by Dr Neelima Mantri | Nov 30, 2023 | Blog
Thrombophilia is the body’s increased tendency to form blood clots, meaning that individuals with thrombophilia are more likely to form blood clots without a clear reason, leading to serious complications. This heightened clotting tendency can be particularly dangerous during pregnancy, causing problems like gestational diabetes, preeclampsia, placental abruption, pregnancy loss, and stillbirth. While blood clot formation is essential for bodily functions, an increased tendency to form clots can result in significant issues.
The blood clot formation is vital for busy functions, but why does an increased tendency cause problem, you ask? The following will serve you the answer. With the inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, we help you understand the dangerous nature of thrombophilia, particularly in pregnancy, its symptoms, and treatment options. Read on to know.
Why Thrombophilia is Dangerous?
Our body’s ability to form blood clots is vital for physiological processes. Blood clots act as natural bandages, stopping excessive bleeding when we’re injured. However, in conditions like thrombophilia, the propensity for blood clotting heightens even without injury, potentially causing serious problems. For instance, unwanted blood clots in blood vessels can travel to the lungs, leading to life-threatening conditions like pulmonary embolism.
Some blood clots may also reach the brain, increasing the risk of fatality. Understanding the dangers of thrombophilia is crucial, especially in the context of pregnancy, where the risks are heightened.
How Challenging is Thrombophilia in Pregnancy?
During pregnancy, a woman is in a state where the formation of blood clots is naturally heightened due to physiological needs. When thrombophilia is introduced into this pregnancy state, it amplifies the risk of complications. The increased blood clotting raises the risk of blood vessel blockage, potentially leading to various complications due to impaired blood flow. These blood flow issues may result in insufficient nourishing blood reaching the baby, causing growth complications for the foetus.
Additionally, blood flow problems can contribute to placental abruption, where the placenta separates from the baby, further complicating the pregnancy progression. The mother’s blood pressure gradually increases, leading to conditions like pre-eclampsia and gestational diabetes, creating new health challenges for both the mother and the baby. “Together, these problems can contribute to recurrent pregnancy loss or even stillbirth. In rare cases, blood clots may travel to the lungs, causing a life-threatening pulmonary embolism, as mentioned earlier.”, says lady gynaecologist in Mumbai Dr Neelima Mantri.
In essence, the risk of pregnancy complications significantly amplifies in the case of thrombophilia during pregnancy.
Thrombophilia in Pregnancy – Treatment & Management
The aim of the treatment for thrombophilia is to reduce the risk of the condition and mitigate its potential complications.
The treatment for pregnant women with thrombophilia is individualized, considering the medical history, previous pregnancy outcomes, lifestyle factors, and specific risk factors, according to gynaecologists in Mumbai, Dr. Neelima Mantri.
“A pregnant woman suffering from thrombophilia is continuously monitored with regular imaging studies and medical tests to assess the health of the foetus and mother. Anticoagulant medication is prescribed to reduce the risk of clotting, stockings are recommended to increase blood circulation, and lifestyle modifications are implemented to improve treatment outcomes and prevent the risk of thrombophilia,” states Dr. Mantri.
by Dr Neelima Mantri | Nov 28, 2023 | Blog, Pregnancy Complications
Amniocentesis is an advanced prenatal test that is performed to check for genetic or chromosomal abnormalities in the growing foetus. Amniocentesis procedure is performed in the 15-16 weeks of pregnancy by collecting a sample of the amniotic fluid.
By evaluating the genetic health beforehand it gives hope, instils confidence, and ensures more informed and supportive parenthood journey. However, given the advanced nature and invasive nature of the surgery, there is also uncertainty about the safety of the procedure for new parents, which is understandable. In this blog, with inputs from the lady gynaecologist in Mumbai Dr. Neelima Mantri, we uncover the process, its benefits, and possible risk factors, if any.
Benefits of Amniocentesis:
There was a time when each precious new-born faced the shadow of potential genetic challenges that only revealed themselves later in life. These looming uncertainties remained hidden, preventing proactive measures and leading to distress and dilemma.
