by Dr Neelima Mantri | May 15, 2023 | Blog, Pregnancy Complications
Pregnant women may have amniotic fluid embolism (AFE), an uncommon but potentially fatal condition that can happen just before, during, or right after labour and delivery. The majority of the time this happens during labour. It is believed that in this illness, a pregnant woman experiences an intense allergic response to amniotic fluid or other fetal substances that enter her system, such as fetal cells.
Life-threatening consequences can include breathing issues, cardiac arrest, and severe bleeding. Researchers and female gynecologists in Mumbai do not fully comprehend why some pregnant women experience this reaction to amniotic fluid or fetal cells entering the mother’s bloodstream. Amniotic fluid embolism is a medical emergency that can be lethal and occurs abruptly and quickly. Early detection and quick supportive care are vital.
The Causes
Amniotic fluid embolism’s precise etiology is unknown, although several risk factors could raise a woman’s likelihood of developing this issue during childbirth. Healthy women may experience AFE during labour, following atypical vaginal delivery, during the second trimester of pregnancy, or following a cesarean section. It might potentially happen up to 48 hours after birth. The root cause of amniotic fluid embolism is unclear, making it a foreseeable and unavoidable occurrence. Nevertheless, the following are some of the risk factors:
- Mother’s advanced age
- A pregnancy-related condition marked by elevated blood pressure.
- Bearing several pregnancies, or multiparity
- Premature membrane rupture
- Tears in the uterus
- Preterm labor
- Severe labour contractions
- Augmented labor
- Cesarean section
Treatment
A rare yet life-threatening complication of childbirth called amniotic fluid embolism (AFE) necessitates rapid medical intervention. Supportive care is frequently used as a kind of treatment for AFE in order to control the mother’s symptoms and stop further issues. To save both the mother and the fetus, this problem needs to be treated as soon as possible.
According to gynecologist in Mumbai, the particular course of treatment will depend on the seriousness of the AFE and the mother’s general health, although it may include:
- Baby to be delivered right away.
- Numerous transfusions of blood, plasma, and platelets.
- To halt the bleeding, undergo a hysterectomy.
- Steroids or other drugs to lower your heart rate or blood pressure.
- Cardiopulmonary resuscitation (CPR)
- Employing a tracheal tube or mechanical ventilation to deliver oxygen
These are some conditions when using a spinal cord stimulator can help.
Final Overview
In order to manage the mother’s symptoms and avoid future complications, the treatment for AFE frequently entails a combination of supportive care, including oxygen therapy, intravenous fluids, and medicines.
Many women who suffer from AFE can recover and go on to have successful pregnancies and births with quick medical attention and the right therapy. It’s crucial to remember that AFE can be a condition that poses a threat to life, and that fast diagnosis and treatment are essential for the best outcome.
One of the best gynecologists in Mumbai is Dr. Neelima Mantri. She has dealt with thousands of difficult obstetric situations and has received significant training in high-risk obstetrics. To learn more about amniotic fluid embolism, head over to Dr. Neelima Mantri.
by Dr Neelima Mantri | May 12, 2023 | Blog, Female Gynaecologist
Uterine Artery Embolization is a minimally invasive procedure employed to address uterine fibroids. These fibroids are non-cancerous growths in the uterus. The process entails obstructing the blood flow to the fibroids which results in their reduction in size leading to eventual demise.
This is recommended for women with symptomatic fibroids, which results in heavy menstrual bleeding, pelvic pain, and pressure on the bladder and this process also serves as an option for women who do not want to go for traditional surgery such as myomectomy. Nowadays, one can get this done easily, especially in tier 1 cities like Mumbai where a person can easily consult any of the best gynecologists in Mumbai or any other well-known place.
The Procedure:
Embolization of the uterine artery usually requires a duration ranging from 30 minutes to one hour to be accomplished. At first, the doctor will use X-ray guidance to access the uterine artery and block the blood supply to the fibroids.
The patient will be administered a gentle sedative to aid in their relaxation before the treatment. A minor cut is created in the groin region, through which a slender tube is placed into the femoral artery. Subsequently, the catheter is steered along the artery pathway until it reaches the uterine artery.
After inserting the catheter, miniature substances are infused into the artery of the uterus. The fibroids experience a size reduction gradually as a result of these particles impeding the blood flow to them.
Once the process is done, the catheter is taken out and pressure is exerted on the surgical site to avoid any bleeding. These minute operations should be done with proper facilities and in such situations one can easily trust the laparoscopic surgeons in Mumbai.
The Recovery:
Following the procedure, individuals may encounter a few days of cramping and unease. Prescribed pain medication can aid in the management of such symptoms. Following the procedure, patients could potentially encounter some vaginal bleeding or discharge that may persist for a few weeks.
