by Dr Neelima Mantri | Apr 12, 2024 | Blog, Pregnancy Complications
A serious pregnancy challenge known as Placenta Accreta occurs when the placenta adheres to the uterine wall too firmly and occasionally spreads to neighboring organs. This condition has to be carefully managed since it presents serious dangers to the mother and the unborn child during delivery.
Comprehending the signs, origins, and available therapies for Placenta Accreta female gynecologists in Mumbai is essential for prompt identification and suitable medical assistance to guarantee optimal results for both the mother and the kid. We will go over the warning signs and symptoms, underlying causes, and potential treatment options for Placenta Accreta in the following section.
Learning About the Symptoms
Symptoms of Placenta Accreta may vary depending on the severity of the condition. Nevertheless, frequent indicators to look out for are as follows:
Vaginal Bleeding: One of the main signs of Placenta Accreta is abnormal bleeding during pregnancy, particularly in the third trimester.
Preterm Labour: Premature contractions or labor before the due date are possible in women with Placenta Accreta.
Pelvic Discomfort: As the placenta penetrates farther into the uterine wall, persistent or severe pelvic pain, especially in the lower abdomen, may be a sign of Placenta Accreta.
Unusual Foetal Position: Because the placenta’s attachment distorts the uterus’s typical shape, Placenta Accreta can result in incorrect fetal placement, such as a breech presentation.
Anaemia: Fatigue, weakness, and other related symptoms might be brought on by excessive bleeding linked to Placenta Accreta.
The Primary Causes
Although the precise etiology of Placenta Accreta is unknown, several variables may raise the chance of getting the condition:
Past Uterine Surgery: Due to the creation of scar tissue on the uterine wall, women who have had previous uterus operations, such as cesarean sections or dilatation and curettage (D&C), are more vulnerable.
Placenta Previa: In women who have placenta previa, the placenta implants close to or above the cervix, making Placenta Accreta more prevalent.
Neonatal Care: Depending on the gestational age, premature delivery may be necessary, requiring specialized neonatal care to manage any potential complications associated with preterm birth.
Advanced Maternal age: An increased risk of Placenta Accreta is linked to older mothers, maybe as a result of alterations in the uterine lining with aging.
Multiparity: Pregnant women are more likely to become pregnant again, probably as a result of the uterus expanding and contracting with each subsequent pregnancy.
The Required Treatment
Multidisciplinary care is usually used to treat Placenta Accreta. Options include uterine artery embolization to stop bleeding, blood transfusions to treat anemia from bleeding, scheduled cesarean hysterectomy to surgically remove the uterus and placenta, conservative management with close observation for less severe cases, and specialized neonatal care if an early delivery is required.
Every strategy seeks to reduce the dangers to the mother and child, with choices depending on the patient’s unique circumstances and the severity of the ailment. For optimal results, early diagnosis and timely management are important.
In conclusion, you may rely on Dr. Neelima Mantri for skilled therapy of Placenta Accreta. Dr. Mantri provides substantial experience in high-risk obstetrics and laparoscopic surgery, having worked in obstetrics and gynecology for more than 10 years. She is one of the best gynecologists Mumbai option for thorough and caring care because of her focus on achieving positive results in difficult obstetric circumstances.
by Dr Neelima Mantri | Mar 8, 2024 | Blog, Pregnancy Complications
Chorioamnionitis is a complicated technical term for intrauterine infection, which, as the name suggests, is an infection of the uterus that can occur during pregnancy. The reasons are versatile and can vary. Intrauterine infection during pregnancy can pose severe risks to the baby when left untreated. “Intrauterine infection during pregnancy can often lead to preterm birth, an increased risk of infection to the baby, and an increased risk of chronic health conditions in children later in their life,” says the best gynaecologist in Mumbai, Dr. Neelima Mantri.
Intrauterine infection in pregnant women is more common than most women think. Approximately 1-4% of women suffer from the infection every year. Unfortunately, most women do not get treated and suffer the risk of complications. If you are a pregnant woman or planning for one in the near future, you must be aware of this infection as soon as possible, and we are here to help.
