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Emergency Doctor Tips

Emergency Contraceptive Pill

Dr. Jyotsna Gupta 89% (1582 ratings)
DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Emergency Contraceptive Pill
Emergency Contraceptive Pill:

Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.

Emergency Contraceptive Pill? Commonly available in marked with the names of I-Pill, unwanted72 etc..
Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .

When to take ECP?
Emergency contraception offers women a last chance to prevent pregnancy after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.

Side effects of emergency contraception
Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.

Effects on Pregnancy
There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs

Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.

When to contact a doctor after taking the ECP?
If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.
How long effect of ECP last?
The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.

When to expect periods after taking ECP?
Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.

Does Weight Affect Emergency Contraception effectiveness?
Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.
2 people found this helpful

Emergency Contraceptive Pill (ECP)

Dr. Jyotsna Gupta 89% (1582 ratings)
DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
Emergency Contraceptive Pill (ECP)
Emergency Contraceptive Pill:

Prevention of unplanned pregnancies will go a long way in improving the reproductive health of women in India. A woman faced with the prospect of an unplanned and unwanted pregnancy can, in many cases, avoid the pregnancy by using Emergency Contraception. Emergency ‪contraceptives act as interceptive agents i.e. ovulation, fertilization or implantation` is prevented depending on the phase of menstrual cycle.
Remember, these pills are not intended as regular forms of contraception. If you are looking for a regular contraceptive, there are many options available to you. Ask your doctor to help you find one, which works best for you.

Emergency Contraceptive Pill?

Emergency contraceptive pill is a pill used by a woman after having an unprotected intercourse (sex), to prevent her from getting pregnant. It is sometimes called "the morning after pill," "the day after pill," or "morning after contraception or postcoital pill. the term ”morning after pill” is misleading; ECPs may be initiated sooner than the morning after—immediately after unprotected intercourse—or later—for at least 72 hours after unprotected intercourse. ECPs are considered 96-98% effective in preventing pregnancy.
The word “Emergency” is important to note. If you are sexually active or planning to be, don't use emergency contraception as your only protection against pregnancy. Also, emergency contraception does not protect against sexually transmitted infections, like HIV .

When to take ‪#‎ECP‬?

Emergency contraception offers women a last chance to prevent ‪‎pregnancy‬ after unprotected intercourse. If you are not using any other contraceptive methods and you have had intercourse. The condom broke down or came off during the act. If you have missed at-least 2 or 3 of your regular birth control pills, or if you were forced to have sex.

Side effects of emergency contraception:

Side effects include nausea and vomiting, abdominal pain, breast tenderness, headache, dizziness, and fatigue. These usually do not occur for more than a few days after treatment, and they generally resolve within 24 hours. There are not much evidence of long term side effects of these medicines but there are some studies or beliefs that these pills have long term effects on the women’s body like irregular menses, mastalgia and infertility.

Effects on Pregnancy:

There have been no conclusive studies of births to women who were already pregnant when they took ECPs or following failure of ECPs
Whether to consult a doctor before taking ECP?
Not really! However if you suffer from high blood pressure, diabetes, previous tubal pregnancy, it's a good idea to discuss it with your doctor when going for a health check.

When to contact a doctor after taking the ECP?

If you experience the following symptoms:
• Severe abdominal pain.
• Chest pain or shortness of breath.
• Severe headache.
• Eye problems like blurring of vision.
• Severe leg or arm pain.

How long effect of ECP last?

The use of ECP is only for 1-2 acts of unprotected sex and that too within 72 hours, if you happen to have sex after 72 hours you should be looking for alternative and regular form of contraception.

When to expect periods after taking ECP?

Your next period may come sooner or later than expected, however most women get their period within 7 days of expected date. Your period may also be heavier or lighter than normal. If you do not get your period within 21 days or if you think you could be pregnant, get a pregnancy test done.

Does Weight Affect Emergency Contraception effectiveness?

Yes,if you have a body mass index (BMI) that's higher than 25, it's less effective. If you have a body mass index (BMI) that's higher than 30, it may not work at all.

