Few Things you should avoid when pregnant - Gynecologist in Noida

No one enjoys giving up things they like or having an interest to do. But if you are trying to conceive, there are quite a few things you should NOT do that can complicate or hamper your chances of getting pregnant. Below are the things that help you to improve your pregnancy. Your doctor may have already advised you not to do things during your pregnancy. Here we will let you know the things you should avoid while you are pregnant.

Time to quit smoking

It would have been better if you have already quite smoking. According to studies, smoking is not only detrimental to your health but it is also harmful to the baby. It has been observed smoking increases the risk of miscarriage and leads to ectopic pregnancy. Infact, females addicted to smoking have wrecked havoc to the fertility. The exposure of smoking leads to spontaneous abortion, pre-term births, low-weight full-term babies, and fetal and infant deaths. Your partner should quit smoking too.

Cut back on caffeine

Consumption of large amount of caffeine is connected to infertility. Some studies suggest, you should not consume more than 200 mg of caffeine. It includes all sources of caffeine like coffee, tea, chocolate and soft drinks. You have to also make sure that you are not consuming enough soda that can impact on your heath. During pregnancy, it is important for you to switch to a drink that does NOT contain caffeine.

You should not drink Alcohol

Your lifestyle habits can have long term effects on your fertility. There is an increasing evidence that says even the small amounts of alcohol can reduce your chances of conception. During pregnancy, consuming alcohol has negative effect on your developing baby. In some cases, it has been found, the baby born from an alcoholic mother has congenital birth defects leading to severe retardation and other abnormalities.

Avoid high-mercury Fish

Fair amount of fish may not have any problems but for healthy pregnancy, cut back on your consumption of high-mercury fish (tuna halibut, swordfish). Fish concentrate methylmercury, which can affect the developing child’s brain and nervous system. So avoid it, and increase your chances of a healthy pregnancy.

Live stress-free

Depression is an illness that affects the thinking of a person. Sometimes pregnant women don’t realize they are under depression.  Depression during pregnancy can lead to miscarriage, delivering before the due date (preterm), giving birth to a small baby (low birth weight). It’s important to live a stress free life to maintain your healthy pregnancy

8 Myths about Trying to Conceive - Gynecologist in Noida

Couples who are trying and not being able to conceive is one of the greatest challenges they face in their lives. It can lead them into depression if conception myths and common misconception revolve around their minds about conception. Here we try to cut through your confusion about the common myths and realities relating to misconception.

1. Everyday sex makes pregnancy faster

Just because you are having everyday sex does not mean you will carry the pregnancy faster. The best thing your sex should coincide with ovulation-that help sperm travel towards the fallopian tubes which eventually makes your fertilization process successful.

2. You don’t have to worry about age

It is an established fact that fertility decreases with the increase in age. According to studies, the best age for woman trying to conceive is 21-30. For both men and women, age is a critical component of fertility potential. So, get married soon.

3. The positions during intercourse matters when trying to conceive

In order to achieve a goal for positive pregnancy it is important you are having intercourse when you ovulate, the best time for successful conception in your ovulation cycle.

4. Orgasm is important to get pregnant

The female orgasm is biologically unnecessary for conception to occur. But that does not mean it cannot help fertilization process. One of the studies done by British biologists found that women retained more seminal fluid when they had an orgasm anywhere from a minute to 45 minutes after a man’s ejaculation during copulation.

5. Ovulation Happens 14 Days after a Period

It is the most accurate way to predict fertility but it is not always that your ovulation happens on 14^th day. For the most accurate prediction, you need to follow ‘fertile window’ i.e when your period begins and ends.\

6. You will conceive more quickly if you have sex during the day

There is no clinical proof that having sex during the day increases you the chances of getting pregnant. However, some studies suggest sperm levels are somewhat higher in the morning.

7. Adopt a child, you will get pregnant

It is one of the oldest myths between couples about conception and continues to spread like wildfire even to this day. There is nothing as such adopting a child increases the chances of getting pregnant. If you are struggling with fertility, consult a doctor as early as possible.

All pregnant women is worry about - Gynaecologist in Noida

What Pregnant Women Worry About You may have noticed now that you’re pregnant, the pregnancy and baby seem to dominate your thoughts. You probably find yourself daydreaming through meetings, trying to imagine what your baby will look like or how it will feel to hold him for the first time. As your bump grows, the kicks and nudges are a constant reminder that life is about to change, and you may find yourself constantly somewhere between nervous and excited, or both. With all of the reading you’re doing, you’re probably finding at least three new things to worry about each day. In many ways, worrying is unavoidable during pregnancy. After all, you’re carrying some very precious cargo! Worrying about and during your pregnancy is completely normal. Keep talking with your partner to let him in so he knows that you’re worried and help ease your fears and concerns. Chances are, he’s worried, just like you! Here are just some of the things you’ve probably found yourself fretting over while you’re pregnant:

#1: That You’re Not Really Pregnant.
Until you have seen that ultrasound scan with your own two eyes, you can be excused for worrying that the entire pregnancy may be nothing more than a figment of your imagination. It’s hard to trust something that you have to wee on to make it work, and so you will probably spend the first trimester at least slightly terrified that you misread the test, and then began a phantom pregnancy with morning sickness but no baby.

