Dr. Prabhakar Gowda - Gynaecologist

05/16/2023

Work Mode 🙂

04/29/2019

Thanks it was my duty

Well Known Gynaecologist Dr. Prabhakar Gowda has saved a life of 3 kids by operating a patient of Cancer In USA Hospital.

And the Dr stated that the kids are fine no traces of Cancer had been found which was in Moms blood.

12/13/2017

Most pregnancies are uncomplicated. That said, it's helpful to know which serious medical issues are most likely to affect expecting moms. Here's a quick guide to the seven most common pregnancy complications.

Your doctor or midwife will watch for these pregnancy complications (and others) throughout your pregnancy, using physical exams, lab tests, and ultrasounds. Meanwhile, you can help your caregiver by attending all your prenatal appointments and reporting any troubling symptoms.

Miscarriage

Miscarriage is the loss of a pregnancy in the first 20 weeks. About 10 to 20 percent of known pregnancies end in miscarriage, and more than 80 percent of miscarriages happen before 12 weeks. Most first-trimester miscarriages are believed to be caused by chromosomal abnormalities in the fertilized egg that keep the embryo from developing.

Vaginal spotting or bleeding is usually the first sign, so call your healthcare practitioner right away if you notice it (although it's not uncommon to spot or bleed in early pregnancy even if you're not miscarrying). If your practitioner suspects a miscarriage, she'll order an ultrasound to see what's going on in your uterus and possibly do a blood test.

Premature labour

If you start having regular contractions that cause your cervix to begin to open (dilate) or thin out (efface) before you reach 37 weeks of pregnancy, you're in preterm or premature labor. When a baby is delivered before 37 weeks, it's called a preterm birth and the baby is considered premature. About 12 percent of babies in the United States are born prematurely.

Preterm birth can cause health problems or even be fatal for the baby if it happens too early. The more mature a child is at birth, the more likely he is to survive and be healthy.

Pregnancy swelling (edema)
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Preeclampsia

Preeclampsia is a serious condition that affects about 5 percent of pregnant women. You're diagnosed with preeclampsia if you have high blood pressure and protein in your urine or liver or kidney abnormalities after 20 weeks of pregnancy.

Most expectant mothers who get preeclampsia develop mild symptoms near their due date, and they and their babies do fine with proper care. But it can progress quickly, and severe preeclampsia can affect many organs and cause serious or even life-threatening problems. Women whose preeclampsia is severe or getting worse need to deliver early.

Low amniotic fluid (oligohydramnios)

The amniotic sac fills with fluid that protects and supports your developing baby. When there's too little fluid, it's called oligohydramnios. According to the March of Dimes, about 4 percent of pregnant women have low levels of amniotic fluid at some point, usually in their third trimester.

If this happens to you, your caregiver will follow your pregnancy closely to be sure your baby continues to grow normally. If you're near the end of your pregnancy, labor will be induced.

Weight gain and pregnancy
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Gestational diabetes

Between 2 and 10 percent of expectant mothers in the United States develop this type of diabetes. That might not sound like many, but the condition is common enough – and serious enough – that pregnant women routinely get a glucose screening between 24 and 28 weeks to test for it.

If you develop gestational diabetes, you'll be closely monitored by your healthcare provider. Most women are able to keep their blood sugar levels under control with diet and exercise and deliver healthy babies. But poorly controlled diabetes can have serious consequences for the baby.

For mothers with gestational diabetes, there's a 25 to 50 percent chance of developing type 2 diabetes later in life, though this risk can be significantly reduced by maintaining a healthy weight and lifestyle.

Ectopic pregnancy

When a fertilized egg implants outside the uterus, it's an ectopic pregnancy. One in 50 pregnancies is ectopic. Because the vast majority of ectopic pregnancies occur in a fallopian tube, they're often called "tubal" pregnancies.

It's important to catch this type of pregnancy early because the growing embryo could rupture your fallopian tube and cause internal bleeding that can be fatal. Sine there's no way to transplant an ectopic pregnancy into the uterus, ending the pregnancy is the only option.

Placenta previa

If you have placenta previa, your placenta is lying unusually low in your uterus, next to or covering your cervix. Placenta previa isn't usually a problem early in pregnancy. But if the placenta remains dangerously low as your pregnancy progresses, it can cause bleeding, which can lead to other complications and may require you to deliver early.

The location of your placenta will be checked during your midpregnancy ultrasound exam, but only a small percentage of women who have placenta previa in midpregnancy still have it when they deliver their baby. Placenta previa is present in up to 1 in 200 deliveries. Women who have placenta previa when they give birth have to deliver by c-section.