The majority of patients display the capacity to recommence their regular activities and work schedule within one to two weeks following the medical procedure. For the body to fully recuperate, it is imperative to refrain from engaging in physically demanding tasks and lifting heavy objects for several weeks.
Final Overview
To sum up, a viable substitute to conventional surgery for tackling uterine fibroids is the less intrusive uterine artery embolization technique. Following the procedure, patients may encounter certain discomfort and vaginal bleeding, nevertheless, the majority can resume their regular activities within one or two weeks.
The process of Uterine Artery Embolization is really good for women who wish to have children in the future as this process takes less time, causes fewer complications, and preserves the uterus. Patients can easily consult with doctors online nowadays and what better way to get consultations other than a phone call?
Dr. Neelima Mantri is one of the best gynae laparoscopic surgeons in Mumbai and people can easily contact her over her website. She has been a pioneer in the field for many years and one should get in touch with her regarding these issues.
by Dr Neelima Mantri | Apr 21, 2023 | Blog, Infertility Treatment
Millions of couples worldwide face the common issue of infertility. To overcome this, there are two widely used methods, in vitro fertilization (IVF) and surrogacy, that help couples conceive. These procedures are highly beneficial for those struggling with natural conception. However, there are notable differences between the two methods.
IVF
In vitro fertilization (IVF) is a medical procedure where eggs and sperm are fertilized outside of the body, in a laboratory setting. After fertilization occurs, the resulting embryos are then implanted into the uterus of the woman. IVF is commonly used to aid couples who are experiencing difficulties conceiving due to a variety of factors, including male infertility, endometriosis, or unexplained infertility.
While IVF can be a complex and costly procedure, it boasts a high success rate. Additionally, it can be used in situations where one or both partners have genetic disorders that they do not want to pass on to their offspring. IVF done by an infertility specialist in Mumbai can also be an excellent option for couples who wish to have a child that is genetically related to them.
Surrogacy
Surrogacy is a process where a woman carries a baby for another individual or couple. The surrogate mother may utilize her egg and the intended father’s sperm, or an embryo produced via IVF from the intended parents or donors. This option is suitable for women who have medical conditions that prevent them from carrying a pregnancy to term, such as a hysterectomy or recurrent miscarriages.
The surrogacy process is intricate and can evoke strong emotions. It entails a legal agreement between the surrogate mother and the intended parents, along with various medical procedures like IVF. Although the process can be expensive, it can also be a fulfilling experience for everyone involved.
IVF vs Surrogacy
IVF and surrogacy are two distinct procedures that can help couples facing infertility issues. The main difference between them is that IVF involves the biological parents undergoing infertility treatment in Mumbai to conceive and carry the child to term, while surrogacy involves a third-party surrogate carrying the child to term for the intended parents.
IVF is suitable for couples who can conceive but face challenges carrying the pregnancy to term. On the other hand, surrogacy is a viable option for couples where the woman is unable to carry a pregnancy to term.
How can an Infertility Specialist help? Infertility – Best Gynecologist in Mumbai
Infertility specialists are doctors who specialize in helping couples who are experiencing infertility. They can assist couples in identifying the root causes of their infertility and creating a treatment plan that is customized to their unique needs. Additionally, the best gynecologist in Mumbai can provide continuous support and guidance throughout the entire process, from diagnosis to treatment to conception and beyond.
To overcome infertility, couples can explore options such as IVF and surrogacy. Each procedure has its advantages and disadvantages, and it’s crucial to consult with an infertility specialist to determine the most appropriate course of action for your specific situation. Dr. Neelima Mantri is an experienced infertility specialist who can offer the compassionate care and support needed to help couples achieve their goal of starting a family.
by Dr Neelima Mantri | Apr 17, 2023 | Blog, Pregnancy Complications
Lupus is an autoimmune disease, a condition caused when a person’s body attacks its tissues and organs. Lupus affects various parts of the body including the skin, kidneys, and joints. When a woman with lupus becomes pregnant she undergoes a range of complications that impacts both her and her developing baby. The potential risks and pregnancy complications caused by lupus are as follows:
- Miscarriages: Women with lupus are at a higher risk of miscarriages.
- Fetal growth restriction: Fetal growth restriction refers to underdeveloped babies. The baby suffers from low body weight and several other complications.
- Preeclampsia: Lupus increases the risk of Preeclampsia, a condition in which the blood pressure of the woman increases after the 20th week of pregnancy causing premature deliveries.
- Increased risk of infection: Women on lupus medications are at a higher risk of developing infections during pregnancy.
- Lupus flares: Lupus flares are the increase in disease activity during pregnancy.
- Blood clots: Women with lupus are at a higher potential risk of developing blood clots which can harm both the mother and the baby.
- Delivery complications: Delivery complications such as excessive bleeding and infections can happen at the time of delivery.
- Breastfeeding complications: Medications used to treat women with lupus may harm the infants.
Higher risks of C-Sections with concerns over normal delivery.
