The First Kick - Gynecologist in Noida

Wondering what your baby’s first noticeable movement in utero is going to feel like, and when you might expect it?

Most women experience that first kick between 17 and 22 week

Routine anatomic ultrasounds at 19 to 20 weeks gestation help us confirm viability of the pregnancy and determine the placenta’s location. If it is positioned in such a way that it’s cushioning the movement, the first kick will be harder to feel.

Here’s how some moms describe that miraculous moment:

• “It felt like I was being poked from the inside.”
• “It was like having a really strong butterfly trapped in my tummy.”
• “It felt as though a very light bubble appeared, rose up and popped. I kept thinking, was that it? It wasn’t anything like I’d expected.”
• “I wasn’t sure if it was gas or indigestion, or if maybe there was an alien in there. But the nudge was reassuring, kind of like a, ‘Hi, Mom!’ ”

Kick Counts

Encourages women to monitor or chart their babies’ kicks beginning in the 28th week of pregnancy.

When do I need to go Gynecologist? - Gynecologist in Noida

The Obstetricians and Gynecologists recommends that teenage girls start seeing a gynecologist between the ages of 13 and 15.
If you don’t go at that time, you should make sure to visit a gynecologist, adolescent health specialist, or other health professional who can take care of women’s reproductive health if:

• You have ever had sex (vaginal, oral, or anal) or intimate sexual contact
• It has been three months or more since your last period and you haven’t gotten it again
• You have stomach pain, fever, and fluid coming from your vagina that is yellow, gray, or green with a strong smell — all of which are possible signs of a serious condition called pelvic inflammatory disease (PID) that needs immediate treatment
• You are having problems with your period, like a lot of pain, bleeding heavily, or bleeding for longer than usual, or it has stopped coming regularly
• You have not gotten your period by the age of 15 or within three years of when your breasts started to grow
• You’ve had your period for two years and it’s still not regular or comes more than once a month
• You are having sex and missed your period

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Understanding Ovulation and Fertility: Facts to Help You Get Pregnant - Gynecologist in Noida & IVF Specialist

Understanding Your Monthly Cycle

Knowing your menstrual cycle improves your chances of getting pregnant. The first phase starts with the first day of your period or blood flow. Your body releases hormones that makes the eggs inside your ovaries grow. Between day 2 and 14, those hormones also help thicken the lining of your uterus to get ready for a fertilized egg. This is called the follicular stage.

What Happens During Ovulation

The average menstrual cycle is 28-32 days. Ovulation usually happens between day 11 and 21 of your cycle. A hormone called luteinizing hormone (LH) surges, triggering the release of the egg that's most ripe. At the same time, your cervical mucus becomes more slippery to help sperm make their way to the egg.

It's All in the Timing

Women are born with about 1-2 million eggs, but only release 300 to 400 through ovulation. Usually you release just one egg each month. The egg travels down a fallopian tube, one of the two tubes that connect your ovaries to your uterus. If the timing is right, sperm may fertilize it on its way to the uterus. If fertilization doesn't happen within 24 hours of the egg leaving the ovary, the egg dissolves. Sperm can live for about 3 to 5 days, so knowing when you are ovulating can help you and your partner plan sex for when you're most likely to conceive.

Tracking Your Most Fertile Days

Generally, the highest chance of pregnancy is when sex happens1-2 days before ovulation. If you have a regular 28-day cycle, count back 14 days from when you expect your next period to start. Plan on having sex every other day around that time -- say, days 12 and 14.  Keep in mind that having sex every day may lower a man's sperm count. Your cycle may be longer or shorter, so an online ovulation calculator may help you identify the likely day.

Tracking Ovulation by Temperature

After your body releases an egg, the hormone progesterone kicks in to help build and maintain the lining of the uterus. Progesterone causes your body temperature to go up slightly. So taking your temperature with a basal thermometer every morning before getting out of bed can help you figure out if you ovulated. These thermometers are available at the drugstore and are inexpensive, but they aren't as accurate as other methods for tracking ovulation.

