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Covid19 and Pregnancy

June 16, 2020March 30, 2024
by Eva Hospital

How does Covid-19 affect Pregnant Women?

Covid-19 or Coronavirus has impacted the economy and the global dynamics world over. Anything from businesses, Sensex, production houses, travel industry to the economy at large, has taken a nose-dive in the growth charts.

The virus is contagious and has touched millions of people all over the globe. It is observed that children and older people are more vulnerable to the deadly virus.

For a pregnant woman, it is a well-stated fact that pregnancy makes immunity weaker. Now with the virus prevalent all around, you have all the reasons to fear that it might affect you earlier than others.

Ace gynecologist in Punjab, Dr. Shivani Bhutani, at EVA Hospital, Ludhiana says, “There is nothing about pregnancy itself that makes a woman more susceptible to being infected. Pregnancy suppresses a woman’s immune system to some extent but this does not mean pregnant women are more likely to contract COVID-19.”

Dr. Shivani is known to alleviate her patients from Corona’s stress and anxiety by guiding them with the right precautions and she advocates staying indoors to avoid contacting many people or being in a marketplace unless unavoidable.

When can Coronavirus affect Pregnant Women?

You will be more susceptible to Coronavirus in pregnancy if you answer ‘YES’ to one or more of the following conditions:

Are you above the age of 35?
Have you been overweight or obese?
Are you already suffering from medical conditions like high blood pressure or diabetes that worsen immunity?

Affirmative answers to these questions can put you in the vulnerable category. You must adhere to all the cautions and precautions judiciously.

What Are the Changes That May Happen in Antenatal and Postnatal Care?

As a pregnant woman or recently-delivered mom, you require frequent and timely visits to the doctor and diagnostic centers.

However, Dr. Shivani Bhutani, the best gynecologist in Punjab, makes sure she delivers the best care by calling her patients with appointments only. The following precautions at EVA Hospital have helped her in seeing her patients at ease:

Seek Appointments

The first and foremost precaution against Coronavirus is staying away from crowds or groups and avoiding contact with people. Dr. Bhutani sees her patients strictly with appointments to avoid overcrowding in the clinic and follow the protocol of social distancing.

Telephonic Consultancy

A good gynecologist must not hesitate in giving advice over a phone conversation, especially in these testing times.

Dr. Shivani makes sure she is able to diagnose and administer medicines over the phone in case the nursing mother (post-natal) or the pregnant lady (pre-natal) needs help.

This avoids the unnecessary trip of the pregnant lady to the clinic and avoids exposure to people at such times.

Staff Health

Adequate precautions must be taken so that the clinical staff is in good health and adheres to all the Corona precautions carefully.

Dr. Bhutani has always been a rock-solid support for her staff and she guides and counsels them in a way they are not overwhelmed.

The overnight patients and the relatively higher number of patients needing care might flummox the staff keeping coronavirus anxiety in mind. A good gynecologist will help keep her staff patient and calm to be able to serve others.

Mental Health

Coronavirus has affected everyone mentally and created anxiety about meeting friends and family, the pandemic spread of the virus, and the fear of no cure for it yet.

Dr. Bhutani takes consultations on a telephone call over a clinic visit and makes sure her patients are calm, well-guided, and not frayed by the anxiety of the changing societal norms.

Focus on Sanitizing

Pre-natal and post-natal visits are mandatory in some cases. To entertain patients, a stringent sanitization drive is followed regularly at EVA Hospital to rule out even an atom of risk or fallacy.

Right from sanitizing the clinic and the hospital, the staff is also under strict sanitization vigilance.

Dr. Shivani cares for the physical, mental, and moral well-being of her patients. Pre-natal and post-natal care and follow-up are mandatory for the patients and full care and support are needed in such times.

The frequency, appointments, treatments, and care of pre-natal and post-natal treatment changes with the changing scenario at EVA hospital.

What Precautions can you take to Avoid Covid-19?

Coronavirus is termed novel coronavirus and there has been no evidence of what would be the impact on the fetus or the baby if the mother is diagnosed positive with Covid-19. It is a well-known saying-‘prevention is better than cure’. Here are a few tips by the best gynecologist in Punjab for pregnant and nursing mothers to avoid getting infected:

Avoid Social Gathering

You must avoid family gatherings and social outings at all costs. Refrain completely from going to leisure centers, pubs, or similar venues where people can gather and the infection can be easily spread.

Use Online Facilities

Even if something urgent has to be purchased or the opinion of the doctor is to be sought, prefer online shopping or online consultation over actual shopping and running to clinics for insignificant purposes.

Sanitize is the Mantra

Wash your hands as often as possible and do not touch your nose or mouth when outside the home. Practice sanitizing each thing you bring from outside and wash the fruits and vegetables as thoroughly as possible before stocking them in the refrigerator.

Use disposable tissue when you or anyone around sneezes or coughs.

Virtual Friendship

Even if you are feeling gloomy or lonely, get in touch with your friends virtually, and alleviate your own spirits. Avoid meeting friends and family at this time. Safety and care of yourself and the baby should be the priority.

Eat Healthy and Nutritious

Your diet should be full of nutrition and you must consume your vitamin and calcium pills as prescribed by the doctor. A healthy body can fight any virus easily. So make sure your diet in pregnancy is well planned and full of nutrition.

Last Words

COVID-19 has created panic all over the globe. You are a new mother or would-be-mother and you are supposed to enjoy the new phase of life.

Let the panic of Coronavirus not affect this beautiful phase of life. Eat healthily and stay fit. If you feel anxious or perturbed, feel free to consult the most humble and expert gynecologist, Dr. Shivani Bhutani, and get a genuine suggestion.

