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Treatment of Pregnancy and related Disorder
Treatment of Irregular Periods
Management of Pregnancy
Treatment of Ovarian Cysts
Management of Pregnancy Query
Treatment of Painful Periods
Avoiding Pregnancy Procedures
Treatment of Painful Sexual Intercourse
Treatment of Heavy Periods
Treatment of Polycystic Ovary Syndrome
Treatment of Breast Pain
Treatment of Vaginal Discharge
Treatment of Miscarriage
Treatment of Vaginal Itching
Treatment of Fertility
Treatment of Delayed Periods
Treatment of Vaginal Infection
Management of Fertile Period
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Parental Depression is an aspect which affects the innocent child, right from the time it is in the mother's womb.
Maternal depression could be due to various reasons ranging from familial disharmony to poor health. Unfortunately, a depressed mother's pessimistic thoughts could pass on to the pure soul inside her. So the effect starts in utero. After birth, she may be careless and negligent towards a child whose most important requirement is love. And children of these mothers become victims of behavioral and cognitive problems and poor school performers. They may also acquire the illness of depression eventually.
Hence, before stepping into parenthood, it's important to be mentally fit and not just physically healthy. Exercise and meditation is of great help and of course a happy home environment.
Supporting each other is the key to getting things on track again.
- Talk to your spouse: Chat with your spouse, showing affection, doing things with them and encouraging them to get out of the house are important.
- Appreciate her but respect your family: Help her see that the family needs her and appreciates that she is expecting. While doing the same ensure that you respect the feelings of your family members.
- Opt for specialist care: Offer to see a therapist and encourage her to take medications. Getting the help of an expert helps get guidance to handle difficult situations.
- Be emotionally present with her: Go with her to as many antenatal checkups as you can, and make sure you are there for the ultrasound scans. This encourages a woman and gives her the satisfaction that her partner is involved.
- Compliment her and pay attention to her: Many women find it difficult to cope with the changes in their body during pregnancy. She may be worried about stretch marks, concerned about weight gain or just be feeling not much like her old self. Make sure to compliment her and let her know how much you love her.
- Be a shoulder for her to cry on: Listen to all of her concerns, and offer her the reassurance and support she really needs.
- Be there to help: After the birth, your partner will need time to recover. She will be exhausted, sore and hormonal, and will be relying on you for support. Help with the baby, and do as much as you can.
The 6 week period after delivery is called the post partum period and the body undergoes lots of changes. This is the time when the body is trying to recover and get closer to its pre pregnant state. The uterus starts involuting and gets back to its pre pregnant size in 6 weeks and so do all the other organs and body parts.
Weight loss - a concern for all mothers indeed ! Well immediately after delivery your body will lose some amount of weight and in the first week some more too . The water retained in your body during pregnancy will now find its way out and make you feel lighter. Post natal exercises will help you get back into shape .
But remember not to rush to lose weight as for recovery you require a healthy diet and rest .
Stretch marks on your body will start merging with your skin colour though they won't disappear completely. Use of anti stretch marks creams during and after pregnancy will be of help .
Acne will start clearing and pigmentations will start fading too .
Your breasts will gradually begin to sag .
Some women experience incontinence of urine or constipation due to the pressure faced by the urethra during delivery and because of the epistolary or vaginal tears . All this will settle . Have a high fibre diet and maintain good perineal hygiene .
Backache during pregnancy might go post delivery or might stay . Keep exercising and taking your calcium supplements to get rid of it soon .
All swelling of your legs or anywhere else will go as you ll be losing all the water retained in your body.
Some women may experience a little more hair loss post delivery which is absolutely normal and requires no treatment .
Rest , eat healthy and don't rush . You ll soon be yourself . If you have any issues discuss the same with your gynaecologist. Don't shy away from discussing your post pregnancy issues. Remember a happy and healthy mummy ensures a healthy baby.
Food craving is absolutely normal during pregnancy. Junk food craving is a cause of concern, be it a pizza or a doughnut or any other junk food you can think of.
