Dr. Vinayak Das

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Pre-Implantation Genetic Testing For Genetic Conditions

Table of content:

1. What is Pre-implantation genetic testing?

2. Why can Pre-implantation genetic testing detect?

3. Risks

4. Ethical issues of PGT

What is Pre-implantation genetic testing?

Pre-implantation genetic testing is a technique that is used to identify any kind of genetic defects in the embryos that are being created through vitro fertilization before pregnancy. Pre-implantation genetic testing also known as PGT is done specifically when one or both genetic parents are known to have a genetic abnormality.

The embryos are tested before they are transferred to the uterus. One or more cells from each embryo is sent for testing which is done thoroughly because in IVF only genetically healthy embryos are transferred to the uterus according to genetic doctors in Siliguri.

Why can Pre-implantation genetic testing detect?

Cells that are taken from the embryo for testing can be tested for specific kinds of diseases. PGT shows if the embryo is normal without any disease or is affected by some kind of diseases. It also shows if the embryo is carrying the disease and unaffected by it. An unaffected carrier is someone who has the potential to pass on the disease to his or her children but themselves do not show any kind of signs of the given disease.

Pre-implementation diagnosis also known as PGD involves testing of the embryo before it implants for any kind of specific genetic disorder. PGD is used so that the embryos that are unaffected by the disorder can return to the uterus. PGT can be done using different techniques and in various stages. The techniques for PGT may include:

·         Fluorescent in situ hybridization (FISH)

·         Microarray

·         Single nucleotide polymorphism (SNP)

Risks

There are no risks that have been associated with children who are born after genetic testing beyond the normal health risks that are associated with IVF for the mother and child. With handling of the embryo the procedures like thawing, freezing, and biopsy have small risks and can damage the embryo which has not been implanted.

Another risk associated with PGT is the inaccuracy with the test findings as the test may not be completely accurate. Genetic doctors in Siliguri also suggest parents to undergo the typical prenatal testing when the mother is pregnant.

Ethical issues of PGT

When it comes to PGT testing then another aspect which can be utilized due to the advancement of technology is the prospect of selecting traits that can be passed on to a child through the embryo. Initially it was done to increase the rate of healthy IVF treatment births and it is still the predominant reason for its use. There is a possibility that PGT testing will increase as parents will want to look for traits in the embryo genetics they want to pass on to their child and select what they do not want their child to have as traits.

Genetic doctors in Siliguri say this is an increasing concern for offering clinical services and service to the patients. This practice puts PGT on moral grounds of eugenics for selective breeding for desired characters.

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The Benefits Of Approaching A Gynecologist For Gynecology Disorders

Consultation with a gynecologist is important for every woman. As they are specialists in women's health and have a broad idea about the body and the reproductive organs it is beneficial to go for regular check-ups. A woman's reproductive system can be complex and changes gradually, hence, gynecologists in Siliguri make sure their patients are under a routine diagnosis to stay healthy.

Gynecologists help in assessing the condition of a woman’s reproductive system for any kind of infections, diseases, or abnormality. The procedure could also be related to fertility or prenatal, preconception, and maternal care.

Table of content:

1. Why should you visit a gynecologist?

2. Benefits of such visits

3. What to expect?

Why should you visit a gynecologist?

Women tend to visit the gynecologist when they have symptoms or face problems. However, annual screening is recommended by gynecologists in Siliguri to keep a track of their condition. Conditions which can be evaluated and treated by a gynecologist include:

·         Family planning including contraception, sterilization, or termination of pregnancy

·         Menopause, menstruation, fertility, and pregnancy-related issues

·         Sexually transmitted diseases

·         Polycystic ovary syndrome or PCOS

·         Pregnancy-related tumors, cancer of breasts, or reproductive tract

·         Gynecological emergency care

·         Endometriosis is a chronic condition that affects the reproductive tract

·         Sexual dysfunction or sexuality

·         Fecal or urinary incontinence

·         Congenital abnormalities in the reproductive tract

Benefits of such visits

Women need to visit gynecologists to maintain and promote their overall good health. They should start consulting gynecologists after puberty when the reproductive organs become mature. They can get diagnosis and advice about important issues like contraception, precautions, and other problems as the women become sexually active. In older women, menopause, and hormone replacement therapies are common problems which can be solved. The benefits of such a visit include:

·         Answering questions- you can get answers to your problems after a thorough examination and can share information and your thoughts with your doctor. It makes communication and understanding easier and helps in decision-making as well.

·         Advanced medical science- there are various new changes and advancements in the field. Consulting a gynecologist helps you keep a track of all this which can be helpful.

·         Vaccination- this is a good time to get your vaccination completed and get your screening. You can also check for STIs if you are sexually active and stay safe.

·         Maternal care- it is highly beneficial during pregnancy if you have a good relationship with your gynecologist. They tend to have an idea about your medical history and other related issues which can be helpful during your pregnancy for you and your baby.

What to expect?

Women who have suffered or are suffering from conditions that affect the reproductive organs need to visit a gynecologist regularly. It may even be a necessary part of screenings. Women who are trying for pregnancy can also consult them especially if they are dealing with infertility issues.

They can also get to know if they are pregnant and get instructions beforehand for the preparation of childbirth. They can be assured about their medical care and delivery if they have a good relationship with their gynecologist.

Gynecologists in Siliguri state that it is a misconception that women need to visit gynecologists only when they are sick or pregnant. Getting gynecological service if you are sexually active, menstruating, or have face reproductive problems is equally important to stay safe and prevent any kind of problems.

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Ectopic Pregnancy Treatment

From a woman’s fertilization to delivery, several steps are involved in the process of pregnancy. Ectopic pregnancy can occur during this stage of fertilization. Renowned gynaecologist in Siliguri states that prompt treatment of this can reduce risks of complications and make healthy pregnancies possible.

