Posts tagged pregnancy

Fibroids Treatment: Symptoms, Diagnosis | Dr Shelly Singh (25+ Yrs)

Fibroids Treatment: Symptoms, Diagnosis & Options

Fibroids treatment is one of the most common concerns among women visiting a
gynecologist today. Uterine fibroids are frequently detected during routine ultrasounds or when women experience heavy periods, pelvic pain, or difficulty conceiving. Although the diagnosis can sound alarming, fibroids are usually non-cancerous and manageable with the right medical guidance. According to Dr Shelly Singh, timely evaluation plays a key role in choosing the most appropriate treatment approach. In her 25+ years of clinical experience, Dr Shelly Singh has seen that many women worry unnecessarily about surgery. The fact is that not all fibroids require treatment, and management depends entirely on symptoms, size, and future pregnancy plans.

What Are Uterine Fibroids ?

Fibroids treatment

Uterine fibroids are benign growths that develop from the muscular layer of the uterus. They may remain small and
symptom-free or grow large enough to cause discomfort. Hormonal factors, especially estrogen, influence their growth.

Based on location, fibroids are classified as:
● Intramural fibroids – located within the uterine wall
● Submucosal fibroids – growing into the uterine cavity
● Subserosal fibroids – present on the outer surface of the uterus
Understanding the type of fibroid helps in deciding the right fibroids treatment plan.

Common Fibroid Symptoms

Many women with fibroids have no symptoms at all. When symptoms do occur, they
commonly include:
● Heavy or prolonged menstrual bleeding
● Painful periods
● Pelvic pain or pressure
● Frequent urination
● Lower back pain
● Difficulty conceiving
If these fibroids symptoms begin to affect daily life or cause anemia, medical consultation becomes necessary.

How Are Fibroids Diagnosed?

Fibroids diagnosis is usually made through a pelvic examination and ultrasound. Ultrasound helps determine the size, number, and location of fibroids. In certain cases, additional imaging such as MRI may be advised for detailed assessment. Early diagnosis allows better planning and often prevents complications.

Fibroids Treatment Options

Treatment depends on symptoms, age, fibroid size, and reproductive goals

Medical Management

Medicines may help control heavy bleeding and pain. This approach is suitable for women with mild symptoms.

Non-Surgical Fibroids Treatment

Some women may be eligible for non-surgical fibroids treatment, especially when fibroids are small and symptoms are manageable. Proper evaluation is essential before choosing this option.

Surgical Treatment for Fibroids

Surgery is advised when fibroids cause severe symptoms or fertility issues.
Common procedures include:
● Myomectomy, which removes fibroids while preserving the uterus
● Hysterectomy, recommended only when other treatments are unsuitable and when
family is complete
As explained by Dr Shelly Singh, treatment decisions are always individualized and
discussed in detail with the patient.

When Should You See the Best Gynecologist for Fibroids?

You should consult a specialist if you experience heavy bleeding, pelvic pain, or difficulty conceiving. Early consultation with the best gynecologist for fibroids helps avoid unnecessary delays and complications.

Fibroids treatment

Why Choose Dr Shelly Singh for Fibroids Care?

With over 25+ years of experience, Dr Shelly Singh focuses on accurate diagnosis,
conservative management whenever possible, and advanced treatment options when
needed. Women looking for the best doctor for fibroids treatment in Delhi benefit from
her patient-centric and ethical approach.

Frequently Asked Questions (FAQs)

No. Many fibroids do not cause symptoms and only require regular monitoring without active treatment.

Yes. In selected cases, medicines or non-surgical fibroids treatment options may help manage symptoms effectively.

No. Uterine fibroids are almost always non-cancerous, and the risk of cancer is extremely low.

Some fibroids may affect fertility or pregnancy, while many women with fibroids conceive and deliver normally

You should consult a gynecologist if you experience heavy periods, pelvic pain, or fibroids
detected during an ultrasound.

If you are experiencing symptoms or have been diagnosed with fibroids, consult Dr
Shelly Singh for expert fibroids treatment in Delhi. Early evaluation in Delhi helps
ensure the safest and most effective care plan for you.

