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Gestational Diabetes in Pregnancy
When a woman is pregnant, her body changes in a lot of ways. Besides the sudden change in hormone levels, there are also other biological factors that change, such as the blood sugar levels. Put simply, gestational diabetes is not uncommon.
Video: Gestational Diabetes
https://www.youtube.com/watch?v=EHS9yaFuVgc
What Is Gestational Diabetes?
As the name indicates, this is the type of diabetes that occurs in women at the time of gestation that is during pregnancy. Pregnancy causes the blood sugar levels to surge in some women which leads to gestational diabetes. In some women, the insulin levels might drop during pregnancy causing the blood sugar levels to increase. Blood sugar levels in the body are normally kept under control by the body’s natural insulin levels.
Gestational diabetes can occur in women who have normally never had diabetes, and it might get resolved after delivery. Women in their second and third trimesters are more prone to gestational diabetes
Causes of Gestational Diabetes
Fluctuation in insulin levels in the body is the main cause of gestational diabetes. During the process of digestion, , carbohydrates from the foods consumed are broken down to glucose (sugars) in order release energy. This energy is used by the human body to carry out daily activities. Under normal conditions insulin produced in the pancreas helps move this sugar to the cells and prevents rise in sugar levels in the body.
During pregnancy, a membrane called placenta is formed that is responsible for supplying oxygen and nutrients from mother to the delveloping baby. However, along with its normal function, placenta also releases several hormones that tend to interfere with the natural hormonal mechanisms of the mother's body. It is known to disrupt and interfere with the production of insulin as a result of which there is rise in blood sugar levels devoid of enough insulin to break it down. This is the scenario where a mother may develop gestational diabetes.
Another factor associated with gestational diabetes is weight. It is observed that obesity is closely linked to the body being insulin resistant. If the mother is overweight before conception, she may be a high risk candidate for gestational diabetes. Alternatively, keeping a check on weight gain during pregnancy is equally important.
Are You at Risk of Developing Gestational Diabetes?
One in seven women in India are at a risk of developing diabetes during pregnancy. But some women are more at risk than the others. Here are some factors that increase the risk of gestational diabetes:
High BMI: Those who were overweight before pregnancy are more at risk. Women gain extra weight during pregnancy, and already being overweight only makes it difficult for the body to regulate the blood sugar levels.
Rapid Weight Gain During Pregnancy: While the exact relationship between weight gain and gestational diabetes is not clear, experts opine that it is caused by an increase in insulin resistance by affecting the beta cells in the pancreas which are responsible for insulin production. The capacity of the beta cells to secrete insulin reduces, leading to gestational diabetes.
Family Medical History : A family history of diabetes type II, especially if a sibling or the mother had it makes the mother a promising candidate for acquring gestational diabetes in her pregnancy.
Previous Pregnancy History: If you've had diabetes in your past pregnancies, doctors keep you under strict vigilance and monitor you blood sugar levels regularly as the chances of it resurfacing is quite likely.
Age: People who are 25 years or older are at a higher risk of gestational diabetes. Infact, higher the age higher are the chances of susceptibility to gestational diabetes.
Other Medical Conditions: Women with PCOS or a history of PCOS (polycystic ovary syndrome) are susceptible to gestational diabetes as one of the symptomps of this disorder includes increased probability of insulin resistance.
Can I Lower My Chances of Getting Gestational Diabetes?
Whether you belong to the category of women who are at higher risk for gestational diabetes or not, you can definitely lower the risk of acquiring it. Working on your diet and exercise routines can help. Here are some steps to take:
Include more dietary fibre in your meals: This can be done by increasing the intake of whole grains, fresh vegetables and fruits. Increasing the daily fibre intake by 10 gm can reduce the risk of gestational diabetes by around 26%.
Say no to unhealthy food : Cut down the intake of sweet foods and those that are carb-laden. Stay away from unhealthy nibbling to tackle hunger pangs.
