9 Thoughts Every Woman Has Had At The Gynaecologist

For some women, it is not an option to skip an appointment with their Gynaecologist. Essential or otherwise, here are 9 thoughts every woman has had at the gynaecologist.

Always feels weird.

A Gynaecologist is one of the doctors who can cause a bit of discomfort to pay a visit. Not because of the circumstances, but perhaps because a stranger will be touching a woman’s private parts, which might feel a bit shameful at first.

I should have shaved there.

Being a woman is difficult sometimes. A common thought prevailing among women is, “maybe, I should have shaved, because then I would have examined it better or have nothing blocking the passage of a medical instrument.”

I wonder what the doctor is thinking at a given time.

Curiosity is felt in every second sitting in that chair and having someone looking at your private parts. Thousands of thoughts go through the patient’s mind who wonder and worry, “if the gynaecologist feels or wonder the same,” according to Dr Max Mongelli.

Is it just me or is this normal?

Is it me or is the situation very complicated for other women as well. Am I exaggerating this whole thing? It is perfectly understandable that you want to know if you are healthy, but if it is your first time and you barely know the person, it is normal to feel anxious.

This place could offer more good treats.

I have to go through a very delicate moment and everything in this room reminds me of a hospital. Could it offer some good treats. Be more colourful and impart a friendly feeling. Anything that helps calm my afflictions and makes it all easier.

Time is ticking.

Anticipations arise as the time ticks further ahead. The doctor is adorable and very professional, but I am hoping that he/she cuts out the talking & lets me go as soon as possible!

I will never take breast checking for granted again. 

Now is the time to check my breasts! Next time, I will not take self-breast examination for granted and perform the self-check each week.

An Introduction to Fetal Growth Disorders by Dr. Max mongelli

Dr Max mongelli is a name which needs no introduction in the world of obstetrics. He has abundantly contributed to the field and has helped obstetricians throughout the world to offer better medical help to pregnant women. Some of the most important points from his research on fetal growth disorders are mentioned in this post. Keep reading to know more.
 

Obstetrics has advanced by leaps and bounds in the last decade. The medical fraternity now has answers to several pregnancy and fetal growth related questions which were a mystery in the past. And it is with the help of accomplished obstetricians like Dr Max Mongelli that this branch of medicine has advanced so extensively.

Dr. Mongelli has published his findings on fetal growth disorders recently and some of the most important excerpts from this report are mentioned below.

Birth Weight Determinants

As per Dr. Mongelli’s research, some of the most important determinants of birth weight are-

• Maternal size
• Gestational age
• Parity
• Fetal gender
• Ethnic group

Apart from these determinants, Dr. Mongelli has also focused on the common causes of IUGR (Intrauterine Growth Restrictions) to help obstetricians prevent this condition. Some of these causes which Dr. Mongelli has focused on include; deficiency of Vitamin D, uterine malformations, chronic mental stress, etc.

Causes of IUGR

As per the research, Dr Max Mongelli suggests that IUGR is generally caused due to problems related to fetuses, like genetic, chromosomal, multiple pregnancy or congenital malformations. Other common causes of IUGR include placental factors and maternal factors.

Birth Weight and Macrosomia

Macrosomia is a condition wherein the birth weight of a baby is higher than average. Dr. Max Mongelli suggests that this is generally caused due to gestational diabetes, genetic disorders, hyperinsulinemia and constitutional factors.

Apart from pointing out the common causes of IUGR and Macrosomia, Dr. Mongelli’s research also talks about prevention, screening, diagnosis and management of these conditions to help obstetricians all over the world offer better medical care to pregnant women. Not just care to pregnant women, research by Dr Mongelli also aims to provide better knowledge about fetal growth and healthy child birth.

Important Drugs for Pregnancy

Many babies in our country born with birth defects and this are because of the poor or bad medications that their mother takes during pregnancy. There are some medicines that can interfere with functional development of organ systems in the second and third trimesters. They can produce serious consequences..

So, in this article Dr. Max Mongeli have suggested some detailed information about the drugs during pregnancy-

Types of Drug Induced Effects

• Structural Effects
• Effects on Neonatal Adaptation
• Behavioral Effects

Antibiotics that should be taken during pregnancy-

• Penicillins and Cephalosporins safe
• Augmentin, carboxypenicillins not provento be safe
• Erythromycin proven safe
• Gentamycin only for serious infections -
• Metronidazole: avoid in first trimester
• Vancomycin: reserved for resistant m/oand intrapartum prophylaxis (valvular disease)

Antibiotics that should be avoided during pregnancy –

• Sulphonamides: fetal albumin bindingand neonatal jaundice
• Chloramphenicol: grey baby syndrome
• Tetracyclines: fetal bone dysplasia anddiscoloured teeth (yellow-brown)
• Ciprofloxacin: changes in joint cartilagein puppies

Impact of Drugs on Developement

• Drugs implicated as the definitive cause in a smallnumber of birth defects
• Drugs contribute significantly to the multifactorialaetiology of birth defects
• Effects of drugs vary from fetal death, teratogenic effects to growth retardation & functional effects
• No deleterious effects can be found in many mothers who have taken several drugs.

