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March 15, 2025 By Dr Manali Rao 5 Comments

Hypertension in Pregnancy: What Every Mother-to-Be Should Know

pregnant-womenPregnancy is a beautiful journey, but it also comes with its share of challenges. Among them, high blood pressure (hypertension) is one of the most common concerns for expectant mothers. Whether it’s your first pregnancy or you’ve experienced complications before, understanding hypertension during pregnancy can help you stay in control and safeguard both your health and your baby’s well-being.

Some women experience pregnancy-induced hypertension (PIH), which can develop after 20 weeks of pregnancy. If left unchecked, it can lead to complications such as pre-eclampsia, placental abruption, or preterm delivery. However, with early detection, lifestyle changes, and medical support, most women can manage their blood pressure effectively and have a healthy pregnancy.

What is Pregnancy Induced Hypertension (PIH)?

PIH refers to newly developed hypertension during pregnancy, without the presence of protein in the urine or other symptoms of pre-eclampsia. Hypertension is defined as blood pressure higher than 140/90 mmHg. It can have serious effects on both mother and baby if not monitored properly.

Causes & Risk Factors of PIH

There is no single cause of PIH, but several factors can increase your risk:

  • Being overweight or obese
  • Lack of physical activity
  • Smoking or alcohol consumption
  • Family history of hypertension or PIH
  • Previous history of PIH in past pregnancies
  • Multiple pregnancy (twins or more)
  • Maternal age (below 18 or over 35 years old)
  • Pre-existing diabetes, kidney disease, or high blood pressure
  • Living with a single kidney
  • IVF pregnancies
  • Placental abnormalities

Types of Hypertension in Pregnancy

  • Gestational Hypertension:​
    Develops after 20 weeks of pregnancy, with high blood pressure but no protein in the urine or organ damage. Some women with gestational hypertension may develop pre-eclampsia later in pregnancy.
  • Chronic Hypertension:​
    High blood pressure present before pregnancy or occurring before 20 weeks of gestation. This type may go undiagnosed if regular BP checks were not done before pregnancy.
  • Chronic Hypertension with Superimposed Pre-Eclampsia:
    Women with chronic hypertension who develop worsening blood pressure, protein in the urine, or other complications during pregnancy.
  • Pre-Eclampsia:​
    A serious pregnancy complication that includes high blood pressure, proteinuria (protein in the urine), and signs of organ damage. If left untreated, it can lead to severe complications for both mother and baby.
  • Eclampsia:
    A severe form of pre-eclampsia that leads to seizures, which can be life-threatening for both mother and baby.

Symptoms of PIH & Pre-Eclampsia

Look out for the following warning signs:

  • Severe headaches
  • Blurred vision or sensitivity to light
  • Pain in the upper abdomen (under the ribs, right side)
  • Nausea or vomiting
  • Sudden swelling in the face, hands, or feet
  • Decreased urine output
  • Shortness of breath (fluid in the lungs)
  • Dizziness or fainting spells
  • Spots or flashes before your eyes
  • Blood in urine
  • Decreased levels of platelets in your blood (thrombocytopenia)
  • Impaired liver function

If you experience any of the symptoms mentioned, immediately report to your Gynecologist or health care provider.

Complications of PIH

If left unmanaged, hypertension in pregnancy can lead to:

  1. Preterm Labour: Premature birth due to complications.
  2. Placental Abruption: The placenta partially or completely separates from the uterus before birth, depriving the baby of oxygen and nutrients.
  3. Intrauterine Growth Restriction (IUGR): The baby may have restricted growth due to reduced blood supply.
  4. Organ Damage: Liver, kidney, and blood clotting issues.
  5. Stillbirth (IUD – Intrauterine Death): In severe, untreated cases.
  6. Postpartum Hypertension: Some women may continue to experience high blood pressure after delivery, requiring continued medical care.