Trying to get pregnant with PCOS

How I got pregnant with PCOS

Trying to conceive can be emotionally overwhelming, and for women diagnosed with PCOS (Polycystic Ovary Syndrome), the journey may feel even more uncertain. Many women with PCOS do conceive naturally, but others may face delays due to irregular ovulation, hormonal imbalance, or metabolic concerns.

Knowing when to seek medical guidance can make a significant difference—not just in improving pregnancy chances, but also in avoiding unnecessary stress and delays.

In South Delhi, women often consult experienced gynecologists like Dr. Shelly Singh, known for her patient-centric approach to PCOS management and pregnancy planning.

Understanding PCOS and Its Impact on Pregnancy

PCOS is a hormonal condition that affects ovulation. Common issues linked with PCOS include:

  • Irregular or missed periods
  • Delayed or absent ovulation
  • Hormonal imbalance (high androgens)
  • Weight gain or insulin resistance

These factors can make it harder to predict fertile days, which is why many women with PCOS struggle to conceive despite regular attempts.

Important to know: PCOS does not mean infertility. With timely evaluation and proper care, pregnancy is absolutely possible.

How Long Should You Try Before Seeing a Doctor?

While general guidelines suggest trying for one year (or six months if above 35), women with PCOS should not wait that long in certain situations.

You should consider consulting a gynecologist if:

  • Your periods are irregular or absent
  • You are unable to track ovulation
  • You have been trying for 6 months or more without success
  • You are above 30 years of age with known PCOS
  • You have symptoms like excessive facial hair, acne, or sudden weight gain

Early consultation helps identify ovulation issues, hormonal gaps, and lifestyle factors before they become bigger obstacles.

Signs You Should Not Ignore While Trying to Conceive with PCOS

Many women delay medical help, thinking "it will happen naturally." However, ignoring these signs can reduce valuable time:

Cycles longer than 35–40 days

Extended menstrual cycles can indicate irregular ovulation, making it difficult to conceive naturally.

Frequent missed periods

Missing periods regularly suggests hormonal imbalances that need medical attention.

Sudden weight changes affecting cycles

Rapid weight gain or loss can disrupt hormonal balance and ovulation patterns.

Past miscarriage or chemical pregnancy

Previous pregnancy losses may require medical evaluation to prevent recurrence.

Diagnosed PCOS with no cycle regulation

If you have PCOS but haven't regulated your cycles, seeking help can improve conception chances.

Treatment Options to Improve Pregnancy Chances in PCOS

Can PCOS Affect Pregnancy

Treatment is personalized, depending on age, weight, cycle pattern, and overall health.

Common approaches include:

  • Cycle regulation and ovulation support
  • Lifestyle and weight management guidance
  • Hormonal balance correction
  • Timed conception planning
  • Referral only when necessary

Many women conceive with simple medical guidance and monitoring, without needing advanced fertility procedures.

Why Early Guidance Matters in PCOS Pregnancy

Delaying consultation can lead to:

  • Missed ovulation cycles
  • Poor egg quality due to unmanaged hormones
  • Increased stress and anxiety
  • Higher risk of pregnancy complications later

Early care ensures better outcomes—not just conception, but a healthy pregnancy.

Struggling to Get Pregnant with PCOS?

Consult Dr. Shelly Singh, a trusted gynecologist in South Delhi, for personalized PCOS pregnancy guidance.

Book a Consultation Today

World Prematurity Day: How New Mothers Can Reduce the Risk of Preterm Birth

Premature birth (before 37 weeks) is the leading cause of death in children under five
globally. While not all cases are preventable, adopting key health and lifestyle strategies,
emphasized by specialists like Dr. Shelly Singh, can significantly lower the risk.

