I AM PREG­NANT

Woman's Era - - News -

I have barely missed my pe­ri­ods for two weeks and the doc­tor has al­ready asked for an ul­tra­sound? Why is it nec­es­sary to get one done so early? Will it not harm the preg­nancy?

An ul­tra­sound at 6-7 weeks of preg­nancy gives a lot of use­ful in­for­ma­tion that is dif­fi­cult to ob­tain later on. This in­cludes con­fir­ma­tion of the preg­nancy, vi­a­bil­ity – whether heart­beat is present or not, num­ber – sin­gle or mul­ti­ple, lo­ca­tion inside the uterus or at ab­nor­mal sites like the tube and the pres­ence of as­so­ci­ated ab­nor­mal­i­ties like fi­broids and cysts. Rest as­sured that this is not a dan­ger­ous pro­ce­dure and you can go ahead with the pro­ce­dure with­out fear.

I am three months preg­nant and had slight spot­ting a few days ago. An ul­tra­sound re­vealed a low-ly­ing pla­centa with a small blood clot though the baby is alive and grow­ing. Please tell me what is a pla­centa? What does ‘low ly­ing mean and what are the im­pli­ca­tions?

The pla­centa is an or­gan vi­tal for the baby. It is at­tached to the in­ner wall of the uterus on one side and with the help of the cord to the baby's navel on the other. It car­ries food and oxy­gen from the mother to the baby and car­ries car­bon diox­ide and waste prod­ucts from the baby to the mother. Usu­ally it is sit­u­ated in the up­per part of the uterus. An oc­ca­sional pla­centa may be sit­u­ated lower down. Dur­ing pain­less uter­ine con­trac­tions that oc­cur through­out preg­nancy, in­ter­nal ex­am­i­na­tion or in­ter­course, a low- ly­ing pla­cent can be­come de­tached from the uter­ine wall lead­ing to in­ter­nal or ex­ter­nal bleed­ing.

If the sep­a­ra­tion and haematoma ( col­lec­tion of blood) is small the baby sur­vives and grows. The haematoma will get ab­sorbed and the preg­nancy pro­gresses nor­mally. It is im­por­tant to bear in mind that a low-ly­ing pla­centa does not al­ways re­main low. With the pas­sage of time, the grow­ing uterus car­ries the pla­centa up­wards with it so that by the time the baby is ready to de­liver the pla­centa is sit­u­ated in a nor­mal po­si­tion high up. How­ever, if the bleed­ing is heavy and pro­longed or if the pla­centa re­mains low down even at term, com­pli­ca­tions may arise.

I am in the last month of my preg­nancy. I have de­vel­oped high blood pres­sure and the doc­tor has told me that she will have to in­duce labour two weeks be­fore the ex­pected date of de­liv­ery? Why is this nec­es­sary and how is it done? Please give me the rel­e­vant in­for­ma­tion as I am very ap­pre­hen­sive.

Labour has to be iun­duced in some preg­nan­cies due to a va­ri­ety of rea­sons. PIH (preg­nancy-iduced hyper­ten­sion) as in your case is one of the com­moner in­di­ca­tions. It is usu­ally done near term so that the foe­tus is ma­ture enough to sur­vive out­side. The tech­niques com­monly used in­clude in­sert­ing tablets/gels in the vagina that stim­u­late uter­ine con­trac­tions. In­tra­venous infusion of oxy­tocin, a hor­mone that in­duces labour also helps. Some doc­tors ar­tif­i­cally rut­pure the bag of waters, al­low­ing the fluid to leak. This leads to labour in quite a few cases.

The pains are usu­ally like nor­mal labour pains un­less the drug given is not mon­tiored prop­erly. Oc­ca­sion­ally in­duc­tion of labour by the above meth­ods fails or strong con­trac­tions lead to foetal dis­tress for which a Cae­sarean sec­tion may have to be per­formed.

I am two and a half months preg­nant and the el­ders in my fam­ily in­sist that I eat for two. It is dif­fi­cult to eat for one on ac­count of the heart burn and nau­sea, how can I eat for two? Will it af­fect my preg­nancy if I dno’t do as they ad­vise?

One needs only 300 calo­ries ex­tra per day dur­ing preg­nancy (equiv­a­lent to two and half cups of toned milk) so the ques­tion of eat­ing for two does not arise, es­pe­cially if the sec­ond ‘ per­son’ is mi­cro­scopic to be­gin with and grows to a max­i­mum size of 3- 4 kilo­grams. In fact, the qual­ity of food you eat is more im­por­tant than the quan­tity.

I am one and half months preg­nant. I am pas­sion­ate about gar­den­ing. It is a stress buster for me and even the nau­sea of preg­nancy de­creases when I sit in my gar­den and breathe in the fresh, clean air. Please tell me if I can con­tinue gar­den­ing dur­ing preg­nancy.

The first trimester of preg­nancy is not a good time to in­dulge in your pas­sion for gar­den­ing. Stud­ies have shown that weed killers may cause de­vel­op­men­tal prob­lems. If you are re­ally keen to con­tinue wear rub­ber gloves while gar­den­ing in ar­eas where pes­ti­cides have been used. As for sit­ting in the gar­den for re­lax­ation, you can con­tinue do­ing so as long as an in­sec­ti­cide spray has not been used re­cently.

Could you tell me why a Cae­sarean sec­tion has to be done in some cases? Please give me some idea as to how it is done?

Dur­ing Cae­sarean birth, a doc­tor de­liv­ers the baby through an in­ci­sion in the mother’s ab­domen and uterus un­der anes­the­sia. Af­ter the baby and the pla­centa are de­liv­ered both the in­ci­sions are su­tures in lay­ers. Some Cae­sare­ans are planned while oth­ers are done on an emer­gency ba­sis. An op­er­a­tive de­liv­ery is planned when there are pre- ex­ist­ing con­di­tions like ab­nor­mal pre­sen­ta­tions (when the baby is not head first), when there is a his­tory of two pre­vi­ous Cae­sare­ans etc., the pelvis is too small for the baby to pass through ( cephalo- pelvic dis­pro­por­tion). An emer­gency Cae­sarean is usu­ally per­formed dur­ing labour if the pains are not ef­fec­tive, if the baby does not move down the birth canal or the mouth of the uterus does not open. – Dr Am­rinder Kaur Ba­jaj, MD.

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