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January 29, 2017 By Dr Manali Rao Leave a Comment

Pregnancy and Depression

562668-depression-in-preg

 

The most wonderful time in a woman’s life is during her pregnancy. It’s a miraculous time when a little prince or princess is growing within us and for the first time in our life we are unconditionally in love with this little unknown being. We cherish every pain that we go through during these 9months. It’s as if all your happiness, your desires revolve around the yet to be born baby.

 

It’s a magical time. Or so everyone says. But, is it so for every pregnant woman out there?? Everyone expects the expectant mother to always be happy all the time. Pregnant woman is also told how she is not supposed to be crying or throwing tantrums or thinking negative. Well, believe me, this is easier said than done. Yes, the mother is happy, nobody could possibly be as happy as her. She is the one carrying the baby for 9 Months in her womb remember! And, yes she’s happy that she has made the entire family happy by this great news.

But,most forget that to-be-mothers are also human!!! So what’s wrong if she’s a little anxious! What’s wrong if she doesn’t feel elated every single moment of the day! What’s wrong if she weeps for some silly reason! What’s wrong if she gets upset or fusses over little things! Just because she is pregnant, it doesn’t mean she’s not a normal human any more right??!!!

Most women end up feeling guilty for being sad or upset during pregnancy! Why so?? Well, thanks to the expectations of everyone around them. They get a sense of fear towards their unborn child. They become increasingly unsure of their parenting abilities.Nobody is a perfect parent. We all learn through mistakes. Why do people forget that? Fear of the unknown is obvious. But, the unknown isn’t always bad right??

These thoughts precisely has led me to write this blog on Pregnancy and depression.

Depression during pregnancy also known as antepartum depression, and depression after delivery known as postpartum depression is a mood disorder just like clinical depression. All women experience depression and anxiety at some point of their pregnancy. During pregnancy, a woman’s body goes through many changes be it physical/mental/emotional. Hormonal changes occur during pregnancy and all these lead to mood swings which are perfectly normal during pregnancy. So when do we actually worry and differentiate between the normal pregnancy symptoms or symptoms of actual depression.

Here are few symptoms to look out for:

  1. Feeling sad and anxious all the time
  2. Loss of interest in activities
  3. Not pursuing hobbies anymore
  4. Sleeping too little or too much
  5. Feeling of hopelessness or worthlessness or guilt
  6. Thoughts of death or suicidal tendencies
  7. Inability to concentrate
  8. Withdrawal from family and friends
  9. Crying spells
  10. Recurring nightmares

Risk factors:

  • Troubled family life
  • Lack of emotional support from the family especially spouse
  • Past history of clinicaldepression
  • Family history of clinicaldepression
  • Any persisting or past psychiatric illness
  • Miscarriage in the past
  • Conception post infertility treatment
  • Any medical condition Or past illness

Apart from antepartum depression a woman can also go through Postpartum depression (PPD).
Many new moms experience the “postpartum baby blues” after childbirth, which commonly include mood swings, crying spells, anxiety, difficulty in sleeping, difficulty bonding with your baby, fear that you are not a good mother and even thoughts of harming yourself or your baby. Baby blues typically begin within the first two to three days after delivery, and may last for up to two weeks. It can affect both parents.

How does one overcome depression??

  1. Family’s support, understanding, love and care can work wonders especially the attention of your spouse. Everyone should understand that a woman goes through so many changes duringpregnancyand that the symptoms vary from one person to another. Some women may have a hassle free pregnancy, while others may not and understanding this is most important. Nobody will fake any ailment. So if a woman says she has some trouble, be it a simple backache or a headache or excessive nausea vomiting, trust her that she does.
  2. Indulgein hobbies: Indulge in activities that make you happy. If you are inclined to sketching, singing or any other hobby try pursuing these hobbies during your pregnancy and that can keep you calm and happy.
  3. Do not hesitate to seek help. Many families still think seeking help means either you are weak or something is wrong with you. And most conclude you have either gone crazy or have lost your senses, it is certainly not so. Any person may experiencedepression. That does not make the woman crazy. It’s just a phase of life. Like every other problem women have to fight it and overcome the same.
  4. Eathealthy. Nutritious diet is most important along with folic acid/iron/calcium supplements duringpregnancy.
  5. Sightseeing – going out and getting some fresh air with your spouse even if its just for walks can always cheer you up.
  6. Rest -Yes it is very important to be active to ensure normal delivery and lesser complications. But at the same time getting ample amount of rest is equally important.

