Shree Clinic is the first ever hospital in Pune to introduce subspecialty OPD services like pediatric surgery, neurology, and cardiology. Some of can be found here. We also offer In-patient department for a complete diagnosis and care. Also, we are equipped with the modern technology such as ventilators and Pediatric Intensive Care Unit (PICU) that are designed to take special care in some complex cases. Overall, with the best-experienced doctors and sophisticated instruments, Shree Clinic has truly carved a niche for itself in the Pediatric section.

What makes us unique is the range of services we offer which strictly cater to the pediatric category. Sophisticated treatments such as pediatric neurology, cardiology, ECHO, EEG, and BERA can be found only in our hospital. Further, we have trained staff and experienced doctors, who are well-versed in using the latest technology.

Emergency section, including the Pediatric Intensive Care Unit, is yet another facility that we boast of. Intensive care units have all the required instruments and technology to foster its functioning. Round the clock doctors are available in this section for providing support.

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Understand the weight gain process – Doctors at recommend patients to understand the weight loss process during pregnancy. Unhealthy dieting can be fatal for the fetus, and it is more than important to talk to a dietician for the right options. For example, obese women shouldn’t gain more than 11 and 20 KG, and that determines the diet plan.

Get a diet plan in place – The from the hospital says that pregnant women usually need 300 calories more on an average, but the diet chart is never a fixed one. In most cases, doctors recommend avoiding all forms of processed foods, which leads to unhealthy weight gain. Taking prenatal vitamins and regular meals can also help in keeping the weight in control.

Understand the exercise forms that work – Exercise is more than important for pregnant women, because it allows one to sleep well, regulate emotional wellbeing and reduce aches common in pregnancy. Exercise during pregnancy also helps in losing weight after childbirth. Walking and light jogging with stretches in limitations are great options. However, avoid focusing on the abdomen. Again, your doctor is the best person to advice on this, as the complications of pregnancy varies. Yoga and meditation can be recommended too.

If you need more information, check the website an appointment with the pediatrician or gynecologist. Ask the relevant questions and always insist on getting a diet and exercise plan, which is easy to follow. Remember that the wellbeing of your child is the first concern at all times.

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Costing and more
Compared to the west, IVF is certainly cheaper in India and can cost over Rs 1,50,000 in general. The experts of  agree that it is almost impossible to give a figure because the complications in each case can be really different. At times, the woman may not have a healthy ovarian reserve to donate eggs, for which an egg donor must be selected. In case the man doesn’t have a good sperm count, a sperm donor might be required. Apart from these factors, the couple may need individual treatment before the actual process can be initiated. Retrieving the eggs from the woman is usually the most complicated part. Some women are capable of donating eggs but may not have the uterus condition to hold the pregnancy.

Get consultation
As the most trusted  offers counselling, help and all related assistance for the treatment, so that couples can take a call. Doctors can only offer an idea of the treatment costs once the initial consultation and checkup is done. The tests and related treatments are more expensive than the actual procedure in some cases. Call out doctor and discuss your concerns before taking a decision on IVF with your doctor. Depending on the situation, your doctor may also suggest other treatments.

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Lifestyle changes
Usually, your doctor will recommend a bunch of lifestyle changes, which will help the body in restarting ovulation. Typically, weight loss and diet is recommended to lose excess weight. Preconception counseling is extremely important in this regard, because women need to know the potential complications that may be common while expecting with PCOS.

Metformin Treatment
Metformin is a drug for treating diabetes but can be prescribed to women suffering from PCOD. It is a safe drug that can be supplemented with other medications. Metformin can help women in losing weight and restart regular menstrual cycle. It also helps in reducing the rate of miscarriage. If you need help to find doctor in Pune for PCOS treatment, consult the experts o

Clomid Treatment
Clomid can be used for treatment of fertility, and women usually get pregnant with treatment involving this drug. Metformin and clomid are often used together, but if that doesn’t work, letrozole is also recommended. Studies have revealed that Letrozole might be more useful and effective than Clomid for women dealing with PCOS.

