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Overview

Ectopic Pregnancy - Symptom, Treatment And Causes

What is Ectopic Pregnancy?

For getting pregnant, the ovary has to release an egg inside the fallopian tube, where this unfertilized egg remains for 24 hours. During this period the egg has to come in contact with a healthy sperm to be fertilized. After fertilization this egg stays within the fallopian tube for another 2-3 days, before it heads towards the uterus. The fertilized egg then attaches itself to the uterine lining and continues to develop and grow to give the formation of a baby.

But there are certain rare instances, when this fertilized egg remains within the fallopian tube with moving into the uterus or lands up elsewhere inside the abdomen which results in formation of an ectopic pregnancy. As this condition is not normal, thus in this case the pregnancy fails to continue normally, and so requires an emergency treatment in order to save the life of the gestating women. No-one can tell you why you can land up with an ectopic pregnancy. One of the most common reasons for the cause of this deadly problem can be a damage in the fallopian tube.

The other reasons that can cause ectopic pregnancy are:

  • Getting infected with an STD (Sexually Transmitted Disease) just before getting pregnant.
  • Pelvic inflammatory diseases.
  • Scarring that occurred for previous pelvic surgery.
  • Having a history of developing ectopic pregnancy.
  • Use of fertility drugs.
  • Adopting IVF (In Vitro Fertilization) methods for getting pregnant.
  • Getting pregnant along with an IUD (Intra-Uterine Device) like Copper-T which is meant for contraception.
  • Unsuccessful tubal ligation procedure.
  • Unsuccessful tubal ligation reversal procedure.

Diganosis and Medication :

When gestating patients are suspected of ectopic pregnancy, pregnancy tests and pelvic exam are done on the patients. Ultrasound tests may also be performed to get a peak on the conditions of the uterus and the fallopian tubes.

Because the fertilized egg just cannot survive anywhere else in a woman’s body other than her uterus, the fertilized egg must be terminated and removed to avoid serious complications in the pregnant patient.Medication and surgery, both are used as per the requirement of the patient for removing the egg from the pregnant woman’s body.

In the case of medication (if the pregnancy has not progressed very far), doctors provide injections of methotrexate for the patient to stop the tissue from growing any further and allows the body to absorb it gradually.In case of surgery, laparotomy is performed on the patient. Whereby the patient’s ectopic pregnancy or sometimes the fallopian tube is removed laparoscopically.

Though it’s hard, but women have good chances of getting pregnant again even after having an ectopic pregnancy.

Treatable by medical professional Require medical diagnosis Lab test required Short-term: resolves within days to weeks
Symptoms
Light vaginal bleeding. Vomiting with pain and constant nausea. Very sharp and painful abdominal cramps. Pain on one side of the abdomen. Weakness and dizziness. Pain in places like the rectum, shoulders and neck.

Popular Health Tips

Ectopic Pregnancy - Why It Can Be Dangerous?

DGO, MBBS
Gynaecologist, Chennai
Ectopic Pregnancy - Why It Can Be Dangerous?

Many women have concerns about an ectopic pregnancy and we shall be solving all doubts about this dangerous condition right here today. An ectopic pregnancy happens when a fertilised egg implants outside the uterus in a woman’s body. Ectopic, in fact, means ‘out of place’. The fertilised egg usually implants in the fallopian tubes whose actual work is to transport the ovum or egg from the ovaries to the uterus for fertilisation. This is why such pregnancies are also called ‘tubal pregnancies’. Sometimes the fertilised egg can also implant in the cervix or the ovaries of the hapless woman.

Normally pregnancies happen when a fertilised egg attaches itself to the uterine wall to grow and develop. Ectopic pregnancies are a serious condition and can cause internal bleeding and infection and even death of the expecting mother. That’s why knowing the symptoms is so important.

Common symptoms of ectopic pregnancy appear as the pregnancy matures. Initially the woman will have all the usual pregnancy-related symptoms like missing her period and breast tenderness, but soon the other alarming symptoms will start appearing like severe abdominal pain on one side, vaginal bleeding, severe cramps and nausea and vomiting, fainting spells and dizziness.

