tag:blogger.com,1999:blog-50434184556584723522012-04-18T03:56:09.019-07:00GURGAON, GYNECOLOGIST,OBSTETRICIAN, GYNAE, DOCTOR, IN, NEAR, SOHNA ROAD, GYNAECOLOGIST, TREATMENTDr Deepika Tiwari : Specialist Obstetrician & Gynaecologist, Sohna Road, South City 2, Golf Course Extension Road,Nirvana Country, Mayfield Gardens, Sec 45,46,47,48,56, Gurgaon FOR CONSULTATION : APOLLO,CRADLE,SEC 14 ; SHUSHRUT CLINIC,PARSVNATH GREENVILLE, SOHNA ROAD, SEC 48, GURGAONMedConsult Health Solutionsnoreply@blogger.comBlogger17125tag:blogger.com,1999:blog-5043418455658472352.post-44189951237726674392012-03-26T00:37:00.000-07:002012-03-26T00:37:34.100-07:002012-03-26T00:37:34.100-07:00Mirena (Hormonal Contraceptive) : How does it Act ?<div dir="ltr" style="text-align: left;" trbidi="on">Mirena acts by <br />
<ul><li>Supplements the endometrial action of progestins to foreign body reaction</li>
<li>Endometrium becomes decidualized, with atrophy of glands</li>
<li>Inhibition of implantation </li>
<li>Inhibition of sperm capacitation and survival</li>
</ul>The Ovarian functions are NOT disturbed; the cycles remain ovulatory in 85 percent of patients, regardless of bleeding pattern.<br />
<br />
Few Shortcomings of Mirena include; irregular bleeding and scanty menses. Amenorrhoea may occur in up to 50 % of patients.<br />
</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-4418995123772667439?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-13502823259957765782012-03-26T00:22:00.001-07:002012-03-26T00:27:59.501-07:002012-03-26T00:27:59.501-07:00Mirena: Intra-uterine Contraceptive Device (IUCD)<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-c1i4W6daI40/T3AaV6AJ5GI/AAAAAAAAAO8/xyY3fhL4DM4/s1600/mirena.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="http://4.bp.blogspot.com/-c1i4W6daI40/T3AaV6AJ5GI/AAAAAAAAAO8/xyY3fhL4DM4/s200/mirena.png" width="183" /></a></div><br />
<strong>Mirena</strong> is a longer acting hormone releasing device. It has a T shaped polyethylene frame with a steroid reservoir, containing Levonorgesterol. <br />
This device mainly acts by releasing levonorgesterol into the uterine cavity, and effects are due to local progesterone action. It can produce contraceptive action for up to 5 years.<br />
Pearl Index after 5 years is 0.09/ 100 women year.<br />
Health Benefits of Mirena<br />
<ul><li>Reduction of blood loss</li>
<li>Reduction of pain and dysmenorrhoea in Endometriosis, and fibroids.</li>
<li>Do not influence lactation, or foetal growth</li>
<li>Prevention and treatment of Endometrial hyperplasia</li>
</ul><br />
<ul></ul>read more in next article...</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-1350282325995776578?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-46728079298772989232012-03-19T11:49:00.000-07:002012-03-19T11:49:00.385-07:002012-03-19T11:49:00.385-07:00Corticosteroids for Premature Birth & Premature babies<div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal"><span>Corticosteroids have been used for many years in women who are thought to have a high chance of having their baby early.</span><span> Premature babies (born before 37 weeks) have an increased risk of health problems, particularly with breathing, feeding and infection. These problems tend to be more severe the earlier the baby is born. </span></div><div class="MsoNormal"><span>A single course of corticosteroids has been shown to help with a baby’s development and therefore will increase the chance of your baby surviving, once born. It also lessens the chance of your baby having serious complications after birth such as breathing problems due to the lungs not being fully developed, bleeding into the brain, serious infection or bowel inflammation. </span></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-4672807929877298923?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-59291014060521597292012-03-19T11:47:00.000-07:002012-03-19T11:47:00.174-07:002012-03-19T11:47:00.174-07:00Risks to the baby, if mother is overweight during Pregnancy<div dir="ltr" style="text-align: left;" trbidi="on"><ul><li><span>If you have a BMI of 30 or above before pregnancy or in early pregnancy, this can affect the way the baby develops in the uterus (womb). Neural tube defects (problems with the development of the baby’s brain and spine) are uncommon. Overall around 1 in 1000 babies are born with neural tube defects in the UK but if your BMI is over 40, your risk is three times that of a woman with a BMI below 30.</span></li>
<li><span>Miscarriage - the overall risk of a miscarriage under 12 weeks is 1 in 5 (20%), but if you have a BMI over 30, your risk increases to 1 in 4 (25%).</span></li>
<li><span>You are more likely to have a baby weighing more than 4kg (8lb and 14 ounces). If your BMI is over 30, your risk is doubled from 7 in 100 (7%) to 14 in 100 (14%) compared to women with a BMI of between 20 and 30.</span></li>
<li><span>Stillbirth - the overall risk of stillbirth in the UK is 1 in 200 (0.5%), but if you have a BMI over 30, your risk is doubled to 1 in 100 (1%).</span></li>
<li>If you are overweight, your baby will have an increased risk of obesity and diabetes in later life.</li>
