Month: June 2019

When You and Your Baby Need Special Care

Your blood tests show that you have Gestational Diabetes. This doesn’t mean that you did anything wrong. And it doesn’t mean that your baby will be born with diabetes. But it does mean that you need to take special care of yourself, so you and your baby stay healthy.

 

What is Gestational Diabetes?

Gestational diabetes is a special kind of diabetes that happens only during pregnancy (gestation). Changes that occur in your body while you’re pregnant cause your blood sugar to be too high. Gestational diabetes is more likely in women who:

• Are overweight.
• Are older than 25 years of age.
• Have had gestational diabetes in the past.
• Have a family history of diabetes.
• Have had a baby who weighed more than 9 pounds at birth.

 

Help from Your Healthcare Team

To have a healthy baby, you need to take special care of yourself. Your healthcare team will help you learn what to do.

• An obstetrician (a doctor who cares for women during pregnancy) or a family doctor will oversee your care.
• You may also see an endocrinologist (a doctor who treats diabetes) or Gynaecologist & Obstetrician expert in treating High Risk Pregnancy.

 

Understanding Blood Sugar Your body turns food into blood sugar to use for energy. Your blood sugar also goes to your baby. If your blood sugar level gets too high, it can cause problems for the baby and for you. You can help prevent these problems by controlling your blood sugar.

 

Too Much Blood Sugar Affects You and Your Baby If your body can’t use insulin properly, your blood sugar level gets too high. Then too much blood sugar goes to your baby. This can cause problems for both you and your baby.

 

Risks to You

If you don’t control your blood sugar, you are more likely to have these problems:

• You may have high blood pressure. High blood pressure during pregnancy can lead to a condition called preeclampsia. This is a danger to your health. It could mean that your baby will have to be delivered early.
• You may have more infections. High blood sugar makes you more likely to have bladder, kidney, and vaginal infections.
• You may be uncomfortable or short of breath. High blood sugar can cause too much fluid around the baby. This is called polyhydramnios. Your abdomen gets big and pushes on your lungs.
• Your delivery may be harder, and recovery may take longer. If your blood sugar stays too high, your baby can grow too large. A large baby might cause injury to you during birth. In some cases, that might cause the baby to be delivered by cesarean section (C-section). This means making a cut (incision) in your abdomen and uterus. Needing a C-section is one of the most common risks of gestational diabetes.

 

Risks to Your Baby

If you don’t control your blood sugar, your baby is more likely to have these problems:

• Your baby can grow too large. This is called macrosomia. This can make it hard for your baby to come through your vagina without injuring the baby’s arms and shoulders.
• Your baby’s organs may not be fully developed before birth. If your baby’s lungs are affected, he or she may have trouble breathing (respiratory distress syndrome). If your baby’s liver is affected, he or she may have yellowing of the skin and eyes (jaundice) after birth.
• Your baby’s blood sugar may be low after birth. If your blood sugar is too high, your baby makes extra insulin. The baby still makes extra insulin right after birth. Then he or she may have to be treated for low blood sugar.
• Your baby could be stillborn. This is not very common, but your baby could die before birth if your blood sugar stays high for too long.

Controlling Blood Sugar Helps Prevent Problems You can lower your blood sugar by eating right and exercising. You might also need to take insulin or oral medications. If you keep your blood sugar in control, the risks to you and your baby are the same as for a normal pregnancy.

 

How Much Weight Should You Gain?

You need to gain some weight so your baby will grow. But gaining too much weight can make your blood sugar harder to control.

 

Your weight was normal before pregnancy          Gain 25 to 35 lbs.

You were overweight before pregnancy               Gain 15 to 25 lbs.

You were underweight before pregnancy or are under 18 years old Gain 28 to 40 lbs.

You are having twins      Gain 35 to 45 lbs.

Your total weight gain should be (ask your Gynecologist)

 

For You and Your Baby The health of you and your baby depends on how well you control your blood sugar. To do this, follow your meal plan every day. See your Doctor regularly. And, if you’re asked to do so, check your blood sugar at home. Doing all of these things helps make sure you and your baby stay healthy.