Eva Hospital

What should be the Diet and Nutrition Plans for…

March 19, 2020March 30, 2024
by Eva Hospital

Usually one in every ten girls suffers from irregular periods, unwanted hair growth, and acne on the face.

This is the case of the dreadful Polycystic Ovary Syndrome (PCOS) which means no menstruation at all or irregular periods. PCOS causes delayed, infrequent, or prolonged menstruation.

Women with PCOS develop multiple cysts in their ovaries because of the overproduction of hormones in the body. This hormone is called androgens and is a male hormone.

Excess production of androgens can lead to hirsutism. Women of reproductive age can face serious implications because of PCOS.

Dr. Shivani Bhutani, the best gynecologist in Ludhiana, Punjab, says that women with PCOS suffer from infertility, miscarriage or premature birth, sleep apnea, Type 2 diabetes, depression, eating disorders, and cancer (in the outer lining) in the worst cases. Since the exact cause of PCOS is unknown, women suffering from PCOS must consult a gynecologist at the earliest.

Can Diet help in Relieving PCOS?

Dr. Bhutani states that more than 85% of women with PCOS are obese. This additionally exposes them to risks of heart diseases, diabetes, high blood pressure, and cancer.

The reason is that women with PCOS have a potentially higher insulin level than the normal range. The body pumps more insulin to keep the blood sugar levels normal as your body becomes insulin resistant.

As the body becomes insulin resistant, a vicious chain circle is triggered. High insulin resistance means the body pumps more insulin and this implies that any food or diet rich in carbohydrates can add to insulin resistance making weight loss difficult.

Dr. Shivani insists on incorporating the right kind of food and a few lifestyle changes to keep PCOS-related health disorders at bay.

At EVA Hospital, she guides all her patients to stay active, eat well and focus on healthy body weight. Stress affects fertility and pregnancy and Dr. Shivani advises her patients with PCOS a stress-free lifestyle.

What are the Foods to avoid in PCOS?

The best gynecologist in Punjab, Dr. Shivani Bhutani will outrightly recommend you to avoid these three categories of food strictly:

Sugary Foods and Drinks

Sugar is a carbohydrate and must be avoided. Packed juices, sugary aerated drinks, and canned fruits are high in sugar.

You must avoid any kind of drink or snack that mentions sucrose, high fructose corn syrup, and dextrose on the label.

The delicious morning cereals like frosted flakes and fruit loops are also high in sugar. While at work, mid-meal munching should also be fresh fruits and water infused with fruits (for flavor).

You must also avoid giving in to the temptations of sweet tooth and pop in a chunk of candies, cakes, and cookies. No matter what the ingredients are, sugar is always a prime component. For PCOS, you must switch to snacks with fiber-like popcorns or vegetable crackers.

Foods rich in Carbohydrates

Dr. Bhutani emphasizes understanding the role of different types of carbohydrates on your body. Carbohydrates with fiber such as whole grains, fruits, and vegetables are the best to lower insulin levels.

However, carbohydrates infused with sugar will make you hungry very soon and enhance insulin levels. Foods such as starchy potatoes, corn, and peas must be avoided.

Even refined carbohydrates aggravate inflammation and insulin resistance and food items like white bread, muffins, breakfast pastries, and white flour-based products must be removed from your plate.

Whole grains like whole-wheat pasta, brown rice, oats, and whole wheat bread are a must-to-be incorporated into the diet.

You must also be able to differentiate between items that are high in carbohydrates but low in fiber. Pasta made from bean or lentil flour must be preferred over pasta made from semolina or durum wheat flour. Always insist on purchasing high-fiber cereals that have at least 5gm of fiber per serving.

Inflammation-causing Foods

It is mandatory to remove food items that cause inflammation from your daily consumption. Fries, margarine, processed foods, and red meats are a strict-to-avoid food category.

What are the Foods that Must be Included in the Diet for PCOS?

For women with PCOS, a balanced diet with high fiber foods and vegetables is quite essential. Foods like high fiber vegetables (broccoli, cauliflower, Brussels sprouts, green and red peppers, beans, almonds, berries, sweet potatoes, and pumpkin) help in keeping insulin resistance low by slowing down digestion.
Dr. Shivani highly recommends foods that reduce inflammation like tomatoes, kale, walnuts, fruits like blueberries and strawberries, and fatty fish like salmon and sardines rich in Omega-3 fatty acids.
It is also notable that sometimes patients prefer a high protein diet (like Atkin’s diet). But for women and teenagers with PCOS, this diet isn’t recommended because this type of diet is usually low in fiber content and vitamins like Vitamin B and C. You must also focus on the right diet to improve fertility.

PCOS can be frustrating and depressing at times. For the best guidance about diet and lifestyle changes, get in touch with Dr. Shivani Bhutani at EVA Hospital and seek help.

Eat healthily and be proactive in responding to the lifestyle changes so that PCOS doesn’t reflect on infertility and other diseases. Happiness is the cure to many diseases and adopts a lifestyle pattern that endorses happiness.

Eva Hospital

How to Choose Between IVF and IUI?

March 9, 2020
by Eva Hospital

The reason you are reading this blog is that infertility and motherhood are the two inverse terms that are bothering you right now.

You wish to parent a baby but the doctor labels your condition generically as ‘infertility’ and you are flummoxed for a while.

Dr. Shivani Bhutani, the leading gynecologist and fertility expert of Punjab, says infertility is on the rise as nearly one in every four couples find it difficult to conceive and plan a baby naturally.

She also encouragingly states that modern technology has brought Assisted Reproductive Techniques (ART) which take care of the woman’s egg and the embryo and even makes pregnancy possible even at the age of 40.

