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Pediatric Surgery

Pediatric Surgery
Pediatric Surgery

Pediatric Surgery

Paras Bliss Hospital Panchkula is a leading women and child care hospital located in the Tricity providing you the best medical-surgical care for children of 0-12 years of age. The team of pediatricians and pediatric surgeons at Paras Bliss are of national and international repute and ensure that transparent and the best services are delivered to your child.

The pediatric surgeons specialize in performing routine as well as complex pediatric surgeries for pediatric surgical problems, such as appendicitis, intussusception, pyloric stenosis, hernias, hydroceles and undescended testes.

They also specialize in performing Congenital malformations, such as diaphragmatic hernia, esophageal, intestinal and biliary atresias, omphalocele, gastroschisis, volvulus, Hirschsprung’s disease, and congenital anomalies of the gastrointestinal tract, respiratory tract, and anorectal tract; chest deformities and unusual mediastinal problems, and select lesions of the urogenital tract and musculoskeletal system.

The team of pediatric surgeons also specializes in minimally invasive surgery, laparoscopy, thoracoscopy and some laser procedures ensuring that the child goes through minimally invasive surgery and gets discharged early from the hospital.

Pediatric Surgeons of International Repute: Paras Bliss Hospital has a team of pediatricians and pediatric surgeons that have worked and trained in hospitals of international recognition. Dr (Prof) KLN Rao – Ex Director Pediatric Surgery (PGI Chandigarh ) and Dr Rajendra P Setty, Pediatrician Children’s Regional Hospital Center, Cooper University Hospital, are few of the team pediatricians.Leaders in Minimal Invasive Surgery: The pediatric surgeons specialize in performing surgeries laparoscopically, ensuring that your child gets minimal cuts, no scars, faster recovery, less chances of infection and blood loss.

Expertise in Scarless Surgery: The pediatric surgeons at Paras Bliss Hospital Panchkula specialise in performing surgeries that leave no scars on the body of the child post surgery.

Use of latest technology: The team of child specialists and pediatric surgeons are equipped with the best technology for surgical interventions and post operative care in the Pediatric ICU.

Fully equipped Pediatric ICU: Paras Bliss Hospital Panchkula has the best Pediatric ICU (PICU) and Neonatal ICU (NICU) in the Tricity. The level III Units are equipped with the best technology, ventilators and emergency care support to provide the best monitoring and care to your babies and children.

Procedures Performed by the Pediatric Surgeons:
The team of child specialists, pediatrician and pediatric surgeons specialize the following surgeries on children and babies. They have the expertise to perform major surgeries, complex surgeries, trauma surgeries and congenital defect surgeries for children and neonates. Their areas of expertise includes :
Neonatal Surgeries:
• Imperforate anus
• Neonatal intestinal obstruction
• Oesophageal atresia

Pediatric Surgical Gastroenterology:
• Choledochaycysts
• Intestinal obstruction
• Liver swellings

Pediatric Urology
• Hydronephrosis – UPJ obstruction
• Vesico ureteral reflux (VUR)
• Posterior urethreal valves
• Megaureter
• Portal Hypertension:
• Extra hepatic porteal hypertension
• Splenomegaly
• Anorectal Malformations:
• Anovestibular fistula
• Clocal anomaly

Pediatric Trauma:
• Abdmonial injuries
• Kidney/bladder injuries
• Chest injuries

Exstrophy of Bladder:
• Rectal bladder creation – internal diversion

DEFLUX Injection: For vesicoureteral reflux

Antenatal Counselling: For any congenital abnormalities detected antenatally

Common paediatric surgical problems:
• Hernia in children
• Undescended testis
• Urine control problem
• Timorous anywhere

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FAQ's

Support the petition of making Breastfeeding Rooms in Public Places like restaurants, malls, railway stations and metro stations. Watch this Paras Bliss Hospital Video to know more.

Watch this video of Paras Bliss Hospital on World Breastfeeding Week. This video explains the Benefits of Breastfeeding. Watch to know more.

Gynaecological cancers are an important cause of female morbidity and mortality . Endometrial , cervical , ovarian and Fallopian tube cancers and choriocarcinomas are the cancers found in females only.All the women must be aware of the warning signals of cancers and be on the lookout for them so that the disease can be picked up early and cured. It is estimated that 70% of the women opt for medical assistance when they are at a later and more aggressive stage of cancer. We need to spread awareness and make the women aware about the aspects of prevention.

cancer-symptoms-in-women fb

Signs and Symptoms of Cancer in Women:

  • Abnormal Vaginal Bleeding -Whether it is post menopausal bleeding or inter menstrual bleeding (bleeding in between periods ) or post coital bleeding (after intercourse ), all require immediate attention . These could be signals for endometrial cancer.
  • Sudden Unexplained Weight Loss – This invariably occurs in cancers anywhere in the body and must ring a bell and be investigated .
  • Blood Stained Foul Smelling Vaginal Discharge – This very often indicates infection but may also be a sign of cervical cancer ,one of the commonest cancers in women of our country .
  • Constant Fatigue – This disrupting ones daily routine must never be taken lightly and one must visit a doctor to find out the reason .
  • Swelling of One of the Legs– This in the presence of other signs or symptoms may point toward cervical cancer .
  • Pelvic or Lower Abdominal Pain – This almost invariably occurs in patients of ovarian and endometrial cancers. A constant pain ,cramps may occur or one may feel some pressure .
  • Bloated Abdomen For More Than 2 Weeks – This after the period or otherwise is another important symptom .
  • Increased frequency of urination – This in the absence of pregnancy , infection or increased fluid intake is not a welcome sign .
  • Persistent indigestion or nausea – If this is lasting for over 2 weeks requires one to visit a physician.
  • Loss of appetite– This is another symptom that should not be taken casually .