Dr. Jyotsna Gupta
#gynecologist #pregnancy #emergencycontraceptive #drjyotsnagupta #ECP #gynaecologist
13 people found this helpful

Misuse Of Emergency Contraceptive Pills

Dr. Shiwani Agarwal 92% (831 ratings)
DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Misuse Of Emergency Contraceptive Pills
Contraception is not only restricted to married couples in today's world. Most of the young couples refrain from seeking medical advice for contraception may be because of social concerns or simply because they feel hesitant and shy.

There are many contraceptive pills available over the counter which youngsters are tempted to buy and use as it seems to be the easy way out. Frequent and improper use of such emergency pills can lead to a lot of hormonal disturbances and the menstrual cycle goes topsy turvy. Then the dilemma starts. As it becomes difficult to interpret the cycle dates and erratic bleeding which happens is disturbing.

In my practice I have seen many young girls popping in pills randomly every now and then. Sometimes at weekly intervals as they are unable to manage the stress of their relationship getting disturbed. What youngsters should try and understand is there is nothing wrong in having pills for contraception but it should be done with proper guidance and the selection of the right pill for that particular individual is important which can be done easily by getting into consultation with a doctor. Need not necessarily be a gynecologist always.

Emergency pills are ok for once in a blue moon kind of use. But it should not become a habit.
4847 people found this helpful

Emergency Management Of Fracture For Children At Home!

Dr. Sameer Desai 87% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopaedics
Orthopedist, Pune
Emergency Management Of Fracture For Children At Home!

Bones make up the skeletal framework of the body. They are a type of connective tissues and are made up of calcium. Their main function is to provide support and to protect our internal organs. When a bone in our body breaks, it is said to be a fracture.

Fracture occurs when an external force is exerted on a part of the body making the bones break. This breakage can be caused by reasons ranging from traumatic to medical. Traumatic causes include accidents, falls, and injuries, whereas medical conditions include osteoporosis and cancer of different types.

There are various types of fractures that affect individuals. The main types are closed and compound fractures. In a closed fracture, the broken bone does not pierce through the skin. In a compound fracture, the bone is broken down into pieces, thereby resulting in internal bleeding and infection. However, the most common type of fracture in children is the greenstick fracture. It is defined as a small and slender crack affecting children because their bones are more flexible and soft compared to that of adults.

When it comes to fractures in children, parents are advised to follow certain first aid measures to ensure faster healing and repairing. 

  1. Immobilisation- The most important step in first aid for fracture is immobilizing the fractured portion. Do not move your child from his or her place unless there is a paramedic.
  2. Stop the bleeding- If the fracture has pierced the skin and has resulted in heavy bleeding, then you should put pressure on the wound with a sterile cloth. This should stop the bleeding.
  3. Put ice packs- If your child is in pain, put ice packs on the injured area. However, wrap the ice in cloth first and then put the pack on the wound to prevent swelling and to reduce pain.
  4. Provide support- If the fracture has taken place in the child's limb, provide support to him/her by placing a pillow under the leg. Try to comfort your child and do not panic in front of him/her.
  5. Use a splint- It is important to splint the injured area and know the basic steps involved in making a splint. For a splint, you can use a wooden scale or a folded magazine. Place the splints above and below the fractured area. Use gauze or tape to keep the splints in place. Do not put the tape or gauze directly over the fractured region. It is important to note that you do not move or realign the broken bone, causing further pain to your children.

After providing proper first aid care to your child, you should immediately call for an ambulance and take him or her to a doctor. Whatever you do, do not panic in front of your child and comfort him/her. In case you have a concern or query you can always consult an expert & get answers to your questions!

2560 people found this helpful

Warning Signs and Emergency Treatment of Cardiac Arrest

Dr. Pramod Kumar Sharma 93% (121 ratings)
MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic & Vascular Surgery, DNB (CTS)
Cardiologist, Noida
Warning Signs and Emergency Treatment of Cardiac Arrest

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.

