Pregnancy is a special period that every woman waits with bated breath. While the happiness and excitement are there, the health of the mother and baby are extremely important as well. Incidences of complications during pregnancy and childbirth are not new. Many pregnant women suffer from preeclampsia (high blood pressure often associated with the presence of proteins in the urine), and gestational diabetes, which, left attended can be risky for both the mother and the baby. Lack of awareness and proper guidance are often found to be the main contributors, affecting the maternal and fetal health during pregnancy. The NICE (National Institute for Health and Care Excellence) suggests that complications or not, all women should be under medical guidance and assessment during pregnancy.
Antenatal Care and Assessment has been a revelation ensuring that a woman enjoys a safe and healthy pregnancy sans any complications. There are regular health check-ups, diagnostic and screening tests and prenatal counseling for the pregnant women and their families. The initiatives have been truly noteworthy, bringing about a significant reduction in the incidences of miscarriages and other pregnancy-related complications.
What does Antenatal Care and Assessment include?
Each trimester brings about changes that need care and attention. The Antenatal Care involves assessing and guiding a pregnant woman and their loved ones as the pregnancy progresses through each trimester.
Many women have benefitted immensely from the antenatal care and assessment programs, safeguarding the mother and the baby from various health problems. In fact, efforts are being made to aware and educate the rural India about the immense health benefits associated with the antenatal care.
Garbhasanskar is a very unique concept of ayurveda since it promotes complete well being of the foetus and the mother. It focuses on physical, mental & spiritual health of the baby and the pregnant mother.
What does it include?
1) complete regime for pregnant mother as to what she should eat, how her routine must be and what she should do for healthy pregnancy.
2) importance of mental & spiritual well being.
3) monthly medicines for healthy growth of the baby. The medicines are given as per the development of the organs and systems in the baby. It is called masanumasik (monthly regime of medicines)
Antenatal exercises are specifically designed to prepare the body for parturition/birth. Fitness for the expectant mother includes a combination of breathing techniques, prenatal yoga or stretches, and exercises that strengthen core muscles (especially the back and pelvic floor), boost stamina and enhance energy levels.
The specially patterned breathing helps in aiding relaxation, relieving stress, and coping through contractions and labour.
Benefits of exercises in pregnancy:
1) improves blood flow - the increased oxygen is passed on to your baby
2) releases'happy hormones' which make you feel good
3) prepares your body for late pregnancy when you will carry that extra weight
Tips and cautions:-
There are three stages of caring for an expecting mother: prenatal, intranatal, postnatal care. This is essential to ensure smooth pregnancy and labour and to keep the mother healthy after giving birth. This care is a combined effort between the doctor and the expectant couple. Here are a few things to keep in mind if you are expecting an addition to your family.
Prenatal care from the moment you realize that you are pregnant, a woman must start taking extra care of her body. This reduces the risks in your pregnancy and at the time of labour. But even before planning a pregnancy, it is important that couples should consult with the doctor, in order to avoid any complications in future. Thus you should ensure that regular check up not just during the pregnancy, but also before the pregnancy is equally important, so that your doctor can rule out complications arising due to factors, such as Thalassemia, Thyroid, Blood Sugar and PCOS, etc.
The main objectives of prenatal care are:
Thus, an important part of prenatal care is to visit your gynaecologist regularly. These visits will be scheduled according to your age and stage of pregnancy. A few other points to keep in mind are:
Intranatal care refers to care given to the mother and baby at the time of delivery. The main objectives here are:
There are a number of ways to deliver a baby and whatever you choose, you must ensure the presence of a doctor at your side, while delivering a baby. Your doctor will determine the position of the fetus and help you through your delivery.
Postnatal care is essential for 6-8 weeks after the baby is born. During this period, the mother goes through a number of physical and emotional changes and thus requires rest, nutrition and vaginal care. The main objectives here are:
Sharing responsibility is essential for the health of the mother, after delivery. Get as much sleep as possible and pay attention to what you eat. Do not try and lose your pregnancy weight instantly. Schedule a checkup with your doctor six weeks after delivery to ensure your vagina has healed properly. Additionally abstain from intercourse at this time. With proper care, every stage of your pregnancy can be a beautiful experience. In case you have a concern or query you can always consult an expert & get answers to your questions!