From the very onset of your pregnancy to delivery, you and your baby are undergoing constant changes. Major ones are:
- Food cravings
- Your weight
- Blood pressure fluctuation
- Blood sugar levels
- Mood swings
The following are the Do's and Dont's to ensure that your food cravings are healthy and benefit you and young one!
- Absence of Whole Grain: Fibre is a nutrient essential for energy and also helps in smooth bowel movements. The doughnut or pizza base does not have whole fibre even if they claim to, so there are more chances of you having bouts of constipation.
- Salt from Mayonnaise and Sauces: Without an extra blob of mayonnaise that Sub sandwich will not taste as good and moreover it has high amount of salt, which is just not friendly to a fluctuating blood pressure, it may also cause swollen feet due to water retention in your body.
- Limited Nutrient Quotient: Junk food has very limited meat or vegetables. The major portion of any junk food is the fattening, less nutrient cheese. This will surely affect the nutrient intake of the expecting mother and her baby.
- Sugars and Fats: Many expecting mothers have a craving for nibbling chocolates at unearthly hours. Foods high in sugar are known to cause mood swings and irritations. This could shoot up your blood pressure or even include gestational diabetes as a chain reaction.
- Expecting Mother to the Baby: By eating all the fast food which is fully loaded with sugar, salt and fat; rest assured it goes directly to the baby. Babies born obese and with other health disorders, tend to develop associated health disorders in their growing years or later on in life.
Tips to Stop Junk Food Cravings?
'You are what you eat' and so is your unborn baby. To make sure both of you get the rightly balanced, healthy, good nutrition, it is very important that you completely avoid fast food during pregnancy. Some tips to tackle junk food cravings:
- Clean your Kitchen Stock: Get rid of all junk food in the house and stock it up with healthy snacks – preferably organic. You can opt for baked options, rather than fried. Buying an oven is an excellent idea, so that you can make and eat tasty, healthy and nutritious snacks at home without preservatives and additives.
- Snack on Fruits and Nuts: These are so much better than artificially prepared munch bites you get from the local supermarkets. Have fruits and always keep dry fruits handy to fulfil the craving in you. Always eat fruits as soon as you cut them, as they lose their nutrients soon after they are cut.
- Photograph Therapy: Put up a nice, huge photograph of a curvy you, prior to pregnancy. The more you eat now, the harder you will have to struggle to get back into shape after delivery hence; this will surely make you strong enough to escape the lure of junk food.
It is important for you to always keep a watch on your pregnancy diet what you eat and want to eat. If you can't, do take the help of a family member or a friend to keep you away from junk food.
Most people have head or what became in the 1980s and '90s the dreaded AIDS virus. With time and the availability of medicines, it ceased to be a killer. However, the knowledge of it helped stem its spread. Most people, unfortunately, don't realize that hepatitis C is also a killer, simply because not much has been said about it. In fact, it is also a virus, but is 10 times more infectious than HIV.
Hepatitis C is transmitted through the blood, and is usually passed on to women through infected needles and sex. At-home glucometers are often shared, or sometimes a woman's own lifestyle or her partner's lifestyle before marriage may put her at risk, because the virus can stay in the blood for years. It is also transmitted through blood products, like in the case of a transfusion, though in the case of pregnant women, this is not so common.
The virus affects 1 in every 100 people in India, while globally 180 million are infected with it. Sometimes, it may just pass through the body, like many other viruses do, but sometimes, it can remain. If detected quickly, within six months or so, cure rates are high. the problem is that it is often not easy to detect, as symptoms resemble those of a regular seasonal viral infection: fatigue, nausea, loss of appetite. If it remains in the body, becoming chronic, then it may progress to liver disease. But the hepatitis C virus (HCV) doesn't have to be a killer. You can conquer it with these moves.
