Gynecologist and Pregnancy Expert in Calicut, Dr Minu Justin

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Normal pregnancies

A normal delivery is when a baby is delivered naturally by the mother without the use of medical assistance. The cervix softens and extends during the initial stage of the typical delivery process, allowing the baby to be born. This is the longest stage, lasting up to 12/13 hours for the initial delivery and 6/7 hours for successive births. The contractions get stronger and more frequent as the stage advances. The cervix is about 10cm dilated at this point, and contractions are intense, painful, and last 60-90 minutes, happening every 2-3 minutes.

Antinatal and Pelvic USG

A pelvic ultrasound is a noninvasive diagnostic procedure that generates pictures of the organs and tissues of the female pelvis. A pelvic ultrasound enables for fast viewing of the uterus, cervix, vagina, fallopian tubes, and ovaries, as well as other female pelvic organs and structures. Ultrasonic is performed with the use of a transducer that emits ultrasound waves at a frequency that is too high to be heard. The ultrasound transducer is inserted on the skin, and the ultrasonic waves travel through the body, reaching the organs and structures within. Like an echo, the sound waves bounce off the organs and return to the transducer. The reflected waves are processed by the transducer, which are then translated into a picture of the organs or tissues being inspected by a computer.

Vaginal Birth After Cesarean Section

You could be able to deliver your next baby vaginally if you’ve already undergone a caesarean birth (also known as c-section). After a cesarean delivery, this is known as a vaginal birth (also called VBAC). Cesarean birth is a surgical procedure in which your baby is delivered via an incision made in your belly and uterus. More than 6 to 8 out of ten women (60-80%) who attempt VBAC succeed in delivering their baby. Excessive bleeding, infection, and blood clotting in one or more deep veins in the body are related with successful VBAC (deep vein thrombosis). VBAC may also reduce the risk of hysterectomy (uterus removal) and harm to abdominal organs including the bladder or intestines.

Late pregnancies

Being an older mother requires your body to work more than it did when you were younger. You’re more likely to suffer a health problem, and you’re more likely to require medical assistance during childbirth. If you’re overweight, you’re also more likely to have pre-existing health concerns like high blood pressure or diabetes. However, keep in mind that the majority of women will still have healthy pregnancies. From the age of 35, statistically speaking, there are larger risk factors, which rise as you get older. However, you should not be concerned about this because the majority of pregnancies are healthy.

Painless deliveries

An epidural injection provided by an anaesthesiologist for pain management during labour is referred to as a painless birth. It is injected into the lower back, and a plastic tube is inserted around the spinal cord via which medications are distributed. It takes around 10-15 minutes for the medicine to take action. This is a great choice for women who are unable to withstand discomfort and would otherwise have a C-section. Women who had a painless delivery have a better probability of having a natural childbirth with little intervention. It has aided in reducing the number of elective C-sections performed in India. It makes it easier for the baby to descend by relaxing the pelvic and vaginal muscles.

Comprehensive treatment for fibroids

Get the Most Advanced Uterine Fibroid Treatment. The modern treatment is painless and speeds up the healing process. Uterine Fibroids are permanently cured with a laparoscopic technique. The size, position, age, and overall health of the patient all have a role in how effectively fibroids are treated. The ideal treatment for fibroids is to keep a woman’s fertility intact as much as possible.

Abdominal hysterectomy

A hysterectomy is a medical surgery that removes the complete uterus or the section of the uterus above the cervix. It’s a typical gynecological surgery treatment. The cervix, ovaries, fallopian tubes, and other adjacent tissues may also be removed. Pelvic discomfort, uterine cancer, ovarian cancer, cervical cancer, fibroids, endometriosis, and heavy periods are among illnesses that can be treated by a hysterectomy. The uterus is accessed through an incision in the abdomen during an abdominal hysterectomy.

Vaginal hysterectomy

The uterus is removed through the vaginal opening during a vaginal hysterectomy. The uterus is separated from the ovaries, fallopian tubes, and upper vagina, as well as the blood arteries and connective tissue that support it, during a vaginal hysterectomy. After that, the uterus is removed through the vagina. An abdominal hysterectomy, which needs an incision in your lower abdomen, necessitates a longer stay in the hospital and a slower recovery.