HIV testing in pregnancy should be done early so as standard care can be taken for the pregnant women. The HIV testing must be repeated in the third trimester, usually before 36 weeks of gestation. This should be done in women with HIV seronegative and also in pregnant women who are at a high risk of developing HIV infection.
Expedited HIV tests should be performed at the time of delivery and labor and this is a must in women who have not been documented for HIV. The results of the test should be available within an hour of the test and the testing should be available 24 hours. In case the results are positive then, infant postnatal antiretroviral and intrapartum drug prophylaxis should be started immediately.
Women who have not been able to get tested for HIV at the time of labor and delivery are suggested expedited screening for HIV. Their screening can be done immediately postpartum or their babies should undergo screening. In case the infant and mother, both are positive, then infant antiretroviral drug prophylaxis should be started immediately. These mothers should avoid breastfeeding their babies, until the supplemental HIV tests are negative. In infants with positive HIV, prophylaxis should be discontinued and antiretroviral drug therapy should be started.
In case of acute HIV infection during pregnancy, that is in the intrapartum period, or during breastfeeding, initial testing can be performed with an antigen/antibody combination immunoassay. If the supplemental test is negative, then an additional test which is the virologic test (DNA, RNA) are necessary for the diagnosis of the HIV infection. If the mother is HIV positive, then this information must be documented in the infant's medical record and also communicated to the infant's care provider.
The knowledge of an antenatal maternal HIV infection allows the:
MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
She is one of the most trusted infertility specialist and gynaecologist in Bangalore. She has more than 6 years of experience. She is associated with some of the best clinics like Apollo cradle and Phoenix Speciality Clinic. Not only is she known for her treatments, but also has published many research papers and chapters in book.
Consultation fees: ₹400 - ₹500
2. Dr. Prathiba Govindaiah
MBBS, DNB - Obstetrics and Gynecology, Fellowship In Reproductive Medicine
Dr. Prathiba Govindaiah a trusted Gynaecologist with over 13 years of experience. She is associated with Vriddhi Fertility and Women's Clinic and Motherhood clinic. She has more than 1000 ovum pick up procedures, and 1000 embryo transfers to her credit, with a success rate of more than 55%. Her areas of special interest are PCOS, recurrent implantation failure, endometriosis, poor ovarian reserve, laparoscopy and hysteroscopy procedures.
Consultation fees: ₹500 - ₹700
Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Dr. Veena Vidyasagar is one of the most experienced gynaecologist from Bangalore with more than 40 years of experience. She specialises in treatments for surrogacy, caesarean sections, contraception and infertility, menstruation and menopause problems. She is affiliated to some of the best institutes and has done a special fellowship in Minimal Access Surgery which is one of its kind.
Consultation fees: ₹650
MBBS, DNB (Obstetrics and Gynecology), Fellowship in maternal and Fetal medicine
Dr. Anu Joseph, has more than 7 years of experience in field of Obstetrics-Gynaecology & Radiology. She has a special interest in the ﬁeld of Maternal Medicine Especially Obstetrics & Prenatal Diagnostics. She is known for her special skills of handling prenatal medicine & diagnostics ex. Obstetrics Ultrasounds, Gynaecological ultrasounds & High-risk pregnancies.
Consultation fees: ₹250 - ₹600
MBBS, MD - Obstetrics & Gynaecology, DABS, FCSEPI Mumbai
Dr. Padmini Prasad is a renowned Gynaecologist in Rajaji Nagar,and is currently practising at Ramamani Nursing Home. She has more than 4 decades of experience. She is also amongst one of the qualified sexologist in Karnataka and is known or her special skills of sexual and marriage counselor. She has been honored by the state government and various organisations and institutions for her special contribution in the field of education.
