1 person found this helpful

PCOS - How To Live It It?

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
PCOS - How To Live It It?

Polycystic ovarian syndrome (PCOS) is a medical condition related to a woman?s endocrine system. Symptoms of PCOS include acne, irregular menstrual cycle and depression to name a few. The causes of PCOS have not been accurately identified so far, but researchers suggest that the following factors might contribute to the onset of the condition.

  1. Increased amount of insulin secretion: Women suffering from insulin resistance may get PCOS as their body is not able to effectively use this insulin, which results in increased insulin secretion by the pancreas. This, in turn, triggers more androgen (male sex hormone) production in the ovaries, making it difficult for the ovaries to ovulate.
  2. Lower inflammation levels: The white blood cells present in your body form resistance against infections through a response termed as inflammation. Women with lower inflammation levels are likelier to get PCOS as the decreased levels stimulate polycystic ovaries, thereby producing more androgens.
  3. Genetic factor: If you have a family history of PCOS, it?s highly probable that you may also get it as the disease is linked with your genes.

How To  Live with PCOS

PCOS comes with numerous side effects like acne, obesity, infertility, excessive facial or body hair among others. There are certain lifestyle changes, which you may consider to manage PCOS and minimise its side effects.

  1. Change your diet: Opt for a low carbohydrate, low sugar diet to keep your insulin levels in control, as insulin is responsible for increasing the severity of PCOS symptoms. 
  2. Try to maintain an ideal body weight: Obesity is known for worsening insulin resistance, and you can prevent this by regularly keeping your weight in check. You can practice some easy at-home exercise to reduce weight besides having a balanced diet.
  3. Get yourself checked regularly: Visit a doctor and get yourself checked regularly for potential health risks as PCOS is often associated with increased chances of diabetes, heart diseases, certain forms of cancer, hypertension, and high LDL (bad) cholesterol levels. In case you have a concern or query you can always consult an expert & get answers to your questions!
2786 people found this helpful

Uterine Prolapse - 6 Most Common Risk Factors!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Uterine Prolapse - 6 Most Common Risk Factors!

Uterine prolapse is a condition which occurs due to a weakness in the muscles and ligaments of the pelvic floor which are responsible for supporting the uterus. This condition results in the bulging out of the uterus from the vagina. The continuous stretching in the muscles of the pelvic floor due to the lifting of heavy things might initiate uterine prolapse. If you suffer from severe uterine prolapse, the doctors might suggest laparoscopic surgery to get rid of the pain. Lack of diagnosis might form infected ulcers in the pelvic regions.

Risk Factors
The risk factors that can trigger a uterine prolapse are as follows:

  1. You are more prone to suffering from uterine prolapse as you age because aging causes a significant reduction in the estrogen (the hormone responsible for the overall development of the pelvic muscles) levels of the body.
  2. If your pelvic muscles and the adjoined tissues have suffered sustained damage during pregnancy or childbirth, you have a higher risk of suffering from uterine prolapse.
  3. Obesity, sustained episodes of constipation or coughing make you more vulnerable to uterine prolapse.
  4. In women, estrogen levels reduce significantly after menopause.
  5. A woman who has undergone vaginal childbirth multiple times can suffer from uterine prolapse.
  6. Having undergone surgery in the pelvic region and experiencing severe pain during excretion raises the risk levels even more.

Symptoms
The symptoms of uterine prolapse vary with the severity of the condition. If the prolapse is a minor one, there will be no symptoms. But severe uterine prolapse might bring with it the following symptoms:

  1. Severe pain in the lower back region along with significant problems during urination such as leakage of urine.
  2. Bulging out of tissues from the vagina.
  3. Recurrent instances of constipation and abnormal discharges from the vagina.
  4. Infection in the bladder and experiencing severe problems during sex intercourse.

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



 

2713 people found this helpful

Diet During Pregnancy - Debunking 5 Myths About It!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Diet During Pregnancy - Debunking 5 Myths About It!

