In Vitro Fertilization: IVF|Nidanchildcare

IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish, and then transferring the embryo to the uterus.

In Other Word:

In Vitro Fertilization is a one assisted reproductive technology (ART) commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish, and then transferring the embryo to the uterus. Other forms of ART include gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT).

IVF can be used to treat infertility with the following patients:

• Blocked or damaged fallopian tubes
• Male factor infertility including decreased sperm count or sperm motility
• Women with ovulation disorders, premature ovarian failure,uterine fibroids
• Women who have had their fallopian tubes removed
• Individuals with a genetic disorder
• Unexplained infertility

 Five basic steps in the IVF and embryo transfer process:

1. Monitor and stimulate the development of healthy egg(s) in the ovaries.
2. Collect the eggs.
3. Secure the sperm.
4. Combine the eggs and sperm together in the laboratory and provide the appropriate environment for fertilization and early embryo growth.
5. Transfer embryos into the ute

Side effects of  in vitro fertilization

 Although you may need to take it easy after the procedure, most women can resume normal activities the following day.

• Passing a small amount of fluid (may be clear or blood-tinged) after the procedure
• Mild cramping
• Mild bloating
• Constipation
• Breast tenderness

following symptoms, call your doctor immediately:

• Heavy vaginal bleeding
• Pelvic pain
• Blood in the urine
• A fever over 100.5 °F (38 °C)

More Detail Contact NidanChildcare

MTP-Medical Termination of Pregnancy|Nidanchildcare

MTP is Medical Termination of Pregnancy. It also called induced abortion. It is the medical way of getting rid of unwanted pregnancy. Any qualified gynecologist (MD/DGO) can perform MTP. Any MBBS Doctor, who has obtained training in MTP, is allowed to perform this procedure. However, MTP should always be performed at a place recognized by government authorities.

Following are the Indications for Medical Termination of Pregnancy

• Failure of contraception.
• Possible hazards on physical/mental health of the mother.
• Pregnancy caused by rape.
• Possible hazard to the health of growing fetus.

Medical Termination of Pregnancy is legally permitted up to 20 weeks of gestation. Pregnancy termination performed in first trimester is safer than in second trimester since it has fewer complications. It is illegal to perform MTP after determining sex of the child as Government of India has banned sex determination.

Complications of Medically Terminated Pregnancy
Medical Termination of Pregnancy(MTP) is a procedure that is carried out under anesthesia & increases the risk for the procedure. Patient can have lot of bleeding during & after the procedure. There are high chances of patient having recurrent abortions. Rarely, patient may not conceive again if infection sets in.

What is a Pediatric Pulmonologist| Dr Rajeev Ranjan

If your child has breathing problems, or a problem with his or her lungs, a pediatric pulmonologist has the experience and qualifications to treat your child. Pediatric pulmonologists diagnose, treat, and manage children from birth to 21 years old with breathing and lung diseases.

What Types of Treatment Do Pediatric Pulmonologists Provide

Pediatric pulmonologists often treat children with the following conditions:

• Chronic cough
• Difficulty breathing
• Recurring pneumonia (infection of the lungs)
• Asthma (chronic inflammation of the airways)
• Cystic fibrosis (a genetic disease with pulmonary and nutritional symptoms)
• Apnea (when a child’s breathing stops for a prolonged time)
• Chronic lung disease in premature infants
• Noisy breathing
• Conditions that require special equipment to monitor and/or help with breathing at home

Pediatric Pulmonologists — The Best Care For Children

Children and teens are not just small adults. Their bodies are growing and have unique medical needs. They usually express their concerns differently than adults do and cannot always answer medical questions. Pediatric pulmonologists know how to examine and treat young children and teens in ways that help them relax and cooperate. Most pediatric pulmonologist offices are arranged and decorated with children in mind.

If your pediatrician or family doctor suggests that your child needs to see a pediatric pulmonologist, you can be assured that your child will receive the best possible care.

To find a pediatrician or pediatric specialist in your area, contact.

