by Dr Neelima Mantri | Jul 21, 2022 | Blog, Female Gynaecologist
Pregnancy, as we all know is the most challenging journey a woman gets to experience in her life. The sheer amount of physical and mental changes bring on a lot of new problems in due course. The back pains, cramps, heart burns, indigestion and the list go on and on. Of all the problems, the final act of hard labour is the most aggravating of the lot.
Fortunately, there are pelvic floor exercises that can also help you give shorter labour and also accelerate your post-birth recovery. Millions of women all around the world work have benefitted by ingesting them into their daily routine. With the input of the best gynaecologist in Mumbai Dr Neelima Mantri, we give a short intro to these pelvic exercises in this blog here. Read on to know:
What is the Pelvic Floor?
This Pelvic Floor is a group of muscles that bind together to form a base hammock that supports your internal organs: The Bladder, Uterus, Rectum and Vagina (in the case of women). This Pelvic floor is responsible for your Pee and Poo and importantly controls their outflow.
Needless to say, this Pelvic Floor also plays a huge part in amplifying your sexual pleasure during the Orgasm. But the most important for the moment is its ability to stretch enormously which is of real help in letting the baby out and restoring everything to its normal shape. But the Pregnancy part changes a bit or two in the process. The lack of exercise regimen compounded by the growing weight of your baby in the uterus wreaks these Pelvic Floor Muscles weakening them in due course.
Consequently, these Pelvic Floor muscles are at their weakest when you need them the most!
How to Strengthen your Pelvic Floor?
It takes a lot of strength to push your baby through the Pelvis and you will have to count on your Pelvic Muscles to help you sail through. And all these muscles need a little help from your side to regain their strength for you. And pelvic exercise is how you strengthen them. “They are simple, easier to learn and can be done anywhere. If you decide to stick to one exercise during the pregnancy period, stick to this magic set.” says a lady gynaecologist in Mumbai Dr Neelima Mantri
Namely, there is three type of pelvic floor exercise – Pelvic floor relaxations, Endurance contractions & Quick flick contraction and each of these exercises can be performed anywhere anytime. Just identify the right muscles and perform three sets of pelvic – start slow and be consistent. Our next blog will be dedicated to a depth exercise guide pelvic floor, you can find it here.
However, anything you try during your Pregnancy should be recommended by qualified gynaecologists and health professionals. Dr Neelima Mantri is the best gynaecologist in Mumbai who has helped hundreds of pregnant women simplify their pregnancy journey with expert pre-natal and post-natal care. She can perfectly monitor your health and guide you towards your prenatal journey with the right exercise plan that can help you pelvic strength for a smooth labour. You can contact me here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jul 13, 2022 | Blog, Gynecologist
On average, babies weigh between 2.3 kg and 3.8 kg at birth. Macrosomia is a medication that is used to describe a baby that is born with a weight greater than 3.8 kg. This higher weight usually makes the delivery difficult and increases the risk of health problems for the baby later in life. So what causes this Macrosomia and how does it impact Macrosomia on the health of baby and mother?
With the input of the best gynaecologist in Mumbai, Dr Neelima Mantri, let us find out in this blog here:
What Causes Macrosomia?
On average 10% of the babies are born with Macrosomia in India. The common causes in these cases always tend to be medical conditions like diabetes and obesity in the mothers. Macrosomia can also happen in mothers who are free from these two conditions if they gain too much weight during pregnancy, have high blood pressure during pregnancy or conceive after 35 years of age.
“Gestational diabetes also tends to result in Macrosomia in mothers free from above conditions”, says lady gynaecologist in Mumbai Dr Neelima Mantri.
What are the symptoms of Macrosomia?
Symptoms of Macrosomia are straightforward – babies weigh more than 3.8 kg at birth which usually results in difficult delivery for the mothers. A gynaecologist can diagnose Macrosomia during the pregnancy by ultrasound, amniotic fluid level, biophysical; profile and height of fundus (uterus to pubic bone).
Impact of Macrosomia on Mother’s Health:
As mentioned earlier Macrosomia can result in difficult delivery which can further impact the health and wellness of the mother. Macrosomia increases the duration of labour, increases the chance of C-section and may also result in oxygen difficulties for the baby. Injury to the vagina, uterine rapture and excessive bleeding are three common conditions usually suffered by mothers in this case.
Problems caused by Macrosomia to the baby:
Difficult delivery may eventually injure the baby in the process. In a few cases, the baby’s clavicle or shoulder gets stuck in the birth canal leading to a fracture. Babies born large are more prone to developing metabolic conditions – high blood pressure, high blood sugar and cholesterol levels. “They are also at high risk of developing heart diseases and diabetes in the long run”, says the best obstetrician in Mumbai, Dr Neelima Mantri.
What to do when diagnosed with Macrosomia?
If you are a woman with a pre-existing medical condition it helps a lot to seek the help of an expert gynaecologist to plan out the pregnancy with active monitoring of health levels.