The moment a woman is known to be pregnant, there is a whole list she needs to follow in terms of food what is good vs what is bad, what to eat vs what to avoid, how much to eat and so on. Almost every member in the family and friend circle would have suggestions to provide, and the woman is left completely confused. Read on to get some of this clarified.

Myth #1: Eat for two people during pregnancy: While it is definitely true that a person needs to eat more during pregnancy, it is not essential to eat for two people. The growing baby does not need a full meal. What it needs are important nutrients to develop fully including iron, calcium, folic acid, etc. The mother needs to increase her food consumption, but only by about 250 to 300 calories. There is absolutely no need to eat for two people.

Myth #2: Eating papaya can lead to miscarriage: The green or raw papaya does have latex, which has properties similar to the miscarriage-inducing drugs. They increase the amount of oxytocin and prostaglandin, which induces miscarriage. However, a fully ripe papaya eases heartburn and constipation, which are common during pregnancy.

Myth #3: Consuming saffron throughout pregnancy makes the developing baby fair-skinned: This is another myth that is deep-rooted, and the obsession with fair skin is even more deep-rooted. Most mothers would be gifted small boxes of saffron and told to add it to milk and consume, so that the baby grows up fair. This is a complete myth with no truth to it at all. The baby’s skin colour is completely determined by genetics and is not influenced by the food consumed during pregnancy.

Myth #4: Ghee during pregnancy helps in normal delivery: Ghee is believed to bring about a lot of miracles during pregnancy. Some vouch for the fact that consuming ghee aids in normal delivery and passage of the baby through the uterus. Consuming ghee also is believed to improve uterine healing post-delivery. The truth is that ghee is loaded with saturated fats and may lead to unnecessary weight gain and hence is best avoided. A small amount is definitely advisable, but it will not help in either delivery or post-partum.

Myth #5: Eating fish during pregnancy is harmful: The only reason for avoiding fish is the increased level of mercury in some of them. While fish with higher levels of mercury are to be avoided, fish with low mercury levels are okay and are in fact useful for the baby’s brain and eye development. Since this differentiation requires knowledge about fish, they are usually avoided. Talk to your nutritionist to identify what is safe and what is not.

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

2567 people found this helpful

Intra Uterine Insemination - Understanding The Process!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Intra Uterine Insemination - Understanding The Process!

Intra uterine insemination is a common fertility treatment which involves positioning a sperm within the woman’s uterus in order to help it fertilize. The primary objective of this treatment is to surge the number of sperms that are supposed to reach the fallopian tubes for multiplying the chance of fertilization. It offers an advantage to the sperms by minimizing its area of traversal, but the sperm must reach the eggs for fertilizing the ovum on its own. It is a minimally invasive method and much lesser expensive when compared to in vitro fertilization.

When do the doctors recommend intra uterine insemination?
The most common reason behind opting for intra uterine insemination is decreased sperm mobility and low sperm count. But there are various other reasons why gynecologists recommend this treatment and these include unexplained infertility, cervical scar tissues from past operations, cervical mucus problems, ejaculation dysfunction and several others.
On the other hand, intra uterine insemination is not recommended for women with conditions of pelvic infections, moderate to severe endometriosis and women with acute problems in the fallopian tubes.

How does the process of intra uterine insemination work?

  • Before opting for the intra uterine insemination, doctors may recommend ovulation stimulating medicines which require careful monitoring of the eggs to determine when they are mature. The intra uterine insemination will be done between 24 and 36 hours after the rise in LH hormones which indicates high chances of ovulation.
  • A semen sample is separated from the semen, and then the sperm is inserted directly into the uterus with the help of a catheter. This procedure improves the positioning of sperm cells into the uterus which, in turn, increases the chances of conception.
  • The whole procedure takes about a couple of minutes and gives only minimal discomfort. Then the doctors closely monitor your signs and symptoms of pregnancy. In most cases, there is minimal risk of infection after the intra uterine insemination. Also, women who take fertility medications while having IUI also have chances to become pregnant with multiples.