</ul></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-5929101406052159729?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-25001400513845531402012-03-19T04:04:00.000-07:002012-03-19T04:04:29.997-07:002012-03-19T04:04:29.997-07:00Gynaecological Cancer screening<div dir="ltr" style="text-align: left;" trbidi="on">Post menopausal bleeding of any severeity requires URGENT screening. You may be harbouring a malignancy. <br />
Ultrasound and Endometrial aspiration , may be required. </div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-2500140051384553140?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-30615638295007061302012-03-18T11:44:00.000-07:002012-03-18T11:44:00.856-07:002012-03-18T11:44:00.856-07:00Overweight in pregnancy: Check your BMI<div dir="ltr" style="text-align: left;" trbidi="on"><span>Being overweight <span>(BMI > 25) </span>increases the risk of complications for pregnant women and their babies. With increasing BMI, the additional risks become gradually more likely, the risks being much higher for women with a BMI of 40 or above. The <span>higher your BMI, the higher the risks.</span></span><br />
<br />
<span><span>Risks include-</span></span><br />
<span><span>Thrombosis</span></span><br />
<span><span>Gestational Diabetes</span></span><br />
<span><span>Pre-eclampsia & Hypertension </span></span></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-3061563829500706130?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-73193283644042668602012-03-18T11:41:00.001-07:002012-03-18T11:41:00.471-07:002012-03-18T11:41:00.471-07:00Indications of performing Chorionic villus sampling, or Amniocentesis<div dir="ltr" style="text-align: left;" trbidi="on"><b></b><br />
<ul><li>have had a high risk screening test for <b>Down syndrome</b></li>
<li>have had a previous pregnancy affected with a genetic disorder</li>
<li>or your partner have one or more relatives affected with a genetic disorder, which means you are at greater risk of having a child with a genetic disorder, such as cystic fibrosis, thalassaemia or sickle cell disease</li>
<li>have received a result from a scan which shows certain abnormal ultrasound features, such as fluid collection at the back of the baby's neck (<b>nuchal translucency</b>), or a congenital heart defect which indicates the baby may have a disorder such as Down syndrome. This may be suspected on a scan at 18-22 weeks</li>
<li>want to know for certain whether your baby has a <b>genetic disorder</b> or not.</li>
</ul></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-7319328364404266860?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-4337828408925457492012-03-17T11:39:00.001-07:002012-03-17T11:40:59.958-07:002012-03-17T11:40:59.958-07:00Chorionic Villus Sampling & Amniocentesis in Pregnancy<div dir="ltr" style="text-align: left;" trbidi="on"><b>Chorionic Villus Sampling</b> and <b>amniocentesis</b> are tests carried out during pregnancy, to check your baby for disorders such as <b>Down syndrome</b> and, where appropriate, rarer specific inherited disorders. Amniocentesis is also occasionally done to test for other disorders in pregnancy such as fetal infection.<br />
<br />
In CVS a small sample of the placenta (afterbirth) is taken for testing, whereas in amniocentesis a small amount of amniotic fluid - the water around your baby inside your uterus (womb) - is taken for testing.<br />
<br />
CVS is performed most commonly between 11 and 13 weeks. Amniocentesis is performed after 15 weeks.</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-433782840892545749?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-44820782263993189642012-03-17T11:36:00.000-07:002012-03-17T11:36:55.550-07:002012-03-17T11:36:55.550-07:00Non prescription management of Peri-menopausal Syndrome<div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal"><strong></strong></div><ul><li> <strong>Regular aerobic exercise</strong> such as running and swimming. You should avoid infrequent, high impact exercise as this may make your symptoms worse. </li>
<li> <strong>Low intensity exercise</strong> such as yoga may help hot flushes and general well being. </li>
<li> Reducing your intake of caffeine/caffeinated drinks and alcohol can help to reduce hot flushes and night sweats. </li>
</ul></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-4482078226399318964?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-90163083432865815892012-01-29T08:22:00.000-08:002012-01-29T08:22:00.274-08:002012-01-29T08:22:00.274-08:00Maternal smoking linked to higher incidence of congenital heart defects in offsprings<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<div class="post-body entry-content" id="post-body-7692255006470519031" style="background-color: white; color: #333333; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 15px; line-height: 1.4; position: relative; text-align: -webkit-auto; width: 678px;"><div dir="ltr" style="text-align: left;" trbidi="on"><span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; line-height: 15px;">Maternal cigarette smoking in the first trimester was associated with a 20 to 70 percent greater likelihood that a baby would be born with certain types of congenital heart defects, according to a study by the Centers for Disease Control and Prevention. Congenital heart defects are the most common type of birth defects, contributing to approximately 30 percent of infant deaths from birth defects annually.</span><br />