“Thanks to the rapid strides in advanced medical research and technology, today, one can easily assess the risk of genetic conditions in the early weeks of pregnancy. This remarkable opportunity identifies the potential genetic complications of the child to help expectant parents with insights that give them hope, instil confidence, and provide greater control over decision-making,” says best gynaecologist in Mumbai Dr. Neelima Mantri.
Now, the early weeks of pregnancy unveil an opportunity to assess and address the risks of genetic diseases. This remarkable progress not only empowers expectant parents with knowledge but also instils a sense of hope and reassurance for the health and well-being of their unborn child.
By collecting the tissue from the foetus, Amniocentesis can be used to evaluate the following chromosomal or genetic disorders in the foetus, such as:
- Down syndrome
- Patau syndrome
- Edward’s syndrome
- Cystic fibrosis
- Klinefelter syndrome
- Turner syndrome
- Tay-Sachs disease
Amniocentesis can also assess foetal lung maturity, diagnose foetal infections, and treat excessive amniotic fluid (polyhydramnios). So, does this procedure pose any complications to the foetus or pregnant women? Let us find out.
Are there any possible risks of Amniocentesis?
Pregnancy makes women more sensitive, and any complication risk matters. However, Amniocentesis, according to top Mumbai gynaecologist Dr. Neelima Mantri, is the safest prenatal test when done by experts using best practices.
“Amniocentesis is safest after 15 weeks of pregnancy, lowering the risk of complications like miscarriage, which is already at their lowest. The minor risk may increase when the procedure is performed after 15 weeks. There is a slightest risk of sensitization, especially when the baby is RhD positive and the mother is RhD negative, adds to concerns” , says Dr Mantri.
That said, the benefits of Amniocentesis far outweigh the minimal risks. This prenatal test can make a crucial difference for baby’s health by preventing genetic conditions and hence, it is considered gold standard for ensuring the baby’s genetic wellness. For more info, contact Mumbai’s renowned gynaecologist, Dr. Neelima Mantri here.
by Dr Neelima Mantri | Nov 21, 2023 | Blog, Infertility Treatment
Anovulation is a condition where a woman’s ovaries do not release eggs during their regular menstrual cycle. Without the release of eggs by the ovary, there is no chance of fertilization, making conception impossible. “A common cause of infertility, anovulation happens in 1 in 10 women, yet it is the reason for infertility in almost 25% of cases,” says the leading gynaecologist in Mumbai, Dr. Neelima Mantri.
Is anovulation permanent? Do women suffering from Anovulation lose the ability to conceive forever? What causes it, and how is it treated? We have asked the gynaecologist and infertility specialist in Mumbai, Dr. Neelima Mantri, and all the frequently asked questions. Read on to know her answers:
What happens in Anovulation?
A regular menstrual cycle begins after the uterus sheds its lining. Typically lasting for 28 days, various hormonal fluctuations occur. In chronic cases, the egg matures in the ovaries for 14 days, and around the 14th day, luteinizing hormone surges to trigger the release of the egg. The egg then moves into the fallopian tube for fertilization.
However, in cases of Anovulation, the hormonal changes that lead to the release of eggs are disrupted. Consequently, the ovaries hold back and do not release the egg, making conception impossible.
What causes Anovulation?
The hormonal disruption that triggers Anovulation can result from systemic, internal, and external factors. As a result, Anovulation impacts a large number of people. “Anovulation is a common cause of infertility in women. Every year, we treat hundreds of cases at our facility in Mumbai,” says the best obstetrician in Mumbai, Dr. Neelima Mantri. According to her, here are the most common causes of hormonal disruption that triggers Anovulation in women:
Polycystic Ovary Syndrome (PCOS): PCOS is a hormonal disorder that elevates androgens, causes insulin resistance and disrupts the release of Luteinizing Hormone, leading to Anovulation.