#2: That The Scan Will Bring Bad News
Scans are a double edged sword. While you are beside yourself with excitement at the prospect of seeing your baby, you may also find yourself feeling worried that something will show up on the scan. Everybody wants their baby to be healthy and happy, and most pregnant women worry that their baby may face problems or have health issues even before the birth.

#3: That You Will Miss Working
 No matter how long you’re planning to take off on maternity leave, you can be forgiven for worrying that you will miss your job. After all, you’ve worked all these years to get where you are today, and the thought of not working is probably a scary one. You may be worried that you’ll miss the job, but also that you’ll forget how to do it after a long break and will return to the workforce a little fuzzier and less capable than you are today. Or on the other hand, maybe you’re more worried that you wont want to go back!

#4: That You Have Become A Baby Bore 
Baby, baby, baby. It’s all you can think about, so it’s probably all you’re talking about too. You might feel worried that you’re hogging the conversation, yapping on about morning sickness, birth choices and the limitless wonders of YOUR baby. You might find yourself worried that all of your friends secretly meet up without you so they can talk about normal things like t.v. and what’s happening in the big wide world out there.

#5: That Your Partner No Longer Desires You
As your body changes during pregnancy, you may have noticed your confidence taking a bit of a bashing. As your bump begins to grow and stretch marks descend on your belly, you may worry that your partner no longer finds you sexy. You probably don’t feel much like yourself at the moment and may worry that your partner sees you as a different person – a mother, perhaps, instead of the gorgeous woman he fell in love with.

#6: That You Won’t Know When You’re In Labour 
All through your pregnancy you are preparing for a marathon. But it’s a weird marathon and no-one will tell you what it’s like. It’s pretty much the best kept secret, and though you keep thinking it might be about to start, you are reassured by friends and medical professionals alike that ‘You’ll know when it’s labour’. But what if you don’t? What if you give birth on the bus to work, or in the supermarket, because you didn’t know it was labour, and you thought it was just another twinge?! Oh, and here is BellyBelly’s article on 7 signs of early labour.

#7: The Birth 
What is birth like? But what does it feel like? How much worse than period pains are contractions? How long will it last? Will it hurt? These are all great questions. Good luck finding answers for them. The best you can hope for are vague non-committal statements about birth in general, but there will be nothing specific to your impending birth. For that, you’ll have to wait and see.

#8: That You Will Suck At Motherhood 
It’s too late to back out now, that bun is well and truly cooking in the oven. And yet, on some days you find yourself filled with fear that you may not be cut out for motherhood. What if you don’t have enough patience to be the perfect mother? What if you forget your baby and accidentally leave him abandoned on a park bench one day? What if you can’t stop swearing and your toddler ends up with a potty mouth?

#9: That You Won’t Love The Baby
When you hear people talk about the love they have for their children, the way that it smacks you right in the chest the first time you see them, you wonder if you will be able to feel a love like that. What if you don’t feel it? What if you look down at your baby and you feel nothing? What if you are indifferent and cold? What if you do not have that loving maternal instinct that all mothers seem to have?

#10: That You Worry Too Much 
If you’ve said yes to all the above, then most likely, you do! If there’s a chance that your worry is more than just pregnancy nerves, be it anxiety or depression, sharing with your worries with your care provider is a good first step to getting help. Your baby will thank you for being courageous and getting support when you need it. Always.

What Else Did You Worry About?
Can you add anything to this list? Or do you feel that this list is pretty accurate for you? Come you your clinic and we can discuss more!

Baby Sleep Mistakes - Things To Avoid - Gynecologist in Noida

Sleep. You used to take it for granted, didn’t you?
All those late nights and lie-ins… you thought life would be like that forever. And then you had a baby. Tiredness is the new norm, as you spend your days battling against extreme brain fog. It’s been so long since you had as many as four hours of glorious uninterrupted sleep. You fantasise about a hotel room with a do not disturb sign on the door where you can catch up on all those missed hours between the sheets — of sleep, obviously, because you don’t have the energy for anything else. Your morning cup of coffee doesn’t even scratch the surface of how tired you feel. As you sip the last cold drop, you’re still struggling to keep your eyes open. As if that wasn’t bad enough, all the entire world seems to want to talk about is how much sleep you’re not getting. Every person you pass during the day offers unwanted advice about how to get

your newborn baby to sleep through the night. Some even offer critiques of your parenting style, to help you understand exactly where you’re going wrong (thanks, strangers!). As irritating as this is, you can’t help but admire the bravery of the people willing to say these things to a person suffering from extreme sleep deprivation.

