info@aasthawomens.com
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Madhuban Mall, "O" Wing,
Nr.Chitarkut Society-1

Anjar-Kutch-Gujarat

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About Us

Aastha Women Hospital and Laproscopy Center is most advanced Women Health Care centre in Anjar. Under the leadership of Dr. R.M. gundrasaniya, The Hospital is operating in fields of Gynaec Services, Pregnancy related Service & IVF Segment. We've been successfully Serving Women in Kutch for Last 8 Years Now.

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Contact Info

Madhuban, Chitrakut Society 2, Anjar, Gujarat 370110

info@aasthawomens.com

+91 95868 25764

FAQ

Obstetrics & Gynaecology

Before meeting your gynecologist for the first time, here’s a checklist of items you should be carrying: 1. List of symptoms you’ve been having and its characteristics such as how long has it been, what does it entail, etc. 2. Any recent (1 year) medical tests such as blood tests, urine tests, etc. 3. If you have any existing medical conditions, bring along your prescription and related medical information 4. Information about your family history 5. Your insurance details or company ID card, if the hospital is on your panel
Unless you have been identified with any complications, it is perfectly safe to travel during pregnancy. Most women find the second trimester the most ideal time to travel as you are done with the morning sickness of the first trimester and won’t get as easily tired as one does in their third trimester. Indian airline carriers allow women to travel up to 32 weeks of their pregnancy.
In a normal pregnancy, you can be expected to come in for a check up on the following days: • 4 weeks to 28 weeks: 1 visit/month • 28 weeks to 36 weeks: 1 visit/2 weeks • 36 weeks to 40 weeks: 1 visit/week If it is a high-risk pregnancy such as twins, advanced age of women or a complicated pregnancy, your doctor may want to see you more often depending on your condition.
A pregnant woman needs more folic acid, calcium, iron & protein than a non-pregnant woman. Hence pre-natal vitamins, which contain an ideal amount is prescribed to every expecting woman. Leafy vegetables, whole grains, dairy products, fruits and lean meats should make up 80 % of the diet. There can be cravings for salty and sugary food in pregnancy but one should try to eat as healthily as possible to avoid gaining excess weight.
Your body will undergo a multitude of changes as you go through your pregnancy. The most obvious change is your abdomen. It will start looking globular by 12 weeks, an ovoid shape by 28 weeks and turns spherical beyond 36 weeks. The change in the shape of your abdomen is accompanied by slight discomfort, gastric reflux and stretch marks over the next 9 months. The breasts become larger and the areola becomes darker as the pregnancy advances. Your skin may undergo changes such as stretch marks on your buttocks, thighs and abdomen in the second half of pregnancy. Hyperpigmentation of the umbilicus, nipples, abdominal midline & face may be seen due to the hormonal changes in pregnancy. Spider veins and reddening of the palms is commonly seen due to hyperdynamic circulation. Sometimes, there is change in growth rate and texture of nails and hair. Feet and ankles swell during pregnancy due to the increased fluid carried by the body. Leg cramps may occur due to the excessive fluid, shortage of calcium and phosphorus and fluctuation of hormones. A healthy weight gain in pregnancy is 11 kg– 1 kg in the first trimester, 5kg in the second trimester and 5kg in the third trimester. Anything between 11- 17 kgs is taken as a normal weight gain of pregnancy. There is an increase in your body temperature which will get back to normal by the 16th week. Due to increased ligament laxity, many women suffer from back pain during their pregnancy.
Placenta previa is a sudden onset of painless, recurrent bleeding which is apparently causeless. In 5% of the cases, it occurs during labour especially for first time moms. In 1/3rd of the cases, there are ‘warning’ hemorrhages that hint towards placenta previa.
Ovarian Hypofunction is the reduced function of the ovaries that include decreased production of hormones. Most of the time the cause of Ovarian Hypofunction is unknown; however, they are a few contributing factors: • Infections such as tuberculosis & gonorrhea which damage the ovarian follicles, thus reducing their number • Autoimmune disorders such as Addison’s disease & thyroiditis • Chemotherapy & Radiotherapy may lead to depletion of ovarian follicles • Genetic conditions such as chromosome abnormalities can result in hypofunction
There is a risk of post-partum hemorrhage in pre-eclampsia up to 6 weeks post-delivery thus follow ups are necessary. Placenta Previa may cause post-partum hemorrhage thus needs to be monitored. If there is an abscess formation in PID, post-surgery follow ups will be suggested by your doctor.