Studies suggest that 70% of the women post delivery might suffer from some form of mental illness such as depression. The feeling of being burdened with a child, loss of freedom and change in bodyappearance may affect women. these can be overcome by speaking with your partner, engaging in useful activities, reading or spending more time doing constructive activities. If you feel tired and fatigued all the time and also feel disinterested in activities, it is best that you push yourself to
engagement and formulate an active social circle. If the symptoms and the illness persists, consult a psychologist at the earliest.

Pregnancy leads to weight gain, muscle stretch and back pain complains are common. Pregnant women also tend to spend time on the bed and refrain from any physical activity. It is best that you enrol yourself in a pre natal physiotherapy session or ante natal class that teaches you the breathing exercises, stretching regimes and the couple sessions. Talk to a physio expert to get guidance on the same.

Kegel exercises and pelvic floor exercises are the best recommendations for you. They are a bunch of exercises that can help strengthen the pelvic muscles and help you control your urine. This issue is called urinary incontinence. By simply getting a session of training you will be able to strengthen your bladder muscles. You can perform the simple exercises at home or even while working. The most important aspect is the right guidance.

There is no age restriction for fitness. You can start at any age and it is never too late. Issues caused by one or more pregnancies, childbirth, chronically poor ways of moving or menopause often don't get better on their own.   They typically get worse or can manifest later in life.  It's never too late to get checked and we urge you to do so.  If you have never actually gone through childbirth yet you find yourself facing various health issues related to pelvic health, such as diastasis recti, incontinence, prolapse,  vaginismus or other types of pelvic pain, please do not hesitate to contact us.  We work with women in all stages of life and are here to serve you.

The common reasons are: twin /triplet pregnancy, high risk for down syndrome on dual/triple/quadruple test, recurrent miscarriages, baby not growing properly, previous affected child or suspicious of birth defects.

They usually do it with the help of ultrasound, blood tests, Fetal MRI's. In some cases they might do a needle test like amniocentesis or CVS to take samples of the amniotic fluid/placenta so as to study the baby's chromosomes or know the infection status.

All the pregnant women should see a Fetal Medicine expert irrespective of the normalcy. This will avoid misinterpretation and mis-diagnosis of various conditions of pregnancy. Those with any pregnancy problems abnormalities or fetal growth problems mandate to seek an expert advise from a Fetal Medicine expert.

Ideally, a Fetal Medicine Expert is who has completed a fellowship and has certificates of competence from Fetal Medicine Foundation or an equivalent body. These experts are primarily motivated to minimize the risks to your baby before it is born. They are gynaecologists who have done an advanced degree in screening for fetal defects.

One may argue that birthing is since ages of Adam and Eve, then why do we need a special branch now? The specialised medical discipline- Fetal Medicine is an endeavour to bring a healthy baby to you, diagnosing the abnormalities-structural, chromosomal or growth, before it is born and perhaps treating the fetus in the womb through different medical techniques. The idea behind this is to have a paradigm shift to the management BEFORE the baby is born rather after.

It is a specialised branch of obstetrics, which includes assessing and maintaining the health of the fetus(baby inside the womb),diagnosing illnesses/abnormalities and treating them if possible before the baby is born. Fetal Medicine can be arbitrarily divided into prenatal diagnosis and fetal treatment (fetal surgeries).

You should be open about your fears and apprehensions. You can share the same with the instructor or the experts in private or on a group. You should also shut out negative thoughts and relax. Explore your medical intervention options for delivery – C Section, Normal or Painless. Also track the trigger and the cause of your worries and share it. Ask for advice and guidance without any apprehensions.

Lamaze classes are sessions recommended for expecting mothers and their outcome is best whenboth the partners attend the same. Information and training is provided regarding the pregnancy health, health outcomes – pre and post delivery, labour pain management, pain relief, epidural choices, relaxation methods- breathing and massage, birthing positioning techniques, communication skills and medical procedures.

It is best recommended that you start attending or request to attend a session in the 7 th month of pregnancy. Paras Bliss specialises in Lamaze sessions. If you wish to take classes elsewhere insist on a specialised Lamaze instructor.

What is a Screening Test?

A blood test , ultrasound or demographic characteristics (age, race,etc) of a person are used to estimate what are a person’s chances of having an abnormality.In this case a screening test for chromosomal abnormalities is to suspect what are baby’s chances of having that abnormality.

