Wednesday, 16 November 2016

Find The Best Gynecologist In West Delhi


Women experience several problems like mood swings, acute pain etc. when they have periods. For some women it can be very painful and they fear to experience it. If there is some issue which women feel they should discuss with a doctor about then a gynecologist needs to be consulted. A gynecologist deals with the problems related to the female reproductive system. Women would feel more comfortable sharing their health problems with a female gynecologist. If someone is looking for a female gynecologist in west delhi then internet is the best place to search one.

Delhi is a very big city and people can find advanced medical facilities here. A lot of people come from different parts of India to Delhi to get the best treatment for different health problems. If you are living in West Delhi then you might be aware of several clinics and hospitals which are present in this part of the city. People who want to know about the best gynaecologist in west delhi just need to ask for reference from those people who have used such services or they can take help of the internet. Finding information about anything is easy online. It only takes a few minutes.

You would be happy to know that you can also book an appointment at different clinics and hospital online. This saves a lot of time as you do not need to wait in queues. Most people like to book an appointment with a gynecologist to save their time. 

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Wednesday, 24 August 2016

How to Choose a Gynaecologist

Gynaecology apportions with the health of the female reproductive system, which is very frail and like any other part of the body needs specific study and knowledge. There are many infirmities that are looked into by gynaecologist like urine problems, cancer, menstruation problems, etc. Considering how important the role of these doctors is, it is important that you chose the best 
gynaecologist in Delhi.

Do you need a Gynaecologist who is a practicing Obstetrician as well?

You need to determine whether you want to bear babies or at least keep the choice of having them. When determining your gynaecologist it is necessary that you choose somebody with whom you are going to keep a long term relation.

It is also important that you consider whether this obstetrician-gynaecologist (ob-gyn) works within a group of health experts or not. Most women favour this because, no matter if your doctor is available or not, you can approach other doctors to supervise your case. 

Do you need a Female or Male Gynaecologist?

You need to determine whether you need a male or a female doctor. Many women are not comfortable with a male gynaecologist even if they have female assistance. It is extremely discomforting for a women to get their check-ups done from a male. Hence due care should be taken of this fact and thus a female gynaecologist should be chosen for the whole process. 

Ask for References

While you are looking for gynaecologist, it is best that you ask a friend or neighbour of your age for recommendations. I am sure they would suggest you best and it would do you good if you take their advice seriously and make choice accordingly.

Following steps mentioned above can be really helpful for a women or their family to find Best gynaecologist in west Delhi and get the best treatment to stay hale and hearty throughout life. 

Wednesday, 28 January 2015

Ivf Centres in Delhi,Ivf Centres in India,Ivf Centres in West Delhi






            How to prevent C Section
                              Or

Avoiding Unnecessary C Section--- 1st or 2nd
                              Or 

Trying to Avoid Cesarean
                              Or

How to prevent a Preventable Cesarean
                              Or 

Reducing C- Section for Good
                              Or

How to break a Chain Reaction of C Section
                              Or

Protecting the new Moms ( 1st time) from C section


The science is advancing,we are moving away from conventional open surgery to laparoscopic surgery  to robotic surgery.We want smaller cuts for uterus removal ovarian cysts,,fibroid removal  but what are we doing for delivery? We are going away from vaginal deliveries towards big scars of cesarean deliveries. Once a cesarean,there are 80% chances of having a 2nd cesarean also & if 3rd pregnancy occurs- 3rd is inevitably an indication for elective cesarean section.The chances of having laparoscopic or robotic hysterectomies are minimized case if required  at later age.

When the girl is young ,about to be a mom, needs to have less trauma to body & maintain her figure,  we give her big scars of cesarean section & when she is old of 45 & needs hysterectomy, we try to manipulate her by giving smalls scars of laproscopic surgery or robotic surgery ( through small holes)
The uses of robotic surgery is undoubtedly good  as it leads to faster recovery but why  the C- section rates are going so high.

 C section is a major surgery and carries risk for infection ,bladder and bowel injuries,serious complications for future pregnancy like aldherent placenta ,bleeding per vaginum during pregnancy & more chances of 2nd cesarean & hysterectomies.


