Fibroids, Breech baby, Morning Sickness & Breast Milk

Obstetrics and Gynecology (often referred to as OB/GYN) is a medical specialty that focuses on the care of the female reproductive system, including the uterus, ovaries, cervix, and vagina. OB/GYN doctors are trained to provide comprehensive care to women throughout their lives, from adolescence to menopause and beyond. Obstetrics refers to the care of pregnant women, including prenatal care, delivery, and postpartum care. Gynecology involves the diagnosis and treatment of conditions that affect the female reproductive system, including menstrual disorders, infertility, and conditions affecting the breasts and pelvic organs. OB/GYN doctors are also trained to perform surgical procedures, such as hysterectomies and laparoscopies, as well as manage high-risk pregnancies and complications during childbirth.

A gynecology clinic is a medical facility that specializes in women's reproductive health. It is where women go to receive a range of services, including obstetrics and gynecology (obs and gyn), which involves the care of pregnant women and the female reproductive system. The clinic is staffed by doctors, including gynecologist specialists, who are trained in the diagnosis and treatment of conditions affecting the female reproductive system. Some women may prefer to see a male gynecologist, and many clinics offer the option of choosing a doctor based on gender preferences. Regardless of the gender of the doctor, patients can expect to receive professional and compassionate care at a gynecology clinic.

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Women's Care

Preconception care is a critical component of women's health care that focuses on optimizing health before pregnancy to ensure the best possible outcome for both mother and baby. This care may include screening for underlying health conditions or genetic disorders that may affect pregnancy, as well as counseling on lifestyle factors such as nutrition, exercise, and stress management.

Women's care and women's health issues are broad categories that encompass a range of topics, from reproductive health to chronic conditions such as heart disease or autoimmune disorders. Women's care also includes routine gynecological exams, breast exams, and screening for sexually transmitted infections. Women need to prioritize their health and seek out appropriate care throughout their lives, including preconception care when planning for pregnancy. Regular healthcare visits, open communication with healthcare providers, and a commitment to a healthy lifestyle are essential components of women's health and well-being.

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Gynecological Disorders

Heavy menstrual bleeding, also known as menorrhagia, is a common condition in which a woman experiences excessive bleeding during a period. Heavy periods can be characterized by the need to change sanitary products more frequently than every two hours, passing large blood clots, and bleeding for more than seven days. Heavy bleeding during periods can be caused by a variety of factors, including hormonal imbalances, fibroids, polyps, or blood- clotting disorders. Treatment for heavy flow period depends on the underlying cause and severity of symptoms but may include hormonal medications, such as birth control pills, or non-hormonal options, such as tranexamic acid or a levonorgestrel-releasing intrauterine device. In severe cases, surgery may be necessary. If you are experiencing heavy period bleeding, it is important to speak with your healthcare provider to determine the best menorrhagia treatment plan for you.

Uterine Fibroids

Uterus tumors, also known as leiomyoma, or myoma uteri, are non-cancerous growths that develop in the uterus. There are several types of uterine fibroids, intramural uterine fibroids, which grow within the muscular wall of the uterus, submucosal fibroids, which grow into the inner cavity of the uterus, and subserosal fibroids, which grow on the outer surface of the uterus. Multiple uterine fibroids can develop at the same time, and they can vary in size from small to very large. Symptoms of uterine fibroids can include heavy or painful periods, bloating, abdominal or pelvic pain, and infertility. If a woman becomes pregnant with fibroids, her doctor will monitor her closely to ensure the fibroids do not affect the pregnancy or delivery. If a woman experiences symptoms of a bulky uterus with fibroids or fibroids in the stomach, she should speak with her healthcare provider to determine the best course of treatment.

A small uterine fibroid is typically less than 5 cm in diameter and may not cause any symptoms. A subserosal uterine fibroid grows on the outer surface of the uterus and may cause pressure or discomfort in the pelvic region. A cervical fibroid grows on the cervix and may cause heavy menstrual bleeding or difficulty with urination. Fibroids in the stomach can refer to subserosal or intramural fibroids that are located in the lower abdomen, causing bloating, pressure, or pain. The type and size of a fibroid can affect the symptoms experienced and the treatment options available. Treatment options for fibroids may include medication to control symptoms, minimally invasive procedures to remove the fibroids, or surgery to remove the uterus entirely. Women who experience symptoms of different types of fibroids, including small uterine fibroids, subserosal uterine fibroids, cervical fibroids, or fibroids in the stomach, should speak with their healthcare provider to determine the best course of treatment.

