The Women Clinic

Hi All,

Myself Dr. Vandana Singh, gynaecologist, working at The Women Clinic, Noida. Today I will talk about the common complications of pregnancy i.e. known as intrahepatic cholestasis of pregnancy. In 3rd trimester, after 28-29 weeks, woman has the complaint of itching all over the body especially in the night. She should tell the same to her doctor and go for a liver function test. This is a very common problem because our food is oily, spicy. The condition is significant because it also affects to the fetus and mother both. The doctor will prescribe you medicines and avoid such kind of foods. Start eating boiled food. If you do not get it treated then it may create a problem in your life.

In this blood enzyme level increases. And at the time of the delivery bleeding may occur at a very high volume. And it can lead to a life threatening problem. Is condition me apki jaan ka khtra bhi ho skta hai. Isme parhej bhi apko bhut jyada krna pdta hai. Is condition me bache ko bhi problem ho skti hai and baby apke andar hi waste discharge krta hai and iski vjha se bahe ki jaan ko bhi khtra ho skta hai. Agar apko khujli jaisi koi problem hai to use chupayein na. Isko doctor ko btayein jis se iska actual cause pta chale or treatment dia ja ske. Agar aap pregnancy se related koi baat janna chahte hain to aap mujhse hmare clinic pe consult kar skte hain.

Thanks!

Hi all,

Myself Dr. Vandana Singh. I am working as senior consultant Gynecologist. Today I am telling about a common complication of the pregnancy that is known as Intrahepatic Cholestasis of pregnancy. In this condition usually in the third trimester of pregnancy means after 28 or 29 week, the woman develops a problem which is related to the liver of woman. In this condition, the main symptom of the lady is she complains of itching all over the body or itching in the soles and palms especially in the night. If a woman complains like this or she is feeling itching, she should explain this condition to the doctor. Accordingly, if she complains of itching she should go for the liver function test. In this condition we always prescribe liver function test. In this condition, we see the function of the liver, serum bilirubin, liver enzymes. After reporting if the level of the enzyme is increased in the LFT, that condition is known as Intrahepatic Cholestasis of liver of pregnancy.

The condition is very common nowadays because our food is oily, spicy and that cause problem to the bile acid, liver function. Because of the bile salts increased in the blood that causes itching all over the body. This condition is significant because this condition also affects to the fetus and mother both. The only problem comes is itching, no other sign and symptoms of this condition. So if your feeling itching in pregnancy especially in the late trimester, then you should visit your doctor and explain the thing and go for Liver Function Test and see the levels of the LFT. If the LFT is deranged or the level of the enzyme are increased, your doctor will always prescribe you medicine and will always ask to say to you avoid oily and spicy and especially eat boiled food. Oil increases this condition and sometime if you don’t follow the prescription of your doctor, you can come in a very bad stage.

Sometimes liver functions are so deranged, then your life risk may occur in pregnancy. In this condition liver is affected and your blood enzymes level increased so that at the time of delivery bleeding may be profuse, bleeding can occur in a very high volume, so the condition can even lead to your life risk. Matlab is condition mein aapki jaan tak ka khatra ho sakta hain. Isliye isko aap ye na le ke sirf hume khujli ho rahi hain, koi problem nehi hain, jo bhi aapko bataya gaya hain jo liver ke test hain,wo karwaye jayenge. Liver test agar apko bada hua ata hain toh usi ke dawai di jayegi aur sath mein isme parhej bhi zyada karna padta hain. Aap ko ubla hi khana khana parta hain. Koi bhi ghee, koi oil, koi butter, cheese ya koi bhi dry fruits apko nehi lena hota hain. Ye condition lagvag 27 to 28 hafte ke baad hi develop hoti hain aur isme apko bohot hi parhej ke sath rehna parti hain. Otherwise Aapke blood mein kuch aisi cheeze aa jati hain jo delivery ke samay bleeding ko both zyada bada deti hain, jamanewale tatva kam ho jati hain, jiske wajah se bleeding rukti nehi aur aapki jaan ko khatra ho sakta hain.

Dusri cheez isme bacche ko bhi problem ho sakti hain. Kabhi kabhi is condition mein jo bile salts bar jate hain blood mein, uski wajah se bacche jo hain pet mein hi poty kar lete hain jise hum meconium kehte hain. Aur uski wajah se bacche k jaan ko v khatra ho sakta hain. Isliye mera message sirf itna hain ke agar aapko khujli jaisi koi cheez ho rahi hain pregnancy mein, toh use kabhi chupaye na, usko apni doctor ko zarur bataye jis se aapka sahi se karan pata chal sake khujli ka aur usi ki tarah ilaj ho sake. Agar aapko meri video pasand ayi hain ya kabhi bhi aap is bare mein ya fir koi aur pregnancy ke pareshani ke bare mein mujh se kuch jan na chahti hain toh mujhse consult kar sakti hain. You can contact us through lybrate.

Thanks!

My name is Dr Vandana Singh, I am a gynaecologist practising at the women clinic at sector- 30, Noida and my field of choice are high-risk pregnancy and infertility.Today, I want to talk about cervical cancer which is the most common cancer in India in women.

Cervical cancer is the cancer of the lowermost part of the uterus called cervix. This virus is caused by a virus called the human papillomavirus. This virus comes around in 90-100 days but in that 4 types of human papillomavirus can cause infection and then cause cervical cancer in the future. Some women get infected with this virus in their early reproductive stage and in 5-10 % cases this HPV virus infection catch cord can cause cervical cancer in future. There is a vaccine which is available nowadays for last 10 to 15 years and the awareness for this vaccine is very less in our country. I want to create awareness for this cervical cancer vaccination. This cervical cancer vaccination is for females around 9-14 years, but we can give up to 45 years.

Two types of the vaccine are available in our country, one is Cervarix, one is Gardasil.

Cervarix is all against human papilloma virus and we give this vaccine in three doses, 0, then one month, then 6 months.

The Gardasil is also available against the human papilloma virus and the doses of this vaccine are at 0 doses, then 2 months, then 6 months. Gardasil can be given to male also to prevent the ward infection in males. This vaccine can be given at the age of 9 years, but according to the WHO recommendation we should give it to people at 10 to 14 years and the doses are different according to the age group.

If you want further information about the vaccination and the benefit of the vaccination and who can get this vaccination, you can call me at my number and can definitely book an appointment from the lybrate.com.