  1. Pre-Conception Health is Key
  • Manage Chronic Issues: Ensure
    conditions like diabetes, high blood
    pressure, and thyroid disorders are
    controlled before getting pregnant.
    Unmanaged conditions are a significant
    risk factor. Healthy Weight & Timing: Achieve a healthy BMI and waitat least 18 months between pregnancies to allow your body to recover and replenish
    nutrient stores fully.
  • Folic Acid: Start taking folic acid (400
    mcg) and a prenatal vitamin at least one
    month before conception.
  1. Prioritize Prenatal Care—Preterm Birth Care
  • Early & Regular Visits: Begin prenatal care as soon as possible. Early detection
    allows specialists to identify risk factors like a short cervix or infection.
  • Progesterone Therapy: If you have a high risk or a history of preterm birth, your
    doctor may prescribe progesterone (injections or suppositories), which has been
    shown to reduce the risk of recurrence.
  • Infection Screening: Regularly screen and treat infections (like UTIs or bacterial
    vaginosis), as they can often trigger preterm labor.

3. Essential Lifestyle Modifications

  • No Smoking or Alcohol: Quit all smoking (including vaping) and avoid alcohol
    entirely. Smoking significantly elevates the risk.
  • Stay Hydrated: Drink plenty of water, as dehydration can sometimes stimulate
    uterine contractions.
  • Manage Stress: Use techniques like yoga or meditation to manage chronic, severe
    stress.
  • Modify Activity: Avoid jobs that require prolonged standing or excessive physical
    strain, or discuss modifications with your doctor.

Conclusion: Key Tests and Diagnostics

While lifestyle changes are crucial, specialized testing is the most effective way for doctors to
diagnose and manage a mother’s individual risk of preterm birth. Specialists like Dr. Shelly
Singh sometimes uses a combination of these clinical tools to guide treatment:

1. Cervical Length Monitoring

  • Test: Transvaginal Ultrasound (TVU).
  • Purpose: Measures the length of the cervix between 16 and 24 weeks. A measurement less than 25 mm is a significant predictor of spontaneous preterm birth.
  • Action: If a short cervix is detected, treatments like progesterone therapy or a cervical cerclage (a stitch placed to keep the cervix closed) may be initiated immediately.

2. Fetal Fibronectin (fFN) Test

  • Test: Fetal Fibronectin Test.
  • Purpose: Detects the presence of fFN protein between 22 and 34 weeks if preterm
    Labor symptoms are present.
  • Interpretation: A negative result strongly indicates that the mother is unlikely to
    deliver within the next one to two weeks, which can safely prevent unnecessary
    hospitalization. A positive result prompts closer monitoring.

3. Infection Screening & Treatment

  • Tests: Urine culture and screening for Bacterial Vaginosis (BV) or other
    vaginal/cervical infections.
  • Purpose: Infections, even asymptomatic ones, can trigger the inflammatory cascade
    that leads to premature rupture of membranes and preterm labor.
  • Action: Aggressive and immediate antibiotic treatment is crucial once an infection is
    diagnosed, as clearing the infection can stop the progression to preterm delivery.
    Final Word
    By combining proactive health management with timely diagnostic testing, such as those
    recommended by experts like Dr. Shelly Singh, new mothers and their doctors can effectively
    identify risks early, implement targeted interventions, and significantly improve the odds of
    carrying their baby to full term. Don’t wait—early testing is the best defense against
    prematurity.

Looking for the Best Gynecologist in Delhi NCR? Contact Dr. Shelly Singh today!!!

9th Month Pregnancy Care Tips for a Safe Delivery

The ninth month of pregnancy marks the final and most delicate stage of your journey toward motherhood. Your baby is almost ready to arrive, and your body needs extra support and attention. According to experienced obstetricians like Dr Shelly Singh, maintaining good prenatal care, a healthy lifestyle, and emotional balance during this time is key to ensuring a safe and positive delivery experience.

1.   Don’t Skip Your Weekly Prenatal Check- ups

Weekly consultations allow your doctor to:

  • Monitor your baby’s position and heartbeat
  • Track your weight and blood pressure
  • Identify any early signs of labour or complications

Dr Shelly Singh advises every expecting mother to keep up with these visits and share any discomforts or unusual symptoms immediately.

2.   Eat Small, Balanced Meals

Digestion slows down in the final month, so opt for smaller, nutrient-dense meals. Include:

  • Seasonal fruits and green vegetables
  • Iron and calcium-rich foods (leafy greens, dairy, eggs)
  • Light home-cooked meals

Avoid oily or spicy dishes that cause heartburn. As Dr Shelly Singh highlights, “Your baby depends on your nourishment—choose every bite wisely.”