Pregnancy

These tests DO NOT mean that there is an abnormality for sure; they only signal further testing should be done.

The Screening can be divided into

  1. First trimester screen
  2. Second trimester screen

What is a first trimester screening for Aneuploidies/Chromosomal Abnormalities?

First Trimester Screen is a new, optional evaluation that combines a maternal blood screening test with an ultrasound evaluation of the fetus(baby in the womb)

It  identifies the  risk for specific chromosomal abnormalities, including Down syndrome and Trisomy-18 and T13

What is the accuracy of First Trimester Screen ?What does it mean?

The accuracy rate for the combined test to detect the chromosomal abnormalities  is upto 95% (depending upon the markers on the scan)with a false positive rate of 3-5%.

This means that:

  • Approximately 85 out of every 100 babies affected by the abnormalities mentioned above will be identified.
  • Approximately 5% of normal pregnancies will receive a positive result or an abnormal level and will be labelled as high risk for that condition. This would be a false suspicion confirmed on the diagnostic test.
  • A positive test means you have a 1/100 to 1/300 chance/risk of having a baby with the said abnormality.

It is worth reiterating that a positive result does not equal  to having an abnormality in the baby , but rather serves as a suspicion to prompt  further testing.

What are Second Trimester Screening Tests?

They are Triple /Quadruple test as blood test (15-20+6 weeks)

or  genetic sonogram as an ultrasound(18-20 weeks).

These screening methods are less accurate than the first trimester combined screen.

What are the Risks and Side Effects to the Mother or Baby?

It includes discomfort of drawing blood and other than this there are no known risks or side effects associated with the screening tests. Ultrasound when used properly (ALARA) is more or less safe for the fetus.

Who should get the Screening Tests done?

All pregnant women must get screening test done at appropriate time irrespective of their age and other factors.

Breastfeeding lays the foundation for good health for all children. It benefits the baby  both in the short and long terms. Taking the same into consideration, new mothers are advised to exclusively breast feed their young ones for the first 6 months post-delivery. Working mothers should opt for milk storage facility or should take out time in their busy schedules to feed their babies. This selfless act creates bonding between the mother and the baby and benefits both. Following are the listed benefits:

baby image

  • Breastfeeding provides an ideal nutrition to the i It is nearly a perfect mix of vitamins , minerals and proteins , in short everything that the baby needs to grow .
    Breastmilk is a custom made supply , tailored according to the baby ‘ s needs .
    Colostrum or the first milk is high in proteins and low in sugar. After three to four days , sugar and volume also increase.
  • Breast milk is easily digested unlike formula milk which is not so soft on the baby’s bowel .
  • Breastmilkcontains antibodies or immunoglobulins which help the baby fight off viruses and bacteria . Colostrum especially has very high levels of protective antibodies .
  • Breastmilklowers the baby ‘s risk of having asthma or allergies . It helps in the formation of a protective layer on the baby’s intestinal tract .
  • Babies who are exclusively breastfed for 6 months have fewer incidences of ear infections , respiratory diseases ,diarrhoea and even meningitis . They are healthier babies.
  • Lots of long term studies have proved beyond doubt that breast fed babies have higher  IQscores . They are better school performers and have improved cognitive development.
  • Breastfed babies gain adequate weight and don’t become obese .Such babies have more leptin to regulate appetite and fat.They have better eating habits . Formula milk has more insulin too .
  • Breastmilkprovides long term protection against diabetes , cancers and hypertension .
  • It also reduces the incidence of SIDS (sudden infant death syndrome).
  • Last , but not the least , breastfeeding helps in building the most beautiful bond ever , bond between a mother and her child . The skin to skin touch and the eye to eye contact help in building up this attachment which is cherished forever .So , mothers , let the bottles go to the bins and hold your baby tight , put it to your chest and begin your beautiful journey into motherhood ……

Pap Smear can be defined as the most inexpensive and recommended way to check cervical cancer – the second most prevalent cancer amongst women. Cervical Cancer can be defined as the cancer of the cervix. In a Pap Smear Test a small sample of the cells from the cervix – the lower narrow end of the uterus – is taken and is examined microscopically to detect the growth of cancer cells, especially Cervical Cancer Cells.

pap smear test

How is it done?

This is a simple OPD procedure that takes only 10 minutes to perform. No hospitalization is required for the same. Also the procedure should be performed by a specialized gynecologist only.

When you enter the cabin of the doctor, they would request you to dress down completely or from the waist down. You will be told to lay down on the examination bed with your knees bent. The doctor will gentle insert a speculum (a small instrument) in your vagina. This instrument would hold the walls of the vagina apart so that the doctor can see the cervix easily. During this procedure you might feel some pressure in your pelvic area. Then with the help of a spatula or a small brush the doctor collects the samples of the cervix. This process 98% of the times doesn’t hurt. The doctor transfers the cells on a glass slide or in some liquid for examination.

When should you get a Pap Smear Test?

