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Top Health Tips on Post-pregnancy care

Pregnancy & Sex - Know Acts During It!

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Pregnancy & Sex - Know Acts During It!
During pregnancy, your body is subjected to several physiological changes including increased hair fall, continuous indigestion, headaches, development of varicose veins, skin pigmentations and so on. The growing baby bump hinders free movement as well. Quality time with your husband or partner is helpful but is not the best way to relax you. During pregnancy many partners stop having sex due to body issues. Intercourse is extremely important to comfort an expecting mother. Going by a few sex positions cited below, partners can enjoy pregnancy without a speck of stress.

1. Spooning- In spooning a woman lies on one of her sides while the male partner lies behind her on his left or right side. Both partners should lie on the same side or if not they will end up turning their backs at each other. Penetration happens from behind. This position enables shallow penetration which is good for the baby.

2. Do it like a clip- In this case two bodies should align like a clip. The man lies on his back while the woman is on the top facing him. Her knees are folded next to him and she is in the shape of an arch. Her hands serve as support as they are firmly placed on the bed behind her arching back. There is ample space for the bump.

3. Perch on him- It is healthier to avoid pressure on the abdominal region when pregnant. Make your man sit on a stable surface; say a stool or a chair. Sit on his lap with your back against his chest. This way the woman can regulate the depth of penetration by moving backward and forward. She is on her toes and her abdomen faces no weight.

4. Do it the Amazon way- The Amazon style of intercourse needs to be carried out on a chair or a stool. The male partner remains seated while the woman sits on his lap facing him with her legs across his sides. The baby bump is comfortably positioned between the partners and the lady takes charge by moving up and down.

5. Doggy style- The doggy style keeps the expecting mother away from exertion. She crouches on her hands and legs while the male partner enters her body from behind.

6. Living Room style- Let your rounded belly rest against the softness of the living room couch. Kneel on the couch to suit your feasibility while your partner penetrates you from behind. The pregnant woman balances her body by holding on to the couch with her hands.
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What You Need To Know About Sex During Pregnancy?

Sexual Health Clinic
Sexologist, Delhi
What You Need To Know About Sex During Pregnancy?
Making love during pregnancy is a safe bet and can be carried on till one s water breaks. Studies in the past have shown that a normal pregnancy is not related to infections and miscarriages. It has also been established that sex during pregnancy is not related to premature birth. On the contrary, a good sex life during pregnancy helps to reduce mood swings and keeps a woman healthy and cheerful. Here are five facts that you should know about sex during pregnancy:

Does sex harm the baby? The womb is protected by the thick muscles of the uterus and the amniotic sac. Furthermore, the cervix is safeguarded by the mucus plug. These ensure that the baby doesn t get hurt while making love. In the midst of an orgasm, if you get a feeling that the baby is moving, it happens primarily because of the heart pounding faster. This being said, you might have to skip sex in the following cases:
You have placenta praevia
You start bleeding
Your water breaks
You suffer from cramps and pain in the abdomen
Your partner is suffering from genital herpes
How does sex feel during pregnancy? While an increased flow of blood in the pelvic region heightens the lovemaking experience for many, some complain that it leaves them with a bad feeling. There is yet another segment of women who complaints of a less powerful orgasm during pregnancy. At times pregnant women might feel pain if the penetration is deep. Even abdominal cramps are not uncommon during this condition. To sum up, the feeling of sex greatly varies from individual to individual.
Is a complete lack of sex normal during pregnancy? Yes, it is absolutely normal. Many women suffer from nausea and tiredness during the first three months of pregnancy, limiting their urge for sex. At times pregnancy hormones become responsible for the libido. But, mostly it is the state of mind of an individual that becomes a barrier. Women suffering from relationship issues are the ones who suffer from a lack of sex.
Does your husband s libido suffer too? It is not uncommon, to say the least. Some of the common apprehension that a male partner suffers from include the following:
Fear of hurting the wife
Apprehension about the baby s health
The consciousness of making love in the child s presence
Apprehensions about upcoming parenthood
Is there any risk involved in oral sex? Absolutely none, oral sex is considered to be one of the safest of sex options during pregnancy. If the fear of hurting the wife looms large, it is the best way to express one s love. However, it should be ensured that your husband does not blow air in the vagina. This might lead to blood vessel blockage.
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Hypertension - How To Handle It In Pregnancy?