IVF (In Vitro Fertilization)
In case infertility treatments don’t work, your doctor may recommend IVF (In Vitro Fertilization), which is the best way to get pregnant, especially if the woman is over 30. However, your doctor is the best person to take a call on this.

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New-born care is an aspect that’s often confusing to most first-time parents. At the end of the day, you need to ensure that your child gets adequate medical care and attention for optimal health and growth. Recently explains the role of a pediatrician for infants. Right after birth, the child should be examined by a pediatrician, and after which, the first outpatient visit must be scheduled next week. Besides checking the health, the pediatrician will ensure that the child doesn’t have any symptoms or conditions that can impact early growth.

Knowing more
Hepatitis B vaccinations can be suggested soon after, and depending on the health of the baby, doctors may recommend additional visits. These regular appointments with the doctor help in understanding if the growth rate of the baby is normal and whether developmental milestones are as expected. At pediatricians offer much more. Apart from offering medical advice, they assist new parents, especially mothers, in understanding the basic care that the child needs at home. By talking to a children doctor in you can actually avoid some of the common worries and concerns that new parents often have. The hospital also offers comprehensive care for mothers, including treatment and advice for postpartum depression, so that the baby gets all the parental attention that’s required.

Take an appointment
From maintaining vaccination records and suggesting treatments as required to offering counseling and advice, working with a pediatrician in pune for your child has many benefits. Lack of adequate and regular paediatric care can leave scope for health issues, which are otherwise easy to avoid and treat. Children who get early pediatrics care grow up to be healthy and strong. Call up to get an appointment for knowing infant care better.

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Pregnancy might seem like the most exciting time of your life, but it certainly isn’t the easiest. Medical complications pregnancy issues are not uncommon, and the reasons can be varied and often baffling to doctors. Even healthy women can have their share of complications. Known  recently talked about the causes and common complications and stressed on the need for early prenatal care.

Knowing the concerns :

One of the common concerns is hypertension, which can occur during pregnancy and is known as gestational hypertension. If the expecting mother had hypertension before getting pregnant, the same must be monitored during the period. Gestational diabetes is also another concern, where the woman develops diabetes after getting pregnant. Infections, especially sexually transmitted infections (STIs), are also a common cause of complications during pregnancy. doctors often recommend couples to go through pregnancy counselling, so that common complications that arise from avoidable conditions can be checked for. Some of the other known medical complications during pregnancy include Preeclampsia, Preterm labour, Miscarriage and Stillbirth.

When to see a doctor?

If you are trying to get pregnant, consider consulting a doctor before getting ahead. In some cases, treatments and early intervention can help in preventing medical complications. The couples get all the assistance and medical help required to get successfully pregnant and have a healthy baby. Just basic prenatal care and early counselling with regards to expected complications can change many things. If you are obese and over 35, consider visiting the hospital at the earliest to understand possible problems and medical issues that must be addressed, so as to keep the foetus safe.

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The post What is the most common cause of medical complications in pregnancy? appeared first on Dr Sonali Chaudhari.

• Eat 6-8 balanced meals a day and nutritious snacks. Do not miss meals, remember not to feast or starve.
• While your body is producing breast milk, it requires more calories than usual, about 500 cal are sufficient.
• Drink plenty of liquids each day, since milk production uses additional water.
• Continue to take your prenatal vitamins. [Each day you breastfeed, your body subsidizes lactation with about five hundred calories from fat stores]. After the first three months, breastfeeding women generally lose weight more rapidly than bottle-feeding mothers and return to their pre-pregnancy weight sooner.  Avoid rapid weight loss during breastfeeding it can result in diminished milk production.
• Eat fresh natural foods than canned ones. It must be remembered that natural foods do not contain any additives to increase its acceptability. Avoid mithai, biscuits, soups with preservative, color & ajinomto.
• Concentrate on the food while eating. Keep aside your worries and distraction while feeding the baby as this will also ensure better feed.
• Take good care of diet for six months till you are feeding the baby keep control on fried foods, namkeens and mithais with chandi wark, colours. Take Kheers, custards, steamed puddings, made by using skimmed milk. Use shakkar or honey instead of sugar wherever possible. Use pudina freshdry, kheera, adrak, alu, arbi , musambi, safed til, urad dal, gond, methi, dry fruits, sprouts, jeera pani etc.
• Remember to drink water in between meals  not while eating  Have fruits and salads half an hour before or 2 hrs later addition of ghee in dals, veg not required, avoid fried foods.