3.   Keep Moving Safely

Light walking and gentle stretching help reduce swelling and maintain flexibility.

  • Avoid sitting for long periods
  • Use pillows to support your back and legs
  • Practice pelvic tilts and breathing exercises

These small habits can make a big difference in easing labor later.

4.   Prioritize Rest and Sleep

Getting comfortable might be tricky, but it’s crucial for your health.

  • Sleep on your left side to improve blood circulation
  • Use pregnancy pillows for support
  • Create a peaceful bedtime routine

5. Stay Hydrated

Hydration reduces fatigue and prevents early contractions.

  • Drink 8–10 glasses of water daily
  • Add coconut water or fresh juices for electrolytes
  • Avoid caffeine and aerated drinks

If you notice swelling or sudden weight gain, inform your doctor right away.

2.   Practice Relaxation and Breathing

Relaxation techniques such as deep breathing, meditation, or prenatal yoga keep you calm and prepare your body for labour.

According to Dr Shelly Singh, “Mental readiness can make labour smoother and less stressful.”

3.   Pack Your Hospital Bag

Prepare in advance to avoid last-minute stress. Pack essentials like:

  • ID proofs, medical records, and reports
  • Comfortable maternity wear and slippers
  • Baby clothes and toiletries
  • Snacks, charger, and a small towel

Also, discuss your birth plan with your partner and doctor beforehand.

4.   Recognize Labour Signs

Call your doctor immediately if you experience:

  • Regular contractions every few minutes
  • Water breaking
  • Vaginal bleeding or discharge
  • Continuous lower back pain

Early recognition helps ensure a safe delivery for both mother and baby.

5.   Emotional Well-Being Matters

Hormonal changes, anxiety, and anticipation can affect your mood. Stay connected with your loved ones, avoid stress, and trust your body’s natural process.

Dr Shelly Singh emphasizes: “A calm mind supports a healthy delivery.”

FAQs – 9th Month Pregnancy Care

Q1. What should I avoid during the 9th month of pregnancy?

Avoid heavy lifting, prolonged standing, junk food, and late-night stress. Focus on rest and balanced meals.

Q2. How can I prepare for a normal delivery naturally?

Mild walks, breathing exercises, good posture, and regular check-ups can help your body prepare for normal labour.

Q3. When should I visit the hospital in the 9th month?

If contractions become regular, your water breaks, or you notice unusual discharge or bleeding, visit immediately.

Q4. Can I travel in the 9th month of pregnancy?

It’s generally best to avoid long travel. Always consult your gynecologist before planning any trip

Q5. Is Vaginal Delivery Safe in the 9th Month?

Vaginal delivery is usually safe during the ninth month, provided there are no medical complications such as:

  • Breech baby position
  • Placenta previa
  • High-risk pregnancy conditions

Your gynecologist will assess your health and baby’s condition to determine the safest delivery method for you.

Final Thoughts

The ninth month is all about preparation, patience, and positivity. Stay connected with your gynecologist, listen to your body, and make time for rest and emotional balance. With the right care and guidance, your delivery can be smooth, safe, and memorable.

If you’re expecting and need expert prenatal care or counselling, schedule a consultation with Dr Shelly Singh, one of the leading obstetricians and gynecologists dedicated to women’s health and safe deliveries.

Looking for the Best Gynecologist in Delhi NCR? Contact Dr.Shelly Singh Today!!!

Can Pollution Affect Fertility? What Every Woman Must Know About AQI and Fertility

Air pollution has become a silent threat, affecting far more than just our lungs. With the Air Quality Index (AQI) worsening, pollutants in the air are now linked to hormonal imbalance, menstrual disturbances, reduced egg and sperm quality, and declining fertility. Many women today experience stress, irritability, and fatigue without realizing that environmental toxins may be playing a major role.

How Air Pollution Affects the Reproductive System

When we breathe polluted air, harmful particles and chemicals enter the bloodstream. These pollutants create oxidative stress and inflammation, which can damage reproductive cells and disrupt hormone function.