Table of content:

1. What is an ectopic pregnancy?

2. Symptoms

3. How can it be treated?

What is an ectopic pregnancy?

The stages of pregnancy consist of the fertilized egg traveling to the uterus to attach itself. In case of an ectopic pregnancy, the fertilized egg instead of attaching itself to the uterus may attach itself to the fallopian tube, abdominal cavity, or cervix.

Ectopic pregnancy is a rare condition according to gynaecologist in Siliguri. A pregnancy test may reveal that a woman is pregnant, however, a fertilized egg cannot properly grow anywhere other than the uterus. Not treating ectopic pregnancies can lead to serious medical emergency conditions.

Symptoms

Ectopic pregnancy symptoms should not be left unnoticed as they can lead to severe issues. These issues include:

·         Sharp waves of aching pain in the abdomen, pelvis, shoulder, or neck

·         Severe pain occurring on one side of the abdomen

·         Light to heavy vaginal spotting or bleeding

·         Dizziness or fainting

·         Recta pressure

·         Nausea

·         Breast soreness

How can it be treated?

Ectopic pregnancies are harmful to the mother as well as the embryo if left untreated. The embryo fails to develop completely in the conditions and the mother may be affected as well. it is important to treat ectopic pregnancy for the mother’s immediate health and long-term fertility. Treatment options may vary according to the conditions.

Medication

Gynaecologists in Siliguri recommend prescribing medications when they feel that immediate complications are unlikely. The medicines prevent the ectopic mass from bursting.

These medications are generally injected and regular blood tests are done to see if they are effective for the mother. If effective, the medication can cause symptoms similar to that of a miscarriage. These include cramping, bleeding, and the passing of tissue.

Surgery

Many doctors suggest surgery for the removal of the embryo and repairing any kind of internal damage that may be caused. This procedure is known as laparotomy.

A small camera is inserted by the doctors through a small incision to see their work. In the surgery, the embryo is removed and repairs are done to any damage caused to the fallopian tube. If the fallopian tube has been subjected to too much damage, removal might be necessary.

Home care

Post-surgery, gynaecologists in Siliguri provide their patients with a set of instructions they need to follow. The main point is to make sure the incisions are clean and dry while they are healing. Check them regularly for signs of infection, which include:

·         Bleeding that does not seem to stop

·         Excessive bleeding

·         Foul-smelling drainage from the site of incision

·         Warm or hot to touch

·         Redness

·         Swelling of the region

Self-care measures you can take during this time are:

·         Do not lift heavy objects

·         Drink plenty of liquids to avoid constipation

·         Pelvic rest which means no sexual intercourse, tampon use, and douching

·         Ample amount of rest

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Vaccination During Pregnancy

As the COVID-19 situation in the country is getting worse, vaccination is becoming a common measure and priority for everyone. However, people who are pregnant or are considering pregnancy can have several questions regarding getting vaccinated during pregnancy. This article will answer some of the most commonly asked questions and be reviewed by a few of the most experienced gynaecologists in Siliguri.

Table of content:

1. What are the risks of pregnant women getting COVID-19?

2. Which vaccines are authorized?

3. Vaccine side effects

4. What if someone is planning a pregnancy or under fertility treatment?

5. Which are vaccinations not recommended during pregnancy?

6. Takeaway

What are the risks of pregnant women getting COVID-19?

Pregnant women are at a greater risk of contracting the virus and suffering from severe COVID-19 related illness than non-pregnant women because of their constantly altering immunity. The first few weeks are the most crucial for the baby's development so some women may choose to wait until after this to get vaccinated. However, the risk of complications due to COVID increases in the later stages of pregnancy. It is best to get vaccinated before you enter the third trimester (28 weeks).

Which are the vaccines authorized?

The two vaccines that have been granted authorization by the Central Drugs Standard Control Organization (CDSCO) in India and been approved by the Indian government are:

  Covishield (AstraZeneca’s vaccine manufactured by Serum Institute of India)

  Covaxin (manufactured by Bharat Biotech Limited)

Both the vaccine shots can be taken by pregnant women. However, both vaccine shots should be of the same vaccine. It has been strictly and clearly mentioned in the letter by ManoharAgnani, Additional Secretary of Union Health ministry that interchange ability of vaccines will not be permitted.

Vaccine side effects

The side-effects due to the vaccines are slightly different than each other.

In the case of Covishield, some side effects include injection site tenderness, injection site pain, headache, fatigue, myalgia, malaise, pyrexia, and nausea.

Some side effects of Covaxin include injection site pain, fatigue, headache, body ache, vomiting, dizziness-giddiness, tremor, cold, and cough.

What if someone is planning a pregnancy or under fertility treatment?

For women who are planning a pregnancy or are any fertility or IVF treatment can take the vaccine anytime. The vaccine can be taken on any day of the menstruation cycle and even during menstruation. Women who are not under any kind of treatment can take two shots at 4-6 weeks intervals and wait for a minimum of 15 days after their second shot for maximum protection.

Women who are under fertility treatment are advised to wait for at least 45 days to two months before going back to their treatment.

Which are vaccinations not recommended during pregnancy?

There are vaccinations one needs to avoid during pregnancy. These include:

·         BCG for tuberculosis. Tuberculosis is caused by bacteria that usually affect the lungs

·         HPV

·         MMR for measles, mumps, and rubella

·         Varicella for chickenpox

·         Zoster. This is given to provide the patient against Shingles which causes a painful kind of rash.

Takeaway

Getting yourself vaccinated during pregnancy is safe but also raises many queries. It is the best one can do to avoid the possible worse in these hard times. As the virus is constantly changing and mutating, so are the outcomes. The best way to stay safe is to be vaccinated at the right time. If you are already vaccinated, maintain the basic COVID protocols and keep yourself at safe distance from everyone. As a leading gynaecologist in Siliguri, Dr. Vinayak Das, give his patients consultation regarding pregnancy and vaccination-related issues.