What is the success rate of intra uterine insemination?
The success of intra uterine insemination depends on a host of factors. If a couple chooses to opt for this treatment every month, the chances of successful pregnancy are increased by 20 percent per cycle. But factors like age of the woman, use of fertility drugs, and the reason behind infertility play a critical role.

Since intra uterine insemination is a cheaper process compared to in vitro fertilization, the success rate of this procedure can sometimes be lower than the latter. It however in most cases gives good results. So, if you are interested in this treatment, you must consult with an expert gynaecologist for discussing your options.

2634 people found this helpful

Recurrent Pregnancy Loss - Possible Reasons Behind It!

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Recurrent Pregnancy Loss - Possible Reasons Behind It!

Recurrent pregnancy losses happen to a very small fraction of the population. Only 1% of couples are affected by it. Nevertheless, it is a very difficult and serious process to deal with due to the sensitivity of the issue. A woman is said to have recurrent pregnancy losses if she has lost 3 or more of her pregnancies. Although the exact reason for recurrent pregnancy losses are not known, there are several suggested reasons.

Reasons why it may happen

  1. Anomalies in the uterine lining such as polyps (abnormal tissue growth, usually in the cervix), or fibroid tumors can result in miscarriages if left untreated.
  2. Hormonal factors such as thyroid malfunctions or pituitary problems can cause an imbalance in the luteinizing hormone (a hormone which triggers ovulation) resulting in miscarriage.
  3. Age is also an issue one must keep in mind while addressing pregnancy losses. Women over the age of 35 are more likely to experience recurrent pregnancy losses. As women get closer to menopause, their bodies produce reduced levels of hormones and eggs which cater to a pregnancy. Therefore, due to the reduced levels of hormones, an older woman is susceptible to losing a baby as they have elevated levels of hormones and therefore are more fertile.
  4. Lifestyle factors also have been linked to recurrent pregnancy losses. Constant exposure to toxic chemicals can result in pregnancy problems. Along with that, constant drug use, smoking and excessive consumption of alcohol are some of the lifestyle choices that can cause recurrent pregnancy losses.
  5. Infections such as syphilis, malaria, measles, herpes simplex etc. can cause recurrent pregnancy symptoms if left untreated as they can obstruct and complicate the growth of the baby, resulting in premature development or pregnancy loss.

Management of Pregnancy Loss

  1. Polyps and fibroid tumors are complicated disorders which should be given immediate medical attention. Although surgical methods are available, the best way to treat polyps and fibroid tumors is through the intake of progestin hormone pills which shrink the size of the polyps/cysts.
  2. Eating a healthy diet to ensure the prevention of diabetes is highly recommended. Fruits, leafy green vegetables and whole grain cereals are a prerequisite for the complete growth of the baby as well as arming the body with the necessary strength it needs for pregnancy transitions as well as a stronger immune system.
  3. A regular workout routine is also advised for pregnant women as it ensures a healthier and stronger immune system.

Although recurrent pregnancy loss is very emotionally debilitating for a woman and her partner, there are several means and measures to overcome this tragedy. One should not be disheartened by such an occurrence and get the required help needed. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2672 people found this helpful

Early Pregnancy Loss

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Play video

Miscarriage: Causes and Treatment for Early Pregnancy Loss

Hello friends, I'm Dr. Mukti Sethi. I'm a Consultant Gyenic specializing in life expectancy and infertility. I've done my graduation from GSV Medical COllege Kanpur, and my post graduation from Aligarh Muslim University. Today, on this session I'm going to talk on the subject which is a great cause of stress and anxiety among patients who are expecting pregnancy or area pregnant, that is early pregnancy loss. So early pregnancy loss, what exactly do we mean by early pregnancy loss. Early pregnancy loss is a loss of pregnancy during the first thirteen weeks of pregnancy, that is, the first trimester of pregnancy. It is commonly mentioned as miscarriage or spontaneous abortion.

