Everything a New Mother Needs for Herself

The nine months of pregnancy is an experience that no woman ever forgets. While it is an enchanting time, it also adds a lot of extra pounds that requires a proper follow-up of diet and exercise.

With a bit of discipline and changes in your diet, you can enjoy being a new mother & an active person. Here is a list of things that a new mother would find handy.

Balanced diet
A balanced diet is a key to getting your body back. 

Follow this diet plan-
Consider consuming nutritious food that contains:

●Proteins found in chicken, fish, lean meat.
●Iron produced in chickpeas and soy or beans.
●Vitamin B that is found in peas, broccoli, tomato, peas, & broccoli.
●Calcium contained in yogurt, cheese, and milk.

Gynecologist Dr. Max Mongelli recommends a new mother to eat in moderate quantities every 3 hours.

You might want to split the menu into 6 proportioned meals:
●Breakfast
●Morning snack
●Lunch
●Afternoon snack
●Dinner
●Fruits  

Due to the increase of progesterone hormone or dilatation of the uterus that causes compression of the intestine, a woman's digestive system becomes slower. 

Consequently, it entails constipation but it will remain balanced if you consume fibers contained in cereal and fruits. This diet will help with those killer cravings for fatty and sugary food substances. Also, it decreases heartburn and gas. 
 Other healthy eating lifestyle tips are to consume meat and vegetables that are very well cooked or baked but consume only after decontaminating the latter.

Eat natural food to help control your weight
Oats: These are delicious with milk or hot water for breakfast or the perfect replacement for fatty alternatives. It is a rich source of fiber and contains iron, carbohydrates, calcium, and protein. 

Pulse: If you are not into oats much, pulses are a perfect option. These are also abundant in fiber, protein, minerals, and vitamins.

Brown rice is yet another potential energy source for your body during or after childbirth nourishing your body with essential minerals, calcium, and iron.

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ORM- Doctor- What Your Gynecologist Wants You to Know

When it comes to understanding the challenging task of womanhood who would know it better other than your gynecologist? Your visits to the gynecologist can sometimes seem puzzling and yet it is one of the most valuable experiences in a woman's life. For intimate details that seem too awkward to share, here are a few essential points that your gynecologist really wants you to know and abide by.

Understand the importance of annual checkups.
According to the gynecologist Dr. Max Mongelli, your body is a territory that needs to be explored and understood by you and your doctor to plan out the best preventative measures.

Furthermore, it helps you to become more familiar with the anatomy and identify anything that seems unusual. 

Your trusted doctor will be in a better position to offer the most qualified advice and explain any issue in great detail. In this way, you can have an open conversation and eliminate all the doubts.

Keep your doctor updated on your medical & sexual history.
"As a crucial step to this health-related issue, keep your doctor updated on your medical history like an unprescribed medication with the exact dosage you consume," says Max Mongelli.

You must include any vitamin pills, herbal products, supplements, cold medicines or energy boosters, for example. 

 Another daunting point is to share your sexual history. As a result, if you feel any uncommon physical pain or abnormality on or around your intimate parts, your doctor needs to know about that.

Add as much detail as possible including changes in your diet, recent changes in mood, the rate of sexual activity and menstrual cycles, etc. 

Keep your well-being above personal embarrassment.
Some women only visit their gynecologist once a year and yet feel embarrassed to share. 

Dr. Max Mongelli says that it is essential to know that a gynecologist does not judge their patients. At the end of the day, they only want to help you achieve a good health and stay safe. 

For some, this awkwardness may either stick or wear off in due course. Regardless, the focus must be on your well-being. 

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Gestation-adjusted projection of estimated fetal weight

Many parents want to know the weight of the upcoming baby in advance. It is also desired to know the health of the baby, and weight calculation helps in better monitoring of birth and reduces health risks to both mother and baby.
Dr. Max Mongelli’s study was carried out in order to estimate the weight of the baby/fetus on birth, few months prior to the actual birth event. The study involved 276 women. The birth or delivery from all the women was achieved in the next 35 days. For estimating and forecasting the fetal weight, the following techniques and measures were used:

● Hadlock formula, femur length, and abdominal circumference
● The Campbell formula that involved measuring the circumference of the abdomen

According to the extrapolation techniques and measurements, it can be hypotheses that the median weight: fetal weight ratio remains uniform and consistent throughout the 3rd trimester of the gestational period. Hence the weights observed and recorded were either left unchanged or were recorded on the basis of extrapolation, for the subsequent delivery. The weights recorded by the above-said methods were also compared with the technique given by researchers Spinnato and his colleagues. Later the non-parametric (tests that make fewer assumptions and are also known as the distribution free tests) were used and the weight predictions were analyzed for their accuracy, by comparing them to the real birth weights.

Results of the test, study, and analysis

While the Spinnato method suffered from 8.8% mean and systematic errors, the Hadlock method suffered from around 5.9% error. When no adjustments were made, the error was around 6.5%. All kinds of errors that occur randomly were also reduced and stood at around 11.2%, the earlier figure is 12.3%. When Campbell formula was used, the error was around 3.8%. The methods used also produced lesser absolute errors.