Management:

Instead of jumping to drugs as the first line of treatment we must try CBT (Cognitive Behavioral Therapy) accompanied by support of the family, healthy diet, meditation and making sure the mother incorporates hobbies in her everyday routine.

Don’t ever think twice to seek help. Ignore the stigma that the society has shown towards depression during pregnancy. It’s no one’s fault. It can happen to anyone. What’s important is to recognize the symptoms, remain strong, face it and overcome the same.

 

January 3, 2017 By Ruta Satam 1 Comment

2016 Report Card: Karma activities at GOQii

 

Oxfam Trailwalk

GOQii has been working with Non-profit organizations as its Karma partners in promoting and spreading awareness for different causes. Karma activities are also based on the premise that doing Karma keeps you healthy. Just to reiterate inspired by Mahatma Gandhi’s journey of 390 KM, for every 390 steps tracked through your GOQii activity tracker band, you earn one Karma point. These points are then converted into monetary donations that is donated to charity sponsored by our Karma partner.

It’s been two successful years now and we have charities listed on the GOQii app that are successfully funded by the Donor partners.

Here are two recent causes that we have contributed to.

Millions of children in India go to bed hungry because their parents/guardians are not able to purchase food for them. Most of them drop out from schools so that they can help their parents and supplement the family income.

Ratna Nidhi Charitable Trust’s-Food for Education Program distributes free food prepared at our kitchens on a daily basis, to poor children if they attend any formal or non-formal educational class. It thus combines food with education-we now have a child who is educated and well fed also. The programme has been very effective in arresting the drop-out rate in schools.

Ratna Nidhi’s food has been treated by the beneficiaries as “Homely Balanced and Tasty”. Not for profit, the food has a flavour of compassion, and tender loving care.

As of today, the organisation feeds more than 4500 Children daily through its approximately 50 centres all over Mumbai including the suburbs. The Mid Day Meal is cooked at the Food Center by the special team of cooks under Ratna Nidhi’s representatives’ direct supervision.

The food partners are identified carefully and after the detailed need evaluation. These are generally Non-aided vernacular schools who do not qualify for the Govt. Mid-Day-Meal, Pre-schools in Urban Areas, Night schools who do not receive any of the welfare benefits and Street Children NGO’s who provide shelter.

The meals are packed for various partner schools and Balwadis. A special delivery system ensures that the food reaches the children by lunch time on a daily basis.

A simple meal for children each day that improves nourishment, increase weight, boosted attentiveness in class and ensures a healthy educated future.

Empowering Women against Violence:-

Moving from children let us now talk of women empowerment. After children, it’s the women who get abused the most and hence empowering women against violence is paramount.

How often have you come across a story in the newspapers or television about violence against women? Every day is the answer. Violence against women and girls is a bitter reality in India. As many as one-third of women and girls in the age group 15-49 have experienced physical violence, about one in 10 have experienced some form of sexual violence [Source: National Family Health Survey Round III (2005-2006)].

Yet, violence against women and girls, particularly domestic violence, is unavoidable. Many of us think and justify that violence by intimate partners is normal, and therefore acceptable. We need to change this very thinking that normalises violence against women and girls. We all have a role in preventing such violence.

The story of a 9 year old girl Mynah, who was married to a 20-year-old man, is an example to stand up against violence. Her husband repeatedly subjected her to intimate partner violence. After hearing of her experience, counsellors of Oxfam India advised Mynah to file a case under the Protection of Women from Domestic Violence Act, 2005. Mynah took the brave decision to take control of her life. She continued with her studies, with the court’s intervention, she has got compensation. She has also remarried according to her own wish.

Oxfam India programmes are currently active in the six focus states of Assam, Bihar, Chhattisgarh, Jharkhand, Odisha and Uttar Pradesh.

Oxfam India has been working to reduce the acceptance of violence against women and girls. They have reached out to more than 42,000 women to end violence in their lives and established 23 support centres within formal and informal locations to provide psycho-social counselling and legal aid to women facing this issue in their lives.

Together, we need to make sure that perceptions, attitudes and behaviours towards women and girls change so that gender-based discrimination comes to an end. With your help, this is what Oxfam India hopes to achieve in the future through supporting women like Mynah.

What has GOQii been doing in the Karma space in the last two years?

Here are some of the activities that we have conducted for players as well as our employees in the last two years…..