Diet and health activity levels are found to have a positive impact until certain stages in pregnancy. If you are a pregnant woman diagnosed with Macrosomia, it is advised to seek help from a gynaecologist in improving your current health. Also, it helps to consider C-section options, and specialized care for monitoring the baby’s health post-pregnancy.
By actively monitoring the health conditions of the new-born and monitoring the health into adulthood, the complications of Macrosomia can be controlled and even prevented to a greater degree. If you are in Mumbai and are looking for a lady gynaecologist with expertise in Macrosomia you can contact Dr Neelima Mantri here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jun 21, 2022 | Blog, Female Gynaecologist
Women’s sexual health is a topic which is frequently overlooked, even after significant steps have been taken towards raising awareness about various indispositions through web series, articles, podcasts, and what not. There are various menstrual issues which are still considered to be a taboo subject when it comes to discussing them in public, many due to religious aspects. India is one of those many countries who needs to generalize talking about various sexual health issues out in the open.
The Symptoms and Effects of Bicornuate Uterus on Pregnancy
Conditions like PCOS (polycystic ovarian syndrome) are more common than it seems especially for women in their child-bearing age. Women suffering from PCOS have high levels of androgens, they may not ovulate and have the presence of small cysts in their ovaries which may lead to infertility and obesity. Other conditions often seen are Amenorrhea or absence of menstruation, and some lesser-known conditions such as Bicornuate Uterus.
Many female gynaecologists have not only treated women suffering due to bicornuate uterus but also experienced it themselves and hence know what they’re dealing with. A Bicornuate Uterus is a heart shaped uterus due to a rare, congenital condition caused due to incomplete fusion of Mullerian ducts during earlier stages of embryogenesis, which results in two hollow uterus cavities instead of one.
Yes, although it is possible to carry out a full-term pregnancy with a bicornuate uterus but it comes with a very high-risk pregnancy, accompanied by miscarriages, infertility (due to lack of implantation) and birthing complications (lack of space for the foetus to grow), and also preterm labour.
The primary function of the uterus is to maintain gestation (the period of carrying a child in the womb) it expands to accommodate a growing baby during pregnancy. In case of a Bicornuate uterus, the top of the uterus, also known as fundus, is separated by an isthmus which hinders complete expansion of the uterus leading to a high-risk pregnancy.
region), painful menstruation, frequent miscarriages (usually more than 3) and dyspareunia, which is pain experienced during intercourse. As already mentioned, the bicornuate uterus is a congenital condition, which means you’re born with it. Having a bicornuate uterus is not a bad or a dangerous condition; it is observed in less than 5% of the people assigned as women at birth.
Final Overview
There is no other method of treatment for bicornuate uterus except for surgery by an experienced obstetrician/ gynaecologist (OB/GYN). One of the best obstetricians in India is Dr. Neelima Mantri. Surgery to correct a bicornuate uterus is recommended for ease in conceiving (as it provides an obstruction-free pathway for the sperm to easily reach the egg for fertilization), a smooth pregnancy without any miscarriages or future complications.
Dr Neelima Mantri is an MS-Obstetrics and Gynecology, MBBS, FMAS, FACAS and a laparoscopic surgeon with 14 years of experience.
To avail more information, feel free to contact Dr Neelima Mantri on the website who is one of the best obstetricians in Mumbai and will guide and support you through your birthing journey with ease and comfort. Book your appointment today!
by Dr Neelima Mantri | Jun 21, 2022 | Blog, Female Gynaecologist
Women’s bodies are home to new lives and roller-coaster rides for all dancing hormones. Throughout their life, a woman’s body goes through lots of changes, which directly or indirectly affect her libido and sexual pleasure.
One of the most drastic events for the body and psyche is being pregnant, carrying the life for nine months, delivering the same life, and the tornado of emotions with all the stress of being a mum takes a toll on the woman’s body. In this progressive era, the aftermath of delivery is still overshadowed by the ‘happiness of being a mum’.
The concept of ‘VAGINAL LAXITY’, is experienced by all the new mothers after delivering their babies. Vaginal laxity, which is commonly abbreviated as VL is caused mostly due to pregnancy and vaginal birth, it is generally associated with vaginal looseness which leads to the loss of sensation in the vagina during intercourse or causes obstacles to healthy and satisfactory sexual relationships.
Understanding Vaginal Laxity
Vaginal laxity is as common as mass love for pizzas, but the catch here is love for pizzas is well known and well talked about, and on the other hand vaginal laxity is an underlying issue that is common among the world of new bee mums, however not talked about. Despite how common it is, females still are shy about VL. Instead of consulting the ob-gyn, most females choose to suffer from this dense condition in silence.
