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Trying to Conceive Tips

Rotating the Fetus - An Overview to Its Procedure!

Dr. Jayanti Kamat 89% (542 ratings)
MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Rotating the Fetus - An Overview to Its Procedure!

In a normal pregnancy, the baby develops with its head pointed down, and the head is usually the part which comes out first during normal delivery. However, in many cases, the baby could have its legs, feet, or buttocks pointing to the cervix. In a majority of cases, the baby may have this position, but rotates to have its head pointing down before the third trimester. However, this may not happen, and this is referred to as breech.

In a lot of cases, the doctor would try to move the baby’s head downwards usually around the 37th week, and this is referred to as external cephalic version (ECV) or even as version. The process is done externally by manipulation and hence the name external. It is done before labor and may allow for a vaginal birth. In very rare cases, it may be done during labor, but before the amniotic sac has ruptured. As a backup, there should be a provision for the patient to undergo C-section, if ECV is not successful.

Indications:

  1. Single pregnancy, into 36 weeks of pregnancy, with no complications, and preferably not the first pregnancy
  2. No engagement of the fetus (any part) in the uterus
  3. Adequate amniotic fluid, which will provide a good environment to move the baby with minimal injury

Contraindications:

  1. Suspected/known birth defects
  2. Multiple pregnancies (twins/triplets)
  3. Ruptured amniotic sac
  4. Fetus with a hyperextended neck
  5. Mother’s health is not optimal and is on cardiac medications
  6. Condition that mandates a cesarean section (placental separation from the uterus, placenta covering the cervix, etc.)

Procedure

The fetal position is first estimated using an ultrasound. The position of the placenta and the amount of amniotic fluid are also closely monitored. Under constant monitoring, the uterus is relaxed through medications. With one hand on the fetal head and another on the buttocks, the doctor tries to rotate the fetus. Depending on how much pressure the mother is able to tolerate and how flexible the uterus is, version may be successful (success rate is about 60%).

A second attempt under epidural anesthesia may be done, if the first one did not succeed. However, the chances of success with subsequent attempts is very doubtful. The fetus is constantly monitored through ultrasound and fetal heart rate monitoring. A fetus is considered healthy if the heart rate moves up during this procedure. However, if the heart rate seems abnormally high, the procedure would be abandoned.

After the procedure, the mother and the fetus would be monitored for a while before being sent home. As the fetus is constantly monitored throughout pregnancy, the doctor would be able to tell if this procedure is required.

3 people found this helpful

Prenatal Pregnancy Check-up - What To Expect!

Dr. Yuthika Bajpai Sharma 81% (38 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Kanpur
Prenatal Pregnancy Check-up - What To Expect!

What is Prenatal care?

It is crucial for a woman who is on her way to becoming a mother to pay special attention to her health. Health care offered to a pregnant woman is also known as prenatal care or antenatal care. It is a very important phase in a woman's life, so go for regular prenatal checkups as they go a long way in reducing risks of complications during pregnancy and child birth. This, in turn, increases the chances of giving birth to a healthy baby.
Contrary to popular belief, prenatal care does not begin when a woman is told that she is pregnant. Prenatal care should ideally be started at least three months before you try to conceive a child. This prepares your body and mind for the changes that pregnancy will bring. Some healthy habits to follow during this period include:

  • Quit Drinking alcohol and smoking
  • Consult a gynecologist about any existing medical conditions, medication you may be on and what supplements you should start taking
  • Avoid contact with chemicals and toxic substances

Once your pregnancy is confirmed, you will need to visit the doctor regularly for checkups.

Prenatal checkups are meant to keep an eye on your health and the health of your baby. In most cases, you will be asked to come in every month for the first two trimesters and every two weeks during the seventh and eighth month of your pregnancy. During the ninth month, your doctor may want to see you once a week until the delivery. In cases where a pregnancy is considered high risk because of existing medical conditions, the age of the mother or any other factors, the doctor may ask a for more frequent checkups.

A prenatal checkup involves a physical examination, tests, screenings and dietary consultations. Some of the common tests include blood tests to check for HIV, the mother’s blood type and anemia. Your blood pressure will also be monitored. When it comes to the baby’s health, determining the rate at which the baby is growing and heart rate are most important. In the later stages of your pregnancy, the position of the baby will also be noted. It is important to not skip these checkups even if you are feeling fine.