What you should do before
A number of couples who come to me have planned pregnancies-they opt for a baby, rather than the baby just 'happening' to them. This not only helps family planning, but it also helps us rule out infections or treat them if present. Usually, in the first trimester, your gynecologist will ask you to do a simple blood test for HIV, hepatitis B and C. In the case of a planned pregnancy, visit your doctor beforehand and ask if you need to take these tests before you conceive. However, there is no vaccine for HCV yet.
What you should do after
If a woman find out in the first trimester that she is hepatitis C positive, there's nothing much that can be done, as anti-viral medications cause birth defects, so a mother can only be put on them after delivery. She is advised to continue the pregnancy. A baby's chance of acquiring the infection in utero is between 5 and 7%. While this is not high, parents may like to avoid the risk. However, co-infection with HIV (if the mother is HIV positive) pushes the risk up to 19.4%. The pregnancy itself will not be hampered by the HCV infection. Nor does the risk of transmission to the child have anything to do with the mode of delivery-either vaginal or C-section. In India, there is little data on HCV transmission from mother to child. However, once the baby is born, the pediatrician may not do an immediate test to check for the virus, as it generally clears out from the baby's system in a year or so. Testing may only be done at 18 months.
Pregnancy is a life-changing experience, and you've got to be armed with the right nutrition to take it on!
For many moms-to-be, pregnancy is the time to rest, relaxation, and pampering and while for some, it may be stressful, especially if the pregnancy involves medical complications. Either way, it is a turning point in your life, physically, mentally, and emotionally. And food is an important part of this journey which requires a lot many changes in the diet, which has to be rightly balanced so that you are eating right for your belly and your baby.
A nutritious, balanced diet through pregnancy is important not only to maintain maternal nutritional needs, but also for the development of a healthy fetus. Remember, nutrition at this time needs to cater to the continuous adjustments in maternal body composition and metabolism.
The number of calories you will need to consume in addition to your regular diet is just 150 Kcal in the first trimester and 350 Kcal in the second and third. These surely need to be healthy calories, not empty calories. A clinical dietician will help you navigate the distribution of calories, but do keep them in check, as your maternal obesity puts you at risk for other serious medical conditions such as gestational diabetes. It may also put your baby at risk for future obesity and
Similarly, if you have morning sickness, you may not feel the urge to eat, and you may be underweight. In this case make each calorie count check, with nutritionally rich foods. Ensure that total weight gained throughout your pregnancy is between 12 and 14 kg. Cut down on refined sugar, and while ghee and butter are okay if you are not already overweight, avoid binging on them.
When it comes to pregnancy diet, there are certain foods that need to be definitely avoided. Foods that are too high in mercury or Vitamin A can pose a health risk to your baby, as can foods that are known to cause food borne illness such as Listeriosis and Salmonella poisoning. List of foods that are right for you and your baby.
For Boosting Your Baby Brain And Your Own Health:
Why: These are rich sources of Omega-3 fatty acids, an important component in boosting the development of the brain formation in the fetus, especially in the second half of pregnancy. According to the Harvard School of Public Health, US, Omega-3 is an integral part of the cell membranes and forms the building blocks of the fetal brain. While fish does contain mercury, US guidelines stipulate that two servings of fish in a week is safe. If you are not able to eat fish, ask your doctor if you should have a fish oil supplement. The two most beneficial forms of Omega-3s come from aquatic sources. But if you are vegetarian, you could try the other sources as well. This essential fatty acid is also known to reduce cholesterol, hence blood pressure.
For The Building And Strengthening Of Bones, For The Baby And You:
Why: To fulfill its own bone development requirement, the fetus will derive its calcium from the mother, whether or not the mother is getting adequate calcium herself. The National Institute of Nutrition has set the calcium needs for pregnant women and nursing mothers as double compared to non-pregnant women. You will need 1,200 mg per day. Two glasses of milk will give you approximately half the requirement. You can derive the rest from the other sources. Also make sure you get some sun, preferably in the morning, when it is not too warm, to help create vitamin D, necessary for good bone health.