Hypothalamic-Pituitary Axis (HPA) Dysfunction: The HPA system regulates the system that controls the menstrual cycle in women. Its dysfunction can throw a spanner into the menstrual health of women, causing a hormonal imbalance that ultimately leads to Anovulation.
Stress: Not just hormonal conditions, external factors like intense stress may also lead to Anovulation. Excessive stress increases the release of cortisol, which suppresses ovulation.
Excessive Exercise: Surprisingly, excessive intensive exercise may also disturb hormonal balance in women, leading to Anovulation.
In addition to the above, certain medications, chemotherapy drugs, and birth control pills can also induce Anovulation in women.
Anovulation Treatment: Is Anovulation Permanent? How is it treated?
Anovulation can be temporary or permanent based on the causes and the available treatments. In cases like stress, weight fluctuations, and illness, Anovulation is usually temporary, and the patient may return to normal over time. However, in cases like PCOS and specific hormone imbalances, Anovulation can be persistent and even permanent if the proper treatment is not available.
Anovulation can be treated with various treatment options based on its specific cause. Some of the treatment options currently available include surgery for structural issues, hormonal therapy to balance hormones and induce ovulation, lifestyle changes, and medications. In some cases, Assisted Reproductive Technologies (ART) may also be used to induce ovulation for conception.
In many cases, women overlook anovulation symptoms, thinking that it will sort itself out. But depending on the cause of Anovulation, the symptoms may persist and may cause severe complications like infertility for couples looking to conceive. So it is always advised to consult with your healthcare professional at the first sign of trouble,” says an infertility specialist in Mumbai, Dr. Neelima Mantri. If you are in Mumbai and are experiencing Anovulation, you can consult with Dr. Mantri here.
by Dr Neelima Mantri | Oct 30, 2023 | Blog, Women Health Issues
The hymen is a fragile membrane that is located at the entrance of the vagina in women. Made of delicate tissue, the hymen often has a tiny opening to let out menstrual blood. Hymens vary in size and shape, and the opening size can change too. In a few cases, the space may be tiny or even non-existent. A hymen without an opening may cause challenging compacta’s for women, and this condition, where the hymen lacks an opening, is called an imperforate hymen.
According to the gynaecologist in Mumbai, Dr. Neelima Mantri, the lack of an opening in the hymen is a rare condition that may lead to a host of complications like infection, menstrual pain, cramping, difficulty in intercourse, and, in rare cases, may even damage the uterus and fallopian tubes.
However, all the possible complications can be avoided by quickly identifying the condition and consulting a qualified gynaecologist for treatment. But what causes imperforate hymen, how to identify an imperforate hymen, and what are the treatment options available today? With insights from the best female gynaecologist in Mumbai, Dr. Neelima Mantri, we have delved into these topics for you. Read on to know.
What causes imperforate hymen?
Imperforate hymen is a congenital condition that children are born with, and it becomes apparent only in menstruation. A child may develop an imperforate hymen right at the embryological stage due to a lack of proper development. It can occur due to genetic predisposition, and even hormonal imbalance problems are also found to cause this rare condition.
How do you identify imperforate hymen?
Delay in the first menstruation is often a sign of a soft imperforate hymen. The lack of an opening results in the menstrual blood lacking a way to get out, leading to a lack of the first period. Because the menstrual blood cannot find its way out, the girl may experience pain that coincides with the menstrual cycle. As the blood doesn’t come out, the menstruation is not accounted for, making pain in the lower abdomen another sign of an imperforate hymen.
In some cases, the accumulated menstrual blood can cause urination problems and back pain, which are the other signs of the imperforate syndrome,” says Dr. Neelima Mantri, the best female gynaecologist in Mumbai for the treatment of imperforate hymen.
Treatment for an imperforate hymen:
While the complications of an imperforate hymen can be severe, the treatment for an imperforate hymen is a simple surgical procedure that involves creating an opening in the hymen.
