Page - OBSTETRICS
OBSTETRICS
Dr.J. Jeyachitra
M.D.,(O&G)
Place of Qualification
Jun 1996 – MBBS – Annamalai University, Tamil Nadu, India
Jun 2000 – MD (Obs and Gyn) – Sri Ramachandra Medical College & Deemed University, Porur, Chennai, Tamil Nadu, India
Special Training
Feb 2007 – Basic laparoscopic training – Indian Institute of Laparoscopic Surgery, Coimbatore
Feb 2012 – Fellowship in Reproductive Medicine and Embryology – 21st Century Hospital Surat, India
Mar 2013 – Diploma In Reproductive Medicine and Embryology, University Clinics Schleswig – Holstein, Kiel- Germany
Jun 2014 – ART Course for Clinicians – National University, Singapore
Field of Interest
Infertility – IVF and ICSI
Maternity services we offer include: Pregnancy care – Routine and high risk
Getting good care before, during, and after your pregnancy can help your baby grow and develop and keep you both healthy. It is the best way to be sure your little one gets a head start on a healthy life.
Here are some tests you may undergo during the first trimester of your pregnancy:
Blood tests
During your initial examinations after confirming your pregnancy by urine (card test) or blood(serum beta HCG), you will be advised blood and urine examination to identify your blood type and Rh (rhesus) factor, and to screen for anemia, test for hepatitis B, syphilis, and HIV ,thyroid function tests and other sexually transmitted diseases.
Urine Tests
You will also be asked for a urine sample so that your doctor can look for signs of kidney infection. Urine samples will then be collected regularly to detect glucose (a sign of diabetes) and albumin (a protein that may indicate preeclampsia, pregnancy-induced high blood pressure).
Ultrasound
During the first trimester around 6-7 weeks, you will be recommended an ultrasound (also called a sonogram) during the second month to confirm a normal pregnancy, identify potential problems and determine the baby's age. The baby's heartbeat should be visible on the ultrasound by six weeks of pregnancy.
Genetic Test
In the late first semester genetic test combines a blood test with an ultrasound to screen for Down syndrome may be available between 11 and 14 weeks of pregnancy.
Ultrasound
Ultrasounds are commonly offered between 20- 24 weeks, although they may be done at any time during a pregnancy. A sonogram may be offered for a variety of reasons, including verifying a due date, checking for multiple fetuses, investigating complications such as placenta previa (a low-lying placenta) or slow fetal growth, or detecting malformations like cleft palate and to rule out congenital anamolies.
Fetal Doppler ultrasound
A Doppler ultrasound test uses sound waves to evaluate blood as it flows through a blood vessel. Fetal Doppler ultrasound can determine if blood flow to the placenta and fetus is normal.
Glucose screening
Typically done at 24 to 28 weeks.. You will be asked to drink a liquid that contains glucose, 75 grams. You will have blood drawn before you drink the liquid, and again 3 more times every 60 minutes after you drink it. Each time, your blood and urine glucose level will be checked. This is a routine test for pregnancy-induced diabetes, which can result in overly large babies, difficult deliveries, and health problems for you and your baby.
Electronic Fetal Heart Monitoring
Electronic fetal heart monitoring is done during pregnancy, labor, and delivery to monitor the heart rate of the fetus. The fetal heart rate can indicate whether the fetus is doing well or is in trouble.
Nonstress Test
Done weekly in many high-risk pregnancies, such as in cases where a women is carrying more than one fetus, or has diabetes or high blood pressure, this test involves using a fetal monitor strapped across the mother's abdomen to measure the baby's heart rate as it moves.
Biophysical profile(BPP)
This test measures the health of your baby during pregnancy. A BPP test may include a nonstress test with electronic fetal heart monitoring and a fetal ultrasound. The BPP measures your baby's heart rate, muscle tone, movement, breathing, and the amount of amniotic fluid around your baby.
A BPP is commonly done in the last trimester of pregnancy. If there is a chance that your baby may have problems during your pregnancy (high-risk pregnancy), a BPP may be done by 32 to 34 weeks or earlier. Some women with high-risk pregnancies may have a BPP test every week or twice a week in the third trimester.
Your pregnancy is called high-risk if you or your baby has an increased chance of a health problem. Being called “high-risk” may sound scary. But it’s just a way for doctors to make sure that you get special attention during your pregnancy. The conditions like slowed growth for the baby, preterm labor, preeclampsia, and problems with the placenta can put you and your baby at a higher risk for problems. But it’s important to remember that being at high risk doesn’t mean that you or your baby will have problems.Hence you will have more visits to the doctor than a woman who does not have a high-risk pregnancy. You may have more ultrasound tests to make sure that your baby is growing well. You will have regular blood pressure checks. And your urine will be tested to look for protein (a sign of preeclampsia) and urinary tract infections.
Exercises do wonders for you during pregnancy. It helps to prepare you for childbirth by strengthening your muscles and building endurance. Moreover, it helps getting your body back in shape, once the baby is born. Most women will benefit, as long as they are not advised against exercise (e.g. due to medical condition) by the doctor).
Benefits of antenatal exercises:
- Improved circulation for mother and baby.
- Reduction in aches and pains of pregnancy e.g. backache, cramps etc.
- Improved stamina, giving you more energy to cope with growing demands of pregnancy.
- Improved posture and body awareness.
- More controlled weight gain.
- Improved sleeping patterns.
- Reduction in minor ailments of pregnancy such as: stiffness, tension, constipation, sleeplessness.
- Increased circulation minimizing varicose veins and swelling.
- Enhanced psychological wellbeing.
- A beneficial effect on the course and outcome of labor.
Labor and Delivery Care
Delivering a baby can be scary for a new mother-to-be. Let alone the fear of what might happen during the process, but the amount of pain one is likely to feel is considered immeasurable. But it is possible to have a normal birthing process without the pain — by the use of an epidural. Epidural anesthesia is an advance in pain management during labor, which ensures that a pregnant woman has a comfortable labor. It is a regional anesthesia in which an injection is given at the lower spine intermittently. The pregnant lady remain conscious and aware of the activities going on, but there is a numbness at the pelvic region. The extra advantage of epidural anesthesia is that it makes easy for instrumental delivery if any forceps are required and even is sufficient anesthesia if an urgent cesarean section is required. Epidural analgesia is given when labour is well established and the cervix is at least 3 to 4 cm wide. The increased availability and effectiveness of epidural analgesia have altered the expectations of many women regarding intrapartum pain control.
Breastfeeding is best for your baby, and it’s good for your health, too. Colostrum, the yellowish, sticky breast milk produced at the end of pregnancy and is recommended as the perfect food for the newborn, and feeding should be initiated within the first hour after birth. Exclusive breastfeeding is recommended up to 6 months of age, with continued breastfeeding along with appropriate complementary foods up to two years of age or beyond.
Gentle lower belly exercises and pelvic floor exercises are all it takes to help your body recover in your postpartum period. Exercise can:
- Boost your mood by increasing the levels of feel-good chemicals in your brain.
- Help you to lose any weight you gained during pregnancy.
- Protect you from aches and pains.
- Boost your energy levels.
- Improve your strength and stamina, which will make looking after your newborn easier.