Dr Surbhi Suman

Dr Surbhi Suman MBBS, MS, DNB, FMAS
Gold Medalist
Gynaecologist
Laparoscopic surgeon
Infertility specialist

08/05/2026

Nobody plans to reach hospital late.
But I have seen families lose mothers because they waited for: • pain to increase
• bleeding to stop
• “one more night”
Maternal deaths are often preventable.
Learn danger signs before pregnancy - not during emergency.
Save this. One family decision can save a life.
Below are the most important danger signs one should not miss in pregnancy!
🚨 1. Vaginal Bleeding Anytime in Pregnancy
⚠️ 2. Severe Headache, Blurring of Vision, or Swelling of Face/Hands
🫁 3. Breathlessness or Chest Pain
🤰 4. Decreased or Absent Baby Movements

🌡️ 5. High Fever, Severe Abdominal Pain, or Convulsions
Follow for real OB-GYN truths I wish every woman knew.

कोई भी अस्पताल देर से पहुंचने की योजना नहीं बनाता।

लेकिन मैंने ऐसे परिवारों को देखा है जिन्होंने अपनी माताओं को खो दिया क्योंकि वे इन बातों का इंतज़ार करते रहे: • दर्द का बढ़ना
• रक्तस्राव का रुकना
• “एक और रात”
मातृ मृत्यु को अक्सर रोका जा सकता है।
गर्भावस्था से पहले ही खतरे के संकेतों को पहचानें - आपातकालीन स्थिति में नहीं।
इसे सहेज कर रखें। एक पारिवारिक निर्णय किसी की जान बचा सकता है।
नीचे गर्भावस्था के सबसे महत्वपूर्ण खतरे के संकेत दिए गए हैं जिन्हें नज़रअंदाज़ नहीं करना चाहिए!
🚨 1. गर्भावस्था में कभी भी योनि से रक्तस्राव
⚠️ 2. गंभीर सिरदर्द, धुंधली दृष्टि या चेहरे/

05/05/2026

This post is to create awareness 🌺 always visit your gynaecologist for individualized treatment.

Why should you eat dates in the final weeks of pregnancy?
This tip may sound like an old wives’ tale, but eating dates is actually an evidence-based way to have a faster, smoother labor!

Studies have shown that eating six dates a day starting at 36 weeks can have the benefits mentioned in the reel!
Consistently eating dates will help prepare your cervix for labor! If you don’t like them plain, you can put them in a smoothie, stuff them with peanut butter, or chop them up with oats and nuts to make energy balls.
SAVE & SHARE this reel with your friends ✨
Follow us for more such tips, and information on woman health!



Obgyn, gynaecologist, jhansi, normal delivery, first trimester, second trimester, third trimester, delivery, labor

03/05/2026

🌺This post is to create awareness. Because correct information and knowledge can help you plan your pregnancy better.

White vaginal discharge during pregnancy is very common and usually normal.It happens because of hormonal changes and increased blood flow to the vaginal area.

🌸What is normal discharge
✅Thin, milky white or clear
✅Mild or no smell
✅Not itchy or irritating
✅Can increase as pregnancy progresses
This type of discharge actually helps protect the birth canal from infections, so it’s a healthy sign.

🚨When it may NOT be normal
You should pay attention if the discharge:
🚫Becomes yellow, green, or gray
🚫Has a strong or foul smell
🚫Looks like cottage cheese (may indicate a yeast infection)
🚫Is associated with itching, burning, or pain
🚫Is watery and continuous (could be leaking amniotic fluid)

⚡These could point to infections like Vaginal yeast infection or Bacterial vaginosis and should be checked by a doctor.

Important 👉-Vaginal infections should not be missed in pregnancy because it can lead to preterm leaking and preterm delivery.

⚡Safe hygiene practices in pregnancy.
🍀Wear breathable cotton underwear
🍀Keep the area clean and dry
🍀Avoid douching or scented products


Doctorsofinstagram, obgyn, gynaecologist, woman helath

02/05/2026

🌸Is hair dye safe in early pregnancy?
Most available evidence suggests that occasional use of hair dye is unlikely to harm the baby, because:
Only minimal chemical absorption occurs through the scalp.
The amount entering the bloodstream is small.