<span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; line-height: 15px;">read more....</span><br />
<span class="Apple-style-span" style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; line-height: 15px;"><a href="http://www.cdc.gov/media/releases/2011/p0228_smokingpregnancy.html?source=govdelivery" style="color: #992211; text-decoration: none;">http://www.cdc.gov/media/releases/2011/p0228_smokingpregnancy.html?source=govdelivery</a></span></div></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-9016308343286581589?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-63264189354604634392012-01-28T08:21:00.000-08:002012-01-28T08:21:39.465-08:002012-01-28T08:21:39.465-08:00Polycystic Ovarian Syndrome<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<div class="post-body entry-content" id="post-body-4443753923206042668" style="background-color: white; color: #333333; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 15px; line-height: 1.4; position: relative; text-align: -webkit-auto; width: 678px;"><div dir="ltr" style="text-align: left;" trbidi="on"><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Women with PCOS have abnormalities in the metabolism of androgens and estrogen and in the control of androgen production. High serum concentrations of androgenic hormones, such as testosterone, androstenedione, and dehydroepiandrosterone sulfate (DHEA-S), may be encountered in these patients.</span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">PCOS is also associated with peripheral insulin resistance and hyperinsulinemia, and obesity amplifies the degree of both abnormalities.</span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Patients with PCOS may present with various clinical features.</span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Menstrual abnormalities/ </span><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Hyperandrogenism/ </span><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Infertility/ </span><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Obesity/ </span><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Diabetes mellitus/ </span><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Sleep apnea/ </span><span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Metabolic syndrome</span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Treatment:</span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Diet and exercise: In patients with PCOS who are obese, endocrine-metabolic parameters markedly improve after 4-12 weeks of dietary restriction. </span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Metformin: This antidiabetic drug improves insulin resistance and decreases hyperinsulinemia in patients with PCOS</span><br />
<span class="Apple-style-span" style="font-family: arial, sans-serif; font-size: 13px; line-height: 18px;">Patients with PCOS who are infertile but desire pregnancy should be referred to a reproductive endocrinologist for further evaluation and management of infertility.</span></div></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-6326418935460463439?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-33918139934309346772012-01-16T05:00:00.000-08:002012-01-16T05:00:05.659-08:002012-01-16T05:00:05.659-08:00Intrauterine Contraceptive Devices IUCD or IUD<div dir="ltr" style="text-align: left;" trbidi="on"><span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">An intrauterine device (IUD) is a small T-shaped plastic device that is placed in the </span>uterus<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"> to prevent </span>pregnancy<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">. A plastic string is attached to the end to ensure correct placement and for removal. IUDs are an easily reversible form of </span>birth control<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">, and they can be easily removed. However, an IUD should only be removed by a medical professional.</span><br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"><br />
</span><br />
<br />
<div style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Hormonal and copper IUDs work in different ways. With a copper IUD, a small amount of copper is released into the uterus. This type of IUD does not affect ovulation or the menstrual cycle. Copper IUDs prevent sperm from being able to go into the egg by immobilizing the sperm on the way to the fallopian tubes. If an egg does become fertilized, implantation on the wall of the uterus is prevented because copper changes the lining of the uterus.</div><div style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">With hormonal IUDs, a small amount of progestin or a similar hormone is released into the uterus. These hormones thicken cervical mucus and make it difficult for sperm to enter the cervix. Hormonal IUDs also slow down the growth of the uterine lining, making it inhospitable for fertilized eggs.</div><div style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Before an IUD is placed, a physical examination is important to make sure that the reproductive organs are normal and that no infections are present.