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Birth Defects Tips

Birth Defects - 4 Tips To Prevent It!

Dr. Aruna Muralidhar 94% (10 ratings)
MBBS,MD(medicine), MD - Obstetrics & Gynaecology, MRCOG, FRCOG, FICM
Gynaecologist, Bangalore
Birth Defects - 4 Tips To Prevent It!

Although the cause of over 60% of birth defects are not known, there are things that you can do to help ensure optimal health for your baby.

There are a number of things you can do to increase the probability of having a healthy pregnancy and a healthy baby. Some are more challenging than others because they may require that you break bad habits, but it is worth your effort.

Here are a variety of tips you can use to prevent birth defects as you contemplate starting or adding to your family:

1. The first and foremost tip is maintaining preconception health - Eating well balanced and nutritional meals, and taking a multivitamin daily that includes the recommended 400 mcg of folic acid. If you are sexually active and pregnancy is a possibility, make sure you take a multivitamin daily, which includes the recommended 400 mcg of folic acid and other essential B vitamins.

2. Seek an annual gynecological and wellness exam -  Especially a preconceptional visit would help in determining any problems with the blood tests such as thyroid, sugars and haemoglobin. Some vaccinations also may be necessary prior to pregnancy.

3. Avoid all activities that could potentially lead to birth defects, including alcohol, tobacco, illicit drugs, and caffeine.

4. Obtain genetic counseling and birth defect screening, particularly if you have any family history of birth defects.

4052 people found this helpful

Guided Growth: Orthopaedic Correction Of Deformity

Dr. Gurinder Bedi 90% (21 ratings)
CCST(Internal Medicine), FRCS (Orth Surg), FRCS, MS - Orthopaedics, DNB Orthopedics, MBBS
Orthopedist, Delhi
Guided Growth: Orthopaedic Correction Of Deformity

Physical deformities that occur due to birth defects can affect one both physically and psychologically, and thus giving them the right treatment is important. Typically, a physical deformity usually refers to musculoskeletal deformities and these can be treated using deformity correction.

Deformity correction refers to the process of adjusting or modifying such bone deformities. Although the process can be used for almost any part of the skeletal structure, it is usually implemented on the limbs at knee joints through surgery or orthotic devices.

Guided Growth For Deformity Correction
The deformities that can be corrected are stem from congenital or developmental deformities which occur at childbirth. Such deformities get worse with age, if not treated early before the age of four. One of the most effective procedures for correction of deformities is guided growth.

Hemi-epiphysiodesis for deformity correction has been performed for many years using staples. This procedure offered very little flexibility and caused several problems such as mal-placement, bending and breakage. As a result of this procedure drawback, the new eight-Plate technique had to be adopted .

The eight-Plate technique is a form of guided growth, which overcomes the obstacles faced by hemi-epiphyseal stapling. The eight-Plate gets its name from its figure eight shape, and it is a device that’s the size of a paper clip. It has two holes for screws, and one side of it is meant for holding the growth plate. The two screws diverge within the plate, as the opposite side of the physis gradually expands and grows. The hinge action prevents the growth plate from being compressed, thus allowing proper growth to take place when the plate is removed without causing any damage. Since the plate is manufactured with titanium, it ensures flexibility and the least chances of breakage.


How is the eight-Plate fitted?
The fitting of the plates involves a surgical procedure under general anesthesia, and the patient can be treated on a day case basis. During the surgical procedure, a 2-3 cm incision is made at the level of physis of the bone that needs correction. The plate is then inserted with the help of x-ray control for optimum placement. The procedure is not restricted to only one deformity, since multiple deformities can be surgically operated within the same procedure inserting a single eight-Plate per physis.

Recovery time
Although, the patient may initially need the support of crutches, the post-operative recovery is rapid. Normal physical activities can be resumed after 3 weeks. As for the correction time, the implant prevents growth on one side of the plate, while allowing normal growth to take place on the other side.