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Uterine Fibroid Treatments

Fibroid's treatment options depend on the size, location, and severity of symptoms. Subserosal fibroids treatment, and intramural fibroids treatment, may include medication to control symptoms or minimally invasive procedures, such as uterine artery embolization or MRI-guided focused ultrasound. The best treatment for fibroids may vary depending on the individual patient and their specific circumstances. In cases of a bulky uterus with fibroids or severe symptoms, surgery may be necessary.

Fibroid Removal Surgery

Fibroid surgery can include myomectomy surgery, which involves removing the fibroids while leaving the uterus intact, or hysterectomy, which involves removing the entire uterus. For women who prefer a new treatment for fibroids without surgery, there are emerging options such as high-intensity focused ultrasound (HIFU), which uses focused ultrasound waves to destroy the fibroids without incisions. Acupuncture is also a good non-invasive effective option for treatment It is important to speak with your healthcare provider to determine the best fibroids treatment plan for you. Treatment of a bulky uterus depends upon the cause. If it is due to fibroids again it will depend upon size and complaints.

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Cosmetic Gynecology

Cosmetic gynecology, also known as female cosmetic genital surgery (FCGS), is a growing subspecialty focused on enhancing the appearance and function of the female genital area. These procedures may include labiaplasty, clitoral hood reduction, and other aesthetic procedures to improve the appearance of the vulva and vaginal region. In addition to aesthetic procedures, cosmetic gynecology may also include vaginal repairs, such as vaginoplasty or perineoplasty, to improve or restore sexual function that may have been degraded due to childbirth or aging.

While some critics argue that cosmetic gynecology promotes unrealistic beauty standards, proponents argue that these procedures can improve a woman's confidence and overall quality of life. It is important for women considering cosmetic gynecology to thoroughly research the procedure and consult with a qualified healthcare provider to determine the best course of action for their individual needs and goals.
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Pregnancy Care

Antenatal care, also known as prenatal care, is the care a woman receives during pregnancy to ensure the health and well-being of both the mother and the developing fetus. This pregnancy care typically includes regular check-ups with a healthcare provider to monitor the pregnancy, as well as education and support for healthy lifestyle choices, such as proper nutrition, exercise, and stress management.

In the first-month pregnancy care, it is especially important to begin prenatal care as soon as possible to establish a baseline for health and detect any potential risks early on. Postpartum care, which refers to the care a woman receives after giving birth, is also essential for the health and recovery of both the mother and baby. This care may include C- section postpartum care, if applicable, as well as monitoring for any potential complications, support for breastfeeding, and guidance on newborn care. Overall, proper antenatal and postpartum care is critical for a healthy pregnancy and birth experience.

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Acupuncture in Obstetrics and Gynecologists

Acupuncture is beneficial in treating labor pain, back pain in pregnancy, and dysmenorrhea. Acupuncture is effective for hyperemesis, chemotherapy-induced nausea and vomiting, and menopausal hot flashes, and it is also effective in correcting breech presentation. It is also beneficial in menopause-related sleep disturbances, depression in pregnancy, and overactive bladder. Acupuncture is an increasingly popular therapy with many potential applications in obstetrics and gynecology. A general understanding of the basic principles of acupuncture and the safety and efficacy of its practice is necessary for the general obstetrician and gynecologist to make informed recommendations to patients.

FAQ's

You can easily find the best gynecologist near you by doing a simple online search or using healthcare websites that allow you to search for medical professionals in your area. You can also search for the top 10 gynecologists near me; well woman clinics near me; women's clinics near me; obstetrician near me; ob-gyn doctor near me; gynecologist clinic near me; nearby gynecologist; gyno near me; best gyno near me; nearby gynecologist doctor; good gynecologist near me. Such search requests will give you a better idea about your query. You can also ask for recommendations from family, friends, or your primary care physician. Additionally, you can check with your insurance provider for a list of in-network gynecologists in your area.