🚨Why doctors still advise caution in the 1st trimester
The first trimester (0–12 weeks) is the organogenesis period, when:
Fetal organs are forming
Theoretical risk from chemical exposure is highest
So many obstetricians recommend avoiding elective chemical exposure during this period if possible, mainly as a precaution -not because strong evidence shows harm.

⚡Practical recommendations
✅ Safer options

🍀Prefer after 12–14 weeks (second trimester)
🍀Use highlights, streaks, balayage → less scalp contact
🍀Choose ammonia-free or herbal dyes
🍀Apply in a well-ventilated area
Wear gloves / avoid prolonged exposure

⚠️ Avoid
Frequent dyeing
Strong chemical fumes
Leaving dye longer than recommended
DIY dyeing in poorly ventilated rooms

💫Occasional personal use → considered safe
👉 “Hair dye is not proven harmful in pregnancy, but we usually advise waiting until after the first trimester as an extra precaution.

01/05/2026

Excessive drowsiness and lethargy in the first trimester is extremely common.

🌼 Why Does First-Trimester Fatigue Happen?
1️⃣ Progesterone Surge - Main Cause
Progesterone rises rapidly after implantation
Acts like a natural sedative
Causes:
Sleepiness
Reduced alertness
Low energy feeling
👉 Physiologically protective -promotes rest and uterine quiescence.

2️⃣ Increased Metabolic Demand

3️⃣ Hemodynamic Changes
Peripheral vasodilation
Relative low BP
Reduced cerebral perfusion sensation → fatigue, lightheadedness

4️⃣ Hypoglycemia Tendency
Increased insulin sensitivity early pregnancy
Long gaps between meals → lethargy

5️⃣ Sleep Disturbance
Nausea
Frequent urination
Emotional changes
Altered circadian rhythm

👉 Practical baseline tests:
CBC
TSH
Blood sugar
Urine routine
Serum B12 / Vit D (if persistent fatigue)

🌿 Practical Management Advice

⚡daytime short naps (20–30 min)
⚡Sleep ≥8–9 hrs/night
⚡Avoid long fasting gaps
⚡Light physical activity improves energy paradoxically

Diet
⚡Small frequent meals
⚡Protein-rich breakfast
⚡Iron + folate compliance
⚡Adequate hydration

⚡Morning protein snack reduces daytime crash
⚡Coconut water / ORS helpful in low BP feeling
⚡Avoid excessive caffeine (>200 mg/day)

🌸“This tiredness means your body is working very hard to support the pregnancy — it usually improves after the 4th month.”

Hang in there Mummas 🌺

गर्भावस्था की पहली तिमाही में अत्यधिक नींद आना और सुस्ती आना बहुत आम बात है।

🌼 पहली तिमाही में थकान क्यों होती है?

1️⃣ प्रोजेस्टेरोन का बढ़ना - मुख्य कारण

👉 शारीरिक रूप से सुरक्षात्मक - आराम और गर्भाशय की शांति को बढ़ावा देता है।

2️⃣ चयापचय संबंधी मांग में वृद्धि

3️⃣ रक्त गतिकी में परिवर्तन

4️⃣ हाइपोग्लाइसीमिया की प्रवृत्ति
गर्भावस्था के शुरुआती दौर में इंसुलिन संवेदनशीलता में वृद्धि
भोजन के बीच लंबा अंतराल → सुस्ती

5️⃣ नींद में गड़बड़ी
मतली
बार-बार पेशाब आना
भावनात्मक परिवर्तन
स्वभाविक लय में बदलाव

👉 जांच क्या करवाए
सीबीसी
टीएसएच
रक्त शर्करा
मूत्र परीक्षण
सीरम विटामिन डी / विटामिन डी (यदि लगातार थकान हो)

🌿 टिप्स आराम के लिए

⚡दिन में छोटी झपकी (20-

Jhansi, gynaecologist,obgyn, womanhealth, motherhood, mom to be

30/04/2026

Stop doing these mistakes when taking iron tablets 🚫
⚡ Do not take iron and calcium tablets together. They decrease absorption of each other.
⚡Do not take iron tablets immediately after meals. Food decreases iron absorption. Take it 1 hour before or 1 hour after meals
⚡ Do not take iron tablets with milk, tea or coffee. Take it preferably with lemon water. Vitamin C helps iron absorption.