Predicting Ovulation by Hormone

A surge in LH triggers your ovaries to release the egg. The surge usually happens 36 hours before the egg is released. Ovulation kits check LH levels in your urine to help you pinpoint the day of ovulation. These kits, which are available at drugstores, are convenient and highly accurate. You may want to test 1-2 days before you expect the surge so you can note the rise in LH.

The Last Phase of Your Monthly Cycle

During the second half of your menstrual cycle, the hormone progesterone kicks in to help prepare the lining of your uterus for a fertilized egg. If the egg isn't fertilized and doesn't implant, it disintegrates, progesterone levels fall, and about 12 to 16 days later, the egg -- along with blood and tissues from the lining of the uterus -- is shed from the body. That process is menstruation. It usually lasts 3 to 7 days. Then the cycle begins again.

Ways to Boost Ovulation

There is growing evidence that links environment to fertility. If you want to boost your chances of getting pregnant, you may want to:

• Eat foods rich in folic acids.
• Buy more organic foods and green products.
• Avoid certain plastics (including plastic wrap).
• Maintain a healthy body weight through diet and exercise.
• Avoid alcohol and caffeine.

Weight Affects Fertility

A study found that women whose body mass index (BMI) was above normal took twice as long to get pregnant as those with a normal BMI. If you're overweight or obese, losing weight can boost your fertility and chances of getting pregnant. According to the American Society for Reproductive Medicine, a drop in weight of 5%-10% can dramatically improve ovulation and pregnancy rates. Obesity can also cause infertility and low testosterone in men. Being significantly underweight can also lead to infertility.

Age Affects Your Conception Chances

Fertility goes down with age, especially after the mid-30s. It also lowers the chances that fertility treatments will be successful. Experts say you should talk to your doctor if you're under 35 and have been trying to conceive for more than 12 months, or over 35 and have been trying for more than 6 months.

Fertility Declines in Older Men, Too

Studies show that sperm count and sperm movement decrease as men age, as does sexual function. But there isn't a cut-off age that makes a man too old to father a child. One study found that it took men age 45 or older longer to get a woman pregnant once the couple started trying. If your partner is older, you may want to talk to your doctor about ways to boost your chances.

How Men Can Boost Fertility

• Manage stress.
• Avoid alcohol and tobacco.
• Maintain a proper weight.
• Eat a diet high in zinc (found in meat, whole grains, seafood, and eggs), selenium (meat, seafood, mushroom, cereals, and Brazil nuts), and vitamin E. 
• Keep the testicles cool -- no long, hot baths, hot tubs, or saunas, which can reduce the number of sperm.

Treatments for Infertility

A number of things can cause infertility. The first step is for your doctor to check out you and your partner. Infertility treatments can include fertility drugs to stimulate ovulation and in vitro fertilization, which involves removing eggs from the ovaries, fertilizing them (shown at left), and then implanting them into the uterus.

How Home Pregnancy Tests Work

Home pregnancy tests check your urine for the "pregnancy hormone," called hCG, that your body makes once a fertilized egg implants in your uterus. Some of these tests may be able to tell if you're pregnant as early as 5 days before your first missed period.

Pregnancy: 5 Early Signs

• You miss a period.
• You need to urinate often.
• You tire easily.
• You’re nauseous in the morning -- or all day.
• Your breasts become tender and enlarged.

What is intrauterine insemination (IUI)? - Gynecologist in Delhi & Infertility Specialist

Intrauterine insemination (IUI) is an infertility treatment that is often called artificial insemination. In this procedure, the woman is injected with specially prepared sperm. Sometimes the woman is also treated with medicines that stimulate ovulation before IUI.

IUI is often used to treat:

•     Mild male factor infertility
•     Women who have problems with their cervical mucus
•     Couples with unexplained infertility

What is assisted reproductive technology (ART)?

Assisted reproductive technology (ART) is a group of different methods used to help infertile couples. ART works by removing eggs from a woman's body. The eggs are then mixed with sperm to make embryos. The embryos are then put back in the woman's body.

How often is assisted reproductive technology (ART) successful?