Keep your doctor informed about any changes you may notice in your health. Do not take any medication without consulting your doctor even if it is for something as simple as a cold. Do not feel shy about talking to your doctor and ask him or her anything you would like to about your pregnancy and childbirth.

 

How Homeopathy Helps Manage Infertility?

Dr. Sravani Purushothamaiah 88% (176 ratings)
MD (Hom)
Homeopath, Bangalore
How Homeopathy Helps Manage Infertility?

Most couples who get married intend to go the family route sooner or later. However, for those who have been trying sexual intercourse for more than 6 months without any contraceptive aids and still have not succeeded in having a baby, the underlying cause may be infertility in one or both partners. Infertility affects up to 15% of couples trying to conceive and have a baby.

Infertility, in medical terms, refers to a person’s biological inability to contribute to conception. There are many biological causes that may make this happen, some of which can be medically corrected. 

The Homeopathic Approach to Treat Infertility:

The homeopathic approach towards the management of health problems is constitutional. The treatment takes into account the presenting complaints - the symptoms - along with the unique physical, mental and genetic make-up that individualizes a person. Homeopathic medicines act at the roots of all ailments. They can rectify deviations of the hormonal system and get them back to normalcy. The simple homeopathic procedure effectively and efficiently avoids complicated procedures that follow the common treatments of infertility. More specifically, the complete hormonal harmony greatly increases the chances of conception without the harmful and/or painful side effects of medications, devices and invasive procedures. The biggest advantage of homeopathic treatment is that even after the treatment, the high sperm count is maintained. The medicines involved are easy to take, since there are only sweet pills and drops.

The homeopath plans the medication separately for every individual, by understanding his or her physical, as well as emotional and mental or spiritual imbalances. That is why this system becomes an excellent option for those seeking help with this issue, as it addresses health on a deep holistic level. The homeopath carefully prescribes the medicine that works on the real cause of infertility, along with other symptoms like any type of pain, stress, etc.

There are no prerequisites to start a homeopathy treatment for infertility. Anyone who just came to know about their infertility problem or those who have tried other infertility treatments without any results can consult a homeopath. Homeopathy medicines can also be used with other treatment methods, but the homeopath should be informed about it to prevent any interfering actions.

Final Tips For Infertility Treatments Using Homeopathy:

Homeopathy therapy works on male and female infertility in following way:

  1. It regulates and balances the body’s hormones, menstrual cycle and enhances the ovulation process in females.
  2. In males, it helps to increase the sperm count, their mobility and also their morphology by naturally stimulating the body.
  3. It helps with emotional blockages, disturbances and ambiguous thought processes that may affect fertility.
  4. It helps with the stress, anxiety and depression problems for those who are trying to conceive.
  5. It also helps in curing the side-effects of various other fertility treatments.

The homeopathic treatment for infertility is strictly individualistic. Whatever the reason that the patient opts for homeopathy, the treatment should be supported by a healthy diet and proper lifestyle, like avoiding alcohol and smoking. In case you have a concern or query you can always consult an expert & get answers to your questions!

3376 people found this helpful

Sleep Disorders Can Be The Reason Behind Female Infertility - Says A New Study!

Dr. Garima Sharma 91% (434 ratings)
MBBS
General Physician, Fatehabad
Sleep Disorders Can Be The Reason Behind Female Infertility - Says A New Study!

As per a recent study, women who suffer from sleep disorders are more at risk of infertility as compared to others. However, previously conducted studies linked sleep apnea specifically with infertility. 

Further, the study states that the risk of infertility is likely to increase with habits such as stress,  drinking, smoking, unhealthy habits, STDs and obesity. This new study offers evidence to show that women with sleep difficulties need to pay focus on healthy habits in order to ensure proper sleep if they are trying to conceive
 

3 people found this helpful

Women's Health

Dr. Richa Sharma 92% (216 ratings)
MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
Gynaecologist, Mumbai
Women's Health

Avoid smoking when you are trying to conceive as nicotine can affect fertility and reduce the chances of conceiving in some women.

1 person found this helpful

Baby's Health Care

Dr. Richa Sharma 92% (216 ratings)
MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
Gynaecologist, Mumbai
Baby's Health Care

Start planning the arrival of your baby by the end of the sixth month of your pregnancy, like searching options for baby's health care, making arrangements at your home for the new edition to the family.

