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Pregnancy Problems Health Feed

Gestational Trophoblastic Disease - How To Diagnose It?

Gestational Trophoblastic Disease - How To Diagnose It?

Gestational trophoblastic disease is a rare condition. It only happens when trophoblast cells abnormally grow inside the uterus. Also, this only happens after conception. These cells surround the egg which has been fertilized in the uterus. It is also worth note that the trophoblast cells usually connect the fertilized eggs to the uterus' walls and also form a part of the placenta. It is only when there is a tumor that this disease is diagnosed. There are many forms of gestational trophoblastic disease.

Here they are:

Types

1. Complete hydatidiform moles

2. Partial hydatidiform moles

3. Invasive moles

4. Choriocarcinomas

5. Placental-site trophoblastic tumors (PSTT)

6. Epithelioid trophoblastic tumors (ETT)

It is worth note that most of these diseases have different stages. The stage of how far cancer has developed can be found out using the following techniques.

Testing for GTDs -

1. Beta-HCG (βHCG)

HCG is normally found only in the blood or urine of pregnant women, finding HCG in urine is the basis of most pregnancy tests. Abnormal trophoblast releases more HCG than a normal placenta, so finding higher than expected HCG levels in the blood can be a sign that trophoblastic disease is present.

2.Chest X-ray

This is simply an X-ray of the chest.

3.MRI

An MRI is an abbreviation of magnetic resonance imaging. It makes use of a form of magnet which transfers radio waves to a computer to find out what is going on within your body.

4. CT scan

This is similar to an X-ray except that more detailed and larger pictures inside the body can be taken and the scan has a slightly different procedure. There are several ways to treat it depending on how far cancer has spread into the body. Here they are:

Treatment

1. Surgery

Surgery is usually done while the mole is still non-cancerous. The chances of the mole becoming cancerous are increased by pregnancy. Therefore, it is crucial that you do not become pregnant until the surgery is complete.

2. Chemotherapy

GTDs are effectively treated with chemotherapy and can be cured of disease. Follow up of patients with GTDs is done with levels of Beta HCG and clinical findings Contraception is must for all patients for at least 6 mth to 2 yrs depending upon type of GTDs.

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Hypertension - How To Handle It In Pregnancy?

Hypertension - How To Handle It In Pregnancy?

Hypertension during pregnancy can be a problem for both the baby and the mother. Thus it is of utmost importance that during pregnancy good health should be maintained along with controlled blood pressure and cholesterol levels. With an increase in multiple births and women of older age, the risk of hypertension during pregnancy has increased. But if proper care is taken it can be avoided.

Types of Pregnancy Hypertension:

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

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

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

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

Management of Pregnancy Hypertension:

Hypertension during pregnancy can be handled by the following:

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

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

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

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

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

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

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

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

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

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

-   If blood pressure is high then the doctor might ask you to avoid exercise especially if you never did before pregnancy.

Placental Abruption - Know Reasons Behind It!

Placental Abruption - Know Reasons Behind It!

Are you in the last trimester of pregnancy and experiencing symptoms such as abdominal pain, vaginal bleeding, uterine tenderness and back pain? This might be an indication of a condition called placental abruption. This is a serious, but rare pregnancy complication in women. The placenta is the structure, which develops in the uterus for nourishing the growing baby. When the placenta peels away from the inner uterine wall before delivery, placental abruption occurs. The condition can deprive the growing baby of oxygen.

Risk factors
There are several factors, which increase the risk of placental abruption. They are as follows:

  1. High blood pressureHigh blood pressure, be it chronic or because of pregnancy, increases the risk of placental abruption.
  2. Abdominal trauma: Certain trauma caused to the abdomen such as a fall or a blow to the abdomen increases your risk of having the condition.
  3. Substance abuse: Women who smoke and use drugs such as cocaine during pregnancy are more likely to have placental abruption.
  4. Premature rupture of the membranes: The growing baby is supported and surrounded by a fluid-filled membrane or the amniotic sac. When the sac leaks or breaks before labor, there are high chances of placental abruption.
  5. Blood clotting disorders: Any health condition which impairs blood clotting may increase the chance of placental abruption.
  6. Multiple pregnancy: For women who are carrying more than one baby, the delivery of the first baby may lead to changes in the uterus. This may cause placental abruption before the next baby is delivered.
  7. Maternal age: Placental abruption is more common or likely to occur among women who are above the age of 40.