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Hypertension - How To Handle It In Pregnancy?
Hypertension during pregnancy can be a problem for both the baby and the mother. Thus it is of utmost importance that during pregnancy good health should be maintained along with controlled blood pressure and cholesterol levels. With an increase in multiple births and women of older age, the risk of hypertension during pregnancy has increased. But if proper care is taken it can be avoided.

Types of Pregnancy Hypertension:

There are three prominent forms of hypertension that can be seen during pregnancy. Pregnant ladies should be aware of the same. These are:

- Preeclampsia - This is the most common and serious hypertension during pregnancy. This hypertension can only be controlled by delivering the fetus which usually involves complications like the death of the mother or child. This occurs 20 weeks after pregnancy.

- Gestational Hypertension - This form is only prevalent during pregnancy and is not a problem for the mother or baby after delivery. This usually occurs in the last leg of the pregnancy

- Chronic Hypertension - This form forms either prior to the pregnancy or before 20 weeks of the pregnancy.

Management of Pregnancy Hypertension:

Hypertension during pregnancy can be handled by the following:

- In case of severe hypertension, blood pressure medication should be continued during pregnancy

- If you are on ACE inhibitor-type medication, then the medication is changed to one that is even safe for the baby

- Your doctor might like to monitor you daily and can advise hospitalization for a few days

- If medication is missed, it might lead to uncontrolled life-threatening hypertension. Thus the medication should not be missed at any time

- In the case of mild hypertension and absence of other diseases like diabetes and kidney disorders, the doctor might stop the medication or reduce the dose. Also, being off medicine does not cause any problem in mild hypertension.

- Irrespective of the hypertension is mild or severe, the prenatal appointments should not be missed so that the doctor can monitor you and the baby. If any problems, like rising blood pressure, poor fetal growth, and signs of preeclampsia can be spotted and steps can be taken for the same.

- In case there is some form of hypertension present the prenatal visits and lab tests will be more

- Apart from the usual second-trimester ultrasound, there will be periodic ultrasounds in the third trimester to monitor the baby's growth and the amniotic fluid.

- Also, regular fetal tests and Doppler ultrasounds will be done to track the baby's growth.

- Lifestyle changes should be made. Salt intake should be limited, fresh food instead of processed food should be consumed.

- If blood pressure is high then the doctor might ask you to avoid exercise especially if you never did before pregnancy.
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Signs Of Ovulation To Identify Your Fertile Time!

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Signs Of Ovulation To Identify Your Fertile Time!
Your ovulation cycle is largely ignored until you decide to have a baby. Suddenly, the ovulation cycle becomes more than just a countdown to your next period. When you're trying to get pregnant, you need to identify when you're ovulating to calculate the time available to you to conceive a child. Ovulation occurs mid-cycle, every month for most women. It is usually accompanied by a number of symptoms. Some of these are:

Ovulation pain

Some women may experience abdominal pain when they ovulate. This can range from a mild sensation to constant pain. The latter is not normal and may be caused by ovarian cysts or scarring by previous surgery.

Higher Basal body temperature

Basal body temperature is the lowest temperature recorded in the body when it is at rest. At the time of ovulation, this temperature normally increases as a result of the release of progesterone. To use this method to determine ovulation, you will need a basal thermometer. Take your temperature every morning as soon as you wake up and record it in a chart to spot temperature changes. Basal body temperature can also be used to determine if recent intercourse has resulted in a pregnancy or not. If the basal temperature remains elevated for 18 days after intercourse, it is safe to say that you are pregnant.

Cervical mucus

The mucus released by the vagina changes according to the stage of the ovulation cycle. This is caused by the fluctuations of hormone levels. At the time of ovulation, cervical mucus is clear, slippery and highly elastic. This can be compared to a raw egg white in colour and consistency. After ovulation, this mucus will turn stickier and denser.

Cervical position

Your cervix itself will shift at the time of ovulation. Some women can easily feel this change while it may take a little time for others to identify it. The cervix is usually positioned low and feels hard and closed. However, just before ovulation, it will usually open up and soften a little as well as pull back. Cervical position also needs to be regularly charted to determine when the position changes.

Spotting

Spotting mid-cycle is not always a sign of an early period. It may also signal ovulation. This is usually a result of the sudden drop in estrogen that precedes ovulation. Since the progesterone levels are not high at this time, the lining of the uterus may leak a little blood.

Other signs of ovulation include:

* Breast tenderness
* Heightened sense of smell, taste etc
* Increased libido
* Increased energy levels and
* Water retention
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Vomiting - How To Put A Check In It While You Are Pregnant?