There are many techniques of ART treating differently. Out of all the ART options, IVF (In-vitro fertilization) and IUI (Intrauterine Insemination) are the most commonly sought-after techniques. The goal of both processes is the birth of a healthy baby; however, the treatment module is very different.

What is the difference between IVF and IUI?

In the process of IVF, the female is administered ovary stimulating medicines to increase the number of eggs. The doctors continuously monitor this with the help of blood tests and ultrasounds.

The doctor then retrieves the eggs (after they are mature) by inserting a fine needle through the vagina into the ovary.

The eggs are then fertilized with washed and prepared sperm using the conventional fertilization or the process of ICSI and the resulting embryo is then planted into the uterus.

The process of IUI or artificial insemination is the ART treatment where the woman is given the ovary stimulation medication just like in IVF.

The doctor injects the sperm directly into the woman’s uterus (using a thin catheter) during ovulation days. This leads to direct fertilization as there is a high concentration of healthy sperm close to the eggs.

IVF implies egg stimulation, retrieval, fertilization, and transfers whereas IUI decreases the sperm travel distance and is directly injected into the uterus. Both processes solve different infertility problems.

Which Process is More Suitable for You?

The best infertility expert of Ludhiana, Dr. Shivani Bhutani, EVA Hospital says there are success stories in both IVF as well as IUI.

She usually runs tests and advises potential treatment modules to her patients depending on the reasons for infertility.

A quick comparison between the two processes will give you a fair idea as to which process is more suitable for you:

Invasive and Complication

The technique of IUI is less invasive and can be performed during the natural cycle or with the help of a medicated cycle.

Also, the sperm is washed in IUI which means the ratio of motile sperm increases. In addition, the distance traveled by the sperm is cut down by directly inserting the sperm into the uterus; hence the chances of fertilization are better than the natural process.

The process of IUI is recommended to patients who, apart from having infertility issues, aren’t able to conceive because of other reasons- travel schedule, work schedule, or sexual dysfunction.

Insurance Cover

You have to consult your insurance company to check which treatment option is covered in insurance policies and you may decide accordingly.

Causes of Infertility

As said, IUI is suitable for patients with unexplained fertility issues. However, IVF is a more popular process for couples who face severe male infertility, couples with genetic disorders, women above 40, failure of IUI sessions, or patients with blocked Fallopian tubes.

Patients who have had miscarriages or multiple unsuccessful IUI cycles opt for IVF. Even patients with endometriosis are advised for IVF.

It is noteworthy that in IVF the embryo can be tested for chromosomal abnormality or any genetic disorder and only the best embryo can be transferred.

The costs of IVF would vary from clinic to clinic. EVA Hospital, Ludhiana, offers the most affordable and reliable IVF treatment.

Risks

Since the woman takes ovary stimulation medicines, there are chances of multiple pregnancies and the possibility of birth of twins or even more babies.

This may not sound threatening but it may bring potential danger to the lives of the mother and babies.

Choose the Best

For deciding whether IVF or IUI is better for you, get in touch with Dr. Shivani Bhutani, EVA Hospital, and ask her for suggestions.

With profound experience in infertility treatments and having helped infertile patients of even higher ages in delivering babies successfully, Dr. Shivani guides her patients with the most genuine advice.

Eva Hospital

What are Risks and Benefits of Social Freezing?

February 26, 2020March 30, 2024
by Eva Hospital

You will be surprised to know that men produce new sperm almost throughout their life but women’s fertility graph is almost hill-shaped; it increases as they grow and begins to deteriorate after their 35th birthday tentatively.

The egg cell is important for female fertility.

A unique egg reserve starts to form in the body of a new baby girl. As the girl grows, the majority of eggs are wasted in the process of growth and degeneration (apoptosis).

By the time of puberty, only about 4, 00,000 eggs are left and roughly only 300-500 eggs qualify for ovulation in the fertile years.

The regular menstrual cycle does not coincide with fertility and another fact is that fertility may terminate much before menopause sets in. This gave rise to the concept of Social Freezing where the woman could freeze the eggs at the most fertile period of her life to be able to get pregnant later.

What is Social Freezing?

Social freezing is like a new ray of hope for women who want to get pregnant. Women can lengthen their fertility period by getting the eggs (oocytes) frozen at the right age and time.

Fertility preservation or social freezing is gaining popularity as people are delaying childbirth for various inevitable and important reasons.

The oocytes or eggs are extracted, frozen, and stored. The women can choose to get the eggs thawed, fertilized and transferred to the uterus to get pregnant at any point in time in the future.

How does Social Freezing Happen?

Eggs (oocytes) are frozen using either a controlled rate (slow-cooling method) or the latest flash-freezing method called Vitrification. Vitrification is much faster but requires a high amount of cryoprotectants.

Also, vitrification has increased oocytes’ survival post-thaw and marked a significant improvement in pregnancy rates with social freezing.

The doctor first examines the ovarian reserve and the functioning of the woman’s ovaries. The process of retrieving and freezing the eggs takes about two weeks including hormone treatment and egg retrieval.

What are the Benefits of Social Freezing?

Egg freezing is a process carried on for more than three decades now. Social freezing is a boon for women who wish to get pregnant after 38 years of age. Following are the benefits of social freezing:

Pregnancy at Any Age

Social freezing has made pregnancy possible at an advanced age and avails the joys of parenting even after the 40s.

High Chances of Healthy Children

Social freezing reduces the chance of having children with chromosomal abnormalities considerably.

Egg freezing is considered a better and safer option than embryo freezing on social and moral grounds.

Who should opt for Social Freezing?