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The Truth About Pregnancy After Age 35

It is a well-established fact that women tend to lose the quality and quantity of their eggs with age. So, being pregnant at an older age is more difficult and can bring more complications than usual cases. The state is more alarming for women who are beyond the 35 age margin and wish to get pregnant. Because after crossing that age the fertility of a woman experiences a steep decline. 

However, gynecologist in Siliguri still believes that even though women beyond the age of 35 can conceive and properly maintain their fetus through assisted reproduction technology along with regular checks, scans and following a healthy diet. The doctors are always ready to help such patients who reached such an age but still have dreams for becoming a mother.

  This article provides certain true facts that are associated with pregnancy after age 35 along with a short description regarding the best gynecologist in Siliguri.

Table of Content: 

1. Some truths about pregnancy after age 35

2. Dr. Vinayak Das

3. Conclusion

Some truths about pregnancy after age 35

Getting pregnant after 35 is indeed a challenge mainly because both the quality and the quantity of the eggs decline to make it hard for them to conceive normally. But it is impossible for a patient with such an age to conceive at all. Medical sciences had attained such heights that it can relish everyone’s dream.

 Here are some of the true facts regarding pregnancy after age 35

1. It is said that older women cannot through natural procedures. It is partially correct because the quality of eggs deteriorates and is also limited. So conceiving through the traditional process is not a bright idea. Instead, artificial reproduction technologies such as IVF or IUI are always recommended to these patients. This is mainly because fertilization is done externally to develop an embryo. Later that developed embryo is transferred to the patient’s uterus where it sticks to its wall and after time starts developing into a baby.

     This process will also give a mental boost to these patients who have been constantly trying but were only meeting failure.

2. There is another common observation that is seen with most of the patients of this age group. The problem is that even though they are able to conceive naturally but remain in close quarters with complications. It is an established fact that complications are a pivotal part in most cases but in these cases, the stakes are high because the patient does not have that bearing capacity, unlike the younger ones.

 So any form of complication may give rise to serious consequences. In order to counter that situation, doctors always conduct tests and scans so that any form of complications can be identified and prevented at the earliest.

3. Women of this age group giving birth to a child suffer from genetic diseases. This fact is not always true because doctors take great measures in keeping both the mother and the child healthy and regarding genetic defects; tests are conducted at the earliest to take measures for that.

Dr. Vinayak Das

He is widely regarded as the best gynecologist in Siliguri who has years of experience and expertise under his belt. He has guided and helped many patients of the above-mentioned age group to experience motherhood after so many struggles.

Conclusion

You must consult a specialist if you above 35 and trying to conceive.

[drvinayakdas]

What Does A Nuchal Translucency Scan Look For?

Pregnancy is a period jam packed with various experiences. At the end of your first trimester, your doctor may recommend you to get several prenatal screenings; nuchal translucency scan may be one of them.  These screenings are recommended for all pregnant women and help determine the odds of the baby having a chromosomal disorder or a congenital heart defect. However, these tests can only check the odds and cannot diagnose the conditions itself. Get yourself a nuchal translucency scan in Siliguri to be prepared.

Table of contents:

1.       Nuchal Translucency Test

2.       How Is A Nuchal Translucency Scan Performed?

3.       Who Should Get A Nuchal Translucency Screening?

Nuchal Translucency Test

A nuchal translucency scan or as it is most commonly known as, a NT scan, is a specialized routine ultrasound typically performed at the end of the third trimester of pregnancy.

This test is conducted to help the doctors determine if a baby is statistically more likely to have a chromosomal abnormal.

How Is A Nuchal Translucency Scan Performed?

Nuchal translucency scan focuses on a small, clear space at the back of a growing baby’s neck, also known as the nuchal fold. Experts believe that the nuchal fold tends to accumulate fluid in babies with chromosomal abnormalities.

Babies with excessive amounts of fluid at the base of their necks are statistically at a greater risk of having a chromosomal problem such as Down’s syndrome, Edwards Syndrome or Patau Syndrome.  These abnormalities can cause intellectual disabilities and can also result in mild to severe birth defects. The odds of a baby having a disorder increases with the mother’s age, but it can happen to anyone at any age.

Nuchal transparency scans aren’t very accurate on their own so they are often coupled with a blood test to offer more insight into the relative odds of your baby being born with a genetic disorder. 

Who Should Get A Nuchal Translucency Screening?

A nuchal translucency scan is recommended for all pregnant women and is often one of the numerous routine prenatal tests during the first trimester.

Although it is recommended, it is not mandatory and completely up to you. The results of these can help you make prenatal care decisions and plan better for the future. If any high odds of chromosomal disorders are detected, it gives you a chance to plan ahead for the special needs your child may require.

Lately, nuchal translucency has been widely available and nuchal translucency scan in Siliguri has also gained some popularity.

Dr. Vinayak Das is a specialist in fetal medicine & high risk pregnancy. With years’ worth of substantial experience and keen knowledge in the field of Gynecology and Obstetrics and high risk pregnancy, he surely is one of the most referred doctors in Siliguri. 

Under his guidance, pregnant women who face unexpected health problems before pregnancy have been treated. His acclaimed medical specialist has helped him to earn a reputation in his region. He is also one of the few doctors who conduct a nuchal translucency scan in Siliguri.

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Possible Benefits Of Genetic Testing

Genetic testing is mainly a type of medical test that is used to identify or diagnose any abnormal change in chromosomes, genes, or proteins. It is also used to determine the genetic condition of a person and is also responsible to detect any kind of genetic disorder. 

Doctors who practice genetic testing in Siliguri always recommend patients to go for checkups if they find any abnormal indication that may lead to the symptoms of genetic disorders.

    This article showcases all the prime benefits that are associated with genetic testing along with a short description of the doctor who conducts the best genetic testing in Siliguri.

