Pregnancy,or the desire to become pregnant, often inspires women to take better care of them — quitting smoking,caffeine for example,or eating more nutritiously.But now many women face an increasingly common problem: obesity,which affects 36 percent of women of childbearing age.In addition to hindering conception,obesity — defined as a body mass index above 30 — is linked to a host of difficulties during pregnancy,labor and delivery.These range from gestational diabetes,hypertension and pre-eclampsia to miscarriage,premature birth,emergency cesarean delivery and stillbirth.

The infants of obese women are more likely to have congenital defects, and they are at greater risk of dying at or soon after birth.Babies who survive are more likely to develop hypertension and obesity as adults. To be sure, most babies born to overweight and obese women are healthy. Yet a recently published analysis of 38 studiesfound that even modest increases in a woman’s pre-pregnancy weight raised the risks of fetal death, stillbirth and infant death.

Many clinics and doctors’ avoid taking obese patients for pregnancy because that may reduce their pregnancy success results. It is time for doctors to take a call and they must take more positive steps to treat obese women who are pregnant or want to become pregnant. Obesity is commonly viewed as a personal failing that can be prevented or reversed through motivation and willpower. But the facts suggest otherwise. Many obese women who manage to lose weight are usually highly motivated and use a commercial diet plan. But many obese females fail even though they are very anxious to get pregnant and have a healthy pregnancy. This is the new reality, and obstetricians have to be aware of that and know how to treat patients with weight issues.

Obese patients should not be viewed differently from other patient populations that require additional care or who have increased risks of adverse medical outcomes. Obese patients should be cared for in a nonjudgmental manner, and it is unethical for doctors to refuse care within the scope of their expertise solely because the patient is obese. Obstetricians should discuss the medical risks associated with obesity with their patients and avoid blaming the patient for her increased weight.
Any doctor who feels unable to provide effective care for an obese patient should seek a consultation or refer the woman to another fertility specialist.

Being obese during pregnancy can have a major impact on your health and your baby's health. Most women who are very overweight have a successful pregnancy but if you have a BMI over 30, extra problems for you may include:

Miscarriage and stillbirth
Gestational diabetes
High blood pressure and pre-eclampsia
Blood clots inside a blood vessel (thrombosis)
Infection (urine and post-caesarean wound infections)
Hemorrhage after the birth
Problems with breastfeeding
Having a baby with an abnormally high birth weight

You are also more likely to need:

Induction and instrumental (ventouse or forceps) delivery
Caesarean section

Obesity during pregnancy can increase the risk of complications for you and your baby. To ease your anxiety, work closely with your health care provider. He or she can help you avoid excessive weight gain, manage any medical conditions, and monitor your baby's growth and development.

Obese women who want to get pregnant must get a preconception checkup from there OB-GYN. This is a medical checkup you get before pregnancy.The doctor can help you with ways to eat healthy and exercise. This can help you lose weight before you get pregnant.

It is the dream of every women to become mother and enjoy parenthood. The Rupal Hospital for Women offer a one-stop diagnostic and treatment service for infertile couples.Our Obstetricians and Gynecologists specialists provide all necessary information and guidance to plus-size women to lose weight before pregnancy,limit weight gain during pregnancy,and lose baby weight quickly after pregnancy. Counseling is given to pregnant or would be pregnant females about appropriate caloric intake and exercise. The use of our cutting edge technology coupled with our personal commitment to our patients has resulted in excellent success rates and high levels of patient satisfaction.

You can contact today for any information and guidance on how to conceive with overweight or any plus size pregnant females can contact at Rupal Hospital for Women and Know today about your options for having a baby using IVF & assisted reproductive technology.You can contact our fertility and IVF specialist at http://www.rupalhospital.com or http://rupalhospital.wordpress.com

HIV/AIDS:SWITCHING ARV FOR ADVERSE SIDE EFFECT MAY INCREASE VIRAL LOAD,NEW ARV IS PRESCRIBED IF IT IS ABSOLUTE NECESSARY

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
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As new ARV medicines are coming in market after research,there is growing feeling that if we substitute old with new one better result is found but it is not correct as it has been found in canada that viral load of HIV may increase after starting new therapy.The researchers evaluated the risk for virologic failure in 2807 HIV-infected patients from the CANOC collaboration who initiated antiretroviral therapy from January 2005 to June 2012.CANOC is Canada's largest HIV cohort study. It focuses on evaluating the impact of antiretroviral therapy in people living with HIV across the country.Everyone in the study cohort had achieved virologic suppression, defined as a viral load below 50 copies/mL measured twice, at least 1 month apart. Virologic failure was defined as a viral load above 1000 copies/mL.During the study period, 64% of the patients never switched their antiretroviral regimen, 14% switched regimens once, and 22% switched regimens at least twice. Mean time to first switch was approximately 10 months.
Switching therapy was associated with an increased risk for subsequent virologic failure (adjusted hazard ratio, 2.70), the researchers reporrapy if previous therapy was controlling it nicely so it is advised that we should never try a new therapy or ARV MEDICINE IF CURRENT ONE IS CONTROLLING DISEASE WELL.Change of drug is only done when we get serious side effect which cannot be controlled by easy methods or drugs and we have to stop the drug .
For virologically suppressed HIV patients, a switch in antiretroviral therapy is associated with an increased risk for subsequent virologic failure, Canadian Observational Cohort (CANOC) researchers suggested.

12 YEAR CHILD PRESENTED WITH TINY PAPULE
OVER INNER ASPECT OF HAND
SKINN COLOUR PAPULE
LESION ARE GROUP AND SOME IS DISCRETE
COMPLAINING OF ITCHY
TREATMENT IS STEROID AND ANTIHISTAMINIC

Weight loss surgery, also called bariatric surgery, is used as a last resort to treat people who are dangerously obese (carrying an abnormally excessive amount of body fat).
This type of surgery is available to treat people with potentially life-threatening obesity that will not respond to non-surgical treatments, such as lifestyle changes.

Read More: http://drbcshah.com/bariatric-surgery-gastric-bypass/

A bunion is a bony deformity of the joint at the base of the big toe. This joint is known as the metatarsophalangeal (MTP) joint. The medical name for a bunion is hallux valgus.

Read More: http://drbcshah.com/bunion-removal/