PrePregnancy Preparations

Dr. Richa Sharma 92% (216 ratings)
MD - Obstetrtics & Gynaecology, MBBS, FNB Reproductive Medicine, MRCOG
Gynaecologist, Mumbai
PrePregnancy Preparations
  • Do track your daily temperature if you are trying to get pregnant.
  • Track your ovulation by taking your temperature first thing each morning (before you even get out of bed) using a digital basal body temperature thermometer -- an oral thermometer available in drugstores everywhere.
  • Record your temperature each day.
  • When you see it spike, you'll know that ovulation has occurred and you are ready to make a baby
  • It would be a smart move to start taking prenatal vitamins now. Although they're called prenatals, pregnancy-formula vitamin supplements are just as crucial for women trying to conceive because they contain nutrients such as folic acid and iron that a developing baby needs during the first few weeks -- before you even know you're pregnant. 
1 person found this helpful

5 Ayurvedic Remedies For Infertility!

Dr. Priyanka Suneet Shende 92% (92 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), T.T.C.M Yoga
Ayurveda, Navi Mumbai
5 Ayurvedic Remedies For Infertility!

Not everyone can conceive a baby easily. The inability to conceive a baby despite having intercourse during the fertile window in a woman’s menstrual cycle for over a year is termed as infertility. Infertility does not affect only the physical health of a woman, but also her mental and emotional well-being as well as the couple’s social health.

In some cases, infertility can be treated with Ayurveda. According to Ayurveda, a couple needs to be both physically and mentally strong and healthy. Ayurveda believes that a lack of nutrition in the shukra dhatu or the person’s reproductive tissue is the cause of infertility. This can be triggered by indigestion, anxiety, depression, insomnia and the presence of toxins in the body. Some of the ways Ayurveda can be used to treat infertility are as follows:

  1. Eat cool foods: Spicy food can affect the quality of shukra dhatu and lower the quality and quantity of both sperm and ovum. This is because shukra dhatu requires a cool environment to promote fertility. Hence, eat food that is easy to digest and which has a cooling effect on the body. Men can benefit from foods like asparagus, dates and almonds, while foods like quinoa and pineapples can help a woman conceive easily.
  2. Shirodhara therapy: Shirodhara involves the movement of liquid over the forehead in a rhythmic manner at specific points. This stimulates the hypothalamus, pituitary and pineal glands and aids in the secretion of hormones including follicle-stimulating hormone (FSH). When it comes to women, FSH stimulates the ovarian follicles into releasing an egg without which it would be impossible to conceive a child.
  3. Fight stress: One of the effects of stress is reduced libido. Prolonged exposure to stress is often a major factor that contributes to infertility. When it comes to women, stress makes a woman ovulate less regularly. In men, stress can affect the sperm production and affect testosterone levels. To fight stress, try deep breathing exercises like alom vilom or keep a little time aside each morning for a walk or light exercise.
  4. Lodhra: This herb is very beneficial in treating women with infertility. It stimulates FSH and luteinising hormones (LH) and lowers the risk of a miscarriage. It also increases chances of conception. Lodhra should be taken twice a day along with honey and milk.
  5. Lifestyle changes: Ayurveda is not only about herbal medicines but also following the right lifestyle. Bad habits like smoking, drug usage and alcohol not only affect a person’s overall health but also interfere with fertility. Hence, when trying to conceive a child, quit these bad habits and try following a healthier lifestyle that involves following a routine, eating right and exercising regularly. If you wish to discuss about any specific problem, you can consult an ayurveda. 

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

4604 people found this helpful

Garbhsansakar - Developing An Intelligent & Healthy Baby!

Dr. Limesh Khatri 90% (645 ratings)
B.A.M.S
Ayurveda, Banaskantha
Garbhsansakar - Developing An Intelligent &  Healthy Baby!

Just as baby’s body develops when they are in their mother’s womb, so does the baby’s mind. According to Ayurveda, a baby’s personality and behaviour begins to develop inside the womb almost as soon as he or she is conceived. Thus, in the same way as a mother takes vitamin and mineral supplements to nourish her baby’s body, attention also needs to be paid to nourishing and developing the baby’s cognitive abilities. This is known as Garbhsanskar in Ayurveda.

Garbh Sanskar derives its origins from the Sanskrit word ‘Garbh’ meaning foetus in the womb and ‘sanskar’ or education of the mind. In order to help your baby develop a healthy mind, garbhsanskar suggests a way of life and practises that parents expecting a child should follow. This is because, it is believed that an unborn baby can understand sounds, emotions, thoughts and feelings being experienced by the mother. Thus mothers are advised to stay positive always and keep away from negative influences.