Consultation fees: ₹500
Dr. Triveni M.P. is an experienced Gynaecologist with 15 years of experience. She is associated with many hospitals and clinics like Blossom Multi Speciality Hospital, Women Care & Infertility Speciality Clinic. Some of the services provided by her are Infertility treatment, cervical cerclage, ultrasound scanning, antenatal care, c-section, post delivery care up, regular pregnancy check-up and tubectomy.
Consultation fees: ₹500
MBBS, MS - Obstetrics and Gynaecology, Certificate Programme in Laparoscopic
Dr. Mukta Nadig is a consultant Obstetrician & Gynaecologist and Infertility Specialist with more than 35 years of experience and is associated with some of the hospitals and clinics like like Isha Clinic, Columbia Asia, Cloudnine and St. Martha's Hospital along with international experience. She had also won Best Doctor Award from the Sultanate of Oman in 1997. Her areas of special interest are high risk pregnancies & safe vaginal deliveries.
Consultation fees: ₹500 - ₹600
Dr. Mamatha Devi is a trusted Gynaecologist in Koramangala, Bangalore, practising at Shradha Nursing Home. With more than 29 years of experience, she has earned immense respect among both the medical fraternity and her patients for her unmatched medical proficiency.
Consultation fees: ₹500
Dr. Shashi Agarwal has helped a number of patients and has treated many complicated cases in 26 years of experience as a Gynaecologist. She is a MBBS, DNB and an active member of Federation of Obstetric and Gynaecological Societies of India (FOGSI). She is also known for her latest treatments and up to date knowledge by attending various seminars and skill courses.
Consultation fees: ₹300
10. Dr. Mangala Devi
MBBS, MS(OBG), Certified IVF Specialist
Dr. Mangala Devi has completed her MBBS and MS(OBG) and is a certified IVF specialist with over 20 years of experience. She sits at multiple clinics like SMILE BABY IVF & K C Raju Multispeciality Hospital. Her areas of special interest are hysterectomy, in vitro fertilization, infertility treatment, intrauterine insemination, cesarean section.
Consultation fees: ₹250
Gynecologist are saviours but with so many of them are around it can be really confusing whom to consult. Here is list of top 10 gynaecologist in gurgaon ensure best treatment.
MBBS, MD - Obstetrtics & Gynaecology
Dr. Reena Kawatra is one of the most admired doctor amongst peers and patients because of her ethical practice. She has 30+ years of experience and is known for expertise in surrogacy treatment, MTP (Abortions), infertility, C- sec deliveries, contraceptive advice, Pre And Post delivery care, laparoscopy, Hpv Vaccination. She is also a member of the DMC. You can visit her at Aditi Family Clinic or Dr.Reena's MTP Centre.
Consultation fees: ₹500
MBBS, MD - Obstetrics & Gynaecology, Fellowship In Minimal Access Surgery
Dr. Beena Upadhyay, a qualified MD (Obstetrician & Gynecologist), with over two decades of experience is a well known name in Delhi- NCR. She has previously worked with hospitals like Lok Nayak hospital, Batra Hospital in Delhi but now is associated with Vatsala Clinic & Vedanta Child Clinic, Gurgaon. Her areas of special interest are high-risk pregnancies. She has delivered successfully on many complicated labors & gynaecological cases. Academically also she has written many papers and contributed in books.
Consultation fees: ₹700
MICOG, MS - Obstetrics and Gynaecology, MBBS
Dr. Nupur Gupta is amongst the top gynecologist in Gurgaon with 19 years of experience. She is currently associated with Well Woman Clinic in Golf Course Extension, and Paras Hospital, Gurgaon. Infertility related problems, pediatric & adolescent Gynecology and gynecologic oncology are some of the areas which are her specialization. Other than this Dr. Gupta is also known for her special skills on conducting antenatal classes and in particularly about Child Birth. Recipient of honorary award and a gold medal, she is also member of ICMA & AOGD
Consultation fees: ₹700 - 750
MBBS, D.G.O, MRCOG, Fellowship in Minimal Access Surgery
Dr. Vasal is amongst the top gynaecologist in Gurgaon because of her academic credentials and her experience of more than 12 years. She is MBBS, DGO, an alumni of Royal College of Obstetrics and Gynaecology, London where she earned her fellowship in 2014, MRCOG along with another fellowship in Minimal Access (keyhole) Surgery. Currently, she is working with W Pratiksha Hospital, Gurgaon. Her areas of special interest are- Surrogacy Management, C- sec and normal deliveries, Contraceptive advice, treatment of female sexual problems and menopause related issues.
