Gynae Care With Dr Pragya (2025)

14/07/2025

This is the story of a 60-year-old woman with a history of heart disease who came to us with an important concern: postmenopausal bleeding. In women past menopause, even a small amount of bleeding can signal a deeper problem and it's never something to ignore.

We conducted an endometrial biopsy to evaluate the lining of her uterus. The results showed endometrial hyperplasia with atypia, a condition where the endometrial cells grow abnormally and begin showing precancerous changes.

Because this condition carries a high risk of progressing to endometrial cancer, and considering her age and medical background, we recommended a total hysterectomy with removal of ovaries and fallopian tubes. This is the definitive and preventive treatment in such cases.

The good news? She acted early, understood her options, and took the right decision for her health.

Postmenopausal bleeding is not normal. If you or a loved one experiences it, please consult your gynecologist immediately. Early diagnosis truly saves lives.

05/07/2025

From a medical perspective, fertility is at its peak in your 20s to early 30s. This is when your ovarian reserve (the number and quality of eggs) is highest. A key hormone we look at is AMH – Anti-Müllerian Hormone – which reflects your egg reserve. AMH levels decline with age, especially after 35, which can make it harder to conceive and increase the risk of chromosomal abnormalities.

But age alone isn’t everything. Fertility is also influenced by lifestyle, stress, reproductive health conditions like PCOS or thyroid issues, and overall physical and mental readiness.

There’s no one-size-fits-all answer. Some women conceive easily at 38, while others may need support at 28. That’s why early consultation and fertility assessment are so important if you’re thinking about pregnancy now or in the future.

If you're planning to wait, options like egg freezing and preconception planning can give you more control and peace of mind.

Your timeline is yours, and we’re here to guide you through it.
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Contact Dr. Pragya at 9415240772.

30/06/2025

Premature Breech Delivery - A Case That Highlights the Power of Timely Intervention

Swipe through to learn about the case of a first-time mother who delivered her baby at just 30 weeks via C-section due to Preterm Prelabor Rupture of Membranes (PPROM) and breech presentation.

She presented with PPROM and we initially tried conservative management to prolong the pregnancy to 32–34 weeks. However, labor pains began after 8 hours, indicating the need for intervention.

We administered dexamethasone for corticosteroid coverage to promote fetal lung maturity and magnesium sulfate for fetal neuroprotection.

The baby was found to be in breech position, where the feet or bottom are positioned to come out first instead of the head. A C-section was performed to ensure safety.

Normal delivery may be possible in some premature cases if the baby is in a head-down position, due to the relatively smaller body and proportionally larger head. But breech complicates things.

The baby was safely delivered and needed only 2 days of NICU support for initial respiratory care, an excellent outcome for a 30-week preemie!

Contact Dr. Pragya at 9415240772.

27/06/2025

Many new moms ask me: “Should I wear an abdominal belt after delivery?”
The answer isn’t one-size-fits-all - just like postpartum recovery itself.

A postpartum abdominal belt (also called a maternity or tummy belt) is a compression wrap worn around the abdomen after childbirth. It’s often used to provide support to the abdominal muscles, lower back, and healing uterus, especially after a C-section or difficult vaginal delivery.

Wearing a belt may help with:
- Improving posture during breastfeeding
- Reducing back strain
- Supporting weakened core muscles
- Offering gentle compression as the uterus returns to its pre-pregnancy size

However, it’s important to understand what a belt cannot do:
It won’t burn belly fat, tone muscles, or instantly flatten the postpartum belly.
Long-term recovery comes from rest, nutrition, hydration, and gentle movement.

Some women may benefit from a belt, while others, especially those with surgical complications, breathing discomfort, or skin sensitivity should avoid it. Always consult your gynecologist before using one, especially after a C-section.

Every mother’s recovery journey is unique. Trust your body, and take support, literally and emotionally, wherever it helps.

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Contact Dr. Pragya at 9415240772.

15/06/2025

Happy Father’s Day to the men who show up — not just at the finish line, but at every step of the journey.

At my clinic, I’ve seen the quiet strength of fathers who attend every scan, who Google what folic acid does, who hold their partner’s hand in labor, and who stay up learning how to swaddle a newborn.

Modern fatherhood is so much more than tradition. It’s compassion, emotional presence, and shared responsibility — in fertility struggles, in pregnancy, in postpartum recovery.

Today, let’s celebrate not only fathers, but partners — those who nurture, support, and grow alongside the women in their lives.

- Because strong families begin with shared care. - Because maternal health is not just a woman’s story.
- Because fatherhood, too, is an act of love and health.

Happy Father’s Day from my practice to your home.

Dr Pragya

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Contact Dr. Pragya at 9415240772.

13/06/2025

Many new mothers often ask:
Will my breasts sag after pregnancy?
Let’s talk honestly about it.

Breast sagging, medically known as breast ptosis, is a natural, biological change that many women experience after pregnancy. It’s influenced far more by pregnancy itself than by breastfeeding, despite the popular myth.

During pregnancy, hormonal changes cause your breast tissue to grow and stretch in preparation for lactation. Once breastfeeding ends or milk production drops, this tissue often shrinks back, but the skin and ligaments may not return to their original firmness. This results in a softer, lower-hanging breast shape.

Contributing factors include multiple pregnancies, larger pre-pregnancy breast size, rapid postpartum weight loss, smoking which reduces skin elasticity, genetic factors, and lack of supportive bras during pregnancy or breastfeeding.