Make time for hobbies and other interests that make you happy.

Reading a book is an excellent activity for pregnant women. It not only keeps your mind occupied but according to Ayurveda, the information gained by reading also seeps into the baby’s mind. It is perhaps for this reason that mythological stories and scriptures are highly recommended to expecting mothers.

Though reading the newspaper is a good habit to inculcate, skipping the morning paper when you are pregnant is not a bad idea since most of the news contained has violent references. If you like watching movies, pick comedies and movies with a happy ending that raises your spirits.

Music also plays an important role in your baby’s cognitive development. According to Garbhsanskar in Ayurveda listening to soft, soothing music can keep both the mother and the baby calm. This also aids in the development of the baby’s sense of hearing and stimulates the development of neural connections in the brain. There are a number of shlokas and ragas that have proven to be beneficial for expecting mothers and their foetuses. Alternatively, you could listen to soft instrumental music like that created by a flute, sitar or violin.

Meditation is another key aspect of garbhsanskar. This helps calm a mother and eases mood swings while giving her and her baby peace of mind. The aim of meditation is to achieve a zen state of mind where the mind is not affected by external distractions and can focus on visualising the baby. By doing this, a mother can connect with her baby and form a deeper bond with the growing foetus. Communicating with the baby by talking to them or caressing your belly is also known as Garbha sanwaad. This contributes to the physical and mental development of the baby and stimulates their senses.

Thus, do not wait for your baby to be born to start connecting with them. The day you learn of the good news is the day you and your baby can start developing your unique bond. If you wish to discuss about any specific problem, you can consult an Ayurveda.

3617 people found this helpful

Blocked Fallopian Tubes - Possible Reasons Behind It!

Dr. Supriya Malhotra 85% (21 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Delhi
Blocked Fallopian Tubes - Possible Reasons Behind It!

Motherhood is a gift and though every woman understands this, only those who are infertile, really yearn for it. There are several reasons why some women aren’t able to conceive a baby naturally. One of the most common reasons is a blocked fallopian tube, in fact; almost 20% of female infertility cases are due to this cause. The good news, however, is that it is treatable.

Fallopian tubes are tube-like structures extending from the two corners of the uterus and acting as transporting medium between the Sperm and the ova. If there is an obstruction in any of the tubes, the sperm won’t be able to reach the egg and hence forming an embryo will effectively be impossible.

There are several reasons why fallopian tubes may be blocked:

  1. Infection: Some of the most frequent cases that doctors witness on day to day basis is of blocked fallopian tubes that are caused due to an infection in the area. These could range from STDs (sexually transmitted diseases), including HIV.
  2. Pelvic inflammatory disease: This is an infection of the uterus (womb), ovaries and fallopian tubes, causing tissues to stick together, forming obstructions in your tubes. Severe cases may lead to pus filled abscesses developing in the ovaries and fallopian tubes.
  3. Endometriosis: A condition where parts of your uterus lining grow in other areas besides the uterus, such as fallopian tubes or ovaries.
  4. Hydrosalpinx: Formation of fluid inside the fallopian tubes is also known as distal tubal occlusion in medical terms. It can be treated through a surgical procedure called salpingectomy. Scar tissue, adhesions and damaged tube ends that may be caused through previous injury or surgery.

Treatment options
If you’re diagnosed with obstruction of fallopian tubes, don’t lose heart. Ask your gynaecologist to recommend the right treatment protocol, that will help you to conceive soon. They will conduct a laparoscopy, which is a surgical procedure to look inside your pelvic area and at your fallopian tubes to suggest the necessary course of action. Some of the options may include the following:

  1. IVF: In vitro fertilisation is one of the most common procedures to help you conceive. It is a non-invasive technique which is safe and effective.
  2. Tubal surgery: Depending on the position and extent of the fallopian tube blockage, tubal procedures can be done using microsurgical techniques, wherein the blocked or infected portion of the tube is removed and the two healthy ends of the tube are then joined.
  3. Medication: In cases of infection, over-the-counter medication or hormones may be given to the patient.

Though being a mother is a wonderful feeling, do not consider yourself unfortunate if you can’t conceive. Think of it as an opportunity presented to you, to adopt a child and to make his or her life complete. Motherhood can come in all forms, so be ready to embrace it in any way. In case you have a concern or query you can always consult an expert & get answers to your questions!

3776 people found this helpful
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