Chichenpox in pregnancy

Although Chichen pox in pregnancy infection can pose risk in all trimesters, the highest Baby risk exists between 13 and 20 weeks.

 It may result in hypoplasia or aplasia of single limbs, with skin cicatrisation, deafness, psychomotor retardation, and eye abnormalities.

The incubation period is 14-21 days, and infectivity is from 1 day prior up to 6 days after the disappearance of the rash.

Oral acyclovir reduces the duration of symptoms if given within 24 hours of the rash appearing. Chichen pox in pregnancy is often more severe and may be life-threatening due to pneumonia, hepatitis, or encephalitis.

It a woman has an exposure without history of previous infection, serum should be tested for igG antibodies.

 It antibodies are positive within 10 days of contact, assume immunity.

If not positive, immunoglobulin should be given as soon possible, But because it is costly.. Not invariably given in India.

 Neonatal chichenpox may be seen in mothers infected in the last 4 weeks of pregnancy. These babies should receive immune globulins as soon as possible.

Ultrasound Scan in Delhi

The test used to help in diagnosing problems in liver, heart, kidney  Lower abdomen … of pelvic avgas

 Life Care Centre works in various types of Ultrasound such as:

• Ultrasound in Infertility
• Obstetric ultrasonography
• Ultrasound in emergency obstetrics.
• Abdominal sonography
• Doppler ultrasound – Color Doppler, Pulsed Doppler and Power Doppler
• Endoscopic ultrasound

Each of ultrasound is done with great expertise and supervision, with the use of advanced technology.

Our Address:

11, Gagan Vihar, (Near Karkari Morh Flyover) Delhi-110051

Contact us:

Phone: 011-22414049,9650588339

Mobile: 09650588339

Email: info@lifecarecentre.in

For more information,

Visit our website www.lifecarecentre.in

Why Rubella IGA testing prior to pregnancy is important.

Rubella is bad infection with causes major malformations in child.

The major of malformations the baby fetus from rubella infection exists in the first 12 weeks of pregnancy. Over 50% fetusget malformed… this risk is diminished between 13 and 16 weeks,

 and very little risk remains after 16 weeks.

Fetal defects include eye defects (cataracts, glaucoma, micropthalmia), heart defects (patent ductus arteriosus (PDA), sensorineural hearing loss, and mental retardation.

 Maternal infection is symptomatic in 50-70% in the form of rash, arthritis, and lymphadenopathy. Incubation period is 14-21 days, and infectivity is 7 days before and after rash.

Prevention relies on rubella /MMR vaccination before conception. It is given as childhood vaccintion.

A woman is tested for Rubella IgG prior to pregnancy & at first visit to know her immune status against rubella.

It is important to remember IGA positive is good and your pregnancy is safe.

In case Negative. Vaccination against Rubella is taken after pregnancy in post-delivery period

CONTACT: Dr. Sharda Jain 9650511339

Dr Jyoti agarwal 9910081484

Help Line No. : 9650588339/   959904425  /01122414049

LIFECARE CENTRE is premier centre Total Gynae Care in DELHI

& Top Training centre for DOCTORS

www.drshardajain.com/

http://www.lifecarecentre.in

Lifecare Centre : 11 Gagan vihar, Near preet vihar metro station Delhi – 51

Emergency Caesarean section

Key learning points for all doctors

C.S. rates are increasing, rather rapidly increasing.

Improvements in anaesthesia, blood transfusion, antibiotics, surgical techniques,

and thromboprophylaxis have combined to increase the safety of C/S

Prophylactic antibiotics and perioperative thromboprophylaxis (hydration, early mobilization, graduated stockings, and LMWH) are recommended’

Regional anaesthesia is the technique of choice

Informed consent, crossmatched blood, bladder catheterization, antacids, H2 receptor blockers are important preoperative steps

Location of placenta should be identified prior to any C/S

Good surgical technique and adherence to guidelines/standard of care are essential during the surgery to prevent complications. Senior help should be sought, without any delay or hesitation, in case difficulties arise.

Doctor should not miss opportunity to discuss future pregnancies after CS

CONTACT for TRAINING
: Dr Jyoti agarwal 9910081484
Help Line No. : 9650588339/ 959904425 /01122414049
LIFECARE CENTRE is premier centre Total Gynae Care in DELHI
& Top Training centre for DOCTORS Infertility/IVF/ULTRASOUD/COLPOSCOPY/EMBRYOLOGY/ANDROLOGY
http://www.drshardajain.com
http://www.lifecarecentre.in

Lifecare Centre : 11 Gagan vihar, Near preet vihar metro station Delhi – 51

Kidney stones & pregnancy

‘Kidney stones’ & pregnancy present infrequently in pregnancy, with an incidence of about 5% of all pregnancies, but are one of the most common

non-obstetrical causes of abdominal pain warranting hospitalization.

• Most are diagnosed after the first trimester as spontaneous passage of the calculus becomes more difficult in the second and third trimesters due to increasing compression by the gravid uterus and pain is experienced.
• Kidney stones occur with the same frequency on either side, with ureteric stones twice as common as kidney stones in pregnancy.
• There may be an associated history of frequent UTIs, or history of kidney stones in a previous pregnancy or in the non-pregnant state.
• Most kidney stones in pregnancy are of calcium oxalate or phosphate.

Symptoms, signs, and management

• Most calculi (65-85%) are passed spontaneously with conservative management, including bed rest, hydration and analgesia and antibiotics where indicated, especially if they are less than 4 mm in diameter.

 

• Ureteroscopy with laser lithotripsy is the usual intervention during pregnancy.
• Percutaneous nephrostomy or stenting may be sufficient as temporary measure if the pregnancy is close to term, with stent removal after delivery.
• Nifedipine is widely used for other health problems with a good safety profile.