A Pap Smear test is best to detect the presence of Human Pappilloma Virus (HPV) responsible for causing Cervical Cancer. HPV infection can be from men and women. Every woman should go for an annual Pap Smear Test after commencing their sexual life. Many a times an HPV infection is asymptomatic and can stay undetected for a number of years. Also women post the age of 35 yrs should have a annual Pap Smear test for sure. It is to be noted that with the increase in the number of sexual partners the probability of contracting HPV infection increases, and so does the risk of developing Cervical Cancer.

Post three normal Pap Smear Tests, you can discuss with your doctor if you can opt for Pap Smear tests after an interval of 5 yrs.

How to prepare for a Pap Smear Test?

For your gynecological exam, make sure of the following:

  • You should not be menstruating at the time of the examination. If you are reschedule your appointment.
  • You should refrain from sexual activity for at least 48 hrs before the test.
  • You stay calm and relaxed during the test.

Post a Pap Smear test you are free to walk and do any kind of physical activity. In some select cases spotting has been observed, however the same is minor and doesn’t include any complications.

Yes, it is usually safe for both mother as well as fetus, because ultrasound uses sound waves outside the hearing capacity and NOT the irradiation.

ABOUT FETAL MEDICINE

At Paras Bliss, our motto is to ensure that the mother and child have access to the best medical expertise and healthcare infrastructure accompanied by compassionate care. The Department of Obstetrics Fetal Medicine at Paras Bliss is unique in its composition, providing the mother, patient attendants and the neonates a holistic environment specialized for delivering your bundle of joy. Our fetal medicine unit possess single personalized rooms that are customized to suit the requirements of the expecting mother and her close attendants. This approach highlights that we understand that every mother is unique and so are her needs.

Paras Bliss strongly supports normal deliveries and ensures that every medical decision is well informed. The department obstetrics experts are adept in performing complex high risk pregnancy deliveries, preterm and precious deliveries. Each centre at Paras Bliss is well equipped with the state of the art infrastructure – LDR Suites, Proficient Maternity Care, specialized modular operation theaters and NICU facilities.

While women do not pay attention to their health and regular screenings, many are unaware about the gynae and obstetrics issues that they might suffer from

Women often ignore their own health concerns as they devote their lives to caring for their children and family

Women undergo several changes in their body mechanisms throughout their lives. The hormonal changes, menstrual cycles, greater propensity to suffer early bone loss and arthritis are factors exclusive to women. However, often they ignore their own health issues, do not pay attention to indicators or warning symptoms as they are too busy looking after their families.

To draw the attention of mothers and women to their own health issues and the need to stay alert, doctors at Paras Bliss Hospital for Mother & Child conducted an in-house gyaencology and obstetrics camp to educate the women regarding health procedures and gynaecologic concerns with expert and compassionate care.

From urinary tract infections, to pelvic function disorders to such serious concerns as cervical cancer — women face multiple health worries during and beyond their reproductive periods. While it is important for women to immediately react to the noticeable symptoms, a regular health checkup is highly recommendable, especially post menopause.

At multiple points in their lives, women face different kinds of health issues ranging from hormonal imbalance, disturbed menstrual cycles, polycystic ovary syndrome or other reproductive health issues to more serious health woes such as cervical or ovarian cancer. The key to warding off dangers and threats is to stay alert and keep up the defences.

“Cervical cancer and breast cancer are the top two diseases that cause maximum cancer deaths for women worldwide. A little amount of alertness and awareness about these issues can save a number of lives by detecting the developments on time. This is particularly relevant in the case of cervical cancer, which is the only form of cancer that can be prevented with vaccination. However, we find that awareness is very abysmal among Indian women about health issues that are so crucial to them. Hence through this camp we aimed at educating the women regarding gynaecological diseases and health problems concerning them,” said Dr Shilva, Consultant –Obstetrics and Gynaecology, Paras Bliss Hospital for Mother & Child.

Women body undergoes different stages throughout her life, and accordingly takes place the hormonal changes. In the period after pregnancy, women experience several characteristic health issues such as urinary incontinence, issues with the bowel movement and painful sex. Sometimes there can emerge serious disorders such as pelvic function disorders or pelvic organ prolapse. These issues should never be taken lightly and should be immediately reported to the doctor.

“India suffers from lack of culture of regular checkups. The ignorance increases when it comes to women. However, regular visits to doctor for a routine checkups and preventive screening is one of the important aspects of maintaining health. In India, this concept is considered to be waste of money, especially in case of women. Breast cancer and cervical cancers can be detected through simple and cost effective tests like an ultrasound/mammography and a PAP Smear. However, most women don’t even know the importance of the same. Also many a times, gynaecological symptoms tend to resemble other medical conditions or urological problems. Therefore, it further necessitates the need to consult a physician for diagnosis. Women face menstrual (bleeding) problems at some point or the other in life. It is mandatory to get the right opinion so that the appropriate treatment is done and unnecessary operative interventions are avoided.” Dr. Harpreet Kaur Isher – Consultant –Obstetrics and Gynecology, Paras Bliss Hospital for Mother & Child

The camp  attracted a lot of women participants who eagerly gained knowledge from the experts on gynecological diseases such as irregular menses, increased decreased bleeding during menses, leucorrhoea, persistent leucorrhoea not responding to the treatment,  lower abdominal pain, backache, bleeding after menopause, primary infertility, Polycystic Ovary Syndrome (PCOS), which occurs when hormones are out of balance and causes issues during menstruation and difficulty in getting pregnant.