Managing a High-Risk Pregnancy|Dr. Manisha Ranjan

Pregnancy-related issues. Often a pregnancy is classified as high risk because of issues that arise from the pregnancy itself and that have little to do with the mother’s health. These include:

Premature labor is labor that begins before 37 weeks of pregnancy:-

Although there is no way to know which women will experience preterm labor or birth, there are factors that place women at higher risk, such as certain infections, a shortened cervix, or previous preterm birth.

Multiple births means you are carrying more than one baby (twins, triplets, quadruplets, etc.).

Multiple pregnancies, which are more common as women are using more infertility treatments, increase the risk of premature labor, gestational diabetes, and pregnancy-induced high blood pressure.

Placenta previa is a condition in which the placenta covers the cervix.

The condition can cause bleeding, especially if a woman has contractions. If the placenta still covers the cervix close to delivery, the doctor may schedule a cesarean section to reduce bleeding risks to the mother and baby.

Fetal problems, which can sometimes be seen on ultrasound.

Approximately 2% to 3% of all babies have a minor or major structural problem in development. Sometimes there may be a family history of fetal problems, but other times these problems are completely unexpected.

Even if you don’t have an existing health problem, many doctors recommend a preconception appointment with your health-care provider to ensure you are as healthy as you can be before you become pregnant. At this appointment your doctor may recommend steps you can take to reduce the risk of certain problems. These include:

• Getting at least 400 micrograms of folic acid, beginning before and continuing through pregnancy
• Getting proper immunizations
• Eating a healthy diet and maintaining proper weight
• Getting regular physical activity, unless advised otherwise by your doctor
• Avoiding cigarettes, alcohol, and drugs (except for medications approved by your doctor)
• See your doctor regularly

If your pregnancy is considered high risk, your doctor may refer you to a perinatologist. Also called a maternal-fetal medicine specialist, a perinatologist is an obstetrician with special training in high-risk pregnancy care. This specialist will work with your other doctors, nurses, and other health-care professionals to ensure the best possible outcome for both you and your baby.

precautions during Pregnancy|Dr Manisha Ranjan

precautions during Pregnancy|Nidan Mother & Child care

Pregnancy and motherhood care are universal experiences that are unique to every woman. During pregnancy with all that love, care & affection from all over comes some spontaneous advices as well. Everyone you meet will feel free to give you advice on pregnancy- What to eat, How to live etc. However, some of those advices are neither scientific nor safe. So here, we are bringing you some precautions to be taken care of during pregnancy to make your journey of pregnancy happy and healthy for you & your expected baby.
Avoid Bad Habits of Smoking & Alcohol Consumption:
You can give right head start for your baby by taking right nutritional food during pregnancy. Woman’s good health is very essential for the good health of her baby. Healthy lifestyle will directly affect the health of the growing foetus. During pregnancy, you are eating for two . So it is very crucial to eat healthy and cut off your bad habits, like smoking & alcohol consumption. Because there are evidences that have proven that smoking is counterproductive in pregnancy & passive smoking is equally harmful. Consumption of alcohol during pregnancy can lead to growth retardation & malformation in the growing foetus
Avoid Analgesics & Vitamin A based supplements:
There are some research based evidences that certain unguided drugs such as analgesics & vitamin A based supplements can lead to certain birth defects. It is essential not to take any medicine without the consultation of your concerned doctor.
Avoid Exposure to Hair dryer, Microwaves, Electric Blankets:
Various studies have revealed that exposure to electromagnetic waves through electrical appliances are harmful to human health. Studies have shown that excessive exposure to electrical appliances such as oven, hair dryer, microwave, etc can lead to asthma problems to the expected baby.
Limit Caffeine:
Although many people around you will keep on suggesting you never cut down your tea and coffee intake pregnancy, but the fact is you should avoid consuming any drinks containing caffeine. It has been proven through studies that caffeine consumption can increase the risk of miscarriage.