Treatment
It is not possible to reattach a placenta, which gets separated from the wall of the uterus. The treatment options for placental abruption depend on several circumstances. They are as follows:

  1. The baby is not close to full term: If the abruption is mild, your baby has a normal heart rate, and it is too early for him to be born, you might need to be hospitalized for monitoring. If the bleeding ends and the baby is in a stable condition, you might be able to go home and rest. In some cases, medicines are given to the baby for making his lungs mature.
  2. The baby is close to full term: If your baby is near full term, and the placental abruption is less, a closely monitored vaginal delivery is undertaken. In case of a progressive abruption, an immediate delivery might be required via C section.

It is recommended for you to consult a doctor on experiencing any symptom of placental abruption. This will help you in protecting your baby from any harm.

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Know Pregnancy Risks To Be Cautious About!

Know Pregnancy Risks To Be Cautious About!

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 your healthcare provider when you have concerns.

After embryo transfer hcg level 963 after 15 days is it normal? Please suggest me.

After embryo transfer hcg level 963 after 15 days is it normal? Please suggest me.
Hello, Its better to get a serial beta hcg done with 2 samples 48 hrs apart, which gives a better idea about viability of the embryo.
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Obesity & Pregnancy - How To Handle It Well?

Obesity & Pregnancy - How To Handle It Well?

Pregnancy is that situation in a woman’s life when she is expecting her newborn, and her body is preparing itself to support the baby in the womb. Gaining weight is a common problem and that may lead to complications during pregnancy.

Thus, when you are pregnant, it is necessary that you keep a check on your weight and see that obesity does not affect you or your baby’s health.

To control weight during pregnancy it is necessary that you

  1. Keep a check on diet and,

  2. Exercise regularly

Keep a check on the diet:

During pregnancy, you will get lots of suggestions from everybody about what to eat and what not to. Even you too will feel like eating this and that. What you should follow is what your doctor suggests. You need to be very careful about the food that you eat. There should be a proper diet. The following tips will be useful.

  1. Do not eat junk food as they contain oil and sugar that increase your weight. Thus, avoid junk food.

  2. Do not keep your stomach empty, keep eating after some time and eat in small portions. Instead of having three main meals it is better to have five to six meals in small portions. These light meals will help you get the required amount of nutrients and energy but will not be heavy on the sugar level.

  3. Go for a healthy breakfast. There is a common belief that skipping meals will help you reduce weight, but the fact is that you do not lose weight, instead when you skip meals you feel hungry and in the meal that you take later, you tend to eat more. Thus, choose and eat a healthy breakfast that is good for your baby. It will also help you cope with morning sickness.

  4. Drink enough water. It is necessary that you keep your body hydrated during pregnancy. Lack of water is not good for the baby. Moreover, if you drink enough water, you will feel refreshed and even kill extra appetite.

Exercise Regularly:

There is a misconception that during pregnancy, you should not exercise. You need a full rest. The truth is that exercising will increase the blood flow within your body that is good for the baby. Yes, for morning sickness you may not be able to do exercises but try to do some under proper supervision.

Still, if you find that you are gaining excess weight, then consult your physician.

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I am taking treatment for pregnancy previous month doctor asked to visit on 14th day of menus for injection but she told left ovary is in 3.1×3 size & referred tablets endometrium is in 8m. Egg size is 13 and half. May I know whats the problem I am facing.

I am taking treatment for pregnancy previous month doctor asked to visit on 14th day of menus for injection but she t...
Report suggests that follicle has not grown enough by this day. But it is not one report which decides. Any couple desirous of pregnancy and not getting same naturally must meet gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for a long time.
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Gestational Trophoblastic Disease - How To Treat It?

Gestational Trophoblastic Disease - How To Treat It?

Gestational trophoblastic disease is a rare condition. It only happens when trophoblast cells abnormally grow inside the uterus. Also, this only happens after conception. These cells surround the egg which has been fertilized in the uterus. It is also worth note that the trophoblast cells usually connect the fertilized eggs to the uterus' walls and also form a part of the placenta. It is only when there is a tumor that this disease is diagnosed. There are many forms of gestational trophoblastic disease. Here they are:

Types

1. Complete hydatidiform moles
2.  Partial hydatidiform moles
3.  Invasive moles
4.  Choriocarcinomas
5.   Placental-site trophoblastic tumors (PSTT)
6.   Epithelioid trophoblastic tumors (ETT)

It is worth note that most of these diseases have different stages. The stage of how far cancer has developed can be found out using the following techniques.

