by Dr Neelima Mantri | Sep 28, 2023 | Blog, Pregnancy Complications
Placenta previa is a condition where the baby’s exit path from the womb is blocked by the abnormal positioning of the placenta. Naturally, this blockage can result in a number of serious complications, which include vaginal bleeding, preterm birth, blood loss, placental abruption, infection, foetal distress, and more. Since the exit route is blocked by the placenta, it may also necessitate choosing a caesarean-section to ensure safe delivery.
While a C-section is performed to ensure safe delivery, the reasons for placenta previa being a serious condition lie in the complications it may cause over the course of pregnancy. “A C-section is performed only at the right time, and by the time the C-section is performed, the pregnant women may have to experience a range of complications from the placenta previa which may impact the overall health of the women and baby”, says leading female gynaecologist in Mumbai Dr Neelima Mantri.
What exactly causes Placenta Previa, and how does a gynaecologist in Mumbai solve the complications and treat this condition? We asked gynaecologist in Mumbai, Dr. Neelima Mantri. Read on to know her answers:
What is Placenta Previa?
The placenta is a unique organ that grows inside the womb. Its primary role is to supply oxygen and essential nutrients to the developing baby from the mother’s bloodstream. It aids in the removal of waste products from the foetus’s blood.
Moreover, the placenta acts as a protective barrier, shielding the baby from harmful toxins that may be present in the mother’s body. It also produces hormones that support the optimal development of the foetus. In short, the placenta is like an all-in-one support system for the baby.
The development of this organ occurs shortly after fertilization. It attaches itself to the upper part of the uterus and goes about its functions. However, in very rare cases, it tends to develop in the bottom part of the uterus, where the baby’s exit (cervix)tends to be. This placenta may block the cervix, creating a host of pregnancy problems.
Placenta Previa Symptoms:
Because the placenta finds itself in the wrong location of the uterus, blocking the cervix, it interferes with the functioning of the uterus’ lining. It may disrupt the blood flow to the lining, leading to the damage of blood vessels, causing vaginal bleeding, which is the most common Placenta Previa symptom experienced by women.
Additional Placenta Previa symptoms may include unnatural abdominal pain and irregular uterine contractions.
What Causes Placenta Previa? How is it Treated?
“There is no one exact cause of Placenta Previa, but it is considered to be an end result of various risk factors that come together to cause it,” says obstetrician in Mumbai, Dr. Neelima Mantri. Prior C-section or uterine surgery, maternal age over 35, multiple pregnancies, smoking, substance abuse, previous placenta previa, and uterine abnormalities are some of the common risk factors for Placenta Previa development in women.
Treatment for Placenta Previa in Mumbai:
The treatment for Placenta Previa depends on the severity of vaginal bleeding, the gestational stage of the pregnancy, and the exact position of the placenta, as well as the health of the woman and the baby. If the placenta is only partially covering the cervix, then the gynaecologist may recommend rest, avoiding strenuous exercises and sexual intercourse, prioritizing bed rest, and frequent prenatal checkups.
In cases where the placenta is completely covering the cervix, the severity of the Placenta Previa complications poses a higher risk. In these cases, interventions such as medication to prevent early labour, steroid shots to optimize baby development, blood transfusions to compensate for heavy bleeding, and other medical treatments may be recommended.
“If Placenta Previa is diagnosed in the second trimester of the pregnancy, the condition may resolve on its own over time. It is much more challenging if Placenta Previa is identified in the late stages of pregnancy,” says gynaecologist in Mumbai Dr. Neelima Mantri. So, it is always recommended to frequently undergoes checkups to ensure early identification and effective treatment of these medical conditions. If you are in Mumbai and are looking for gynaecologist in Mumbai, you contact Dr. Neelima Mantri here:
by Dr Neelima Mantri | Sep 25, 2023 | Blog, Women Health Issues
Braxton Hicks contractions are uterine contractions that are termed as ‘practice’ or ‘false’ contractions. They are normal contractions of the uterus that mimic labour contractions but do not lead to labour and are also painless. They are, in fact, a regular part of the body’s preparation for labour and are commonly felt during the second and third trimesters.