As you lie awake at night, you can’t help but wonder if there’s any truth in what the people say. Are you getting it all wrong? Are you making big mistakes that are affecting your baby’s sleeping patterns? The simple answer is ‘yes’, you’re probably making at least a couple of the following sleep mistakes, because y

Enter, The 5 Baby Sleep Mistakes
 Here are 5 baby sleep mistakes you could be making: Baby Sleep Mistakes

#1: Comparing Your Baby To Other Babies 
It is almost impossible not to… especially when you’re sitting beside a fresh-faced mother of three who is telling you about how her newborn baby slept through the night again last night. But you should avoid comparing your baby to other babies or you’ll drive yourself mad. All babies are different, and you have enough to worry about without also obsessing over the fact that your baby hasn’t rolled over in the same month as other babies. Another problem with baby comparisons is that you are basing the comparison on information from the mothers, and not scientifically collected, unbiased, factual information. Of course mothers are going to gloatingly talk up their babies! That’s new motherhood. Fact is, sleeping through for a baby is a grand average of five hours. So while most babies will be somewhere around this average, there will be some babies who sleep more and less than this, because that’s what happens to calculate an average figure.

Baby Sleep Mistakes #2: Having Unrealistic Expectations 
One of the major problems when it comes to sleep stress is that parents simply don’t know what is normal. All we know about normal is that it’s a setting on the clothes dryer. If you have a baby who doesn’t sleep for very long, you can quite easily end up terrified that you will never ever sleep again. When in reality, your baby’s sleeping behaviour is age-appropriate. Yet, unrealistic expectations can put you on a freeway to low self esteem, anxiety, depression and more.

It may help you to know the following:

• at one week old, your baby will spend around 16 hours asleep during a 24-hour period. Only eight of these will be at night and they won’t be consecutive. 
• young babies go through growth spurts and will rely on frequent feeds (also known as ‘cluster feeding’). The more they feed, the more signals they send your breasts to make more milk to satisfy his hunger. Cluster feeds are a normal part of your baby’s development. Many new mothers panic about milk supply at this point and some may end up using formula. Make sure you speak to an IBCLC (International Board Lactation Consultant) or breastfeeding association for support and advice before you panic or accidentally wean your baby. 
• at one month old, your baby still has a tiny tummy, and will still need to wake to feed at least every four or five hours during the night. Some mothers believe formula or other additives in a bottle will make their baby sleep longer. Find out the truth here. 
• sleeping through the night is defined as five consecutive hours. 
• almost half of all babies still wake during the night by three months of age.
• it is normal for babies to continue waking in the night at six months. 
• by their first birthday, most children sleep through the night (remember, this does not mean for 12 hours long), but not all. 

Baby Sleep Mistakes #3: Listening To Outdated Advice 
No offense to your mother-in-law or that old woman you met crossing the street the other day, but times have changed. It is no longer acceptable to dip your baby’s dummy in brandy in the hope of getting a decent night’s sleep, thank goodness! We now know that controlled crying doesn’t teach babies to self soothe, and instead simply teaches them that no-one will respond to their cries. One study found that the babies still had high levels of cortisol (a stress hormone) even though they had stopped crying. For this reason, many modern parents are choosing not to follow controlled crying, much to the horror of the grandparents. Though previous generations may have believed babies could be ‘spoilt’ for attention, we now know this is not the case. Responding immediately to your baby’s cries doesn’t spoil your baby, instead it encourages him to trust his communication skills and teaches him how to manage his emotions.

Baby Sleep Mistakes #4: Not Trusting Your Instincts 
There are plenty of baby experts out there with conflicting advice on how to help your baby sleep through the night, but the only person who really understands your baby is you. You are the expert when it comes to your baby. You are the one who feeds him, changes his nappies and soothes him when he cries. Start listening to your gut and trust your instincts. You know what you’re doing, you have this covered, all you need to do is trust that and you’ll see. If you’d like to know which parenting authors and educators are worth following, check out BellyBelly’s list here.