One should seek a doctor’s advice right away in this condition because ectopic pregnancy can be fatal. Why? Because as the fertilised egg is implanted in a part of a woman’s body which is not built to look after it, the embryo can burst in the fallopian tubes, cervix or wherever it has managed to implant itself. This mini-explosion inside the body is a leading cause of pregnancy-related deaths during the first trimester. This can lead to internal bleeding and infection, which is lethal.

Hence, the earlier an ectopic pregnancy is diagnosed and treated, the better. The only way to deal with an ectopic pregnancy is to abort it. The doctor can do this using either medicines or surgery.
The medicine ‘methotrexate’ can be used to end a tubal pregnancy. Surgery can also be used to remove the embryo.

In some cases, doctors may have to remove the fallopian tube with the implanted embryo. This has a number of repercussions. The woman can become infertile. Even if the fallopian tubes have been scarred during surgery, it becomes difficult for her to get pregnant again.

Ectopic pregnancies are also getting quite common due to a number of factors like an increase in sexually transmitted diseases which cause scarring of tubes and infertility treatments. If a woman is over 30 years of age, has a history of a pelvic inflammatory disease, a surgery in the pelvic area or has had an ectopic pregnancy before, she should be very careful indeed. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2459 people found this helpful

Ectopic Pregnancy - What are the Risks Involved?

MRCOG, MD - Obstetrics & Gynaecology, MBBS
Gynaecologist, Mumbai
Ectopic Pregnancy - What are the Risks Involved?

During a normal pregnancy, a fertilised egg travels through the fallopian tube to the uterus. The egg attaches itself in the uterus and begins to develop. In an ectopic pregnancy, the egg attaches outside the uterus, most often in fallopian tube. This is the reason why it is also called a tubal pregnancy. In rare cases, the egg may implant itself in an ovary or the cervix.

There is no way to prevent an ectopic pregnancy. Also, it cannot be transformed into a normal pregnancy. If the egg continues developing in the fallopian tube, it can rupture the tube; the result of this could be fatal. If you have an ectopic pregnancy, you will require immediate treatment to end it before it causes any risks.

Risks involved: Things that make you more prone to an ectopic pregnancy are:

  • The more you smoke, the higher your danger of an ectopic pregnancy.
  • Pelvic incendiary malady (PID). This is the after effect of contamination, for example, chlamydia or gonorrhea.
  • Endometriosis, which can bring about scar tissue in or around the fallopian tubes.
  • Exposure to a chemical called DES before you conceived.

Symptoms: The signs of an ectopic pregnancy are:

  • Pelvic pain. It might be sharp on one side at first before spreading through your belly. It might be more painful when you move or strain
  • Vaginal bleeding

Diagnosis: To see whether you have an ectopic pregnancy, your specialist will probably take:

  • A pelvic exam to check the span of your uterus and feel for any kind of growth in your tummy.
  • A blood test that checks the level of the pregnancy hormone (hCG). This test is repeated 2 days after the fact. In early pregnancy, the level of this hormone duplicates itself every two days. Low levels recommend an issue, for example, ectopic pregnancy.
  • An ultrasound. This test can demonstrate pictures of what is inside. With ultrasound, a specialist can more often than not see a pregnancy in the uterus 6 weeks after your last menstrual period.

Treatment: The most widely recognised treatments are medicines and surgery. As a rule, a specialist will treat an ectopic pregnancy immediately to prevent harm to the lady.
Prescription can be utilised if the pregnancy is discovered right on time, before the tube is harmed. Much of the time, one or more shots of methotrexate will end the pregnancy. Taking the shot gives you a chance to keep away from surgery; however, it can bring about reactions. You should see your specialist for follow-up blood tests to ensure that the shot worked.

For a pregnancy that has gone past the initial couple of weeks, surgery is a better option than medication. In this event, the surgery will be a laparoscopy. If you wish to discuss about any specific problem, you can consult a gynaecologist.

