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Dr. Uday Kumar Adate

Gynaecologist, Pune

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Dr. Uday Kumar Adate Gynaecologist, Pune
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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Dr. Uday Kumar Adate is a trusted Gynaecologist in Dhayari, Pune. You can meet Dr. Uday Kumar Adate personally at Adate Hospital in Dhayari, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Uday Kumar Adate on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 29 years of experience on Lybrate.com. You can find Gynaecologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Adate Hospital

B-6,Rajgad Apartment, Dhayari Phata, Wadgaon Budruk, Dhayari. Landmark:Near Shinde Hospital, PunePune Get Directions
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I want to have a baby.Please Give me suggestions to plan for the same What methods I have to adopt. How can I talk about this with my partner to convince her. One more thing How can I increase my sex time with my partner. I hope I can get all my issues and concerns resolved as soon as possible. Waiting for an early response.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
I want to have a baby.Please Give me suggestions to plan for the same What methods I have to adopt. How can I talk ab...
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. To have a baby is combined decision of partners. Just straight forwardly you have to talk, for which no doctor`s help is needed. The method includes daily intercourse covering 9 to 18 days of her menstruation cycle. For more sex power go to private consultation.Hope this clears your query. Wishing you fine recovery.
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Medical Conditions And Pregnancy!

MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Medical Conditions And Pregnancy!

Diabetes and Pregnancy

Diabetes is a condition in which the body does not make enough insulin or the body is unable to use the insulin that is made. Insulin is the hormone that allows glucose to enter the cells of the body to make fuel. When glucose cannot enter the cells, it builds up in the blood and the body’s cells starve to death. If not managed properly, diabetes can have serious consequences for you and your growing baby.

Pre-Gestational Diabetes

If you already have diabetes and become pregnant, your condition is known as pre-gestational diabetes. The severity of your symptoms and complications often depends on the progression of your diabetes, especially if you have vascular (blood vessel) complications and poor blood glucose control.

Gestational Diabetes

Gestational diabetes is a condition in which the glucose level is elevated and other diabetic symptoms appear during pregnancy. Unlike other types of diabetes, gestational diabetes is not caused by a lack of insulin but by other hormones that block the insulin that is made. This condition is known as insulin resistance. If you have gestational diabetes, you may or may not be dependent on insulin.

In most cases, all diabetic symptoms disappear following delivery. However, if you experience gestational diabetes, you will have an increased risk of developing diabetes later in life. This is especially true if you were overweight before pregnancy.

Causes of Gestational Diabetes

Although the specific cause of gestational diabetes is unknown, there are several theories about the origin of this condition. For example, the placenta supplies the growing fetus with nutrients and water. It also makes a variety of hormones to maintain the pregnancy. Some of these hormones (estrogen, cortisol and human placental lactogen) can have a blocking effect on the mother’s insulin, which usually begins about 20 to 24 weeks into pregnancy.

As the placenta grows, it produces more of these hormones, increasing the level of insulin resistance in the mother. Normally, the mother’s pancreas is able to make additional insulin to overcome insulin resistance. However, if the mother’s production of insulin is not enough to overcome the effect of the placental hormones, gestational diabetes results.

Risk Factors of Gestational Diabetes

The following factors increase your risk of developing gestational diabetes:

  • Age (over 25 years old)

  • A family history of diabetes

  • Previous delivery of a very large infant, a stillborn or a child with certain birth defects

  • Obesity

Although increased glucose in the urine is often included in the list of risk factors, it is not believed to be a reliable indicator for gestational diabetes.

Diagnosing Gestational Diabetes

A glucose screening test is usually done between 24 and 28 weeks of pregnancy. To complete this test, you will be asked to drink a special glucose beverage. Then, your doctor will measure your blood sugar level one hour later.

If the test shows an increased blood sugar level, a three-hour glucose tolerance test may be done. If the results of the second test are in the abnormal range, you will be diagnosed with gestational diabetes.

Treatment Options for Gestational Diabetes

Your health care provider or midwife will determine your specific treatment plan for gestational diabetes based on:

  • Age, overall health and medical history

  • Condition and the severity of the disease

  • Long-term expectations for the course of the disease

  • Personal preference

  • Tolerance for specific medicines, procedures or therapies

Treatment for gestational diabetes focuses on keeping blood glucose levels in the normal range. Your specific treatment plan may include:

  • A special diet

  • Daily blood glucose monitoring

  • Exercise

  • Insulin injections or oral medications

Possible Fetal Complications from Gestational Diabetes

Unlike other types of diabetes, gestational diabetes generally does not cause birth defects. Birth defects usually originate sometime during the first trimester of pregnancy. They are more likely if you have pre-gestational diabetes, as you may have changes in blood glucose during that time. If you have gestational diabetes, you most likely had normal blood sugar levels during your critical first trimester.