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Vomiting - How To Put A Check In It While You Are Pregnant?
While pregnancy is not a pathological condition, it is a happy time that can be marred by various conditions. Debilitating morning or all day sickness, which is usually characterised by nausea, reflux in the gastro esophageal band, heartburn and acidity. This can also turn into vomiting and lead to complications if it does not stop.

Persistent, almost daily vomiting can be termed as excessive vomiting in pregnancy, and this is known as Hyperemesis Gravidarum in medical terms. Let us find out more about this condition.

Routine: Hyperemesis Gravidarum usually strikes as a matter of routine at a set time everyday where the patient will either be in unappetising company of acute and painful acidity and nausea, or will also be vomiting.

Severity: The severity of the condition usually decreases as the patient's pregnancy progresses. Usually, this condition strikes around the fourth or fifth week of pregnancy, before becoming better towards the middle of the second trimester. There are cases, though, where it continues to be just as severe till the very end of the pregnancy.

When to take Action: The patient may have to be hospitalised in case too much vomiting takes place, so as to prevent excess loss of water and salt from the body, and resultant weakness which may affect the growth of the foetus. Also, it is best to call the doctor when you have experienced fainting and dizzy spells.

Causes: Hyperemesis Gravidarum or excessive vomiting during pregnancy cannot be attributed to any specific or single cause. Usually, it is known to be a genetic condition passed down by mothers to their daughters. But in most cases, doctors believe that the condition is due to hormonal changes where an increase in the HCG hormone, or Human Chronic Gonadotropin hormone level during pregnancy may lead to a variety of symptoms such as morning sickness or excessive vomiting. This hormone is known to be at its peak during pregnancy.

Risk Factors: It has mostly been seen that women who are carrying twins are at risk of suffering from this condition. Also, women who have suffered from chronic motion sickness in the past report excessive vomiting during pregnancy.

Treatment: The best way to treat this issue is to prevent too much of nausea and vomiting with the help of a bland diet that does not have heavy to digest ingredients. Also, it is best to take small and frequent meals.

Working your way around excessive vomiting during pregnancy is a matter of ensuring that you take rest, fluids and other precautions.
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Taking Care Of Your Diet While You're Pregnant!

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Taking Care Of Your Diet While You're Pregnant!
Pregnancy is that period of time in a woman's life when she is excited about giving birth to her baby. She is not only responsible to keep herself healthy, but her baby is also her responsibility. What she eats, how she lives and her daily routine will affect the baby. Thus, to have a healthy pregnancy it is necessary that you exercise regularly and eat well. You should also avoid those things that may hurt your baby.

Take care of what you eat

During pregnancy it is important to get proper nutrition so that you and your baby are healthy. For slow and gradual weight gain, it is necessary to pay close attention to the folic acid, calcium and iron intake. However, if you are obese, then your weight gain regime will be different from others.

The diet during pregnancy should include

- Intake of fruit and vegetables is important as they are good sources of Vitamins, minerals and even fiber. They are good for digestion and also help in preventing constipation. Eat fresh fruits and vegetables daily.

- During pregnancy carbohydrates are also important as they act as an important source of energy. Different food items that are rich in carbohydrates are potatoes, bread, breakfast cereals, pasta, rice, noodles, millet, maize, oats, yams, sweet potatoes, and corn meal. It is better to eat whole grains and potato with the skin on as they are rich in fiber.

- Intake of protein is very important during pregnancy, and thus you should take lean meat, pulses, beans, nuts, fish, and eggs. All these items should be cooked well so that you do not face any problem in digestion during pregnancy.

- It is also necessary to eat dairy products like milk, cheese, butter and yoghurt during pregnancy. They are important because they contain the calcium and nutrients that are necessary for the growth of the baby.

What to avoid?

Just as you should eat certain food items to be healthy, there are certain foods that must be avoided to be fit and healthy. Avoid the following during pregnancy

- Drugs and alcohol
- Medicines that are not prescribed by your physician
- Smoking tobacco
- Fried and oily food
- Fishes those are rich in mercury like shark, tilefish, swordfish and those fishes that are caught in local waters are not considered safe.
- Too much intake of caffeine is also hazardous for a pregnant lady.

Thus, by following the above-mentioned diet tips you can keep your baby and yourself healthy.

Always get advice from your physician for any decision that you take during pregnancy.
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Teenage Pregnancy - Know The Risks Associated With It!