Your baby’s eyes are not very sensitive to light in the first month of life. In fact, the amount of light required for a 1-month-old infant to be aware that light is present (called the light detection threshold) is 50 times higher than that of an adult. So, normal lights can be kept on during the day, but lights should be switched off at night to facilitate biological/circadian rhythm, which promote baby’s growth.

It is advised to consult the baby’s doctor/paediatrician before giving over the counter drugs to the baby as the doses of these drugs depend on the body weight, and hence cannot be generalized to all babies. Too small doses will be ineffective, and higher doses can cause harmful side effects, and possibility of drug toxicity. Most governing bodies in Paediatrics including American Academy of Paediatrics (AAP) advises against giving OTC cough and cold medicines which includes decongestants and cough suppressants to children younger than 6 years old.

Pneumonia is one of the leading causes of morbidity in both western world and developing countries including India. It kills one child every 15 seconds. Despite these sobering statistics, there is good news: solutions exist to prevent and treat pneumonia, and ultimately save young lives and significantly reduce the burden of families and society

Preventive strategies for pneumonia in children include:

Immunization:

  •  It’s the most effective way to prevent pneumonia
  • Vaccinate your baby against Hemophilus influenza(Hib)
  • Pneumococcus, Measles and Whooping cough (pertussis)

Adequate nutrition: It’s a key to improve baby’s natural defences, Research studies suggest exclusive breastfeeding for the first 6 months of life is effective in preventing pneumonia and also reduces the duration of illness and hospital stay.

Healthy environment:  Addressing indoor and outdoor air pollution and encouraging good hygiene in crowded places goes a long way in promoting health in general and pneumonia in particular.

Sudden infant death syndrome (SIDS), also known as cot death or crib death, is defined as the sudden death of an infant younger than 1 year of age that remains unexplained after a thorough case investigation, including performance of a complete autopsy, thorough examination of the death scene, and review of the infant’s and family’s clinical histories

Prevention: –

  • Baby to sleep on his back; on a firm mattress
  • Room-sharing without bed-sharing is recommended
  • Keep soft objects and loose bedding out of the crib
  • Pregnant women should receive regular prenatal care
  • Avoid smoke exposure during pregnancy and after birth
  • Avoid alcohol and illicit drug use during pregnancy and after birth
  • Breastfeeding is recommended
  • Consider offering a pacifier at nap time and bedtime
  • Avoid overheating
  • Infants should be immunized as per schedule.
  • Avoid commercial devices marketed to reduce the risk of SIDS

Your baby can travel soon after birth. Most airlines prefer babies to be at least two days old, but after that, it’s up to you. Young babies generally make good travellers if they feel cuddled and secure and are fed regularly. The movement and activity often helps them sleep, too! By three months, the baby is more likely to be ready to travel. If you are flying, a front carrier or baby sling is an ideal way to transport your baby. Being carried close to the mother or father will make baby feel safe.

Baby carriers also make travelling much easier on trains and buses. If your baby is very young, a travel system with a car seat that fits on to the push chair chassis may be the best option. In this situation, a lightweight, umbrella-folding pushchair is a useful alternative.

Infants especially newborns are susceptible to hearing damage from loud noises because their skulls are thinner. Exposure to excessive noise during pregnancy may result in high-frequency hearing loss in newborns, and may be associated with prematurity and intrauterine growth retardation. Loud noises can cause hearing loss by damaging parts of the inner ear; the area responsible for hearing.

Safe Levels: Safe levels can vary according to the duration of the exposure and the loudness level. Noises less than 80 decibels should not cause hearing damage. This is the equivalent to noise in a restaurant or in city street traffic. A normal conversation is about 60 decibels.

Follow-up is needed for most babies, with varied aims. Babies with an uneventful hospital stay have to be watched for jaundice 24-48 hours after discharge, if discharged within first 3 days of delivery.

Babies who have been sick due to any reason, will be followed up for assessment of their brain functions, hearing and visual assessment. Biggest risk factors among them are probably gestational age and birth weight. Such conditions include, but are not limited to prematurity, low birth weight, Asphyxia, shock, need for ventilation, infections, jaundice, heart diseases and congenital malformations.

Care of a normal baby at home is of utmost importance especially during first few weeks and includes:

  • Exclusive breastfeedingfor the first 6 months of life.
  • Keep umblical cord open and dry.
  • Eyes of the baby must be cleaned with a sterile swab soaked in sterile water.
  • Baby to be bathed once in 3-4 days with lukewarm water during early weeks of life.
  • Watch for jaundice for first few days of life.
  • Vaccinations advised by paediatrician should be followed.
  • Babies should preferably be placed down for sleep on their back.
  • Oil massage with coconut oil/olive oil can be a daily routine.
  • DO NOT apply kajal/surma in eyes or put oil in ear or boric acid in nostrils.