3870 people found this helpful

6 Pregnancy Complications To Watch Out For!

MBBS, MD
Gynaecologist, Delhi
6 Pregnancy Complications To Watch Out For!

Pregnancy is considered to be one of the most challenging and important phases in the life of a woman.

Pregnancy Complications are health problems that occur during pregnancy. They can involve the mother’s health, the baby’s health, or both. Some women have health problems before they become pregnant that could lead to complications. Other problems arise during the pregnancy. Keep in mind that whether a complication is common or rare, there are ways to manage problems that come up during pregnancy.

Some complications that might occur during pregnancy are discussed below:

  1. Severe Nausea and Vomiting: It is common for nausea and vomiting to occur during a pregnancy. In order to avoid this condition, one should consume several small meals throughout the day and completely avoid spicy and fatty foods.
  2. A persistent abdominal pain, severe headache, swelling and visual disturbances during the third trimester: This can be a fatal condition and often is a sign of high blood preeclampsia (pregnancy complication involving high blood pressure as well as damage to another organ system). It can be diagnosed early using good prenatal care which essentially comprises of frequent check-ups with the doctor and all the necessary treatment during pregnancy.
  3. Flu Symptoms: It is recommended that flu vaccine should be administered to pregnant women as they usually tend to develop the disease during their pregnancy.
  4. Gestational Diabetes: Gestational diabetes can increase the chance of a larger baby at birth and create delivery complications, increase your risk for high blood pressure and cause the baby to have blood sugar problems after birth. If you are diagnosed, it’s important to consult your gynecologist to control your blood sugar level, which can often be done through diet and exercise.
  5. Baby’s activity level significantly declines: Sometimes, the activity of a previously active baby might decline. This can be felt by reducing the number of the kicks by the baby. The doctor has specific equipment that aids in identifying and resolving the problem.
  6. Bleeding: Heavy bleeding accompanied by abdominal pain and menstrual-type cramps during the first trimester might indicate an ectopic pregnancy (embryo is implanted outside one’s uterus) or a miscarriage while occurrence in the third semester indicates placental abruption (characterized by the placenta separating from the womb’s walls). Any form of bleeding warrants the immediate attention of the doctor. Steps to avoid bleeding include bed rest, avoiding heavy work, and keeping yourself hydrated.

A Healthy Pregnancy-

The best way to ensure a healthy pregnancy is to focus on the things you can control and don’t obsess about what could happen. Take good care of yourself and your developing baby and talk with a healthcare provider when you have concerns.

3983 people found this helpful

Ectopic Pregnancy: Know The Causes and Its Treatments

M.Sc, MD, MBBS
IVF Specialist, Delhi
Ectopic Pregnancy: Know The Causes and Its Treatments

In a normal pregnancy, the egg that the ovaries release enters the fallopian tube. If a sperm fertilises it, the fertilised egg attaches itself inside the uterus. However, sometimes the fertilised egg can attach itself outside the uterus. This condition is called ectopic pregnancy.

Ectopic pregnancy can be detected in the first few weeks of the pregnancy itself. If your doctor does discover ectopic pregnancy, you would need immediate medical attention. Ectopic pregnancies can be sad and scary. Fortunately, one ectopic pregnancy doesn't mean you can never conceive again. Many women who lost their first baby to ectopic pregnancy have been able to have a healthy and normal pregnancy the second time around.

The causes of ectopic pregnancy include:

  1. An inflammation or infection of the fallopian tube can lead it to become entirely or partially blocked.
  2. Scar tissue from a surgery or an infection of the fallopian tube may also hinder the movement of the fertilised egg.
  3. Surgery in the tubes or pelvic areas in the past might cause adhesions.
  4. Birth defects or abnormal growths can cause anomalies in the shape of the tube.

These causes are usually followed by certain risk factors, such as:

  • Age (The age group of 35-44 especially)
  • An ectopic pregnancy in the past
  • Previous abdominal or pelvic surgery
  • Pelvic inflammatory disease
  • Several prompted abortions
  • Conceiving with an intrauterine device in place
  • Smoking
  • Endometriosis (growth of uterus lining tissues outside the uterus).
  • Fertility treatments.

