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Pregnant woman fall in the category of higher risk when we talk of Covid 19. As During pregnancy you are more vulnerable to get infected with any disease as compared to a non pregnant woman because your immune system is comparatively more sensitive during pregnancy and post delivery. So pregnant ladies are considered to be in the high risk group just like aged people, children and also persons having co morbidity like diabetes or high BP, in this Covid pandemic.
So you need to be extra careful in this Covid-19 pandemic. So you need to take extra precautions. Take care of yourself by maintaining proper social distancing and good hand hygiene. Cover your nose and mouth properly with a mask when stepping out. In fact avoid unnecessary movements outside your home. Eat healthy food. Have lot of fruits and vegetables. Keep yourself well hydrated by taking plenty of water and other liquids like nimbu pani and coconut water. Try to do small walks inside your house. Keep your rooms well ventilated.
Avoid going out unnecessarily. Try to get most of the things home delivered. Use a mask when receiving your groceries and other stuff. If you are visiting the Gynecologist or Hospital for your routine checkup then wear the Mask properly and maintain social distancing. Carry your own water bottle and a small snack. Before taking an appointment for a physical checkup ask your Gynecologist for Online consultation if it can be done.
Tele consultation is usually possible in the first four months of pregnancy. Try to avoid unnecessary hospital visits.
Continue taking all your vitamins, iron, calcium and protein supplements. Follow all your doctors instructions. If any doubt do tele consultation. Be aware of baby movements. Report to hospital if you experience any fever, lethargy or muscle pains. Don’t be afraid if you are told to get yourself tested for Covid.
Live healthy. Eat healthy. Sleep healthy. God forbid if inspite of all precautions you still get Covid positive, then follow Gynecologist’s instructions carefully. Many pregnant women have recovered and have had healthy babies.
Author: Dr. Anita Gupta, Gynecologist in Delhi
If you miss your menses date by more than a week, the first thing to check should be pregnancy, do a home test. You get many types of pregnancy checking kits in chemist shops. Buy one and check with the first urine early morning. If positive see a Gynecologist (obstetrician in Delhi) at the earliest.
If your age is more than 35 years (which is quite common these days as women are now career-oriented) then you are a candidate whose pregnancy falls into the high-risk pregnancy group as with advancing age there are more chances of problems for the mother and the baby both. Similarly, if you have got your pregnancy after treatment for infertility or through IVF (test tube baby) then also you come into this group.
Follow the advice of your Gynaecologist sincerely and carefully. Go for regular check-ups. Do all the tests asked for as in these pregnancies some extra tests are needed most of the time. Take all the prescribed medicines regularly
During pregnancy, a lady gains about 9-12 kg weight. Loosing the extra gained weight is very important for her mental and physical health. If the lady remains overweight she can suffer from Diabetes or high blood pressure later on in life.
Post-delivery she looses 3-5 kg immediately. It is important to try to reduce the rest of your weight gradually after she has recovered physically post-delivery, she should take advice from Gynecologist in Delhi. Post-delivery it takes about six weeks for this recovery. Try to lose weight over the next several months with the help of a healthy diet and daily exercise. Breastfeeding also helps with post-pregnancy weight loss.
If the lady is unable to reduce the pregnancy weight then she may develop heart problems later on in life. She may develop diabetes or hypertension. Due to excess weight, she may develop depression. Next pregnancy and delivery will also be difficult.
With the excess weight, She may also develop polycystic ovarian disease, which will lead to hormonal imbalance and difficulty in conceiving later on. Fibroids are also more common in overweight women.
If your monthly menstrual cycle is not normal and you ignore it you could be ignoring a bigger thing behind it and just a visit to a gynecologist in Delhi /gynecologist in such a situation could help you. Firstly you must know that if you are bleeding for more than 5-6 days or passing clots or the bleeding is too scanty for only 1-2 days then it is not normal.
If you are having menses in less than 25 days or more than 35-40 days or you seem to be skipping months then also you need to see a gynecologist. The gynecologist will examine you and get some blood tests and ultrasound to find the cause for your abnormal menses. You don’t need to panic just see the best gynecologist/gynecologist if you think you fall into this group.