So how many pregnancies lands into a pregnancy loss or what is the incidence of pregnancy loss? Around one in every five pregnancy, which is, unfortunately, a very high incidence rate, lands in a non-developmental form or loss of a pregnancy or a miscarriage. So what are the causes of this pregnancy loss? The most common cause, around 60% of the pregnancy loss, is due to are due to random chromosomal defects are seen during the process of fertilization. What is the process of fertilization? Fertilization is when the female's ova or egg combines with the sperm to form a fetus or a zygote. During the process, the mismatch of the chromosomes results in an abnormal chromosomal formula of the fetus. So these pregnancies won't be able to grow further and nature has its own process to curtail these pregnancies or abnormal pregnancies from growing. So these pregnancies are going to land in an abortion or miscarriage or missed abortion or blighted abortion that we generally see. So a big number, that is 60% is because of these chromosomal defects which we do not have any control over.

So coming over other causes, it might be a defect in the reproductive system of the female like a defect in uterus, fibroid or septa. Then coming over to infections, yes there are a set of infections that can be a cause of these pregnancy losses or abortion, like torch infections or tuberculosis. Then coming onto the hormonal causes, we have seen so many patients coming who have a thyroid problem or are diabetic. Again coming onto patients who are suffering from PCOD. So they have high chances of having an abnormal pregnancy or unhealthy pregnancy which might result in abortion. Then there are certain medical conditions or toxins, environmental conditions which might land a patient into a pregnancy loss. Now, what can an individual or a girl who is planning to get pregnant do to reduce the risk of having an abortion? First of all, you need to maintain a healthy lifestyle and then prelating, that is before getting pregnant always see a gynecologist or a consultant. There is a set of investigations that you people should go through- your blood group, your CBC, your diabolic sugars. You should go through these tests before planning a pregnancy. Next is a healthy lifestyle, certain vitamins like folic acid are extremely important. Taking them for 3-4 months before getting pregnant might reduce the risk of getting abnormal pregnancies like deformities seen in the fetus is considerably reduced. Then yes, coming over to the lifestyle that we see today, females planning to get pregnant should stop smoking, alcohol intake should be reduced or stopped if possible.

Then there are some general questions patients do ask me that should we stop coffee. Yes, you can take coffee but try to restrict it to two cups a day. Then any food or anything which can cause abortion is more of a myth. Generally, all foods like vegetables, fruits which god has created for us is quite healthy and generally do not result in any injury to the fetus. But still certain foods like Chinese or Ajinomoto, we do ask the patient to reduce the intake for the first trimester of pregnancy. Then there can be certain girls or females that are working in an environment which can be hazardous for the growing fetus like many of our staff that are woking with X-rays or chemical setups or factories which are there, also around fumes. So you need to be a little cautious about the environment where you are working so that there is no harm in the early fetus. So yes you can take certain steps to have a healthy pregnancy.

Now how can your doctor or your gynecologist help to reduce the risks? Very thorough check up with the doctor so that she would be able to diagnose any hormonal problems or any defects in the uterus, something which she can do about and that way she will surely be able to help you out. But again coming back to the point, the majority of pregnancy loss is due to chromosomal abnormality during the process of fertilization which are not in control of the doctor or the patient. So you need to be somewhat relaxed, nature has its way , and if there is something or some abnormality in the foetus then nature will not allow it to grow. But yes there are other causes in which you can or your doctor can help you out so that you have a healthy pregnancy. Now, how to know that you might be heading towards a pregnancy loss or towards an abortion. The main symptoms that the patient will complain about are spotting or bleeding or cramps. Patients come to us with a history of missing periods and there is an episode of bleeding. Now here I would like to say that all patients who have bleeding during the first trimester of pregnancy are not going to land in an abortion. But yes you need to be extra cautious, you need to see your doctor, your doctor would like to help with certain hormones or support with the hormones or pregnancy with the vitamins which might avert the abortion.