The signs and symptoms of ectopic pregnancy include:

  1. Minimal vaginal bleeding
  2. Vomiting and nausea with pain
  3. Pain in the lower abdomen
  4. Sharp cramps in the abdomen
  5. Localised pain (Pain concentrated on one side of your body)
  6. Pain in your neck, rectum or shoulder
  7. Rupture of the fallopian tubes can cause fainting due to the bleeding and pain

The treatment of ectopic pregnancy can be any one of the following:

  1. If the pregnancy has not progressed too far, methotrexate will be administered. This absorbs the pregnancy tissue and can save the fallopian tubes.
  2. The tubes may be removed if they have ruptured or stretched, and have started bleeding.
  3. Laparoscopic surgery (operations performed by making minor incisions) may be performed to remove or repair the tubes and recover the ectopic pregnancy. If you wish to discuss about any specific problem, you can consult an IVF Specialist.
2000 people found this helpful

Intercourse and Vaginal Bleeding - When is it Serious?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Intercourse and Vaginal Bleeding - When is it Serious?

One of the common complaints associated with sexual intercourse, is vaginal bleeding. This bleeding can occur during the course of intimacy or after it. Post intercourse bleeding is also termed as post-coitus bleeding. This is known as post costal bleeding. Doctor should be consulted immediately as it may be a sign of hidden cervical cancer.

Reasons behind vaginal bleeding
1. In most cases, the bleeding is risk free. It could be due to extreme friction, causing damage to superficial blood vessels in the cervix. It is important to use adequate lubrication; otherwise the consequences could be annoyingly painful.
2. If your period dates are nearby, the source of the blood could be from your uterus.
3. Benign growths, cysts, polyps on the cervix can cause bleeding. They are small fragile growths that rupture easily.
4. There can also be bleeding due to inflammations that occur as a reaction to a condom or a diaphragm.

When can vaginal bleeding be difficult?

  1. Vaginal bleeding after sex can often be a warning sign of ectopic pregnancy. Ectopic pregnancy is when implantation of an embryo takes place outside the uterus, commonly inside the fallopian tubes.
  2. Bleeding every time after intercourse is also a common symptom of endometriosis. It occurs when the inner lining of the uterus, called the endometrial tissue, appears outside it. Endometrial tissue can attach itself to other surrounding organs in the pelvic region, generally, the abdomen, causing searing pain. It is also a major cause of infertility.
  3. Another cause of vaginal bleeding is atrophic vaginitis, a health condition mostly affecting older women, especially those who have reached menopausal age. This is due to the massive decline in the levels of estrogen that causes vaginal dryness and irritation.
  4. Sexually transmitted diseases could be a serious cause of vaginal bleeding. It is generally accompanied by several other symptoms such as vaginal odour, discharge, pelvic pain, inflammations. It should receive immediate medical attention.
  5. Vaginal bleeding could be a sign of cancer. It could be vaginal, ovarian, uterine or cervical cancer. It requires medical attention without any delay.

Most of the time, the reasons for post coitus bleeding is harmless. However, if it persists, you must pay a visit to your gynaecologist as soon as possible and get a thorough evaluation done. This could save the condition from worsening and also diagnose any other underlying medical condition at an early, curable stage. 

2347 people found this helpful

Popular Questions & Answers

Hi, My wife is diagnosed carting ectopic pregnancy. Her doctor is administering her folitrax. Also she is giving her Biopreg f. Is Biopreg f advisable when we want to clear ectopic pregnancy through injection.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Biopreg-f is actually not required daily but folinic acid ripple,emtation in form of folate would be required along with methotrexate which is an anti-folate.