Conclusion of the study and test 

During pregnancy, an ultrasound prediction or estimation of the delivery-time fetal weight should be done. This weight can be extrapolated and projected so that the birth weight at delivery can be calculated. The forecasted weight should also take into account the time lapse, which would occur in between the ultrasound and the delivery time. The method and technique that has been detailed and described above can easily find out the birth weight of the baby with least of errors and possesses excellent accuracy. 

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Ultrasound Dating Formulae used for Pregnancies with Artificial Reproductive Techniques

With the advancement of science and technology, artificial conception is common among women today. It, however, has certain issues associated with it, the unavailability of the right dating formulae being one of them. To overcome this problem, the doctors and researchers have come up with a new invention- an ultrasound dating formulae! Read along to know more about it:
A database of a number of pregnancies conceived with artificial reproductive techniques are studied in order to get accurate results of second-trimester dating formulae as these are applied in different centres where routine ultrasounds are performed by Max Mongelli. The dating formulae for biparietal diameter and femur length are derived for a gestational age ranging from 14-23 weeks from pregnancy. Ultimately, the curves in the result represent linear equations and twelve formulae were published for biparietal diameter and femur length measurements. During the implementation of these formulae, systematic, random errors are calculated as they are applied to the second-trimester scan in precisely dated pregnancies. As a result, the published dating formulae were good for predicting gestational age. 

This comparative study confirms the accuracy of ultrasound dating in the respective clinics like Dr. Max Mongelli’s, thus, supporting the usage of the ultrasound measurements in accordance with the menstrual history for dating pregnancies. Estimating the gestational age by early ultrasound reduces the estimated age when compared to the menstrual dating. These databases include a range of collected data on the maternal and the fetal characteristics with data on pregnancy and delivery. The crown-rump-length based formula is used to calculate the GA at 8-12 weeks of gestation in this analysis. The foetal weight is estimated with sonographic parameters around the mid-trimester ultrasound scan. The exclusion criteria for the process were- multiple pregnancies, gestational and pre-gestational diabetes, preeclampsia, stillbirth and congenital abnormalities. In the third table, the pregnancy duration in the IVF (in vitro fertilisation) pregnancies are presented along with the term rates in fourth table.

There are no differences in the mean pregnancy durations when the delivery is done, between the early and late scan groups irrespective of the process of calculating their gestational age. The gestational age at birth for the singletons had a high correlation assessed from the time of in vitro fertilisation (IVF) and crown-rump length (CRL), from IVF and biparietal diameter (BPD).  In the time of artificial pregnancies, the gestational age measured using all the three methods shows agreeable results. The usage of ultrasound facility is thus a reliable method for estimating the gestational age accurately.

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.

Dr. Max Mongelli: An Introduction to Abnormal Vaginal Discharge

While slight vaginal discharge is common in women, abnormal discharge caused can result in severe consequences if not treated on time. In this report from Dr. Max Mongelli, we’ll have a look at what abnormal vaginal discharge is, what are its common symptoms and causes. 

Slight vaginal discharge is common among women. However, it is important for a woman to understand the difference between normal and abnormal discharge. The latter can be caused due to several reasons and can result in severe complications if not treated on time. Dr. Max Mongelli in his report has highlighted the difference between normal and abnormal discharge and has listed some of the common causes of abnormal discharge.

Normal and Abnormal Discharge

A slight discharge which increases around two weeks before the menses is normal. It is white or clear and doesn’t have any odor. This discharge is non-irritant and often increases during ovulation. On the other hand, abnormal discharge results in irritation, itching and burning sensation. Moreover, it often has an unpleasant odor.

Common Causes of Abnormal Vaginal Discharge

Some of the most common causes of abnormal vaginal discharge include-

• Vaginitis- One of the most common reasons for abnormal discharge is vaginitis. It can be atropic, irritant or infectious vaginitis. Atropic vaginitis is caused due to deficiency of estrogen. More than 40% of the post-menopausal women suffer from this. Irritant vaginitis can be due to the use of harsh soap, deodorized tampons, fabric softeners, and perfumed toilet papers. Infectious vaginitis is usually caused due to bacteria, fungi, viruses or protozoa. 

• Cervicitis- Cervicitis results in inflammation of cervix which is the lower end of the uterus which opens into the vagina. It can be caused due to several reasons like infections, STDs, physical or chemical irritations and allergies. 

• Bacterial Vaginosis- This is usually transmitted sexually or due to a sudden change in the balance of bacterial flora. Bacteroides, Gardnerella, Mycoplasma and Mobiluncus commonly cause bacterial vaginosis.

As per Dr. Max Mongelli’s report, these are some of the most common causes that can result in abnormal vaginal discharge. Apart from the ones mentioned above, some other causes include Vulvovaginal Candidiasis, Chlamydia, Colon Bacilli Vaginitis, Herpes Simplex Virus, Trichomoniasis, and Foreign Bodies. A woman should immediately seek medical help if they notice any of the symptoms of abnormal discharge for timely cure.