Health Education for Women

Disclaimer: The information given here neither claims to provide complete knowledge of the topic (which is anyway beyond the scope of this website), nor is it substitute of a professional medical advice. Kindly consult your doctor for complete evaluation and assessment of the complaints, and visit nearest healthcare facility in case of any emergency. Kindly do not make diagnosis or initiate/stop any treatment on basis of this information.

COVID 19 and Preganacy

Covid 19 is here to stay, and we have to deal with it in day to day life. But this should not prevent us from making progress in our personal and professional life. Conceiving is an important step for any married couple, and right knowledge can make a difference.

- Eating healthy meals
- Exercise regularly
- Getting plenty of sleep(6-8hrs)
- Avoid alcohol,nicotine
- Regularly taking recommended medications,including prenatal vitamins 

If you think you have been exposed to the corona virus,please call your obstetrics or other health care provider.
If you have emergency warning signs go to hospital right away. Warning signs- shortness of breath, pressure in the chest, lethargy, persistent fever.

Currently there is no evidence of a fetus being infected by Covid 19 prior to birth even when the mother has been infected during her pregnancy. It is also unlikely for the baby to develop abnormalities due to virus.Some women may be at higher risk for complications if they have other medical proble

In most cases, the timing and method of delivery (vaginal birth or cesarean birth) do not need to change because of Covid. Please talk to your obstetrics provider. 

After your baby is born,if you have symptoms of covid 19 you should contact your obstetric and pediatric providers to limit the risk of spreading the infection the following must be advised:-

1.Utilize support of a healthy caregiver.
2.Keep your baby atleast 6 feet away from you.
3.Wash your hands for atleast 20seconds before touching your baby.
4.Wear face mask while breastfeeding.
5.Wash your hands before touching any breast pump or bottle parts.

The virus has not been detected in breast milk, but the evidence for this is still limited.

Postpartum care after delivery

The postpartum period is the time after delivery when the body of the mother recovers from the exertion of pregnancy and childbirth. This is a very important time for mother and the newborn baby as they adjust to each other and the expanded family.

The postpartum period is classically defined as 6 weeks after delivery. The postpartum recovery is not a matter of few days. While most women feel recovered by 6-8 weeks, full recovery can take months. In postpartum period the uterus returns to the normal size. Weight reduction happens. Recovery of pelvic organ takes place. Also mother has to deal with the responsibility of breast-feeding and care of the child.

1. Help your perineum heal. Take rest as advised by your doctor. Apply ice packs to the perineum every couple of hours if there is pain or discomfort.
2. Care for C-Section scar
3. Do your Kegel's exercise. Your doctor will explain how to do it.
4. Maintain hygiene of the breast. Contact your doctor if there is any discharge, skin infection, bleeding or pain while breastfeeding.
5. Eat well to ease fatigue and fight constipation
6. Go for your follow-up visit as advised.

There is no single food which can meet all the requirements. Mother should take a balanced diet to meet the nutritional goals. Most new moms needs between 1800 to 2200 calories each day. A balanced diet should have following components:
- Green leafy vegetables like spinach, broccoli, etc. They are filled with vitamin A, iron and micronutrients.
- Whole grain cereals: one of the best foods to boost energy for new moms.
- Pulses are good source of protein and fiber.
- Fruits and nuts provide fiber, vitamins, energy and omega-3-fatty acids.
- Animal products provide many essential components like Vit B12 and certain amino acids.  Dairy products like milk, paneer, curd are also a rich source of calcium. If culturally accepted, other animal foods should also be taken.
- Need of adequate amount of water cannot be overemphasised.

WHO also recommends exclusive breastfeeding upto 6 months with continued breastfeeding along with appropriate complementary food upto 2 years of age.

A newborn should be put upto the breast at least every 2 to 3 hours and nurse for 10-15 minutes on each side. It also allows enough time to stimulate your body to build up your milk supply.

Intra Uterine Contraceptive Device

It is a device which is inserted into the uterine cavity to prevent conception. It is one of the safe and commonly used modes of birth control.

IUD is one of the most effective contraceptive methods. If correctly placed, it is 99?fective.

Depends on the type. The copper IUD lasts for 10 yrs, the hormonal between 3-7 yrs.

No, neither of you will feel it. Intercourse happens in the vagina, while the IUD is placed in the uterus.

IUD does not protect STD.Couples who are having sex must always use condoms along with the IUD to protect against STDs.

Mild to moderate. The pain feels like period cramps which may occur during these three steps:-Opening of vagina with the speculum,
stabilisation of cervix

No,the world health organisation and several other western societies recommend the IUD as the first line contraception for teen girls and for women who have never given birth.

Endometriosis The invisible disease

A certain amount of discomfort with periods may be normal but....
Pain that stops you from living everyday life is NOT NORMAL

Endometriosis has no specific tell-tale symptoms. If u experience pain during your period which is hampering daily routine work, endometriosis is a possibility. Common signs and symptoms of endometriosis are rather vague:
1. Heavy Bleeding
2. Painful Period
3. Lower abdominal pain
4. Backache
5. Infertility
6. Pain during and after intercourse
7. Painful bowel movements and urination
8. Fatigue
9. Diarrhea, Nausea, Vomiting

Diagnosis is not very straightforward,it usually takes several appointments to get correct diagnosis.
- Detalied family or medical history.
- Physical examination to rule out any ovarian cyst.
- Transvaginal ultrasound or MRI.
- Laparoscopy is the method to identify endometriosis accurately or gold standard.

It can cause a range of problems from minor discomfort to serious issues. Painful bleeding and heavy menstruation cause discomfort and may cause anemia. In severe cases multiple cysts may form. If endometriosis spreads to surrounding organs, it may cause adhesions. Consequentially, it may restrict the ability to conceive.

About 25 to 50% of infertile women have endometriosis, and 30 to 50% of women with endometriosis are infertile.

Endometriosis can influence fertility in several ways: distorted anatomy of the pelvis, adhesions, scarred fallopian tubes, inflammation of the pelvic structures, altered immune system functioning, changes in the hormonal environment of the eggs, impaired implantation of a pregnancy, and altered egg quality.

In mild cased, generally oral medicines are sufficient. If there are severe symptoms, hormonal intrauterine devices are also used. If there is no improvement, or there is associated infertility, surgical treatment of endometriosis is strongly considered.