Table of Content: 

1. The different methods that are used in genetic testing

2. Different types of genetic testing done in clinics

3. Dr. Vinayak Das

4. Conclusion

The different methods that are used in genetic testing

There is 3 main predominant method used for genetic testing. Some of these include are-

1. Molecular tests

Only short length strands of DNA are studied and identified for any kind of mutation.

2. Chromosomal tests

This is quite the opposite of the molecular test as in this case, longer strands of DNA are studied for the identification of new abnormality in the strands.

3. Biochemical tests

In biochemical tests, the level of proteins is predominantly studied. This is highly essential because any change in the level of protein can cause abnormality in the strands and can give rise to numerous genetic disorders.

Different types of genetic testing done in clinics

There are multiple genetic testing’s done in order to diagnose any disorder. Some of these are as follows.

1. Newborn Screening

Basically it is done to detect any kind of chromosomal defect in babies.

2. Diagnostic Testing

This is the most common one done to figure out the chromosomal defect on the strands. This is mainly done in order to eradicate the suspicion any of symptom of a genetic disorder.

3. Carrier Testing

This is mainly done to identify if there is any copy of gene mutation that is causing the genetic disorder.

4. Prenatal Testing

This testing is mainly done to diagnose any kind of chromosomal changes in the fetus.

The benefits associated with genetic testing

1. Free you from any kind of suspicion

These tests are generally conducted to give a bright idea about your present chromosomal structure and also clear out your doubt of having any disorder or not.

2. Provides you essential medical information

The report generated through these tests contains lots of valuable information about your health. By getting this information you can make abrupt changes in your lifestyle and can lead a healthy lifestyle.

3. Gives more chances towards a positive outcome

Early detection can seal the deal for you and can provide you with a much better survival rate.

Dr. Vinayak Das

He is considered the finest doctor who practices quality genetic testing in Siliguri. He is vastly experienced and has helped many patients to detect and identify abnormal chromosomal changes in their body and also helped to recover from them.

Conclusion

Genetic testing is really a helpful diagnostic procedure that is helping many patients to recover from many genetic diseases.

[drvinayakdas]

Surgery To Correct Congenital Abnormalities in Infancy

Congenital abnormalities or anomalies are defined as a severe condition that an infant suffers from during its birth. There are multiple factors that contribute to a fate of a newborn. But the main factor that needs to be considered is that the baby can inherit such a condition before, during, or even after several years of infancy. Similarly, the effect also varies from child to child as there have been cases from mild to complex. But one thing stays the same that an infant born with a congenital disease will always suffer health problems throughout its life. As a result, paediatric surgeons in Siliguri always suggest patients for frequent prenatal checkups so that any possibility of congenital abnormality in the fetus can be eliminated at the earlier stages.

   This article provides all the essential information regarding congenital abnormalities and how the surgery is used to correct it along with a short description featuring the best paediatric surgeon in Siliguri.

Table of Content: 

1. What are the different types of congenital abnormality present in an infant?

2. Procedures that are used to detect a congenital abnormality

3. Surgical methods used for correcting congenital abnormalities in infancy

4. Dr. Vinayak Das

5. Conclusion

What are the different types of congenital abnormality present in an infant?

There are different types of congenital abnormality present in an infant. Some of these are as-

1. Fragile X syndrome

2. Down syndrome

3. Cystic fibrosis

4. Cerebral palsy

5. Cleft lip and Cleft palate

6. Spina bifida

7. Heart conditions

Procedures that are used to detect a congenital abnormality

The first phase of detecting congenital abnormality is to do thorough testing. For testing, the patient has two undergo two processes. One process is called the screening test and the other is called the diagnostic test. The testing procedure starts from the 10th week of pregnancy onwards.

  Screening tests mainly provide reports of babies that do not have any trace of congenital abnormalities. But if there is a possibility then diagnostic tests are also done in the next stage.

A diagnostic test mainly comprises regular ultrasonic tests, blood tests, or even the urine test to confirm that there is no trace of congenital abnormality but if a presence is found then it can also be used to identify its nature and severity.

  The major tests that are widely performed for this procedure are- Amniocentesis and Chorionic Villus Sampling. The doctors may also perform a neonatal assessment that is regarded as the screening procedure for the newborn.

Surgical methods used for correcting congenital abnormalities in infancy

Since a baby is just born has much tender skin so minimally invasive techniques are observed. This technique is majorly used because it requires small incisions or cuts that would require less pain but faster healing and that would ultimately result in a shorter stay at the hospital. Thoracoscopic or laparoscopic is the name of the procedure that is used for the systematic correction of congenital abnormalities in infancy through surgical methods. 

Dr. Vinayak Das

He is recognized as the best paediatric surgeon in Siliguri who has years of experience and skill set in this field. Through his expertise, he has restored the normal life of many infants who were struggling with different congenital diseases ranging from mild to severe. His dedication and contribution have earned him a strong recommendation from many parents whose children have been benefited from his services.

Conclusion

Surgeries for congenital abnormalities are very delicate and should be performed only after a consultation with a specialist.  

[drvinayakdas]

How Are Gynecological Disorders Diagnosed?

Gynecological disorders are extremely and also cause a great threat to life if not dealt with properly in time. So, frequent checkups and diagnosis should be the major criteria to keep the body in full functioning condition. Nowadays, with advanced medical sciences, most of the patients suffering from any kind of gynecological disorder can be diagnosed with technology-oriented tests and scans. Most of the gynecologists in Siliguri advise patients to opt for checkups if they find any abnormal indication which can lead to critical gynecological disorder. The checkup should be done early so that early measures can be taken.

     This article majorly focuses on the various methods that are used for the diagnosis procedure for different gynecological disorders along with a short description of the best gynecologist in Siliguri.