In case you have Gestational diabetes, feel free to send us a query or walk in for a consultation. Dr. Rimmi Singla(Senior Consultant Laparoscopic Gynaecologist & Obstetrician, IVF& Infertility Specialist) will always suggest you the best treatment depending on your diagnosis.

 

 

 

 

 

 

 

 

 

During pregnancy, your body goes through many changes. You can take care of some common symptoms yourself. But if any become severe, be sure to contact your GYNECOLOGIST &OBSTETRICIAN.

Fluid Retention

• Puffy legs, ankles, and feet are a sign that your body is holding too much fluid. This can lead to swelling. To deal with this:
• Put your feet up when you sit down. Lie down on your left side.
• Wear comfortable shoes. Don’t wear socks or stockings with elastic tops.
• Ask your Doctor how much water you should drink each day.

Morning Sickness

• Nausea or vomiting may occur anytime. To ease symptoms:
• Keep unsalted crackers by your bed. Eat a few before standing up.
• Eat small amounts of food often, before you feel hungry. If solid food makes you sick, drink low-sugar juices, shakes, and soups.
• If fluids bother you, try eating solid foods that have a high water content, such as fresh fruits and vegetables.
• Eat food high in protein. These include nuts, cheese, milk, eggs, and chicken. Also eat complex carbohydrates, such as whole-grain pasta, potatoes, and most fruit.

Heartburn and Indigestion

• You may feel a burning between the ribs or notice a sour or bitter fluid in your throat or mouth. Some women have gas, hiccups, and bloating. To feel a little better:
• Don’t eat for at least 2 hours before bed. Sleep with your head raised about 6 inches. Eat small meals more often. Eat slowly.
• Stay away from spicy, acidic, and fried foods, chocolate, and processed meat. Don’t bend or lie down right after eating.

Haemorrhoids

These are inflamed, swollen veins in or around the anus. You may have itching, soreness, pain, or bleeding at the opening of the anus. To help treat or prevent haemorrhoids:

• Try not to get constipated. See the section on “Constipation” for tips.
• Keep your weight within the range advised by your GYNAECOLOGIST. Excess weight can make haemorrhoids worse.
• Ask your Doctor about using over-the-counter creams or pads.
• Apply an ice pack (cold pack or bag of ice wrapped in a thin towel) to the area. Never put ice directly on the skin.
• Soak in a warm (not hot) bath a few times a day.

Take Extra Precautions

• Talk with your Doctor before using any medications.
• Don’t eat raw or undercooked meat. Stay out of hot tubs and saunas.
• Don’t use electric blankets.
• Don’t inhale strong chemicals and sprays.
• Always mention that you are pregnant before getting an X-ray.
• Always wear your seat belt.

Back Problems

• If you have back pain, try the following:
• Wear low-heeled shoes with arch support. In bed, lie on your side .When resting, support your body. Place a pillow behind your back, between your legs, and under your belly.
• When sitting, don’t cross your legs. Sit on a firm chair with a straight back and armrests.
• If you’ve been sitting for an hour, get up to walk and stretch.
• Don’t stand for long periods of time. If you must, rest one foot on a low stool or ledge.
• Avoid lifting heavy loads. Get help instead. Don’t stretch to reach things up high.
• Stand on a low, steady stool.
• Try a warm (not hot) bath or shower.

When to Call Your Doctor

• Call your OBSTETRICIAN right away if you have:
• A fever of 100.4?F (38?C) or higher.
• Severe nausea or vomiting (can’t keep food or liquids down).
• Vaginal spotting or bleeding without any pain.
• Heavy or persistent bleeding with belly pain or cramping.
• Pain or burning feeling while urinating. Vision problems (such as seeing spots or flashing lights).
• A headache that doesn’t go away. Increased swelling, especially in your hands or face.
• Not felt your baby move more than 10 times in 2 hours and it’s after your 28th week.
• A sudden gush or steady flow of green, yellow, or clear water from your vagina.
• Labor pains before 37 weeks. Dizzy spells or fainting.
• Rapid weight gain or weight loss.