So the first symptom is pain and bleeding. Now all patients of bleeding will not land in an abortion but yes when you are having it you need to undergo certain investigations so that there is a diagnosis to know the problem. So how would your doctor diagnose that yes it is a case of abortion or missed abortion or a blighted one? A physical examination by the doctor, the general upper vaginal examination will guide the doctor towards the cause of bleeding. Doctor will ask or recommend a certain set of investigations like ultrasound and even beta HCG that is a blood test which will help to diagnose, and sometimes you know these tests need to be repeated, and at that moment of time patients tend to get very anxious that why the doctor is not able to answer my questions that it is a healthy pregnancy or not. Because sometimes the pregnancy needs to be of a certain duration to assess that yes it is going at par or not. So we have to repeat the investigations like ultrasound needs to be done after an interval of a week or ten days to see the difference in growth, has the baby grown in ten days or not, or to say with confidence that it is a growing pregnancy. Once the diagnosis of missed abortion or abortion has been made, now what is the treatment or what would be the next step. Sometimes a patient comes to us that it is a very early pregnancy, very small sac or she is bleeding, having a heavy flow like a periods flow. Then we would just ask the patient to wait and watch. Let her clear off with the periods and sometimes the pregnancy will be washed on its own and doctor would decide not to interfere with the natural process, and at times it is sufficient. But yes if the sac is a little larger in size or the bleeding is not that much in flow, or period is not there, the doctor might give some medicines to you so that there is proper flow and pregnancy is washed off.

But there might be certain cases which would require intervention by the doctor that is a surgical procedure or such an evaluation or dilation and then by the patient to remove whatever products of conception still remain. Even after medicines, sometimes you know all the products of conception won't be washed out then after a period of two weeks the doctor might advise you to go for another ultrasound to confirm that everything is clear and if still there are some fragments then surgical procedure might be advised to you. Generally, the next question is will it in any way harm the next pregnancy. No, it is not like that. Generally, these are safe procedures and very necessary at that period, therefore, you people are advised about it and they are not related to any long term consequences. So here we have discussed the treatment of early pregnancy loss. Generally, these people do quite well, have good chances of having a healthy pregnancy the next time they become pregnant. So my advice to you all doesn't get anxious, look for support from your doctor, from your family, with your partner. Decide well in advance before your next pregnancy.

If any of you need to consult me about this you are most welcome. You can get in touch with me through Lybrate.com or if you want to see me in your clinic I'm available at Indirapuram at Ghaziabad NCR. You can fix an appointment and see me personally and I hope this talk was useful for you.

3717 people found this helpful

5 Symptoms Of Uterine Prolapse

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
5 Symptoms Of Uterine Prolapse

The condition of uterine prolapse takes place when the floor muscles (and sometimes, ligaments) of the pelvis region gets stretched overly and then gradually weakens, thus becoming unable to provide adequate support to the uterus. This often leads to the protrusion or the slipping down of the uterus out of the vaginal opening. Though it can affect women of any age, it usually happens to women after menopause, especially those who have already had deliveries out of the vagina.

Causes:
The weakening of the muscles in the pelvic region is the chief cause that leads to uterine prolapse. Other causes include:
1. Natural estrogen loss, especially after menopause
2. Gravity effects
3. Supportive tissues of pregnancy and childbirth being damaged
4. Constant straining over time
5. Excessive smoking
6. Improper weight - obesity or being overweight

Symptoms:
There are a number of varieties of uterine prolapse, of varying severity. In case of moderate to severe uterine prolapse, the symptoms tend to be more pronounced and include a number of prominent symptoms.
1. Protruding tissue from the vagina
2. Problems in bowel regulation
3. Increased lower back pains
4. Increased urinary problems, such as leakage or increased retention
5. Looseness in the vagina, which may affect your sex life

Usually, these are symptoms which become pronounced in the morning and eventually worsens through the course of the day.