Ward off Fast foods:
Fast foods are low in fibre & loaded with salt, sugar and fat. Fibre is essential nutrition for energy and also it helps in smooth bowel moments. Putting pressure on your bowel movements during pregnancy may rupture the fetal bag which results in termination of the pregnancy. Also, excess of fats and sugar will directly go to the baby, which can make them obese, or they can develop associated health disorders later in their growing years.
Healthy food and a few precautions can make your journey of pregnancy happy and healthier for you and your expected one.
If you are looking for any expert gynaecological advice during the pre & post natal period, feel free to explore the network of prominent doctors available on www.Nidanchildcare.com based on your preferred location, 

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How Asthma Treated and Controlled|Dr Rajeev Ranjan

Asthma is a long-term disease that has no cure. The goal of asthma treatment is to control the disease. Good asthma control will:

• Prevent chronic and troublesome symptoms, such as coughingand shortness of breath
• Reduce your need for quick-relief medicines (see below)
• Help you maintain good lung function
• Let you maintain your normal activity level and sleep through the night
• Prevent asthma attacks that could result in an emergency room visit or hospital stay

To control asthma, partner with your doctor to manage your asthma or your child’s asthma. Children aged 10 or older—and younger children who are able—should take an active role in their asthma care.

Taking an active role to control your asthma involves:

• Working with your doctor to treat other conditions that can interfere with asthma management.
• Avoiding things that worsen your asthma (asthma triggers). However, one trigger you should not avoid is physical activity. Physical activity is an important part of a healthy lifestyle. Talk with your doctor about medicines that can help you stay active.
• Working with your doctor and other health care providers to create and follow an asthma action plan.

An asthma action plan gives guidance on taking your medicines properly, avoiding asthma triggers (except physical activity), tracking your level of asthma control, responding to worsening symptoms, and seeking emergency care when needed.

Asthma is treated with two types of medicines: long-term control and quick-relief medicines. Long-term control medicines help reduce airway inflammation and prevent asthma symptoms. Quick-relief, or “rescue,” medicines relieve asthma symptoms that may flare up.

Your initial treatment will depend on the severity of your asthma. Followup asthma treatment will depend on how well your asthma action plan is controlling your symptoms and preventing asthma attacks.

Your level of asthma control can vary over time and with changes in your home, school, or work environments. These changes can alter how often you’re exposed to the factors that can worsen your asthma.

Your doctor may need to increase your medicine if your asthma doesn’t stay under control. On the other hand, if your asthma is well controlled for several months, your doctor may decrease your medicine. These adjustments to your medicine will help you maintain the best control possible with the least amount of medicine necessary.

Asthma treatment for certain groups of people—such as children, pregnant women, or those for whom exercise brings on asthma symptoms—will be adjusted to meet their special needs.

Medicines

Your doctor will consider many things when deciding which asthma medicines are best for you. He or she will check to see how well a medicine works for you. Then, he or she will adjust the dose or medicine as needed.

Asthma medicines can be taken in pill form, but most are taken using a device called an inhaler. An inhaler allows the medicine to go directly to your lungs.

Not all inhalers are used the same way. Ask your doctor or another health care provider to show you the right way to use your inhaler. Review the way you use your inhaler at every medical visit.

Long-Term Control Medicines

Most people who have asthma need to take long-term control medicines daily to help prevent symptoms. The most effective long-term medicines reduce airway inflammation, which helps prevent symptoms from starting. These medicines don’t give you quick relief from symptoms.

Quick-Relief Medicines

All people who have asthma need quick-relief medicines to help relieve asthma symptoms that may flare up. Inhaled short-acting beta2-agonists are the first choice for quick relief.

These medicines act quickly to relax tight muscles around your airways when you’re having a flareup. This allows the airways to open up so air can flow through them.

You should take your quick-relief medicine when you first notice asthma symptoms. If you use this medicine more than 2 days a week, talk with your doctor about your asthma control. You may need to make changes to your asthma action plan.

Carry your quick-relief inhaler with you at all times in case you need it. If your child has asthma, make sure that anyone caring for him or her has the child’s quick-relief medicines, including staff at the child’s school. They should understand when and how to use these medicines and when to seek medical care for your child.

Record Your Symptoms

You can record your asthma symptoms in a diary to see how well your treatments are controlling your asthma.