I had an ectopic pregnancy in left tube due to which, my left tube was removed as well cysts from both ovaries were also removed during surgery. However, my right tube is healthy. What are the chances of getting healthy pregnancy again, and when should I prepare myself for next. Also, I have been taking met pco care for pcod problem and folic acids. How early can I expect?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Ghaziabad
Hello lybrate-user, your chances of conceiving are best within the 1st 3 mths after surgery. Hope other causes for infertility are ruled out such as husbands semen analysis and pelvic tuberculosis.
2 people found this helpful

Ectopic pregnancy, pain in lower abdominal region. Can be treated with medicines or require any surgery. Effect on fallopian tube.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Warangal
If the sac is 4 cm size, haemodynamic stable, beta hcg less than 4000 medical treatment can help. If it's already ruptured laparotomy with resuscitation should be done.
1 person found this helpful

I hv ectopic pregnancy last year n my both tubes are normal. Last month I did 3 sitrodin injection 150 mu. My eag was not matured enough. This month after 13 days no period n feeling sick n weakness. N left back pain. Pregnancy test was negative. Pls suggest me.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Dear Lybrate user, Get Ultrasound of lower abdomen done (preferably transvaginal ultrasound). There are chances of repeat ectopic.

Table of Content

What is Ectopic Pregnancy?

The other reasons that can cause ectopic pregnancy are:

Diganosis and Medication :

Play video
Pregnancy
Here are some tips for healthy pregnancy.
Play video
Pregnancy Care
Hello viewers, I am Dr Purnima Jain. I am practising Obstetrics and Gynaecology from last 17 years. In this video, I am going to talk about Pregnancy Care and the different investigations required during pregnancy.

Pregnancy is the most happiest period of a women's life but at the same time, women goes through various emotional conflicts during this epriod. So, she is happy about her pregnancy but at the same time, she is worried about the various ailments which affect during pregnancy. Also, she is scared about various investigations and scans which are being done repeatedly. So, she should be explained and informed and explained about various things which are required during pregnancy.

I am tyelling you the things which are commonly practised by all the gynaecologist. There may be different view of different doctors but the goal of all is same, that is, to have a healthy abby and a healthy mother at the end of pregnancy. And to achieve this, I think that the patient should be well informed because a well informed patient will enjoy her pregnancy and after the period is over, she will have a better outcome.

How to calculate the expected date of delivery?

The first question which patient asks is when will be the delivery date. So, we should know that how to calculate the expected date of delivery. Usually the duration of pregnancy is about 40 weeks or 280 days and it is calculated from the last day of periods. It is a simple method of calculation is, from last menstrual period + 9 months + 1 week gives the expected date of delivery. Suppose your Last month od periods was 10th.oct, 2016 then the expected date of delivery will be 17th.july, 2017.

Secondly, we divide pregnancy into 3 trimesters.

1st Trimester is from 1- 12 weeks.

2nd Trimester is from 12-28 weeks.

3rd Trimester is from 29-40 weeks.

The division of these three trimesters is necessary because problems during different period are different and care during different period are different.

In 1st Trimester, as soon as you diagnose your pregnancy, one should visit a gynaecologist and get registered with the gynaecologist because at this time, we need to get certain investigations done and patients usually have some problems like vomiting and most frequent problem during 1st trimester is problem of abortion. The routine investigation which are done during 1st trimester are Haemoglobin, serum TSH level, blood group, HIV, Hepatitis B surface antigens, BDRL, blood sugar levels, routine urine test, microscopic examination, IGM levels and if required HPMC level.

Ultrasound scan is usually done on 6th week for the confirmation of pregnancy, viability and in the later time for dating of pregnancy.

2nd trimester is usually healthier period. Patient usually suffer least problems. But during the 2nd trimester, at 16th week, we give first tetanus toxoid injections. And on 18th week, we do anomaly scan and triple or quad test. On 20th week, 2nd dose of tetanus toxoid is given. On 24th week, we do blood sugar test fastinga nd after meals. On 22nd week, if required a Fetal echo is done. If required means, if there is a malformation history of previous child or if the mother is suffering from hypertension, heart failure etc. Duering 2ns trimester, irona nd calcium supplementations are usually started and diet counselling is done.