Eating frequency: Eating frequent small meals would be a healthier choice than eating large portions in one meal.
Choose wisely: Include a variety of foods so that you get a fair share of all the required daily nutrients in your diet.
Include physical activity in your routine: Staying active can help reduce the risk of diabetes during pregnancy. Swimming and walking are the two most recommended choices for pregnant women. Mild exercises can be chosen based on your health and on how far along you are in your pregnancy. Always consult your doctor before finalising your exercise routine.
Keep a weight check: Maintaining a healthy weight before and after pregnancy is crucial in maintaining healthy blood glucose levels.
Common Signs and Symptoms
There are not many pronounced symptoms that can indicate gestational diabetes,and hence your doctor would suggest a complete health check up at around 24-28th week of your pregnancy as this is the period where women are most likely to be diagnosed with high blood sugar levels. In case you are already at risk owing to factors listed above, this screening is suggested much earlier. However, here are some signs that might come as a warning and if you encounter them, do seek a medical intervention immediately:
Feeling thirsty too often even after adequate consumption of water and other fluids.
Frequent urination.
Feeling excessively exhausted (pregnancy, the third trimester in general, can leave women tired, but unexplained tiredness even when your activity levels are less throughout the day might indicate a possibility of gestational diabetes.)
Dryness of the mouth.
Blurriness in the vision.
Frequent infections .
Several conditions that are common during pregnancy might be signs of gestational diabetes. Pregnancy and diabetes together can leave the pregnant
mother exhausted. Usually, screening for gestational diabetes is done during the second trimester. However, if any of the above-mentioned symptoms are more pronounced, you might want to discuss them with your gynaecologist to decide if you need to be screened for diabetes.
How Does Gestational Diabetes Affect Pregnancy?
Mother's blood sugar level usually restores to normal after their delivery. However , there are certain risks that are prevalant during pregnancy that you must be cautious about.
Preeclampsia: Gestational diabetes impacts are experienced by both the mother and the baby if the condition is not treated. One of the commonly associated side effect of untreated gestational diabetes is preeclampsia. This is a condition which is said to occur mostly in the final trimester. The two main characteristics of preeclampsia include elevated protein levels in the urine which can be found in a routine test and the rise in blood pressure. The condition worsens if not treated on time. The harmful effects include preterm labor and also miscarriage in some rare cases.
Stillbirth: The risk increases when the pregnant mother diagnosed with gestational diabetes carries the baby for more than 40 weeks. In this case the risk of stillbirth increases.
Developing type II diabetes: These are the mothers who are very likely to develop type II diabetes as they grow old.
All the above mentioned complications only indicate the risks that are associated with the untreated cases. Gestational diabetes simply increases the vulnerability to several conditions. But a proper diet and exercise routine can help in most cases.
How Gestational Diabetes Affects the Baby
Sometimes, the effects of gestational diabetes on the baby might be slightly more severe than on the mother. When the placenta interferes with the insulin levels, it in turn, gets affected by the elevated blood sugar levels. In most cases, women with gestational diabetes who receive treatment on time have healthy babies, but leaving the condition untreated might have some impact on the baby:
Macrosomia: Elevated sugar levels in the mother’s blood are passed on to the baby. higher sugar levels in baby’s blood causes baby’s pancreas to react by secreting higher levels of insulin. This sometimes leads to macrosomia, a condition where the foetus weighs 9 pounds or more. Such cases might call for a C-section. If delivered normally, the baby might suffer from minor injuries, birth trauma or shoulder dystocia.
Hypoglycemic baby: Babies might be born with low blood sugar, also called hypoglycaemia, due to the surge in insulin levels.
Breathing problems: Some babies born to a mother with gestational diabetes experience slight difficulties in breathing. Some even acquire respiratory distress syndrome where additional oxygen supply may have to be provided to the baby after birth.
Nutrient deficiency: The baby might carry low levels of magnesium and calcium which may cause spasms, cramps, jitters. These can be tackled with suitable supplements.