Baby Sleep Mistakes #5: Ignoring Your Baby’s Cues
 Everyone has an opinion over how and when you should put your baby to sleep, and what you should do if he cries. These range from caring to downright cold. One thing that very rarely gets mentioned is your baby’s cues. Your baby may not be much in the way of a chatterbox, but he is trying to tell you things. He is using facial expressions, movements and even noises to try and tell you when he’s ready for bed. Missing these cues could leave you with an overtired baby (aka demon baby who will not sleep), so it’s worth looking out for and responding to these cues early. Look out for yawning, becoming quiet, losing interest in people and toys, a knotted brow, frowning and rubbing his eyes. If you notice any of these cues, your baby might be trying to tell you he’s ready for a sleep. Read more about how to interpret your baby’s cues here. 

Baby Sleep Mistakes #2: Having Unrealistic Expectations One of the major problems when it comes to sleep stress is that parents simply don’t know what is normal. All we know about normal is that it’s a setting on the clothes dryer. If you have a baby who doesn’t sleep for very long, you can quite easily end up terrified that you will never ever sleep again. When in reality, your baby’s sleeping behaviour is age-appropriate. Yet, unrealistic expectations can put you on a freeway to low self esteem, anxiety, depression and more. It may help you to know the following: at one week old, your baby will spend around 16 hours asleep during a 24-hour period. Only eight of these will be at night and they won’t be consecutive. young babies go through growth spurts and will rely on frequent feeds (also known as ‘cluster feeding’). The more they feed, the more signals they send your breasts to make more milk to satisfy his hunger. Cluster feeds are a normal part of your baby’s development. Many new mothers panic about milk supply at this point and some may end up using formula. Make sure you speak to an IBCLC (International Board Lactation Consultant) or breastfeeding association for support and advice before you panic or accidentally wean your baby. at one month old, your baby still has a tiny tummy, and will still need to wake to feed at least every four or five hours during the night. Some mothers believe formula or other additives in a bottle will make their baby sleep longer. Find out the truth here. sleeping through the night is defined as five consecutive hours. almost half of all babies still wake during the night by three months of age. it is normal for babies to continue waking in the night at six months. by their first birthday, most children sleep through the night (remember, this does not mean for 12 hours long), but not all. - See more at: http://www.bellybelly.com.au/baby-sleep/5-baby-sleep-mistakes/

Sleep. You used to take it for granted, didn’t you? All those late nights and lie-ins… you thought life would be like that forever. And then you had a baby. Tiredness is the new norm, as you spend your days battling against extreme brain fog. It’s been so long since you had as many as four hours of glorious uninterrupted sleep. You fantasise about a hotel room with a do not disturb sign on the door where you can catch up on all those missed hours between the sheets — of sleep, obviously, because you don’t have the energy for anything else. Your morning cup of coffee doesn’t even scratch the surface of how tired you feel. As you sip the last cold drop, you’re still struggling to keep your eyes open. As if that wasn’t bad enough, all the entire world seems to want to talk about is how much sleep you’re not getting. Every person you pass during the day offers unwanted advice about how to get your newborn baby to sleep through the night. Some even offer critiques of your parenting style, to help you understand exactly where you’re going wrong (thanks, strangers!). As irritating as this is, you can’t help but admire the bravery of the people willing to say these things to a person suffering from extreme sleep deprivation. - See more at: http://www.bellybelly.com.au/baby-sleep/5-baby-sleep-mistakes/

Mommy brain in pregnancy - Gynaecologist in Noida

If you think delivering that gorgeous baby means an automatic return to your former mental self, think again. “Pregnancy brain” is real, and it can affect your postpartum brain as well. Example: Half of new moms still felt super sleepy 18 weeks after giving birth, according to a recent study published in PLOS One. Here’s what to expect:

What causes it: Many experts attribute the sluggishness to the upheaval of hormones that inevitably occurs after childbirth.

The huge learning curve of taking care of a newborn also contributes. “You’re gathering so much new information, so worried about simply keeping your baby alive and well-fed, that it consumes your brain,” Seip explains.

How long it lasts: While research shows the fogginess can last up to a year after having a baby, many women start to see at least some improvement once they adjust to their new lives. Getting more of that ever-elusive sleep also helps.

What you can do in the meantime: Besides laughing it off, try to find comfort in the small triumphs. You may not be able to remember your husband’s name, “but take pride in the fact that you know your pediatrician’s phone number by memory or that you can operate your breast pump with your eyes closed.”

Also take advantage of a few memory joggers: Leave yourself voicemails; write notes on your palm; keep a pen and paper in several places so you can jot down important reminders. And if you’re concerned about being able to find those reminders, place Post-its in a prominent place. “One mom put them on her baby!” Seip says.