Justified Indication of C - section are -

1) breech presentation or oblique lie.
2) low lying placenta or placenta previa
 3)pre eclampsia/eaclampsia
4) multiple pregnancy with first breech or transverse lie
5)big sized babies leading to shoulder dystocia.
6) Cpd

Unjustified indication of C section are

a)  Fear of labor pains thus avoiding vaginal deleiveries.
b) wanting to have baby at auspicious moments e.g janmashtami and guru purab. Or at specific date & time as guided by astrologers.
c)  patient on continuous fetal heart monitoring showed single reading of dropping fetal heart rate during labor pain.
d) if having insurance coverage are more likely to undergo C-section.
f) for convenience of doctor as C-section is less time consuming and more profitable.
g) lack of availiblity of obstetrician and anaesthetist  round the clock.
h) fear of medicolegal litigations.
  

Things to be done by Mom to prevents C -section

a)    Avoid unnecessary weight gain. Averege weight gain of 11-13 kg during pregnancy will give you an average baby wt of 2.5 – 3.1 kg. A weight gain of more than 15 kg will give you macrosomic baby. An average indian women with average  height of  5feet 3 inches  cannot delivers a baby of more then 3.6-3.8 kg ,so avoid  unnecessary weight gain during pregnancy by modifying your dietery patterns i.e more of protiens and reduce carbohydrates intake.

b) Exercise – working women having sedentary job should exercise more or attend antenatal classes.

c) Shortning the period of rest & sleep to not more than 8 hrs. in a day.

d) Pregnancy is a physiological state & not a disease does not require bed-rest. Working actually throughout your pregnancy unless otherwise indicated in cases of  high blood pressure or low lying  placenta gives you more chance of having vaginal deleivery.

e) Avoiding  white flour and maida in,pitza,pasta & chowmein & pure starches like potato & rice.

f) Doing more of household works.

g) Attend antinatal classes to learn more about exercises ,diet & nutrition labor pains & delievery

h) Being patient & cooperative during  labor

i) Having a good support during labor like doula

THINGS TO BE DONE BY A DOCTOR TO AVOID C-SECTION

Choosing a Coregiver/ Doctor – ask your doctor about What is her rate of primary   cesarean sections—which should be  as low as  10%. Ask about the places where she takes  her clients  for birthing & inquire about hospital policies for labor birth care & find out the c section rates.

Before marrying a man,we survey all his particulars , his family & financial status but some patients do little research  about the doctor and go by the fact which doctor has a big name, does more publicity and more  by word of mouth references.Most of the popular doctor gives undesirable or very high cesarean rates. 

This is where the difference lies between an unskilled & well trained obstetrician.If the obstetrician is well trained in good premiere institution, where she has conducted a good number of delivery including forceps ,vaccum,rotation of occiput in occipitoposterior position,she is confidant enough to handle such complicated vaginal deleiveries and she is confident enough to do cesarean in of deep stuck head ( if trial fails) ,unnecessary c section  rate can be  significantly  diminished.

CHOOSING A BIRTHING PLACE ask about the fascilities like epidural anaesthesia, nursery & blood bank  in the hospital. Most of the hospitals do not collect the data for vaginal cesarean delivery ratio and moreover they are not transparent about the data for individual doctor’s vaginal to cesarean ratio. The data collection should be transparent as it attribute for the patient to choose their obstetrician.

INDUCTION OF LABOR Studies have shown that at less then 40 weeks of gestation women who underwant induction have lower rate of c section compare to those who received expectant management.Use of cerrvical ripening methods such as misopristol,dinoprostgel or pge 2 gel. foleys bulbsand laminaria tents lead to lower rate of c section.

b) If colourd doppler studies is normal ,the baby weight is within normal range & the mother is feeling good fetal movements  & the cervix is unfavourable,do not induce  the labor before 40 weeks unless medically indicated

c)wait for   24 Hours to call it as failed induction .

d) in case of ruptured membranes wait for 12 -14 hrs. of induction

 LABOR SUPPORT – it is the most effective tool to improve labor and delivery outcome as continuous presence of one to one personnel support such as doula improves patient satisfaction and co operation ,this resource is underutilized  .Doulas are schooled to give massage,positioning,relaxation,information and many more skills to make the patient comfortable during labor.