Success rates vary and depend on many factors. Some things that affect the success rate of ART include:

•     Age of the partners
•     Reason for infertility
•     Clinic
•     Type of ART
•     If the egg is fresh or frozen
•     If the embryo is fresh or frozen

The U.S. Centers for Disease Prevention (CDC) collects success rates on ART for some fertility clinics. According to the 2006 CDC report on ART, the average percentage of ART cycles that led to a live birth were:

•     39% in women under the age of 35
•     30% in women aged 35-37
•     21% in women aged 37-40
•     11% in women aged 41-42

ART can be expensive and time-consuming. But it has allowed many couples to have children that otherwise would not have been conceived. The most common complication of ART is multiple fetuses. But this is a problem that can be prevented or minimized in several different ways

Are You Gaining Enough Weight? - Gynecologist in Delhi

Ever see a super slim pregnant woman, and feel a pang of jealousy? Well, a new study published in the American Journal of Public Health might change that.

Researchers at the University of Maryland looked at over 159,000 women over the course of four years, noting how much weight they gained during pregnancy in comparison to the rates of infant mortality. It turns out, women who didn’t gain enough weight were more likely to lose their baby within the first year of birth, compared to those who put on more pounds.

Obviously, no woman wants to put her baby at risk, but remember that the study can't prove causation—it's just an association for now. Still, if you're actively trying to stay slim during pregnancy, the research does suggest a big reason not to: The infant mortality rate among mothers who didn’t gain enough weight was 3.9 percent, compared to 1.2 percent among infants of mothers who gained the suggested amount of weight, and 0.7 percent among those who gained too much.

The importance of putting on the pounds.
So, what might be going on? Researchers also looked at the infant’s death certificates, and found that the most common cause of death was fetal malnutrition, ultimately resulting in birth defects and respiratory problems.

“Today, there’s a lot of concern around remaining slim during pregnancy, but it’s a trade off for the baby,” says Sandra Hofferth, PhD, professor in the Department of Family Science at University of Maryland, and lead researcher of the study. “You need to consume enough calories in order for your baby to develop adequately, and they need to be high quality calories.” (Read: Not from a drive thru.)
How much should you gain?

Check out our BMI Calculator to determine the optimal amount of weight for you, based on your body mass index, and ask your doctor if you’re gaining a healthy amount throughout your pregnancy.
Worth noting: You don’t want to gain too much weight, either. “Even though our study showed less risk of infant mortality for mothers who gained an excessive amount of weight, too many extra pounds are harmful to the mother,” says Dr. Hofferth. (Excessive weight gain could cause heart problems, gestational diabetes, and hemorrhaging.) Remember: You really only need an extra 300 calories per day, per baby.

5 tips to make traveling easier during pregnancy

As your bump grows bigger and bigger, chances are your dreams of foreign adventures or sojourns to other parts of the country will diminish considerably. It's not that a vacation isn't needed – in fact, at many points during pregnancy, it may feel much-deserved – the fact is, most mothers-to-be have bigger things on their minds than a trip, like getting ready for baby.

But during pregnancy, some trips are non-negotiable, like a planned stay at a relative's house. This can be a pleasant experience for some, but other women struggle to feel comfortable while traveling. With these five tips, going from place to place during pregnancy can be easier than ever before.

1. Talk to a healthcare provider
Before you take any kind of extended trip, reach out to your doctor to ensure that it's OK for you to do so. This may be just a quick check-up, but it can be important for you and your partner to gain peace of mind before you embark on an adventure together.

2. Prepare for the unexpected
Even the best-laid plans can become a mess due to unexpected hiccups or delays, but when you're pregnant, this can take on a whole new dimension. When you're pregnant, you may be fighting the urge all day long not to put your feet up or sprawl out on your favorite sofa to relax after a tense day, but while you're traveling, you may not feel this is so easy to do.
While you may not be within the comfort of your own domain, by planning for potential issues – including health troubles, discomfort or sudden feelings of tiredness – you may be able to feel calm.

3. Plan for comfort
Whether you travel by bus, plane or car, comfort is key during pregnancy for making sure you get to your destination without delay. If you're traveling in a vehicle, you may want to pack along a neck pillow, ear plugs and a blanket so that you can relax throughout the ride, while having bottled water, snacks and spare bags in case you get motion sickness can help you feel at ease during the journey.