The good news is that there are ways to minimize these changes. Wearing well-fitted, supportive bras throughout pregnancy and after, avoiding sudden weight fluctuations, eating skin-supportive nutrients like vitamin C and collagen, gentle chest-focused exercises to tone pectoral muscles, staying hydrated, and avoiding smoking can all help.

Remember, sagging breasts are not a sign of failure or damage. They’re part of a natural physiological process that reflects your body’s role in nurturing life.

If you notice asymmetry, lumps, pain, or redness, always consult your doctor. Cosmetic changes are one thing, but discomfort or abnormalities should be professionally evaluated.

Breast health isn’t just about appearance. It’s about function, well-being, and confidence. You deserve understanding, not judgment.

Contact Dr. Pragya at 9415240772.

08/06/2025

Postpartum depression (PPD) isn’t just “feeling low” after birth.

It’s a real, diagnosable condition that affects nearly 20% of new mothers in India—and yet, most go undiagnosed or untreated.

Mothers may experience:

Persistent sadness or crying spells

Feeling overwhelmed, guilty, or disconnected from the baby

Fatigue beyond the usual

Loss of interest, irritability, or anxiety

This is not weakness. This is not failure.
It’s a medical condition, and it deserves compassionate care.

At our clinic, we screen routinely for PPD—because maternal mental health is maternal health.

If you're a new mother, or know one—look out for the signs. Speak up.
You're not alone. And you’re not supposed to suffer in silence.

Contact Dr. Pragya at 9415240772.

05/06/2025

Had this patient who had entered into dry labour due to amniotic sac rupture prior to entering the labour. That couldn't be avoided despite labour augmenting medicines. This was an emergency situation as the baby was in distress and had developed a caput.

Dry labor refers to labor that occurs after the rupture of the amniotic sac, where there is little to no amniotic fluid left to cushion the baby. Normally, the amniotic fluid protects the fetus and facilitates smooth uterine contractions, allowing the baby to descend through the birth canal more easily.

In this case, the baby would not descent down due to no amniotic fluid.

So the situation called for a c-section and a healthy baby was delivered.

As they say, all's well that ends well. We all said that with a smile.

Best wishes to the family!

Contact Dr. Pragya at 9415240772.

02/06/2025

The NT-NB ultrasound, also known as the nuchal translucency and nasal bone scan, is a crucial part of first-trimester screening. Typically performed between 11 and 13 weeks + 6 days of gestation, this specialized prenatal scan is used to assess the early anatomical development of the fetus and evaluate the risk of chromosomal abnormalities, particularly Down syndrome (Trisomy 21), Edwards syndrome (Trisomy 18), and Patau syndrome (Trisomy 13).

During the scan, two key markers are measured: the nuchal translucency (the clear space at the back of the baby’s neck) and the presence or absence of the nasal bone. Increased nuchal translucency thickness or an absent nasal bone can indicate a higher probability of genetic conditions. This screening is non-invasive and is often combined with first-trimester dual marker blood tests to improve accuracy and stratify risk.

It’s important to remember that the NT-NB scan is a screening test, not a diagnosis. If results show elevated risk, further evaluation may be recommended through non-invasive prenatal testing (NIPT), chorionic villus sampling (CVS), or amniocentesis for definitive genetic diagnosis.

Early prenatal screening empowers expectant parents with timely, reliable information, supporting better clinical decision-making and care planning. For optimal results, the scan must be performed by a certified fetal medicine specialist or a trained obstetrician with experience in early fetal anomaly detection.

To learn more about NT-NB scans, first-trimester screening protocols, and early pregnancy care, DM us or consult directly at our clinic.

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Contact Dr. Pragya at 9415240772.

24/05/2025

Women’s health is quietly undergoing a revolution.

From personalized treatments to digital tools and holistic care, modern gynecology is no longer just about treating illness — it's about understanding the full story of a woman’s body, at every stage of life.

In this post, Dr. Pragya shares key trends reshaping the way we approach reproductive and hormonal health. These changes are not just technological — they are deeply human.

Swipe through to explore how today’s innovations are making care more compassionate, accessible, and empowering.

Let’s start a more informed conversation about women’s health.

Stay tuned to the page to stay updated on what truly matters in modern gynecology.

More coming soon.

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Contact Dr. Pragya at 9415240772.

18/05/2025

This baby gave us quite a scare. The mother had high blood pressure during her antenatal period and was waiting for natural labor.

One night, she noticed reduced fetal movements—a critical warning sign. On evaluation, we found the baby had passed meconium in utero (yes, did potty inside the womb!) - a classic sign of fetal distress.

Meconium is a baby’s first stool—thick, sticky, and dark green. If passed inside the womb due to stress, it can mix with amniotic fluid. The risk? The baby may inhale it, leading to meconium aspiration, respiratory distress, or sepsis.

We rushed for an emergency C-section, and thankfully, baby was delivered safely.

Always trust your instincts, mamas. Every kick counts!

Contact Dr. Pragya at 9415240772.

11/05/2025

Every new life I hold reminds me of the quiet power mothers carry—the strength to create, to nurture, and to love unconditionally.

This Mother’s Day, I celebrate each of you. You are the beginning of every story, the heartbeat behind every life. Happy Mother’s Day to all the incredible women who make this world possible.

I’d love to hear your motherhood journey or a moment that moved you—share your story in the comments or tag someone who inspires you.

Contact Dr. Pragya at 9415240772.

Gynae Care With Dr Pragya

14/07/2025

05/07/2025

30/06/2025

27/06/2025

15/06/2025

13/06/2025

08/06/2025

05/06/2025

02/06/2025

24/05/2025

18/05/2025

11/05/2025

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