Doctor in Vardhman Maternity Hospital
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
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Patient Review Highlights
Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.
What are the possible causes of vaginal bleeding during pregnancy?
Causes of vaginal bleeding during early pregnancy include
- Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.
- Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.
- Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.
- Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.
Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.
Some of the commonly occurring includes
- Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk
- Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.
- Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.
Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor.
When to visit a doctor?
It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.
Pregnancy places some restrictions on the expectant mother, and one of them is limiting travel so much so that most women do only the required and essential commutes and skip any other travel, including vacations and business travel, completely until delivery. However, with the lifestyle changing for the woman so radically, this is being revisited. The doctor’s current advice is that unless there are potential complications expected or significant concerns, it is completely safe to travel.
The first trimester especially is a little tricky for travel, with the morning sickness. The second trimester is considered more ideal for travel, as the morning sickness and the feeling of being pregnant is sunk in, so the mother is comfortable. The third trimester is fine too, but the chances of fatigue are higher, and so travel is better avoided.
Read on to know some significant things to remember whether you are on a plane, train, or road during your pregnancy.
- Always buckle yourself up as soon as you enter the car. Use both the seat belt and the lap belt.
- Keep the air bags turned on.
- Try to avoid travel time of four hours at a stretch.
- When stopping for breaks, try to walk around a bit and stretch so that you do not feel the strain of sitting for long hours.
- Most airlines allow women to travel during the first eight months of pregnancy.
- Some airlines do allow for travel during the ninth month, if the doctor approves it, or if there is an attendant with the expectant woman.
- It is okay to walk through airport screening during pregnancy. There are some women who are apprehensive about this aspect.
- Similarly the cabin pressure in the commercial planes reduces, but does not bear any significant impact for a pregnant woman.
- Select an aisle seat, as it allows for easy seating and getting up.
- Walking to the restroom and back should be carefully managed. The aisle is quite narrow and care must be taken to avoid hurting yourself.
- Use the seats for providing support when walking through the aisle.
- Especially, in turbulent stretches, try remaining seated, bearing in mind the safety aspects for yourself and the baby.
- Traveling by bus is safe, but trips to the restroom would be difficult.
- Trains are generally considered safer, as there is a lot of room for movement. Restrooms are available anytime, which is another major advantage.
- Sea travel is also considered safe, but sea sickness could add to the nausea.
- For long-term sailing, check with the cruise provider or the boat facility about availability of a healthcare provider on the ship.
In case you have a concern or query you can always consult an expert & get answers to your questions!
On a pain scale of 1 to 10, delivery pain is rated as 11. It is one of the most severe forms of pain, and for women, it is almost like a second birth after coming out from delivery. With more and more advancements, attempts are being made to ensure this discomfort is managed better and the woman has a more relaxed experience through the delivery.
It is important to identify a couple of factors when going into delivery say for example who will be there with you, where the delivery will happen, how to manage the mind and body, and if there is anything else required for a smooth delivery. Having open discussions with the doctor, close family and friends will help you prepare for it.
Read on to know some pointers.
- People around you: Be careful about who is around you during the crucial hours. On one hand, ensure you have your midwives, doctors and nurses around you, who are knowledgeable and know how to handle the situation, if there is a crisis. On the other hand, have only close relatives and family members who are loving and supportive.
- Read up on labor: With so much information available both online and offline, read up from reliable sources and know what to expect during labor. While there may be an information overload, the overall info should be good to go and keep you updated.
- Talk about it: Whether it is the anesthesia, the needles, the instruments, blood, or injections, talk about your fears. Whether it is the doctor or your close family member, talk out your fears and see them disappear.
- Be positive: Surround yourself with positive images, positive people and positive thoughts. Soothing music is another must-have in your surroundings.
- Be active and occupied: For many women, keeping themselves occupied does not give time to worry about the pain. Constantly being on the move and not being confined to the home also reduces chances of pain.
- Try yoga: With rhythmic breathing and mild yoga, there are higher chances that you will be better able to manage the labor pains. Talk to your doctor as to what you can safely do. The swaying, squatting, and bending required by yoga does a lot of good to your overall body. Women who do some form of exercise and yoga in particular have a higher chance of vaginal delivery and are able to manage pain better.
- Warm bathing/showers: A warm bath soothes the lower back and the abdomen and can help in speeding up labor, as it helps in contractions.
- Involve your partner: The gentle touches and stroking will reassure you and ensure you are better able to sail through delivery.
Happy delivery!! In case you have a concern or query you can always consult an expert & get answers to your questions!
While approaching the big day in your life, which every woman dreams about and every couple plans for, there is a critical decision which you as a woman or along with your partner have to take, to welcome the new life on earth. The decision is about whether you want to deliver the baby through the normal procedure or caesarian technique. This decision is crucial as both of the processes involve different approach for the delivery of the baby and affect the mother and the child in a variety of ways.
Vaginal Birth or Normal delivery
Across the world, normal delivery or the vaginal delivery is the most preferred option as it is the natural way of giving birth. Without any surgical procedure or minimal use of the knife being involved, vaginal birth is the safest for both the child and the mother. There are several benefits associated with vaginal birth.
In the normal or vaginal delivery, when the pregnant woman gets into labour without any drugs to induce the labour and the child is born without using instruments like vacuum or forceps it is called a Normal Vaginal Delivery (NVD). When the labour is induced, it is called Induced Vaginal Delivery. When the doctor uses forceps or vacuum to extract the baby, it is called Instrumental Vaginal Delivery. The mother has to bear excruciating pain during this process, but once the baby is delivered, there are no complications such as infections.
This is a surgical process where the abdomen and the uterus inside, is cut to take the baby out of the womb of the mother. Due to the less pain during the surgery, as the surgery is carried out by administering anaesthesia to the mother, women of this generation tend to choose this option. But one needs to understand that there are risks associated with it as with any surgery and there could be complications such as infection, heavy blood loss in mother and need for special care to the infant.
Why is normal delivery always better than caesarian procedures?
In the case of a normal delivery, you don’t need to stay at the hospital for long. You get discharged within 2-3 days and even less if you and your baby are completely healthy. The risk associated with anaesthesia is eliminated. And since there is no surgery involved, no danger of postoperative infections or life risk on the operation table. Also, you don’t have to bear the pain of the stitches for long as there none or minimal stitches. The mother can produce milk sooner than in the case of caesarian delivery. It also boosts the immunity system of your baby.
Though normal delivery involves severe pain during labour, in the long run, it is highly beneficial. Hence, caesarian delivery should be opted for only when the doctor recommends it due to medical reason as the only viable choice for you and your baby.