The Australian categorization consists of the following categories:

• Category A

These drugs have been taken by a large number of pregnant women.

• Category C

These drugs owing to their pharmacological effects, have caused or may be suspected of causing, harmful effects on the human fetus or neonate without causing malformations.

• Category B1

Drugs which have been taken by only a limited number of pregnant women and womenof childbearing age, without an increase in the frequency of malformation or other director indirect harmful effects on the human fetus having been observed.

• Category B2

Drugs which have been taken by only a limited number of pregnant women and womenof childbearing age, without an increase in the frequency of malformation or other director indirect harmful effects on the human fetus having been observed.

• Category B3

Drugs which have been taken by only a limited number of pregnant women and womenof childbearing age, without an increase in the frequency of malformation or other director indirect harmful effects on the human fetus having been observed.

• Category D

Drugs which have caused, are suspected to have caused or may be expected to cause, an increased incidence of human fetal malformations or irreversible damage.

• Category X

Drugs which have such a high risk of causing permanent damage to the fetus that theyshould not be used in pregnancy or when there is a possibility of pregnancy

What is Evidence-Base Medicine: Explained by Dr. Max Mongelli

Dr. Max Mongelli is a respected name in the world of Obstetrics. His research on fetal growth, ultrasound, and early pregnancy problems has been detailed in several papers and doctoral thesis. He has also co-authored a book on fetal growth and has contributed to the development of software for creating customized antenatal growth charts which are now used all over the world. In this post, his take on the importance of evidence-based medicine is explained in detail.

Evidence-based medicine is a term which was first used for describing an approach which was used to teach medicine practice and improve the decisions taken by medical professionals for individual patients. Now, it has spread rapidly and is used for describing a decision-making approach which is used at every level in the healthcare industry.

What is EBM?

As per Dr. Max Mongelli, Evidence-Based Medicine (EBM) is a medical approach which is intended to improve the decision-making process by laying a major emphasis on evidence from past research. It can be defined as the use of currently available best evidence for taking decisions with respect to the care provided to individual patients.

Common Sources of EMB

Max Mongelli suggests that some of the most common sources of EMB include-

• Textbooks
• Observational studies
• Traditional teaching
• Decision analysis
• Basic Sciences
• Meta-analysis
• RCT (Random Controlled Trials)
• Computer simulation

Importance of RCT

Random Controlled Trials (RCT) according to Dr. Max Mongelli, play an important role in evidence-based medicine. These trials are very useful for evaluating new surgical and evaluating techniques. Moreover, they can also be applied to new diagnostic tests.

 

The main objective of these trials is to reduce the randomization bias, analyze techniques with the intention to treat patients and achieve statistical knowledge with the help of adequate size of the samples. Sealed envelope technique, computer software linked with a central monitoring station and block randomization are some of the most common randomization techniques used for these trials.

Evidence-base Medicine eliminates subjectivity in the medical decision making process. It aims at making it more objective by making it based on evidence rather than opinions.

Interest & Recognization of Dr. Max Mongelli

Senior Staff Specialist and Clinical Associate Professor of Obstetrics and Gynecology, Dr. Max Mongelli works at the Western Clinical School, Nepean Hospital, University of Sydney, NSW. A distinguished member of his field, Max Mongelli is one of the most popular and reliable specialist at the Western Clinical School, Nepean Hospital and the work he has done in the past, and the recognition that he has got for it, has put him in a league of his own.

To further elaborate on this, some of his distinguished achievements are:

• Received the best established researcher award by Nepean Medical Foundation
• Written more than 85 articles in the fields of obstetrics and gynecology
• Received the United Kingdom Design Council Millennium Award
• Achieved high distinction in physics

This man believes that success can never be achieved by taking shortcuts and that’s the reason he has worked so hard to reach the position he is at today. Along with a long list of academic and professional qualifications, Dr. Max Mongelli has gained several distinctions and prizes for his research and studies as well. Being an active player of his field, he has also received recognitions from various departments of medicine and science. In 2002, he was appointed the Chairman of the Organizing Committee for Biennial Scientific Meeting of the Perinatal Society of Singapore. Apart from that, he was also the member of the organizing committee’s 5th & 6th Refresher Course of the Obstetric & Gynecological Society.

The achievements and recognitions of Max Mongelli are enough to justify the kind of work he does. His dedication and willpower to achieve heights in his field are what has brought him at this point of life where he is the best at what he does. Even at the hospital and the universities that he has taught at, his colleagues and students have only appreciated his work. He has had a long journey of success and it has all come to him thanks to his knowledge and hard work. His mates from the university, his friends, his family and even his acquaintances say that the way he consumes and spreads knowledge is extra-ordinary and something that is very rare in today’s medical community.