During 3rd trimester, on 28th week, a color doppler test is done to see fetal growth and well being. On 32nd week, routine check up is done. And on 36th week, a repeat ultrasound for fetal representation is done.

After 36th week, a patient should visit gynaecologist every week to avoid complications.

For further information, please contact me through Lybrate.
Play video
How to Prevent Pregnancy
Dr. Jyoti Bhaskar, Sr. Consultant obstetrics and gynaecology and an infertility specialist.
Recently I have seen very special and different trend of young girls asking about contraception and how to prevent pregnancy, so i would like to address this issue today.
It s extremely important for all young girls to be aware that they need to protect themselves whether married or unmarried. It s extremely important for them to know about contraception.

The contraception that is available for them is the use of condoms for which they need to depend upon the male partner and of which the success rate is very low. If 100 people are using condoms, the failure rate is as high as 25%. If they need to protect themselves full proof, they need to take oral contraceptive pills. There are lots of myth associated with these pills but I would say that it has more than 99% protection rate and if you need to protect your health, you need to take these pills, they are safe. Go to a gynaecologist, get yourself fully examined and then take these pills.

Another thing I would like to tell you that in case you do have an un-protective intercourse, please take emergency contraceptive pills. It s better to take this pill than to come for a medical abortion once you are pregnant. These pills are freely available at a pharmacist. You need to take them within 72 hours of unprotected intercourse and if taken well and properly, the success rate is as high as 95%.

We also need to know that what is the fertile period i.e. when you need to really protect. The ovulation takes place about 14 days after your period starts i.e. to say from the 10th to the 20th day of your period, you are very likely to get pregnant if you do not use any protection. Many young girls do ask me that when can they know that they are pregnant. We have these urinary kits, which are available at the pharmacies, they are very sensitive and they can detect pregnancies as early as the day you have missed the periods and sometimes even 2 or 3 days earlier. If you are in doubt, do the urine pregnancy test and then go to your gynaecologist if your pregnancy test is positive in case you do not want to keep this pregnancy. Please do not go directly to the pharmacist to get the medications to go in for the abortion, you need to go to a gynaecologist, get an ultrasound done, confirm where the pregnancy is, how big your pregnancy is and only on the advice of the gynaecologist, take medications. Self-medication lead to lot of problems, you can land up in emergencies and in hospitals.

If you have any queries, if you need any information, you can please consult me online on Lybrate.
Play video
Pregnancy and Immunology
I am Dr Mohan Raut. I am practising Gynaecology from last 27 years and partner of ICPRM, India's first Immunotherapy centre for patients of treatments with repeated miscarriages or IVF failure or Implantation failure.

Today I am going to talk on an interesting topic, Pregnancy as Nature's miracle and how Immunology plays an important role in pregnancy maintenance?

Our body has a defence mechanism for Immunology system which protects us from various diseases. So anything which is foreign to our body is not acceptable to our body and our body builds up and immunological response against that. This is how the bacteria viruses which are prone to enter our body are prevented by our immunological system. Even in case of transplant is done, suppose kidney transplant, our body will not accept any kidney. It has to be matched with our body, tissue match is important. In a transplant, the kidney is donated by blood relation which can be easily acceptable.

Now in pregnancy lets see what happens. In pregnancy, 50% is from the mother and 50% is from the father. Now the part which comes from father's body is a foreigner to mother's body. So practically, there should be a rejection of pregnancy, but it doesn't happen. Because normally, there are immunological mechanisms within mother's body which protect the pregnancy in the uterus. Now in some unfortunate women, these mechanisms don't react normally or they are abnormal and because of which mother's immunological system considers the pregnancy as foreign and builds up an immunological response against the pregnancy. This stops the growth of pregnancy and leads to miscarriage. Now depending upon on what stage this response becomes maximum, we can get maximum presentations;

Like when the response is late, then there will be a pregnancy, then the growth will stop and leads to miscarriage.
If it an early stage possible, then there will be only a pregnancy test positive. Nothing will be seen in sonography and there will be a biochemical pregnancy.
Or if happens very early, before missing the periods, then it leads to implantation failure and infertility.
So this is called as Alloimmune problem, responsible for miscarriages. This problem can be diagnosed with certain tests and can be treated with the treatment called immunotherapy.