Cesarean section are  required If second stage is prolonged that is more than 3 hours or 4 hours in cases of epidural analgesia, operative vaginal delivery like foreceps or vacuum delivery should be used judiciously as they do not have serious morbidity like intracerebral haemrrhage. Hopefully the combine efforts of the doctor and patient would definitely reduce the Ceserean Section rate.

Ivf Hospitals in Delhi,Ivf Hospitals in India,Ivf Hospitals in West Delhi




            How to prevent C Section
                              Or

Avoiding Unnecessary C Section--- 1st or 2nd
                              Or 

Trying to Avoid Cesarean
                              Or

How to prevent a Preventable Cesarean
                              Or 

Reducing C- Section for Good
                              Or

How to break a Chain Reaction of C Section
                              Or

Protecting the new Moms ( 1st time) from C section


The science is advancing,we are moving away from conventional open surgery to laparoscopic surgery  to robotic surgery.We want smaller cuts for uterus removal ovarian cysts,,fibroid removal  but what are we doing for delivery? We are going away from vaginal deliveries towards big scars of cesarean deliveries. Once a cesarean,there are 80% chances of having a 2nd cesarean also & if 3rd pregnancy occurs- 3rd is inevitably an indication for elective cesarean section.The chances of having laparoscopic or robotic hysterectomies are minimized case if required  at later age.

When the girl is young ,about to be a mom, needs to have less trauma to body & maintain her figure,  we give her big scars of cesarean section & when she is old of 45 & needs hysterectomy, we try to manipulate her by giving smalls scars of laproscopic surgery or robotic surgery ( through small holes)
The uses of robotic surgery is undoubtedly good  as it leads to faster recovery but why  the C- section rates are going so high.

 C section is a major surgery and carries risk for infection ,bladder and bowel injuries,serious complications for future pregnancy like aldherent placenta ,bleeding per vaginum during pregnancy & more chances of 2nd cesarean & hysterectomies.


Justified Indication of C - section are -

1) breech presentation or oblique lie.
2) low lying placenta or placenta previa
 3)pre eclampsia/eaclampsia
4) multiple pregnancy with first breech or transverse lie
5)big sized babies leading to shoulder dystocia.
6) Cpd

Unjustified indication of C section are

a)  Fear of labor pains thus avoiding vaginal deleiveries.
b) wanting to have baby at auspicious moments e.g janmashtami and guru purab. Or at specific date & time as guided by astrologers.
c)  patient on continuous fetal heart monitoring showed single reading of dropping fetal heart rate during labor pain.
d) if having insurance coverage are more likely to undergo C-section.
f) for convenience of doctor as C-section is less time consuming and more profitable.
g) lack of availiblity of obstetrician and anaesthetist  round the clock.
h) fear of medicolegal litigations.
  

Things to be done by Mom to prevents C -section

a)    Avoid unnecessary weight gain. Averege weight gain of 11-13 kg during pregnancy will give you an average baby wt of 2.5 – 3.1 kg. A weight gain of more than 15 kg will give you macrosomic baby. An average indian women with average  height of  5feet 3 inches  cannot delivers a baby of more then 3.6-3.8 kg ,so avoid  unnecessary weight gain during pregnancy by modifying your dietery patterns i.e more of protiens and reduce carbohydrates intake.

b) Exercise – working women having sedentary job should exercise more or attend antenatal classes.

c) Shortning the period of rest & sleep to not more than 8 hrs. in a day.

d) Pregnancy is a physiological state & not a disease does not require bed-rest. Working actually throughout your pregnancy unless otherwise indicated in cases of  high blood pressure or low lying  placenta gives you more chance of having vaginal deleivery.

e) Avoiding  white flour and maida in,pitza,pasta & chowmein & pure starches like potato & rice.

f) Doing more of household works.

g) Attend antinatal classes to learn more about exercises ,diet & nutrition labor pains & delievery

h) Being patient & cooperative during  labor

i) Having a good support during labor like doula

THINGS TO BE DONE BY A DOCTOR TO AVOID C-SECTION

Choosing a Coregiver/ Doctor – ask your doctor about What is her rate of primary   cesarean sections—which should be  as low as  10%. Ask about the places where she takes  her clients  for birthing & inquire about hospital policies for labor birth care & find out the c section rates.