Speciality Birthing Care
Gynaecologist, Bangalore
Teenage Pregnancy - Know The Risks Associated With It!
Expecting a baby is the best feeling for any woman but this may or may not be the case in teenage pregnancy. Getting pregnant at the early age can cause serious damage to her not only to her health but also her future. Any pregnancy that occurs in women under the age of 20 is termed as teenage pregnancy. It is classified as high-risk pregnancy which can cause grave danger to the mother as well as her unborn child.

Technically, a girl can become pregnant after sexual intercourse anytime after beginning ovulation. In common- speak, a girl can become pregnant after she begins menstruating.

Risks of Teenage Pregnancy
Usually what happens is that a teenager gets pregnant against her wish She doesn t plan to but gets pregnant maybe due to unprotected sex. This increases the risk to both her and her baby.
It usually leads to a lag in her accessing and getting prenatal care. This can lead to problems later on like-

High blood pressure
Premature births
Low birth weight
Controlling high blood pressure during pregnancy and getting regular prenatal care is the single most important thing that a pregnant teen can do for her own and her baby s health.

High BP
Teenage mothers are at high risk for suffering from high BP which means they are at high risk for developing pre-eclampsia. This is a sudden increase in blood pressure after the 20th week of pregnancy and can be life-threatening for both the mother and the unborn baby. There are no proven ways to prevent it and most women who have signs of pre-eclampsia are monitored to lessen the harm and to avoid complications. The only way to cure pre-eclampsia is to deliver the baby. Usually, doctors manage high blood pressure in pregnancy by closely monitoring the baby, lifestyle changes by the mother and use of medicines. Compliance among teenagers for making lifestyle changes is usually low according to experts.

Premature Babies
Premature babies are also common in teenagers and these babies can have health problems at the drop of the hat because their organs did not have enough time to develop in the womb. Problems that they are prone to are-

Breathing problems
Cerebral palsy
Developmental problems
Problem with vision
Hearing problems
Feeding problems
Low-birth weight
Low birth weight babies are another risk of teenage pregnancies. These babies who weigh less than 5 pounds are at higher risk for health problems like delayed motor and social development or learning disabilities. They also become sick more often in the first days of life or develop infections.

Risks of low birth weight, premature labour, anemia, and pre-clampsia are linked to the low age of the mother and all of these are observed in teen births even after controlling for other risk factors such as prenatal care.

What can be done?
A pregnant teen, therefore, should do the following-

Get regular prenatal check-ups
Take vitamins and iron to prevent birth defects
Staying away from smoking, alcohol, and drugs to prevent birth defects
Use a condom during sex to prevent sexually transmitted diseases that could hurt the foetus
The only way to prevent teenage pregnancies is educational interventions and promotion of birth control. And both of these should be used to prevent these high-risk pregnancies.
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Start Your Pregnancy Right - Unravel First Trimester Guide For It!

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Start Your Pregnancy Right - Unravel First Trimester Guide For It!
So you have just found out that you are pregnant and you and your partner are over the moon about it! While congratulations are in order, so are a host of tips which will help you settle into the pregnancy. It is important to remember that the first trimester of your pregnancy is a crucial phase where you may not change that much physically, but will be prone to many emotional changes. It is also a phase where you will make way for the changes that will inevitably come in the next two trimesters and for a long time after delivery of the baby too. Read on to unravel our first-trimester guide.

- Pregnancy Test: You must ensure that you know you are pregnant by monitoring your menstrual cycles closely so that even one missed period points at the possibility of pregnancy. This test can be a home-based kit available at the chemists' or can even be conducted with a lab test based on a urine sample. Despite the results that you may get on a home pregnancy test, it is best to get a professional opinion as well.

- Finding the Right Doctor: In this phase of your pregnancy itself, it is imperative to home in on a gynaecologist who will put you ease. Take care to pick someone who may be recommended by family and friends. Have a talk with the doctor a few times to see how well he or she engages you as a patient and if you are suitably convinced with the sessions and appointments.

- Activity: While heavy activities may not be recommended by all doctors as the foetus needs to latch on, one can indulge in plenty of walks and a normal routine as well. Ensure that your pregnancy is a normal one and ask your doctor about any precautions that you may need to take with the progressing trimesters. Also, find ways to deal with any morning sickness with the help of the doctor.

- Supplements: In this crucial phase, ensure that your doctor gives you plenty of folic acid supplements that you must ingest on a regular basis. This will keep any risk of neural tube birth defects at bay.