Infertility

When after one year of cohabitation i.e. living together after marriage if a couple doesn’t conceive should report to a doctor for investigation or report earlier if the female partner has irregular menstrual cycle.
Infertility is not able to conceive which may be because of many factors. • Male Factors • Female Factors • Factors from both partners

Male Factors:

Azoospermia Oligospermia Asthenospermia pyospermia Blockage in the ducts that carry sperm Physical problems with the testicles Hormonal problems Genetic disorder Lifestyle or environmental factor a) Addiction of smoking b) Excessive drinking c) More stress d) Working in hot places e) Wearing tight clothes

Female Factors:

Uterine
a) Congenital Abnormality I. Small Uterus ( Hypo-plastic Uterus ) II. Septum of Uterus III. Double Uterus b) Synechiae Uterus c) Polyp of Endometrial Cavity d) Fibroid Uterus e) Tuberculous Endometritis f) Foreign body

Tubal
a) Hydrosalpinx b) Pyosalpinx c) Blocked Tubes

Ovarian
a) Hyoovalation b) Anovulation c) PCOD d) Ovarian Cysts

Harmonal Factors
a) Thyroid Diseases I. Hypothyroidism II. Hyperthyroidism b) Ovarian Hormonal imbalance c) Hypothalamic Factors d) Hyperprolactinaemia

Others a) Endometriosis b) Adhesions in ‘Pouch of Douglas' (POD) c) Previous abdominal surgery
A) Investigations for the male partner
a) Semen examinations
b) Testicular biopsy if azoospermic (FNAC OR INCISION BIOPSY)
c) Male hormonal study
d) Routine blood investigations.

B) Investigation for the female partner
a) Routine blood investigations
b) Female hormonal study
c) Follicular study
d) HSG/ SSG
e) PCR for tuberculous endometritis.
No as already mentioned infertility can be from both partners. So investigation for both the partners is mandatory.
HSG stands for HYSTEROSALPINGOGRAPHY. It is a test to know the patency of the fallopian tubes. It is done by injecting a dye in the uterus through cervix by inserting a cannula under screening and taking X-RAYS. In normal patent tubes the dye should freely move from uterus to fallopian tubes and should be seen in the peritoneal cavity i.e. abdomen. If we don’t see the dye in the tubes then it shows that tubes are blocked.
SSG stands for SONOSALPINGOGRAPHY, which is done by putting a dye/saline through the cervix and the movement of the dye through the tube is visualised under ultrasound.
Hysteroscopy is visualising the endometrial cavity with an endoscope which helps to find out the factors of the uterus effecting the implantation of the embryo. The various common factors are foreign body, polyp, myoma in the cavity, septum of the uterus or tubercular endometritis.

Laparoscopy is visualization of the abdominal cavity i.e. peritoneal cavity with an endoscope. It helps to find out:

A) Shape, size and position of uterus.
B) Size position and texture of the ovary.
C) Any pathology associated with the fallopian tubes.
D) Any adhesions surrounding female genitalia.
E) Any nodes or masses.
Pregnancy which is outside uterus is ectopic pregnancy. The various common sites are:

A) Fallopian tubes
B) Ovaries
C) Broad ligament
D) In the abdomen

Obstetrics & Gynaecology

Removal of uterus (womb)
1. Laparoscopic removal of uterus (Laparoscopic Hysterectomy)
a) Total Laparoscopic Hysterectomy (TLH)
b) Laparoscopic Assisted Vaginal Hysterectomy (LAVH)
2. Total Abdominal Hysterectomy
3. NDVH-Non descent Vaginal Hysterectomy
4. Vaginal Hysterectomy
1. Fibroids.
2. Prolapse
3. Heavy uterus bleeding.
4. Cancers of uterus and cervix.
The separation of uterus through multiple ports (key holes) in the abdominal wall & removal of uterus through the birth canal (normal passage)

Laproscopic Surgery

i) Quick recovery time.
ii) Less painful – Post surgery.
iii) Cosmetically better.
iv) Less blood loss during surgery.
i) Ovarian cysts.
ii) Ectopic pregnancy – Pregnancy in tubes or outside uterus.
iii) Infertility
a) Ovarian drilling
b) Tubal cannulation
iv) Myomectomy
No, as a comfortable anaesthesia is given to do the Operation. Preferably, it is done under general anaesthesia.
Varying on the type of surgery & condition of the patient. Doctor will advice you on how soon you can return to work.
It depends on the type of surgery. Some surgeries may be require an overnight stay.
It depends on a patient’s tolerance level. In pain medications are prescribed for the post-surgery patients.

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