Testing for cancer

1. Chest X-ray
This is simply an X-ray of the chest.

2. MRI 
An MRI is an abbreviation of magnetic resonance imaging. It makes use of a form of the magnet which transfers radio waves to a computer to find out what is going on within your body.

3. CT scan
This is similar to an X-ray except that more detailed and larger pictures inside the body can be taken and the scan has a slightly different procedure.
There are several ways to treat it depending on how far cancer has spread into the body. Here they are:

Treatment

1. Surgery
Surgery is usually done while the mole is still non-cancerous. The chances of the mole becoming cancerous are increased by pregnancy. Therefore, it is crucial that you do not become pregnant until the surgery is complete.

2. Chemotherapy
This is a less-ideal option but has to be taken if the mole has become cancerous. 
 

2498 people found this helpful

I am 23 years old. Normally on June month my period date is 19th June and in July month my period date is 18th July. So from which day after my period, my fertile days start and from which day it is mostly possible to conceive pregnancy.

I am 23 years old. Normally on June month my period date is 19th June and in July month my period date is 18th July. ...
Those who have regular 28 days cycle get ovulation around 14th day counting from the first day of the period (bleeding) means sexual intercourse around 11 to 16th day helps for pregnancy. Those who get cycles differently calculations have to be made differently as ovulation occurs 14 days prior to the next period. Taking your cycle days as 29 fertile days 12 to 17.
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Laparoscopy & Gynaecology - How Can Former Help Latter?

Laparoscopy & Gynaecology - How Can Former Help Latter?

Laparoscopy, also known as minimally invasive surgery, is a type of surgery that is used to operate the organs inside the abdomen without making big incisions. The surgery is done with the help of a laparoscope, which is a long and thin tube carrying a high-resolution camera at the front and high-intensity light. A laparoscope is connected to a video monitor and then inserted inside the abdomen through the small incision (0.5 cm to 1.5 cm). As the instrument moves inside the abdomen, it sends images to the video monitor, which the surgeons uses as a reference to operate the affected parts.

Laparoscopy is also used as a diagnostic technique to examine the organs of the abdomen or pelvis and this makes it very useful for gynecologists. This surgical and diagnostic technique plays a significant role in gynecology as it can help diagnose and treat multiple gynecological problems with minimum pain and discomfort to the patient. In fact, there is a special instrument called fertiloscope, a type of laparoscope that is modified and made fit for the trans-vaginal application.

Uses of laparoscopy

  • It helps in diagnosing and curing a host of female infertility problems.
  • It has proven to be helpful in treating a number of disorders related to the female reproductive organs.
  • It is a reliable, precise, and cost-effective instrument or technique used by a number of gynecologists at the first stage of infertility treatment.
  • It is a sound technique to treat female infertility as it helps to determine whether a patient needs conventional treatment, IVF (in vitro fertilization), or a corrective surgery.

Use of laparoscopy in gynecological problems

  • Treatment of fibroids of uterus
  • Treatment of ectopic pregnancy (pregnancy in which the fertilized egg attaches itself outside the uterus)
  • Treatment of endometriosis (a painful condition in which the tissue lining the inside of the uterus called endometrium begins to grow outside)
  • Removal of adhesions
  • Removal of the womb or ovaries
  • Removal of the lymph nodes during cancer treatment
  • Removal of ovarian cysts
  • Diagnosis of cancer of the reproductive organs
  • Female sterilization (surgery of fallopian tubes to prevent pregnancy)
  • Detection of tumors or abnormal mass of tissues
  • Assessment of the effectiveness of the infertility treatment that has been carried out

Advantages of laparoscopy:
Laparoscopy offers many advantages over conventional surgery and diagnosis, including the following:

  • It is more precise and accurate
  • It is painless (during surgery as well as diagnosis)
  • It minimizes hemorrhage
  • It allows for shorter recovery time
  • It ensures reduced risk of infection to the organs
  • It is cost-effective
  • It is more helpful for the gynecologists as they can see the inside of the organs in real-time

Therefore, it is evident that laparoscopy is no less than a boon in gynecology. Its multiple advantages and high success rate in treating infertility problems in women and other problems related to their reproductive organs make it a great surgical and diagnostic technique. Nevertheless, it is necessary to take advice of the doctor before undergoing laparoscopic surgery or diagnosis.

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