One of the biggest on ground Karma event that we are a part of is the 100 KM Oxfam Trailwalk where GOQii players and employees participate and walk 100 km to raise awareness and support a cause.

Part from this we have had regular activities in GOQii office. This year we had a session with Greensole, a social venture that collects discarded shoes, refurbishes them and makes comfortable footwear for the underprivileged.

We also did something interesting this Christmas. While last year we went to a home that housed children with Cancer and spent few hours with the kids by playing and dancing with them, this year we celebrated Christmas in the most unique way. GOQii employees played secret santa to orphaned children of an orphanage in Chembur and also employees pledged for various basic commodities like Rice, dal, wheat, Oil etc and donated to the orphanage.

December 8, 2016 By Farzana Chauhan 1 Comment

Health Benefits of the Wonder Spice Cinnamon

Cinnamon sticks and powder on wooden table. Selective focus

Cinnamon, an aromatic spice, is obtained from the inner bark of a tropical evergreen tree belonging to the laurel family. This hot and sweet spice does not only add a special flavour to different cuisines but also helps in combating health conditions such as diabetes, cancer, stomach flu, cold, cough and tooth decay among others.

Let us have a detailed look at the benefits of Cinnamon.

Type 2 Diabetes: It has been proved time and again that cinnamon helps in controlling blood sugar levels and is thus beneficial for Type 2 diabetes patients. Researchers state that cinnamon bark contains potassium, manganese, chromium, copper, calcium, iron iodine, phosphorus, vitamins A, Bi, B2, C and zinc that help in preventing and curing diabetes.

As per a study published in the Journal of Diabetic Medicine, the blood sugar levels of the participants who had cinnamon supplements showed greater improvement as compared to those who had the standard diabetes medicine.

Stomach Flu: Stomach infection can give you sleepless nights. While pain killers may give instant relief however doctors advice against these as they may cause adverse side effects. Cinnamon, known for its strong anti-bacterial properties, is an effective way to cure this condition. The strong anti-bacterial properties of this wonder spice helps in destroying the Salmonella, Campylobacter and Escherichia coli bacteria that cause stomach flu. Cinnamon also works faster as compared to other natural herbs.

Cancer: Cinnamon is also known to prevent cancer. Researchers claim that cinnamon extracts limit the growth of various kinds of cancer including melanoma cancer, colorectal cancer, cervical cancer and lymphoma cancer. It is said that this super spice interferes with a protein that aids the tumors in establishing blood supply which is imperative for their growth.

Weight Loss: Regular consumption of cinnamon helps in thinning your blood and improving blood circulation. Proper circulation of blood in the body boosts your metabolism and thus helps you lose weight. However, studies show that coumarin, the ingredient that mainly helps in thinning the blood is found in large amount in cassia cinnamon and regular and high dose of this particular ingredient is not good for your liver.

Cold and Flu: One of the most common problems, especially during the changing season, cold and flu may also be prevented with the consumption of this aromatic spice. It is the anti-bacterial and warming properties of cinnamon that help in fighting against this ailment.

Besides these, cinnamon also helps in curing arthritis, heart disease, irritable bowel syndrome, depression, Parkinson’s disease and boosts concentration power.

How to Have Cinnamon?

It is best to boil a few cinnamon sticks in water for some time and add some honey to it. You may even add ginger to it to make it more effective. Various brands sell cinnamon tea however it is better not to go for these as they have artificial flavourings and very little anti-bacterial properties.

It is also recommended to go for Ceylon cinnamon and not Cassia cinnamon which is readily available at the retail stores. This is because cassia cinnamon contains high levels of coumarin which may damage the liver.

 

December 1, 2016 By Dr Manali Rao Leave a Comment

Living Healthy with HIV – Reality or Myth

 

343101-hiv

Have you seen the latest#CondomEmoji campaign by Durex, the Global Sexual-well-being brand depicting an “Umbrella with Raindrops”? This was the unofficial safe sex emoji launched ahead of World AIDS Day today. It was an interesting campaign to communicate ‘Safe Sex’ among the young adults. The campaign called for putting a safe sex emoji on every smartphone in order to help young people communicate about safe sex. The campaign has trended both on Twitter and Facebook with supporters from over 160 countries backing the movement.

The survey findings noted while more than 60 per cent of young people surveyed admitted to being uncomfortable discussing safe sex, 72 per cent of respondents admitted that they found it easier to express emotions using emojis and more than three quarters admitted that they use emojis to discuss sex and relationships.