With inputs from the best gynaecologist in Mumbai, Dr. Neelima Mantri, we delve into this bacterial infection, its causes, risks, and preventive steps. Read on to know:
What is Intrauterine Infection (Chorioamnionitis)?
Intrauterine infection in pregnant women, also called Chorioamnionitis, is an infection of the outer membrane of the uterus that surrounds the foetus (called chorion) and the inner membrane that surrounds the foetus and contains amniotic fluid (called amnion). The infection in the chorion and amnion of the uterus is also called Chorioamnionitis, or intrauterine infection.
What causes Intrauterine Infection (Chorioamnionitis)?
Chorioamnionitis often occurs when bacteria from the vagina ascend to the uterus through the cervix. In most cases, the ascension doesn’t happen, but certain events can trigger this ascension. The bacteria can enter the uterus due to rupture of the membranes, invasive procedures, weakened immune system, and even genital tract infections, according to gynaecologist in Mumbai, Dr. Neelima Mantri.
Symptoms of Intrauterine Infection – How to detect it?
Fever is one of the primary symptoms of intrauterine infection in pregnant women. Abdominal pain, abnormal vaginal discharge, tenderness of the uterus, followed by an increased heart rate, fatal heart rate changes, nausea, vomiting, fatigue, and general malaise can also occur during a intrauterine infection. Given that most of these symptoms are common during pregnancy, it is always advisable to consult a qualified gynaecologist as soon as one of the symptoms, primarily fever, happens. Early detection and prompt treatment of uterine infections are crucial to ensure the health and well-being of both the mother and the baby.
So what is the treatment for intrauterine infection or Chorioamnionitis?
Intrauterine Infection Treatment in Mumbai:
“Isn’t it surprising that an infection with such complications can be swiftly managed and treated with simple antibiotics and monitoring? Such is the benefit of early diagnosis and treatment,” says gynaecologist in Mumbai, Dr. Neelima Mantri.
When asked about the prevention strategies to reduce the risk of intrauterine infections, she adds, “Taking antibiotics when the water breaks early, limiting the number of vaginal exams after the water breaks, and getting screened for Group B Streptococcus in the third trimester of pregnancy are some of the key tips we suggest to pregnant women to reduce the risk of intrauterine infection”.
If you are in Mumbai and are seeking information and assistance about intrauterine infection or Chorioamnionitis, Dr. Mantri is the best female gynaecologist in Mumbai who specializes in treating intrauterine infection cases. You can directly consult her here: https://www.drneelimamantri.com/
by Dr Neelima Mantri | Jan 31, 2024 | Pregnancy Complications
Pregnancy is one of the most blessed and memorable journeys a woman takes. However, many medical conditions can pose problems in this beautiful journey, and a few, like Antiphospholipid Syndrome, can even cut short the journey by causing miscarriage, stillbirths, and other obstetric complications.
What is Antiphospholipid Syndrome, how does it impact pregnancy, and how is it treated to make the pregnancy journey more safe and secure? We posed these common questions about Antiphospholipid Syndrome (APS) to the best gynaecologist in Mumbai, Dr. Neelima Mantri. Read on to know her answers.
What is Antiphospholipid Syndrome?
Hughes syndrome, also known as Antiphospholipid Syndrome (APS), is an autoimmune disorder that triggers abnormal blood clotting in the body. An APS patient’s immune system mistakenly produces a specific antibody that attacks phospholipids, which play a crucial role in blood clotting and cell function.
These antibodies ultimately increase the risk of blood clots forming in our veins and arteries. This increased tendency of blood clotting can have implications throughout the body, causing severe problems like deep vein thrombosis (DVT), strokes, and pulmonary embolism.
Antiphospholipid Syndrome & Pregnancy:
This Antiphospholipid Syndrome (APS), which can have severe implications in an average person, can have even worse consequences for pregnant women:
Increased Risk of Blood Clots: APS, as said above, increases the chance of blood clots, which amplifies the risk of thrombosis, where the blood clot inside the vessel blocks the blood flow, leading to potentially serious complications. “This increased clotting is especially problematic during pregnancy as it can block the blood flow to the placenta, endangering the life of the foetus,” says the top gynaecologist in Mumbai, Dr. Neelima Mantri.