So, all good and harmless about ‘Braxton Hicks contractions,’ right? Not necessarily. These uncomfortable and unpredictable uterine contractions can cause significant problems in the longer run, leading to a host of problems during the pregnancy journey.
In this blog, with the inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, let us know more about these contractions, their causes, symptoms, and also the ways to combat them.
How do Braxton Hicks Contractions they Differ from Regular Uterine Contractions and Pressures?
Braxton Hicks contractions are the practice contractions that often occur in the second and third trimesters. They differ from regular labour contractions in timing, discomfort cases, and also frequency.
Braxton Hicks contractions are irregular contractions that cause mild abdominal tightening or discomfort and last for less than a minute. There is no one specific reason for their occurrence, but they are generally thought to be triggered by a full bladder, physical activity, and dehydration. Because they are irregular and practice contractions, they do not lead to internal cervical changes.
On the other hand, regular uterine contractions are symptoms of labour and hence they follow a consistent pattern of occurrence, eventually leading up to childbirth. As popularly known, they are painful aches and cramps which last longer. As the due date nears, the contractions and symptoms become more frequent and intense and also last longer. These uterine contractions are the body’s preparation for labour, unlike Braxton Hicks contractions, which are just practice contractions.
Braxton Hicks Contractions Symptoms: How do Braxton Hicks Contractions Feel?
Though they are often referred to as practice contractions, Braxton Hicks contractions do cause discomfort in irregular intervals. The timing and intensity of these contractions vary and follow an inconsistent pattern, which can be quite bothersome. Dr. Neelima Mantri, a leading gynaecological laparoscopic surgeon in Mumbai, explains, “The contraction experiences usually feel like menstrual cramps or a gentle squeezing sensation in the abdominal area. They occur sporadically in each case and typically last for less than a minute.”
Relief and Treatment for Braxton Hicks Contractions:
Because these are practice contractions, they do not have serious repercussions and can often be relieved through rest, changes in posture (such as standing up or lying down), and staying hydrated. Emptying the bladder, taking a warm shower, distraction techniques, pelvic tilts, and relaxed breathing are other common options that could help a patient find relief from Braxton Hicks Contractions.
However, if none of these practices provide relief, there could be an underlying reason causing these contractions. In such cases, it is crucial to consult with an expert gynaecologist for a thorough examination and appropriate guidance. If you are in Mumbai and seeking the best gynaecologist for treatment, you can contact Dr. Neelima Mantri.
by Dr Neelima Mantri | Sep 13, 2023 | Blog, Women Health Issues
Fertility medications and Assisted Reproductive Treatments greatly help women with fertility problems today. “These treatments have significantly increased the chances of conception for women, bestowing them the chance at parenthood,” says the best gynaecologist in Mumbai, Dr. Neelima Mantri.
Promise of Parenthood Comes With a Minor Risk: Ovarian Hyperstimulation Syndrome
Like every other beneficial treatment option, these treatments also have specific side effects, manifesting in rare cases. Ovarian Hyperstimulation is one such side effect of fertility treatment options, impacting women’s health through blood clots, dehydration, weight cysts, and kidney problems in sporadic cases.
So, any woman who aims to benefit from fertility medications or assisted reproductive technologies must also be aware of this rare ovarian syndrome to tread carefully on this path. In this blog, we help you understand this syndrome, discuss its symptoms, and then give you tips to reduce its chance of occurrence. Read on:
What is Ovarian Hyperstimulation Syndrome?
If fertilization of eggs produces the baby, these eggs are produced by ovaries. Given assisted fertility treatments, more eggs than usual, ovaries are stimulated using medications to make multiple eggs, which are then used to induce fertilization, artificial or natural. In some cases, the ovaries may respond excessively to these medications, leading to unwanted side effects, which may cause problems for women in the form of Ovarian Hyperstimulation Syndrome.
What are the symptoms of Ovarian Hyperstimulation Syndrome?
