Well Woman Healthcheck
Management of Postnatal Care
Treatment of Menstrual Disorders In Adolescent Gir
Treatment of Mirena (Hormonal Iud)
Treatment Of Medical Diseases In Pregnancy
Maternal Fetal Medicine
Pap Smear Procedure
Dilatation And Curettage (D C) Procedure
Medical Termination Of Pregnancy (Mtp) Procedure
Pregnant Women Counseling
Prenatal And Birth Care
Musculoskeletal Pain Management
Antenatal And Postnatal Exercise
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Patient Review Highlights
During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.
There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.
Risks involved: Things that make you more prone to an ectopic pregnancy are:
- The more you smoke, the higher your danger of an ectopic pregnancy.
- Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
- Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
- Exposure to a chemical called DES before you conceived.
Symptoms: The signs of an ectopic pregnancy are:
- Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
- Vaginal bleeding
Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:
- A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
- A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
- An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.
Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.
For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy.
Pre-eclampsia may affect some women during the second half of their pregnancies or after they deliver the baby. Ladies suffering from pre-eclampsia show symptoms like hypertension, problems in retaining fluids (oedema) and large amount of protein in their urine (proteinuria). If it is not treated in time, it can cause a lot of complexities during the pregnancy and even after the delivery. Pre-eclampsia increases the risk of harmful effects for both the mother and the baby. The real reason for pre-eclampsia is still unknown, but it is believed that it is thought to occur when there is an issue with the placenta (the organ that connections the child's blood supply to the mother's). Pre-eclampsia in pregnant women often goes undiagnosed.
Women may present with headache, visual disturbance, pain in upper tummy, nausea, vomiting and rapidly progressive oedema. Complications of placental insufficiency can lead to IUGR(Intrauterine growth restriction), placental abruption and in severe cases, if left untreated, intrauterine death. It may affect women`s kidney, liver, cardiovascular, brain and blood clotting systems in severe cases.
Complications: As pre-eclampsia develops further, it can create complications in retaining liquid (oedema). Oedema is responsible for causing sudden swelling of the feet, lower legs, face and hands during pregnancy. It occurs in the lower parts of the body, for example, the feet and lower legs and increases gradually during the day. In case the swelling is sudden, and affects the face and hands, it could be a result of pre-eclampsia.
Risks: There are a few factors that could increase your risk of falling prey to pre-eclampsia. This might require immediate treatment. These are:
- If it is your first pregnancy, pre-eclampsia will probably happen during your first than the ones that will happen later.
- It has been 10 years since you were last pregnant.
- You have a family history of the condition. For instance, your mom or sisters have had pre-eclampsia.
- You had pre-eclampsia in a past pregnancy. There is an around 20% chance that you will experience the condition again in later pregnancies.
- You are in your teens or are more than 40 years of age.
- You have a current medicinal issue like diabetes, kidney problems, headaches or hypertension.
- You were obese towards the beginning of your pregnancy (your body mass index was 30 or more).
- You are expecting multiple babies like twins or triplets (this spots more strain on the placenta).
The main indication of pre-eclampsia in the unborn baby is slow and stunted growth. This is brought about by poor blood supply through the placenta to the child. The developing child gets less oxygen and less supplements than it is supposed to. This can affect the growth and development of the child. This is called 'intra-uterine growth restriction, or 'intra-uterine growth impediment'.
Treatment: Bringing down the blood pressure and dealing with the symptoms in a proper manner can help in managing pre-eclampsia. Delivering the baby is the best way to treat pre-eclampsia. If it is confirmed that you do have pre-eclampsia, you'll be asked to stay in the hospital until your baby is delivered. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Gestational diabetes is a kind of diabetes that happens during pregnancy. Diabetes is referred to a condition where your blood glucose or blood sugar is very high. Although, glucose is good as it used by your body for energy, but excessive glucose in your blood can be harmful for both you and your child. Gestational diabetes is mostly diagnosed in the later stages of pregnancy. If gestational diabetes is diagnosed in the early stages of pregnancy, then it is quite possible that you may have had diabetes before you became pregnant. Treating gestational diabetes can help both you and your baby stay fit and healthy. You can protect both, yourself and your baby by controlling your blood glucose levels.
Here are 7 things that you need to know about Gestational diabetes:
- Every three to eight out of 100 ladies tend to develop diabetes during pregnancy, a condition known as gestational diabetes. Fortunately, it can be dealt with and even kept away by maintaining healthy lifestyle choices. Eating leafy foods and avoiding sugar-rich things, is a vital step for both control and counteractive action. Exercise, after consulting your doctor can guarantee that you have a healthy pregnancy.
- In diabetes, when your body's glucose or sugar levels get so high that the carbohydrates and sugars cannot be converted into energy, the excess starts accumulating in your body. This additional glucose can harm the vessels in your kidneys and all through your body, particularly in organs like eyes.
- Two or three factors might cause danger for creating gestational diabetes, both inside and outside of your control. If you are overweight before you get pregnant or while you are pregnant or your family history shows that you are hereditarily inclined to the sickness, you will probably build up the condition.
- One will have to stay on the right path as far as medication and insulin goes. Your specialist may prescribe that you require diabetic pills or insulin to help you control your glucose levels.
- Your weight can bring about complexities during the delivery in case of gestational diabetes. So it is best to keep your weight in check in order to have a smooth sailing pregnancy and delivery.
- Gestational diabetes can likewise put ladies at risk of contracting preeclampsia, which can bring about a number of side effects and complexities. Side effects brought on may start from swollen feet, legs, fingers, and hands to hypertension and even seizures or strokes.
- Apart from the risks of having gestational diabetes during your pregnancy, it might affect the child later on. Your baby may have a higher danger of obesity as it develops, both in the teenage years and youth. Youngsters who are overweight may suffer from type 2 Diabetes in the long run. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.