Managing PIH for a Healthy Pregnancy

  • Follow Your Doctor’s Advice – Attend all antenatal appointments and take prescribed medications as directed.
  • Rest as Advised – Your doctor may recommend bed rest depending on your blood pressure.
  • Manage Stress – Meditation, deep breathing, and engaging in relaxing activities can help.
  • Reduce Salt Intake – Cut down on processed foods, salty snacks, and added table salt.
  • Eat a Nutritious Diet – Prioritise whole grains, fruits, vegetables, lean proteins, and healthy fats.
  • Stay Active – Engage in light exercises such as walking or prenatal yoga if approved by your doctor.
  • Stay Hydrated – Drink plenty of water to maintain proper circulation.
  • Monitor Your Blood Pressure – Regularly check your BP at home and report any concerns to your doctor.

Maintaining a healthy blood pressure throughout pregnancy is crucial for both maternal and foetal well-being. Early detection, lifestyle modifications, and regular medical check-ups can help prevent complications.

  1. Start healthy habits before pregnancy to reduce your risk of PIH.
  2. Listen to your body and report any unusual symptoms to your doctor.
  3. Prioritise a balanced lifestyle with a nutritious diet, regular movement, and stress management.
  4. Remember, a Healthy Mother = a Healthy Baby!

💬 Have you experienced hypertension during pregnancy? Share your experience in the comments below!

#BeTheForce 

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

November 18, 2024 By Pallavi Barnwal Leave a Comment

How Often Should You Have Sex?

sexMen often ask me, how much sex should we be having? Can there be a number answer to it? Like thrice a week, once a week, and so on. Sex works for different people in different ways. It’s the classic chicken and egg dilemma. What comes first – happiness or frequent sex? For some people, frequent sex is what makes them happier in the relationship, whereas for others, happiness and the connection is a precondition to feeling desirous of having sex.

It’s Not An Easy Situation.

I know how painful it can be to steer through, how often to have sex. Getting turned down for it, or having to turn your partner down, is hard for couples even in a stable relationship. When the relationship is fragile due to fighting or communication problems, it can be even more problematic.

Throwing out an overly simplistic rule like “have sex thrice a week” doesn’t help matters much. There are three main reasons why I don’t support this thrice-a-week standard:

I’ve seen the stifling effects that these kind of rules and instructions can have on couples. We get bombarded by so many advices about what we’re “supposed” to do when it comes to sex (“be sexy but not too much for her”, “wait for him to initiate”, “try this position, this toy, this technique”, etc). Throwing another arbitrary rule on the table only makes the couple feel more anxiety. It means indirectly that they’re not “normal” or not measuring up and this can cripple the overall morale of the couple.

This general advice overlooks the individual reasons the couple is struggling with their sex life in the first place. The couple may have a power struggle or relationship issues that is manifesting in their bedroom. One partner might be going through biological changes that are affecting their arousal levels. The sex that they’re having may be so unpleasant/monotonous that one partner starts withdrawing. Someone might be carrying scars of past sexual abuse. The possibilities are endless, and each couple needs individualized attention rather than canned one-size-fits-all advice.

I firmly believe that the process of negotiating a sexual relationship that feels authentic, flexible, and connected is one of the most enriching experiences a couple can go through. The opportunities for personal and relational growth are immense.

So there’s no set-in-stone rule for how often couples should have sex. What’s much more important than forcing yourself to sleep together an arbitrary number of times is to find ways to talk about and work on your sex life together.

We hope this article helps you! For more on sexual wellness, check out Healthy Reads or tune in to LIVE sessions by our sexual wellness expert Pallavi Barnwal on GOQii Play.

#BeTheForce 

October 5, 2024 By Dr Manali Rao 4 Comments

The 3 S of Breast Cancer: Signs, Symptoms and Self Examination

breast-cancer-awareness-month-memes-inspirational-quotes-4CANCER!!! The word itself is feared and dreaded by everyone around the globe. Many people who are diagnosed with this illness feel like it’s a death sentence, but it doesn’t have to be. There are ways to fight and overcome cancer.

Before learning how to overcome cancer, it is important to understand what it is. Cancer is a group of diseases involving abnormal cell growth, which may or may not spread to other parts of the body. Not all tumors are cancerous; only malignant ones spread throughout the body, while benign ones do not.

One of the most common invasive cancers in the world today is ‘BREAST CANCER’. It is more frequently seen in developed countries, but outcomes in these regions tend to be better due to advanced healthcare.

Who is at Risk for Developing Breast Cancer?

