Prepregnancy counselling in Delhi refers to any sessions held prior to conception with a physician for the purpose of identifying any medical complications that could threaten both pregnancy and baby.
Dr. Bhumika Shukla has over 10 years of experience providing women’s healthcare. She specializes in Abortion/Medical Termination of Pregnancy (MTP), Gynaecological Endoscopy and Pre and Post Delivery Care services.
Risk Assessment
Risk evaluation during gestation aims to identify and minimize risks that could compromise a successful pregnancies, including those related to gestation itself and medical consultation, in order to achieve a healthy delivery for couples. It enables women to take control of their reproductive health and make an informed decision when making this journey.
Preventing high rates of morbidity and mortality related to pregnancy-related complications requires effective primary care referral systems. More specifically, community-based interventions which enable tracking high-risk pregnant women from initial screening through delivery and birth outcomes must take place. This involves identifying risk factors, providing counseling/management/counselling as necessary, as well as guaranteeing quality obstetric care regardless of socioeconomic status or religion.
Even with the high burden of chronic diseases like hypertension and gestational diabetes mellitus (GDM), few interventions specifically target high-risk pregnant women during antenatal visits. Community Health Workers (CHWs) in rural India provide antenatal care, offering them an opportunity to screen and counsel high risk mothers-to-be for future cardiovascular disease during their pregnancies – however this often goes unfulfilled.
Hypertensive disorders during gestation are the leading cause of cardiovascular disease (CVD). Early detection and treatment are critical in order to avoid future cardiovascular issues; as such, pregnant women need a comprehensive screening process and counseling service in order to assess their risks of future CVD.
Follicular studies are an easy and reliable fertility test that can help women better understand their menstrual cycle and predict when they may ovulate. The procedure typically entails ultrasound scans to check the number and size of ovaries as well as evaluate the endometrium, followed by oral medication to stimulate them for normal ovulation cycles.
Pregnancy counseling is an indispensable service for those wishing to start a family. Not only can these sessions assess the risk of an unintended pregnancy, they can provide advice to couples as a whole and support should any challenges arise in attaining their goals. In addition, pregnancy counseling includes evaluation of sexual, social and financial risks for each partner involved.
Lifestyle Changes
Pregnancy can be an exciting time of change, and many expectant mothers are open to making lifestyle adjustments to support a healthier pregnancy. They may increase exercise or consumption of healthier foods while cutting down or stopping substance consumption that may endanger the fetus. While such changes may seem challenging at first glance, they can lead to greater fulfillment for mothers while creating an overall more satisfying and fulfilling pregnancy experience.
Women tend to be comfortable discussing how their experiences before and during gestation can impact their parenting decisions. They can discuss fears and worries, difficult memories or experiences they had, build supportive relationships with partners and focus on strengthening these bonds; all this can help prepare them for the challenges associated with parenthood as well as help develop healthy coping mechanisms and healthy coping skills. A counselor can assist women in making the appropriate lifestyle choices based on their unique situation.
Vaccinations
Vaccination is a safe and effective way to safeguard yourself and your unborn baby against potentially fatal diseases. By harnessing your body’s natural immune response to build infection-resistance and prevent disease spread, these vaccines offer protection. Unfortunately, however, many women fail to immunize prior to becoming pregnant, leaving themselves vulnerable to diseases and possibly leaving their unborn children vulnerable as well.
Since COVID-19 outbreaks began, various international medical societies have advocated for pregnancy vaccination to avoid complications during labor; however, India has yet to implement this policy. FOGSI, the Federation of Obstetricians and Gynecologists of India has publicly called upon its government to alter its vaccination policy, yet likely won’t as acquiring safety data can take time before being recommended as vaccines by healthcare providers.
Pregnant women are particularly susceptible to contracting the virus during gestation, due to hormonal fluctuations compromising their immune systems and living in areas with limited access to quality healthcare; for this reason it is vital they receive vaccination against it as soon as possible.
As well as influenza vaccinations, pregnant women are advised to get various other essential vaccinations throughout gestation. This may include:
Though inactivated (dead) vaccines are safe during gestation, live vaccines present an unknown risk to an unborn fetus and should not be given to expectant mothers. Many inactivated vaccines such as MMR, Hepatitis B and Typhoid can still be given safely to expectant mothers as these vaccines do not pose a potential threat; expectant mothers can still access them and provide protection from multi drug-resistant Typhoid Fever outbreaks; Hepatitis B vaccination may help decrease rates among expectant mothers during gestation.
If a pregnant woman declines vaccination, it’s essential that her concerns are fully discussed before offering it again at her next office visit. You should also have ample knowledge regarding safety and efficacy of vaccines so as to explain these facts clearly to patients who still refuse. If someone still refuses, ask why; and if their opinion changes later on encourage her to get her vaccine as early as possible in her gestation.
Physical Examination
A physical exam typically includes an interview and review of symptoms. Next, a Concentra clinician will conduct a comprehensive physical examination, which may include urinalysis and blood work; additionally a physician from our practice will assess cardiopulmonary (heart and lung) function, muscular strength/flexibility/endurance as well as cardiovascular endurance.
Dr. Bhumika Shukla is a well-recognized gynecologist in Delhi as well as an infertility specialist and experienced obstetrician with over 10 years of experience focusing on women’s healthcare; in particular Abortion/Medical Termination of Pregnancy (MTP), Gynecological Endoscopy, and Treatment for Complicated Pregnancies.
Niraamaya Clinic was established by her, to serve her patients directly and deliver more personalised healthcare experience. You can book an appointment with this doctor on Practo; 130 people have recommended her and received over 100 stories!