Since growth occurs gradually, the correction can take place over a span of several months up to 2 years. During the recovery period, regular follow-ups with full-length x-rays of both legs shall be required to track every step of the recovery process by your surgeon. After the deformity has been corrected, the eight-Plate is surgically removed under general anesthesia.

2902 people found this helpful

Congenial Birth Defects In Children - Know How They Can Be Managed!

Dr. Rishavdeb Patra 89% (94 ratings)
MBBS, MS - General Surgery, MCh - Paediatric Surgery
Pediatric Surgeon, Kolkata
Congenial Birth Defects In Children - Know How They Can Be Managed!


Congenial Birth Defects In Children - Know How They Can Be Managed! Congenital birth defects include: 

  • Hypospadias: The opening of the urethra is located on the underside of the penis instead of the tip. 
  • Anorectal Malformations: The anus (which is the opening in your bottom through which stool passes through) and the rectum (which is the part of bowel immediately above the anus) have not developed properly. This occurs when the child is in the womb. 

Hypospadias is a developmental anomaly characterized by a urethral meatus that opens onto the ventral surface of the penis, proximal to the end of the glans. The meatus may be located anywhere along the shaft of the penis from the glans to the perineum. 

Hypospadias is classified based on the position of urethral opening i.e. glanular, coronal, penile, penoscrotal and scrotal. Here the urine is deviated downwards towards the legs as the penis is bent downwards. Because of downward curvature of penis, sexual activity becomes difficult. From 6 months onwards hypospadias can be corrected by operation i.e. urethroplasty, where the opening of urethra is brought to the tip of the penis and the penis is straightened. 

Anorectal Malformation : Here either there is no anal opening or it opens in a wrong place i.e. in urinary passage or birth canal in girls. It may be high anomaly or low anomaly. The immediate treatment is to make a stoma on the surface of abdomen and then do definitive pull through operation i.e. anorectoplasty when the baby is around 8 to 12 months old.

2127 people found this helpful

Clubfoot - What All Should You Know?

Dr. Sameer Desai 90% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopaedics
Orthopedist, Pune
Clubfoot - What All Should You Know?

Clubfoot is a birth defect affecting babies and is characterized by deformity of the foot. A baby with clubfoot has his/her foot twisted. It can affect one or both the feet, which point inwards and may even appear upside down. The condition can affect one in 1,000 babies where the baby is normal and healthy otherwise. Depending on the severity of the condition, your baby will experience difficulty in walking or limping.

Causes
The foot or feet appear twisted or crooked due to shorter tissues that connect the muscles to bones. Doctors do not know the exact cause of the tendons and tissues being shorter than the typical length. However, there are certain known factors that increase the risk of clubfoot in babies. They are:

  1. Family history- A baby is more likely to have a clubfoot if both or one of the parents has clubfoot.
  2. Congenital conditions- If your baby is born with a medical condition like spina bifida, he/she may have clubfoot as one of the symptoms.
  3. Lifestyle choices- A person who smokes during pregnancy and has a family history of clubfoot, is at greater risk of giving birth to a baby with clubfoot.
  4. Less amniotic fluid- Amniotic fluid surrounds the fetus in the womb. Therefore, low level of amniotic fluid may increase the chance of clubfoot in your baby.

The clubfoot does not cause any pain to your baby when he or she is small. However, it will cause difficulties once the child grows up and starts to walk. The condition has been seen to affect more males than females and needs proper treatment.

Treatment-
Your doctor will able to spot and detect clubfoot in your baby during an ultrasound session and will prepare you for the same. Once your baby is born, his or her treatment can begin immediately. The standard treatment for clubfoot is called the Ponseti method. The Ponseti method is divided into stages that include-

  1. Casting- As babies have tender and soft tendons that can easily bend and be stretched, the doctor manipulates the foot into the correct position and puts a cast on it to keep it in place. This process continues for a few week. After the first few days, the previous cast is removed and the foot is put in a new position and is again put in a cast; this goes on for the next couple of weeks.
  2. Surgery- When the final casting comes off, a small surgery is performed to loosen the Achilles tendon at the back of the ankle. The procedure is generally performed under local anesthesia.
  3. Shoe Brace- After a successful surgery, your baby is required to wear a special type of shoe brace that is attached to his/her leg with a bar. This is required for preventing the recurrence of clubfoot. Your baby needs to wear the shoe brace for at least 3 months after surgery and after that, wearing the shoe brace only during nighttime till the age of 4-5 years should suffice.