While breast cancer is more common in Females, men can also develop it (though cases in men are rare). Risk factors include:

  • Obesity
  • Lack of exercise
  • Sedentary lifestyle
  • Hormone replacement therapy
  • Early menarche
  • Late pregnancy
  • Nulliparous women
  • Family history
  • Alcohol consumption
  • Smoking

Let me now take you through the 3S of Breast Cancer- Signs Symptoms and Self Examination

Look out for these Signs and Symptoms:

  • The most common first symptom is a lump in the breast that feels different from the rest of the tissue.
  • Dimpling or puckering of the skin on or around the nipple.
  • A change in the position or shape of the nipple, which may become inverted.
  • Orangish discoloration of the skin around the breast or a texture resembling an orange peel (peau d’orange).
  • Nipple discharge, which could be watery, milky, yellow, or even bloody.
  • One breast appearing larger than the other.
  • Constant pain in the breast or armpit area.
  • Swelling in the armpits or around the collarbone.
  • Redness, itching, increased sensitivity, or a burning sensation.

It’s important to note that some people may not experience any symptoms until the cancer has progressed, which is why regular check-ups are vital.

How to self-examine?

The best way to be aware of breast cancer is through self-detection. Follow these steps:

Step 1: Stand in front of a mirror with your shoulders straight and your hands on your hips.

  • Look at the size, shape, and color of your breasts.
  • Check for dimpling, puckering, or bulging skin.
  • Look for any changes in the position of your nipples or signs of inversion (a nipple that is pushed inward).
  • Watch for redness, soreness, rash, or swelling.

Step 2: Raise your arms and check for the same changes.

Step 3: While standing in front of the mirror, check for any fluid discharge from the nipples, which could appear watery, milky, yellow, or even bloody.

Step 4: Lie down and feel your breasts. Use your right hand to examine your left breast and your left hand for your right breast. Apply a firm, smooth touch using the pads of your fingers in a circular motion. Cover the entire breast, from top to bottom and side to side, including from the collarbone to the top of the abdomen, and from your armpit to your cleavage.

Start at the nipple and move outward in larger circles until you reach the edge of the breast. Be sure to feel all the tissue, from the front to the back of your breasts.

Step 5: Finally, feel your breasts while standing or sitting. Many women find that it’s easiest to feel their breasts when their skin is wet and slippery, such as during a shower. Use the same hand movements as described in Step 4.

Breast Cancer Support Groups:

Support groups play a crucial role in helping patients fight cancer. These groups provide an opportunity to learn from others who have faced the same disease. Seeing other survivors can give patients the strength and hope they need to fight their own battles. Remember, hope is everything.

We hope this article helped you understand the signs, symptoms, and steps to perform a self-examination for breast cancer. Regular check-ups and self-awareness can make all the difference in early detection and treatment. Have any questions or experiences to share? Let us know in the comments below! You can also find more articles on Women’s Health here. Stay informed, stay healthy!

#BeTheForce

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

September 12, 2024 By Pradnya Shinde Leave a Comment

Dealing with Menopausal Hot Flushes and Night Sweats

“A sharp sensation of heat suddenly rises to my head. I go red in my face, but after a few minutes, its gone”.

“I begin to perspire. My clothes and hair start to get drenched as though I’ve just run few kms. Suddenly, after a while, it vanishes. Then, I’m not sure when this will occur again.

The above are statements made to me by women who experienced hot flashes for a long time. It is ANNOYING and EMBARRASSING.

This is a typical problem that women face during menopause. In order to escape this awkward circumstance, a lot of women even have a tendency to quit their jobs. Let us understand this issue a little more better.

Understanding Hot Flushes

A hot flush, commonly experienced as a sudden and intense sensation of heat affecting the upper body, primarily impacts the face, neck, chest, back, and arms. This phenomenon is characterized by visible redness and can lead to heavy perspiration. In some cases, the sensation may extend throughout the entire body.

The duration of a hot flush can vary significantly, lasting from a few seconds to as long as ten minutes. The frequency of these episodes also varies widely among individuals, occurring several times within an hour, a few times daily, or even just once weekly.