Women at all age groups prefer social freezing on account of the following important and unavoidable reasons:

Cancer Treatments

Women who have to face chemotherapies or cancer treatments prefer social freezing as the strong radiations tend to damage ovaries and the chances of healthy pregnancy go down.

Endometriosis

Women with severe endometriosis or any other autoimmune diseases opt for social freezing increasingly to be able to parent a child smoothly. Women with endometriosis prefer IVF for conception and pregnancy.

Pregnancy when prepared mentally

Work pressures, family stability, income status, or a rising career graph are some reasons when women tend to postpone family planning and having a baby. Social freezing gives them a chance to utilize their fertile eggs to get pregnant at any point in their lives when they are ready.

Suitable Partner

Sometimes women are unable to find a suitable partner and postpone the decision of having their own genetic baby till they find a suitable partner. Social freezing helps them to have their own baby when they are comfortable with a suitable partner.

What are the Risks of Social Freezing?

The best gynecologist and fertility expert of Punjab, Dr. Shivani Bhutani, EVA Hospital, states that the risks of social freezing are almost negligible.

Only one out of four women may report insignificant side-effects with social freezing.

There may be hormonal fluctuations temporarily with the medications and routine PMS-like symptoms such as mood swings, insomnia, headaches, or bloating.

Dr.Bhutani says that the side effects last only about 8-10 days till the time the medicines are injected. An experienced doctor will apprise you of the situation and make you comfortable.

Conclusion

With the scientific developments and technological advancements, social freezing has seen an upsurge in the process of postponing baby-making.

The success rates are high under the aegis of an experienced doctor like Dr. Shivani who is well-equipped with the best state-of-art facility to conserve and preserve eggs.

For more details or queries on social freezing, seek an appointment with Dr. Shivani and avail the benefits of social freezing at the right age.

Eva Hospital

What are the Precautions for a Female before an…

February 21, 2020March 30, 2024
by Eva Hospital

Motherhood and happiness are almost synonymous. If you are desperate for a child or plan to have a baby you will understand this feeling much better.

With almost 10%-15% of women finding it difficult to get pregnant, the infertility rates are bothersome and are further expected to rise because of the lifestyle and stress in today’s world.

With nearly 1 out of 8 women having difficulty in getting pregnant and giving birth to a child, infertility treatments are gaining popularity.

IVF or In-vitro fertilization is the most frequently chosen infertility treatment. In this procedure, the woman’s egg is fertilized with the sperm outside the uterus in a clinically controlled environment and the embryo is either frozen or transferred to the woman’s uterus.

IVF is a process of one or more cycles depending on the success of the treatment. With the increase in the number of cycles, the costs also rise.

It is natural for a couple to be anxious, disturbed, or full of emotions because of uncertainty and the rising costs of IVF.

Dr. Shivani Bhutani is a leading infertility expert of Punjab and she suggests that for the success of IVF, the man and the woman must prepare their bodies and mind almost three months prior to the treatment.

5 Precautions for the Female before the IVF Process

Women have to go through a lot during the ‘pregnancy trying’ phase. Dr. Shivani from EVA Hospital says that stress is one major reason for the difficulty in pregnancy.

She lists a few dos and don’ts for success in IVF. Here is a list of precautions that a female must follow from almost three months prior to IVF:

1. Pregnancy Booster Diet

A healthy diet full of vitamins, fiber, and nutrients is a must before an IVF. Dr. Shivani endorses a Mediterranean diet to her patients. She insists on including plant-based colorful fruits and vegetables on the plate.

Mediterranean diet is proved to enhance the chances of IVF pregnancy in non-obese women below 35 years of age. Even the male partner should follow certain precautions and focus on this diet for enhanced sperm production.

The couple should introduce lean protein (fish, poultry), whole grains (like quinoa, whole-wheat pasta), and legumes like beans, chickpeas, lentils in the diet on a regular basis. You must switch to low-fat dairy products and incorporate nuts and seeds in the diet for their high nutritional value.

You must strictly avoid red meat, sugar, refined grains, and other packaged and processed foods. IVF will be successful sooner if you follow the right type of diet.

2. Work out and Exercise

You may be caught in the battle of to-exercise or not-to-exercise as according to you it may harm the IVF treatment. However, Dr. Shivani has tremendous experience in infertility and she strongly recommends continuity in the fitness regime. Yoga, swimming, and walking are strongly recommended. You must seek permission from your doctor before speedrunning or hitting the gym.

3. Avoid Chemicals and Certain Medications

Certain chemicals can disrupt the functioning of the endocrine and are usually found in regular routine products. Some of them are:

Formaldehyde (found in nail polish)
BPA and other phenols (found in food packages made of plastics)
Parabens (found in commonly used items like cosmetics, lip balms, moisturizers, and soap)
Perfluorinated compounds (found in most commonly used non-stick pans and stain-resistant materials), etc.

These are a few chemicals that are found in items of daily use and a strict note must be made of the same.

Dr. Shivani also recommends against the use of certain medications and the doctor must be apprised of the use of the same. Some such drugs are listed below:

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) such as Aspirin, Ibuprofen found in Advil, Combiflam, etc.
Anti-depressant medicines
Steroids for asthma or any other purpose
Thyroid Medications
Chemotherapy Drugs
Certain skin products which contain estrogen and progesterone

Your gynecologist must be aware of medications of any type that you have been taking.

4. Induce the Intake of Supplements

Supplements nurture the body and help in supporting pregnancy. Pre-natal vitamin-Folic acid is a must to include in your daily regime almost two to three months before IVF and pregnancy. It is an essential vitamin for the brain and body of the fetus. Also, Dr. Shivani recommends fish oil and supplements of Vitamin D after consulting the doctor. Supplements support the strong health of the mother and the fetus alike.