“Ovarian Hyperstimulation Syndrome doesn’t happen in all women. It is slightly rare, and the symptoms vary based on the severity of the syndrome. They can be mild, moderate, or even severe, halting the daily functions and leading to severe health problems,” says leading gynaecologist and best laparoscopic surgeon in Mumbai, Dr. Neelima Mantri. Here are the symptoms of Ovarian Hyperstimulation (OHSS) based on the severity:
Symptoms of Mild Ovarian Hyperstimulation: Mild OHSS symptoms may include abdominal bloating, pain, discomfort, cramping & nausea, vomiting & diarrhoea, mild weight gain & fluid retention.
Symptoms of Moderate Ovarian Hyperstimulation: Abdominal distension, increased pain and discomfort, intensified vomiting, nausea, dehydration, decreased yet concentrated urine, difficulty breathing and concentration, and rapid weight gain.
Symptoms of Severe Ovarian Hyperstimulation: Fluid accumulation in the chest, rapid and significant weight gain, severe abdominal pain, dry skin, fast heart rate, decreased or even no urine output, persistent vomiting, difficulty in breathing, shortness of breath, and rapid heartbeat are some of the symptoms in severe OHSS.
How to reduce the risk of Ovarian Hyperstimulation Syndrome?
Lower doses of medication, perfectly timing the trigger shot, regular monitoring, consistent hydration, avoiding high-impact exercises, and maintaining electrolyte balance are some of the standard best practices that can help reduce the risk of Ovarian Hyperstimulation Syndrome. “But the most effective way to reduce the risk of OHSS is to consult an expert gynaecologist and fertility specialist who can perfectly customize the fertility treatment and guide you with all the best practices for safe parenthood without the risk of Ovarian Hyperstimulation Syndrome,” says gynaecologist and best laparoscopic surgeon in Mumbai, Dr. Neelima Mantri.
by Dr Neelima Mantri | Aug 22, 2023 | Blog, Laparoscopic Surgery
Ovarian Remnant Syndrome is a severe yet rare medical problem that can happen to women who have had surgery to remove either part of their ovary or both ovaries and fallopian tubes.
Given the fundamental role of the ovaries and fallopian tubes in reproduction, removal is prescribed only as a last resort. “These procedures are performed for the right reasons after weighing potential complications. Yet, in rare cases, Ovarian Remnant Syndrome may strike the women, causing a host of problems for them,” says Neelima Mantri, the leading female gynaecologist in Mumbai.
So, what makes Ovarian Remnant Syndrome dangerous, and how is it treated? Read on to know what gynaecologist Dr. Neelima Mantri has to say.
How Serious is Ovarian Remnant Syndrome?
Ovarian Remnant Syndrome happens when the small parts of the reproductive organs (ovaries or fallopian tubes) are left behind in the body. These leftover tiny bits of tissues may sometimes trigger abnormal hormonal activity, which triggers various health problems for women undergoing surgery. What makes Ovarian Remnant Syndrome dangerous is its ability to initiate and exacerbate a host of reproductive issues for women, which include:
Hormone Imbalances: The residual tissues may interfere with hormonal production, throwing off hormonal balance. The hormonal imbalance may lead to hot flashes, mood swings, irregular menstrual cycles, and other hormonal problems that dampen women’s quality of life.
Reproductive Problems: Hormonal problems are always associated with reproductive issues; in the case of ORS, they are more pronounced. According to gynaecologist Dr. Neelima Mantri, infertility and conception problems are rife in women who suffer from Ovarian Remnant Syndrome.
Chronic Pelvic Pain: Pelvic pain is often the first symptom experienced by women suffering from a possible syndrome. The pain can be continuous or sporadic and can happen during sex, urination, or bowel movements.
Endometriosis: Endometriosis is a serious condition where the endometrial tissue grows outside its intended location, i.e., the uterus. This abnormal allocation often contributes to pain and other reproductive problems, making it one of the primary causes of infertility. Ovarian Remnant Syndrome can further exacerbate the existing endometriosis condition or contribute to developing Endometriosis, making the complications worse.