Table of Content: 

1. The procedures that are used in order to diagnose several gynecological disorders

2. Dr. Vinayak Das

3. Conclusion

The procedures that are used in order to diagnose several gynecological disorders

There are several procedures that are used for diagnosing gynecological disorders. Just a small note all the processes mentioned will be taken out in hospital gowns and in full surveillance. Some of these are as follows-

1. Pelvic Ultrasound

In a pelvic ultrasound, the scanned images of the organs and structures of the female pelvis are produced on a monitor screen. The uterus, cervix, vagina, fallopian tube, and ovaries form the major organs of the female pelvis. This test is mainly used to check any abnormality in the size, shape, and position of the uterus and ovaries, sudden changes in length and thickness of the cervix, irregular blood flow through pelvic organs.

    There are two ways of performing a pelvic ultrasound. One is from the abdomen and the other one is from the vagina. The abdomen is called the Transabdominal and the vaginal one is called the Transvaginal.

a) Transabdominal

In the Transabdominal process, a conductive gel is applied to the abdomen, and later a transducer is applied on top of that.

b) Transvaginal

In the Transvaginal process, a transducer covered with the conductive gel is inserted through the vagina.

2. Hysteroscopy

In this diagnosis procedure, a thin flexible tube is inserted into the cervix through the vagina. This procedure is mainly used in order to get some samples for biopsy or to remove polyps.

This procedure generally begins with the marking of an intravenous line on your hand or arm. Next, your vaginal area is cleaned with a solution and later your cervix will be dilated. 

Now the insertion begins through the vagina and later reaches the cervix and finally the uterus. After insertion, a liquid or gas is injected through the tube for a better view of the uterus.

3. Biopsies

There are two major biopsies done in order to diagnose gynecological disorders.

a) Endometrial biopsy

b) Cervical biopsy

a) Endometrial biopsy

In this procedure, tissues that form the lining of the uterus are taken as samples and later are observed in microscopes. This biopsy can be recommended if abnormal bleeding problems in the menstrual cycle or menopause.

     Here a catheter is inserted in order to get the essential endometrial tissue after performing the required arrangements to hold both the vagina and the cervix in their places.

b) Cervical biopsy

In this procedure, amounts of tissues are collected from the cervix in order to diagnose the possibility of cancerous cells.

    This procedure is almost similar to the endometrial biopsy but with a bit more advanced settings.

Dr. Vinayak Das

He is regarded as the best gynecologist in Siliguri and has years of experience in treating patients with similar conditions. His expertise has helped many patients to recover from complicated cases with ease and conviction.

Conclusion

Gynecological disorders may take a worse turn so never neglect an indication that might prove fatal in the future.

[drvinayakdas]

Find Out More About Genetic Testing

Genetic testing can be well defined as a systematic medical testing facility that is mainly used to identify the presence of any genetic disorder in the body. This method is predominantly used in many clinics and testing centres to identify any altercations in the chromosomal structure, genes, or protein molecule so that the presence of genetic diseases can be well identified in their developmental stage. Genetic doctors in Siliguri always urge patients (mostly pregnant couples) to opt for genetic testing for early indications of any genetic disorder.

    This article provides you with all the necessary information regarding genetic testing and attempts to create more awareness about the procedure along with it a short description of the best genetic doctor in Siliguri.

Table of Content: 

1. The major types of genetic testing

2. The major methods applied in genetic testing

3. How the testing procedure is observed?

4. What is the cost of genetic testing?

5. Dr. Vinayak Das

6. Conclusion

The major types of genetic testing

There are multiple types of genetic testing done in order to reduce the chances of the genetic disorder

1. Newborn screening

This is mainly done to infants in order to search for any kind of genetic disorder at the initial stage. It is highly mandatory for all babies.

2. Prenatal testing

This is a very common genetic testing done in order to diagnose the changes in the chromosome in the fetus. This testing is absolutely crucial for any parent who is expecting a baby any time soon and wants to get rid of the uncertainty of their child’s genetic condition so that a prompt decision regarding the pregnancy can be taken.

3. Preimplantation testing

This testing procedure is mainly followed when the baby is conceived by artificial techniques such as IVF. This testing is extremely important as reduces the chances of having a child with a chromosomal disorder.

The major methods applied in genetic testing

1. There are chromosomal genetic tests that are widely used to analyze large changes in the chromosome that is responsible for the genetic disorder.

2. There are molecular genetic tests that are used to analyze mutations causing genetic disorders.

3. There are biochemical genetic tests that are used to determine any abnormalities in the DNA that triggers the genetic disorder.

How the testing procedure is observed?

1. The patient who is determined to go for genetic testing, at first seeks the consultation of specialists in this field.  After getting the required advice and recommendation the patient moves forward with the procedure. In genetic testing, blood, skin, and even hair are considered as the perfect samples for this procedure. In pregnancy amniotic fluid is considered as it surrounds the fetus.

2. After successful collection of samples, these are kept in dishes where the doctors check them under the microscopes for any indication of changes in chromosome structure, a protein molecule, and so on.

3. The testing method mainly depends upon the type and sample collection that is used to determine the presence of any kind of genetic disorder.

4. The completion of all the testing is done and the report is made and the results are provided accordingly.

What is the cost of genetic testing?

The cost of genetic testing can vary accordingly with certain factors such as complexity, nature, and the number of people and clinics too. So it is very difficult to evaluate a fixed with a process with so much deviation.

Dr. Vinayak Das

He is the most reputed genetic doctor in Siliguri who has excelled in this field and encouraged many patients to opt for this procedure for their overall benefit.

Conclusion

Genetic testing has helped many people by identifying their genetic condition in the early stages so that necessary steps can be taken at the earliest convenience.

[drvinayakdas]

Multiple Pregnancies And Unexpected Complications

An addition to the family is always enthusiastically welcomed. Being pregnant with more than one baby only increases the enthusiasm in folds. However, multiple pregnancies  are also very susceptible to complications. Luckily, there are a lot of specialists for fetal medicine in Siliguri.