फाइब्रॉएड गैर-कैंसर वाली वृद्धि हैं जो गर्भाशय की मांसपेशियों की दीवार में विकसित होती हैं। वे बहुत आम हैं और अक्सर कोई लक्षण नहीं पैदा करते हैं। हालांकि, कुछ मामलों में, फाइब्रॉएड भारी मासिक धर्म रक्तस्राव, श्रोणि दर्द और बांझपन जैसी महत्वपूर्ण समस्याएं पैदा कर सकता है।

लक्षणों की गंभीरता और रोगी के समग्र स्वास्थ्य के आधार पर फाइब्रॉएड के लिए कई उपचार विकल्प हैं। इसमे शामिल है:

सतर्क प्रतीक्षा: यदि फाइब्रॉएड छोटे हैं और कोई लक्षण पैदा नहीं कर रहे हैं, तो आपका डॉक्टर नियमित जांच-पड़ताल के साथ फाइब्रॉएड की निगरानी और प्रतीक्षा करने की सलाह दे सकता है।

दवाएं: हार्मोनल दवाएं, जैसे जन्म नियंत्रण की गोलियाँ, मासिक धर्म के रक्तस्राव को नियंत्रित करने और फाइब्रॉएड के आकार को कम करने में मदद कर सकती हैं। अन्य दवाएं, जैसे नॉनस्टेरॉइडल एंटी-इंफ्लेमेटरी ड्रग्स (एनएसएआईडी), श्रोणि दर्द से राहत दिलाने में मदद कर सकती हैं।

सर्जरी: यदि फाइब्रॉएड महत्वपूर्ण लक्षण पैदा कर रहे हैं, तो सर्जरी आवश्यक हो सकती है। मायोमेक्टॉमी (फाइब्रॉएड को हटाना) और हिस्टेरेक्टॉमी (गर्भाशय को हटाना) सहित कई सर्जिकल विकल्प हैं। कुछ मामलों में, न्यूनतम इनवेसिव प्रक्रियाएं, जैसे कि गर्भाशय धमनी एम्बोलिज़ेशन या एमआरआई-निर्देशित केंद्रित अल्ट्रासाउंड, एक विकल्प हो सकता है।

फाइब्रॉएड के लक्षणों और उपचार के विकल्पों के बारे में अपने स्त्री रोग विशेषज्ञ से बात करना महत्वपूर्ण है। वे आपकी व्यक्तिगत जरूरतों और चिकित्सा इतिहास के आधार पर कार्रवाई का सर्वोत्तम तरीका तय करने में आपकी सहायता कर सकते हैं।

Same answer is valid for queries like - fibroid in Hindi or uterine fibroid in Hindi.

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Treat menorrhagia, breech pregnancy, morning sickness, and other problems by acupuncture with an MD specialist doctor with 40 years of experience at a modern 4.5 star* rated clinic with dedicated staff in Nashik.

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Breech Presentation

Normally baby in the uterus is in a position head down called vertex position) in a later stage of pregnancy. Sometimes the baby may lead in the reverse direction that is, buttocks down. This is called a breech presentation. The causes of a breech baby are not known. It may move over time to the normal vertex position, but if it remains in that breech position in the latter part of pregnancy, it may get fixed. Breech baby complications increase especially in a first pregnancy.

Breech Presentation Types

  • Frank breech occurs in 50-70% of cases.
  • Complete breech occurs in 5-10% of case
  • Footing or incomplete breech occur in 10-30
    In addition, there can be
  • Transverse lie and
  • Oblique position

Breech Presentation Delivery

In the case of breech delivery especially in premature ones, the buttocks being smaller than the head comes out quickly but the head does not get time to mold to pass through the pelvis of the mother. In this situation, the head gets trapped in the uterus for some time which may cause asphyxia. Arms may get wrapped around the back of the neck causing breech baby birth defects like brachial nerve injuries.

When the head is hyper-extended, breech baby birth defects, including cervical injuries are common. Cord prolapse occurs in 7-8% of patients especially in the case of a breech baby at 32 weeks. The breech delivery presentation has a lower Apgar score at 1 minute of delivery.

What can you do if your baby is breech?

Breech baby positions to turn to normal position is not possible by conventional methods. If you opt to go for vaginal delivery, the risks to the baby are more. That is the reason obstetricians advise planned caesarian section for cases of a breech baby. If you go for a cesarean section there are always all risks of major operation and anesthesia plus sufferings from surgery plus a scar on the abdomen.

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Breech Baby Treatment

The only possible solution to breech presentation is acupuncture treatment. There is no way a baby can be corrected to a normal position without by physical approach. All old methods of turning babies by allopathic manures are risky. Similarly, there are no proven positions to prevent a breech baby.

Breech Baby Treatment by Acupuncture

The breech presentation especially below breech baby at 37 weeks can be corrected by acupuncture and Moxibustion stimulating acupuncture points by heat or by needles in 80% of cases. Electro-acupuncture and auricular plaster therapy have also been used to induce cephalic versions. Moxibustion is non-invasive, painless, and well-tolerated by women. There were no adverse effects on women or their infants. The success rate between pregnancy first time and pregnancy more than first time was the same. The rate of version was higher in women with an average tension of the abdominal wall than in those with high or low tension. This answers the usual query of how to turn a breech baby at 37 weeks.