Risk of jaundice: These babies are at a higher risk of developing jaundice after birth. This can easily be treated but might make the baby feel weak. The baby may need immediate medical attention.
Type II diabetes: The babies might be at a higher risk of developing type II diabetes when they grow up.
Remember that these are only the extreme effects of the condition. In many cases, babies stay unaffected by mother’s diabetes. A safe option would be to identify the problem at the earliest and keep the blood sugar levels within normal levels not only to ensure your health, but that of your baby too.
Screening Guidelines for Gestational Diabetes
In most cases, gestational diabetes test is performed between weeks 24 and 28 of pregnancy. . Here are the two main tests that help find if the mother has high or low blood sugar during pregnancy. Follow-up tests and additional screening might be added as required based on the results.
Screening glucose challenge test (GCT)- non-fasting test
The patient who appears for this test is given an oral glucose solution. One hour later, a blood sample is drawn to evaluate the blood glucose levels. Higher levels indicate an inability to process the glucose consumed and the patient would be advised to take the OGTT.
Oral Glucose Tolerance Testing (OGTT)- fasting test
The patient needs to appear empty stomach for this test. A blood sample is drawn, and the patient is given an oral glucose solution. A second blood sample is drawn one hour later and the third one, after another hour. The test takes 2 hours to perform, and the patient is advised not to eat or drink anything in the interval. This helps ensure accurate results. If the blood glucose levels fall in the gestational diabetes range, the patient might be prescribed medications or put be put on a diet.
Diagnosis of Gestational Diabetes
Right at the beginning of pregnancy, the doctor asks the mother-to-be a few questions regarding medical and family history to rule out the risks of gestational diabetes. Throughout the pregnancy, any warning signs are monitored and evaluated. If nothing appears abnormal, the routine GCT is prescribed at the right time. The test results help diagnose gestational diabetes.
Treatment of Gestational Diabetes
Gestational diabetes can be easily managed by making simple lifestyle changes. . A fibre-rich, low-carb diet consumed as frequent small portions might help alleviate the blood glucose levels. Based on the results of the OGTT, the doctor might also suggest mild exercises. The blood sugar levels will be tested again after a gap to check for any difference. If the levels fall back to normal, you will simply be advised to continue your diet and exercises. The doctor might keep a check on your f the baby's health periodically. If the blood sugar levels don’t drop to normal, you might be prescribed medications or insulin shots to bring it down.
How to Control Sugar Level During Pregnancy
The simple way to control your sugar level is to work on your diet. Tweaks to what you eat and when you eat go a long way in improving your general health during pregnancy.
Gestational diabetes diet plan-
here is a sample of how your diet plan should ideally be like:
Breakfast
· 2 to 3 carbohydrate choices (30 to 45 grammes)
· protein (meat, poultry, fish, eggs, cheese, peanut butter)
· vegetable or fat, freely
Lunch
· 3 to 4 carbohydrate choices (45 to 60 grammes)
· protein (meat, poultry, fish, eggs, cheese, peanut butter)
· vegetable or fat, freely
Dinner
· 3 to 4 carbohydrate choices (45 to 60 grammes)
· protein (meat, poultry, fish, eggs, cheese, peanut butter)
· vegetable or fat, freely
Morning Snack:
· 1 to 2 carbohydrate choices (15 to 30 grammes)
· protein (meat, poultry, fish, eggs, cheese, peanut butter)
· vegetable or fat, freely
Afternoon Snack:
· 1 to 2 carbohydrate choices (15 to 30 grammes)
· protein (meat, poultry, fish, eggs, cheese, peanut butter)
· vegetable or fat, freely
Evening Snack:
· 1 to 2 carbohydrate choices (15 to 30 grammes)
· protein (meat, poultry, fish, eggs, cheese, peanut butter)
· vegetable or fat, freely
Source: https://www.allinahealth.org/health-conditions-and-treatments/health-library/patient-education/gestational-diabetes/healthy-eating-physical-activity-stress-management/basic-meal-planning/
Your dietician might however prescribe a personalised diet chart based on your test results.