Welcoming a newly born baby is so exciting! But there are some newborn etiquette which have to be ensured.

  • Avoid too many guests. This allows mother- baby dyad to bond and learn breastfeeding techniques.
  • Guests with flu like symptoms should avoid visiting the newly born till they are symptom free.
  • Handling of the baby by the guests should be reduced to minimum.
  • Proper hand washing/disinfectants to be used before touching the baby and his/her surroundings.
  • Hands of the care giver should be warm and the baby should be well-clothed and covered.
  • Firm and steady grip should be maintained over the baby’s trunk.
  • Avoid kissing the baby to prevent droplet infection.
  • Stay of the guests should not be more than 30 minutes to 1 hour.
  • Use soft, gentle voices and try to be as calm as possible.
  • Don’t wear perfume.
  • Put your cell on silent.

Kangaroo mother care (KMC) is a simple and safe method of caring for low birth weight babies. It includes early, prolonged and continuous skin- to -skin contact with the mother/father or any care giver and exclusive breast feeding. KMC is initiated in the hospital and continued at home as long as the baby needs and likes it. During KMC babies are held naked between the breasts of the mother (mimicking a kangaroo’s pouch) and should be covered with a blanket to avoid heat loss. KMC should be given for atleast 6-8 hours a day; gradually increased upto 24 hours a day. KMC benefits the baby with more stable sleep patterns, temperature stability, better weight gain, better maternal-baby bonding, along with reduction in early mortality and morbidity. Kangaroo care integrates the family into the neonatal intensive care team.

In most cases, there are no obvious signs of infertility. Intercourse, erections and ejaculation will usually happen without difficulty. The quantity and appearance of the ejaculated semen generally appears normal to the naked eye. Medical tests are needed to find out if a man is infertile.

There are few medicines that are recommended for the treatment of infertility. Clomiphene is given as it stimulates your ovaries to release eggs. Metformin is used to treat polycystic ovary syndrome. New drugs containing myo-Inositol and acetyl cysteine have been found beneficial in correcting the underlying physiology of PCOD. However self medication is a not recommended. It is best to consult a specialist and discuss your situation.

Many OB/GYNs received just a few weeks of infertility training during residency. Unless their medical practice is fully focused on fertility issues, a fertility specialist may be the most qualified doctor to help you overcome infertility and finally get pregnant. It is better to go for treatment with fertility expert. A fertility specialist diagnoses and treats problems better related to infertility. A fertility specialist can guide you in selecting the fertility treatment procedure that may help you carry the baby to term.

Yes infertility treatment includes injections and surgery. Injections are required for COH in ART(IUI and IVF). Gonadotrophins are most commonly used injections. Diagnostic laparoscopy is required in woman with unexplained infertility to identify any finding of endometriosis.  It is best to consult a fertility expert who shall advice you your treatment plan. Apprehensions and fears may be associated with infertility treatment, however it is important to have the support of your family in your road ahead to motherhood.

IVF is performed when there is problem with female reproductive system to conceive. The procedure involves collection of good sperm and ova from men and women, combining the ova and sperm outside and finally inserting into other female. The basic elements of the procedure involves ovaries stimulation to release several eggs, removal of eggs from ovary, in-vitro fertilization of egg and sperm, and then placement of 2days old embryo into the uterus.

Treatment of IVF includes down regulation using:

  • GNRH agonist
  • COH using gonadotropins with follicular monitoring using TVS and assessment of serum estradiol levels.
  • Oocyte maturation using HCG
  • Oocyte retrieval
  • Fertilization
  • In vitro embryo culture
  • Luteal support using progesterone
  • Embryo transfer
  • First trimester pregnancy monitoring

Artificial Insemination is a procedure used to treat infertility that involves direct insertion of semen into a woman’s womb. Commonly used method of artificial insemination includes IUI (Intrauterine Insemination) and it has the best success rate. Other types of artificial insemination include:

  • IUTPI (Intrauterine tuboperitoneal insemination)
  • ICI (Intracervical insemination)
  • ITI (Intratubal insemination)

IUI is referred as Intrauterine Insemination. It is usually performed when there is problem with men who have weaker sperm or woman is suffering from unexplained infertility.  The procedure involves insertion of motile sperm into the woman’s uterus. Basic elements of IUI include collection of male sperm, cleaning for good sperm and directly inserting into the women’s cervix. IUI concerned women must consider intrauterine insemination to conceive. It has been recommended that patients with unexplained infertility should undergo 3 to 6 cycles of IUI before therapy is changed or discontinued.

IVF is performed when there is problem with female reproductive system to conceive. The procedure involves collection of good sperm and ova from men and women, combining the ova and sperm outside and finally inserting into other female. The basic elements of the procedure involves ovaries stimulation to release several eggs, removal of eggs from ovary, in-vitro fertilization of egg and sperm, and then placement of 2days old embryo into the uterus.

