I AM PREGNANT
IAM IN THE EIGHTH MONTH OF MY THIRD PREGNANCY. I WOULD like to get a sterilisation operation done after delivery. Please tell me what is the right method and the right time to get such an operation done and what are the side effects? I would also like to know what exactly is done to prevent conception. Some people tell me that they take out the uterus. I would not like that for I am only 32 years old.
First of all let me enlighten you regarding the procedure. On both sides of the uterus are tubes called fallopian tubes that end in finger- like processes called fimbria. These hang over the ovaries, which again are present on either side of the uterus and pick up the egg when it comes out of the ovary, once in a month. The tube carries the egg towards its middle and the sperms swim up to fertilize it in the tube. These tubes that play sucha vital role in conception are occluded during the sterislation operation. The uterus is definitely not removed so rest assured on that account.
The tubes are either tied and cut in the open method and cauterised or have a tight band fitted over a loop on both sides during laparoscopic or keyhole surgery. The exact method and time varies from individual to individual. If you have to undergo a caesarean section for any reason the open method is best for it can be done along with the caesarean. Sterilisation by the open method can also be done a day or two after normal delivery, the advantage being that you will be able to rest and recoup in the same time it is necessary for recovery from childbirth and usually people have someone to help them around that time. The disadvantage is that it requires longer hospitalisation and a bigger cut. Laparoscopic sterilisation does the entire procedure through a keyhole but can be be done earliest at least 4- 6 weeks after delivery. An important point to remember is that in a small percentage of cases the operation can fail by whatever method it has been done.
IS IT ADVISABLE TO CLIMB STAIRS AND LIFT WEIGHTS DURING pregnancy?
If you are not advised bed rest due to complications and if you live on the upper floor, you can climb the stairs. Make sure that you do not wear heels. Take your time while climbing up or down the stairs. Do not haul yourself up by holding the railings and pulling yourself up by your arms. Instead put each foot firmly on the next step and climb. As for weights, avoiding lifting things that are heavy. For lifting smaller objects from the floor do not bend at the level of your waist to do so. Go near the object, lower yourself into a squatting position by bending your knees and then pick it up. I AM SEVEN AND A HALF MONTHS PREGNANT. DURING my last antenatal visit the doctor suspected that my baby is not growing well. An ultrasound confirmed her diagnosis. What are the implications of such a situation? How will it be managed?
Management will depend upon the degree on intrauterine growth retardation (IUGR). If mild you will be asked to take a high protein diet, given some medicines and advised bed rest at home. You will be called every couple of weeks or so to monitor the growth of the baby by ultrasound, colour doppler etc. If the baby is gaining weight, the pregnancy will be allowed to continue till 37-38 weeks after which labour will be induced and the baby delivered. Babies with IUGR are not allowed to progress till term (40 weeks) as the internal environment is not conducive to their growth and they are better off outside. This because the blood vessels that supply oxygen and nutrients to the baby narrow down due to high blood pressure or other unknown reasons and the baby does not get enough of the above for his needs. If the growth retardation is severe, the patient is admitted, various parameters are monitored on a daily basis and the baby is taken out as soon as he is fit enough to survive outside – usually around 34 weeks of pregnancy. With intensive care in the nursery these babies usually turn out to be fine though in some cases there might be some delay in their milestones. ● E VER SINCE MY WIFE CONCEIVED WE HAVE BEEN BOMBARDED with information regarding cord blood banking. Considering the costs involved, all they offer us is banking for varying periods of time depending upon the amount of money we are willing to pay. I am not interested in the research going on and the breakthroughs that may come about. What I would like to know is that in which conditions are stem cells being used right now.
Stem cells are of use in people suffering from leukaemias and aplastic anemia. They have also been tried with promising results in sickle cell anaemia, thalassemia, Hodgkin’s disease. So if a couple has a child sufferning from any of the above it makes good sense to produce another child and use his cord blood and cord to help the first child. Other conditions in which they are being tried are spinal cord injuries, cirrhosis of the liver, Alzheimer’s disease, diabetes, stroke and heart disease.
WHAT SPECIAL CARE SHOULD I TAKE OF MY BREASTS DURING pregnancy?
Keep your nipples clean. If you feel a certain degree of soreness apply vaseline or cream over them frequently. If your nipples are short – which might make it difficult for the baby to feed – rotate them gently between forefinger and thumb and apply gentle traction. Last but not least, wear a comfortable bra that gives proper support. The pain and heaviness will decrease considerably once you shift from your pre-pregnancy sized bra to a larger one. You may have to change the size frequently during the course of pregnancy. – Dr Amrinder Kaur Bajaj, MD.