Myomectomies

Myomectomy is a surgery that removes fibroids, also known as leiomyomas. The uterus is home to several frequent noncancerous growths. Uterine fibroids most commonly form during a woman’s reproductive years, although they can arise at any age. Symptom-causing fibroids are removed, and the uterus is rebuilt. A myomectomy, unlike a hysterectomy, which removes your whole uterus, just removes the fibroids and leaves your uterus. Women who get a myomectomy report less heavy menstrual flow and lower pelvic pressure, as well as a reduction in fibroid symptoms.

Hysteroscopy

Hysteroscopy is a minimally invasive procedure. It allows us to examine the cervix and uterine more closely, to diagnose and treat the underlying cause of irregular bleeding, cysts, and fibroid. A hysteroscope, a thin tube-like apparatus that examines the cervix and the interior of the uterus, is used during hysteroscopy. Hysteroscopy is a procedure used to examine the uterus and address various uterus problems. Because hysteroscopy is a minor surgical procedure, the patient recovers quickly. If a fibroid is found within the uterus cavity’s lining, hysteroscopy is suggested.

High risk pregnancy care

Pregnancy is a unique yet perfectly typical physiological experience for a woman. A difficult pregnancy might, however, originate from the mother’s or the fetus pre-existing or unanticipated disease. While all pregnancies carry some risk, not all dangers are created equal. Only when there are probable issues that might threaten the mother’s, baby’s, or both’s health is a pregnancy classified as high risk. We make certain that the mother and the child have the greatest possible outcomes.It’s advisable to keep to the basics whether you know ahead of time that you’ll have a high-risk pregnancy or just wish to do everything you can to avoid one.

Intra-Uterine Insemination (IUI)

Artificial insemination, also known as intrauterine insemination (IUI), is the most common method of infertility therapy. It is simple and affordable, as well as technically straightforward to execute. The goal of IUI is to get a good quality sperm that is supplemented with nourishment into the uterus, closer to the oocyte (egg) in the fallopian tube. IUI can be done on a natural or boosted cycle. Women are given fertility medicines to assist them create 2-3 oocytes in order to increase their chances of conceiving in the stimulated cycle. As a result, the gametes (egg and sperm) are placed close together. It is possible to make fertilisation easier.

Pap Smear

A Pap smear, often known as a Pap test, is a cervical cancer screening treatment for women. A Pap smear is a procedure that collects cells from the cervix, which is the lower, thin end of the uterus that sits at the head of the vagina. Cervical cancer can be detected early with a Pap smear, giving you a better chance of a cure. A Pap smear can also detect alterations in the cervical cells that indicate potential cancer development. Detecting abnormal cells early with a Pap screen is the first step in preventing cervical cancer from developing.

Laparoscopic Sterilization

Laparoscopic sterilisation is a technique that offers long-term birth control. The fallopian tubes are either blocked or removed during this procedure, which prevents future pregnancies. The recovery time for this surgery is quite brief. Laparoscopic sterilisation is a surgical treatment that gives women permanent reproductive control. The fallopian tubes are obstructed or removed during female sterilisation.

Antenatal and Postnatal Exercise

Antenatal exercise, which includes joint stretching and muscle strengthening, seeks to avoid low back discomfort and improve physical and psychological preparation for birth. Mothers gain weight, ligaments and joints relax, and abdominal muscles stretch during pregnancy. It takes some time for the body to return to normal after birth. Postpartum workouts will help you regain body form, tone up a sagging abdominal muscle, and avoid low back discomfort. After a normal birth, mothers can begin postnatal exercise 24 hours later.

Laparoscopic Surgery (Obs & Gyn)

Gynecological laparoscopic surgery is a minimally invasive procedure that allows the surgeon to operate without making a major incision. A laparoscope is a narrow, illuminated tube with a camera on the end that is introduced into the belly through a tiny incision. The camera transmits images of the inside of the body to a TV display in the operating room, allowing the surgeon to view and operate on the pelvic organs without the need for a large incision.
In the belly, other small incisions may be created to implant very fine specialist surgical equipment. Less discomfort, fewer issues, less scarring, shorter hospital stays, and faster recovery are some of the advantages of laparoscopic gynecological surgery versus open abdominal surgery.

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