आयरन की गोलियां लेते समय इन गलतियों से बचें 🚫
⚡ आयरन और कैल्शियम की गोलियां एक साथ न लें। ये एक-दूसरे के अवशोषण को कम कर देती हैं।

⚡ भोजन के तुरंत बाद आयरन की गोलियां न लें। भोजन आयरन के अवशोषण को कम कर देता है। इसे भोजन से 1 घंटा पहले या 1 घंटा बाद लें।
⚡ आयरन की गोलियां दूध, चाय या कॉफी के साथ न लें। इसे नींबू पानी के साथ लेना बेहतर है। विटामिन सी आयरन के अवशोषण में मदद करता है।

🌸 Knowledge is power. Share this with pregnant mama or anyone you think needs this.


Pregnant, motherhood, mom to be, labor and delivery, normal delivery, doctorsofinstagram, obgyn, gynaecologist

29/04/2026

APLA (Antiphospholipid Antibody Syndrome) is an autoimmune thrombophilic disorder characterized by:
👉 Recurrent pregnancy loss
👉 Arterial or venous thrombosis
👉 Presence of antiphospholipid antibodies
It is one of the most important treatable causes of recurrent early miscarriage

🧬 Pathophysiology
Autoantibodies are formed against phospholipid-binding proteins:
β2-glycoprotein I
Prothrombin
Annexin V

🧪 Types of Antiphospholipid Antibodies
1. Lupus Anticoagulant (LA) — Most strongly associated with pregnancy loss
2. Anticardiolipin antibody (aCL) — IgG / IgM
3. Anti-β2 glycoprotein I antibody

🤰 Obstetric Manifestations

Recurrent early miscarriage ⭐
Missed abortion (no cardiac activity)
Recurrent implantation failure
Severe early preeclampsia
IUGR
Oligohydramnios
Placental abruption
IUFD

💊 Treatment
Preconception / Positive Pregnancy Test

✅ Low dose aspirin
75–150 mg daily (start preconception or when trying)

✅ Low Molecular Weight Heparin (LMWH)
(e.g., Enoxaparin 40 mg SC OD)
➡ Continue till 6 weeks postpartum

Evidence-Based Outcome
Without treatment → live birth rate ~20–30%
With treatment → 70–85% live birth rate

⚡Patient with recurrent missed abortion:
We Confirm non-viable pregnancy by scan

APLA panel
Thyroid profile
HbA1c
Parental karyotype (if indicated)
Uterine cavity assessment

Note: this post is to create awareness about Recurrent pregnancy loss . Fir individualized treatment always visit your gynaecologist.


pregnancytips, gynaecologist, doctorsofinstagram, obgyn, missed abortion ,jhansi

28/04/2026

🌺This post is to create awareness about Thyroid Disorders in Pregnancy . Always consult your gynaecologist for individualized treatment in pregnancy!

Thyroid disease is the second most common endocrine disorder in pregnancy after diabetes.
1️⃣ Physiological Thyroid Changes in Pregnancy
Hormonal Changes
Increased iodine requirement

👉 Therefore trimester-specific TSH ranges should be used.
Recommended TSH Values

1st trimester
0.1 – 2.5 mIU/L
2nd trimester
0.2 – 3.0 mIU/L
3rd trimester
0.3 – 3.5 mIU/L

2️⃣ Hypothyroidism in Pregnancy
Causes
Autoimmune (Hashimoto thyroiditis) — most common
Iodine deficiency
Post-thyroidectomy / radioiodine therapy
Subclinical hypothyroidism

⚡Maternal Implications
Miscarriage
Anemia
Preeclampsia
Placental abruption
Postpartum hemorrhage
Infertility/subfertility
Fetal & Neonatal Effects
Fetal growth retardation
Preterm birth
Low birth weight
Neurocognitive impairment (low IQ)
Stillbirth (severe untreated cases)
Management