Before marrying a man,we survey all his particulars , his family & financial status but some patients do little research  about the doctor and go by the fact which doctor has a big name, does more publicity and more  by word of mouth references.Most of the popular doctor gives undesirable or very high cesarean rates. 

This is where the difference lies between an unskilled & well trained obstetrician.If the obstetrician is well trained in good premiere institution, where she has conducted a good number of delivery including forceps ,vaccum,rotation of occiput in occipitoposterior position,she is confidant enough to handle such complicated vaginal deleiveries and she is confident enough to do cesarean in of deep stuck head ( if trial fails) ,unnecessary c section  rate can be  significantly  diminished.

CHOOSING A BIRTHING PLACE ask about the fascilities like epidural anaesthesia, nursery & blood bank  in the hospital. Most of the hospitals do not collect the data for vaginal cesarean delivery ratio and moreover they are not transparent about the data for individual doctor’s vaginal to cesarean ratio. The data collection should be transparent as it attribute for the patient to choose their obstetrician.

INDUCTION OF LABOR Studies have shown that at less then 40 weeks of gestation women who underwant induction have lower rate of c section compare to those who received expectant management.Use of cerrvical ripening methods such as misopristol,dinoprostgel or pge 2 gel. foleys bulbsand laminaria tents lead to lower rate of c section.

b) If colourd doppler studies is normal ,the baby weight is within normal range & the mother is feeling good fetal movements  & the cervix is unfavourable,do not induce  the labor before 40 weeks unless medically indicated

c)wait for   24 Hours to call it as failed induction .

d) in case of ruptured membranes wait for 12 -14 hrs. of induction

 LABOR SUPPORT – it is the most effective tool to improve labor and delivery outcome as continuous presence of one to one personnel support such as doula improves patient satisfaction and co operation ,this resource is underutilized  .Doulas are schooled to give massage,positioning,relaxation,information and many more skills to make the patient comfortable during labor.

Cesarean section are  required If second stage is prolonged that is more than 3 hours or 4 hours in cases of epidural analgesia, operative vaginal delivery like foreceps or vacuum delivery should be used judiciously as they do not have serious morbidity like intracerebral haemrrhage. Hopefully the combine efforts of the doctor and patient would definitely reduce the Ceserean Section rate.

Ivf Clinics in Delhi,Ivf Clinics in India,Ivf Clinics in West Delhi



            How to prevent C Section
                              Or

Avoiding Unnecessary C Section--- 1st or 2nd
                              Or 

Trying to Avoid Cesarean
                              Or

How to prevent a Preventable Cesarean
                              Or 

Reducing C- Section for Good
                              Or

How to break a Chain Reaction of C Section
                              Or

Protecting the new Moms ( 1st time) from C section


The science is advancing,we are moving away from conventional open surgery to laparoscopic surgery  to robotic surgery.We want smaller cuts for uterus removal ovarian cysts,,fibroid removal  but what are we doing for delivery? We are going away from vaginal deliveries towards big scars of cesarean deliveries. Once a cesarean,there are 80% chances of having a 2nd cesarean also & if 3rd pregnancy occurs- 3rd is inevitably an indication for elective cesarean section.The chances of having laparoscopic or robotic hysterectomies are minimized case if required  at later age.

When the girl is young ,about to be a mom, needs to have less trauma to body & maintain her figure,  we give her big scars of cesarean section & when she is old of 45 & needs hysterectomy, we try to manipulate her by giving smalls scars of laproscopic surgery or robotic surgery ( through small holes)
The uses of robotic surgery is undoubtedly good  as it leads to faster recovery but why  the C- section rates are going so high.

 C section is a major surgery and carries risk for infection ,bladder and bowel injuries,serious complications for future pregnancy like aldherent placenta ,bleeding per vaginum during pregnancy & more chances of 2nd cesarean & hysterectomies.