Ovarian Remnant Syndrome Treatment in Mumbai:
“Patients who tend to suffer from Ovarian Remnant Syndrome usually have a history of pelvic adhesions or Endometriosis. In few cases, the ORS also results from inefficient surgery that leaves over the remnants of ovarian tissue,” says Dr. Neelima Mantri, the best laparoscopic surgeon in Mumbai with an impeccable track record in Ovarian Remnant Syndrome.
A laparoscopic surgery is performed to diagnose this condition adequately; once it is identified, the laparoscopic surgeon prescribes the right treatment course based on the severity of the disease. The treatment plan involves targeted laparoscopic surgery to clean up the residual tissue in the body. Women who have experienced symptoms like irregular menstruation, pelvic pain, painful intercourse, bowel movements, or urination must immediately consult the gynaecologist to evaluate their condition and cause.
by Dr Neelima Mantri | Aug 18, 2023 | Blog, Women Health Issues
Transvaginal mesh is a surgical mesh used to treat stress-related urinary incontinence, a condition where women, particularly those post-childbirth, experience urinary leakage from the bladder during high-impact activities such as running or jumping.
Around 20% of women suffer from this problem, and surgery using a transvaginal mesh provides a low-complication method for treating the incontinence problem. But all this information only scratches the surface of the transvaginal mesh. The topic needs to be delved into deeply to understand the usage of transvaginal mesh, its uses and complications, and the reasons for the ongoing controversy in gynaecological treatment.
With inputs from the best gynec laparoscopic surgeon in Mumbai, Dr. Neelima Mantri, we provide the complete information you need in this blog. Read on:
Transvaginal Mesh – A Treatment for Pelvic Disorders:
Urinary incontinence is only one aspect of pelvic disorder treated by transvaginal mesh surgery. Gynaecologists have been actively leveraging transvaginal mesh to treat various pelvic infections. To understand the role of transvaginal mesh, let us provide you with a backstory of the pelvic floor and its conditions.
Pelvic Floor & Pelvic Organ Prolapse:
The pelvic floor in women is a hammock-like structure of connective tissue and muscle. It keeps the bladder, rectum, vagina, uterus, and cervix intact. More robust and healthier pelvic floor results in adequately functioning these pelvic organs.
In cases where the pelvic floor becomes weaker due to a medical condition, injury, or pregnancy, the pelvic organs may move and drop, resulting in pelvic-organ prolapse. Pelvic organ prolapse can result in various pelvic disorders, including urinary incontinence, sexual problems, pain or pressure in the pelvis, and loss of control over bowel movements.
Benefits of Transvaginal Mesh for Pelvic Disorders:
Transvaginal mesh is a medical-grade mesh made from animal tissues, which is used in surgeries to restore the anatomical positioning of pelvic organs and strengthen the support to the pelvic floor. “This surgery alleviates pain and discomfort and significantly improves bladder control to help urinary incontinence. It is a minimally invasive treatment option that involves lower surgical cuts and hence offers accelerated recovery”, says Dr. Neelima Mantri, a top female gynaecologist in Mumbai.
Then, what are the complications of transvaginal mesh that led to ongoing controversies?
Complications of Transvaginal Mesh: Why It Can Be Risky?
A mesh is a net-like implant that comes in different tape, mesh, ribbon, or hammock that provides reinforced support to weak pelvic organs. The mesh is implanted and held in its place with tissue fixation devices or statures through a small incision in the vaginal or abdominal wall. However, there have been reports around the world about the possible complications, which included:
Mesh Erosion: The mesh interacting and pushing through the sensitive vaginal area can cause pain and discomfort.
Infections: The mesh is historically made through artificial materials, which sometimes may lead to infections near the vagina.
Mesh Migrations: In a few cases, the mesh may dislocate and migrate, changing its orientation and displacing from the intended locations to harm other sensitive pelvic organs.
Painful Sexual Intercourse: In rare cases, mesh in its location may meddle with sexual intercourse, leading to pain.