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When it comes to vaccination, many questions pop up in one’s mind-

· What is it made up of?

· Is it safe?

· At what age it should be taken? and much more.

This blog provides concise answers to these important issues

What is a vaccine?

A vaccine is a tiny amount of weak/dead germs like viruses, bacteria, or toxins that can cause diseases.

1. BCG Vaccine

The Bacillus Calmette–Guérin (BCG) vaccine is used to prevent tuberculosis (TB). TB is an infectious disease caused by bacteria that affects the lungs, and sometimes other parts of the body.

It is specially designed to protect children from TB and effectively prevents severe TB in young infants. It can be given from birth onwards.

This vaccine is given by an injection just under the skin, usually on the upper left arm.

Cautions:

1. Keep the area clean and dry.
2. It is OK to bathe your child as usual. Carefully pat the area dry after washing.
3. A wound dressing with gauze may be used if the area starts to ooze.
4. Use a sterile alcohol swab to clean the area if required.
5. Do not apply ointment, antiseptic creams, or sticking plasters (e.g. Band-Aids).

Reaction:

The usual reaction to BCG vaccination is redness and/or a small lump at the injection site, followed by a small ulcer (an open sore). It may last from a few weeks to a few months before healing to a small, flat scar.

2. DPT

This vaccine is given to protect one from Diphtheria, Pertussis/whooping cough, Tetanus (DPT)

Pertussis (Whooping cough) and diphtheria are serious diseases caused by bacteria and spread person-to-person through the air. Tetanus gets into the body through cuts or wounds.

These diseases are really deadly indeed!

Whooping cough can trigger such bad coughing that babies can’t breathe. Babies are the most likely to die from whooping cough and can have complications such as seizures and brain damage.

Tetanus can cause extremely painful muscle cramps all over the body. Diphtheria, on the other hand, can lead to severe breathing problems, heart problems, and paralysis.

Risks of the Diseases:

1. Whooping cough is common all over the World, and recent outbreaks have caused many hospitalizations and deaths.
2. Tetanus lives in the soil, so a child who plays outside can get infected even from a small injury.
3. Diphtheria can occur in Unvaccinated Children.

Prevention:

You can protect your child from these serious diseases with vaccination.

All children should get 5 doses of DTaP/DTP vaccine, beginning when they’re 6 to 8weeks old.

If your child misses a dose or gets behind schedule, make sure they get the next dose as soon as possible.

3. Hepatitis B

Hepatitis B is a serious liver disease caused by a virus with which your child can get infected if he or she comes in contact with an infected person’s blood.

Babies can get the virus from their infected mothers at birth or if they live with or are cared for by an infected person. The virus can be spread just by sharing a toothbrush with an infected person.

Your child is more likely to become infected with Hepatitis B if a family member or caregiver is infected.

However, exposure to any infected person’s blood can cause Hepatitis B infection. Anyone can become infected with Hepatitis B virus at any time during their lives.

Risks of the Disease:

This disease is really dangerous and can cause an infected person to be sick for weeks or months, be hospitalized, and even death.

Babies and many young children who get infected can have the virus in their bodies for life. Most infected people do not feel sick, but the virus can cause serious problems like liver failure or liver cancer later in life.

Prevention:

Vaccination is the best way to protect your child from hepatitis B. It is important that babies get the first dose of vaccine in the hospital at birth so they will be protected from the virus as early as possible.