Stillbirths and Preterm Births: The risk posed by APS increases the chance of stillbirths, especially in the second and third trimesters. This condition also increases the risk of preterm birth, which increases complications for the baby.
Recurrent Pregnancy Loss: APS antibodies regularly may interfere with the normal development of the placenta. So, women with undiagnosed and unmanaged APS will suffer recurrent pregnancy loss in the early stages of pregnancy.
Antiphospholipid Syndrome – Diagnosis and Treatment during Pregnancy:
Diagnosis of APS usually involves blood tests to detect the presence of antiphospholipid antibodies and tests to evaluate the impact of blood clotting. Once considered, the gynaecologist, by considering other vital factors, devise a tailored treatment approach to prevent the risk of blood clots and adequately manage the associated complications.
The treatment for Antiphospholipid Syndrome involves a combination of various medications that prevent blood clotting, combined with close and careful monitoring. The primary goal of the treatment is to prevent blood clots, improve blood flow to the placenta, and reduce the risk of other pregnancy complications. “Blood thinner medications and close ultrasound monitoring are the two pillars of APS treatment,” says leading gynaecologist and obstetrician in Mumbai, Dr. Neelima Mantri.
“For women with APS who are looking to get pregnant, we conduct a thorough medical examination and evaluation and optimize the medication regimen according to the outlook of the condition. Obstetricians, rheumatologists, and haematologists work together to manage the APS syndrome. By taking risk factors and previous pregnancy outcomes into account, we tailor and individualize treatment plans for patients with APS to ensure a safe and successful pregnancy,” says Dr. Neelima Mantri, who specializes in treating APS in pregnant women. For more information about treatment for Antiphospholipid Syndrome in Mumbai, you can contact her here.
by Dr Neelima Mantri | Jan 29, 2024 | Blog, Pregnancy Complications
Adrenal diseases, an umbrella term for medical conditions, can impact and lead to malfunction of the adrenal glands. These medical conditions can push the other body out of equilibrium by disrupting several bodily functions, including metabolism, immune response, blood pressure, and stress bodies.
Women who are at their most sensitive and vulnerable selves during pregnancy are prone to more health risks due to adrenal diseases. The reproductive complications can range from gestational diabetes, preeclampsia, higher risk of infections, foetal abnormalities, preterm birth, and even miscarriage,” says a female gynaecologist in Mumbai, Dr. Neelima Mantri.
So what is an adrenal disease, what causes it, and how does one prevent or treat it during pregnancy? With input from Dr. Neelima Mantri, the best gynaecologist in Mumbai and a specialist in adrenal diseases, let us find answers to the questions in this blog.
Adrenal Glands – Key for Many Body Functions
The adrenal glands are tiny triangular glands at the top of our kidneys. These small glands are crucial in regulating hormones that control several body functions. Any malfunction of these glands directly impacts regular body functions, causing problems in the human body.
It produces Cortisol and manages metabolism, blood sugar levels, and blood pressure. The Aldosterone it spawns controls blood pressure, while adrenaline is responsible for heightened alertness and an increased heart rate. Its Noradrenaline helps regulate blood pressure. Additionally, the adrenal glands are crucial for the production of sex hormones, contributing to the regulation of sexual development and function. So Adrenal Glands are essential for many body functions, and their malfunction is tipped to wreak havoc in the body.
Adrenal Diseases: What Causes Them?
Adrenal diseases occur when the adrenal glands overproduce or under produce hormones. Overproduction results in Cushing’s disease. Cushing’s excess cortisol leads to weight gain, high blood pressure, fatigue, and mood swings. Underproduction of adrenal hormones can result in Addison’s disease. This underproduction of cortisol leads to fatigue, salt cravings, and stress problems.
“There is no one specific cause for adrenal diseases. Autoimmune disorders, infections, tumours, genetic abnormalities, and long-term use of medications can trigger adrenal diseases,” says Dr. Neelima Mantri, the best female gynaecologist in Mumbai and a specialist in Adrenal diseases during pregnancy.