In my next video, I will tell that how we can diagnose various immunological problems and other causes of repeated miscarriages.

For more information, you can contact me on www.lybrate.com.

Thank you.
Play video
The Journey To Pregnancy
Hi friends,

I am Dr Sheetal Sachdeva I am a practicing gynecologist in Delhi, Pitampura.

Today I welcome you all to the journey of pregnancy, I am sure one of the happiest moment in the lady's life is when your urine pregnancy test returns positive. There are so many questions which run through your mind, when should I visit to doctor, what all medicines I should be eat in, what all foods to avoid, what all activities to pursue or not pursue. Today I would like to clarify few doubts of yours, let me start you from the time, let's begin from that time actually when you start thinking about starting a family. Once that thought croses your mind you should start your folic acid, should get some basic investigations done with your doctor, avoid the x-rays, eat write, whenever you fall sick tell your attending doctor that you are thinking about starting a family, so the appropriate medicnes are written or avoided. Once you have urine pregnancy positive in front of you then visit your doctor she will advise you folic acid, Folic acid is a vitamin which is supposed to prevent the birth defects in the coming pregnancy. It's good for your baby, it's good for the development of the brain of the baby, after that a few investigation would be done, the your doctor would be giving you some medication for excessive nausea or vomiting, if required. The ultrasound would be done at the appropriate time, we counted the weeks and we count from the first day of your last menstrual period. We know you are never conceive on that day but to standardized the issues, we count weeks from the first day of your last menstrual period. In the first trimester in the fall of visits your doctor would be helping you out with the weight gain as far as the weight gain is concerned there is an average of 1 kg weight gain in the first 3 months. So you don't have to eat too much, eat what you find is appropriate, is present to you avoid outside food, don't eat raw food there is no specified fruit which should be avoided from our side. Coming to the second trimester, the 4th 5th and 6th month of pregnancy you will start feeling the baby's movement. Usually by the end of the fifth month you are able to do so, it's little earlier in the patients you know who have conceived second or the third time, in the first pregnancy you might take a while realizing that these are the baby movements. Your doctor would be advising you appropriate immunizations that would be against tetanus, T-dap and influenza vaccines, Iron and Calcium supplements would be started again as far as the weight gain is concerned there will be an average of 5 kg of weight gain in the middle three months of pregnancy. So eat what is right for you take lot of protein, avoid fats, take appropriate carbohydrates. In the third trimester, that is the 7th 8th and 9th month pregnancy you will start feeling the movements on the better side, so you have to start counting your movements as well, you are the best judge when the movements are lighter or stronger on that day, in case there is any doubt consult your gynaecologist. On an average it's always better to lie on your left or the right side 1 hour after you take your food as an breakfast, lunch and dinner and then perceive your movements, babies are more active after you had your food. You will be continuing with the Iron, calcium supplements or any other medications if required. There is an again an average weight gain of 5 kgs in the third trimester. Now regarding a few issues which sleeping posture to be avoided or promoted you can lie on whichever side you want left or right, in the first three months you can even lie on your tummy, but after that you won't be comfortable doing that. Second, as far as what are the foods to be avoided or eaten? Whatever is palatable to you, take high, good protein, take well cooked home cooked food, avoid food from outside because of the hygiene issues, which activities to pursue you can do basic yoga, you can do basic walk, its always good for you. Pregnancy is not a disease and you should be as active as possible unless and until your doctor advises against it.

I am sure and hopeful that I have cleared that some of your doubts have been cleared and I will happy to help you, I am doctor Sheetal Sachdeva, I will be available at my clinic in Pitampura, Delhi or you can consult me on Lybrate, Lybrate as well.

All the best for your journey.
Having issues? Consult a doctor for medical advice