Major pollutants that affect fertility include:

  • PM2.5 and PM10 (Particulate matter)
  • Sulphur Dioxide (SO2)
  • Nitrogen Dioxide (NO2)
  • Carbon Monoxide (CO)
  • Ozone (O3)

These substances are known to be gametotoxic, meaning they can damage eggs and sperm.

Impact on Women’s Fertility

For a healthy pregnancy, a woman needs both good egg quality and ovarian reserve (number of eggs available).
However, pollutants like PM2.5 have been shown to reduce ovarian reserve, leading to lower AMH levels and fewer antral follicles.

Pollution can cause:

  • Hormonal imbalances
  • Irregular or painful periods
  • Poor ovulation (or no ovulation)
  • Difficulty in conception
  • Higher risk of miscarriage

Some pollutants act as endocrine disruptors, meaning they mimic or block reproductive hormones, disturbing menstruation and pregnancy pathways. The uterine lining may also be affected, reducing the chances of successful embryo implantation, even during IVF.

The “Environmental Fertility Loop”

High pollution → oxidative stress → poor egg & sperm quality → hormonal imbalance → reduced fertility → increased stress → worsened reproductive health.

This cycle continues unless we actively intervene.

What Can Be Done?

According to Dr. Shelly Singh, awareness and early action are key. Women and couples who are planning pregnancy or undergoing fertility treatment should:

  • Monitor AMH and ovarian reserve early
  • Improve antioxidant intake (e.g., Vitamin E, Vitamin C, Omega-3)
  • Use indoor air filters & N95 masks outdoors
  • Reduce exposure to vehicle-heavy areas
  • Follow medical guidance for hormonal and reproductive health

Final Thought

Air pollution is not just an environmental or respiratory problem — it is a reproductive health challenge affecting the future of families. By recognizing its impact and seeking early, personalized medical care, we can break this environmental fertility loop and ensure healthier generations ahead.

Looking for the Best Gynecologist in Delhi NCR? Contact Dr.Shelly Singh Today!!!

Top Body Parts Affected During Pregnancy– Dr. Shelly Singh

Pregnancy is a beautiful journey, but it also brings many body changes during pregnancy. As your body prepares to nurture new life, several areas undergo transformation — some visible, others more subtle. Understanding these pregnancy physical changes can help you stay comfortable, confident, and healthy throughout your pregnancy.

Under the guidance of Dr. Shelly Singh, a leading gynecologist in South Delhi, here’s what you can expect — and how to care for your body during this special time.

1. The Hormonal Shift – The Root of All Changes

Hormones such as estrogen, progesterone, and relaxin surge during pregnancy, affecting nearly every system in your body. These hormonal shifts can cause mood swings, fatigue, skin changes, and muscle relaxation.

Hormonal Shift

Solution:

  • Maintain a regular sleep routine and a balanced diet.
  • Stay hydrated and include fiber-rich foods to manage digestion.
  • Gentle yoga or meditation can help balance mood and energy.
  • Schedule regular prenatal visits with Dr. Shelly Singh to monitor hormonal health.

2. Breasts and Chest – Preparing for Motherhood

Your breasts begin preparing for breastfeeding early in pregnancy. You may notice tenderness, heaviness, enlargement, or darkened nipples and more visible veins.

Solution:

  • Wear a well-fitting maternity or sports bra for support.
  • Avoid harsh soaps on the nipples.
  • A gentle massage with natural oils can relieve discomfort.
  • Maintain good posture to reduce strain on your upper back.
 Breasts and Chest

3. Abdomen and Pelvic Region – The Centre of Transformation

As the baby grows, your belly expands and abdominal muscles stretch. Some women may experience mild round ligament pain or separation of abdominal muscles (diastasis recti). Pelvic floor muscles also bear extra pressure.

Solution:

  • Practise light stretching and pelvic tilts as advised by doctor.
  • Perform Kegel exercises to strengthen pelvic floor muscles.
  • Use a maternity support belt if needed.
  • Moisturize your belly daily to reduce stretch marks and skin itchiness.

4. Back and Spine – The Posture Struggle

Shifts in posture due to belly growth can cause back pain or discomfort in the lower spine.

