While pregnancy is not a pathological condition, it is a happy time that can be marred by various conditions. Debilitating morning or all day sickness, which is usually characterised by nausea, reflux in the Gastroesophageal band, heartburn and acidity. This can also turn into vomiting and lead to complications if it does not stop. Persistent, almost daily vomiting can be termed as excessive vomiting in pregnancy, and this is known as Hyperemesis Gravidarum in medical terms.read more
Cervical cancer occurs when abnormal cells on the cervix grow out of control. The cervix is the lower part of the uterus that opens into the vagina. Cervical Cancer is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.read more
I am Dr. Anu Sidana, Gynaecologist. Today I will talk about pregnancy included hypertension. It is affecting 1 pregnant woman out of 14 in India. It happens because of high blood pressure. It is also associated with swelling of face and feet. Presence of protein in the urine may or may not be there. What causes hyperglycemia or pregnancy-induced hypertension? It is a multi factorial disease. It is due to defective placentation. Placenta is connection between the mother and the baby. Now who are at risk of pregnancy-induced hypertension? It is most common during first pregnancy, age for than 40 and it also comes genetically. It happens in overweight patient, twin pregnancy and in diabetic patient. Its symptoms are rapid weight gain, high BP, swelling of feet and face. What are the complication of it? It may leads to vomiting, headache, blurring of eye, stomach pain. It may also leads to growth restriction in the baby, preterm labor pain. Its sudden rise in BP then it may lead to seizures and fit to the mother which is life-threatening.
We advice the patient to take appropriate bed rest. Stress, high salt intake to be avoided. If the patient is having any of the symptoms, she should approach to the Dr immediately. We give safer medicines to the patient for management of blood pressure. Our main is to control the blood pressure and have safe mother and baby till 37 weeks which is preterm period and after this, we should deliver the baby. Once the placenta will be out, severity of BP will also come down. We ask the patient to do daily fetal count. If the patient is not recovering well, in such cases we have to terminate the pregnancy. Otherwise, our main aim is to keep the patient on conservative management. If patient is going for labour then it is OK otherwise we induce the patient to deliver the baby as it is best for the patient. What are the main preventive measures? Maintain your weight prior to the pregnancy. Preconception is must to rule out the problems. If patient has high BP record then we can start with another medicines. Be safe and have a safe pregnancy.
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I am Dr. Anu Sidana, Gynaecologist. Today I am going to make you aware about polycystic ovarian syndrome. What is polycystic ovarian syndrome? Basically it is affecting all, it is a hormonal disorder which affects all the women starting from adolescent till the menopause. What is the difference between PCOD and polycystic ovarian syndrome? Basically PCOD is an ultrasound finding and when the hormonal disturbances are present in the body it present clinically in the patient then we label the patient as polycystic ovarian syndrome.
What is the main cause behind polycystic ovarian syndrome? It is not exactly known till now but most common is the sedentary lifestyle, secondly it could be because of stress and in 1-3% of the patient it is mainly because of the genetics that it that it runs in families. So how we diagnose the patient? Patient come to us with clinical symptoms as delayed cycle, periods coming at the gap of more than 35 days or patient is having less than 9 periods in a year. Then secondly weight gain. Third it may lead to acne or hair growth. Patient may present with all the symptoms altogether or may present with one symptom only. Then on the ultrasound we get the findings of polycystic ovaries, we diagnose the patient as polycystic ovarian syndrome on the help with the help of clinical as well as biochemical tests. Now, what is the main pathology behind polycystic ovary syndrome? It is basically eggs are being formed in the ovary but none of them is getting mature enough to get ruptured so it leads to formation of water-filled cysts within the ovary leading to polycystic appearance.
So, what happens if patient ignore the symptoms? If patient doesn't treat if we don't treat the patient in time in the long run as the ovulation is not effective patient may have difficulty in conception and it leads to infertility and because of the hormonal imbalance because of polycystic ovaries what happens it leads to rise in male type of hormones and decrease in female type of hormones. As a result there is metabolic changes which leads to changes in the lipid profile and patient becomes at a risk of diabetes as well as cardiac problem and in the long run abnormal uterine bleeding and patient also has an increased risk of uterine cancer. So, how to treat the patient? Before starting the treatment foremost thing to be done is the counselling of the patient regarding lifestyle modification which includes exercise. Any kind of exercise for at least 30-45 minutes either it is brisk walking, yoga, dance whatever suits the patient to be started.
Second is the weight management. Weight should be maintained according to the BMI so if there is less content of the fat in the body, lesser changes because of the polycystic ovaries and lesser complications because of the PCOS. Then what kind of treatment we have available? We have only two kind of treatment either we stress the ovaries or either we stimulate, always stimulate the ovary. Why? If patient want to conceive, we stimulate the ovaries so that effective eggs are being formed, there is ovulation and patient conceives and if patient doesn't want to conceive as she is unmarried then we stress the ovaries with the help of contraceptive pills and we have various hormonal therapies to regularise her cycle and according to her symptoms like hair growth and acne we treat the patient accordingly. So take home message is maintain a healthy diet, maintain your weight as well as be active to avoid the complications of polycystic ovarian syndrome.
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Doctors in Aastha Medicare - Maternity, Medical & Infertility Centre
Patient Review Highlights
Aastha Medicare - Maternity, Medical & Infertility Centre Reviews
Dr Anu is a very senior gynaecologist with vast experience in handling high risk pregnancies. The normal delivery rate at her maternity centre is very high as she takes a lot of pain for normal delivery.
She has given me the best care during my antenatal period and I am satisfied with the care provided by staff and doctors. I recommend her as one of the best gynaecologist in gurgaon
She is a very good gynaecologist and infertility specialist.All the facilities are present at her maternity centre which are required for a hospital for women
Caessarian section was done at aastha medicare by Dr Anu Sidana and I am satisfied by the care provided by staff and doctors.
She is a very good gynaecologist and she has done delivery for my baby and I am happy about excellent care provided