Some fertility problems can be more easily treated than others. It’s important to understand that even if you are able to get pregnant, no treatment can guarantee a healthy baby. On the other hand, scientists in this field have made many advances that have helped millions of couples have babies. The success of treatment of infertility depends on the underlying cause of the problem, woman’s age, history of previous pregnancies and how long she has had infertility issues.

Both women and men can have problems that cause infertility. About 30% of infertility cases are caused by women’s problems. Another 30% of infertility problems are due to problem in male partner. The other cases are caused by a mixture of male and female problems or by unknown problems.

Causes of infertility in female:

  • Ovulatory Dysfunction: It caused by PCOD, decreased ovarian reserve, premature ovarian failure. Ovulatory dysfunction contributes to 30 to 40 % of female infertility.
  • Tubal Factor: Tubal factors accounts for 30 to 40% of infertility. Tubal factors include damage of fallopian tubes because of previous PID, previous pelvic or tubal surgery or endometriosis. Other causes of tubal damage include isthmica nodosa or benign polyps within tubal lumen.
  • Unexplained Infertility: Accounts for10 to 15% cases. In this psychological and gynecological support is to be provided.

Infertility refers to an inability to conceive after having regular unprotected sex for a period of one year. Approximately 85 to 90 % of young and healthy couples conceive with in 1 year. Infertility therefore affects 10 to 15 % of couples. This is a reason for concern for women who have being to conceive. The issues for infertility may be hormonal and can be associated with the man or the woman. It is important that couples opting to plan families refer to fertility consultants to discuss their issues.

One should consult a dermatologist for the removal of stretch marks. Invasive procedures like lasers are also recommended by doctors. However they can only be performed after 6 months post delivery. Women who are opting for exclusive breast feeding post 6 months should further delay laser treatment. Application of certain creams and lotions prescribed by the doctors are useful for the treatment of stretch marks. Surgical options such as tummy tuck can also be recommended by the specialists.

There are certain creams which are prescribed by the dermatologists to prevent stretch marks. Antenatal exercises are the best treatment to prevent stretch marks from occurring. If your changing body exercises and goes through the recommended stretch exercises, the marks can be managed. Please consult specialists for the ante natal physiotherapy and yoga sessions. Post delivery stretch marks treatment can be done through various ways. The suitability is as per patient condition & requirement.

Taking care of our skin during pregnancy is very important task one must do. Maintaining a proper hygiene by cleaning skin on regular intervals and moisturizing it to prevent it from getting dried is also recommended. Proper intake of fluids and doing antenatal exercises also help to maintain a healthy skin. If you are experiencing pigmentation on your body, face or your abdomen area, you should consult a specialist. You should also consult a nutritionist to suggest you the right diet that can complement your skin care.

Yes it is true that skin glows in pregnancy because of certain hormonal changes taking place inside the body. Releases of certain hormones like estrogen or progesterone are responsible for the changes happening. The increase in blood flow is also an important factor. During pregnancy production of blood increases by 50%. You can slow the mask of pregnancy and use an oil free cleanser. Consult a Dermatologist to retain your skin glow.

Testimonials

  • Mrs. Sapna

    Has excellent experience and home like stay. Very cooperative staff nurses. Everyone including doctors, sisters & housekeeping staff provides their precious services. Unforgettable moments of my life. Special thanks to Dr. Ruchi, Dr. Sonia, Kritika, Rekha, Pooja & Monica. Thanks for giving Gem of my life.

    Mrs. Sapna

  • Mrs. Nisha Rathore

    I am very impressed with all the facilities given by the hospital. All the doctors, nursing staff and housekeeping is also good. I would recommend this to my other family members.

    Mrs. Nisha Rathore

  • Mrs. Divya Kaushal

    Overall I am pleased with the services. Appreciate the efforts and dedication of overall staff. Would like to highlight certain names below for their exceptional services towards the patient, relatives and the infant.

    • Shrishti
    • Rajni Thakur
    • Mridula
    • All housekeeping staff
    Mrs. Divya Kaushal

  • Mrs. Vandhna

    Hospital administrator and staff is very good. My experience with Miss Rajni and Ms. Monica is very satisfied. They both take care of me in good manner.

    Mrs. Vandhna

  • Mrs. Shally S. Kumar

    Nurses and staff is very co-operative and adjustable and caring. Doctors are very caring and concerned and track patients with all smiles. Overall experience is awesome and very good.

    Mrs. Shally S. Kumar

  • Dhyana Rathod

    I am very much happy with all services you provided. All staff members are very much supportive. We like their kind behaviour. Thank you to all of you for your kind service.

    Dhyana Rathod

  • Mrs Nicky Sandhu

    Just wanna say, big thanks to each and everyone, doctors and their staff. Brought my baby here in a worse condition, but they made us feel so comfortable and such a polite behavior. Treated the kid, like their own child. Thanks each and everyone.

    Mrs Nicky Sandhu

  • MS JIGYASA SINGH

    Over all experience in the hospital before, during and after delivery was great. Staff has cooperated very well. Right from nurses to housekeeping behaviour was great and they treated the mother and child like family. Last but not least infact above all “hat’s off to Dr. Shilva” and special thanks to Dr. Krishan and all doctors involved in the process.

