by Dr Neelima Mantri | Jun 23, 2023 | Blog, Obstetrician
Cephalopelvic disproportion (CPD) refers to a situation where a mother’s pelvic structure is mismatched with the dimensions and form of her baby’s head, rendering natural delivery difficult or impossible. Cephalopelvic disproportion can result from diverse causes, such as the infant being comparatively larger, fetal positioning abnormalities, unconventional pelvic structures, or maternal conditions that entail possessing a narrow pelvis.
To ensure a safe and successful delivery, healthcare professionals need to understand the underlying reasons behind CPD and be able to identify potential risks while devising appropriate management strategies.
Cephalopelvic disproportion, a condition where the fetal head is too large for the birth canal, often stems from fetal macrosomia – an anomaly where the baby has an excessively large body size. The outcome could be linked to maternal elements, including gestational diabetes or increased weight during pregnancy. Fetal macrosomia increases the chances of cephalopelvic disproportion (CPD) due to the possibility of the infant’s head being too large to pass through the mother’s pelvis.
Certain fetal positions, like breech or transverse, may cause a size difference between the baby’s head and the mother’s pelvis. Sometimes, when the infant’s head and the mother’s pelvic region do not align correctly, it can make giving birth naturally difficult or even impossible.
Anomalies in the mother’s pelvic framework may also lead to cephalopelvic disproportion. Certain factors,such as genetic traits or prior injuries, can result in an unusual pelvic structure, including a compressed or distorted pelvis, exemplified by a narrow opening or a pelvis with an irregular shape. Pelvic anomalies can impede the infant’s passage during childbirth, leading to cephalopelvic disproportion. Consultation from the best obstetrician in Mumbai can help to resolve this issue.
Certain maternal factors can increase the chances of developing cephalopelvic disproportion. Some factors contributingto the problem include being short in height, having a narrow birth canal, or experiencing cephalopelvic disproportion at an earlier stage. Maternal factors impact the size and shape of the birth canal, which in turn can affect the likelihood of CPD.
The possibility of cephalopelvic disproportion can also be affected by genetic variables. Sometimes, the genetic makeup can result in a larger-than-usual head size of the unborn baby or a comparatively small pelvis of the mother. The probability of CPD can increase when there are genetic factors affecting the growth and formation of the skeletal structure.
The likelihood of experiencing cephalopelvic disproportion increases in multiple pregnancies, for instance, twins or triplets. Having multiple fetuses can worsen the problem by adding more pressure on the mother’s pelvic area, obstructing the baby’s head from passing through.
Sometimes, labourcan be impacted by shortcomings or tardiness, resulting in a cephalopelvic disproportion problem. Several issues, including inadequate uterine contractions, prolonged labour, or failure to descend, may cause a dissimilarity in the size of the baby’s head and the mother’s pelvis, leading to complications during natural childbirth.
To obtain a clear understanding of the abnormalities, it is essential to seek guidance from the best gynecologist in Mumbai. Effective management practices for managing cephalopelvic disproportion typically involve careful monitoring, efficient pain management, and quick action in scenarios where proceeding with a vaginal delivery becomes impractical or risky. One way to ensure safe delivery of the baby might be to opt for a cesarean section.
In conclusion, comprehending the causes of cephalopelvic disproportion is crucial for guaranteeing effective management during childbirth. Consulting an experienced gynecologist in Mumbai or other reputable hospitals can provide insightful advice and suggestions to identify potential risks, monitor the progress of labour, and make informed decisions regarding the delivery method to achieve the best possible outcome for both the mother and baby.
Dr. Neelima Mantri, a renowned gynecologist in Mumbai, offers expert care and guidance for addressing cephalopelvic disproportion. She provides personalised strategies to ensure safe and successful childbirth using her expertise and abilities.
by Dr Neelima Mantri | Jun 22, 2023 | Blog, Laparoscopic Surgery
A tubo ovarian abscess is a condition characterised by a serious inflammation of the fallopian tubes and ovaries, which can result in pain and discomfort. It is essential to have profound knowledge and awareness about symptoms, causes, and available courses of treatment to act promptly. This article examines the essential elements of tubo-ovarian abscess, elucidating this ailment and its treatment.
The Primary Symptoms:
One must consult with gynecologists in Mumbai or another tier 1 city having the best medical facilities which can identify the disease through proper symptoms. Some of the common symptoms are:
Chronic and intense pelvic discomfort represents the primary indication of TOA. The discomfort can be confined to a specific pelvis areaand may intensify during physical activity or sexual intercourse.