- Other Medication: Find out more about over the counter drugs or any medication that you may have been taking as this may have to be stopped or adjusted for the pregnancy. The doctor should be able to guide you on this aspect too.

The other activities during the first trimester include taking prenatal appointments and choosing and interacting with your caregiver who will also be supported after you have had the baby.
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What Is The Best Age To Get Pregnant?

Multi Speciality, Chandigarh
What Is The Best Age To Get Pregnant?
Pregnancy and motherhood are the beautiful yet crucial phases of a woman's life. When to become pregnant or start family is merely personal and the decision may vary from woman to woman. Now days, women are becoming more independent financially and socially as well. Their priorities are also changing. Before getting pregnant and starting family what they want is the best for their babies from all point of view and therefore most of the women have their first pregnancy after 35 years of age.

The science of the right age to get pregnant:
But what is the scientific approach regarding the right age for conception? According to the American College of Obstetrics & Gynecology (ACOG), the chances of conceiving are highest in 20 - 30 years of age. After 32 years of age the fertility in the women starts decreasing as they have fixed number of eggs in the ovary and the number of eggs decreases with advanced age. The eggs are also not that much fertile as compared to younger women. Problems that can affect the fertility becomes more common with increasing age as well. The older women are more likely to have pre-existing health problems as compared to younger ones. There is increased risk of miscarriages, different complications and birth defects in older age. According to ACOG, the risk for miscarriage for women aged 20 to 30 years is between nine and 17 percent; this rate increases sharply from 20 percent at age 35 years to 40 percent at age 40 years and 80 percent at age 45 years. In between 20 -30 years of age, the fertility rate is high among this age group. The chances of complications, chromosomal abnormality, preterm deliveries and birth defects are minimal. Pregnancy is often physically easier for women in their 20s because there's a lower risk of health complications.

The most important aspect in pregnancy is - YOU
Whatever may be the age of the women during pregnancy, the thing which matters most is the health of the baby and the mother. In advanced age also, mothers need to stay fit and healthy by optimum exercise, healthy nutritional diet and positive approach.
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Pre-Cum - Can It Make A Woman Pregnant?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Pre-Cum - Can It Make A Woman Pregnant?
Precum is nothing but release or ejaculation of the fluid from the penis during sexual stimulation. Normally, it acts as a lubricant during sex. The amount of precum that a normal human body releases may vary from person to person. Suppose the body is releasing the extra amount of precum that means that the body is releasing that amount of fluid which would be considered as the normal release of fluid from the body. The main purpose of the precum is to neutralize the acidic nature of the urethra. Basically, this helps the sperm to be active inside the woman s body. Precum may contain immobile, dead and some weak sperms as well.

Origin
It comes from Cowper s gland Secretions and the actual ejaculation comes from testicles. Normally, when a healthy man is energized or is aroused then, he pre-ejaculates where the fluid flows through the urethra, the place where the urine passes out. It acts as a lubricant to the female partner s vagina. It also tries to neutralize the acid which reduces the chances of pregnancy. This works as a clear method for enhancing the pregnancy.

Difference between pre-cum and sperm
The basic difference between sperm and precum is that the injection of the sperm into a woman s body would lead to pregnancy while in case of precum, the rate of pregnancy is quite low. Pregnancy is caused only due to sperms which do not originate from the Cowper's gland. Thus, sperm and precum are way more different than each other.

Can precum make a woman pregnant?
There have been several deliberations on the issue of whether precum can make someone pregnant or not. Well, in many situations it has been found that it has the capability of making a person pregnant. But the chances are quite low as the presence of sperm in the precum is comparatively lower which would not lead to pregnancy as the content of the sperm is quite lower and sperm is considered to be imperative for pregnancy. There is quite a thin line of difference between ejaculation and precum as sometimes they might get mixed if the withdrawal method is a bit longer. Even if the withdrawal method is delayed by a few seconds, a woman can get pregnant.

Can it cause STDs?
Normally, people get intimidated by precum because they think that it might cause pregnancy, but instead of pregnancy, there s a high possibility of Sexually transmitted diseases to be caused which is way more dangerous than getting pregnant. In case of precum, the chances of pregnancy are a wee bit lower than that of STDs. While for STDs, if an individual gets into contact with any of the infected precum, then there s quite a high chance of getting in contact with any STDs.

For treatment related to such issues, please consult.
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