3️⃣ Hyperthyroidism in Pregnancy

Causes
Graves disease — most common
Gestational transient thyrotoxicosis (high hCG)
Toxic nodular goiter

⚡Maternal Complications
Severe vomiting (HG)
Heart failure
Thyroid storm
Preeclampsia
⚡Fetal Complications
Fetal tachycardia (>160 bpm)
Growth restriction
Preterm delivery
Fetal/neonatal thyrotoxicosis
Hydrops fetalis

4️⃣ Subclinical Thyroid Disease
Subclinical Hypothyroidism
↑ TSH, normal FT4
Associated with infertility & miscarriage

5️⃣ Thyroid Antibodies & Pregnancy

TPO antibodies ↑ risk of:
Miscarriage
Preterm birth
Postpartum thyroiditis

6️⃣ Postpartum Thyroiditis
Occurs within 1 year postpartum
Triphasic course:
Hyperthyroid phase
Hypothyroid phase
Recovery
Risk ↑ in autoimmune patients.

⚡ Important tips
✅ Increase thyroxine dose as soon as pregnancy confirmed
✅ Separate iron/calcium from thyroxine by 4 hours
✅ Monitor every trimester (preferably every 4–6 weeks)
✅ Adjust dose postpartum back to pre-pregnancy level
✅ Check neonatal thyroid levels


Doctorsofinstagram, obgyn, gynaecologist, labor and delivery, thyroid disorders in pregnancy

25/04/2026

🌸 This post is to create awareness. Regular antenatal visits with gynaecologist specially in third trimester should not be missed.

Swelling of legs in pregnancy (pedal edema) is very common — especially in 2nd and 3rd trimester. Most cases are physiological, but sometimes it can indicate pathology, so differentiation is important.

🤰 Physiological (Normal) Causes of Leg Swelling
✅ 1. Hormonal changes
✅ 2. Increased blood volume
✅ 3. Pressure from growing uterus
✅ 4. Sodium and water retention
✅ 5. Prolonged standing or sitting

👉 Typical features:
Bilateral swelling
Worse in evening
Improves after rest or leg elevation
No hypertension or proteinuria

⚠️ Pathological Causes (Must Rule Out)
1️⃣ Preeclampsia
Swelling + BP ≥140/90
Facial puffiness, hand edema
Proteinuria
Headache, blurring, epigastric pain
👉 Any edema with hypertension = evaluate urgently
2️⃣ Deep Vein Thrombosis (DVT)
Red flags:
Unilateral swelling
Painful calf
Redness/warmth
Sudden onset
👉 Needs Doppler urgently.
3️⃣ Cardiac disease
Generalized edema
Breathlessness, orthopnea.
4️⃣ Renal disease
Proteinuria
Facial swelling prominent.
5️⃣ Severe anemia or hypoalbuminemia

🩺 Do not ignore if these danger signs are present 🚨
Sudden swelling
Face or hand swelling
BP high
Headache / visual symptoms
One-leg swelling
Painful edema
Associated dyspnea


Jhansi, doctorsofinstagram, obgyn, women health, swelling in legs, facial swelling, pedal edema

24/04/2026

📊 AFI (Amniotic Fluid Index) Interpretation
✅ Normal AFI
Value: 8 – 24 cm
Meaning:
✔ Adequate amniotic fluid
✔ Good placental function
✔ Normal fetal urine production
✔ Usually reassuring fetal wellbeing
👉 No intervention required if NST & growth are normal.
⚠️ Low AFI — Oligohydramnios
Value: < 8 cm
(Severe oligohydramnios often 24 cm
Possible causes
GDM (most common)
Fetal anomalies (GI obstruction)
Fetal anemia
Multiple pregnancy
Idiopathic (≈50%)
Risks
Preterm labor
Malpresentation
Cord prolapse
PPH


jhansi, doctorsofinstagram, gynaecologist,obgyn, femalehealth

Let us understand infertility better. Because knowledge is control. This infertility awareness week let's learn to be mo...
23/04/2026

Let us understand infertility better. Because knowledge is control. This infertility awareness week let's learn to be more compassionate.. understanding and caring to those who are in this journey.

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