Why is this discomfort about talking of sex or sex related diseases such as HIV/Aids even in the 21st Century?
One of my earliest memories of AIDS would be the movie PHILADELPHIA where Tom Hanks sues his Company for being fired from his workspace for being HIV positive.

Whenever we hear the word AIDS or HIV the word itself it creates a lot of fear and makes one judgmental. This is not the case only among the lay man but also is the case equal judgment, not only among general public but also within the medical fraternity. Unfortunately more than a the disease, AIDS is considered to be a social stigma and a taboo.
It’s become imperative to understand why this stigma is attached to HIV/AIDS?

AIDS (Acquired Immunodeficiency Syndrome) as we all know is a syndrome caused by the Human Immunodeficiency Virus (HIV) which directly attacks the immune system of the patient leaving the body vulnerable to a host of infections. Aids is the last stage of HIV infection where the disease progresses and the body can no longer defend itself leading to more severe infections, malignancies and eventually death (if left untreated).
Let me try to look into the ways one can get infected with this Virus which are considered some of the main reasons for fear and stigma.

1. Unprotected sex- with an individual who is infected with HIV is the biggest cause of new HIV cases be it vaginal or anal sex. Oral sex also predisposes one to HIV if there are any cuts, ulcers or sores in the mouth. Wearing a condom is the easiest way to protect yourself and your partner against the disease. Unprotected Sex is more prevalent among young adults.
2. Blood transfusion with infected blood. This is one of the most unfortunate ways to contract the disease as the recipient is unaware of the blood being infected. It is always a good idea to make sure that the blood has been screened for HIV infection.
3. HIV infected mother can pass on the virus to her baby during pregnancy lactation or even delivery. These mothers can now take treatment to protect their babies.
4. Sharing razors or needles with infected people also puts you at risk of contracting the virus like in the case of drug abuse or needle prick in hospital.
In short the virus can be transmitted through infected blood, semen and vaginal fluids. In fact, when the disease first came to light in India, it was the sex workers and their clients who had the maximum prevalence followed by truck drivers.

The latest ‘DIPPER’ at night campaign where the Condom is disguised as the dipper is a great way to create awareness among truck drivers in India to frequent sex workers often.
But, honestly it’s not so bad as it’s been made out to be over the years. Currently, experiments are being conducted to find a cure for this disease. The good news in India is that we are seeing an overall reduction in HIV infections among the adult population.

According to more recent National AIDS Control Organisation data, India has demonstrated an overall reduction of 57 percent in estimated annual new HIV infections (among adult population) from 0.274 million in 2000 to 0.116 million in 2011.

HIV-data pic

India has the third largest number of people living with HIV in the world, according WHO.

LIVING WITH HIV / AIDS:

It’s not as bad. One can live with HIV.

The diagnosis is confirmed by a blood test and depending on the extent of severity of the immune deficiency, anti-viral medication is started which improves the number of immune cells which help fight infections and restore near normal life.

The medicines though expensive are distributed free of cost to patients at Government and NGO run clinics.Psychological help for not getting overwhelmed after the diagnosis, is also readily available. Confiding in a trusted person who won’t be judgmental. Judgmental helps in calming your nerves.

One must realize and believe that they can live to their potential  inspite of being HIV positive. Having social and emotional support is very essential, hence patients must not isolate themselves from their near and dear ones and f.amily and friends should also not ostracize the patient.

The Constitution of India prevents any discrimination against anyone having HIV and AIDS and neither is it a legal ground for dismissal from occupational services.

Patients living with HIV must maintain a healthy lifestyle just like diabetics or any other chronic disorders. Having a healthy diet and exercising regularly are a must to boost your immunity along with the medication. Till date HIV and AIDS has no cure but anti-retroviral therapy (ART medicines) are helping people live a healthy and happy life for almost 2 to 3 decades.

Currently, Art drugs have become ‘very good’ at controlling infection but patients need use the medication for life. If they stop the treatment, the virus rapidly replicates, eventually leading to the fatal AIDS disease.

Pregnant mothers have successfully delivered children without HIV with the help of anti-viral medication.
Lot of research by brilliant minds is being done around the globe to find more effective medicines and a cure.
HIV facts to know

• According to the WHO, more than 70 million people have been infected with HIV so far and about 35 million people have died of from the virus.

• In 2015, an estimated 36.7 million people were living with HIV and so far the infection remains incurable.

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