How to Gain Weight in Pregnancy - Gynecologist in Noida

There is so much focus on ensuring that you don't gain too much weight in pregnancy. But the truth is that there are some women who actually need to gain more weight than they have been gaining. Here are some tips to gain weight while you are pregnant:

Eat more frequently.
Sometimes you don't gain weight in pregnancy because your stomach is so squished that you can't add extra calories to your meals. By eating smaller, but more frequent meals, you have the ability to add extra calories throughout the day. This can also help with some pregnancy complaints like nausea and heartburn.

Carry food with you.
To help you snack throughout the day, I think it's important to carry some food with you. Carry easy foods - no preparation required. I like to carry nuts, like almonds. Sometimes I add dried fruit like a trail mix. If you have a place to keep food cold, I would suggest that you try cheese with fruit. I love cheddar on apples or pears. And fresh fruit is always handy. Pop a banana or orange in your purse and you're ready to roll.

Drink your calories.
Try drinking some of your calories. It may be easier for you to take a smoothie with you and sip it throughout the day. You can even add protein powder to your shakes for a bit of a caloric punch. It doesn't really taste any different, but it can add calories from protein.

Eat snacks that pack a punch.
When you're snacking try to make your calories count. A hard boiled egg, yogurt or a wedge of cheese can be nutrient dense and good for you. They don't cause you to stuff a lot of food into your stomach, however.

Add supplements if needed.
Protein powders added to foods for extra calories. They can also be added to shakes. If powdered supplements aren't your thing, then you can also do bars. When I was pregnant with the twins I ate Tiger's Milk Bars and Luna Bars. There are also a whole slew of bars designed

Best Tips to a happy pregnancy - Gynecologist in Noida

Prioritise during pregnancy

Examine what you need to do to help yourself and your growing baby. Do what you need to do, decide what else you can do and let the rest go.
 
Involve others in your pregnancy

When you include your partner, other family members and friends in your pregnancy, it helps them understand what you are going through so they can be more understanding and supportive.

Treat others with respect and love

You may be having a hard time, especially at the beginning of your pregnancy. You may have morning sickness. You may find adjusting to the rile of mum-to-be difficult. People will understand if you take the time to let them know how you feel. Show respect and love for their concern. Treat them with kindness and love, and they will respond in kind.
 
Create memories

It takes some planning, but it is definitely worth it. When you're pregnant, it seems like it will go on forever. However, speaking from experience, we can tell you it passes very quickly and is soon a memory. Take steps to document the many changes that are occurring in your life right now. include your partner in all this. Have him or her jot down his or her feelings. Take his or her picture, too! You'll be ale to look back and share the highs and lows together, and, in the years ahead, you and your kids will be glad you did.

Relax when you can

Easing the stress in your life is very important now. Do things that help you relax and focus on what is important in your lives right now.

Enjoy this time of preparation

All too soon your pregnancy will be over and you'll be a new mother, with all the responsibilities of being a mum and a partner! You may have other responsibilities, too, in your professional or personal life. This is a time to concentrate on your couple relationship and the many changes you will be experiencing in the near
future.

Focus on the positive

You may hear negative things from friends or family members, such as scary birth stories or sad tales. Ignore them. Most pregnancies work out great.

Don't be afraid to ask for help

Your pregnancy is important to others, too. Friends and family will be pleased if you ask them to be involved.

Be informed
Genesis Women Clinic provides all you need to enjoy your pregnancy from the first day you discover you are pregnant to the birth, and beyond.

Smile

You're a part of a very special miracle that is happening to you and your partner so try to stay relaxed and enjoy the ride!

Genetic Counseling in Pregnancy - Gynecologist in Noida

There are many different reasons to have genetic counseling done, as well as different ways to have genetic testing done. I am going to deal mainly with genetic testing as it relates to pregnancy.
First a quick look at genetics...

Every human being has genes, these tiny little switches that determine hair color, eye color, and other traits are packed into 46 chromosomes inside our cells. The human sperm and egg cells are different from other cells in that each only has 23 unmatched chromosomes inside. When pregnancy begins and the egg and sperm are joined you start with a brand new cell, with 46 chromosomes.

Dominant Disorders

Each gene's instructions are either dominant or recessive. Examples of dominant disorders would be: high cholesterol, Huntington disease, extra fingers or toes, glaucoma, etc. Problems caused by dominant disorders can be either nonexistent or quite severe. If a parent has a dominant gene for a certain condition there is a 50% chance that each child would have the disorder.

Recessive Disorders

If only one parent has a recessive disorder gene, then the dominant gene from the other parent will prevent the disorder. If both parents were carriers of a recessive gene then there would be a one in four chance that each child would inherit the disorder. Examples of recessive disorders: sickle cell anemia, Tay-Sachs, phenylketonuria (PKU). Recessively inherited disorders are often more serious.