“After carefully diagnosing the condition, the healthcare provider creates an appropriate opening for the menstrual blood. This simple procedure involves quick recovery, and the patient may resume normal activities the next day,” says a gynaecologist in Mumbai, Dr. Neelima Mantri. If you are experiencing a delay in the first menstruation and any other symptoms mentioned above. In that case, there is a high probability of an imperforate hymen, which can be treated with a simple procedure. You can contact Dr. Neelima Mantri here for more queries about the condition or process.
by Dr Neelima Mantri | Oct 26, 2023 | Blog, Pregnancy Complications
A sense of anticipation and concern naturally mounts as a woman approaches her due date. As the days pass beyond the expected due date, they convert into tension and anxiety. The worries about the baby’s health add on to the worries about complications and societal expectations, leading to nervousness and even grief. “Though the overdue pregnancy is quite common in women, waiting game can be harrowing for the expecting mother,” says the best gynaecologist in Mumbai, Dr. Neelima, also an expert in dealing overdue pregnancy cases.
While overdue pregnancy is not rare, it is also associated with risks and complications in a few cases, she adds. Given it is a cause of huge concern and worry in pregnant women, we wanted to give first-hand information regarding overdue pregnancy in this blog, to improve your awareness. So today, with insights from top gynaecologist and obstetrician in Mumbai, Dr. Neelima Mantri, we delve into overdue pregnancy, its medical meaning, its causes, and risks, and also provide ways to reduce the risk it poses to pregnant women. Read on.
What Is Overdue Pregnancy?
Post-term pregnancy, also called as overdue pregnancy, happens when pregnancy extends beyond the stipulated 40 weeks of the pregnancy period. “While the average gestation is 40 weeks, it may extend up to 42 weeks, and a pregnancy is termed as overdue if it extends beyond 42 weeks,” says gynaecologist in Mumbai, Dr. Neelima Mantri.
Overdue Pregnancy: Risks for the Baby
Because the baby tends to overstay the due date even after full growth, the size of the baby may cause discomfort to the mother, leading to back pain and difficulty in sleeping. Additionally, emotional distress due to indeterminate maternity adds to the anxiety. As for the baby, the overdue pregnancy may result in a loss of amniotic fluid for nourishment, increasing the risk of stillbirth. Some of the other risks of complications that tend to happen in overdue pregnancy cases include:
Macrosomia: Babies born in overdue pregnancy cases naturally tend to be larger than average. This increased size of babies potentially leads to birth injuries for both baby and mother during delivery.
Foetal distress: Foetal distress is a condition where the baby may not receive the required oxygen, leading to health problems for the baby. If prolonged, foetal distress may lead to abnormal heart rhythms, brain damage, and, in rare cases, stillbirth.
Meconium Aspiration: In overdue pregnancy cases, the baby may pass its first stool in the womb, which could be inhaled by the baby, leading to respiratory problems.
Stillbirth: The biggest risk of overdue pregnancy is still birth which tends to happen in rare cases. Due to various factors involved, overdue pregnancy can trigger a complex set of problems for both the baby and others, leading to stillbirth. In addition to the above, overdue pregnancy leads to a C-section, which comes with its own set of complications like long recovery timelines.
But why do a few women tend to suffer these complications? What exactly leads to these sets of complications? Let us find out.
Overdue Pregnancy – Causes:
“There is no one straightforward cause for overdue pregnancy. It is a multifactorial condition where different factors come together and increase the risk for overdue pregnancy. Genetics, low amniotic fluid in pregnancy, sub-optimal placental health, maternal health conditions like diabetes or obesity, hormonal imbalances, high stress, or anxiety are some of the common causes of overdue pregnancy cases we treat at our clinic in Mumbai,” says the one of top 10 gynaecologists in Mumbai, Dr. Neelima Mantri.
Overdue Pregnancy – How to Reduce the Risk of Overdue Pregnancy?
There are multiple factors that can lead to overdue pregnancy. So a comprehensive care must be taken by the women under the guidance of gynaecologists to reduce the risk of overdue pregnancy. “The care must start right in the planning stage of pregnancy by going through health monitoring to identify potential health conditions. During pregnancy, one must prioritize a balanced diet, stress-free and active life, regular monitoring, and while avoiding smoking, alcohol to tick all the right boxes of a healthy pregnancy,” says gynaecologist in Mumbai, Dr. Neelima Mantri.
