Obstetrics Care
When women with chronic medical disorders become pregnant, special care must be taken to address both the affects the pregnancy can have on their medical condition, and the complications their medical condition may cause during pregnancy.
Medical disorders in Pregnancy
Medical disorders, including hypertensive diseases, diabetes, thyroid disorders may exist prior to pregnancy or may manifest themselves for the first time during pregnancy.
Women with pre-existing medical conditions who are pregnant or planning to become pregnant may require additional obstetrical care and monitoring to ensure a healthy pregnancy and delivery.
Some complications include :
Gestational Diabetes
Gestational Diabetes is referred to as an increase in blood glucose levels during the pregnancy period. This is similar to the type1 and type2 diabetes only that they are developed during the pregnancy period and usually depart after child birth. During pregnancy period more blood glucose is required to nourish the growing baby. This increased level of glucose demands more insulin to process. When the pancreas is not able to produce enough insulin to act on the high levels of glucose, the blood glucose levels increase in the blood stream. This causes in gestational diabetes.
Gestational diabetes is not permanent. When the baby is born the need for extra blood glucose diminishes and the body naturally adjusts to the required levels of blood glucose in the bloodstream. However patients who had gestational diabetes are more likely to develop diabetes in the future.
Gestational diabetes is diagnosed by conducting a glucose test. This requires the patients to drink any sugary solution resulting in increase in the blood glucose levels. After an hour, sample blood is taken to observe how the body manages the excess intake of sugar. If the blood glucose levels are higher than the required amount then a longer glucose test is conducted by collecting blood samples during fasting and after having the sugary drink. If the results are normal then the reports are tracked and require regular follow ups in later stages of pregnancy.
HYPERTENSION
A person has high blood pressure (or Hypertension) when the Systolic pressure (the top number in BP reading) is greater than 140mmHg and the diastolic pressure (the bottom number) is greater than 90mm Hg. Hypertension can lead to many health problems. During pregnancy, severe and uncontrolled hypertension can cause complications to both the mother and baby.
What causes high blood pressure in pregnancy?
- 1. Chronic hypertension is high blood pressure (BP) that is present before pregnancy or which occurs in the first 20 weeks of pregnancy.
- 2. Gestational hypertension is high blood pressure which occurs during the second half of pregnancy, which is after 20 weeks of pregnancy.
- 3. Pre-eclampsia is high blood pressure after 20 weeks of pregnancy associated with proteinuria (an abnormal amount of protein in the urine). Pre-eclampsia is a serious BP- related disorder which can affect all organs of the pregnant mother.
- Your baby in the womb may suffer from the following, IUGR, less fluid if you have high BP during pregnancy and it is not treated adequately.Hence, it is very important to watch out your blood pressure even as you are planning to conceive.
Liver Disorder
Pregnant women can have preexisting liver diseases such as cirrhosis and portal hypertension or can get acute hepatitis, prior to pregnancy. Pregnant women can get liver diseases unique to pregnancy, such as intra-hepatic cholestasis of pregnancy (ICP), hyperemesis gravidarum (HELLP) syndrome and acute fatty liver of pregnancy (AFLP).
Intrahepatic Cholestasis of Pregnancy (IHCP / ICP)
It is found to occur usually during the third trimester when estrogen levels are very high. ICP occurs due to the increased levels of hormones during the third trimester and seems to go away 48 hours post-delivery.
The successful management of liver disease in pregnancy requires a multidisciplinary approach with close collaboration between internists, hepatologists, and obstetricians. Evolving data have been helpful in expanding insights into the impact of liver disease on maternal and fetal health.
Autoimmune disorders
Autoimmune disorders are 5 times more common among women, and incidence tends to peak during reproductive years. Thus, these disorders commonly occur in pregnant women.A healthy, normally-functioning immune system is designed to fight off harmful invaders, like bacteria or viruses. An autoimmune disorder or autoimmune disease is a condition in which the body’s immune system attacks your own healthy cells.
We adjust your medications and monitor your symptoms to help you achieve healthy pregnancy.
Patient Stories
- 1.Kiruthika Murugesan
- Happy to share that we are blessed with Baby boy this December and very grateful to Dr.Vidya Gayathri Mam for making this journey which is my first pregnancy very smooth and to go through with confidence. We approached doctor with complaint of irregular mensrual cycle and informed her on baby planning.Following her advice ,performed very few tests and very few medications for vitamins, and in very short time got conceived. And when diagonised with gestational diabetes,followed her diet advice and could make it under control without any medication.
- I would highly recommend Dr vidya Gayathri for those who look for a gynaec for baby planning and any other gynaec related.
- 2.Amala Setty
- I am very happy and highly recommend Dr Vidya Gayathri mam for pregnancy consultations. During pregnancy, her physical examination always helped us to get confidence on baby's growth. I was advised to control the gestational diabetes through diet. she is most humble and clear in giving explanations in detail. She is very patient to answer the repeated questions as well. Consulting with her always give positive vibes and helps making right decision on time.
Emergency Cases
For all your OBG issues, just book an appointment with me and I promise to provide you with a customised treatment plan for you