Up Your Immunity:
Eat: colourful fruits and vegetables; probiotic foods such as yogurt
Why: Pregnancy is a time when you want to be safe and not catch any infections, especially those that can harm the fetus. Fruits and vegetables are antioxidant-rich. They have phytochemicals that naturally occur in plants, protecting them against infections. They'll help you do the same. Each colour gives a different benefit, so eat the rainbow through the week. Probiotic foods help maintain gut health. Set your own yogurt, as this contains many more 'good, healthful' bacteria than store-bought varieties.
For The Prevention Of Birth Defects In Baby:
Eat: legumes, green leafy vegetables, citrus fruits, nuts, beans
Why: Legumes include lentils, peas, beans, chickpeas, soybeans, and peanuts. The group is a rich source of folic acid, which helps in prevention of neural tube defects (birth defects of the brain, spine or spinal cord). Folate is one of the B-vitamins (B9), especially important in the first trimester. Your doctor will provide you with supplements, but you can also make sure you get the vitamin in your diet. Folic acid works closely with vitamin B12, to make red blood cells and make iron work properly in the body. If possible, eat organic, so you're not taking in too many chemicals.
For Overall Growth And Development:
Eat: small amounts of red meat, chicken, spinach
Why: Iron is an essential nutrient, and is needed for fetal and placenta growth, as well as for the development of the mother's own tissue. About 50-70% of Indians are anemic, and this is a cause of serious concern. Your doctor will prescribe additional iron in the form of a supplement; however, you can also get it in the diet.
Foods to be avoided when you're pregnant:
- Avoid unpasteurized milk.
- Avoid Alcohol.
- Avoid raw or undercooked meat, fish and eggs.
- Avoid unwashed vegetables and fruits.
- Avoid raw sprouts (Eating raw sprouts increases your risk of salmonella poisoning, which causes fever, vomiting and diarrhea. Be sure to cook sprouts thoroughly.)
- oid excess of caffeine.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The abnormal growth of the endometrium tissue outside the uterus is known as endometriosis. Ideally, the abnormal tissue is supposed to break down and exit the body. However, in this condition, the tissue is unable to pass out of the body. As a result, the surrounding tissue tends to get irritated and leads to the formation of scar tissues.
The various causes of endometriosis include:
- Immune system disorder: Complications in the immune system might render it incapable of destroying the endometrial tissue that grows outside the uterus.
- Surgical scar implantation: Certain surgeries such as a C-section may result in the attachment of endometrial cells to the incision area.
- Embryonic cell transport: These cells may be transported to other parts of the body by the blood vessels which may lead to endometriosis.
- Retrograde menstruation: Instead of passing out of the body, under this condition, the blood flows back into the pelvic region via the fallopian tubes. When these cells attach themselves to the pelvic cavity, it causes endometriosis.
- Pain during sexual intercourse
- Pain during periods including pelvic pain, especially during periods, lower back pain and abdominal pain.
- Excessive bleeding during periods
The major complication that results is fertility problems. Endometriosis may prevent the combination of the egg and the sperm and thus, impairs your ability to conceive. It is recommended not to delay pregnancy if you have endometriosis. This disorder also tends to increase the risk of ovarian cancer in some women.
How can it be treated?
Endometriosis is usually done using surgery or medications.
- Medication: It usually involves painkillers.
- Hormone therapy: Some of the hormonal therapies include:
- Hormonal contraceptives
- Progestin therapy
- Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists
- Conservative surgery: If a patient wants to become pregnant, surgery is done as much as possible without harming the uterus and ovaries. Suggested procedures include laparoscopy and traditional abdominal surgery.
- Assisted reproductive technologies: An example of this form of treatment is In Vitro Fertilization.
- Hysterectomy: Under severe circumstances, total hysterectomy is conducted in order to facilitate the removal of cervix and uterus.
In case you have a concern or query you can always consult an expert & get answers to your questions!