क्यों होता है गर्भपात? हाई रिस्क प्रेगनेंसी में किन बातों का रखें ख्याल, गायनेकोलॉजिस्ट से जानिए हर सवाल का जवाब

ETVBHARAT

गायनेकोलॉजिस्ट ने बताया कि गर्भवती महिलाओं को मिसकैरिज से बचने के लिए किन बातों का रखना चाहिए ख्याल?

Transcript

00:01Hello, I am Dr. R.J. Mahajan, I am a assistant professor in K&H.

00:07The month of October is called Infant and Pregnancy Loss.

00:15The month of October is called Pregnancy and Infant and Remembrance.

00:25The month of October is called Pregnancy.

00:35The month of October is called Pregnancy.

00:46The month of October is called Pregnancy.

00:56The month of October is called Pregnancy.

00:59The month of October is called Pregnancy.

01:01The month of October is called Pregnancy for Pregnancy.

01:10The month of October is called Pregnancy.

01:14is that people who have a dietary pattern of young age,

01:20and have a lot of junk food,

01:22and in adolescence we see that PCOD is very common.

01:25PCOD has a problem with weight and periods,

01:29and this is the same thing with PCOD.

01:31This is also the problem with pregnancy and abortion.

01:36The other thing is that PCOD has changed our lifestyle

01:41that goes further to hyper-tension and diabetes.

01:46Because PCOD has this lead to diabetes and hypertension later in life.

01:51So many times in pregnancy, these things are unmasked.

01:56Like sugar or BP,

01:59in pregnancy we have screening, test and unmasked.

02:04So hyper-tension and diabetes,

02:08these are the causes of early pregnancy loss.

02:11And as you asked for thyroid,

02:14both of them are hypothyroidism and hyperthyroidism,

02:17both of them are causes of early pregnancy loss.

02:20Sir, we have heard about this,

02:22that the pregnancy loss is in the beginning of the period of pregnancy loss.

02:27So what is the myth that it is not being made after this?

02:30No, this is a reality,

02:33that normally one out of ten pregnancies,

02:36almost 10-15% pregnancies,

02:38which are the abortions,

02:40which are the first two weeks and third months,

02:42which are the first two weeks and the third months.

02:44So normally this cause,

02:4660-70% cause,

02:48which are chromosomal anomalies.

02:50There are such pregnancies,

02:51where there is a problem in chromosomes,

02:53or from the mother's side,

02:54or from the father's side,

02:55or from the other side.

02:57So this recurrent doesn't occur.

02:59Like once it's happened,

03:01then the next pregnancy is not going to be abortion.

03:03But the next pregnancy is obviously high-risk pregnancy.

03:07So there are many causes,

03:09which are chromosomal,

03:11and some causes are maternal,

03:13and paternal,

03:14such as mother's factors,

03:15such as chronic diseases,

03:17hypertension, diabetes, thyroid disease,

03:19PCOD,

03:20or utile phase defect,

03:22such as pregnancy loss.

03:24Multiple pregnancy is also a risk factor,

03:26for example,

03:28for early pregnancy loss.

03:30Sir, we see that today,

03:32we see high-risk pregnancy

03:35in the last stages,

03:38then the placenta is down,

03:40and starting is down.

03:41So which causes high-risk pregnancy

03:44in the high-risk category,

03:45and what causes it to be?

03:47In the high-risk pregnancy,

03:49we normally take that,

03:50if there is a teenage pregnancy,

03:52or 18-year-old pregnancy,

03:53it is also a high-risk pregnancy.

03:55Because in such a pregnancy,

03:57every risk factor is increasing.

03:59Whether it's abortion,

04:00whether it's a medical disorder of the pregnancy,

04:03or pregnancy,

04:04or delivery time,

04:06these problems are all

04:07early,

04:0818 years ago,

04:09and after 35 years,

04:10if there is a first pregnancy,

04:11that is also high-risk pregnancy.

04:13If there is a twins gestation,

04:15or previous history of abortions,

04:17previous history of baby's death,

04:20or uterus,

04:22or before delivery,

04:24or within 28 days,

04:26if there is a high-risk pregnancy,

04:28or after the pregnancy,

04:29it is a high-risk pregnancy.

04:30If you have a medical disorder of pregnancy,

04:32if you have a sugar,

04:34or hypertension,

04:35thyroid disorder,

04:36or if you have a high-risk pregnancy,

04:37or if you have a high-risk pregnancy,

04:38or if you have a high-risk pregnancy,

04:39you can see that.

04:40These are the things that we know

04:41before the first pregnancy is what is

04:43the high-risk pregnancy.

04:44Some of the pregnancy

04:45in the first trimester,

04:47like in the first three months,

04:48there is a bleeding,

04:49or a threat and abortion,

04:50which we manage and then

04:52the pregnancy continues.

04:53Definitely.

04:55Then,

04:57if you have patients

04:58take seriously,

04:59when you have a pregnancy,

05:00the blood pressure is increasing,

05:01or you have some bleeding,

05:04that is abnormal.

05:05by feeling a mind,

05:07now,

05:09we look at our ultrasound,

05:10what is the placenta

05:12or where is mother,

05:13what the placenta is missing,

05:14or the placenta is missing,

05:15which is not the problem,

05:16that is a usually right.

05:17We look at the test for using

05:19the result,

05:20that we don't want to bury

05:21we don't want to be able to get blood flowing from the placenta

05:27if there is an infection or an infection

05:31then we start to get early pregnancy or late pregnancy

05:35or the baby is weak or late pregnancy

05:39if there is a miscarriage

05:41if there is a miscarriage

05:43then how much time do you recover

05:45and how much time do you think

05:49if there is a miscarriage in the first 3 months

05:51or a procedure

05:53then we say that

05:55for 6 months

05:57we need to recover the body

05:59after normal delivery

06:01we need to recover the next pregnancy

06:03so we need to recover the next pregnancy

06:05so we need to recover the mother's body

06:09because we need to get breastfeed

06:11so for 6 months

06:13we need to get exclusive breastfeeding

06:15so 2-3 years

06:17we need to recover the mother's body

06:21so we need to recover the ideal plan

06:23we need to recover the full-term delivery

06:25or caeserian

06:27then we need to recover 2-3 years

06:29and if there is a first trimester abortion

06:31in the first 3 months

06:33then we need to recover the body

06:35so we need to recover the body

06:37so we need to recover the body

06:39so we need to recover the body

06:41and finally

06:55in this situation

06:57ideal weight, active lifestyle.

06:59Because today's time,

07:01the sedentary lifestyle is

07:03mobile time, TV, social media

07:05time, OTT,

07:07the physical activity is very

07:09low. At least, physical activity

07:11should be required to be

07:13ideal body weight,

07:15diabetes, hypertension,

07:17screening and pregnancy

07:19plan before

07:21pre-conceptional counseling.

07:23For both husband and wife,

07:25the doctor will go to the doctor

07:27and go to the doctor

07:29and go to the doctor

07:31and go to the doctor

07:33and take the basic test

07:37and if we are planning

07:39pregnancy,

07:41we will start the pre-concept

07:43for 3 months before

07:45and we will start the pre-concept

07:47in the ideal circumstances

07:49so that it will not be high risk pregnancy.

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