Blood Glucose Levels for Pregnant Women
Ideal blood glucose levels differ for pregnant women who had diabetes before they got pregnant and for women with gestational diabetes. Here is a general guideline on blood sugar levels during pregnancy. Do remember that every pregnancy is different and your doctor is the best person to take a call on your health.
Source: http://www.webmd.com/diabetes/gestational-diabetes-guide/normal-blood-sugar-levels-chart-pregnant-women.
How Can One Prevent Gestational Diabetes?
.Being aware and equipped with all pre-requisite information is the first step towards prevention. Not only will it help you understand all the risk factors involved but alsoprepare you for what lies ahead. Talk to your doctor about your medical history to rule out any risks, and screen for diabetes at early stages, if required. Be stringent about the diet and exercise plan prescribed for you to maintain normal sugar level during pregnancy. Sweet cravings are common in some women but unhealthy snacks and a high-sugar diet will do more harm than good.
What Happens to Mom and Baby After Delivery?
In most cases, nothing! The mother gets back to her usual healthy self, and the blood sugar levels drop back to normal, and the baby is healthy and happy. But in the worst cases where the damage is severe due to very high blood sugar levels, late diagnosis, or if the mother’s body did not respond well to the medication, the effects might be seen on the mother and the baby. Subsequent tests might be scheduled for both to rule out the occurrence of type II diabetes in the mother and hypoglycaemia in the baby.
It is important to strive to maintain a healthy weight and to continue healthy diet and exercise habits after delivery too. This helps reduce the risk of developing diabetes in later stages of life and during the next pregnancy. Do not skip the follow-up sessions for yourself as well as for the baby after delivery. Continue breastfeeding while also ensuring that you consume a nutrient-rich diet. This will help achieve optimum weight and ensure the best health of the mother and the baby. Read more
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Textured Foods and Your 1 Year Old
Food texture issues in toddlers is a matter of concern for most parents. However, introducing new kinds of foods in a fun way can definitely help children with the transition. Find out what you can do to encourage your little one to eat new foods.
From the time your baby is born, you make sure she eats enough and on time. As weeks change into months, you slowly introduce her to proper food. Pureed or mashed, she starts taking to them and learns to enjoy eating. However, children can get a little too used to this kind of food and may refuse to move on to textured food. It’s important to know how to get your child to eat different types of food.
How To Help Toddlers Eat Textured Foods the Right Way
Start slow
Introducing textured food can take some time and a lot of patience. If your toddler does not seem eager to try new foods, feed her the favourite pureed meal, and after a few mouthfuls, sneak in some textured items in form of a crushed cracker, papad or cereal. If she’s fine with the mixture, offer her a few more bites. Continue doing this for a few days so she gets used to it.
Increase the texture
Once your child is comfortable eating the new textured mix, increase the amount of the textured food in the puree. If she gets fussy, alternate with the usual pureed fare. It won’t be long before you can up the amount of crushed food.
Give the puree a twist
You can easily change the texture of your child’s food by reducing the amount of water you add to the puree. There are simple ideas you can try as well to encourage your toddler to eat table foods. For instance, when preparing apple puree, add in apple shreds to build texture. Similarly, in mashed dal and rice, add a little un-mashed boiled dal and rice.
Something to chew on
When your child starts eating textured puree, offer her a piece of the solid food you added to introduce her to the new taste. She may refuse to eat it initially but with some coaxing, she can definitely be encouraged to try it. If she still doesn’t want to eat it, don’t push her as it could cause an aversion towards the food.
One food item at a time
Some toddlers have high sensory sensitivity and need to be offered a particular food item many times before they take a liking to it. Make sure she’s comfortable with eating one type of food before starting with another.
Things to Remember When Introducing Textured Food
Toddlers can find it a little hard to swallow textured food and may even gag or vomit a little. You need to stay calm in such a situation and let your child know this is perfectly fine. Offer her pureed food or reduce the texture to make it easier to eat.