Table of contents:

1.      Multiple Pregnancies

2.      Complications related to multiple pregnancies

3.      Conclusion

Multiple Pregnancies

Multiple pregnancies occur when you are carrying twins, triplets or more. It occurs when more than one embryo is implanted in the womb. It happens when more than one egg is released during the menstrual cycle and is fertilized by the sperm or if the fertilized egg splits into two identical embryos.

With the rise of use of IVF’s the rates of multiple pregnancies have increased exponentially. Fertility drugs alter the hormones and it often causes more than one egg to be released during one menstrual cycle. Most common types of multiple pregnancies are

·         Fraternal Twins:  this occurs when two different eggs are fertilized at the same time.

·         Identical Twins: this occurs when one single fertilized egg is split into two.

·         Triplets and Higher Order Multiples: This can be a combination of both fraternal and identical multiples. They can be fraternal i.e., different eggs or identical i.e., one egg split into many fractions.

Complications related to multiple pregnancies

The higher the order of the multiples, the more they are prone to complications. Here are some of the most common complications related to multiple pregnancies:

Premature labor and birth

60% of the tins and other higher order multiples are born prematurely before their 37 months are up. Because of the premature birth of the babies they are born before their bodies and organ system have had a chance to develop fully. 

These babies are small with less than average birth weight and often need help breathing, eating, staying warm and fighting off infections. Most premature babies need external care in a neonatal intensive care unit (NICU).  

Gestational hypertension

Women with multiple pregnancies are most likely to develop high blood pressure in the course of the pregnancy. This happens earlier in the pregnancy and is more severe in the case of multiple pregnancy. It may cause early detachment of the placenta.

Anaemia

Babies that are born of multiple pregnancies are twice as likely to suffer from anaemia.

·         Birth defects

Multiple birth babies are also twice as likely to develop heart, gastrointestinal and neural lube abnormalities.

Miscarriage

The risk of an miscarriage is highly enhanced during the later trimesters of a multiple pregnancy.

Abnormal amounts of amniotic fluid

Amniotic fluid abnormalities are also a common occurrence in multiple pregnancies, especially for twins that share a placenta.

Caesarean delivery

Abnormal fetal positions decreases the chances of a normal birth, hence caesarean births are more common in multiple pregnancies.

Dr. Vinayak Das is a specialist for fetal medicine in Siliguri. He is all set to make quality health care approachable and promote women health as the leading specialist for fetal medicine in Siliguri.

Conclusion

A mother carrying multiple babies is always on high risk and has to be monitored constantly. They also have to go to the doctor more often than in a normal pregnancy.

This post may be useful for someone who is pregnant with multiple babies. It contains information about the high risk of multiple births.

[drvinayakdas]

Multiple Pregnancies And Unexpected Complications

An addition to the family is always enthusiastically welcomed. Being pregnant with more than one baby only increases the enthusiasm in folds. However, multiple pregnancies are also very susceptible to complications. Luckily, there are a lot of specialists for fetal medicine in Siliguri.

Table of contents:

1.      Multiple Pregnancies

2.      Complications related to multiple pregnancies

3.      Conclusion

Multiple Pregnancies

Multiple pregnancies occur when you are carrying twins, triplets or more. It occurs when more than one embryo is implanted in the womb. It happens when more than one egg is released during the menstrual cycle and is fertilized by the sperm or if the fertilized egg splits into two identical embryos.

With the rise of use of IVF’s the rates of multiple pregnancies have increased exponentially. Fertility drugs alter the hormones and it often causes more than one egg to be released during one menstrual cycle. Most common types of multiple pregnancies are

·         Fraternal Twins:  this occurs when two different eggs are fertilized at the same time.

·         Identical Twins: this occurs when one single fertilized egg is split into two.

·         Triplets and Higher Order Multiples: This can be a combination of both fraternal and identical multiples. They can be fraternal i.e., different eggs or identical i.e., one egg split into many fractions.

Complications related to multiple pregnancies

The higher the order of the multiples, the more they are prone to complications. Here are some of the most common complications related to multiple pregnancies:

Premature labour and birth

60% of the tins and other higher order multiples are born prematurely before their 37 months are up. Because of the premature birth of the babies they are born before their bodies and organ system have had a chance to develop fully. These babies are small with less than average birth weight and often need help breathing, eating, staying warm and fighting off infections. Most premature babies need external care in a neonatal intensive care unit (NICU).  

Gestational hypertension

Women with multiple pregnancies are most likely to develop high blood pressure in the course of the pregnancy. This happens earlier in the pregnancy and is more severe in the case of multiple pregnancy. It may cause early detachment of the placenta.

Anaemia

Babies that are born of multiple pregnancies are twice as likely to suffer from anaemia.

·         Birth defects

Multiple birth babies are also twice as likely to develop heart, gastrointestinal and neural lube abnormalities.

Miscarriage

The risk of an miscarriage is highly enhanced during the later trimesters of a multiple pregnancy.

Abnormal amounts of amniotic fluid

Amniotic fluid abnormalities are also a common occurrence in multiple pregnancies, especially for twins that share a placenta.

Caesarean delivery

Abnormal fetal positions decreases the chances of a normal birth, hence caesarean births are more common in multiple pregnancies.

Dr. Vinayak Das is a specialist for fetal medicine in Siliguri. He is all set to make quality health care approachable and promote women health as the leading specialist for fetal medicine in Siliguri.

Conclusion

A mother carrying multiple babies is always on high risk and has to be monitored constantly. They also have to go to the doctor more often than in a normal pregnancy.

This post may be useful for someone who is pregnant with multiple babies. It contains information about the high risk of multiple births.

[drvinayakdas]

Non-Invasive Prenatal Testing For Fetal Aneuploidy

Pregnancy is a crucial time for every mother who desires a healthy baby. But there might be some kind of abnormality present in the baby that needs to get diagnosed so that preventive measures can be taken beforehand. Medical sciences have provided many solutions to tackle such kinds of problems so that patients can make early decisions. 