</div><div style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">An IUD can be placed during an office visit and remains in place until a medical professional removes it. It can be inserted at any phase of the menstrual cycle, but the best time is right after the menstrual period because this is when the cervix is softest and when women are least likely to be pregnant.</div><div style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Once the IUD is placed, women can return to normal activities such as sex, exercise, and swimming as soon as they are comfortable. Strenuous physical activity does not affect the position of the IUD.</div><div style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px; margin-bottom: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Ref : MEDSCAPE</div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-3391813993430934677?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-44314433285302666342012-01-15T05:22:00.000-08:002012-01-15T05:22:02.025-08:002012-01-15T05:22:02.025-08:00Emergency Contraception Pill or "Morning after" pill<div dir="ltr" style="text-align: left;" trbidi="on"><span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">Emergency contraception (</span>birth control<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"> after sexual intercourse) is the use of a drug or device to prevent </span>pregnancy<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"> after unprotected sexual intercourse. </span><span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">Emergency contraceptive pills are sometimes called the “</span><span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><span class="Apple-style-span" style="background-color: white; line-height: 18px;"><b>morning-after pill</b></span></span><span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">,” but they are usually effective if taken within 72 hours of unprotected sexual intercourse. </span><br />
<br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">Emergency contraceptive measures can be taken within the first 72 hours after unprotected sexual intercourse to reduce the possibility of pregnancy. A woman is most likely to become </span>pregnant<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"> if sexual intercourse occurs in the few days before or after </span>ovulation<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"> (release of an egg from the </span>ovary<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">). Emergency contraceptives should not be used as a contraceptive method in women who are sexually active or planning to become sexually active. They are not as effective as any ongoing contraceptive method.</span><br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"><br />
</span><br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">Emergency contraception pills contain high doses of the same hormones that are in birth control pills. The high dose of hormones is short lived. Cases of </span>deep vein thrombosis <span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">(blood clotting) have been reported in women using the emergency method. These pills are not designed to terminate an existing pregnancy.</span><br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"><br />
</span><br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;">Emergency contraception pills should only be taken with expert opinion. Cases of Uterine rupture have been reported in patients with inadvertent use.</span><br />
<span class="Apple-style-span" style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 18px;"><br />
</span><br />
<span class="Apple-style-span" style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;"><span class="Apple-style-span" style="line-height: 18px;">Ref: Medscape</span></span></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-4431443328530266634?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-23872446863847685922012-01-14T22:49:00.000-08:002012-01-14T22:52:53.847-08:002012-01-14T22:52:53.847-08:00Abruptio Placentae : Bleeding in Pregnancy<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<div style="text-align: justify;"><b>Abruptio placentae</b>, also called premature separation of the placenta, is a serious complication of pregnancy. The placenta separates away from the inner wall of the uterus before delivery. Untreated abruption can harm both mother and baby. It can mean compromised oxygen and nutrients for the baby and heavy bleeding in the mother. It’s a medical emergency.</div><div style="text-align: justify;"><br />
</div><div style="text-align: justify;"></div><b>Risk factors</b> include hypertension, trauma, and multiple pregnancies. Abnormalities of pregnancy called chorioamnionitis and polyhydramnios are also risk factors. Others are age (younger than 20 and older than<br />
35), preeclampsia, diabetes, smoking, use of cocaine, and alcohol consumption.<br />