Constipation

• This problem occurs when stools are hard and painful to pass. To help treat or prevent constipation:
• Use the bathroom when you feel the urge. Eat foods high in fiber. Good choices include fruits, vegetables, and whole grains. Limit or avoid high-fat and refined foods.

• Drink plenty of fluids (unless told otherwise).
• Get daily exercise.
• Ask your Doctor about stool softeners.

Being a Mother Starts Now

Getting regular prenatal (before birth) care is one of the best things you can do for your baby. This is because your health can affect your baby’s growth. If you’re planning to get pregnant, talk with your doctor (Best GYNAECOLOGIST/ OBSTETRICIAN) ahead of time. If you’re already pregnant, call your Doctor today. Now is the best time to start taking care of your baby.

Tests During Pregnancy

Your Doctor will want you to have certain tests. This is normal. Results of the tests help your Doctor better understand and manage your health and that of your baby. Common tests include:

Ultrasound to show how your baby is developing and to look for certain problems. A small device is moved over your stomach. It sends pictures of your baby to a video screen.

Blood glucose screening to check the amount of glucose (sugar) in your blood. This helps find gestational diabetes (diabetes that occurs during pregnancy due to changes in the body).

For the screening, you drink a sugary liquid and a blood sample is taken an hour later.

Testing of blood, cells, and fluid to compare blood types of you and your baby, as well as to screen for genetic problems and birth defects.

Create Healthy Habits

Along with visits to your Doctor, you can take action at home. To feel your best, make healthy eating choices and get active each day.

Eating for Two

Eating for two is about eating healthier, not eating a lot more. Your weight before getting pregnant affects how much you should gain during pregnancy. If you’re of normal weight, you only need an extra 300 calories or so a day. This is about the number of calories in a small meal or hearty snack. If you’re underweight, you may need more than 300 extra calories, and if you’re overweight, you may need less than that.

A Meal Plan for You

Healthy foods provide the nutrients your baby needs to grow. Smart food choices also keep you healthy.

Getting Enough Exercise

Daily activity can help you feel good in both body and mind. Exercise tones and strengthens muscles. It helps to improve mood, too. Talk with your Doctor to find out which types of exercise may be best for you. Also ask about prenatal exercise classes. In general:

• Warm up and cool down at each session.
• Know when to slow down. Can you talk? if not, you’re working too hard.
• After the first trimester, don’t exercise while lying flat on your back.

Leave Bad Ones Behind

Keep this simple pregnancy rule in mind: Whatever mom takes, baby takes. If you need help breaking bad habits, talk to your Doctor. He or she can help provide the support you need to leave harmful habits behind.

Discuss All Drugs with Your GYNECOLOGIST/OBSTETRICIAN

To protect your growing baby, don’t take any medication, drug, or supplement without first talking to your GYNECOLOGIST OBSTETRICIANS.

Stop Smoking

• If you or your partner smokes, now’s a great time to quit. Smoking or breathing in secondhand smoke can increase the risk of:
• Miscarriage (losing the baby). Preterm labor (going into labor before)
• 37 weeks of pregnancy).
• Low birth weight of the baby.
• Stillbirth (showing no signs of life at birth).
• Infant mortality (baby dies as an infant).
• Sudden infant death syndrome (SIDS).

Pause on Drinking Alcohol

Avoid drinking alcohol during pregnancy. Alcohol can lead to some very serious problems for your baby, including:

• Stunted growth, deformities, and poor muscle control.
• Mental retardation.
• Learning, behavior, and social problems later in life.

Limit Caffeine

• Limit or avoid caffeine to help prevent side effects. Caffeine can:
• Affect your appetite and mood. Keep you awake.
• Raise blood pressure.

Dr. Rimmi Singla(Singla Mediclinic) at IVY Hospital Mohali is well experienced Gynaecologist & Laparoscopic Surgeon specialized in  IVF, high-risk pregnancy, gynaecology problems,  General Gynaecology & laparoscopic surgery Doctor in Mohali and is known for his work. Book your Appointment today!