10/21/2017

How soon can you take a pregnancy test?

You should wait to take a pregnancy test until the week after your missed period for the most accurate result.

If you don’t want to wait until you’ve missed your period, you should wait at least one to two weeks after you had s*x. If you are pregnant, your body needs time to develop detectable levels of HCG. This typically takes seven to 12 days after successful implantation of an egg.

You may receive an inaccurate result if the test is taken too early in your cycle.

Here are some signs that you should take a pregnancy test.

MISSED PERIOD

1. You’ve missed your period
Missed Period
One of the first and most reliable signs of pregnancy is a missed period.

If you don’t track your cycle closely, it might be hard to determine whether or not you’re late. Many women have a 28-day menstrual cycle. Consider taking a test if it’s been more than a month since your last period.

Keep in mind that your period can sometimes be delayed or skipped due to stress, diet, exercise, or certain medical conditions.

Also pay attention to your flow if you suspect pregnancy. It’s common to experience light bleeding or spotting in the early weeks as the egg buries deeper into the uterine lining during implantation. Take note of any difference in the color, texture, or amount of blood.

Contact your doctor if you have bleeding and a positive pregnancy test.

CRAMPS

2. You have cramps
cramps
Implantation can also produce a feeling similar to menstrual cramps. In early pregnancy, you may feel this discomfort and think your period is just around the corner, but then it never comes.

Sound familiar? Take a test. Hormone levels vary by woman and by pregnancy.

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SORE BREASTS

3. Your breasts hurt
breast pain
As your pregnancy produces more and more estrogen and progesterone, these hormones start to make changes in your body to support the baby’s growth.

Your breasts may feel tender and appear bigger due to increased blood flow. Your ni***es might hurt and the veins might look darker under the skin.

Because many women also experience breast discomfort in the days leading up to their period, this symptom isn’t always indicative of pregnancy.

OTHER PHYSICAL SYMPTOMS

4. You’re feeling different
nausea
Along with cramps and sore breasts, early pregnancy can cause:

nausea
food aversions
exhaustion
frequent urination
As the weeks go on, these symptoms may get stronger before your HCG levels even out late in the first trimester. You know yourself, so pay attention to your body. Any unusual physical symptoms could prompt you to take a pregnancy test.

CONTRACEPTIVE FAILURE

5. Your contraception failed
contraception
Birth control pills, condoms, and other types of contraceptive devices don’t provide 100 percent protection from pregnancy. In other words, there’s always a slight chance of pregnancy, no matter how careful you are.

Despite your birth control preferences, consider taking a test if you experience any of the signs we’ve listed.

Human error or defects can also result in unplanned pregnancy. Birth control pills can be difficult to remember to take each day. According to Planned Parenthood, 9 out of every 100 women on the pill will get pregnant if they don’t take it as directed.

Condoms can break and tear or otherwise be used incorrectly. According to Planned Parenthood, nearly 18 in every 100 women relying on condoms for contraception get pregnant each year.

If you’re worried about contraceptive failure, ask your doctor about alternative contraceptive methods, such as an intrauterine device (IUD). According to Planned Parenthood, less than one out of every 100 women using an IUD gets pregnant each year.

TAKEAWAY

When in doubt, test!
Sexually active women in their reproductive years have a chance of pregnancy every month, even when using protection. There are certain signals your body might send that should prompt you to take a pregnancy test.

For the best results, take the test after you think you’ve missed your period. Test during your first morning bathroom visit, or hold it for several hours to increase the concentration of the HCG hormone that the test measures.

Testing early helps to ensure that you get proper care for yourself and, if applicable, prenatal care for your baby. In the event of a positive result, contact your doctor as soon as possible to discuss your options and potential next steps.

07/08/2017

05/31/2017

Signs and Symptoms for Gynecologic Problems
Gynecological signs and symptoms that may require medical attention:

Vaginal bleeding and discharge are a normal part of your menstrual cycle prior to menopause. However, if you notice anything different or unusual, consult your physician before attempting to treat the problem yourself.

Symptoms may result from mild infections that are easy to treat. But, if they are not treated properly, they can lead to more serious conditions, including infertility or kidney damage. Vaginal symptoms may also be a sign of more serious problems, from s*xually transmitted diseases (STDs) to cancers of the reproductive tract.

Gynecological symptoms may resemble other medical conditions or urological problems. Always consult your physician for a diagnosis.