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The main <b>symptoms </b>are uterine bleeding, abnormal uterine contractions, and fetal distress . Contractions are painful and obvious. Weakness, low blood pressure, fast heart rate, abdominal pain, and back pain may occur. Grade 1 abruption includes mild bleeding from the vagina and uterine contractions, stable vital signs, and stable fetal heart rate. Grade 2 means moderate bleeding, abnormal contractions, low blood pressure, distressed fetus, and abnormal coagulation profile. Grade 3 is worst. It involves severe bleeding and contractions, very low blood pressure, fetal death, and very poor coagulation profile.<br />
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<b>Treatment</b> :Stabilization of the mother is done first. Intravenous fluids are given to maintain blood pressure and keep the urine flow steady. An emergency cesarean section and blood transfusions may be needed. For almost full-term babies and mild abruption, vaginal delivery may be possible.<br />
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</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-2387244686384768592?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-91838522232549516522011-12-07T09:15:00.000-08:002012-01-15T08:16:29.558-08:002012-01-15T08:16:29.558-08:00Ovarian Cyst<div dir="ltr" style="text-align: left;" trbidi="on"><div dir="ltr" style="text-align: left;" trbidi="on"><span style="font-size: medium;"><span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; font-size: medium; line-height: 19px;"><b>Dr Deepika Tiwari, </b></span><span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; font-size: medium; line-height: 19px;"><b>Consultant Obstetrician & Gynaecologist</b></span><br />
<strong><span style="color: #54585a; font-family: Times; font-size: medium;">Sohna Road, Gurgaon </span></strong><span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; font-size: medium; line-height: 19px;"><b>Ph: 09911821669</b></span></span><br />
<span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span class="Apple-style-span" style="color: #54585a; line-height: 19px;">Ovarian cysts are fluid-filled sacs within or on the surface of an ovary. </span><span class="Apple-style-span" style="color: #54585a; line-height: 19px;">Many women have ovarian cysts at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear without treatment within a few months. O</span><span class="Apple-style-span" style="color: #54585a; line-height: 19px;">varian cysts — especially those that have ruptured — sometimes produce serious symptoms. </span></span><br />
<span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif;"></span></span><br />
<div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;">The symptoms of ovarian cysts, if present, may include:</span></span></div><ul style="line-height: normal; list-style-type: none; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 25px; padding-right: 0px; padding-top: 0px;"><li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Menstrual irregularities</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Pelvic pain — a constant or intermittent dull ache that may radiate to your lower back and thighs</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Pelvic pain shortly before your period begins or just before it ends</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Pelvic pain during intercourse (dyspareunia)</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Pain during bowel movements or pressure on your bowels</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Nausea, vomiting or breast tenderness similar to that experienced during pregnancy</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Fullness or heaviness in your abdomen</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Pressure on your rectum or bladder that causes a need to urinate more frequently or difficulty emptying your bladder completely.</span> </span></li>
</ul><div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;">Infrequent complications associated with ovarian cysts include:</span></span></div><ul style="line-height: normal; list-style-type: none; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 25px; padding-right: 0px; padding-top: 0px;"><li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><strong>Ovarian torsion.</strong> Cysts that become large may cause the ovary to move out of its usual position in the pelvis. This increases the chance of painful twisting of your ovary, called ovarian torsion.</span> </span></li>
<li style="background-clip: initial; background-image: url(http://www.mayoclinic.com/img/icon_li_footer.gif); background-origin: initial; background-position: 0px 7px; line-height: 1.5em; margin: 0px 0px 10px; min-width: 0px; padding-left: 13px;"><span style="font-size: large;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><strong>Rupture.</strong> A cyst that ruptures may cause severe pain and lead to internal bleeding.</span> </span></li>