5. Rest, Sleep and Stay Stress-Free

A stress-free lifestyle and mind are likely to get pregnant faster. So the doctors advocate seven to eight hours of sleep daily along with a stress-free lifestyle. Both the man and the woman must incorporate activities like yoga and meditation for enhancing fertility and calmness in mind and relationship.

Before bedtime, you may listen to soft music or read a light book and limit the screen-time almost an hour before sleep. These activities are likely to increase the happiness quotient and can make your lifestyle stress-free.

Over to You

Pregnancy and IVF are no rocket science. Dr. Shivani, the best fertility expert in Punjab, states that incorporating some lifestyle changes and a positive frame of mind are quintessential for a successful IVF and pregnancy.

For any kind of advice or prenatal consultation, get in touch with Dr. Shivani at EVA Hospital, Ludhiana, and enjoy your way to parenthood.

IVF

Can Smoking affect Fertility?

February 11, 2020March 30, 2024
by Eva Hospital

If fertility and making a baby are at the top of the priority chart for you at the moment, you must have shifted to healthy food and exercises and loaded up vitamins and folic acid on your plate. Having tried all that you could, you are still finding getting pregnant impossible each month. Before one gets frustrated, check for the silent damage invigorator- Smoking.

You may be an active smoker or a passive smoker and you haven’t realized that smoking affects fertility and the pregnancy adversely. Both men and women are worse affected by smoking and if you want to get pregnant, both must quit smoking. Easier said than done but smoking is a silent culprit affecting your eggs, sperms, fertility and delays pregnancy.

Can Smoking by my Partner affect Pregnancy?

Smoking affects the rate of conceiving even if one or both the partners are smoking. The couple will have some irreversible fertility issues and are likely to take much longer to get pregnant. The chemicals in cigarettes and alcohol affect the quality of eggs and sperms and make them incapacitated to fertilize.

Dr. Shivani Bhutani, the best infertility expert of Punjab, states that there is no limit to smoking and any amount of smoking will affect the fertility rate and pace. She even insists that women who are exposed to a smoking atmosphere (passive smokers) damage the pregnancy and the health of the unborn babies as much as a smoker.

What are the Side-Effects of Smoking in Fertility and Pregnancy?

A couple who smokes will take much longer to conceive than non-smokers with similar given conditions. The chemicals in a cigarette- nicotine, carbon monoxide, and tar affect the health of the unborn baby as well as the immunity of the baby after birth.

Following are the ill-effects of smoking on pregnancy:

Miscarriage: This is a common sight for people who smoke. Losing a baby in the first three months of pregnancy or even after 20 weeks of gestation (stillbirth) can be wrecking for the couple and can torment them enough.
Placenta Previa: A low lying placenta may cause miscarriage or covers the cervix partially or fully. The placenta usually tears in such cases and causes excessive bleeding and the fetus shall be deprived of the necessary oxygen and nutrients.
Miscarriage and Still Childbirth: The termination of pregnancy at any stage can be tormenting for the couple and chances of miscarriage are higher if either or both the partners smoke. Smoking couples have also reported a higher chance of stillbirth after 20 weeks of pregnancy. The harmful chemicals cause irreversible damage to the body which may lead to miscarriage and stillbirth.

Placental Abruption: The placenta is the life-support system of the fetus and provides it with essential nutrients and oxygen. If the female smokes or is exposed to passive smoking, chances of placental abruption are high. The placenta separates from the uterus before childbirth and this puts the life of both the mother and child in danger. This also causes enormous blood loss and cannot be stitched back. Hence smoking causes acute damage to pregnancy.

Ectopic Pregnancy: This is a life-threatening situation where the fallopian tubes have contracted due to smoking. Consequently, the embryo cannot pass through fallopian tubes, and the fertilized egg implants outside the uterus or in the abdomen. As a result, the pregnancy has to be terminated timely.

Low-weight Birth or Pre-term Birth or Birth Defects: Having a child is a blessing but with parents who smoke, chances are that babies are born prematurely with low weight and low immunity.
Moreover, the chances of health risks like mental disability, visual and hearing impairments, learning, and behavioral problems in kids are on the rise as a result of excessive smoking by parents.
Not only this, even anomalies like congenital birth defects and heart problems can be attributed to the genes of smokers.

What is Worse- Smoking by Man or Woman?

Smoking by both the man and woman affect pregnancy and delivery in an adverse manner. The infertility ratio in both men and women doubles up if they are smokers. Dr. Bhutani laments that even treatments like IVF may not be fully successful in overcoming the damages done by smoking.

Erectile dysfunction and pregnancy delays are the direct ill-effects of smoking. Smoking is equally bad for both men and women. Smoking attacks on all sides- the uterus and it’s inside where the baby grows, the chromosomes of the baby, hormone levels of man and woman, and the fertilized egg’s pace to reach the uterus.

Following are the adverse effects of smoking in men:

Men who smoke face more problems in getting erections.
Sperm usually takes three months to mature and smoking damages the DNA of the sperm which has to be passed on to the babies.
Children of heavy smokers are more susceptible to severe health ailments like leukemia.

Following are some irreversible damages done by the cigarettes in a woman’s body:

The chances of miscarriages, stillbirth, low weight birth, or premature delivery increase manifold times in the case of women who smoke.
Active or passive smoking affects the ovaries and organs of the newborn baby.