Asthma is well controlled if:

• You have symptoms no more than 2 days a week, and these symptoms don’t wake you from sleep more than 1 or 2 nights a month.
• You can do all your normal activities.
• You take quick-relief medicines no more than 2 days a week.
• You have no more than one asthma attack a year that requires you to take corticosteroids by mouth.
• Your peak flow doesn’t drop below 80 percent of your personal best number.

If your asthma isn’t well controlled, contact your doctor. He or she may need to change your asthma action plan.

Children

It’s hard to diagnose asthma in children younger than 5 years. Thus, it’s hard to know whether young children who wheeze or have other asthma symptoms will benefit from long-term control medicines. (Quick-relief medicines tend to relieve wheezing in young children whether they have asthma or not.)

Doctors will treat infants and young children who have asthma symptoms with long-term control medicines if, after assessing a child, they feel that the symptoms are persistent and likely to continue after 6 years of age. (For more information, go to “How Is Asthma Diagnosed?”)

Inhaled corticosteroids are the preferred treatment for young children. Montelukast and cromolyn are other options. Treatment might be given for a trial period of 1 month to 6 weeks. Treatment usually is stopped if benefits aren’t seen during that time and the doctor and parents are confident the medicine was used properly.

Inhaled corticosteroids can possibly slow the growth of children of all ages. Slowed growth usually is apparent in the first several months of treatment, is generally small, and doesn’t get worse over time. Poorly controlled asthma also may reduce a child’s growth rate.

Many experts think the benefits of inhaled corticosteroids for children who need them to control their asthma far outweigh the risk of slowed growth.

Know More How Asthma Treated and Controlled 

Infertility Specialist –Dr Manisha Ranjan|NidanChildcare

Which Infertility Treatment Is Right for You?

Infertility Treatments That Work,It’s untrue that simply waiting it out will put an end to infertility. Like other medical conditions, there are treatments available for those experiencing infertility. At least half of couples undergoing infertility treatments will conceive, and technologies such as in vitro fertilization have brought about many pregnancies. Over 3 million babies have been born worldwide due to this technique.

Symptoms of Infertility

The main symptom of infertility is failure to conceive after a year of unprotected sex. This is the point at which most doctors recommend seeking fertility care. For women over age 35 who did not conceive after 6 months of trying or who have irregular menstrual cycles, seeing a fertility doctor as soon as possible is recommended. Male infertility is just as common as female infertility, so it’s important that both partners be evaluated.

Male Infertility

Male factors are responsible in about 40% of infertile couples. Male factors can include low sperm count, abnormal sperm appearance, blocked sperm ducts, or poor motility of the sperm.

Female Infertility

An additional 40% of infertile couples have problems traced to the female partner. These can include irregular or absent ovulation, blockages in the Fallopian tubes, or abnormalities in the reproductive organs.In the remaining 20% of infertile couples, no specific cause can be found.

Tracking Ovulation

Bad timing can contribute to a failure to conceive. Over-the-counter ovulation tests can help you figure out the time of ovulation (egg release) and determine the best time for sex. The tests measure levels of a hormone that increases 12 to 36 hours before ovulation. If the test results are unclear or consistently negative, consult your doctor. About one-third of all cases of infertility are related to irregular ovulation.

Fertility Drugs

Medications are available to help women who do not ovulate regularly. Clomiphene citrate (Clomid or Serophene) is the most common of these medications. It is relatively effective and inexpensive, and about half of women who take it will conceive, usually within three cycles. Clomiphene causes the release of more than one egg at a time, so there is an increased risk of a multiple pregnancy (a pregnancy of two or more fetuses).

Injectable Hormones

After trying clomiphene for 6 months, women who have not conceived may be prescribed injections of hormones to stimulate ovulation. A number of different hormonal preparations are available. As with clomiphene, the chances of a multiple pregnancy are increased with hormone injections.

Side effects and drawbacks:

These fertility drugs increase your odds of having twins or more.