Children of different ages have different sensitivity to foods. A 12-month-old baby's food texture sensitivity will be higher than that of a 2-year-old, so feed your child items she can easily chew and swallow.
Praise your toddler when she eats a particular food. Your encouragement means a lot to her and can really motivate her to adapt faster in order to please you.
If she still refuses to try solid food, you may need to consult a doctor. Texture eating disorders in toddlers can be rectified and a professional will show you how.
Introducing new foods to toddlers can be quite hard. However, with time most kids learn to eat with much ado. Keep trying and encouraging your baby to take a liking to different foods.
How did you introduce textured food to your own child? Do share your valuable ideas and experiences and help fellow moms! Read more
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Managing Stress for Parents with Autistic Child
Research reveals greater stress levels among parents who care for children with autism. Healthy stress coping methods must be adopted to avoid its negative effect on the child and the family as well. But how exactly do you do that?
Being a parent is no easy feat. There are nights when you do not get enough sleep because your little one wanted to play peek-a-boo; there are days when rest is a dream because the baby in your arms just will not stop crying. Then you think to yourself, a few more years of diapers and feeding bottles. Alas, before you know it your little one is running around the house creating havoc and still more years later you face the constant worry for your growing up teenager! Bottom line: Parenting and stress goes hand in hand. And it only gets more difficult for parents when you have a child with special needs such as autism.
Although the parents with children suffering from disabilities encounter varying levels of stress, the percentage is higher amongst parents with autistic children. Parents of children with special needs are often burdened with grief, anticipation of future, regular appointments to the doctor, medications, rising medical bills. In case of autistic children, there are additional burdens of coming to terms with uncertainty of what future holds, and a constant nagging of what caused the autism. Additionally, autism is characterized by social anxiety. There might be instances where you are unable to hold your child since he does not like to be touched or refuses to look at you.
1. Support groups
This is a great way to release yourself of stress. Support groups bring together parents with similar problems and challenges. Parents can seek advice on any challenges they might be facing. If nothing, the feeling that you are not alone dealing with an autistic child is reassuring. It also brings hope and inspiration to parents to deal with their situation effectively. Parents also share their experiences and in helping each other find a sense of satisfaction.
2. Seeking a Counselor
This is the old school form of therapy but nevertheless, effective. Speaking to a counsellor not only gives a shoulder to lean but also provide guidance and advice to deal with stress. A counsellor deals with patients for a job and surely knows how to help patients cope up with a stressful situation. It is a place where you can share your feelings, frustrations, and negativity aloud. Hence, seeking a counselor is not an act of failure but rather a courageous step. Acceptance is the first step towards managing stress.
3. Exercise
Any form of physical activity increases the level of endorphins in brain, which are ‘feel-good’ hormones. Even if you’re not an athlete, a simple running the laps will make you forget the irritations and frustrations of the day. Physical exhaustion leads to fatigue and sleep, which is rarity in stressful times.
4. Meditation
Meditation and particularly mindful meditation is an extremely helpful way to relieve stress. It soothes nervous systems and prepares body and mind to take a step back and accept the stressful situation. It slows down heartbeat, respiration, and blood pressure. Mindful meditation is consciously practicing meditation at a decided place, time and particular meditation techniques to reap maximum benefits.
5. Writing in a journal
It might be difficult to speak out the feelings that are boiling up inside. In such times, it is always recommended to write down one’s feelings. It is a form of self-talk and gives perspective on reflection. It is an act of emotional disclosure for parents. Autism and parenting is a difficult combination to handle but writing things down can be an effective form of therapy.
6. Scheduling
Keep a daily schedule and follow it. Doing mechanical tasks and doing them rigorously helps in creating distractions to keep the stress at bay.