    MS JIGYASA SINGH

  • Dr Beena Singh & Dr. Awnindra Singh

    Dear Team Paras Bliss, We don’t have words to express our gratitude but thanks a ton for making one of the most precious moments of our lives so beautiful and memorable.

    -Lots of love, Dr. Awnindra, Dr Beena and Omisha”

    Dr Beena Singh & Dr. Awnindra Singh

  • Ms. Inderjeet Kaur

    Dear Team Paras Bliss, Thank you for a blissful experience. God Bless.

    -Inderjeet, Gaganpreet and Ranbir”

    Ms. Inderjeet Kaur

  • Ms Neha Jain

    Thanks to Paras Bliss, Panchkula for giving us excellent services. Special Thanks to Dr. Shilva for special care and personal focus. At last Thanks to all nurses staff, housekeeping, canteen services persons and all who were involved directly or indirectly to support us.

    Ms Neha Jain

  • Ms. Samreen & Mr. Mohammad Arshad

    Neat and clean hospital with satisfactory treatment for my patient and baby. I really appreciate team of doctors, anesthetists, support teams and other related people for tackling critical case of my wife. Highly recommended if you are looking for better and high quality services for your baby and wife.

    Ms. Samreen & Mr. Mohammad Arshad

  • Monika Kesar

    Experience with everyone in the hospital was awesome. I want to convey my best wishes and thanks to everyone involved (Staff), for making it a lifetime experience. Having a baby itself is an experience for life but, the kind of support and care I got from hospital was exceptional!

    Monika Kesar

  • Mr. Vimal Bhola

    My baby was a low weight & needed special attention so baby was brought to Paras Bliss Hospital under the care of Dr. Krishan Yadav and from the day I felt comfortable to leave the baby in hospital under his care. Initially my family members worried about the baby but very happy to see the care given to baby during his stay at Paras Bliss Hospital.

    Mr. Vimal Bhola

  • Ms Vidhu & Mr. Sumeet

    Hospital is clean and staff behaviour is excellent. Nursing staff is highly cooperative. Doctors , Hospital Facilities in the hospital are exceptional.

    Ms Vidhu & Mr. Sumeet

  • Ms Kunta Devi & Mr.Rinku

    Facilities in the hospital are really good. The hospital had excellent cleanliness. We are grateful to the doctors and staff for the constant support and information given to us time to time. This hospital has fulfilled our expectations to the fullest.

    Ms Kunta Devi & Mr.Rinku

  • Ambika and Madhur

    “We are really happy with the care we have received. It was just a home away from home.”

    Thank you PARAS for such an exceptional experience and genuine care!

    Ambika and Madhur

  • Ms Shweta Gaur & Mr. Sandeep Sharma

    I came here in an emergency. The hospital staff was quiet helpful. All the nurses especially Ms. Ritu, (OT nurse) helped me to settle down. Everything went fine. I am totally satisfied by the services. Glad I choose Paras Bliss. Thanks for the help and support.

    Ms Shweta Gaur & Mr. Sandeep Sharma

  • MS. Charu Sethi & Mr. Kunal Sethi

    We were fortunate to have our baby delivered at Paras Bliss, Gurgaon. The entire process was seamless and we met with thorough professionals, who tend to us with utmost warmth and care. The staff went out of the way to make our stay comfortable. The staff was methodical in the approach and I wish them good luck for future.

    MS. Charu Sethi & Mr. Kunal Sethi

  • Dr. Jasmeet Babbar & Dr. Gaurish Babbar – Dr. Shilva

    Really nice & favourable environment in this wonderful institute. The best guidance was provided to me by the labour room staff. The training given during the antenatal class also proved to be of great help. Thanks to all.

    Dr. Jasmeet Babbar & Dr. Gaurish Babbar – Dr. Shilva

  • Ms. Suneeta Kashyap & Mr. Anil Kumar – Dr. Shilva

    My experience with Paras Bliss is fabulous. Everything is so perfect and excellent. The entire staff is so supportive. Doctors are really excellent here. I would like to recommend Paras Bliss to everyone.

    Ms. Suneeta Kashyap & Mr. Anil Kumar – Dr. Shilva

  • Ms. Pooja Sarsar & Mr. Naveen Kumar

    Paras Bliss made my journey of motherhood a joyful. I appreciate the care and concern showed by doctors and nurses. I really treasure the overall services that are provided by hospital that has made my experience wonderful.

    Ms. Pooja Sarsar & Mr. Naveen Kumar

  • Mrs. Pooja Rai

    We like the facility given by the Paras Bliss Hospital and I like all the staff so much but one of the best staff member who was very supporting and very hard working as per my point of view is Vandana as she is very caring lady.

    Mrs. Pooja Rai

  • Tek Chand

    Doctors and staff are very cooperative and helpful

    Tek Chand

  • Vineet Gupta

    Outstanding services and hospitality. Dr Manoj Sharma has given a very good medical reference and treatment . We are very satisfied with overall performance.

    Vineet Gupta

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