Dr. Seema Gadiwan

During pregnancy, a woman needs to take care of her body and her baby. One of the most important parts of pregnancy is the level of nutrition and diet of the woman. This has a direct bearing on the growth of the baby as well as the progression of the pregnancy. Nutrition is a matter of deciding what kind of food one should eat and the kind of food that one should stay away from, at this point. Weight management and looking after your sugar and blood pressure levels is also a part of this nutrition plan that you will follow during your pregnancy.

In case you are confused about the diet and nutrition plan that you must follow during your pregnancy, then here is a plan that you can use. Do remember to consult your doctor so that it may be customised as per your body and specific conditions.

1. Grains: You will need to ingest at least seven to eight pounds of grains in a day. These may include wheat, rice, and other local grains like Ragi, Bajra, Jowar and other such grains. You must create a good balance of these grains. But do remember to find out if you doctor would recommend the use of grains, depending on the state of your health. You may also want to watch out for signs like constipation and loose motions in case your body is not able to tolerate excessive amounts of grains. You can also stick to cereal for breakfast and other grains for lunch and dinner. Try and create a mix of grains with which you can make rotis or flatbread to be had with vegetables.
2. Fruit: You will need to have at least two cups of fruit a day. In case you are diabetic or you are suffering from gestational diabetes or even a high level of sugar, you may want to consult your doctor about the amount of fruit that you can have during the day. This is also a good substitute when you are having sugar cravings during your pregnancy. Try and have plenty of fruit and mix up the colours as the fibre will also help in dealing with any constipation that you may be going through.
3. Vegetables: It is imperative to have at least three to four cups of vegetables a day when you are pregnant, as this will supply a lot of nutrients, minerals and vitamins to the growing baby. You may especially want to stick to vegetables like broccoli that have a high iron and folate content which can give a good amount of folic acid. This is usually required for good growth of the foetus. As with fruit, you will need to mix up the colours and have something from each colour group every day. You can combine this with some amount of meat as well.

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

Paraphilias are emotional disorders defined as sexually arousing fantasies, urges or behaviors that are recurrent, intense, occur over a specific period of time, and cause significant distress involving non-consenting partners, partners who are suffering or being humiliated (simulated or real) or through the use of an object. 

There are a number of causes that result in Paraphilic disorders. Some of them are:

1. Brain injury
2. Schizophrenia
3. Biological factors
4. Hormones
5. Humiliating factors

In most cases, one or more events occurred during childhood that led the individual to associate sexual pleasure with that event (or object) thus resulting in the development of a paraphilia.

Symptoms of Paraphilia:

1. Pain
2. Humiliating another person
3. Beating or spanking

Symptoms of paraphilia can include preoccupation to the point of obsessiveness that may intrude on the person's attempt to intimate with the person of similar age. Paraphilia sufferers may experience depression or anxiety that is temporarily relieved by engaging in paraphilic behavior, thus leading to an addictive cycle.

How do health professionals diagnose paraphilias?

Usually providers of mental health care help make the diagnosis of paraphilias, including licensed mental-health therapists, psychiatrists, psychologists, psychiatric nurses, and social workers.

Common Treatment of Paraphilias:

Treatment modalities currently used fall into three categories: surgical castration, psychotherapy, and pharmacotherapy.

1. Pharmacological interventions consist of antiandrogens.Cyproterone and medroxyprogesterone acetates are the two antiandrogens more commonly used.
2. Psychotropic drugs may be effective solely in men with a definite obsessive-compulsive disorder component.
3. Group therapy helps in breaking through the denial so commonly found in people.
4. Cognitive therapies described include restructuring cognitive distortions and empathy training. Also social skills are a better way to treat patients with these types of disorders. If you wish to discuss about any specific problem, you can consult a sexologist.

To increase your stamina for performing various activies during the middle of your pregnancy, consume foods like red meat, green leafy vegetables, good quality cereals and fresh fruits which are rich in vitamin c and iron.