There are other types of disorders, such as X-linked disorders, and carriers.
Types of Testing

Screening Tests

Maternal Serum Alpha-fetoprotein (MSAFP) - This is a blood test done between 15 - 17 weeks of pregnancy. There is no risk to the baby during this screening. The mother's blood is screened for one or more substances (alpha-fetoprotein, hCG, estriadol). Higher than normal levels may indicate a neural tube defect, while lower values may indicate certain chromosomal disorders, usually Down Syndrome. The problems with this screening are that there are many false positives. This can cause more invasive testing, worry, etc. When the reason may simply be that you are further along than anticipated, you might be having twins. However, a normal test should help relieve anxiety.

Ultrasound - This screening can show if the baby has defects such as kidney problems, heart defects, and limb defects. This procedure does not detect all defects and has not been shown to be helpful in determining Down Syndrome in a fetus. A good ultrasound does not indicate that you will not have a baby with a defect, just decreases the likelihood.

MaterniT21PLUS - This test is run on maternal blood and can look for the most common of genetic disorders, including Down Syndrome. It can be done as early as 10 weeks into pregnancy and does not pose a risk of harm to the baby or pregnancy. It will also tell you if you are having a girl or boy.

Diagnostic Testing

Amniocentesis - This test will screen for all known chromosomal defects by sampling fetal cells in the amniotic fluid. It is done with the placement of a needle, guided by ultrasound, into the uterus to collect the fluid. It is usually done between 15 and 18 weeks of gestation, although some practitioners are doing early amniocentesis as early as 9 weeks. It normally takes two weeks to receive the results. The results can be very accurate, however, they cannot tell you the severity of a present defect. There is also risk to the baby from this procedure. About 1 in 200 women will miscarry after the amniocentesis, even if the baby was unaffected, and about 1 in 1,000 will experience infection. (See more about amniocentesis.)

Chorionic Villus Sampling (CVS) - CVS can be done earlier in pregnancy, some centers are doing it as early as 8 weeks, while most are doing them around 10 weeks gestation. A small tube can be placed through the vagina, or it can be done abdominally and a tiny tissue sample is taken from the outside of the sac that contains your baby. CVS results can be done as soon as ten days. This is less accurate than amniocentesis and the rates of complications are higher. Miscarriage is 1 in 100 or 200, small risk of missing digits (fingers and toes) for 1 in 2,000 or 3,000 of babies. These risks are higher the earlier the CVS is done. (See more about CVS.)

Pregnancy Brain – Fact or Fiction? - Gynecologist in Noida

It’s not just your imagination, pregnancy brain exists. Whether it’s walking into a room and forgetting why you’re there, taking twice as long to complete an email than usual, or stumbling over how to spell your son’s name, you simply just don’t feel like yourself.

A number of studies have been completed by both psychologists and neuroscientists to try to get to the bottom of pregnancy brain. Unfortunately, no clear picture has been established as to WHY women feel so foggy, only that they do. Some hypotheses include hormones, sleep deprivation, and the fact that pregnant minds and body are doing double or triple duty as the baby grows. Some studies have shown that the changes and symptoms women have correlate to the sex of the baby and last for the duration that the mother breastfeeds. There’s a lot of fascinating research on-going, but the bottom line is that you need to survive until you can think like normal again!

The good news is that the feeling and realities of pregnancy brain are temporary. Most women feel mostly back to normal once their babies are on some sort of schedule. Coincidence? I think not! Maybe there is something to that sleep deprivation theory….

There are a few great ways to survive through your “momnesia” that will help you cut down on the time you have to search for your cell phone or keys. Here’s what we came up with:

1. Have a routine. This will help you know what and where to be.
2. Write everything down! Google Calendar, Evernote, and other apps are great for this. Or just a plain old pen and paper.
3. Have a place for everything. Keys on the hook, purse in the closet, etc. Less time looking if everything is in the right place!
4. Eat good food. You’re going to feel worse if your brain has junk fuel.
5. Give yourself a break! Making a baby is hard work. Give yourself a Mulligan and take a nap. You earned it!

Some pregnancy questions you're uncomfortable asking your Gynecologist - Gynecologist in Noida

1. Will I have a bowel movement during my delivery?
Mary Rosser, Gynecologist at Montefiore Medical Center in the Bronx section of New York City, wants pregnant women to know that birth is not a public performance. So really, you shouldn't worry about pooping during the pushing phase of labor. It can happen if your bowel is full because the rectum is underneath the uterus, and when you push, you put pressure on that area. Still, try to remember that the people in the delivery room are there to support and help you, and that medical professionals are cognizant of people's dignity and privacy. So, focus on your baby, not your bowels.


