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Counseling

Needing medical help to conceive can feel like a crisis, often suffered in secrecy. Many usual channels of support may seem unavailable; friends seem to be having babies with ease, parents are wishing to become grandparents; the workplace may not be sympathetic to the frequent absences you will encounter; you and your partner may be finding the stress and anxiety interfere with your usual ways of relating to and supporting each other; sex may have become a timed chore. You may both have already gone through tests and investigations that intrude into the most private and intimate areas of your bodies and your lives. You may have spent hours, weeks or years waiting.

Taking some private time and space with a trained counsellor is not about ‘not coping’. It is an opportunity to look in the broadest sense at the issues in your lives that have been raised because of the situation you are now facing. You may want to air the anger, grief, desperation, isolation and envy, so these feelings do not get bottled up and then come out in other areas of your life that would not be appropriate or helpful. It is sometimes much easier and feels safer if there is an understanding third party there with you. You might also want to share the excitement, joy and ambivalence, fears and relief of successful treatment.

At SWCIC- the best IVF center in Hyderabad India, Counselling is friendly, personal and confidential. It is not being told what to do, feel or think. You are not being judged or assessed. You are taking an active role in a process that so often can leave you feeling frustratingly inactive.

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Preconception Advice

you can potentially boost your chances of conceiving by making sure your body is healthy enough to become pregnant and support a developing baby.

Eat Healthy

A balanced diet will help ensure your body is healthy enough to become pregnant and can also help to keep sperm production at optimum levels.

Exercise regularly

Regular exercise will keep you fit and help you to maintain a healthy weighty. it can also help to reduce your stress levels, in what can be an emotionally draining situation.

Medication and drugs

some prescription drugs can reduce your chances of conceiving, so if you are taking regular medication ask you GP about suitable alternatives. All illegal drugs should be completely avoided.

Stop Smoking

Smoking has been linked to infertility and early menopause in women, and has been shown to reduce sperm quality. it is also a factor in premature or low birth-weigh babies.

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Nutritional Support

Correct nutrition has been shown to have a significant impact on chances of conceiving through fertility treatment. It can be used to improve your body’s general ability to conceive, through improving egg quality in women or sperm count in men. It can also help with specific conditions which may affect you or your partner, including polycystic ovary syndrome, low sperm count, hormonal imbalances, and other medical conditions. Understandably, many people undergoing fertility treatment want to ensure they are eating the correct diet. However, they may not know which foods they need to include, exclude, or how their current diet can be improved.

An expert nutritionist will be able to help you review your diet and identify the changes that should be made.

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Pregnancy Support

SO YOUR PREGNANT- CONGRATULATIONS –WHAT DO YOU DO NEXT?

Half the battle is won, but the we need to win the war

  • Pregnancy test / BHCG is done approximately on the 17th day of embryo transfer or for other treatments on the day of the missed period

    Patient is the called on the 21st day of embryo transfer for a scan to confirm the gestation sac; we can also know the number of sacs and rule out the rare ectopic.

    Once this is confirmed, a second scan is done 1 week later to confirm viability of the fetus or multiple fetuses (DATING SCAN)

    Medicine dose will be adjusted and new medicines may be added

    folic acid and Calcium supplements

    nutrition, diet and food hygiene

    Antenatal screening tests (CBP,RBS, Viral screening and CUE/Blood Group)

  • If in the rare event of a multiple pregnancy (more than two eg:Triplets or more) an embryo reduction will be undertaken at SWH between 7-9weeks of gestation

    1st TIFFA will be requested at 11-13 weeks; if all is well for Twin gestations a cervical circlage will be offered

    If a patient has come from another doctor they are referred back

    If a patient chooses SWH for her delivery her care will be transferred to an experienced obstetrician and her journey is guided thus,

Diet

  • Cut back on saturated fat, like butter/ghee/cheese

    Replacing a serving of meat each day with beans, peas, Spinach (palak) or nuts (almonds/walnuts) can improve digestion and regulate bowel movements.