</ul><div><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; line-height: 19px;"><span style="font-size: large;">To identify the type of cyst, your doctor may perform the following procedures:</span></span></div></div><div><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; line-height: 19px;"><strong><span style="font-size: large;">Pregnancy test</span></strong></span></div><div><span class="Apple-style-span" style="line-height: 19px;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-weight: normal;"><strong><span style="font-size: large;">Pelvic ultrasound</span></strong></span></strong></span></div><div><span class="Apple-style-span" style="line-height: 19px;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-weight: normal;"><strong><span style="font-size: large;">Laparoscopy</span></strong></span></strong></span></strong></span></div><div><span class="Apple-style-span" style="line-height: 19px;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-weight: normal;"><strong><span style="font-size: large;">CA 125 blood test</span></strong></span></strong></span></strong></span></strong></span></div><div><span class="Apple-style-span" style="line-height: 19px;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-weight: normal;"><strong><br />
<span style="font-size: large;"></span></strong></span></strong></span></strong></span></strong></span></div><div><span class="Apple-style-span" style="line-height: 19px;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-weight: normal;"><strong><span style="font-size: large;">The treatment depends upon the type/ stage of the cyst; or the presence of complications.</span></strong></span></strong></span></strong></span></strong></span></div></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-9183852223254951652?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0tag:blogger.com,1999:blog-5043418455658472352.post-20887228251499422612011-12-07T09:05:00.000-08:002011-12-07T09:05:06.929-08:002011-12-07T09:05:06.929-08:00Female Infertility : Causes & Treatment<div dir="ltr" style="text-align: left;" trbidi="on"><span style="font-size: medium;"><span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; font-size: medium; line-height: 19px;"><b>Dr Deepika Tiwari; </b></span><span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; font-size: medium; line-height: 19px;"><b>Consultant Obstetrician & Gynaecologist</b></span><br />
<span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; font-size: medium; line-height: 19px;"><b>Ph: 9911821669</b></span></span><span style="font-size: large;"><span class="Apple-style-span" style="color: #54585a; font-family: Times, 'Times New Roman', serif; line-height: 19px;">Generally, infertility results from female infertility factors about one-third of the time and male infertility factors about one-third of the time. In the rest, the cause is either unknown or a combination of male and female factors.</span><br />
<span class="Apple-style-span" style="color: #54585a; line-height: 19px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; line-height: normal;"></span></span></span><br />
<div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span style="font-size: large;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">When to see a doctor</span></strong><br />
<span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">If you're in your early 30s or younger, most doctors recommend trying to get pregnant for at least a year before having any testing or treatment.</span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;">If you're age 30 to 35, discuss your concerns with your doctor after six months of trying.</span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;">If you're over 35 or have a history of irregular or painful periods, pelvic inflammatory disease (PID), repeated miscarriages, prior cancer treatment or endometriosis, your doctor may want to begin testing or treatment right away.</span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><b><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;">1. Ovulation disorders account for infertility in 25 percent of infertile couples</span></span></b></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><b><span class="Apple-style-span" style="font-weight: normal;"><strong>Abnormal FSH and LH secretion, </strong></span></b><strong>Polycystic ovary syndrome (PCOS), </strong><strong>Luteal phase defect, </strong><strong><span class="Apple-style-span" style="font-weight: normal;"><strong>Premature ovarian failure, </strong></span></strong><strong>Premature ovarian failure.</strong></span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong>2. </strong><strong><span class="Apple-style-span" style="font-weight: normal;"><strong>Damage to fallopian tubes (tubal infertility)</strong></span></strong></span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong><span class="Apple-style-span" style="font-weight: normal;"><strong>3. </strong></span></strong><strong>Endometriosis</strong></span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong>4. </strong><strong>Cervical narrowing or blockage</strong></span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong>5. </strong><strong>Uterine causes</strong></span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong>6. </strong><strong>Unexplained infertility</strong></span></span></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-weight: normal; line-height: normal;"><span style="font-size: large;"></span></span></strong></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;">Treatments can either attempt to restore fertility — by means of medication or surgery — or assist in reproduction with sophisticated techniques.</span></span></strong></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong>Fertility restoration: Stimulating ovulation with fertility drugs</strong><br />