The walls of the vagina are made up of fibrous materials and collagen which is firmly responsible for the elasticity, flexibility, and strength of the pelvic floor. While delivering the baby, the process puts immense stress on the vaginal walls, all the contractions, pushing, and delivering the whole baby make the vaginal walls tired and drained out. This stress results in the loss of sensation down there.
Causes and Effects of Vaginal Laxity
Vaginal Laxity is commonly associated with childbirth, Vaginal laxity can be the result of aging and menopause, weight fluctuations, and other underlying reasons.
- Vaginal birth of a child.
- Decreased estrogen levels due to menopause.
- Natural aging.
- Genetics, responsible for the structure of the vagina.
Vaginal laxity doesn’t only affect the horizons of sexual pleasures, but it also ruins the self-esteem of women and does have the capability of building up frustration. Sexual relationships can be an integral part of a marriage, and it might lead to major obstacles during intercourse. Insufficient lubrication may lead to painful sex, decreased sexual satisfaction, loss of confidence, and leads to severe self-esteem issues.
Treatments for Vaginal Laxity
Kegel Exercises
Mild vaginal laxity can be treated with Kegel exercises. Kegel exercises are specifically designed for strengthening the pelvic floor. Kegel exercises can help to reduce the looseness of the vagina after childbirth. Unfortunately, kegel exercises are not capable of dealing with the actual and heightened form of vaginal laxity the reason being they don’t address and focus on vaginal tissues.
Vaginoplasty Surgery and Vaginal Rejuvenation
Vaginoplasty surgery is a surgical procedure that focuses on tightening the vaginal muscles and considering the rebuilding of vaginal walls. The end result of vaginoplasty surgery is the tighten vaginal walls which enhances the sensation in vaginal areas.
Vagina; Rejuvenation is the laser procedure that subtly ablates the weakened vaginal muscles promoting the growth of natural fibrin and collagen production. This is a perfect option for women looking for effective results and wishes to avoid the horrors of vaginoplasty surgeries.
Finding the correct ob-gyn is a major concern these days, as thousands of budding doctors are establishing their foot in the medical industry. Dr. Neelima Mantri, with formal training from South Korea and 14+ years of experience. Dr. Neelima Mantri is the best Obstetrician and Gynecologist in Mumbai. With her experience and professional training, Dr. Mantri has established her name in India and is one of the best Gynecologists in Mumbai.
by Dr Neelima Mantri | Jun 21, 2022 | Blog, Female Gynaecologist
Round ligament pain is sharp or cramping-like pain that is experienced most likely during her second trimester. The pain can jab on one side or both side of the abdomen and usually springs up when you (pregnant women) sneeze, laughs or changes sleeping positions.
Round ligament pain is not harmful to the health of you are your baby. It is considered normal in pregnancy and is often experienced by 30% of women worldwide. However since its symptoms coincide with other health problems during pregnancy, pregnant women can ignore them assuming round ligament pain.
So it is important to know about round ligaments beforehand to better avoid stress beforehand. So with the input of one of the top 10 gynaecologists in Mumbai, Dr Neelima Mantri we give you a brief introduction to round ligament pain in this blog here by answering a few frequently asked questions. Read on.
What Causes Round Ligament Pain?
The human pelvis consists of two specific ligaments that are located around the uterus. These ligaments stretch out and thicken to accommodate and support this growing uterus during pregnancy. This sudden change may once in a while prod mild spasms that are harmless. However, when the body is acutely stressed while changing sleeping position, coughing or sneezing, these ligaments can get hurt, causing a sharp jabbing-like pain – the round ligament pain.
When Does Round Ligament Pain Start?
Round ligament pain in most cases starts around the second trimester of the pregnancy (weeks 13-28). But one cannot rule out its incidence in early or later part of pregnancy too
How Long Does Round Ligament Pain Last?
“Round ligament pain is temporary and intermittent that goes away on its own. However, it can be difficult to measure how long it can last. It can go away in seconds, linger for a few minutes, or hours” says top lady gynaecologist in Mumbai Dr Neelima Mantri.
How is Round Ligament Pain Different from Abdominal Pain?
As discussed at the start of the blog, the pain associated with round ligament pain is also identical to abdominal pain which is the precursor of serious pregnancy conditions like placental abruption, severe preeclampsia, preterm labour or even appendicitis. While round ligament pain goes away quickly the pain associated with the above condition may continue to linger. One should consult a gynaecologist or obstetrician in Mumbai as soon as possible if the following symptoms show up:
- Severe cramping or pain.
- Contractions (more than 4 in an hour)
- Pressure on the pelvic area.
- Persistent lower back pain
Relief for round ligament pain during pregnancy:
If you ever experience round ligament pain, stop whatever you are doing, sit back and rest in a comfortable position”, says a lady gynaecologist in Mumbai, Dr Neelima Mantri. In addition to this, she suggests proper body mechanics (posture & avoiding unnatural movements), light massage, application of warmth on the site of pain and maternity support garments for round ligament pain relief during pregnancy. For more information, you can contact her here.
