Not a routine health blog.Written by a Gurgaon IVFspecialist working in an Indian Corporate Hospital (Artemis Hospital,Gurgaon with personal clinic at Nirvana Courtyard, Nirvana Country,Gurgaon)addressing various aspects ofInfertility,IVF and women health in general,Pregnancy,ups and downs of patients and doctors and their interpersonal relationships.Mostly sweet,sometimes sour,just the way life is .........
Sunday, November 15, 2009
http://indiagynaecology.blogspot.com/pregancny/my-post-on-pregnancy)
The commonest cause of mental retardation in children is downs Syndrome.1 in 700 women runs the risk of having a Downs baby.The associated risk factors are increasing maternal age,a family history of Downs syndrome,a previous child with Downs syndrome.Having said that it doesn't mean that a Lady of 40 will for sure have a Downs baby and Lady of 20 won't have one.So now WHO recommends 'screening tests,'(a test which tells the risk but doesn't confirm the condition).A blood test double marker which can be between 11 to 13 weeks or triple marker between 16 to 18 weeks.One doesn't need both the tests.The other mandatory test is level 1 Ultrasound Scan,which measures the thickness of baby's nape of neck and nasal bone thickness.If unfortunately one is high risk in the screening test one has the option to go for confirmatory CVS and amniocentesis.
http://indiagynaecology.blogspot.com/pregancny/my-post-on-pregnancy)
Diabetes in Pregnancy is a common condition in Asian Pregnant women.When a lady is pregnant body is producing lots of hormones which make a lady prone to develop this condition.Altered blood sugar level which usually gets back to normal once baby is delivered.Our Asian genes make us more prone to this condition.with ladies opting for Pregnancies at later age,this condition becomes more common.Ladies those who have PCOD are even more Prone to it.
A GTT around 24 to 26 weeks of Pregnancy is called for.A family history of DM is a strong risk factor.
And if you do develop GDM,don't panic.Exercise,diet control,metformin and insulin can be used to prevent the complications of this condition.
A GTT around 24 to 26 weeks of Pregnancy is called for.A family history of DM is a strong risk factor.
And if you do develop GDM,don't panic.Exercise,diet control,metformin and insulin can be used to prevent the complications of this condition.
Monday, October 26, 2009
Dr Please.....need your personal attention
I was just thinking of a rather common issue as I got a text early morning from an admitted patient's husband."Doctor when can we get your Personal attention'?The lady got admitted with some problem at 4 in the morning today.Her management which was anyways conservative was arranged and coordinated by me telephonically with a trained registrar to look after her care and only on being sure that she is fine I slept back.And this message left me little disappointed.
Then from the perspective of the patients husband,I thought and disappointment was little less.For an anxious attendant who has no knowledge of medical science any condition can look serious,for me which is not. They feel so helpless and gain the confidence to see their doctor WITH them physically.I would love to do that i.e to be present all the time with my patients to give them the much needed mental support,but God that is not humanly possible..............
Then from the perspective of the patients husband,I thought and disappointment was little less.For an anxious attendant who has no knowledge of medical science any condition can look serious,for me which is not. They feel so helpless and gain the confidence to see their doctor WITH them physically.I would love to do that i.e to be present all the time with my patients to give them the much needed mental support,but God that is not humanly possible..............
Saturday, October 17, 2009
Wednesday, October 7, 2009
Fast in Pregnancy
Since yesterday I got anxious calls from many would be moms whether to keep a KARWA CHAUTH FAST or not.Well Hinduism as well as Islam both are lenient towards pregnant women and a fast isn't mandatory.
Short duration fast like that of Karva Chauth should not affect the baby ,though if it is a prolonged fast like during Ramadan,baby and mother both can be affected.Even during Karva Chauth it would be advisable to have water,juices and other eatables which are approved as food ment to be eaten during the fast.Hope this helps...........And if one wishes to go ahead without water too,then one has to see how the day progresses and if feel too dehydrated or exhausted can have water.I am sure God would forgive you,coz even he won't like your little baby who is still inside the womb and dependant on you for nourishment to have a forced fast
Short duration fast like that of Karva Chauth should not affect the baby ,though if it is a prolonged fast like during Ramadan,baby and mother both can be affected.Even during Karva Chauth it would be advisable to have water,juices and other eatables which are approved as food ment to be eaten during the fast.Hope this helps...........And if one wishes to go ahead without water too,then one has to see how the day progresses and if feel too dehydrated or exhausted can have water.I am sure God would forgive you,coz even he won't like your little baby who is still inside the womb and dependant on you for nourishment to have a forced fast
Vomiting in pregnancy
Never thought VOMITING IN PREGNANCY(HYPEREMESIS) can be such a big problem to make a person loose all her self confidence an contemplate termination of pregnancy.Even my all time faithful,Prednisolone isn't helping her.In fact she is the first case in which prednisolone hasn't worked.Feel so helpless......... Anyone has a better solution???And no,she isn't ready to get admitted for injectables or i.v. fluids.
Monday, September 28, 2009
HPV VACCINE
HPV vaccine.sounds good.......................uhhh........but what is it?why?Let us talk about cervical cancer a bit,(cancer of mouth of the womb),Commonest killer cancer amongst Indian women.Out of 5 lac cases detected annually globally,India has 1 lac of them,Scary isn't it???That too a cancer which is preventable.
A routine check called 'Pap Smear' should be done every 3 years from the age of 24 to 50 and then at 5 yrly interval between 50 to 64.After that you don't need it.
Now HPV vaccine sounds wonderful but for the cost,lack of awareness and a little stigma attached with HPV of it being transmitted sexually in majority of the case.
But anyways it might turn out useful in long run,when it is cheaper than the current Rs 9000/.
The recommended age is between 9 yrs to 26 years.And still one needs regular pap smears.
http://www.cancerscreening.nhs.uk/cervical/
www.myhealthguardian.com/Combat-cancer.asp
A routine check called 'Pap Smear' should be done every 3 years from the age of 24 to 50 and then at 5 yrly interval between 50 to 64.After that you don't need it.
Now HPV vaccine sounds wonderful but for the cost,lack of awareness and a little stigma attached with HPV of it being transmitted sexually in majority of the case.
But anyways it might turn out useful in long run,when it is cheaper than the current Rs 9000/.
The recommended age is between 9 yrs to 26 years.And still one needs regular pap smears.
http://www.cancerscreening.nhs.uk/cervical/
www.myhealthguardian.com/Combat-cancer.asp
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