Parental stress while dealing with autistic children along with its complications is understandable. If parents deal with the stress effectively there is no reason why you shouldn't enjoy every single moment of your young one's life! Read more
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How To Lose Weight Eating the Same Food as Your Family
It isn't eating to chomp down diet food as your family is eating their regular food. After a point you are going to want to give up and binge! Instead, we've got a way you can eat the same food as your family and still hit your weight loss goals!
Trying to lose weight is tough enough but if you are cooking a yummy meal for your family and eating your own “diet” food separately, it is only a matter of time before you begin binge-eating and that weight your lost comes right back on faster than you can say “Gulab Jamun!”
Before you argue that your kids will NEVER eat healthy food, hear us out. By making separate meals for your family and yourself, you are already encouraging and unhealthy body image in your kids. This is sending them signals that food is bad and food is going to make them fat. Or you are indirectly telling them that it is okay to eat unhealthy when they are young but as soon as they get older they need to switch to a healthier diet. Both of which are damaging.
What if you began to teach your kids through example why healthier food choices are better? At the same time you are not compromising on your own food choices. Planning for a sustainable way of eating healthy as a family is a way for your to reach your goals and get your kids used to a healthy way of living too.
Here are Some Tips to Start
1. Begin with Hiding Veggies
Now don’t go hiding carrots behind your couch. We mean shred, blend, disguise your veggies with stuff your kids actually like. Veggie cutlets are a big hit. Serve these with your favourite green chutney for a wholesome, healthy and kid-approved meal. You can bake cutlets too, to reduce the oil content.
2. Offer Only Vegetables as Snacks In-Between Meals
Be strict about this. Do not keep anything packaged around. Carrot or cucumber sticks with hummus are a good snack to have around. A nice yoghurt dip is a good option too. Surprise them by adding cheese into the dip every now and then. Potato and cauliflower mash also makes a good and healthy snack that takes just 10 minutes to whip up.
3. Ditch the Sugary Drinks
Let your kids have juice occasionally. Milk is okay too. You stick to water. Self-control is key when it comes to your diet. Drink infused water if you would like some change, especially in hot summer months.
4. Serve Food in Smaller Plates
Sometimes the only change you need to make is eating lesser portions. Using smaller plates tricks your mind into believing that you are eating more. The plate appears fuller and you tend to feel full because of the illusion that a packed plate offers.
5. Do Not Keep a Secret Stash
If you are hiding certain foods from your kids, you most probably shouldn't be eating those either. As a parent, health comes first for your kids but somehow we’re lax when it comes to our own health. Ditch the foods you need to keep a secret from your kids, it won’t do your body good.
6. Keep Mealtimes Stress-Free
Stress makes you eat faster and you end up eating more food than usual. Try and make meal time a peaceful ritual where your family talks about their day. Eat slowly to help your food digest and prevent over-eating.
7. Ditch Gadgets
As a rule for your kids and yourself, keep mealtimes free of any gadgets, including the T.V. Distraction from gadgets can cause mindless eating and lead to overeating. Take the time to savour the flavours from your food and enjoy the benefits of eating well.
You can begin with these tips to inculcate healthier eating in your family. It might be tough to train your kids,especially if they have been allowed to eat different prior to this but here are some tips for fussy eaters to help you out.
Once you have these habits set, you will begin to shed excess weight over time. A long-term lifestyle change is more beneficial than any short term diet plan as you are more likely to stick to an easier long-term plan than a crazy, tough diet plan that will make those kilos come right back!
Couple your daily life with light exercise and enough hydration for real results. If you still aren’t losing excess weight, a nutritionist can help point out the cause and make choices more suited to your body’s needs!
Worry not! It takes time for a good habit to set but once it does you’ll see the difference! Plus you wont be promoting unhealthy habits to your kids and you’ll get to eat the same wholesome food your family is eating! Read more
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Pregnancy Care, Risks, and Health - The Importance of a Gynaecologist and Parents
The most awaited phase of my life to become a mother came true. When I conceived I had a severe cold and cough. At that point, I didn't know that I was pregnant. I had a lot of medicines but my periods skipped. I searched on Google after having medicines - 'what happens if you skip your periods'. I found a lot of answers and then thought of using a pregnancy kit to check wheater I was pregnant or not. The results were positive. My next thought was which gynaecologist should I go. I asked my cousins then consulted a gynaecologist. I told her that I had lots of medicine so what about the side effects of those medicines. She said don't worry things will be fine.