The complications of gestational diabetes are usually manageable and preventable. The key to prevention is careful control of blood sugar levels as soon as the diagnosis of gestational diabetes is made.

Infants of mothers with gestational diabetes are vulnerable to several imbalances, such as low-serum calcium and low-serum magnesium levels. In addition, gestational diabetes may cause the following:

  • Fetal macrosomia. This condition describes a baby that is considerably larger than normal. All of the nutrients your baby receives come directly from your blood. If your blood has too much glucose, your baby’s pancreas senses the high glucose levels and makes more insulin in an attempt to use this glucose. The extra glucose is then converted to fat. Even when you have gestational diabetes, your fetus is able to make all the insulin it needs. The combination of your high blood glucose levels and your baby’s high insulin levels may result in large deposits of fat that cause your baby to grow excessively large.

  • Birth injury. If your baby is large in size, it may be difficult to deliver and become injured in the process.

  • Hypoglycemia . This refers to low blood sugar in your baby right after delivery. This problem happens if your blood sugar levels have been consistently high, causing the fetus to have a high level of insulin in its circulation. After delivery, your baby continues to have a high insulin level, but it no longer has the high level of sugar from you. This results in the newborn’s blood sugar level becoming very low. Following delivery, your baby’s blood sugar level will be tested. If the level is too low, it may be necessary to administer glucose intravenously until your baby’s blood sugar stabilizes.

  • Respiratory distress (difficulty breathing). Too much insulin or too much glucose in a baby’s system may delay lung maturation and cause respiratory problems. This is more likely if it is born before 37 weeks of pregnancy.

High Blood Pressure and Pregnancy

High blood pressure during pregnancy can lead to placental complications and slowed fetal growth. If left untreated, severe hypertension may cause dangerous seizuresstroke and even death in the mother and fetus.

If you have high blood pressure, your doctor will perform kidney function tests, ultrasounds for growth and testing of your baby more frequently to monitor your health and fetal development.

Chronic Hypertension

If you have high blood pressure before pregnancy, you will likely need to continue taking your antihypertensive medicine. Your health care provider may switch you to a safer antihypertensive medicine during pregnancy to help manage your condition.

Gestational Hypertension

Gestational hypertension occurs most often during a young woman’s first pregnancy. You are more likely to develop gestational hypertension during a twin pregnancy or if you had blood pressure problems during a previous pregnancy.

Pre-eclampsia (formerly called toxemia) is characterized by pregnancy-induced high blood pressure. This condition is usually accompanied by protein in the urine and may cause swelling due to fluid retention. If you have pre-eclampsia, you may need bed rest. Eclampsia, the most severe form of this condition, is diagnosed when you have a seizure caused by pre-eclampsia. Your doctor may recommend hospitalization, medications and often delivery to treat pre-eclampsia or eclampsia.

 

High-Risk Pregnancy: What You Need to Know

Pregnant woman

Many conditions affecting a mother or her baby before, during or after pregnancy can designate a pregnancy as high risk. Learn what causes a high-risk pregnancy and how maternal-fetal medicine specialists can help.

Infectious Diseases and Pregnancy

Infections during pregnancy can pose a threat to your baby. Even a simple urinary tract infection, which is common during pregnancy, should be treated right away. An infection that goes untreated can lead to preterm labor and a rupturing of the membranes surrounding the fetus.

Toxoplasmosis

Toxoplasmosis is an infection caused by a single-celled parasite called Toxoplasma gondii (T. gondii). Although many people may have toxoplasma infection, very few exhibit symptoms because the immune system usually keeps the parasite from causing illness. Babies who became infected with toxoplasmosis before birth can be born with serious mental or physical problems.

Toxoplasmosis often causes flulike symptoms, including swollen lymph glands or muscle aches and pains, which last for a few days to several weeks. You can be tested to see if you have developed an antibody to the illness. Fetal testing may include ultrasound and/or testing of the amniotic fluid or cord blood. Treatment may include antibiotics.

The following measures can help prevent toxoplasmosis infection:

  • Have someone who is healthy and not pregnant change your cat’s litter box, since cat feces can carry T. gondii. If this is not possible, wear gloves and clean the litter box daily. (The parasite found in cat feces can only infect you a few days after being passed.) Wash your hands well with soap and warm water afterward.

  • Wear gloves when you garden or do anything outdoors that involves handling soil. Since cats may use gardens and sandboxes as litter boxes, be cautious when handling soil/sand that could contain the parasite. Thoroughly wash your hands with soap and warm water after outdoor activities, especially before you eat or prepare any food.