“In addition to the pain caused by mesh erosion, nerve damage, and urinary problems are some of the transvaginal mesh complications reported across the globe,” says leading gynaecologist and laparoscopic surgeon in Mumbai, Dr. Neelima Mantri. Due to ongoing complications, transvaginal mesh is not recommended for treating pelvic prolapse and other pelvic disorders.
Fortunately, plenty of other surgical treatment options can now help women get rid of the pain and discomfort caused by pelvic disorders. For more information on the treatment of pelvic infections and alternatives to the transvaginal mesh procedure, you can contact gynaecologist Dr. Neelima Mantri here.
by Dr Neelima Mantri | Aug 17, 2023 | Blog, Pregnancy Complications
Thrombocytopenia is a medical term that refers to a low blood platelet count in the body. Gestational Thrombocytopenia is when the blood platelet count drops below the average level during pregnancy. A comforting fact about this condition is that gestational Thrombocytopenia is common during pregnancy. It affects an average of 10% of pregnant women and usually resolves independently under the monitoring and care of a gynaecologist.
However, every condition during pregnancy, no matter how minor it seems, carries a risk. Given the sensitive state of the patient, no health condition should be taken lightly. Take gestational Thrombocytopenia, for example. While it is common, it can quickly escalate to cause complications such as severe bruising, prolonged abnormal bleeding, preeclampsia, reduced urination, and weakness. So, how does a gynaecologist treat this condition, and what can be done to avoid its risks? We asked one of the top 10 gynaecologists in Mumbai, Dr. Neelima Mantri. Read on to know her answers.
Thrombocytopenia in Pregnancy: What Is It Exactly?
Thrombocytes, also called blood platelets, are tiny blood cells that help with blood clotting. Pregnancy is a condition where clotting is needed to reduce the risk of excessive bleeding. So, these platelets, which make clotting happen, are much needed during pregnancy. They work in blood vessels to reduce clotting.
Sometimes they also build up plaque that can cause heart attacks, but that’s a different story. But sticking to the topic of Thrombocytopenia – a lesser number of blood platelets lowers the clotting potential. It increases the risk of excessive bleeding, significantly increasing the chance of pregnancy problems (prolonged bleeding, fluid loss & early birth).
Thrombocytopenia in Pregnancy: When to Worry?
The normal range for platelets in a non-pregnant condition is 150,000 to 450,000/µL. Due to changes in the body during pregnancy, it makes more plasma for its daily functions, and consequently, the platelet count drops by a few thousand, which is quite common. It’s a matter of concern when the platelet count falls below 100,000/µL, says Dr. Neelima Mantri, the best gynaecologist in South Mumbai.
What Causes Thrombocytopenia in Pregnancy?
The human body is pretty savvy in adapting to rapid changes like pregnancy. However, occasionally, the balance gets impacted due to pre-existing conditions or chance.
One of the common reasons is the enlargement of the spleen, which tends to destroy the blood in the filtering process. The lack of folic acid is another common cause, and even viral and bacterial illnesses can lower the total platelet count. Medications such as antibiotics and anticonvulsants also impact the production of platelets.
Thrombocytopenia in Pregnancy Can Impact Both Mom & Baby – Dr Neelima Mantri:
Lower blood platelets can interfere with medications that must be given for a safe pregnancy. For example, the inability to have an epidural, which is given to block the pain from labour contractions, can result in spine damage. The lack of clotting potential can lead to abnormal bleeding and even preeclampsia, which may further trigger premature delivery.
Though a lower blood platelet count doesn’t directly impact the baby, the cause of the lower count must be considered to assess the potential impact on the baby. If the lower blood count is due to an autoimmune condition, antibodies that destroy these platelets may travel through the placenta and cause similar issues for the child.
Treatment Options for Thrombocytopenia in Pregnancy:
Lowered blood platelet count is often treated with regular treatment options like dietary prescriptions and lifestyle changes. Gynaecologists often recommend foods such as dark chocolate, green leafy vegetables, Vitamin C foods, and fortified breakfast cereals as primary treatment options. In cases where autoimmune conditions or any other factors, treatments may vary based on the specific reason causing Thrombocytopenia in pregnancy.