Non-Invasive prenatal testing is one such diagnosis process that is helping patients to get informed about an existing abnormality in their baby. This type of early information helps patients to act quickly and provide time to consult with the doctor.  Non-Invasive prenatal testing in Siliguri is also gaining the required amount of popularity among the patients and helping them to take quick measures.

             The article provides all the useful information about non-invasive prenatal testing and fetal aneuploidy along with a short description of where you can go non-invasive prenatal testing in Siliguri.

Table of Content: 

1. What is non-invasive prenatal testing?

2. What is fetal Aneuploidy?

3. When you should consider non-invasive prenatal testing?

4. Dr. Vinayak Das

5. Conclusion

What is non-invasive prenatal testing?

Non-invasive testing is primarily a screening process that is used to diagnose any kind of genetic disorder in the fetus. In this process, the blood samples of the patient are collected, and later from these samples, the DNA strands are deeply studied and tested. The occurrence of any kind of free-floating strand may result in chromosomal defects.

What is fetal Aneuploidy?

Fetal Aneuploidy is a chromosomal defect that is observed in babies. In this situation, a fetus may have additional chromosomes or a deficiency of chromosomes that can directly impact the pregnancy results of the patient. So to avoid or get an early diagnosis result pregnant women should go for a different screening process.

When you should consider non-invasive prenatal testing?

As is mentioned above, that non-invasive prenatal treatment provides you the early results of any kind of genetic abnormality in your fetus. Apart from these, there are other factors that make it a perfect process that must be tried.

1. If there is some age factor

It is mostly seen that there might be some kind of complications in the pregnancy if a patient is a tad bit old to hold a fetus. Then non-invasive prenatal treatment is the correct screening procedure that can be used to detect the current scenario of the fetus in the search for any kind of abnormality.

2. If you have some past records

This is a beneficial parameter that needs to be considered. You must go for this prenatal screening if you had experiences of chromosomal defects in your fetus in the past.

3. If you are unsatisfied with another screening test.

This procedure provides accurate reports of the presence of any kind of genetic disorder. If you want a satisfactory report then you must consider this screening procedure.

Dr. Vinayak Das

He is a renowned doctor who has high expertise in non-invasive prenatal testing in Siliguri. He holds high accolades and recommendations from his patients and is vastly experienced in this field.

Conclusion

You must go for non-invasive prenatal testing if you want satisfactory results for your pregnancy.

[drvinayakdas]

Determine Fetal Position Before Delivery

The location of the baby determined by the best fetal anatomy scan in Siliguri in your uterus is called the presentation of the fetus. Throughout your pregnancy, your baby will move around within the uterus. It’s normal for your baby to be during a sort of positions during most of the pregnancy. Early on, the baby is little enough to manoeuvre freely. 

You'll have even felt this movement over a previous couple of months. This typically involves flipping over in order that the baby is head down in your womb. The baby will start to maneuver down in your uterus, preparing to travel through your passage during childbirth.

The passage is formed from your cervix (immediately outside of your uterus), vagina and vulva. consider the passage as an expandable tunnel. During labour, your contractions work to stretch this space in order that the baby can undergo it during childbirth.

Table of contents: 

What is the foremost common position for childbirth?

What other positions can the baby be in before childbirth?

Why does the position of the baby at the birth matter?

Conclusion

What is the foremost common position for childbirth?

Ideally for labour, the baby is positioned head-down, facing the mother’s back with the chin tucked to its chest and therefore the back of the top able to enter the pelvis. This position is named the cephalic presentation. Most babies descend into this space within the 32nd to 36th weeks of pregnancy.

What other positions can the baby be in before childbirth?

Sometimes the baby doesn’t get into the right position before birth. There are several positions that the baby is often in and every one of those positions could accompany complications during childbirth. These fetal positions by the best fetal anatomy scan in Siliguri can include:

Occiput or cephalic posterior position: Sometimes the baby is positioned head down because it should be, but other times it's facing the mother's abdomen. With the top during this position, the baby is watching the ceiling. You'll hear this position nicknamed sunny-side-up. This increases the prospect of a painful and prolonged delivery.

Frank breech: during a frank breech delivery, the baby's buttocks lead the way into the passage. The hips are flexed, the knees extended. This position increases the prospect of forming a duct loop that would precede the top through the cervix and cause the baby to be injured during vaginal delivery.

Complete breach: during this position, the baby is positioned with the buttocks first and both the hips and therefore the knees are flexed. Like other breech presentations, this position increases the danger of forming a duct loop that would precede the top through the cervix and injure the baby if delivered vaginally.

Transverse lie: The baby lies crosswise within the uterus, making it likely that the shoulder will enter the pelvis first. Most babies during this position are delivered by cesarean.

Footling breech: Sometimes, one or both of the baby's feet are pointed down toward the passage. This increases the probabilities of the duct slithering down into the mouth of the womb, isolating blood supply to the baby.

Why does the position of the baby at the birth matter?

During childbirth, your healthcare provider’s goal is to securely deliver your baby and ensure your well-being. If the baby is during a different position (not a cephalic presentation), this job becomes tougher. Different fetal positions have a variety of difficulties and therefore the risks can vary counting on the position of your child.

Take your birth decide to a meeting and ask the best fetal anatomy scan in Siliguri about what you're picturing for your labour and delivery. Your provider can help guide you thru not only the perfect plan but an emergency plan. Remember, things can change quickly during childbirth. However, the goal is to securely deliver your child and protect your health. ask your healthcare provider about questions and any concerns you would possibly have about your baby’s position.

Note: This article helps the mothersthe importance of determining the position of the baby inside the womb.

[drvinayakdas]

How Can You Reduce Ultrasound Exposure?