They should get 2 OR 3 doses (depending on the vaccine used) at later checkups. Older children and teens who haven’t been vaccinated should get their series of hepatitis B shots as soon as possible.

4. Rotavirus

Rotavirus is one of the most serious causes of diarrhea in infants and young children. This virus can live on surfaces for months. It spreads when contaminated hands, toys, or other objects touch the mouth.

Common symptoms of rotavirus disease include high fever, vomiting, abdominal pain, and diarrhea. Children often stop eating and drinking and become dehydrated (lose fluids).

Risks of the Disease:

Every year, rotavirus kills about a half million infants and young children globally. It is a very common disease in infants and young children.

Almost all unvaccinated children get infected with rotavirus before they are 5 years old. Even if you wash your hands and keep everything really clean, your child can still get infected if not vaccinated.

Prevention:

This is an oral vaccine which can protect your child from rotavirus. All children should get 2–3 doses (depending on the brand) of rotavirus vaccine starting at 2 months of age.

5. Polio

Polio is a disease caused by a virus and people have feared polio for generations because it can paralyze arms, legs, and breathing muscles.

Risk of the Disease:

Polio virus is spread when invisible particles of feces get into your mouth. One can get polio by swallowing contaminated food or water or by putting contaminated objects in your mouth.

Prevention:

Thanks to vaccination that polio has been under control in India. But the virus is still common in some parts of the world.

You can protect your child from polio only with vaccination.

6. Pneumococcal Vaccine

Pneumococcal disease is caused by bacteria that can lead to serious infections in the lungs (pneumonia), blood, and brain (meningitis).

It is caught by pneumococcal bacteria from infected people who cough or sneeze around you.

Risks of the Disease:

Even with good medical care, pneumococcal disease can be deadly. The disease is hard to treat because some bacteria have become resistant to antibiotics.

Pneumococcal bacteria can cause pneumonia, blood infections, and meningitis. Such infections can lead to deafness, brain damage, and even death.

Anyone can get pneumococcal disease. You are at greater risk if you are 65 or older, very young, or have certain health conditions.

Prevention:

You can protect yourself against these serious types of blood and brain infections by getting vaccinated.

There are 2 vaccines that can prevent pneumococcal disease:

1. PCV13

2.  PPSV23

You should get both vaccines if you are age 65 years or older. You might need these shots before age 65 if you are a smoker or if you have certain health conditions.

7. Influenza

Influenza (flu) is a serious viral disease which makes your child feel miserable. Fever, cough, shaking chills, body aches, and extreme weakness are common symptoms.

Your child can catch influenza from people who cough, sneeze, or even just talk around him or her. It is very contagious.

Risks of the Disease:

Influenza is dangerous for children as well as for people of all ages. Children younger than 2 years of age are at particularly high risk for hospitalization due to complications of influenza.

Tragically, every year infants, children, teens, and adults die from influenza.

It can be serious for others, such as babies and grandparents, if your child passes the virus on to them.

Prevention:

Vaccination is the best way to protect your child from getting influenza.

Everyone 6 months of age and older should get vaccinated against influenza every year.

Vaccination not only protects people who get immunized, it also protects others who are around them.

8. MMR

Measles, Mumps, and Rubella (MMR) are serious diseases caused by viruses. All these diseases are spread person-to-person through the air. They are very contagious.

Risks of the Disease:

These viruses are very contagious, so when one person gets infected, it’s easy for the disease to spread. These diseases are still common around the world.

Measles can cause pneumonia, seizures, brain damage, and even death.

Mumps can lead to deafness, brain or spinal cord infection, and painful swelling of the testicles. Rubella can cause miscarriage or serious birth defects if a pregnant woman gets infected.

Prevention:

You can protect your child from these serious diseases with vaccination.

All children should get 2 doses of MMR (measles-mumps-rubella) vaccine starting at 1 year of age.