However, in a few cases, genetics may also play a part even after following all the best practices in the medical book. In such cases, an expert gynaecologist can ensure continuous care to reduce the risk of complications caused by overdue pregnancy. If you doubt that overdue pregnancy runs in the family, it is important to seek comprehensive care tailored to this condition to nip this risk in the bud. If you are in Mumbai and would like to consult a gynaecologist in Mumbai to reduce the risk of overdue pregnancy, you can contact Dr. Neelima Mantri here.
by Dr Neelima Mantri | Oct 19, 2023 | Blog, Pregnancy Complications
Arrhythmia is a medical term for an irregular heartbeat, where the heart beats too quickly, too slowly, or in an uneven, out-of-rhythm manner. An irregular heartbeat leads to decreased blood flow to organs, reduced oxygen delivery, the development of blood clots, and, in severe cases, it may cause heart failure and stroke.
“The possibilities of these complications depend on the severity or type of the Arrhythmia. But Arrhythmia during pregnancy doubles the risk of these complications, as both the mother and baby may be impacted by this medical condition,” says a female gynaecologist in Mumbai, Dr. Neelima Mantri.
Arrhythmia can happen in women even with no underlying heart conditions. During pregnancy, it can increase the risk of blood clots and stroke and may even result in premature delivery when proper treatment is not taken, adds Dr Neelima Mantri, the best obstetrician in Mumbai, who has treated hundreds of arrhythmia cases in Mumbai.
But what causes arrhythmias, how do we know the symptoms, what are the treatment options available? We have asked Dr. Mantri the most frequently asked questions on Arrhythmia. Read on to know her answers.
Arrhythmia in Pregnancy: Causes
As mentioned earlier, arrhythmias can occur during pregnancy, even in women who do not have any underlying conditions. There are multiple reasons for Arrhythmia during pregnancy. A few of them include:
Hormonal fluctuations: The woman’s body goes through intense hormone fluctuations during pregnancy, which may impact the heart’s electrical system, leading to Arrhythmia.
Increased blood volume: Pregnancy increases the cardiac output and pumped blood volume. This may put additional stress on the heart, leading to a loss of rhythm in the heartbeat.
Physical changes: The expansion of the uterus may slightly impact the positioning of the heart, which may eventually lead to changes in the heart’s rhythm.
While the above three are the most common causes of Arrhythmia, other factors such as electrolyte imbalances, emotional stress, medication and supplements, and even genetic factors may cause Arrhythmia during pregnancy.
Arrhythmia in Pregnancy: Symptoms
Because it can occur to anyone without any underlying condition, it is essential to be aware of the symptoms of Arrhythmia during pregnancy. Some of the most common symptoms of Arrhythmia include palpitations, dizziness, and shortness of breath, chest pain, anxiety, and fatigue. All the symptoms of Arrhythmia are also general symptoms of pregnancy, which makes it challenging to identify the condition. So, it is always essential to consult a gynaecologist with complete information about one’s health,” says the best gynaecologist in Mumbai, Dr. Neelima Mantri.
Arrhythmia in Pregnancy: Treatment in Mumbai
The treatment for arrhythmias during pregnancy is based on the specific type of Arrhythmia that women experience, the severity of its outlook, and the mother’s overall health, all considered before designing the treatment plan for Arrhythmia in pregnancy.
The standard treatment options for Arrhythmia in pregnancy include medications, lifestyle modifications, cardioversion, catheter ablation, defibrillator implantation, or even pacemaker, based on the severity of the symptoms. Given the potential for complications, close monitoring of pregnant women is critical to ensuring good health. So, if you are in Mumbai and looking for a consultation with a gynaecologist to provide complete information, you can contact a best gynaecologist in Mumbai, Dr. Neelima Mantri here
