1. Doctor, how soon after marriage can one become pregnant?
Usually one becomes pregnant within six months, 80% in the first six months, 90% in one year and the rest in two years.
2. Doctor what are the causes of repeated abortions?
There are many causes of repeated abortions like defective sperms, deficiency of hormones and chronic and acute infective diseases. These cases can be treated with defects in the uterus i.e. fibroid inside the uterus and defect in the cervical sphincter (the looseness of the opening of the cervix).
The uterine defects can be corrected surgically. The treatment of the latter condition is simple—tightening the cervical opening with some synthetic material. This way abortions have been prevented and patients have delivered full term.
Sometimes there may be severe pain and slight bleeding after missing one or two or three periods. This may turn out to be a very serious complication of pregnancy known as Ectopic pregnancy or pregnancy occurring out of place in tubes, ovary or cervix. In this condition a patient bleeds inside the abdominal cavity profusely and may even die, due to rupture of the tubes if not opened and treated immediately.
The third complication is vasicular mole. This is a disease of pregnancy where the whole uterus is filled with grape-like structures due to degeneration of the ovum and placenta instead of fetus or the baby. This also requires immediate hospitalization and evacuation. If not treated it may result in severe hemorrhage and later on may even result in malignancy.
Besides this major complication there are other minor complications that may occur — excessive vaginal discharge, puritis-vulva, cramps in the legs and backache, constipation, sleeplessness, piles, varicose veins and sometimes the cracking of the depression of the nipples.
Miscarriage and abortions happens in many cases. They should be avoided in pregnancy. For more details visit: Miscarriage and Abortion
3. How often is this ante-natal examination necessary? And how soon should one go for ante-natal examination?
Ante-natal check up should start immediately after missing two periods. Early examination is necessary because the progress of the pregnancy can be checked and other conditions before pregnancy can be recorded. This check up should he repeated once a fortnight up to eight months and, in the last month—every week.
4. How much weight is normally gained in pregnancy?
Usually 20-25 pounds. Seven pounds in first 20 weeks and the next seven pounds in 20-30 weeks, seven pounds more during the last two months i.e. 30 weeks to full term. This includes seven pounds for the fetus, Placenta one and one quarter, LiquorAmni land three quarters, Breast two pounds, Uterus two pounds and two pounds for other tissues.
The other causes of gaining weight are lack of exercise and overeating. What is important is a rapid gain of weight—more than four pounds in a month or, one pound in a week, than the number of pounds added during pregnancy. During this visit doctors also check the position of the fetus.
Weight is something that goes on increasing as the child processes. For more details visit: Body changes during pregnancy
5. Does the position of fetus change very often and why and when does it become fixed?
The position of fetus changes because of the space available to the fetus, the roominess of the pelvis and also due to excessive liquid and the elasticity of the uterine muscles. In a small pelvis, it may result in an abnormal life. The position can be corrected at each visit and checked by the doctor. The position of the head is fixed first after 36 weeks.
6. What happens if the pregnancy is prolonged and becomes post-matured? and how can we recognize it?
If the pregnancy is prolonged-over 280 days or, more than two weeks then the placenta becomes incapable of supplying oxygen and food to the baby from the mother and fetus may die before delivery in the uterus.
The term of pregnancy is counted by adding seven days and nine months to the last menstrual period and also by noting down the first movement felt by the mother from which day term can be calculated. It is very important to note down the first day of the last menstrual period and, the day the first fetal movement occurs and, tell the doctor to avoid post maturity. This movement is called quickening.
7. What type of movement is this?
It is like the flutter of a bird in the cage.
8. Why does anemia occur more commonly in pregnancy?
This is because there is a lot of demand for iron by the fetus, from the mother, during pregnancy. Anemia is very common in those who have, diets deficient in iron, repeated deliveries and, is also common in those who have been affected by diseases like tuberculosis, venereal diseases, urinary infections etc. Another common cause is hook worm.
9. What are the dangers if anemia is not treated?
Prematurity of the fetus and danger for the mother—who may have problems during delivery because of want of sufficient amount of blood.
10. Which are the other conditions which may cause a pregnant woman to be admitted to hospital before delivery?
Those who suffer from tuberculosis, heart disease, bleeding disorders, high blood pressure, and kidney diseases, must be observed and their seriousness can be prevented by treatment in the hospital before delivery.