Last Words

Smoking has detrimental effects on pregnancy. It may affect either the man’s sperms or the woman’s eggs and cause severe health troubles to the baby as well. Dr. Shivani Bhutani, leading infertility expert of Punjab from EVA Hospital, strictly recommends quitting smoking at least three months before planning a baby. For any queries or genuine advice on pregnancy, infertility, and planning a baby, get in touch with Dr.Bhutani.

IVF

What are the Chances of Multiple Pregnancy in IVF?

January 31, 2020March 30, 2024
by Eva Hospital

Having a baby is bliss and having twins can be rightly proclaimed as ‘double bliss’. IVF (In-vitro Fertilization) is the process of assisting people with complex fertility issues or genetic issues or those who wish to have a family beyond 40 years of age.

This medical development is a blessing in more than ways and has benefitted hundreds of thousands of couples to plan a family.

The process of IVF implies the mature eggs are collected from the ovaries and fertilized with sperm outside the female womb under controlled clinical conditions. The fertilized eggs or embryos are then transferred to the uterus. This is a process of about three weeks where there are chances of having twins or more babies.

What are the Chances of Multiple Pregnancies?

Studies have proved that women who give birth with IVF have chances of multiple pregnancies at a higher rate than women who conceive naturally. While natural conception may tantamount to 2% chances of twin pregnancies, the same is more than 40% in the case of IVF pregnancies. In fact, it is estimated that one out of five IVF pregnancies may result in twins.

More than one embryo is transferred at one time in the IVF cycle. Dr. Shivani Bhutani, leading gynecologist and infertility expert of Punjab says that embryos have chromosomal abnormalities which may make them unviable. So the fertility experts transfer multiple embryos to increase the chances of a successful pregnancy.

Even if the doctor implants one embryo, the chances are the embryo splits into two zygotes (called monozygotic) or there may be two eggs (called dizygotic) where two or more than two embryos are planted in the uterus.

What are the Reasons for Opting for Twin Pregnancies?

One IVF cycle is the process of about three weeks. Due to several reasons patients are opting for IVF multiple pregnancies because of the following reasons:

Age of the Patient

Patients at higher age are at higher risk of infertility. To safely attain pregnancy at the earliest, the doctor may have to transfer more than one embryo to the womb.

A Complete Family

The patient may opt for twins to get the pleasure of a complete family of two children in one IVF cycle.

IVF Cost

Sometimes the patient feels that the cost of having two babies would double. So they prefer to opt for twins to get the benefit of ‘two children at the price of one. This would prevent the costs of new IVF cycles for the second pregnancy.

Strong Desire to have Twins

Some patients opt for IVF to be blessed by twins. It is their dream to raise two kids together so that the kids can play and grow up together.

Your body type, family history, age, and previous pregnancy record are a measure of success in twin pregnancy in IVF. IVF is a blessing in more than one way and the fact that twin births are possible is an additional benefit.

Are there any Risks with Multiple Pregnancies?

There may be risks attached to multiple pregnancies. The following can be risks to both the mother and the child:

Premature Birth/ Low Weight Birth/Fetal Demise

The birth of the twins can be challenging. More than 50% of twins are born prematurely and sometimes the complications in delivery may lead to the fatal demise. At times low weight babies are born, e.g., twins born before 32 weeks can be around1.6 kg in weight.

Preeclampsia

A deadly combination of high blood pressure, swelling in the body and increased protein in the urine are all a part of the risks of twin pregnancy.

Gestational Diabetes

This is the type of diabetes developed during pregnancy and can cause difficulties during vaginal birth in terms of breathlessness in the mother and seizures and jaundice in babies.

High rate of Caesarian Birth

Twin pregnancy calls for a caesarian section in most cases. C-section takes a longer recovery time than a vaginal birth and the chances of hemorrhaging during delivery are also higher.

How can you Minimize Risks during Multiple Pregnancy?

Now the technology has made it easier to identify and transfer a high-quality embryo for a better success rate. You may choose to transfer a single embryo and freeze the rest embryos for future cycles.

The Embryo-scope is a special incubator where you can choose the healthiest embryo for transfer. This is called time-lapse photography. The best chances of healthiest pregnancy can be assured with the machine-learning algorithms pointing to crucial timings such as cell splitting which can judge the positive or negative outcomes.

The poor quality embryo can cause the pregnancy to be hampered at the cost of healthy embryos. So Dr.Bhutani insists on selecting the embryos of the highest quality for her patients.

Last Words

Like no two pregnancies are the same, similarly, no two IVF cycles are the same. There is no ‘one-suits-all’ strategy and let the doctor decide on a single transfer vs. the multiple transfers to ensure a healthy pregnancy. The best infertility doctor in Punjab, Dr. Shivani Bhutani, EVA Hospital specializes in taking the utmost care of her patients in case of multiple pregnancies and closely monitors the early pregnancy to delivery with proficiency and dexterity. Contact her for a healthy pregnancy, healthy mother, and healthy babies.

IVF

5 Precautions for Male before IVF Process

January 20, 2020March 30, 2024
by Eva Hospital

Parenthood is bliss and when the data says that nearly 1 out of every 8 women have difficulty in getting pregnant, you may have a gloomy face. However, Assisted Reproductive Techniques (ART) have come as an aid for childless couples to have babies.

The success rate of IVF is as high as 45% for women under the age of 35, while it is 15% for women over the age of 42. Is it the woman alone who is concerned? Unfortunately, NO. Even male is equally responsible for the success of IVF.

IVF or the In-Vitro Fertilization may have to repeat for patients who do not achieve success in the first attempt.

Punjab’s best infertility clinic EVA Hospital is the most reputable and the most reliable in diagnosing the reasons for infertility and successfully carrying out IVF.