Mode of Action

Acupuncture and Moxibustion cause a series of biochemical reactions – like increased oestradiol production by the fetoplacental unit, increased adrenocortical activity, and an increase in the ratio of prostaglandin F2a to prostaglandin E2. In turn, this raises the uterine basal tone and increases contractility.

The increase in fetal movements and fetal heart rate is one of the most striking effects of Moxibustion; the increased movements are perceived by almost all women towards the second half of the stimulation period and persist even after the end of stimulation. This activity stimulates fetal movements and that results in vertex presentation possible. Stimulation performed in cases of intrauterine fetal death in which case there would be no fetal movements, fail to produce a version. This clarifies that this type of version relies on active fetal participation and any explanation based purely on a reflex action of Moxibustion acupuncture mediated by a dermatome must be ruled out.

A recent study of the Cooperative Research Group on Moxibustion reported that 1841 of 2041 women (90.2%) with a breech presentation given this treatment had a spontaneous cephalic version. The success rate in the 880 women who were given the treatment after 34 weeks was 84.6%. Eighty-six percent of the versions were achieved after one to four applications of Moxibustion or acupuncture and the remaining 14% after five to ten applications. Another recent randomized trial has shown that acupuncture and moxibustion are more effective to move a breech baby and bringing about a cephalic version than in controls.

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American Journal of Obstetrics and Gynecology

Conclusions

"Acupuncture plus moxibustion is more effective than observation in revolving fetuses in breech presentation. Such a method appears to be a valid option for women willing to experience a natural birth.”

US National Library of Medicine

Conclusions

We concluded that the current literature shows a beneficial effect of using acupuncture-type interventions on BL 67, including moxibustion, to induce correction of a breech presentation compared to expectant management.

American Journal of Obstetrics and Gynecology

We concluded that the current literature shows a beneficial effect of using acupuncture-type interventions on BL 67, including moxibustion, to induce correction of a breech presentation compared to expectant management.

Science and Sensibility

“Evidence suggests that moxibustion—when combined with either acupuncture or postural techniques—is safe and increases your chances of turning a breech baby”

American Journal of Obstetrics and Gynecology

Conclusions

"Our systematic review shows that about the correction of non-vertex presentation, there is a beneficial effect of moxibustion applied at the acupuncture point BL67, whether this treatment is applied alone or in association with acupuncture or postural measures, in comparison with mere observation or postural methods alone.”

FAQ's

There is no way you can turn a nonvertex baby into a vertex position except by acupuncture. The only possible solution to breech presentation is acupuncture treatment. There is no way a baby can be corrected to a normal position without by physical approach. All old methods of turning babies by allopathic manures are risky. Similarly, there are no proven positions to prevent a breech baby.

There are no know reasons for breech presentation.

Less than 4% of pregnancies land in the breech and other non-vertex potion of babies at full term.

Yes, it carries a lot of risks while vaginal deliveries. In the case of breech delivery especially in premature ones, the buttocks being smaller than the head comes out quickly but the head does not get time to mold to pass through the pelvis of the mother. In this situation, the head gets trapped in the uterus for some time which may cause asphyxia. Arms may get wrapped around the back of the neck causing breech baby birth defects like brachial nerve injuries.

When the head is hyper-extended, breech baby birth defects, including cervical injuries are common. Cord prolapse occurs in 7-8% of patients especially in the case of a breech baby at 32 weeks. The breech delivery presentation has a lower Apgar score at 1 minute of delivery.

Since the cause of breech and other non-vertex positions is not known, there is no way to avoid the non-vertex position of babies.
Yes, it is more cumbersome and riskier to carry out vaginal deliveries of breech babies.
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Nausea in Pregnancy Treatment

Pregnancy vomiting, also known as morning sickness, is a common symptom experienced by many pregnant women. It usually occurs during the first trimester of pregnancy, although some women may continue to experience it throughout their entire pregnancy. Pregnancy vomiting is caused by hormonal changes in the body, specifically an increase in the hormone human chorionic gonadotropin (hCG). The symptoms of pregnancy vomiting can range from mild to severe and can include nausea, vomiting, and fatigue. While it can be uncomfortable, pregnancy vomiting is generally not harmful to the mother or the developing fetus.