Justified Indication of C - section are -

1) breech presentation or oblique lie.
2) low lying placenta or placenta previa
 3)pre eclampsia/eaclampsia
4) multiple pregnancy with first breech or transverse lie
5)big sized babies leading to shoulder dystocia.
6) Cpd

Unjustified indication of C section are

a)  Fear of labor pains thus avoiding vaginal deleiveries.
b) wanting to have baby at auspicious moments e.g janmashtami and guru purab. Or at specific date & time as guided by astrologers.
c)  patient on continuous fetal heart monitoring showed single reading of dropping fetal heart rate during labor pain.
d) if having insurance coverage are more likely to undergo C-section.
f) for convenience of doctor as C-section is less time consuming and more profitable.
g) lack of availiblity of obstetrician and anaesthetist  round the clock.
h) fear of medicolegal litigations.
  

Things to be done by Mom to prevents C -section

a)    Avoid unnecessary weight gain. Averege weight gain of 11-13 kg during pregnancy will give you an average baby wt of 2.5 – 3.1 kg. A weight gain of more than 15 kg will give you macrosomic baby. An average indian women with average  height of  5feet 3 inches  cannot delivers a baby of more then 3.6-3.8 kg ,so avoid  unnecessary weight gain during pregnancy by modifying your dietery patterns i.e more of protiens and reduce carbohydrates intake.

b) Exercise – working women having sedentary job should exercise more or attend antenatal classes.

c) Shortning the period of rest & sleep to not more than 8 hrs. in a day.

d) Pregnancy is a physiological state & not a disease does not require bed-rest. Working actually throughout your pregnancy unless otherwise indicated in cases of  high blood pressure or low lying  placenta gives you more chance of having vaginal deleivery.

e) Avoiding  white flour and maida in,pitza,pasta & chowmein & pure starches like potato & rice.

f) Doing more of household works.

g) Attend antinatal classes to learn more about exercises ,diet & nutrition labor pains & delievery

h) Being patient & cooperative during  labor

i) Having a good support during labor like doula

THINGS TO BE DONE BY A DOCTOR TO AVOID C-SECTION

Choosing a Coregiver/ Doctor – ask your doctor about What is her rate of primary   cesarean sections—which should be  as low as  10%. Ask about the places where she takes  her clients  for birthing & inquire about hospital policies for labor birth care & find out the c section rates.

Before marrying a man,we survey all his particulars , his family & financial status but some patients do little research  about the doctor and go by the fact which doctor has a big name, does more publicity and more  by word of mouth references.Most of the popular doctor gives undesirable or very high cesarean rates. 

This is where the difference lies between an unskilled & well trained obstetrician.If the obstetrician is well trained in good premiere institution, where she has conducted a good number of delivery including forceps ,vaccum,rotation of occiput in occipitoposterior position,she is confidant enough to handle such complicated vaginal deleiveries and she is confident enough to do cesarean in of deep stuck head ( if trial fails) ,unnecessary c section  rate can be  significantly  diminished.

CHOOSING A BIRTHING PLACE ask about the fascilities like epidural anaesthesia, nursery & blood bank  in the hospital. Most of the hospitals do not collect the data for vaginal cesarean delivery ratio and moreover they are not transparent about the data for individual doctor’s vaginal to cesarean ratio. The data collection should be transparent as it attribute for the patient to choose their obstetrician.

INDUCTION OF LABOR Studies have shown that at less then 40 weeks of gestation women who underwant induction have lower rate of c section compare to those who received expectant management.Use of cerrvical ripening methods such as misopristol,dinoprostgel or pge 2 gel. foleys bulbsand laminaria tents lead to lower rate of c section.

b) If colourd doppler studies is normal ,the baby weight is within normal range & the mother is feeling good fetal movements  & the cervix is unfavourable,do not induce  the labor before 40 weeks unless medically indicated

c)wait for   24 Hours to call it as failed induction .

d) in case of ruptured membranes wait for 12 -14 hrs. of induction

 LABOR SUPPORT – it is the most effective tool to improve labor and delivery outcome as continuous presence of one to one personnel support such as doula improves patient satisfaction and co operation ,this resource is underutilized  .Doulas are schooled to give massage,positioning,relaxation,information and many more skills to make the patient comfortable during labor.

Cesarean section are  required If second stage is prolonged that is more than 3 hours or 4 hours in cases of epidural analgesia, operative vaginal delivery like foreceps or vacuum delivery should be used judiciously as they do not have serious morbidity like intracerebral haemrrhage. Hopefully the combine efforts of the doctor and patient would definitely reduce the Ceserean Section rate.