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

2181 people found this helpful

Bariatric Surgery Has Emerged as New Form of Surgery for Diabetes

Dr. B N Shukla 85% (31 ratings)
Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Bariatric Surgery Has Emerged as New Form of Surgery for Diabetes

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?
Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?
Diabetes can be of three basic kinds;

  1. Type 1 diabetes in which the body produces no amount of insulin.
  2. Type 2 diabetes in which the body produces an insufficient amount of insulin
  3. Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

  1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.
  2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.
  3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post operative care he or she is likely to remain beyond the ambit of this metabolic disorder.
  4. It successfully takes care of ailments resulting from diabetes.
  5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take.
Type diabetes
3112 people found this helpful

Sudden Cardiac Arrest : Emergency Treatment For It!

Dr. Viveka Kumar 91% (112 ratings)
DM - Cardiology -, MD - General Medicine - , MBBS, FSCAI, MHRS, FACC, FESC , Fellowship in Interventional Cardiology & EP, Interventional Cardiology & EP and Devices, Senior Specialist( Interventional Cardiology), Fellow of southeast Asian Interventional Cardiology Society, International Award of Excellence in Cardiology
Cardiologist, Delhi
Sudden Cardiac Arrest : Emergency Treatment For It!

A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.

Help

Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person’s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.

CPR

After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient’s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person’s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person’s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person’s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3008 people found this helpful

Dental Emergency

Dr. Premendra Goyal 90% (821 ratings)
BDS
Dentist, Mumbai
Accidents happen, and knowing what to do when one occurs can mean the difference between saving and losing a tooth.
Here are some tips for common dental emergencies:

• For a knocked-out permanent or adult tooth, keep it moist at all times. If you can, try placing the tooth back in the socket without touching the root. If that’s not possible, place it in between your cheek and gums, in milk, or water. Then, get to your dentist’s clinic right away.

• For a cracked tooth, immediately rinse the mouth with warm water to clean the area. Put cold compresses on the face to keep any swelling down
.
• If you bite your tongue or lip, clean the area gently with water and apply a cold compress.

• For toothaches, rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth.

• For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.

When you have a dental emergency, it’s important to visit your dentist or an hospital as soon as possible.

Here are some simple precautions you can take to avoid accident and injury to the teeth:
• Wear a mouthguard when participating in sports or recreational activities.

• Avoid chewing ice, popcorn kernels, beetle nut ( supari ) and hard candy, all of which can crack a tooth.

• Use scissors, NEVER your teeth, to cut things.

Most dentists reserve time in their daily schedules for emergency patients. Call your dentist and provide as much detail as possible about your condition.
120 people found this helpful

Emergency contraception

Dr. Megha Tuli Gupta 92% (1763 ratings)
MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
Emergency contraception
Taking more than 1 ipill a month can impair the delicate hormonal balance and delay your periods. Constant and rampant use of ipill can cause severe hormonal imbalances which do not respond to regular treatment.

Emergency Contraception!

Dr. Gitanjali 97% (2659 ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Emergency Contraception!

Emergency contraception refers to method of contraception that can be used after sexual intercourse

Methods of emergency contraception are

  • 1insertion of cu-t within 5 days of sexual contact
  • 2 emergency contraceptive pills --tab levonorgesterol (i-pill, unwanted 72) to be taken within 72 hours but are more effective if taken within 24 hours
  • Tab ulipristal acetate 30 mg
  •  3.3-5 tablets of oral contraceptive pill.

Tab levonorgesterol 1.5 mg single dose is most commonly used emergency contraception. Here we will be discussing emergency contraceptive pill -levonorgesterol (ecp)
 
Ecp prevents pregnancy by delaying ovulation (egg release). It does not interrupt an existing pregnancy

 Ecp should be used in following conditions -

  • Unprotected intercourse
  • Concerned about regular contraceptive failure. Like condom tears or slips. Missed pill for regular 3 days etc
  • Incorrect use of contraceptive
  • Sexual assault

Ecp prevents 95% of pregnancy if taken within 72hours of unprotected intercourse

There are no medical contraindication to use of ecp but it should not be used regularly, after the use of ecp a regular contraceptive method should be resumed. Like oral contraceptive pill or iucd or injectable contraceptives

Side effects of ecp use are-

 If periods are delayed after intake of ecp urine pregnancy test should be done

Thus emergency contraceptive pill should not be considered an alternative to regular contraceptive method. Regular contraceptive method should be adopted and ecp should be used only in emergency.

4 people found this helpful
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