Some teens may also need MMR vaccine if they didn’t get 2 doses when they were younger.

9. Typhoid Vaccine

Typhoid is an infection caused by bacteria. It spreads through contamination of food and water and ingesting these contaminated foods.

The symptoms include fever, toxic look, coated tongue, in few cases mild jaundice and swelling over the liver may be present.

Risk of the Disease:

It can cause pneumonia, heart problems, infection in the brain, bones or joints. Sometimes bleeding and infection in the intestines may also occur.

Prevention:

Vaccine and general hygiene measures like drinking boiled water with regular washing of raw fruits and vegetables before consumption ensures reasonable good prevention.

10. Hepatitis A

Hepatitis A is a serious liver disease caused by a virus. The virus is found in the feces (poop) of infected people. The hepatitis A virus is spread when invisible particles of feces get into a person’s mouth.

It is also caused by eating contaminated food or drinking contaminated water or just by living with an infected person.

Risks of the Diseases:

If occurs in a child can make a child’s skin and eyes turn yellow. It makes the patient so sick for weeks that he might need to be hospitalized. Some people don’t look or feel sick, but they can still spread hepatitis A to others.

Everyone is at some risk for getting infected with hepatitis A.

Prevention:

Vaccination is the best way to protect your child from hepatitis A. Young children should get 2 doses 6 months apart OR 1 Dose depending on Brand of Vaccine of the hepatitis A as part of their regular checkups.

The first dose is given at 1 year of age.

Ask your healthcare provider if your older child or teen should receive hepatitis A vaccine.

11. HPV

Human papillomavirus (HPV) is one of the most common sexually transmitted infections in the world. HPV can lead to cervical cancer in women, as well as other oral and genital (sex organ) cancers in men and women. HPV also can cause genital warts.

A person can get the HPV virus during sexual contact without knowing it.

Risks of the Disease:

HPV is the main cause of cervical cancer. It can also lead to cancers of the vagina, vulva, penis, anus, throat, and mouth.

Unprotected sexual activity can lead to this disease. At least half of sexually active people get infected with HPV at some point in their lives.

Prevention:

Vaccination is the best way to stay protected from HPV infection. This vaccine is most effective if given before a person becomes sexually active. However, even if sexual activity has begun, a person can still be protected by the vaccine.

12. Chickenpox

Chickenpox (varicella) is a disease caused by a virus. Most people with chickenpox get very itchy blisters and sores all over their body.

Chickenpox is spread person-to-person through the air. It is very contagious.

Risks of the Disease:

Chickenpox is still infecting people all over the world. It is extremely contagious and can be spread by an infected person before they even know they’re sick.

It is a serious disease for people of all ages. The disease can cause serious skin infections, pneumonia, brain damage, and even death. Chickenpox is especially dangerous for people whose immune systems are weak because of illness or medications.

Prevention:

You can protect your child from chicken-pox with vaccination.

All children should get 2 doses of chicken­pox vaccine starting at 1 year of age. Some teens and adults may also need this vaccine if they didn’t get 2 doses of the vaccine or chickenpox disease when they were younger.

Cervical Cancer Prevention Vaccine

(Ref Broucher)

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Kangaroo Mother Care (KMC) is a practice of providing uninterrupted skin-to-skin contact between mother and newborn by exclusive breastfeeding and early discharge from hospital.

It is a powerful and easy to use method to promote the health and well-being of, Low birth weight (LBW) – infants with birth weight below 2500g, preterm infants – infants with gestational age less than 37 weeks and also term infants.

Why is it called Kangaroo Mother Care?

This concept is derived how a mother kangaroo provides warmth, safety and a constant supply of food (milk) to its newborn baby kangaroo by keeping him in its pouch, if the baby is very immature at birth or underweight.

Similarly, the human infants who are immature and LBW infant benefits from skin-to-skin care because it provides warmth, safety and food.