4. Pack your healthcare documents
You never know what kind of potential hazards you could encounter while you're away from home, which is why it's so essential that you do your best to manage your health while you can. One of the best ways to reduce the potential for pregnancy complications is to bring all of your relevant healthcare documents with you, as this can make you prepared to manage any potential challenges.

5. Know your limits
When it comes to traveling during pregnancy, women should be especially careful during their third trimesters, as this can be a dangerous period for being on an airplane.
Although this can be different for each airline provider, most recommend that women who are in the final weeks of their pregnancies avoid this mode of travel, as it could lead to potential health risks. Additionally, most healthcare providers urge women not to travel after 36 weeks of pregnancy unless in the event of an emergency.

- Inputs from Dr Priyamvada Senior Infertility Specialist,Genesis IVF

6 Baby Games to Boost Your Child's Brain Power

Newborn to 3 Months

PLAY A GAME: Where's Mommy?
Newborns have an innate fascination with voices, but they're not able to locate the source of a sound. To help your little one fine-tune this sense and also learn that his family provides laughter and smiles, place him in the middle of a bed or in an infant seat or hold him in your arms; get close to his face and talk or sing to him. Walk back and forth in front of him as you continue to talk and sing.

Developmental skills: Listening; visual and social development

3 to 6 Months

PLAY A GAME: Airplane Baby
Help comfort your cranky baby—or simply have fun together—with this classic game. To start, hold him under his chest and belly, tummy down. (Be sure to support his neck if he doesn't yet have head control.) Swing him gently back and forth.

Developmental skills: Upper-body strength; tactile stimulation; trust.

6 to 9 Months

PLAY A GAME: Knee Rides
Once your baby has good head control, prop her up on your knees and gently bounce her as you babble or sing. Babbling supports her early efforts to communicate with sounds other than crying. When she says, "aahh," say, "aahh" in return; when she says, "goo," nod and say, "goo" back. Then try stretching out the words and adding to them ("ooh" becomes "ooooh-wah!").

Developmental skills: Listening; language and social development.

9 to 12 Months

PLAY A GAME: Peekaboo!
Peekaboo is a classic favorite with babies: First Mommy's there, then Mommy's gone, and then she's back again. Sometime around 6 or 7 months, babies start to understand that objects continue to exist even if they can't see them. Use your hands or hold a blanket or towel infront of your face, whisk it away and call, "Peekaboo!"

Developmental skills: Object permanence; social development.

12 to 18 Months

PLAY A GAME: Bubbles for Baby
Watching bubbles float through the air helps your baby practice her visual skills. Trying to swat at them is excellent practice for budding eye-hand coordination. Aiming large bubbles at a blanket or carpet gives older babies a chance to catch them. Bubbles billowing outside are especially enchanting.

Developmental skills: Cause-and-effect; eye-hand coordination; visual development.

18 to 24 Months

PLAY A GAME: I'm Gonna Get You!
Babies love to be chased and surprised. Start crawling or running after your baby, saying, "I'm gonna get you!" Then gently grab him and say, "Igot you!" Lift him up in the air, kiss his neck and tickle his ribs, but keep it gentle. A good game of chase will keep him on his toes as a toddler and evolve into classic big-kids games such as hide-and-seek and tag.

Developmental skills: Gross-motor skills; social development; balance; trust.

Things Every Pregnant Mamma Must Do Before Giving Birth

So take some time out before then to be selfish and indulge yourself.

Pregnant Mamma Bucket List Item #1: Have A Girly Night

Whether you head out for an evening of mocktails, or hide indoors in front of a good film, invite all of your besties over for some quality time. A few hours of laughing with friends could be all you need to feel revitalised. The great thing about best friends is that they always know exactly what you need – whether you need hilarious date disaster stories, or a shoulder to cry on, they’ll know just how to help.

Pregnant Mamma Bucket List Item #2: Paint Your Toe Nails

Or, more likely, ask someone to paint them for you. You may not even be sure you have toes anymore, since it’s been so long since you last saw them. Rest assured though, they are still there – and very much in need of painting. Treat yourself to a pedicure at your favourite salon, or ask a friend to paint your nails for you.