Consult your physician if you have any of the following symptoms:

bleeding between periods
frequent and urgent need to urinate, or a burning sensation during urination
abnormal va**nal bleeding, particularly during or after in*******se
pain or pressure in your pelvis that differs from menstrual cramps
itching, burning, swelling, redness, or soreness in the va**nal area
sores or lumps in the ge***al area
va**nal discharge with an unpleasant or unusual odor, or of an unusual color
increased va**nal discharge
pain or discomfort during in*******se
Recognizing symptoms early and seeing a physician right away increases the likelihood of successful treatment.

05/21/2017

Pregnant in the summer? You’re at greater risk for gestational diabetes
When the temperature rises, so does your blood sugar, and that could lead to gestational diabetes when you’re pregnant says a new study.

You’ve probably realized that being pregnant in the summer means you’ll be sweating extra profusely on those sweltering days and gazing enviously as others sip mojitos on the patio while you drink water in between frequent p*e breaks. But did you know that being pregnant when it’s hot out also increases your risk for developing gestational diabetes?

Gestational diabetes is a condition that occurs during pregnancy in which your body can’t produce enough insulin to keep blood sugar at a normal level. Though it typically doesn’t show any noticeable symptoms, it can cause women to have bigger babies, leading to interventions like C-sections during delivery, and it’s associated with a higher risk of developing type 2 diabetes later in life.

The news that gestational diabetes could be influenced by temperature came from a Toronto-based study that looked at more than 550,000 births from nearly 400,000 moms. Women are typically screened for diabetes 27 weeks into pregnancy. Researchers decided to compare the average temperature in the 30 days before that point to see if there was a relationship between the outdoor temperature and the diagnosis of gestational diabetes.

The study, which was published in the Canadian Medical Association Journal, found that 6.5 percent of women experienced gestational diabetes during pregnancy, but, among those who experienced temperatures -10 degrees Celsius or colder, only 4.6 percent had the condition. Meanwhile, among those who were sweating it out at 24 degrees Celsius or more, the rate of gestational diabetes rose to 7.7 percent.

Researchers concluded that every 10-degree-Celsius increase is associated with a six to nine percent relative increase in a woman’s risk. And when individual women had more than one pregnancy, researchers were able to observe similar results in separate pregnancies that occurred at different times of year, which helped to control for other factors, such as ethnicity or lifestyle habits.

The reason your risk rises with the temperature? Evidence shows that a layer of brown fat that lies just below the skin and is used to heat the body in cold temperatures can actually increase insulin sensitivity, which offers some protection against diabetes.

“As the season gets colder, you’re going to develop more brown fat,” says Dr. Gillian Booth, an endocrinologist and researcher at St. Michael’s Hospital in Toronto and one of the study’s lead authors. She adds that, in some studies, simply turning down the thermostat a few degrees can show improvements in insulin sensitivity, and some researchers are looking at the benefits of cold temperatures for increasing brown fat and promoting weight loss. Because body weight before pregnancy and weight gained during pregnancy are important to determining your likelihood of developing gestational diabetes, anything that keeps extra pounds off can offer a big advantage.

Though researchers have been interested in the powers of brown fat for a while, the results of this study are still surprising. “We know that Canadians are less active during wintertime so we would think women would be worse off in the winter, but we found the cold temperatures were actually protective,” says Booth.

Want to reduce your chance of developing gestational diabetes? If it’s winter, get outside and go for walk. Booth says the activity can lower your risk by helping to control weight and blood sugar, plus, exposing your body to the cold can be protective. As for those hot and sticky days, Booth says, “It’s still good to be active. You might look for opportunities to walk in air-conditioned areas. Walking is still important and you shouldn’t avoid the outdoors because of the heat.”

If you’re feeling worried—and a little sweaty—during your summer pregnancy, you can also limit weight gain by avoiding sugary foods and beverages, to lower your risk. And you can also turn down the thermostat, no matter the time of year. The good news? Now you have another bargaining chip to crank up the AC, even after your partner has had to put on a sweater.

05/08/2017

Signs of Normal Delivery

Labour Pains

The beginning of your delivery is with labour pains. This can last from 8 to 14 hours.

Dilation of Cervix

The dilation of your cervix should be anywhere between 1 to 10 centimetres. If the cervix dilates till 3 to 4 centimetres only to contract back, it is termed active labour. This is the first stage of labour when your admitted to the hospital. When it is 10 centimetres, the baby is almost out. When trying to deliver the baby, the doctor feels for the cervical dilation. He will place the hands in the va**na right up to the cervix to feel the baby's body parts. If everything is normal, he should find the baby's head. If any other body parts are felt, particularly the butt or feet, it is not normal and a C-section may be needed.