Systemic symptoms such as fever and chills are frequently caused by infections. These signs could suggest the existence of a tubo-ovarian abscess.
Abnormal vaginal discharge can be experienced by certain women, the odourof which is unpleasant and the colour
Suffering from TOA may result in unpleasant sensations or discomfort during sexual intercourse due toswelling and infection in the reproductive organs.
Certain women may undergo urinary symptoms, including recurrent urination or discomfort during urination.
The Fundamental Causes:
Usually triggered by sexually transmitted infections like gonorrhoea or chlamydia, pelvic inflammatory disease (PID) frequently leads to the development of tubo ovarian abscess as a complication. If the infection is not taken care of, it can advance and result in the development of a pus-filled pocket.
Some other factors that can increase the likelihood of developing a tubo ovarian abscess are a record of pelvic infections, engaging in sexual activities with multiple partners, relying on intrauterine devices, and having experienced TOA or PID before. Consult female gynecologists in Mumbai or other cities to ensure the exact reason behind the cause of the abnormality.
Treatment:
Consulting the best gynecologist in Mumbai or other well-reputed hospitals to ensure the best treatment is a must and to be followed by all. Some of the basic treatments are:
- In the case of an infection, it is common to prescribe broad-spectrum antibiotics to target the bacteria responsible specifically. In severe circumstances, intravenous administration of antibiotics may be provided, and a particular period of oral antibiotics may follow.
- Sophisticated abscesses of significant size may necessitate drainage to remove the infection efficiently.
- Effectively managing pain is a crucial aspect of treating tubo ovarian abscesses. NSAIDs or other analgesics may be prescribed to relieve any discomfort.
- It is essential to have regular follow-up visits post-treatment to keep track of the development of the infection and guarantee its full recovery. Additional imaging tests may be conducted to verify that there is no reappearance of abscess.
To sum it up, timely identification and appropriate handling of tubo ovarian abscess hold great significance in achieving a positive outcome and averting potential complications. It is crucial to seek immediate medical care, receive a precise analysis, and undergo proper therapy such as antibiotic administration and drainage techniques.
It is advisable to seek advice from the best laparoscopic surgeon in Mumbai or other reputed medical facilities, as they offer expert attention and advanced surgical methods to guarantee optimal care for tubo-ovarian abscesses. Dr. Neelima Mantri, an acclaimed surgeon adept in laparoscopic procedures, has expertise in effectively addressing tubo ovarian abscesses. She combines her exceptional medical knowledge with compassionate care to provide excellent patient care.
by Dr Neelima Mantri | Jun 22, 2023 | Blog, High Risk Pregnancy
An uncommon but possibly fatal condition that can happen during pregnancy or delivery is uterine rupture. It describes the ripping or splitting of the uterine wall, which might cause serious bleeding and put both the mother and the unborn child in jeopardy. During pregnancy, the uterus, a muscular organ, takes care of and defends the developing foetus.
The uterine wall is durable and sturdy under normal conditions. Healthcare providers and expectant moms must understand the risk factors, symptoms, and proper management of uterine rupture to provide prompt and efficient care during childbirth.
Causes
- Previous uterine surgery: Compared to women with an intact uterus, women withprevious uterine operations, such as caesarean sections (C-sections) or myomectomy (removal of fibroids), are at a greater risk of uterine rupture.
- Uterine overdistention: The risk of rupture rises when the uterus is overextended or overly strained. Multiple pregnancies, polyhydramnios (high amniotic fluid), and macrosomia (a huge fetus) are situations where this might happen.
- Augmentation of labour: Utilising some drugs, like oxytocin, to hasten or intensify labour contractions might raise the risk of uterine rupture, particularly if contractions are too frequent, strong, or protracted.
- Uterine anomalies: The uterus’ structural abnormalities, such as a uterine septum or a bicornuate uterus (a uterus with a heart-like shape), might put a woman at risk for uterine rupture.
Symptoms
- Sudden, strong abdominal pain: As per top gynecologists in Mumbai, women occasionally feel sharp, sudden stomach pain that may be localised or generalised. Sharp, stabbing or ripping pain can be either persistent or sporadic.
- Foetal heart rate changes: The foetal heart rate may vary if the rupture damages the placenta or impairs the blood supply to the foetus. The infant’s heart rate can changeor exhibit indications of distress, such as pauses or bradycardia (slow heart rate).