Consultation fees: ₹1000
MBBS, DNB - Obstetrics & Gynecology, FICMCH, Diploma in advanced endoscopic gynae surgery, Training in advance laparoscopy and hysteroscopy
Dr. Smita Vats is known for holistic approach and has an experience of close to 20 years. She specialises in gynae endoscopic surgeries & management of all types of high risk pregnancies, she is also interested in adolescent and menopausal issues and treatments of infertility.
She has worked in best hospitals in Delhi/NCR previously and is currently practicing at her own clinic- The Gynae Point.
Consultation fees: ₹600
MD - Obstetrtics & Gynaecology, MBBS
Dr. Megha Tuli Gupta has become a reputed name in the circle of gynecologists in Gurgaon, in a very less time because of her compassionate approach towards her patients.You can visit her at Megha’s Gynaecare, Gurgaon. She has a solution to all problems like surrogacy, gynae problems, menstrual problems and PCOS/D.
Consultation fees: ₹300 - 500
FIMS, DGO, MBBS
Dr. Madan is known for her personal touch in her treatment. She has close to 15 years of experience and is a well established name amongst gynecologist in old Gurgaon. She is known for her surrogacy treatment, prenatal classes, handling complicated deliveries and other gynae related problems and infertility cases. She also has a special interest in laparoscopy and has conducted number of surgeries successfully.
Consultation fees: ₹300
MBBS, MD - Obstetrtics & Gynaecology, MRCOG(UK - London )
Dr. Ramandeep Kaur is a successful Gynaecologist and Obstetrician with 19 years of experience. She is currently working with Gyane Clinic, Gurgaon. She is trained and has also done a diploma in advanced Laparoscopic and hysteroscopic surgeries. Vaginal and Gynaecological cancer surgeries, urogynaecology, surgical management of infertility, endometriosis, adolescent and menopausal problems and high risk pregnancy are some areas of her special interest.
Consultation fees: ₹700
MD - Physician, DGO, Certified Course on Advanced Infertility
Dr. Shalini Yadav is practicing in old Gurgaon and has 16 years of experience. Amongst the many services provided at her center, she is known for her treatment of infertility, IVF & gynaecological endoscopy. She is a member of FOGSI & MCI.
Consultation fees: ₹400- 500
10. Dr. Suman Rao
MBBS, MS - Obstetrics & Gynaecology, DNB, Fellowship in Minimally Invasive Gynaecology and Endoscopy
With 14 years of experience Dr. Suman Rao is a reputed name in Gurgaon when it comes to gynecologist. Her areas of interest are- Laparoscopic Surgery, Ovariectomy, menstrual Disorders in Adolescent Girls, PCOS and infertility. She currently practices at Anahat Clinic and is also associated as a visiting faculty with some of the best hospitals like- Artemis Hospital, Paras Hospital, Fortis Hospital & Cloud Nine. She is also member of some of the most reputed organisations like AOGD, IMA, FOGSI.
Consultation fees: ₹600
Looking at Prince William holding his young one in his arms, leaving the hospital after the birth of his new born child was a pleasant sight. Men have a very important role in the process of pregnancy and child birth. It's challenging for fathers to be actively involved in pregnancy although no one doubts the fact that some of them become super dads while raising their kids.
Do get actively involved in labour and cord cutting also a father has a lot of role in successful breast feeding. It is best that you get more involved with your wife in the 9 months. The anticipation of a new one coming to your house should grip your imagination. Remember for many parents, it is the best time of their life's.