Clomiphene can cause hot flashes, mood swings, pelvic pain, breast tenderness, ovarian cysts, nausea, thick and dry cervical mucus, headaches, mild depression, and visual symptoms.Gonadotropins can cause rash or swelling at the injection site, mood swings, breast tenderness, abdominal bloating, and headaches. About 10 to 20 percent of women who take gonadotropins develop a mild form of OHSS (ovarian hyperstimulation syndrome), which causes enlarged ovaries and fluid build-up in the abdomen.

Success rates

About 80 percent of women who take clomiphene ovulate in the first three months of treatment. Of them, 30 to 40 percent conceive by their third treatment cycle.he pregnancy rate for gonadotropins with timed intercourse is 15 percent per cycle.

Surgery

Surgery can help fix genetic defects, open blocked fallopian tubes, remove fibroids, remove the tissue of endometriosis, and treat PCOS (polycystic ovarian syndrome).Two surgical procedures commonly used to treat gynecological problems are laparoscopy and laparotomy. Laparoscopy uses thin instruments and a lighted camera inserted through several small incisions in the abdomen. Laparotomy is done through a larger abdominal incision.

know More Contact Mother & child care

Dengue Fever-Dr Rajeev ranjan| Nidan mother & child care

Recently We all are afraid of dengue fever And I want to share some information
which will help you to understand dengue fever
• It’s a viral infection transmitted by adds mosquitoes
• Its non-communicable disease and only transmitted to mosquito bite

Symptoms of Dengue Fever

Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include

• Sudden, high fever
• Severe headaches
• Pain behind the eyes
• Severe joint and muscle pain
• Fatigue
• Nausea
• Vomiting

Skin rash, which appears two to five days after the onset of fever Mild bleeding (such a nose bleed, bleeding gums, or easy bruising) Sometimes, symptoms are mild and can be mistaken for those of the flu or another viral infection. Younger children and people who have never had the infection before tend to have milder cases than older children and adults. However, serious problems can develop. These include dengue hemorrhagic fever, a rare complication characterized by high fever, damage to lymph and blood vessels, bleeding from the nose and gums, enlargement of the liver, and failure of the circulatory system. The symptoms may progress to massive bleeding, shock, and death. This is called dengue shock syndrome (DSS).
People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.

CBC /blood report how platelets and ns positive For all dengue suspected patients please consult your doctor and start patents accordingly

Prevension
1- avoid water to stagnate in or around us home this helps breeding of Aedes Mosquito
2- use net on window
3- get child bodies properly covered
4- use of mosquito repellents

Be healthy-Nidan Mother & Child care

Neonatology-Nidan mother & child care| Dr. Rajeev Ranjan Specialized

Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units (NICUs).

In other word-

Although your pediatrician can solve most health problems of newborns, a Neonatologist is trained specifically to handle the most complex and high-risk situations.If your newborn is premature, or has a serious illness, injury, or birth defect, a neonatologist may assist at the time of delivery and in the subsequent care of your newborn. If a problem is identified before your baby is born, a neonatologist may become involved to consult with your obstetrician in your baby’s care during your pregnancy.

Neonatologists type-

Neonatologists are medical doctors who have had

  At least 4 years of medical school

 Three years of residency training in general pediatrics

 Three years of additional training in newborn intensive care

 Certification from the American Board of Pediatrics and by the Sub-board of  Neonatal-Perinatal Medicine

What Types of Treatments Do Neonatologists  Provide?

Neonatologists generally provide the following care:

 Diagnose and treat newborns with conditions such as breathing disorders, infections, and birth defects.

 Coordinate care and medically manage newborns born premature, critically ill,or in need of surgery.

 Ensure that critically ill newborns receive the proper nutrition for healing and growth.

 Provide care to the newborn at a cesarean or other delivery that involves medical problems in the mother or baby that    may compromise the infant’s  health and require medical intervention in the delivery room.

 Stabilize and treat newborns with any life-threatening medical problems.

 Consult with obstetricians, pediatricians, and family physicians about conditions affecting newborn infants.

Neonatologists work mainly in the special care nurseries or newborn intensive care units of

hospitals. In some cases, after a newborn has been discharged from the unit, a neonatologist may

provide short-term follow-up care on an outpatient basis. Your neonatologist will coordinate care

with your baby’s pediatrician.