Risk Factors - The major risk factors that may increase the risk of being afflicted by uterine prolapse are:
1. Multiple pregnancies
2. Increasing age
3. Past problems relating to the pelvis - including surgeries or accidents
4. General weakness in tissues
5. Frequently lifting heavy weights

Additionally, there are a number of conditions, such as chronic constipation, obesity or other pulmonary diseases, that may apply excess strain on tissues and muscles of the pelvic region, that accentuates your chances of being afflicted by uterine prolapse. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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4 Tips To Decide The Perfect Pregnancy Diet

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
4 Tips To Decide The Perfect Pregnancy Diet

Pregnancy is a very special time in a woman's life when there is an added focus to take care of yourself and your unborn child. The adage 'You are what you eat' takes on a whole new meaning during this period as it becomes the soon to be mother's responsibility to pack in extra nutrition to nourish her growing bump. Doctors often add in a dose of vitamins to ensure that the both mother and child are well nourished. But beyond that, the food choices you make will maintain a healthy weight gain for you and your baby and eventually even help when you want to shed the extra weight after your child is born.

Here are some tips to have a perfect diet during your pregnancy
Load up on the good stuff: Even if you've always been eating healthy, it is time to crank things up a notch and include more proteins, vitamins, minerals especially folic acid and iron and some extra calories for energy and increase it as you progress in your pregnancy. But eating to get more nutrients doesn't have to mean eating more in general. If you are already at a healthy weight, then you don't need extra calories in the first trimester. In the second trimester, you need about 340 extra calories a day and about 450 extra calories a day in the third trimester. The numbers will change if you are underweight or overweight.

Say no to some: During pregnancy, give a skip to food items like raw sea food and undercooked meat and poultry. This could lead to potentially dangerous infections. Other foods to steer clear from include unpasteurized milk and soft cheese. All of these are possible sources of bacteria that can be harmful to an unborn child. It is always good to give your fruits and veggies a good extra wash, as always. Try to avoid the known culprits like popular local fruits that may be laden with artificial ripeners. Also avoid food with excess oil or preservatives. You will also have to say a complete no to alcohol or smoking during this period. While most sites suggest that you also ditch your caffeine fix, you can best keep it less than 200mg or 12 ounces in a day. Stick to decaffeinated tea and sodas when possible. Some other foods that have to be avoided during pregnancy are packaged food, cold drinks, preserved food items as they contain preservatives, which are harmful. Also, chinese food should be avoided as it contains monosodium gulmate, which is again harmful due to teratogenic chemical.

Diet a big no: Another big no during pregnancy is dieting or controlling the intake of food to lose weight. Pregnancy is the time you actually, for once, get to legally gain weight and be happy about. Don't mess up your natural system with forced diets.

Keep the food coming: Pregnancy is the time for food craving at all odd hours - and the time to give into them without an ounce of guilt! If you are dealing with nausea and food aversion, try to stick to small meals throughout the day. Replace the chips with carrot sticks and the pizza slice with soup. If that sweet tooth starts acting up, give it a frozen fruit desert or shake. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3741 people found this helpful

Daet Dr. My wife is pregnant from about 13 weeks. She has some bleeding problem during 9th week of pregnancy we visited for sonography and gain said our baby is safe and at right position. After that we make two times physical relationship. Now pls tell me that we go for physical relationship or we have to avoid it during pregnancy Pls suggested.

MBBS, DGO, Ceritification in Minimal Invasive Surgery
Gynaecologist, Ghaziabad
Daet Dr. My wife is pregnant from about 13 weeks. She has some bleeding problem during 9th week of pregnancy we visit...
Hello lybrate-user. Physical relationship is not advisable if it is early pregnancy. Specially in your case your wife has had first trimester bleeding. She should be extra cautious and avoid travelling and jerks also.
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