Back and Spine

Solution:

  • Sit with a straight back and use lumbar support.
  • Avoid standing for prolonged periods; wear flat, supportive shoes.
  • Gentle prenatal yoga or stretches can help maintain flexibility.
  • Use a warm compress or prenatal massage after consulting doctor.

5. Legs and Feet – Bearing the Weight

Increased weight and fluid retention can lead to swelling, cramps, or varicose veins in the legs and feet.

Solution:

  • Elevate your legs whenever possible.
  • Stay active with short walks or gentle prenatal exercises.
  • Sleep on your left side to improve circulation.
  • Drink plenty of water and limit excessive salt.
  • Avoid sitting with crossed legs for long periods.
Legs and Feet – Bearing the Weight

6. Skin, Hair, and Face – The Beauty and the Blemishes

Hormonal changes can affect your skin, hair, and nails — giving some women a natural glow and others acne or pigmentation (melasma). Hair may grow faster or become more brittle.

Solution:

  • Follow a gentle, pregnancy-safe skincare routine.
  • Always use sunscreen to prevent pigmentation.
  • Eat antioxidant-rich foods for skin health.
  • Consult your doctor before using any new creams or treatments.

7. Emotional and Cognitive Changes – Mind and Mood

Emotional ups and downs, irritability, or forgetfulness are common due to hormonal fluctuations.

Emotional and Cognitive Changes – Mind and Mood

Solution:

  • Take breaks, rest well, and prioritize mental health.
  • Share your feelings with your partner or loved ones.
  • Try journaling, meditation, or light prenatal exercises to relieve stress.
  • Seek professional help if you feel persistently anxious or depressed.

8. How to Manage and Support Your Changing Body

Caring for yourself helps your body adapt and reduces discomfort.

Tips for a Healthy Pregnancy:

  • Eat balanced meals rich in iron, calcium, and protein.
  • Stay hydrated and manage gradual weight gain.
  • Get sufficient sleep and rest on your side to aid circulation.
  • Keep all prenatal appointments for ongoing monitoring of both mother and baby.

9. When to Seek Medical Advice

Some changes require prompt attention. Contact your gynecologist if you notice:

  • Sudden or severe swelling in the hands, face, or feet
  • Persistent headaches or vision changes
  • Unusual pain, bleeding, or fluid leakage
  • Reduced fetal movements

Early consultation ensures both your safety and your baby’s well-being.

10. FAQs – Common Questions About Pregnancy Body Changes

1. When do most physical changes begin?
Most changes start in the first trimester, with more noticeable effects in the second and third trimesters.

2. Is back pain normal during pregnancy?
Yes. Mild to moderate back pain is common and can be eased with posture care, stretching, and rest.

3. How can I manage swelling in my feet?
Elevate your legs, stay active, and wear comfortable shoes. Proper hydration can also reduce swelling.

4. Will my body return to normal after delivery?
Many changes gradually reverse postpartum. Gentle exercise, healthy eating, and adequate rest help regain strength and tone.

Conclusion

Pregnancy brings extraordinary body changes — each preparing your body for the miracle of life. While discomforts are normal, most can be managed with care, rest, and professional guidance.

With Dr. Shelly Singh, one of Delhi NCR’s leading gynecologist you can navigate every phase of pregnancy with confidence, comfort, and expert care.

Book a consultation today to ensure the best care for you and your baby throughout your pregnancy journey.

Advantages of a Normal Delivery

 A question often asked is why normal delivery ?

Let me explain the reasons why .

A normal vaginal delivery is one where you deliver through the vagina . This delivery could follow a spontaneous onset of labour or an induced one .

Spontaneous onset of labour means that you go into labour without any artificial means or medication at 37-42 weeks of pregnancy and induced labour means that medication is used to bring on labour pains . A delivery could also be assisted delivery using vacuum or forceps .

 

Why normal delivery ?

First and foremost , because nature intended it this way .

Labor & Delivery

Labour pains no doubt are very intense but there are ways of relieving those to a large extent using methods like epidural analgesia or entonox or N2O gas inhalation which eases pain .

There is less blood loss , chances of infection and no anesthesia complications like those in a caesarean delivery .

Recovery is faster and hospital stay too . You are discharged within 1-2 days of a normal delivery compared to a caesarean section .