Fertility drugs, which regulate or induce ovulation, are the main treatment for women who are infertile due to ovulation disorders. In general, they work like the natural hormones — follicle-stimulating hormone (FSH) and luteinizing hormone (LH) — to trigger ovulation.</span></span></strong></div><div style="line-height: 1.5em; margin: 0px 0px 20px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><strong><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;"><span style="font-size: large;"><strong>Reproductive assistance: In vitro fertilization</strong><br />
This effective technique involves retrieving mature eggs from a woman, fertilizing them with a man's sperm in a dish in a laboratory and transferring the embryos in the uterus three to five days after fertilization. In vitro fertilization (IVF) often is recommended when both fallopian tubes are blocked. It's also widely used for a number of other conditions, such as endometriosis, unexplained infertility, cervical factor infertility, male infertility and ovulation disorders.</span></span></strong></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-2088722825149942261?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com1tag:blogger.com,1999:blog-5043418455658472352.post-13438216485405996372011-12-07T09:00:00.000-08:002011-12-07T09:00:43.353-08:002011-12-07T09:00:43.353-08:00Anemia among Pregnant Women in India<div dir="ltr" style="text-align: left;" trbidi="on"><div style="text-align: justify;"><span style="font-size: medium;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;">Dr Deepika Tiwari, Consultant Obstetrician & Gynaecologist, Sohna Road, Gurgaon 9911821669</span></span><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">According to WHO, the prevalence of Anaemia in pregnancy in south East Asia is around</span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">56%. In India incidence of anaemia pregnancy has been noted as high as 40-80%.</span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;"><b>Maternal risk due to Anemia</b> : Poor weight gain. Pre term labours, Pregnancy Induced </span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">Hypertension , placenta previa, eclampsia, premature rupture of membrane (PROM) Postnatal </span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">sepsis, sub involution, embolism etc.</span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;"><b>Risk to Foetus and Newborn</b> : Complications include Prematurity, low birth weight, poor</span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">Apgar score, fetal distress, neonatal distress requiring prolonged resuscitation, and neonatal </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">anemia due to poor reserve. Infants with anemia have higher prevalence of failure to thrive, </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">poorer intellectual developmental milestones, and higher rates of morbidities and neonatal mortalities </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">than infants without anemia.</span></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">Studies carried out in India and elsewhere have shown that iron deficiency is the major cause of </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">anaemia followed by folate deficiency. In recent years, the contribution of B12 deficiency has been </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">highlighted.</span></span></div><div style="text-align: justify;"><span style="font-size: medium;"></span></div><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">Anaemia and iron deficiency in the mother are not associated with significant degree of anaemia </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">in the children during neonatal period. However, iron stores in these neonates are low, iron content </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">in breast milk in anaemic women is low and because of these factors substantial proportion of infants </span></span><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">become anaemic by six months.</span></span></div><div style="text-align: justify;"><span style="font-family: Verdana, sans-serif;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">Unless effective screening of pregnant women is done for detection of anemic status, substantial </span><br />
<span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif;">reduction in maternal mortality and morbidity may not be lowered.</span></span></div><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><div style="text-align: justify;"><br />
</div><span style="font-size: medium;"></span></span><div style="text-align: justify;"><span class="Apple-style-span" style="font-family: Times, 'Times New Roman', serif; font-size: medium;"><span style="font-size: medium;">Ref : Indian J Med Res; </span></span></div></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5043418455658472352-1343821648540599637?l=gynae-helpdesk.blogspot.com' alt='' /></div>MedConsult Health Solutionsnoreply@blogger.com0