Pregnant Mamma Bucket List Item #3: Have A Massage

Pregnancy isn’t easy on the body, and you may find yourself suffering from aches and pains as you enter the final trimester. A prenatal massage can help – a qualified masseuse will be able to ease your aches and pains, relieve tension in your muscles, and help you to feel relaxed. If budget is an issue, organise a do-it-yourself massage at home. Invest in some massage oil (coconut oil is a great option) and a massage ball, and ask your designated masseuse to spend a few minutes watching how to videos online. Turn out the lights, play some calming music and enjoy a lengthy massage in the comfort of your own home.

Pregnant Mamma Bucket List Item #4: Get Away

Pack a bag, grab your partner and whisk him off into the sunset to grab some much-needed couple time before the baby arrives. Once you become a family of three, your time alone with your partner will be limited. Nights away will need months of forward planning, dedicated babysitters, and plenty of location restrictions based on distance away from the baby. Make the most of your last months of freedom (just kidding, you’ll still have freedom – you get a second chance at it in about 18 years) and disappear to wherever takes your fancy. If you already have children, you might like to take them with you, or try and arrange friends or family to help out for a quick holiday away before the next family member arrives. Tight for cash? Give housesitting a try.

Pregnant Mamma Bucket List Item #5: Take Some Bump Shots

You may not love your bump now, but one day in the not too distant future, you won’t quite be able to believe just how big you got. Make sure you have some photographs of you and your bump before it disappears. You can take the photos yourself, ask a friend to do it, or even hire a professional photographer to capture some frame-worthy shots. A belly cast is another great alternative to remembering your bump, which you can have professionally painted if you wish!

Pregnant Mamma Bucket List Item #6: Go To The Cinema

This may not sound overly exciting, but there will come a time when you yearn for a simple trip to your local cinema. One day, as you sit in front of the television showing nothing but repeats, covered in baby sick, baby snot and the everyday grime that accompanies motherhood, you will wish you could waltz out of the door to the cinema. Lash out and have a Gold Class (upgraded) session if you can afford it – you can put your feet up and enjoy the movie in total comfort!

Pregnant Mamma Bucket List Item #7: Visit Your Favourite Restaurant

Go on, you deserve it. Pregnancy is tough – even the most plain sailing pregnancy has its fair shares of grumbles, so give yourself a much needed treat. Make the most of your last few weeks as a family of two (or more!), and head out of the door without having to organise a babysitter or changing bag, and enjoy a delicious feast at your favourite eatery.

Pregnant Mamma Bucket List Item #8: Read A Book

Run yourself a nice, warm bubble bath, choose a book off your to-read pile, and let your fingers and toes get wrinkly. You may imagine yourself having plenty of time to read whilst on maternity leave, but while you may manage the odd book, you probably won’t be spending many hours leafing through novels under shady trees. You may even find that the only books you manage to read during maternity leave, are baby books. So make the most of these final few months of pregnancy by reading some good books cover to cover.

Pregnant Mamma Bucket List Item #9: Catch Up With Friends

Pregnancy is the perfect time to catch up with old friends. Make plans to meet up with old friends, and spend time on the phone chatting to long distance friends. It can be that little bit harder to keep in touch when the baby arrives, simply because you’ll be so busy, so spend time catching up with everyone during pregnancy.

Pregnant Mamma Bucket List Item #10: Write About It

Pregnancy is such a wonderful time, as you approach the unknowns of motherhood, you may find yourself spending time reflecting on your feelings. Take this opportunity to write down your thoughts and feelings as the birth approaches. If you are planning to keep a baby book detailing the first year of your baby’s life, this would make a great first entry.

Pregnant Mamma Bucket List Item #11: Have A Blessingway

You may or may not have had a baby shower, but a blessingway is all about getting your favourite women together and making it all about the mother-to-be. There’s no gift giving (although you could definitely class everyone’s presence and support as a gift) but instead, its all about preparing you emotionally and spiritually for birth. They are absolutely amazing and leave you overflowing with love and laughter.

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