Dr. Shivani Bhutani emphasizes that both the male and the female have to start taking precautions for almost two to three months before getting an IVF done.

What are the Precautions for Male partners before IVF Process?

IVF can be expensive and stressful if the first attempt is not successful. So it is the duty of the baby’s half genetic donor to take care of himself. The production, maturation, and ejaculation of the sperm take around 42 to 76 days.

To enhance fertility and increase sperm production in the male, he should start at least 2-3 months prior to the IVF.

Dr. Shivani Bhutani, the best IVF specialist in Punjab, lists certain precautions to be followed by the male:

1. Say No to Alcohol, Plastic cans, and Smoking

Alcohol and smoking are known to reduce sperm count and damage sperm quality. An unhealthy sperm is a reason for damaged DNA or even miscarriages. So avoid smoking and drinking at least three months before considering IVF.

You must also avoid Teflon-coated pans, eating hot food in plastic containers and heating food kept in plastic wrappers.

2. Intake Fertility-Specific Diet

The nutritional value of food must be taken into account as it lays a strong base for fertility and sperm health. Every cell and DNA is comprised of the quality of food intake. So the right kind of diet has a vital role in fertility. You must start consuming the following foods:

Oranges, tomatoes, broccoli, and Brussels sprouts (Vitamin C helps in sperm motility, sperm count, and morphology)
Dark and green leafy vegetables like asparagus, sprouts, spinach which are rich in folate (Vitamin B)
Dark chocolate (rich in amino acids)
Oysters and Pumpkin Seeds (highly rich in zinc)
Salmon and Sardines (rich in Omega-3 fatty acids)
Pomegranate Juice (Improves testosterone levels)

The thumb rule is to include all colors of vegetables and fruits on your plate and stay hydrated all the time.

3. Have a Stress-Free Life

Indulge in activities like yoga, walking, acupuncture, and meditation to stay away from stress. The daily routine chores along with an added stress of IVF can induce hormones called cortisol which inhibit the production of male sex hormones- GnRH (Gonadotropin-releasing hormone).

You must not be vulnerable to stress and make sure you cherish the mental relaxation activities.

4. Load up the Multi-Vitamins

Antioxidants should become a major part of the diet. Antioxidants have innumerable benefits- improve sperm motility, improve live sperms, reduce the chances of DNA being altered by free radicals and increase the chances of successful conception.

The mineral Zinc should mandatorily become a part of the daily routine. Zinc helps in the formation of sperm and sperm motility. Also, you must start taking whole food multivitamins that are easy to absorb and digest.

5. Exercise

Exercise has its own benefits in IVF. Enroll in a gym, yoga, or any other fitness activity and get the body moving.

This helps to keep the body fit, cleanses and detoxifies the body, relieves stress, and reduces depression.

Fertility yoga is a great way to fitness as well as prepare the body for having a baby.

Last Words

Cleansing and detoxifying the body of toxins and endorsing strong liver health are the main concerns of fertility experts.

As a man, you should be able to give the best to your family and child. So taking care of your body is quintessential for a healthy baby as you are half the genetic composition of your future baby.

For any details or queries meet the best fertility advisor, Dr. Shivani Bhutani at EVA Hospital for the most genuine advice and start your way to happy parenthood.

IVF

5 Myths and Facts about Test Tube Baby Treatment

December 26, 2019March 30, 2024
by Eva Hospital

The process of IVF or in-vitro fertilization has come by far and has helped millions of couples have a baby of their own. IVF may not have had acceptance much earlier but with the increase in a number of infertility cases, the process is now widely acclaimed and accepted. Young couples now actually seek information and the gynecologist’s help to make babies with test-tube baby treatment.

In the process of IVF, the egg is combined with sperm outside the female womb and the fertilization takes place in a controlled environment in a test tube, hence the term test-tube baby. After the embryo is formed, it is transferred to the woman’s uterus and the fertilization process continues as usual.

5 Myths Busted about Test Tube Baby

The procedure of IVF or test-tube babies is often seen with a doubtful eye and is fraught with misconceptions. Here are a few common myths about test-tube babies and their realities:

1. Test Tube babies are born with Malformations and Weakness

IVF or the in-vitro fertilization is an absolutely safe procedure as fertilization takes place in a controlled environment. The risk of having a baby with defects or malformations in IVF is same as that in normal pregnancy. The first-ever test-tube baby was born in 1978 and the process has come a long way since then.

Hardly 2% of patients may have a chance of suffering from ovarian-hyper stimulation syndrome. As far as the baby is concerned, there is no reason for the baby to be infected with deformities.

2. The Sex of the baby can be Chosen

IVF follows strict protocols and the rules are abiding for all the doctors. The doctor may, however, consider gender detection in case there is a risk of the patient transferring gender-specific genetic disease. The process of pre-implantation genetic diagnosis (PGD) or pre-implantation genetic screening (PGS) is very expensive to determine the sex of the baby.

Apart from this Dr. Shivani Bhutani, an ace gynecologist in Punjab says having a baby is the foremost concern of childless couples and the sex of the baby doesn’t matter.

3. Test Tube Babies are Artificial or Designer babies

A very common misconception is that one can choose specific baby traits and have a customized baby. Dr. Shivani totally opposes this and says that in the process of genetic selection the healthy embryos are selected and not specific genes or characteristics.

IVF is not a process of the characteristic catalog where traits can be chosen. Test tube babies are as normal and natural as normal pregnancy babies.

4. Test Tube Babies are a legacy of the Rich and Famous

IVF is an expensive process because of the controlled environmental conditions and procedural requirements. However, the costs of IVF haven’t been rising making it affordable for many couples. The last few years have seen a whopping upsurge in couples seeking cutting-edge IVF treatments.