Women with lupus who are pregnant or considering pregnancy can take several steps to reduce the risk of complications:
- Regular prenatal care: The care received during pregnancy is termed prenatal care. Women should often visit the best gynaecologist in Mumbai during pregnancy to ensure favorable outcomes.
- Maintain a healthy lifestyle: Women suffering from lupus should avoid liquor and smoking and focus more on balanced diets and exercises.
- Get adequate rest: Women suffering from lupus are more prone to fatigue. They should take an adequate amount of rest and ensure they do not participate in any exaggerated exercises.
- Avoid stress: Stress can trigger lupus flares which can further lead to delivery complications and infections. Women suffering from lupus should try to avoid stress and keep their minds and body relaxed.
- Take the prescribed medicines: Women suffering from lupus are already on a high dose of medications. The patient must discuss the medications with a top gynaecologist in Mumbai to ensure no complications arise.
It is also essential that people affected by the condition should conduct a thorough online research so that they learn more about the disease and incorporate effective strategies to mitigate pregnancy complications caused by lupus. Women with lupus need to receive appropriate medical care before, during, and after pregnancy to minimize these risks and complications. Close monitoring by a team of healthcare professionals, obstetricians, and gynaecologists can prevent the situation from worsening.
Dr. Neelima Mantri is amongst the best obstetricians in India who can be consulted by women suffering from lupus. She holds multiple degrees (MS – Obstetrics and Gynaecology, MBBS, FMAS, FACS & Fellowship in Minimal Access Surgery) which showcase her utmost talent with over a decade of experience. Check the official website of Dr. Neelima Mantri to gain more information about this topic.
by Dr Neelima Mantri | Apr 12, 2023 | Blog, Infertility Treatment
Asherman’s syndrome is a condition that leads to infertility or miscarriage due to the formation of scar tissue inside the uterus. This condition is also referred to as intrauterine adhesions (IUA). Dr. Joseph Asherman, who described this condition in 1948, named it after himself. Medical attention is necessary as this condition can cause a range of symptoms.
Symptoms of Asherman’s Syndrome
Asherman’s Syndrome can produce various symptoms that depend on the amount of scar tissue formed. These symptoms may involve:
1. Causing infertility:
Asherman’s Syndrome is among the main causes of infertility in women, and it is not easy to get pregnant without undergoing treatment.
2. Irregular menstruation:
Women who have Asherman’s Syndrome may have irregular menstrual cycles, including light or missed periods.
3. Painful periods:
Adhesions in the uterus can cause menstrual cramps, leading to painful periods.
4. Recurrent miscarriages:
Asherman’s syndrome can cause recurrent miscarriages, which can be emotionally devastating for women.
5. Pelvic pain:
Women with this condition may experience chronic pelvic pain due to adhesions. Abnormal vaginal bleeding, such as spotting or heavy bleeding, can also occur in women with Asherman’s syndrome.
Treatment for Asherman’s Syndrome
Doctors determine the treatment for Asherman’s syndrome based on how severe the adhesions are and the symptoms that the patient is experiencing. The primary objective of the treatment is to eliminate scar tissue and restore the uterus’s regular functioning. Various treatment options are available, including:
1. Hysteroscopy:
Hysteroscopy is a medical procedure that involves inserting a slender, illuminated tube into the uterus via the cervix to examine its interior. It is a minimally invasive approach that enables the gynecologist in Mumbai to diagnose and treat issues like adhesions or scar tissue by using specialized tools to extract them.
2. Hormonal therapy:
Hormonal therapy works by regulating the hormones in the body that are responsible for the growth and shedding of the endometrial lining of the uterus.
3. Surgery:
In instances of severe Asherman’s syndrome, the removal of scar tissue through surgery may be required. The surgery may entail a hysterectomy, which involves the elimination of the uterus.
How do the Best Gynecologists in Mumbai Take Care of it?
To diagnose Asherman’s syndrome, the top gynaecologist in Mumbai will conduct a comprehensive medical history and physical examination. They will utilize a range of diagnostic tests, such as an ultrasound or hysteroscopy, to assess the severity of the adhesions. After confirming the diagnosis, the gynaecologist will create an Asherman’s syndrome treatment plan that is customized for the patient. The plan may include medical and surgical treatments based on the severity of the adhesions and the patient’s symptoms.
The best lady gynecologist in Mumbai offers continuous support and care throughout the entire treatment process. They keep track of the patient’s progress and make adjustments to the treatment plan as necessary to achieve the best possible result.
If you are looking for specialized care for Asherman’s syndrome or any other gynaecological condition in Mumbai, Dr Neelima Mantri is an esteemed and experienced gynaecologist who can offer customized care and support. She is considered one of the best female gynaecologist in Mumbai. Schedule an appointment with Dr Neelima Mantri today to take the first step toward optimal health and well-being.