- Vaginal bleeding: Uterine rupture can cause vaginal bleeding, ranging in intensity from little spotting to substantial bleeding. In addition to bleeding, tissue or clots may travel through the wound.
Treatment
- Emergency caesarean delivery: To deliver the baby as soon as practicable after a uterine rupture, an emergency cesarean section is frequently done. This is done to protect the unborn child and minimise any damage to the uterus. The mother’s and baby’s health will play a role when cesarean delivery is performed.
- Repair of the uterine rupture: The uterine rupture is surgically fixed after the baby is delivered. The size and location of the rupture will determine how much mending is necessary.
- Blood transfusion: Cesarean blood transfusions may be performed to compensatefor lost blood and maintain the mother’s hemodynamic state after a uterine rupture, which can cause severe bleeding. To maintain blood pressure to prevent shock, intravenous fluids and medications may also be given.
In Mumbai, India, there is a renowned gynecologist named Dr. Neelima Mantri. She has made a name for herself as an established member of the community of lady gynecologists in Mumbai with extensive knowledge of gynecology. Do consider consulting her for your gynecology concerns.
by Dr Neelima Mantri | May 17, 2023 | Blog, Female Gynaecologist
An inflammation, thinning, and dryness of the vaginal walls is known as atrophic vaginitis. After menopause, it typically occurs as a result of declining estrogen levels. As ovaries generate fewer hormones during menopause, the body begins to go through multiple changes.
The hormone estrogen levels tend to decrease by about 85% in vaginal atrophy cases. The urethra, the pelvic floor muscles, the vaginal lining, as well as the vulval skin are all thin when estrogen levels are low. Reduced blood flow in the pelvis and discomfort in these regions are also possible effects of this.
Lately, the term genitourinary syndrome of menopause (GSM), which is more recent, has taken the place of vaginal atrophy. This new phrase assists in describing the urinary as well as vaginal signs and symptoms that may develop from low estrogen. Although atrophic vaginitis is a typical menopausal symptom, not much is known about the ailment, therefore few people look for atrophic vaginitis treatment.
The Causes
Estrogen is required for the vagina (as well as other tissues in the pelvis) to remain functional. The elasticity and fullness of vaginal tissues decline as estrogen levels drop. They instead become drier, thinner, and more sensitive. As a consequence, there is a higher chance of irritation or abrasions, which can lead to urinary tract infections.
Estrogen levels begin to fluctuate irregularly throughout perimenopause (the years before menopause), and they continue to decline following menopause. Estrogen levels can be lower due to:
- Surgical menopause
- Chemotherapy
- Breastfeeding
- Oral contraceptives
- Pelvic radiation treatment for the cancer
The Symptoms
When you have vaginal atrophy, the tissue that borders the vaginal wall becomes thin, dry, and inflammatory. The first symptom is frequently a loss of lubrication (dryness). Female gynecologists in Mumbai say the following are other signs of genitourinary syndrome of menopause:
- Frequent or urgent bathroom visits
- Recurrent urinary tract infections
- Burning sensation when urinating
- Narrowing and tightness of the vaginal canal
- Bleeding after sex
- Itchy vulva
- Blood in urine
- Vaginal dryness
- Thin, yellow discharge
The Treatment
Typically, vaginal lubricants and estrogen vaginal preparations are used as the first line of treatment for vaginal atrophy. Non-estrogen topical hormonal therapies, however, may be recommended for people who are unable to utilize estrogen. If none of these therapies work, a CO2 laser procedure may be suggested. This procedure can regenerate vaginal tissue, boost collagen synthesis, and restore the vagina to normal functionality.
HRT, also known as systemic estrogen treatment, is another option for treating it. It is taking medication to replenish the hormones lost during menopause. Gynecologists in Mumbai can prescribe HRT, which comes in a variety of forms such as tablets, gels, and implants. The body receives estrogen from this kind of estrogen therapy.
HRT is advised if you have other menopause-related symptoms because it will have a more significant impact on the body than vaginal estrogen. It’s crucial to remember that HRT has several risks and side effects, such as vaginal or urinary issues, which may discourage many women from pursuing this course of treatment for their vaginal atrophy.
Dr. Neelima Mantri is one of the best gynecologists in Mumbai, known for successfully managing High-Risk Obstetrics and handling numerous complex obstetric cases. If you are looking for effective treatment for Vaginal Atrophy issues, you may consult Dr. Neelima Mantri.
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.