Hot flushes that occur during the night are referred to as night sweats. These can significantly disrupt sleep and are often troublesome. Typically beginning at the onset of menopause, hot flushes may persist for a decade or longer, affecting each individual differently.

Understanding Hot Flushes: Causes, Triggers, and Management

What Causes a Hot Flush?
Hot flushes commonly occur during perimenopause, a phase marked by the onset of irregular menstrual cycles. This period is characterized by significant fluctuations in estrogen levels, which disrupt the brain’s temperature regulation system. As a result, the body attempts to cool down through sweating.

What Triggers a Hot Flush?
Several factors can trigger hot flushes, including dietary and environmental influences, as well as lifestyle habits. Common triggers include:

  • Spicy foods
  • Caffeine
  • Smoking
  • Alcohol consumption
  • Wearing tight clothing
  • Obesity
  • Stress
  • Exposure to warm environments or consuming warm or icy foods

Managing Hot Flushes:

It is essential to consult a healthcare provider annually for reproductive health issues. During these consultations, doctors can offer guidance on managing symptoms of perimenopause, including hot flushes. Treatment options may include hormonal therapies, which help stabilize hormone levels, or non-hormonal strategies, which can alleviate symptoms without using hormone replacement therapies.

Lifestyle Adjustments to Manage Hot Flushes Effectively

To reduce the frequency and intensity of hot flushes, consider making several key lifestyle changes:

Avoid Triggers: Steer clear of known triggers like spicy foods, caffeine, and tobacco. Opt for decaffeinated coffee, limit alcohol intake to one drink at a time, and control smoking habits to minimize occurrences.

Increase Omega-3 Intake: Omega-3 fatty acids, known for their anti-inflammatory properties, may help alleviate hot flushes. Sources include fatty fish like salmon, tuna, and mackerel, as well as vegan options such as flax seeds, chia seeds, and hemp seeds.

Incorporate Plant-Based Estrogens: Consuming foods rich in isoflavones and phytoestrogens, such as soy, tofu, chickpeas, and lentils, may help manage symptoms by mimicking estrogen.

Try Seed Cycling: This technique involves consuming specific seeds at different times of the month to balance hormone levels. For the first 14 days, eat two tablespoons of pumpkin and flax seeds, followed by two tablespoons of sesame and sunflower seeds for the next 15 days. These seeds also offer healthy fats, fiber, and nutrients.

Opt for Natural Fabrics: Wear comfortable undergarments and clothing made from natural fibers like cotton, linen, and bamboo, which are breathable. Dress in layers to easily adjust to temperature changes, and consider light, loose-fitting clothing for additional comfort.

Manage Body Temperature: Start your day with a cold shower to decrease the likelihood of hot flushes. Carry a portable or neck fan when outdoors. For night sweats, use breathable cotton bedding, cooling blankets, or cooling pillows, and keep your sleeping environment cool with air conditioning or fans.

Maintain a Healthy Weight: Address obesity by adhering to a nutritious diet and regular exercise routine. Aim for 30 minutes of mild exercise daily to help manage weight and reduce hot flush occurrences.

Practice Stress-Relief Techniques: Engage in relaxation practices such as yoga, mindfulness, and meditation. Simple deep breathing exercises can also be effective—inhale slowly through the nose, hold your hand on your belly to feel it rise, and exhale slowly through the mouth.

Consider Cognitive Behavioral Therapy (CBT): CBT can be beneficial for reducing anxiety related to hot flushes. It helps in identifying and reforming anxiety-triggering thoughts. Discuss the possibility of CBT with your therapist for tailored advice.

Implementing these strategies can significantly improve your management of hot flushes, enhancing comfort and overall quality of life.

Embracing Menopause with Confidence
Now that you have a better understanding of how to manage and mitigate hot flushes and night sweats, it’s important to remember that menopause is a natural phase of life, not a disease. With the right strategies and care, you can continue to lead a fulfilling and normal life.

We hope this article provides valuable insights for managing menopausal hot flushes and night sweats, helping you maintain a comfortable and balanced life. If you found this information useful, share your thoughts in the comments below. For personalised guidance and support, connect with our certified experts by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce

Disclaimer: The information provided in this blog is for general awareness and educational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalised medical guidance or concerns related to your health.

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