Components/Elements of KMC

• Kangaroo position

It is achieved by placing baby in a flexed position skin-to-skin on mother’s chest between the mother’s breasts in an upright position. Also, includes turning the head to the side, in a slightly extended position, to keep the airway open and allow eye-to-eye contact between mother and baby and to avoid forward flexion & hyperextension of the neck.

• Kangaroo nutrition

Provide breastfeeding whenever possible.

• Kangaroo discharge

• Kangaroo Support

Health care staff provides support to the mother to take care of her infant at the hospital; it is also advised to practice KMC at home for a while.

Benefits of KMC

1) Benefits to the baby

• Improved cardiac and respiratory stability, with fewer episodes apnoea.
• KMC can successfully treat mild respiratory distress.
• Improved gastrointestinal function, earlier initiation & duration of breastfeeding.
• Decrease energy expenditure & satisfactory weight gain.
• Protection against infections.
• Effective thermal control (baby’s temperature is maintained within a narrow temperature range).
• A thermal synchrony develops between mother & baby.
• Infants are much less stressed and this provides neurological protection to the infant, resulting in improved neurodevelopment and better organized sleep patterns.
• More mature and organized electrical brain activity

2) Benefits to the Mother

• The mother’s confidence in caring for her infant is boosted.
• Improved bonding between mother and infant due to the physical closeness between them.
• Mothers are empowered to play an active role in their infants care.
• Mothers are enabled to become the primary caregiver of their infants.
• Breastfeeding is promoted.

3) Benefits to the Hospital

• Significant cost-savings as well as better outcomes.
• Less dependence on incubators.
• Less nursing staff necessary.
• Shorter hospital stay.
• Improved morale & quality of care.
• Better survival.

Types of KMC:

1) Intermittent

Intermittent KMC is practiced with infants, who are very small and still need incubator care, who are not on full oral feeds, or who are receiving oxygen therapy.

Intermittent KMC can range from many times per day to only once every few days. The time period can vary from minutes to hours at a time depending on the condition of the infant and the availability of the mother.

It encourages the mother to take part in the care of her infant while still in the nursery.

2) Continuous

• It is KMC that is given continually, both day & night, except when the mother has to bathe or attend to other personal needs.
• It can be practiced at the hospital or at home.
• It requires support from the family members, including the husband.
• It is the ideal type of KMC for LBW infants.

When to discontinue KMC?

KMC may be discontinued when the baby’s gestation reaches the term (40 weeks) or weight is around 2.5kg; they show that they are uncomfortable, pulling their limbs out, or cries and fuses each time mother tries KMC!

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The post All About Kangaroo Mother Care (KMC) appeared first on Dr Sonali Chaudhari.

Breastfeeding is highly recommended because of the following reasons:

• Your breast milk is perfectly designed for your baby
• Breast milk protects your baby from infections and diseases
• Breastfeeding provides health benefits for you
• Breast milk is available for your baby whenever your baby needs it
• Breastfeeding can build a strong emotional bond between you and your baby
• Breast milk adapts as your baby grows to meet your baby’s changing needs

Formula milk doesn’t provide the same protection from illness and doesn’t give you any health benefit.

Also, Breastfeeding has long-term benefits for your baby, lasting right into adulthood. Any amount of breast milk has a positive effect. The longer you breastfeed, the longer the protection lasts and the greater the benefits.

Breastfeeding reduces your baby’s risk of:

• Infections, with fewer visits to the hospital as a result
• Diarrhoea and vomiting, with fewer visits to the hospital as a result

• Cardiovascular disease 
• Obesity 

Infants should be exclusively breastfed – i.e. receive only breast milk – for the first six months of life to achieve optimal growth, development, and health followed by complementary foods at six months (180 days) of age in addition to breast milk. 

World Breastfeeding Week is celebrated every year from 1 to 7 August in more than 170 countries to encourage breastfeeding and improve the health of babies around the world.

The post Is breast feeding having side effects for a mother? appeared first on Dr Sonali Chaudhari.