2. Will I get stretched out "down there?"
The short answer: no. Your vagina is made to stretch to accommodate childbirth and then contract back to its normal size. Indeed, your vagina has muscle memory! Rosser recommends doing Kegel exercises to strengthen those muscles. Basically, you'll clench that area as if you were holding back a stream of urine, then release. Do these exercises in sets of 10, four to five times daily postpartum.


3. Have I gained too much weight?
This can be a touchy subject and one that many pregnant women shy away from asking at a prenatal appointment. But Rosser says you shouldn't be afraid to discuss your pregnancy weight gain with your doctor because this is an important aspect of both your health and the baby's.


4. I've heard I won't be able to control my bladder after pregnancy. Is this true?
"Bladder control tends to decrease after pregnancy and childbirth," Beverly Hills Gynecologist Suzanne Gilberg-Lenz says. And as you near your due date, you may notice bladder control becoming more tenuous. But usually within six weeks to three months, women will see those effects reverse. Guess what? Kegels help here, too. Sometimes there is an ongoing problem, however, and you should talk to your doctor to find out what can be done to help.


5. My husband is afraid to have intercourse while I'm pregnant because he might hurt the baby. What should I tell him?
Rosser acknowledges that this is a real fear for many partners of pregnant women. Many times they just need to be reassured that they won't hurt mom or the baby.


6. Why is intercourse more painful after giving birth?
"You did have a baby, and there's some trauma that needs to heal," Gilberg-Lenz says. For women who are breastfeeding, hormone levels change, too, especially estrogen, which may lead to problems with lubrication. Try using a lubricant during intercourse and giving your body time to adjust to sex after baby. If several months go by and you don't notice an improvement, speak to your doctor.


7. Is it normal to have so much discharge during pregnancy?
Yes. As Gilberg-Lenz points out, a pregnant woman's hormones are going crazy. Plus, you have an increase in the blood flow to the pelvis. You will likely notice a steady increase in discharge as your pregnancy progresses. But be sure to call your doctor if your discharge is painful, burning, itching, has an odor or is very watery. You may have an infection, or your water may have broken.


8. I have bad gas and indigestion while pregnant. Is this normal?
"The hormonal changes in pregnancy decrease the efficiency of your gastrointestinal system," Gilberg-Lenz says. Your discomfort may start with nausea, aka morning sickness, and bloating. As many as 85 percent of women experience these symptoms in early pregnancy. This can graduate into acid reflux and indigestion later, which is completely normal.


9. What can I do to ease my digestion issues?
"For constipation, make sure to eat plenty of fiber, veggies, fruits and drink lots of water. If needed, you can take milk of magnesia or a stool softener," Rosser says. "For heartburn, eating smaller and more frequent meals will help, as will sleeping upright on two pillows. Avoid acidic and spicy foods. If the trouble continues, speak with your physician, who may suggest taking a medication with calcium carbonate."


10. What if I sleep through labor?
"It is possible not to know if you break your water. It can be as small as a little trickle or a huge gush! Many women think they be leaking urine," Rosser says. If you aren't sure, call your doctor. But when it comes to contractions during active labor, there will be no mistaking it! They don't call it labor for nothing!

How to choose your gynaecologist - Gynecologist in Noida

Visiting a gynecologist should be a part of every woman's medical routine. Finding the right gynecologist may take some time, but it's worth doing your research and choosing someone you feel comfortable with. After all, your gynecologist will be the one helping you through your pregnancy and delivery so it is important to feel that you can speak to him or her freely. Here are a few tips to help you make your choice:

Does the gynecologist have a good reputation?
There is nothing wrong in being particular about your standards when it comes to your gynaecologist. After all, your gynaecologist is privy to some of the most intimate facets of your sexuality, body and overall health. Start with the website of the hospital he or she is affiliated to. This should tell you about the doctor's medical credentials and for how long they have been practising. It may highlight their particular areas of interest or experience as well. See if the gynaecologist is also an obstetrician. If she isn't you will need to see a different doctor at the time of your delivery because only obstetricians are qualified to deliver babies.

You can also ask around among your friends, family, colleagues or your own general physician. You are bound to find someone who goes to that particular gynaecologist and if not, you will probably hear of a good gynaecologist you might want to consider.

What should I ask the gynecologist?
When you go for your first "introductory" appointment, you may want to ask yourself the following questions:

•     Does the gynaecologist answer your questions willingly and accurately?
•     Is she friendly and responsive?
•     Do you feel comfortable asking her personal medical questions?
•     Does she seem up to date?
•     Is she listening to your concerns and answering accordingly?
•     Is she gentle during her check-up?
•     Does she seem to care about your comfort?