5. Test Tube Babies are Infertile

Dr. Shivani rules out this myth completely saying test tube baby treatment is sought by couples who have reproductive problems or when age is a factor. This does not mean that genetic infertility is transferred to the off-springs. Test tubes babies are as normal and healthy as naturally conceived babies.

Conclusion

IVF is a life-changing phenomenon for those who have always wanted to parent a baby. For any doubt or query contact Dr. Shivani Bhutani, Eva Hospital, and get an opinion based on facts and truths regarding IVF pregnancies and test-tube babies. Let IVF help you build an ideal family with big smiles.

IVF

How quickly can you Expect to get Pregnant?

December 10, 2019March 30, 2024
by Eva Hospital

Your world changes the moment you think of planning a baby. Getting pregnant becomes the most prior thing once the idea of entering the threshold of motherhood enters your mind. The factors which determine the time it takes to get pregnant are usually age, well-timed intercourse, and a body ready to accept the pregnancy.

What is the best time for intercourse to get Pregnant?

Best time to get Pregnant: Some women get pregnant very quickly. Nearly 1 out of every three women can get pregnant within a month if they time the intercourse around ovulation days.

Ovulating days or fertile days have to be calculated and having unprotected intercourse during the fertile days increases your chances of getting pregnant.

It is important to know when you ovulate each month to get pregnant quickly. Dr. Shivani Bhutani, the leading infertility expert of Punjab, says that having unprotected intercourse on the days of ovulation leads to the best results.

Ovulation happens 10 to 16 days before the start of your next period. This will help you determine the cycle length before planning pregnancy. When an egg is released from the ovary, calculate the day before that and the day after that as the most fertile days.

Some factors that may help you calculate Ovulation are:

Release of Eggs

The egg lives for nearly 12-24 hours after it is released and if it comes in contact with the sperm during this time, you can get pregnant instantly. You may also note that the life of the sperm is about 5 days inside a female body and if intercourse takes place around the ovulation days, chances are that sperm in the body can fertilize the eggs.

Body Temperature

Note your body temperature each morning when you wake up and you will notice a rise of about 0.2 degrees Celsius when the ovulation has taken place. Though this is not a conclusive means to get pregnant, yet you may monitor body temperature to assess the fertile window.

Changes in Mucous

A sticky, white mucus is secreted by the cervix throughout the menstrual cycle. Gauge the secretion and as it becomes thinner, clearer and increases in secretion, ovulation is either going to start or it is going on. The best time to have intercourse or the ‘peak day’ is when you experience the wetter secretions.

There is an ovulation test kit that also detects a particular hormone in urine that signifies the onset of ovulation. After you calculate ovulation, the position of intercourse will also determine how quickly the sperm and the egg can mate.

The man should be able to ejaculate sperm into the vagina and the position of the intercourse doesn’t matter. However, it is advisable that the woman raises her leg upwards for a while post-intercourse so that the sperm can travel to the womb and is not ejected from the body.

How long will it take to get Pregnant?

If you have had regularly unprotected (without the use of contraceptives or condoms) vaginal intercourse every two to three days, the chances are that under the age of 40, more than 8 out of every 10 women can get pregnant within one year. 90% of the couples can conceive within 2 years of unprotected intercourse.

The age of the couple is very significant. Beyond 35 years of age, the fertility quotient goes lower. The number of eggs and sperm production decreases with increasing age. Beyond 40 years of age, you may be advised of particular fertility treatments.

You must seek advice from the best gynecologist around you if you do not get pregnant within one year of unprotected intercourse at the time of ovulation. Dr. Shivani says, stressing too much about getting pregnant also delays your chances of getting pregnant. So you must enjoy and have stress-free intercourse while you plan a baby.

The doctor will analyze the causes of your not getting pregnant and thus may vary with age, fertility timings, weight, infertility symptoms, or maybe just a ‘matter of time’.

Last words

Dr. Shivani from EVA Hospital advises women to be active, have a normal weight, avoid alcohol and smoking, and follow a healthy, balanced diet to get pregnant quickly.

A healthy body with a stress-free mind has better chances of conception. For any queries or suggestions to get pregnant quickly, contact Dr. Shivani Bhutani for the most genuine advice.

Tag: <span>ivf</span>

ivf

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5 Precautions for the Female before the IVF Process

Over to You

Can Smoking by my Partner affect Pregnancy?

What are the Side-Effects of Smoking in Fertility and Pregnancy?

Following are the ill-effects of smoking on pregnancy:

What is Worse- Smoking by Man or Woman?

Last Words

What are the Chances of Multiple Pregnancies?

What are the Reasons for Opting for Twin Pregnancies?

Age of the Patient

A Complete Family

IVF Cost

Strong Desire to have Twins

Are there any Risks with Multiple Pregnancies?

Premature Birth/ Low Weight Birth/Fetal Demise

Preeclampsia

Gestational Diabetes

How can you Minimize Risks during Multiple Pregnancy?

Last Words

What are the Precautions for Male partners before IVF Process?

1. Say No to Alcohol, Plastic cans, and Smoking

2. Intake Fertility-Specific Diet

3. Have a Stress-Free Life

4. Load up the Multi-Vitamins

5. Exercise

Last Words

5 Myths Busted about Test Tube Baby

1. Test Tube babies are born with Malformations and Weakness

2. The Sex of the baby can be Chosen

3. Test Tube Babies are Artificial or Designer babies

4. Test Tube Babies are a legacy of the Rich and Famous

5. Test Tube Babies are Infertile

What is the best time for intercourse to get Pregnant?

Some factors that may help you calculate Ovulation are:

Last words