Feeling the Baby's Head

When trying to deliver the baby, the doctor feels for the cervical dilation. He will place the hands in the va**na right up to the cervix to feel the baby's body parts. If everything is normal, he should find the baby's head. If any other body parts are felt, particularly the butt or feet, it is not normal and a C-section may be needed.



Effacement of the cervix

Since the head of the baby is found to be down in most cases, the doctor goes on examining the cervix and in particular, what is called the effacement of the cervix. It is measured in percentages. The normal length of cervix is between 3 and 4 centimetres. With the start of labour, the cervix starts to expand and thin. This thinning is so much that it gets incorporated in the lower part of uterus. If the cervix is found to be 2 cm thick, effacement is about 50 percent.

Station of the Baby

The bony part of mother's pelvis that is felt by doctor or nurse during her exam has ischial spines. The location of this determines what is called the station of the baby. Station of the baby is determined by distance between baby's presenting body (normally head) to the location of mother's ischial spines. The mother needs to have a station of the baby at 0. The station is defined as lying between -5 to +5 levels based on location of ischial spine. At 0 level, the top of baby's head is at the ischial spine. If baby is at positive level of station, it means the baby has gone past the ischial spine and is closer to delivery. So when you hear your doctor say, 4 cm. dilated/50% effaced/-1 station in the delivery room, know that cervix is dilated by 4 cm, it has thinned by 50 percent and -1 is an indication of the baby's head position.

Regular Contractions

Regular contractions with the abovementioned diagnosis mean your phase of labour is active. You should deliver within 8 to 12 hours if not earlier.

04/24/2017

SUGGESTIONS FOR TREATING NAUSEA AND VOMITING IN PREGNANCY

Nausea and vomiting have long been recognized as a sign/symptom of early pregnancy. Statistics vary, but from 60-85% of all women experience some degree of nausea. Textbooks suggest 6-16 weeks as the most common time frame for symptoms, although a low percentage of women experience nausea and vomiting throughout the entire pregnancy.

Although commonly called “morning sickness,” the symptoms are not limited to morning and can come in the late afternoon and evening as well as all day. Hypersensitivity to odors often contributes to the nausea.

The following suggestions may be helpful:

TIMING OF MEALS
Eating small, frequent meals (every 2-3 hours) is helpful instead of three large ones, because you are more likely to feel nauseated when your stomach is empty. Think of this as “grazing.” Avoid eating and drinking at the same time. Save fluids until an hour or so after you have eaten something solid. If you dell like eating a regular meal, be sure you don’t overeat.

FOODS TO AVOID
Fats and greasy foods tend to upset the stomach. Avoid fried foods and foods cooked with grease, oils of high fat meats. Limit of avoid butter, margarine, gravy, bacon, oils, mayonnaise, salad dressings, and pastries. Highly seasoned foods such as those cooked with garlic, onion, chili and other spices may upset your stomach. Eat lightly seasoned foods. You may need to avoid fast-food restaurants for a while.

FOODS TO TRY
Think of what appeals to you at the moment. Sometimes it helps to run through a list of adjectives to determine what sound good. For example: “Salty” (chips/pretzels); “tart/sour” (pickles, lemonade); “earthy” (brown rice, mushroom soup); “crunchy” (celery stocks, fresh apple); “bland” (mashed potatoes, custard); “soft” (bread, noodles); sweet (cake, sugary cereal); fruity (juices, popsicles); wet (juice, seltzer); dry (crackers).

It is helpful to keep these things on hand so that you can satisfy your craving immediately. A nutritious diet is important in pregnancy, but breaking the cycle of nausea and vomiting is important too. When the nausea has subsided, fruits, vegetables and other nutritious foods will sound good.

04/10/2017

Pap test: A test that can be used to detect the early stages of uterine cancer.

Gynecologists also can investigate the reasons that a woman is unable to become pregnant. Typical problems involve plugged fallopian tubes or a hormonal (chemical) imbalance that prevents an egg from becoming mature, releasing properly from the ovaries, or implanting onto the uterine wall. In each of these cases, steps can be taken to correct or bypass the problem so the woman can bear children.

Gynecology has advanced to the point that a physician can force the ovaries to produce eggs. These eggs can then be removed and fertilized in a dish and then implanted in the uterus. This method is known as in vitro fertilization because fertilization occurs within glass dishes (vitro is Latin for "glass") rather than a living body. In addition, the science of gynecology continues to make advances against the diseases and disorders that may deny a woman the ability to have children.

04/09/2017

That feeling when u successfully made a delivery of Baby.