The ultrasound imaging contains high-frequency sound waves that will view inside the body of the patients. The ultrasound procedure captures the images in real-time. Because of this, the movement of the body’s internal organs and blood flow through the blood vessels are also seen. During the ultrasound exam, a probe will be directly inserted inside the patient’s body opening. In addition, a thin layer of gel will also be applied in the skin in order to make the ultrasound waves transmit from the transducer through the gel into the body. 

It is most probably used during the pregnancy examination as separate ultrasound process dates are fixed by the experienced doctor. But quite often patients are seen to be concerned about the exposure by ultrasound. The specialist for fetal medicine in Siliguri defines this thing to be normal based on the way the process is done. However, this exposure can also be reduced by implementing the right step and information.

Table of Contents: 

  Taking the right and simple step on time

  Expectant mothers to be aware

  Conclusion

Taking the right and simple step on time

Before considering any type of imaging tests or procedure during pregnancy, the specialist for fetal medicine in Siliguri requests the expectant mother to have a conversation with them. This should be done to understand the main reason for the examination and most importantly for reducing the ultrasound exposure. By doing this simple step, the following things will happen for sure like-

Obtaining the right medical information

Knowing the potential pregnancy risks

Using the results to manage the pregnancy condition

The ultrasound process is not at all based on ionizing radiation. It is very significant for the women who are in their child-bearing age. If CT or other imaging methods results in the exposure to radiation then, the ultrasound should be considered.

Expectant mothers to be aware

For viewing the fetus during pregnancy the specialist for fetal medicine in Siliguri proceeds the ultrasound. For monitoring the health status of fetus and mother, routine ultrasound examinations are performed. This process offers a valuable opportunity to the parents to get the view and hear the heartbeat of the fetus.

Generally, the ultrasound is always considered as a safe and low-risk procedure. However, the risk might increase when prolonged exposure to ultrasound energy takes place. Well, there might also be the risk of an untrained practitioner operating with the device. The expectant mothers should also be well aware of purchasing over-the-counter fetal heartbeat monitoring systems and their concerns. 

It should only be used by the trained health care providers like the specialist for fetal medicine in Siliguri when necessary. If these devices are used by the untrained person then it could expose the fetus to be prolonged and unsafe energy levels as well. The information can also be interpreted incorrectly because of the inexperience of the operator and the inconsistent result of the procedure.

The ultrasound process has been come into existence and used for over two decades. It has got an excellent safety record but there are still some people who are concerned with ultrasound exposure. But even if the exposure takes place then, it can be controlled and the consequences will not be long as well. These are the things which the expectant mothers should discuss with the specialist for fetal medicine in Siliguri before taking the decision of doing imaging tests.

Note: The healthcare operator will use the minimum patient exposure which will be required to achieve the desired benefit.

[drvinayakdas]

So Much Information With Some Little Risk

Although the non-invasive prenatal testing isn’t the diagnostic test still, it is very accurate to determine the presence of chromosome disorder in a pregnant woman’s developing baby. During the NIPT test, a blood sample will be drawn from the vein of the mother’s arm.  The non-invasive prenatal testing in Siliguri is also recommended by the top specialist. In addition to its main function or work, NIPT also evaluates cell-free DNA i.e. a type of genetic material. Then, this is released by the placenta and will circulate in the mother’s blood during pregnancy.

Table of Contents: 

  What information can be gathered with the non-invasive prenatal test?

    Presence of extra chromosomes

    Sex chromosome disorders

    Microdeletion syndromes

  How can be NIPT used and when can it be ordered?

  Conclusion

What information can be gathered with the non-invasive prenatal test?

Presence of extra chromosomes 

The NIPT works really well to check the presence of down syndrome or trisomy 21. It is one of the most common types of trisomies which is screened by NIPT. The non-invasive prenatal testing in Siliguri will vary the characteristics of down syndrome. The severity of these syndromes can also vary quite broadly. Edwards syndrome (trisomy 18) and Patau syndrome (trisomy 13) are also the other two trisomies whose presence is checked by NIPT. But, these two aren’t that common like down syndrome.

Sex chromosome disorders

There are many patients who will be electing to have sex chromosomes screening. This is done to anticipate the gender of the baby. However, there are also some sex chromosome disorders like Turner syndrome and Klinefelter syndrome. These syndromes related to chromosomes will be identified by the help of NIPT.

Microdeletion syndromes

It is the set of the disorders caused because of the missing of small segments of specific chromosomes. The experts for non-invasive prenatal testing in Siliguri may only recommend the screening process for this condition after monitoring the condition in details. The missing of the chromosomal segments and the differences in the chromosomal information alter the development of the baby that causes the disorder of the future. 

How can be NIPT used and when can it be ordered?

The non-invasive prenatal testing procedure can be used to determine the risk of a pregnant woman’s developing baby with a chromosome disorder. It can also be really helpful for the patients to know about the changes to the number of X or Y chromosomes that are present. The testing laboratories might also ask for some additional testing if more information regarding pregnancy is required. For this, the patients have to cooperate with the doctor’s advice.

The pregnant patients can expect the NIPT to be offered during or after the tenth week of pregnancy. This is also the exact pregnancy stage when the non-invasive prenatal testing in Siliguri is ordered for bet possible outcome. Any samples that have been collected prior to this test time are all automatically rejected. Therefore, it is very important to understand that the pregnancy has reached at 10 weeks.

The patients who are looking forwards for non-invasive prenatal testing or non-invasive prenatal screening should consult with the doctor at first about everything. The comparison between NIPT and other screening options should be asked to the specialist for non-invasive prenatal testing in Siliguri. This is to ensure whether the particular screening test is the best choice for pregnancy condition or not.

Note: NIPT might sometimes be only applicable for screening of the chromosome disorders. For other high-risk pregnancy issues, there are other different screening methods.

[drvinayakdas]

Every pregnancy is different! Although woman face distinct symptoms, yet there are some signs that are observed in common!