  • Have someone who is healthy and not pregnant handle raw meat for you. If this is not possible, wear clean latex gloves when you touch raw meat. Wash any surfaces and utensils that may have touched the raw meat. After handling the meat, wash your hands with soap and warm water.

  • Cook all meat thoroughly. It should be cooked until it is no longer pink in the center or until the juices run clear. Do not sample meat before it is fully cooked.

Food Poisoning

If you are pregnant, you should avoid eating undercooked or raw foods because of the risk of food poisoning. Food poisoning can dehydrate a mother and deprive the fetus of nourishment. In addition, food poisoning can cause meningitis and pneumonia in a fetus, resulting in possible death.

Follow these tips to prevent food poisoning:

  • Thoroughly cook raw food from animal sources, such as beef, pork or poultry.

  • Wash raw vegetables before eating them.

  • Store uncooked meats in an area of the refrigerator that’s separate from vegetables, cooked foods and ready-to-eat foods.

  • Avoid raw (unpasteurized) milk or foods made from raw milk.

  • Wash hands, knives and cutting boards after handling uncooked foods.

Sexually Transmitted Disease

Chlamydia

Chlamydia may be associated with premature labor and rupture of the membranes.

Hepatitis

Patients with hepatitis experience inflammation of the liver, resulting in liver cell damage and destruction. Hepatitis B virus (HBV) is the most common type that occurs during pregnancy in the United States.

HBV spreads mainly through contaminated blood and blood products, sexual contact, and contaminated intravenous needles. The later in pregnancy you get the virus, the greater the risk of infecting your baby.

HBV Symptoms and Related Conditions

Signs and symptoms of HBV include jaundice (yellowing of skin, eyes and mucous membranes), fatigue, stomach pain, loss of appetite, intermittent nausea and vomiting.

Although HBV resolves in most people, about 10 percent will develop chronic HBV. HBV can lead to chronic hepatitis, cirrhosisliver cancer, liver failure and death. Infected pregnant women can pass the virus to their fetus during pregnancy and at delivery.

HBV Screening and Vaccination

A blood test for HBV is part of routine prenatal testing. If a risk of HBV is present, the following should occur:

  • Infants of HBV-positive mothers should receive hepatitis B immune globulin and the hepatitis B vaccine during the first 12 hours of birth.

  • Babies of mothers with unknown HBV status should receive the hepatitis B vaccine in the first 12 hours of birth.

  • Babies of mothers with negative HBV status should be vaccinated before leaving the hospital.

  • Premature infants weighing less than 4.5 pounds who are born to mothers with negative HBV status should have their first vaccine dose delayed until one month after birth or leaving the hospital.

All babies should complete the hepatitis B vaccine series to be fully protected from HBV infection.

HIV/AIDS

If you have HIV, you have a one in four chance of infecting your fetus with the virus if you are not on medication. AIDS is caused by HIV. This virus kills or impairs cells of the immune system and progressively destroys the body’s ability to fight infections and certain cancers. The term AIDS applies to the most advanced stages of an HIV infection.

HIV Transmission

HIV is most commonly transmitted by sexual contact with an infected partner. HIV may also be spread through contact with infected blood. This happens mostly by sharing needles, syringes or drug use equipment with someone who is infected with the virus.

According to the National Institutes of Health, HIV transmission from mother to child during pregnancy, labor/delivery or breast-feeding has accounted for nearly all AIDS cases reported among children in the United States.

HIV Symptoms

Some people may develop a flulike illness within a month or two of exposure to the HIV virus, although many people do not develop any symptoms at all when they first become infected. In adults, it may take 10 years or more for persistent or severe symptoms to surface. Symptoms may appear within two years in children born with an HIV infection.

HIV Testing and Treatment

Prenatal care that includes HIV counseling, testing and treatment for infected mothers and their children saves lives and resources. Since the Centers for Disease Control and Prevention began recommending routine HIV screening for all pregnant women in 1995, the estimated incidence of mother-to-child transmission has dropped by approximately 85 percent.

If you have tested positive for HIV while pregnant, your doctor may recommend:

  • Having blood tests to check the amount of virus present.

  • Taking a number of drugs during pregnancy, labor and delivery.

  • Delivering via Cesarean section if you have a high viral load.

  • Administering medicine to your newborn baby. Studies have found that giving a mother antiretroviral medicines during pregnancy, labor and delivery, and then to the baby for six weeks after delivery can reduce the chance of a mother’s transmission of HIV to her baby. This reduction is from 25 percent to less than 2 percent.