   It can be taken as once-daily capsule. Preliminary results are encouraging  to increase the chance of passing the stone by 50% and accelerating this process by 4 days.

Contact: Dr. Sharda Jain 9650511339 Dr Jyoti agarwal 9910081484 Help Line No. : 9650588339/   959904425  /01122414049 LIFECARE CENTRE is premier centre Total Gynae Care in DELHI  & Top Training centre for DOCTORS   ********************************************************* ****************************************

 

 

 

 

 

 

 

 

 

 

 

Syphilis and pregnancy

The incidence of syphilis in pregnancy is very low and, therefore, to estimate but is probably in the order of 1 in 10000 pregnancies in the india,The risk of vertical transmission is high, ranging from 70 to 100% in primary syphilis, 40% in early latent syphilis, and 10% in late latent syphilis, Maternal syphilis infection can result in a range of adverse outcomes, including  late miscarriage, stillbirth, hydro’s, and low birth weight. If left untreated, congenital syphilis can result in physical and neurological impairments, affecting the child’s bones, teeth, vision, and hearing. Early recognition and treatment (usually with penicillin) can prevent these adverse outcomes.

Contact: Dr. Sharda Jain 9650511339

Dr Jyoti agarwal 9910081484

Human immunodeficiency virus (HIV) AND PREGAGNANCY

The incidence of previously undiagnosed HIV in pregnancy is less than 1%. In Indian Pregnant patients

The precise management of patients who are infected will depend on factors such as the viral load, but treatment with antiretroviral therapy, delivery by Caesarean section (C/S) in appropriate cases, and avoidance of breastfeeding reduce the risk of vertical transmission from 15-25% to 1% or less. Screening for other sexually transmitted infections (STIS) should be offered.

No Home Delivery

Need of hour,

Credit of focusing No Home deliveries and have institutional delivery goes to Mr Hota and Dr. Sharda Jain a her perseverance Health ministry agreed to whole of focus away her home deliveries.

 

It has substantially contributed in reducing the maternal mortality rates, from 212 in 2007-09 to 167 deaths per 100,000 live births which was to be achieved by 2015 under the United Nations-mandated Millennium Development Goals (MDGs).

 

It is a long food we have to travel to mate the western world figures.

Let’s pledge at this Independence Day to take full come of women during pregnancy her food and immunisation daring.

Contact: Dr. Sharda Jain 9650511339

Dr Jyoti agarwal 9910081484

Help Line No. : 9650588339   959904425  01122414049

www.drshardajain.com/

www.lifecarecentre.in

IgA Nephropathy in pregnancy

 

Having treated 5 cases of IgA Nephropathy in last 6 years and having live babies in pregnancy -I am writing this blog for public Awareness.

What is IgA Nephropathy in pregnancy?

• IgA nephropathy (also known as Berger’s disease) is the most common form of chronic glomerulonephritis affecting women of childbearing age.
• It is most often diagnosed between 16 and 35 years of age.
• IgA nephropathy can coexist with a number of other conditions such as systemic lupus erythematous,, hepatitis,
• Though the disease usually runs a slow course, with signs of renal damage visible in 10-20 years post-diagnosis, about 25% of adults with IgA nephropathy will develop endstage renal failure.

Effect of pregnancy on IgA nephropathy

• In women with; normal or near normal renal function before conception, pregnancy does not worsen the course of IgA nephropathy.
• Moderate to severe renal impairment ; pregnancy is not advisable

 

Pregnancy outcomes are largely determined by:

• Extent of pre-existent renal impairment
• Amount of proteinuria
• Significant tubule-interstitial damage found on renal biopsy.

TREATMENT

• Low-dose aspirin should be considered from about 12 weeks gestation onwards, continued till the end of pregnancy.
• Serial fetal growth scans from 26 weeks gestation at monthly intervals.
• Close monitoring of KFT & Fetal monitoring

 

           Contact: 9650511339 / 9650588339

      http://www.drshardajain.com/

http://www.lifecarecentre.in

 

What to do if you notice reduction in baby’s movements after 28 weeks.

If you notice your baby is moving less than usual or if you have noticed a change in the pattern of movements, it may be the first sign that your baby is unwell. It is very important that you seek professional advice without delay.Never go to sleep ignoring a reduction in your baby’s movements

 

The initial assessment of the baby will involve identifying the baby’s heartbeat with a handheld Doppler device  or with the electronic fetal heart rate monitor (a CTG monitor)

 

An ultrasound to check on the FETAL HEART, growth of your baby, as well as the amount of amniotic fluid around your baby.

 

After a full antenatal check including your blood pressure and urine examination, you will usually be able to go home once you are well. Most women who experience one episode of reduction in their baby’s movements have a straightforward pregnancy and go on to deliver a healthy baby.

If you continue to have reduced fetal movements

• If the CTG is normal but you are still experiencing reduction in movements, or if there are any of the additional risk factors, a full ultrasound assessment will be made.
• If all the investigations show that everything is normal and you are sent home, but continue to experience a reduction in movements soon after, or days or weeks later, you should not hesitate to seek immediate advice again.
• You will not be considered to be an unnecessary worrier no matter how many times this happens, because doctors know that a mother’s concerns about her baby’s movements are important.

LIFECARE CENTRE[9599044257,9650588339 ] has reputation of best carry take home baby rate

Contact: Dr. Sharda Jain 9650511339

Dr Jyoti agarwal 9910081484,

If by 24 weeks of pregnancy you have never felt you; baby move at all, you should contact your doctor, who will check your baby’s heartbeat. An ultrasound scan may be arranged and you may be referred to see the specialist obstetrician. Rarely, a baby may have a condition affecting the muscles or nerves that may clause very restricted movements or none at all