I used to stand and make chapatis and sweep the floor. when I felt pain in my pubic bone, I consulted my gynaecologist; she was very good and she said everything will be alright. My parents also always stood by me, but I had no support from my in-laws. I was emotionally weak. My parents took me home and took care of me. Regular check-ups, proper food, rest, and exercise became my routine. My parent's told me that my child should be my priority and nothing else. They told me to treat myself the best and I will be rewarded.
During the last months of pregnancy, I was diagnosed with diabetes and high BP. But proper intake of medicines helped me a lot. All thanks to my gynaecologist. A good gynaecologist is very important. She was very helpful and I could share things with her, which helped me a lot. From the start of my pregnancy, I had almonds, banana, milk, and other nutritious fruits, except jackfruit, pineapple, and papaya - and no fish as well. My due date was near, but I didn't have labour pain. I was asked to get admitted in the hospital and labour was induced twice. I was given pain injections. I had a normal delivery. By God's grace, I am blessed with a daughter.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her.
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Dr Vandan H Kumar has added a new answer
Guardian of 0 children
3 hours ago
Q. Is it okay if my baby does not pass stool for one day?
Dr Vandan H Kumar
Paediatrician
2 hours ago
A. no need to worry about the frequency and colour of the stool if the consistency of the stool is semi solid to solid.
also there is no need to worry about the smell of the stool if the consistency is normal.
you have to meet the doctor if it is watery inconsistency or hard consistency otherwise semi solid to solid stool is normal.
also passing stool after taking food is normal. r
Rashmi has added a new answer
Expecting Mom due in 6 months
3 hours ago
Q. Q.Asktheexperta# I m an expecting mother of 29 yrs. LMP 10 Feb 2024 . my husband's HPLC report shows thalassemia minor trait while mine is hb d Punjab trait . can we continue with this pregnancy ??
Rashmi
Mom of a 9 yr 7 m old girl
2 hours ago
A. Well you should check with your gynaecologist for that she has to go through all the reports and the issues that you are facing you and your husband and accordingly she can tell you what is the situation how your child is going because lot of things depend upon how the child is growing
Dr Sameer awadhiya has added a new answer
Expecting Mom due in 1 month
1 hour ago
Q. Hi doctor, I had scan on 33 weeks 2 day, it stated that AC and HC Is <2.3% which is corresponding to 31 weeks. So overall growth of baby avg is 31 week and 2 days.
will there be any issue with the baby.I have attached my report
Dr Sameer awadhiya
Paediatrician
40 mins ago
A. For the query asked needdhs consultation with doctor for proper guidance so it is better that the doctor will guide you the correct way .
Online consultation can also be taken and the expert will give you the proper answer .
Dr Ghouse has added a new answer
Guardian of 0 children
1 hour ago
Q. I am having pain on my right breast while breastfeeding. Latching position is correct. it is a mix of burning sensation and pain. Pain lasts for few minutes after breastfeeding also
Dr Ghouse
Paediatrician
1 hour ago
A. nipcare ointments ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Expecting Mom due in 4 months
1 hour ago
Q. When baby movement starts??
Dr Ghouse
Paediatrician
40 mins ago
A. 5-6 months ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Ghouse has added a new answer
Expecting Mom due this month
43 mins ago
Q. hello dr..I am 39 weeks 3 days pregnant, AFI level 8 is this normal?and normal delivery possible for me? Is the fluid enough for up to 1 week?Do I need a drip? please suggest me.
Dr Ghouse
Paediatrician
40 mins ago
A. the levels are on the lower side. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
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