If you don't feel a rapport building with this doctor, try another one.

How easy is it to meet the gynecologist?
Good doctors are always busy, but you don't want a doctor who always seems too busy to take her time with you or to speak to you. Most doctors are willing to give you their cell phone number or email addresses. Find out how this gynecologist deals with emergency calls. Ask how quickly she aims to get back to people with non emergency queries. Check out how long you would usually have to wait for routine appointments, and how quickly you could be seen if you were unwell.

How far is the gynecologist from your home?
Think about the distance you need to travel for your appointments with your gynecologist. Do you want one close to home or would it be easier to visit someone close to your work? Think about how you will get there. If you need to use public transport check out how easy it will be. If you are pregnant or thinking of starting a family, you might find it easier to have a doctor closer to home since you will be going for more frequent check-ups.

Do you prefer a female gynecologist?
Many women prefer female gynecologists. But keep an open mind: you may also find a male gynecologist who is understanding and helpful. Make your decision after you have had a chance to speak with several doctors.

Will your insurance cover the cost of your doctor's visits?
Check your finances. There are some insurance schemes that do not cover visits to the gynecologist. In this case you may need to compare visiting costs. Delivery charges also vary a lot between gynecologists and often insurance schemes have a limit on the extent to which they cover you. If you have a baby planned or on the way, it may be worth comparing the delivery charges of the gynecologists on your list.

How do you feel about the gynecologist?
There is a reason that a women's intuition is so revered, it is often right! So do your researches, check background information, schedule an appointment and meet the gynecologist, but in the end trust your gut.

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 medicines are used to treat infertility in women? - Gynecologist in Noida & IVF Specialist

Some common medicines used to treat infertility in women include:

• Clomiphene citrate (Clomid): This medicine causes ovulation by acting on the pituitary gland. It is often used in women who have polycystic ovarian syndrome (PCOS) or other problems with ovulation. This medicine is taken by mouth.
• Human menopausal gonadotropin or hMG (Repronex, Pergonal): This medicine is often used for women who don't ovulate due to problems with their pituitary gland. hMG acts directly on the ovaries to stimulate ovulation. It is an injected medicine.
• Follicle-stimulating hormone or FSH (Gonal-F, Follistim): FSH works much like hMG. It causes the ovaries to begin the process of ovulation. These medicines are usually injected.
• Gonadotropin-releasing hormone (Gn-RH) analog: These medicines are often used for women who don't ovulate regularly each month. Women who ovulate before the egg is ready can also use these medicines. Gn-RH analogs act on the pituitary gland to change when the body ovulates. These medicines are usually injected or given with a nasal spray.
• Metformin (Glucophage): Doctors use this medicine for women who have insulin resistance and/or PCOS. This drug helps lower the high levels of male hormones in women with these conditions. This helps the body to ovulate. Sometimes clomiphene citrate or FSH is combined with metformin. This medicine is usually taken by mouth.
• Bromocriptine (Parlodel): This medicine is used for women with ovulation problems due to high levels of prolactin. Prolactin is a hormone that causes milk production.

Many fertility drugs increase a woman's chance of having twins, triplets, or other multiples. Women who are pregnant with multiple fetuses have more problems during pregnancy. Multiple fetuses have a high risk of being born too early (prematurely). Premature babies are at a higher risk of health and developmental problems.

How does age affect a woman's ability to have children? - Gynecologist in Noida, Gynecologist in Delhi

Many women are waiting until their 30s and 40s to have children. In fact, about 20 percent of women in the United States now have their first child after age 35. So age is a growing cause of fertility problems. About one-third of couples in which the woman is over 35 have fertility problems.

Aging decreases a woman's chances of having a baby in the following ways:

•     Her ovaries become less able to release eggs.
•     She has a smaller number of eggs left.
•     Her eggs are not as healthy.
•     She is more likely to have health conditions that can cause fertility problems.
•     She is more likely to have a miscarriage.

How long should women try to get pregnant before calling their doctors?

Most experts suggest at least one year. Women 35 or older should see their doctors after six months of trying. A woman's chances of having a baby decrease rapidly every year after the age of 30.

Some health problems also increase the risk of infertility. So, women should talk to their doctors if they have:

•     Irregular periods or no menstrual periods
•     Very painful periods
•     Endometriosis
•     Pelvic inflammatory disease
•     More than one miscarriage

It is a good idea for any woman to talk to a doctor before trying to get pregnant. Doctors can help you get your body ready for a healthy baby. They can also answer questions on fertility and give tips on conceiving.

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.