Some morning Sickness cures like antiemetic drugs are not preferred for safety reasons, in pregnant women. Medication for vomiting and nausea relief may have side effects. Thus, non-pharmacological methods, among which acupuncture is becoming a better option for its efficacy and safety. There are several ways to manage morning sickness during pregnancy. Here are some hyperemesis gravidarum treatment options:

Home remedies for pregnancy vomiting: Eating small, frequent meals throughout the day can help to keep your blood sugar levels stable and reduce nausea. Avoiding spicy, fatty, or acidic foods, and eating bland foods like crackers or dry toast can also be helpful.

Ginger has been shown to good home remedy for morning sickness and reduce nausea and can be consumed in many forms such as ginger tea, ginger ale, or ginger supplements.

Ginger has been shown to good home remedy for morning sickness and reduce nausea and can be consumed in many forms such as ginger tea, ginger ale, or ginger supplements.

Applying pressure to certain points on the body, such as the wrist, has been found to help in morning sickness remedies and relieve nausea in some pregnant women.

Medications: In severe cases, your healthcare provider may recommend medicine for vomiting during pregnancy to alleviate your symptoms.

Nausea medications for pregnancy may include vitamin B6 supplements and antihistamines.

You might be prescribed medicine for vomiting during pregnancy specifically for morning sickness.

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Acupuncture Treatment of Nausea and Vomiting in Pregnancy

Acupuncture is an effective treatment for women who experience nausea and dry retching in early pregnancy. A time-related placebo effect was found for some women.

Acupuncture has been shown to stimulate the release of endorphins and ACTH, which can help reduce nausea and vomiting by inhibiting the activity of the chemoreceptor trigger zone and vomiting center in the brain and helping morning sickness treatment. Additionally, acupuncture may also help regulate the activity of the autonomic nervous system, which can also contribute to nausea and vomiting. Studies have found that acupuncture can be an effective complementary therapy for reducing nausea and vomiting in patients undergoing chemotherapy, surgery, and pregnancy-related nausea.

We are qualified obstetricians and gynecologists (MBBS DGO MD) and have been treating morning sickness for more than 45 years. We have found acupuncture to be a very effective treatment for pregnancy vomiting.

US National Library of Medicine Report

Conclusion

"Acupuncture is an effective treatment for women who experience nausea and dry retching in early pregnancy."

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Breast Milk Deficiency Treatment

Breast milk deficiency After birth baby maybe it is not getting sufficient breast milk. Sometimes a mother may not get sufficient breast milk. A baby may become craggy and irritable and gain weight. Full lactations are expected within 24-48 hours.

Lack of Breast Milk

Causes of deficiency of breast milk may be maternal exhaustion, anemia, insufficient rest, retracted nipple, medications, etc. Low breast milk production may be due to insufficient breast tissue. Milk glands and ducts may not develop properly in some mothers and it may be no reason for the lack of breast milk production. Under such a situation one can take some steps to boost the milk supply. Mothers should continue to feed a baby to help produce more breast milk. Breast milk supplements may be taken as advised by doctors. Second and later pregnancies increase milk supply fast.

Hormonal Causes of Low Breast Milk Supply PCOC, thyroid, or hormonal problems can affect breastfeeding milk supply. Treatments of these basic issues are the best way to increase milk supply.

What helps produce more breast milk?

Breast produces milk in proportion to what is sucked by a baby in certain limits. If the baby draws less milk production of milk will also be less. Breastfeeding properly is the answer to how to increase breast milk supply and is also a breast milk booster. Birth control pills and certain drugs can decrease breast milk supply. Rational ways to ways to increase breast milk production are to stop these medications and use alternative means.

When Should you supplement your milk supply?

If a baby is not getting enough milk breastfeeding supplements are needed. Generally, it is temporary till you get enough milk either by breast milk deficiency home remedies or by taking acupuncture to increase your milk supply. A mother may be prescribed high-protein foods to increase breast milk. Breast milk nutritional deficiency like breast milk vitamin K deficiency or breast milk iron deficiency needs appropriate management.

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Acupuncture treatment for breast milk

Acupuncture is excellent means to increase breast milk supply as confirmed by scientific studies like the one below.

Victoria University Melbourne

“Acupuncture treatment would help mothers diagnosed with insufficient breast milk supply produces more milk.”

We have been treating breast milk deficiency routinely with Dr. Pardeshi Acupuncture Pain Therapy in Nashik in our maternity home. Results are generally instant and consistent. No drugs were needed in most of our treatments.


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