Adrenal Diseases – Impact on Pregnancy:
Untreated Addison’s disease increases the risk of miscarriage, preterm birth, electrolyte imbalance, dehydration, and shock during pregnancy. Cushing’s excessive cortisol can lead to gestational diabetes, preeclampsia, and an increased risk of C-section. The baby also faces a risk of congenital adrenal hyperplasia if the mother has a specific genetic form of Cushing’s disease. With proper medication and treatment, women with adrenal diseases can have healthy pregnancies today.
That said, proper preconception and prenatal care, regular exercise, a balanced diet, and consultation with a gynaecologist can help reduce the risk of adrenal diseases during pregnancy. For more information on managing, treating, and preventing adrenal disease during pregnancy, you can contact gynaecologist Dr. Neelima Mantri here.
by Dr Neelima Mantri | Dec 15, 2023 | Blog, Pregnancy Complications
There was a time when being above the age of 35 was considered challenging for pregnancies. It’s no wonder women above this age faced difficulties in healthy conceptions. Thanks to improved awareness, technology, treatments, and fertility procedures, women in their late 30s can now embark on this remarkable journey with greater possibilities.
However, the journey of pregnancy in advanced maternal age does come with its own set of challenges and complications. “Pregnancy, in itself, is a challenging journey for every woman. This journey can be a bit more challenging for women who conceive in advanced maternal age, primarily after the age of 35,” says the renowned gynecologist in Mumbai, Dr. Neelima Mantri.
If you are a woman in this age bracket, the best thing you can do is improve awareness about the pregnancy journey in advanced maternal age—its risks, complications, and treatment options for safe management—before embarking on this remarkable journey. With insights from leading female gynaecologists in Mumbai, Dr. Neelima Mantri, we delve into these commonly asked questions in this blog today.
Pregnancy above Age 35 – Risks and Complications:
Increased risk of chromosomal abnormalities: The quality of the eggs women produce is inversely proportional to their age. Consequently, the foetus of women with advanced maternal age has a higher risk of chromosomal abnormalities. Fortunately, these genetic abnormalities can be easily detected beforehand with cutting-edge technology.
Gestatioal diabetes: Advanced maternal age also increases the risk of gestational diabetes, which elevates the blood sugar levels of pregnant women. Gestational diabetes increases the size of the foetus, leading to complications during surgery. Additionally, gestational diabetes is found to increase the risk of respiratory distress syndrome and type-2 diabetes in children.
Unnatural birth weight: Advanced maternal age increases the chance of lower birth weight. In cases where gestational diabetes sets in, the size and weight of the foetus may increase to abnormal levels as well.
Preeclampsia/High Blood Pressure: Advanced maternal age also increases the risk of preeclampsia in pregnant mothers. Preeclampsia is a high blood pressure condition in pregnant women that can raise the risk of growth restrictions, placental abruption, and, in rare cases, organ damage in the child.
Multiple Births & C-sections: Older couples usually seek advanced fertility treatments, which increase the chances of multiple births that could be risky for women. Multiple births and pregnancy complications may also lead to mandatory C-sections.
It is to be understood that pregnant women also face the above risks in their 20s. However, given the advanced age, the risk of the above conditions slightly increases for women of advanced maternal age.
Pregnancy above Age 35 – Strategies to Mitigate Risk
Increased awareness of changes in Assisted Reproductive Technologies, regular prenatal check-ups, healthy lifestyle choices, genetic counselling, early screening for chromosomal abnormalities, management of gestational diabetes, weight management, preeclampsia risk evaluation, and mitigations are some of the famous and well-established strategies that can help mitigate the risks associated with advanced maternal age for women seeking a healthy and safe pregnancy. However, any woman must first consult a qualified gynaecologist who can thoroughly explain any risks, challenges, and treatment options.
If you are living in and around Mumbai and are looking for a female gynaecologist in Mumbai, Dr. Neelima Mantri is the best gynaecologist in Mumbai who can ensure you a safe and healthy pregnancy journey. You can contact her here.
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.