However, if the Ponseti method does not yield the desired results, major surgery is carried out at the age of 6 months and one year. In clubfoot cases, there is a 20 percent chance of recurrence that needs to be treated again with casting and surgery.

All babies treated with the Ponseti method go on to have a normal childhood and learn to walk and play like other healthy children.

2546 people found this helpful

How Can You Possibly Control Birth Defects?

Dr. Rakhi Gupta 93% (73 ratings)
FICOG, FICMCH, FIMSA, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
How Can You Possibly Control Birth Defects?

Although the cause of over 60% of birth defects are not known, there are things that you can do to help ensure optimal health for your baby.

There are a number of things you can do to increase the probability of having a healthy pregnancy and a healthy baby. Some are more challenging than others because they may require that you break bad habits, but it is worth your effort.

Here are a variety of tips you can use to prevent birth defects as you contemplate starting or adding to your family:

  1. The first and foremost tip is maintaining preconception health; eating well balanced and nutritional meals, and taking a multivitamin daily that includes the recommended 400 mcg of folic acid.
  2. If you are sexually active and pregnancy is a possibility, make sure you take a multivitamin daily, which includes the recommended 400 mcg of folic acid and other essential B vitamins.
  3. Avoid all activities that could potentially lead to birth defects, including alcohol, tobacco, illicit drugs, and caffeine.
  4. Seek an annual gynecological and wellness exam.
  5. Obtain genetic counseling and birth defect screening, particularly if you have any family history of birth defects or if you are 35 years of age or older. If you wish to discuss about any specific problem, you can consult a Gynaecologist

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

3693 people found this helpful

Is Your Heart Disease Genetic?

Madhavbaug Clinic 88% (62 ratings)
Non-invasive Cardiology
Ayurveda, Thane
Is Your Heart Disease Genetic?

Some heart defects are present right from birth. We discuss the role of your genes in making you vulnerable to heart disease.

 

1 person found this helpful

Tips For Preventing Birth Defects

DGO, MBBS
Gynaecologist, Delhi
Tips For Preventing Birth Defects

Although the cause of over 60% of birth defects are not known, there are things that you can do to help ensure optimal health for your baby.

There are a number of things you can do to increase the probability of having a healthy pregnancy and a healthy baby. Some are more challenging than others because they may require that you break bad habits, but it is worth your effort.

Here are a variety of tips you can use to prevent birth defects as you contemplate starting or adding to your family:

  1. The first and foremost tip is maintaining preconception health; eating well balanced and nutritional meals, and taking a multivitamin daily that includes the recommended 400 mcg of folic acid.
  2. If you are sexually active and pregnancy is a possibility, make sure you take a multivitamin daily, which includes the recommended 400 mcg of folic acid and other essential B vitamins.
  3. Avoid all activities that could potentially lead to birth defects, including alcohol, tobacco, illicit drugs, and caffeine.
  4. Seek an annual gynecological and wellness exam.
  5. Obtain genetic counseling and birth defect screening, particularly if you have any family history of birth defects or if you are 35 years of age or older. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
2570 people found this helpful

Severe Epilepsy - How To Deal With It?

Dr. Kodeeswaran Marappan 91% (64 ratings)
MCh, MBBS, MRCS (UK)
Neurosurgeon, Chennai
Severe Epilepsy - How To Deal With It?

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

1. Medication: Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

2. SurgeryDepending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

  1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
  2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
  3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
  4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
  5. Surgery to remove half the brain's cortex or outer layer

3. Dietary changes: A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures. If you wish to discuss about any specific problem, you can consult a neurosurgeon.

2908 people found this helpful

Health Supplements - Do We Really Need Them?