    Choosing slowly digested carbohydrates that are rich in fibre, like wheat (chapattis), vegetables, whole fruits, can control blood sugar and insulin levels.

    Whole milk. If you drink milk, choose whole milk while pregnant, or have low-fat yogurt (dahi) every day.

    DO NOT EAT OUTSIDE

    The best beverage for keeping your body hydrated is water 6-8 glasses/day

    Iron and calcium. Avoid more then 3 cups of tea/coffee per day.

    Avoid fruits like mango, papaya, raw or half cooked eggs. Avoid red meat, and prawns.

    Avoid adding salt to food, pickles and papads. Cut down on sugar/sweet intake

    Do not take sugared sodas (e.g.: colas)—they reduce absorption of nutrients .

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    At Secunderabad women`s Hospital we ask patients to keep up Appointments and Medicines for a safe pregnancy.

    14-16 weeks:

    We will measure your wieght, blood pressure and fetal heart

    Triple Marker test

    18-22 weeks: Anomaly scan/Second TIFFA

    We will measure your wieght, blood pressure and fetal heart You will have an ultrasound scan to check the physical development of your baby. Remember, the main purpose of this scan is to check that there are no physical abnormalities.

    25 weeks pregnant

    check the size of your uterus

    We will measure your wieght, blood pressure and check fetal heart

    and test your urine for protein

    28 weeks

    measure your weight,fetal heart and blood pressure and test your urine for protein

    first anti-D treatment if you are rhesus negative

    First TT dose

    Betamethasone injection if you are at risk of having the baby early

    Request for a growth scan which may be repeated once in 2-3 weeks if you are having twins/triplets or the baby measures small for dates.

    Glucose Tolerance test to detect Diabetes

    31-32 weeks

    use a tape measure to measure the size of your uterus

    measure your blood pressure,wieght, fetal heart and test your urine for protein

    Tests for genetic or other problems also may be done, especially if you are 35 or older or if you had a genetic problem in a past pregnancy.

    Your doctor may ask you to keep track of how much your baby moves every day. FETAL MOVEMENTS MUST BE MORE THAN 10/DAY

    34 weeks

    review, discuss and record the results of any screening tests from the last appointment

    use a tape measure to measure the size of your uterus

    measure your blood pressure and test your urine for protein

    offer your second anti-D treatment if you are rhesus negative

    36 weeks

    use a tape measure to measure the size of your uterus

    check the position of your baby

    measure your blood pressure and test your urine for protein

    We Offer Elective LSCS For Our IVF-ICSI Patients At 37 Weeks, Twins At 36 Weeks And Triplets At 35 Completed Weeks

    38 weeks

    use a tape measure to measure the size of your uterus

    measure your blood pressure,check fetal heart and test your urine for protein

    40 weeks

    use a tape measure to measure the size of your uterus

    measure your blood pressure,check fetal heart and test your urine for protein

    offer a membrane sweep ,discuss the options and choices for induction of labour

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  • A high risk pregnancy is

  • a. Having conceived after Infertility treatment (IUI/IVF)

    b. Having Diabetes.

    c. High Blood pressure.

    d. You are younger than 17 or older than 35.

    e. You are pregnant with more than one baby (TWINS/TRIPLETS).

    f. You have had two or more Miscarriages.

    g. Your baby has been found to have a genetic condition, such as Down syndrome

    h. You had a problem in a past pregnancy, such as:

    Preterm labor (previous delivery before 36 weeks)

    Preeclampsia or seizures (eclampsia)

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  • What symptoms should you watch for?

  • If any of the below symptoms are present you must come to hospital immediately or call any of the following numbers 66202822/9618987179/ 66023113. Doctors/DMO/Nurses will be available 24 hours

    You have bleeding or a watery discharge

    You have severe pain in your stomach(Upper/Lower)

    Sudden swelling of your face, hands, or feet

    New vision problems (such as dimness or blurring).

    Severe Headache/Fever/ Giddiness

    You have had regular tightening (with or without pain)

    You notice that your baby has stopped moving or is moving less than normal (less than 10 movements per day)

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