  • Refraining from breast-feeding. Studies show that breast-feeding increases the risk of HIV transmission.

Genital Herpes

Herpes is a chronic, sexually transmitted disease caused by the herpes simplex virus (HSV). Herpes infections can cause blisters and ulcers on the mouth or face (oral herpes), or in the genital area (genital herpes). 

A first episode of genital herpes during pregnancy creates a greater risk of transmission of the virus to the newborn. Because of this risk, it is important that you avoid contracting herpes during pregnancy. Protection from genital herpes includes abstaining from sex when symptoms are present and using latex condoms between outbreaks.

For severe cases of genital herpes during pregnancy, your doctor may administer an antiviral medicine.  If you have active genital herpes (shedding the virus) at the time of delivery, your doctor will likely recommend a Cesarean delivery to prevent a potentially fatal infection in your baby. Fortunately, infection of an infant is rare among women with genital herpes infection.

 

Hi. I had my last period on 29th may later I had unprotected intercourse on 15th june n I did not get my periods later on 4th july I had urine test n it showed positive result and on 8th july I took pills to avoid pregnancy n on 9th july I observed my periods which lasted till 13th july n bleeding was not so heavy as I know. Later on 28th july I had sonography which showed no sign of pregnancy & on 6th & 10th july I went lab for urine test results were again negative. But still I have not got my periods can you please suggest me is there possibility to b still pregnant & if so what to do as m too stressed because of delay again in periods this month? please suggest me what to do n when it will be becoming normal? How long will it take time please advice me as I am too panic and its 12th august still no periods?

DHMS (Hons.)
Homeopath, Patna
Hi. I had my last period on 29th may later I had unprotected intercourse on 15th june n I did not get my periods late...
Hello, lybrate user menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, pcod, thyroidism, results in, delayed, painful, excess & frequent blood flow during menstruation. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * tk, apple, carrots, cheese, milk, banana, papaya, pomegranate, spinach, almonds, walnuts to improve your haemoglobin to release your flow, timely. * tk, homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 30-6 pills, thrice a day. @ sepia200-6 pills, thrice a day. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion > your feedback will highly b appreciated for further, follow up. Tk, care.
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How to stay healthy and hygienic during periods? Is it true not to wash hair during periods. Give some health tips regarding this.

MD - Homeopathy, BHMS
Homeopath, Vadodara
How to stay healthy and hygienic during periods? Is it true not to wash hair during periods. Give some health tips re...
The instructions are simple.. just keep your private parts clean... And there is no connection of the hair wash with periods... so no restrictions..
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If a poison reaches its expiry date, would it be more poisonous or less poisonous?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
If a poison reaches its expiry date, would it be more poisonous or less poisonous?
Hello, its difficult to say though the efficacy would diminish but it will not be lost so a poison would still remain a prison even after expiry.
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I was thinking it was periods only. Bt it stopped in morning. I am 23. I was supposed to get my periods on 29th of tis month but I had sex sterday nd was bleeding heavily. Thought it was periods only. Bt it stopped in the morning. Cld it b sunthng I should b worried about.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I was thinking it was periods only. Bt it stopped in morning. I am 23. I was supposed to get my periods on 29th of ti...
Hello, there is a possibility that you may have developed cervical erosions due to cervicitis and this can be confirmed with a per speculum examination and can be treated with a course of antibiotics.
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I have a baby girl of 5 yrs. At the time of delivery I have faced a heavy bleeding problem. There was no chance to survive. But after that l have no problem till now. Can I take 2nd issue. That incident may repeat again. Is it?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have a baby girl of 5 yrs. At the time of delivery I have faced a heavy bleeding problem. There was no chance to su...
no it will not be repeated I am under impression that the bleeding was due to retention of pieces of placenta which must have been a cause of bleeding and doctors must have removed them through a minor procedure there's no way that this time, pieces will be retained still be cautious after next delivery and do go for regular antenatal check ups
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I am newly married now on my first night my husband trying to inserting penis but it is hurting too much and penis is not going inside vagina and I am feeling too much pain. Kindly suggest proper way as soon as possible so that the penis get inserted.

MBBS
Sexologist, Panchkula
You are feeling pain during inserting of penis in vagina. Don't worry. I advise you to do more foreplay of 15 to 20 minutes before going for sex. This will excite you and opens your vagina and thus facilitate easy entry of penis in vagina. During insertion of penis, keep your feet above bed that is in air to avoid contraction of pelvis. Insert penis slowly in vagina and avoid force to allow expansion of vagina. You can use coconut oil as lubricant also during sex. Follow this and be happy.
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