Dt. Tamanna Narang 93% (5256 ratings)
M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Health Supplements - Do We Really Need Them?

It is important for you to have a healthy and balanced body in order to perform your daily activities well. People often think health supplements are efficient alternatives to a healthy diet and regular physical exercise while most of the doctors and nutritionists believe that there is no need for any health supplement if you take in right quantity and quality of food and engage in regular exercise. While health supplements are not alternatives to a healthy lifestyle, they are somewhat necessary for everyday health in the hectic lifestyles of today.

Nowadays, stress (learn more about for Controlling Everyday STRESS) is a constant companion and the foods that we consume are often not of proper quality. You may think that you are taking foods full of nutrients but pesticides and chemicals used farming diminish the nutrient content from the crops. This creates a necessity for taking health supplements for the proper nourishment of body.People with certain medical conditions also need supplements. Supplements fill the gap in your diet.

Beneficial health supplements:

  1. Pregnant women and breastfeeding (leanr more about the Benefits of Breastfeeding) women need iron supplements. Folic acid can be supplemented in your diet in order to reduce the chances of birth defects.
  2. You can take in vitamin D supplements if they don't get enough sunlight every day. Adults, especially after the age of 40 need vitamin D and calcium supplements to maintain bone health.
  3. Adults above the age of 40 are also advised to take vitamin B-12 supplements. 

Supplements have some side effects depending upon your health condition. If you take some supplements along with some other medicines or before surgeries, they can lead to serious complications. Research has concluded that some vitamin and minerals supplements particularly iron supplements, increase the risk of death. So it is necessary to have a proper examination of the body before you take health supplements. The risk factors include: 

  1. Taking vitamin B6 regularly in excess of 100 mg may lead to damage of your nerves
  2. Taking 400 international units of vitamin E on a regular basis increases the health risk and may even lead to premature death
  3. Taking multivitamins does not supplement poor eating habits. If you wish to discuss about any specific problem, you can consult the doctor.
9513 people found this helpful

Nasal Reconstruction Surgery - Types And Symptoms

Dr. Sasikumar 86% (65 ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Chennai
Nasal Reconstruction Surgery - Types And Symptoms

A Nasal reconstruction surgery is required to correct deformities in the nasal area formed as a result of birth defects, injuries, trauma etc. It is also used to correct missing parts of the nasal anatomy if required. Recent developments in techniques such as microsurgery, expansion of the tissue and so on, have helped surgeons improve the methods of nasal reconstruction surgery to a great extent. At this point, a patient has a great number of reconstruction methods to choose from, depending on his/her particular case.

Types of Nasal Reconstruction Surgery:

  1. Local flaps
  2. Regional flaps
  3. Secondary Intention Healing
  4. Simple Suture closure
  5. Skin grafts
  6. One stage nasolabial flap
  7. Two stage nasolabial flap
  8. Forehead flap
  9. Bone and Cartilage frame work reconstruction

Indicators of the need for Nasal Reconstruction surgery

  1. One indicator of the need for this type of surgery is fractures in the nose that have changed the shape of the organ. Patients opt for this kind of surgery in order to improve their overall appearance.
  2. Another indicator is fractures or other deformities that lead to breathing problems. Living with such problems is difficult; hence it is important to get nasal reconstruction surgery.
  3. The presence of the Deviated Nasal Septum prevents proper breathing and increases vulnerability to ENT infections. Nasal reconstruction surgery can be used to fix this problem.
  4. Deformities formed as a result of treatment of skin cancer can be fixed with the help of nasal reconstruction surgery.

Things to know about recovering from Nasal Reconstruction Surgery

  1. Medication taken orally can help to counter the discomfort experienced right after a nasal reconstruction surgery.
  2. Usually, splints are used inside the nose during the surgery. These are generally removed within a week.
  3. Patients are able to get up and walk about within a few days. Normal daily activities may be resumed upon the doctor's instructions.
  4. At times, a swelling may be observed in the nasal area, but this goes away within a few weeks. If you wish to discuss about any specific problem, you can consult a cosmetic surgeon.
3168 people found this helpful
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