Skin to skin contact with your baby and breast feeding can also be initiated earlier.

 

Why is a normal delivery more beneficial for your baby ?

As the baby goes down the tight birth canal , fluid from the chest and lungs are squeezed out and this reduces respiratory issues .

The baby also acquires more good bacteria from the vagina thus gaining better immunity for life due to this micro biome .

Natural Birth: Benefits, Risks & Preparing for Labor Without Pain Medication

And as already stated , you can begin bonding with your baby earlier ; breast feeding is also initiated earlier compared to a caesarean delivery .

 

Pregnancy and delivery is a life changing event that comes with its share of joy, positivity and fears . Every delivery is different and so it is best to chalk out a birth plan with your doctor and to allay whatever anxiety or apprehensions you may have . Also remember that labour is a very fluid process and during its course ,should problems arise , you must be prepared with plan B as well .

Engage a birth partner like your husband , mother , mother in law in these deliberations with your doctor and look towards a happy and healthy beginning of a lifetime of motherhood !

It’s OK to feel apprehensive but go into labour , more empowered and informed .

Stress in Pregnancy – has it increased?

It’s a known fact that stress and emotional upheavals are part and parcel of pregnancy. The hormones of pregnancy are attributed to these mood swings. Stress has been part of our lives and from the times of our parents and grandparents, most would agree they have multiplied manifold. Whether it is to get a deadline met professionally, work pressures, getting a kid to school, pick up and drop routines or just the humdrum of fast-paced everyday living, stresses are real.

The death of a family member or friend, divorce, losing your job, financial problems, health issues, abuse or depression are unusual stresses, a bit removed from those of everyday life. Other disasters like natural calamities and in recent times, the monster of the COVID 19 pandemic are other chronic depressive events. And the latter has definitely increased, affecting everyone, especially pregnant and lactating girls. 

 

What effects does this stress cause on pregnant girls?

Stress causes the body to be in a constant state of “ fight and flight”. It causes the hormones epinephrine and norepinephrine to be released. This causes you to have chronic headaches, trouble sleeping or eating disorders. It aggravates medical conditions like Gestational diabetes or Hypertension. And it also causes problems for your baby.

During the COVID pandemic, most pregnant girls have fears of contracting the disease. They fear hospitalisation and intensive care; many of them fear for their unborn babies, of miscarriages, bleeding, preterm deliveries, growth-restricted or low birth weight babies and many unfounded but completely understandable fears. Add to this the stress of being closeted at home and financial difficulties due to the economic effects of the pandemic. 

 

What effects do stresses have on your child?

While some stresses are good for us and keep us on our toes, chronic stress like that of the current seemingly never-ending pandemic increases problems for the unborn baby as well. It is known to cause issues like preterm deliveries and low birth weight babies. This stress is also known to cause changes in temperament and neurobehavioral development problems in your babies. Some studies have also been found to show a likely association between stress in the pregnant mom and children who grow up to have heart disease, high BP, Diabetes, Learning disabilities. Some trials have also shown that stresses in the first trimester are particularly harmful and can lead to irritability and depression in children born to these mothers.

Remember that a womb is a busy place. There are numerous hormones and chemicals that are being transmitted from the mom to the baby. The stress hormones act on the babies, keeping them in constant fight and flight mode; that is why we are drawn back to the age-old concept of “ Garbh Sanskar”-our babies are very much what we make them in the womb. Stressed mothers are likely to get stressed babies. So despite all our fears, we need to try and find ways and means of countering them.

 

How do pregnant girls counter stress in COVID times?

Eat healthy, exercise, sleep adequately, keep yourself occupied doing things that calm you, keep you engaged and happy. Yoga and meditation are always helpful. Dissociate yourself from negative influences like people who spread fear, too much television or news of the pandemic; remember its good to be informed but harmful to be stressed and fearful. COVID appropriate behaviour like masking up, maintaining social distancing, avoiding crowded places, hand hygiene and COVID vaccination is our best bet today even against highly mutated forms of the virus.

The Pandemic will eventually pass or phase out into an endemic like the common flu but stress and fear will live on through your children. 

So mommies, stay positive and just chill- this too shall pass!