Gynae Care With Dr Pragya

Gynae Care With Dr Pragya Empowering Women Health
Expert in PCOS, Period Problems, Infertility & CosGyn

05/01/2026

Nausea and vomiting in early pregnancy can be exhausting, and this is one of the most common concerns I hear during counselling sessions. What many women experience at the start of pregnancy is called morning sickness. This happens because the beta hCG hormone rises sharply, especially in the morning, triggering nausea. Although it can occur at any time of the day, mornings are usually the worst.

Some women even feel nauseous while brushing their teeth. This is because taste buds are more sensitive in the morning. A simple trick is to eat something light, like a biscuit or rusk, and take your prescribed medication before brushing. Medicines like doxylamine-based anti-nausea tablets help suppress these symptoms when taken regularly.

It is very important not to start your day with heavy meals. Avoid foods like poori, sabzi, oily or spicy items, and strictly avoid tea or coffee in the morning as they increase acidity and worsen nausea. Instead, begin with something light such as toast or rusk. Soaked almonds in the morning can also help. After short breaks, you can add small portions like half an apple or a light snack.

The key is to eat small portions at frequent intervals, ideally every two hours. Reduce the portion size of your main meals and add healthy snacks in between. Home-cooked food is best, and outside food, chaat, oily and spicy curries should be avoided, even if cravings occur.

Increasing fluid intake is equally important.
You do not have to rely only on plain water. Coconut water, electrolyte drinks, homemade juices, buttermilk or lassi are good options and help reduce nausea. Ginger and lemon black tea can also be beneficial.

To summarize, avoid fatty and spicy food, eat small and frequent meals, increase fluids, and do not skip your prescribed medicines. With the right dietary habits and support, morning sickness becomes much more manageable.

___________

Contact Dr. Pragya at 9415240772.

01/01/2026

Leg swelling is a very common concern during pregnancy, and in most cases it is a normal physiological change. In pregnancy, the body retains more fluid, the growing uterus puts pressure on the pelvic veins, and hormonal changes cause relaxation of blood vessel walls. All of this slows down the return of blood from the legs, leading to swelling, especially in the feet and ankles.

Typically, women notice that the swelling is minimal in the morning and gradually increases through the afternoon and evening. After a night’s rest, leg elevation, or soaking the feet in warm water, the swelling usually reduces. This pattern is considered normal and improves with simple measures like resting, keeping the legs elevated, gentle walking, and adequate hydration.

However, there are certain warning signs you should never ignore. If the swelling does not subside with rest and instead keeps increasing, it needs medical evaluation. If you press the swollen area with a finger and it leaves an indentation, this is called pitting edema and should be discussed with your doctor.

Swelling associated with persistent headache or blurring of vision can indicate a rise in blood pressure and may be a sign of pre-eclampsia, which requires immediate attention. Sometimes swelling may occur only in one leg. This could be due to conditions like lymphedema or, in rare cases, infections such as filariasis, and should always be evaluated.

If swelling is accompanied by pain, tenderness, redness, or warmth in one leg, it could be a sign of deep vein thrombosis. This is a medical emergency, as a blood clot can travel to the lungs, heart, or brain and become life-threatening.

While mild swelling is common in pregnancy, knowing the red flags and seeking timely medical advice can make all the difference in keeping both mother and baby safe.
____

Contact Dr. Pragya at 9415240772.

This case is a reminder of why every pregnancy, especially after a previous cesarean section, needs close monitoring and...
29/12/2025

This case is a reminder of why every pregnancy, especially after a previous cesarean section, needs close monitoring and timely decisions.

At 36 weeks of pregnancy, this patient showed signs of scar tenderness, which is a red flag in women with a previous C-section. Scar tenderness can indicate stress or thinning at the old scar site and increases the risk of uterine rupture if labor progresses. Along with this, the baby showed signs of fetal distress, meaning the baby was not coping well inside the womb.

In such situations, waiting or attempting labor can be dangerous for both the mother and the baby. After carefully assessing all parameters, we decided to proceed with an emergency cesarean section. The decision was made purely in the interest of safety.

Timely intervention helped ensure a safe outcome for both mother and baby.

This case highlights the importance of regular antenatal checkups, listening to warning signs like pain or tenderness over a previous scar, and understanding that sometimes a cesarean delivery is the safest choice, not a failure.

___________

Contact Dr. Pragya at 9415240772.

26/12/2025

One of the most common questions I hear during antenatal visits is, “Doctor, can I have a normal delivery?”

In this counselling session, I explained how we medically assess the chances of a va**nal birth.
Based on her reports, the baby’s weight is normal, the placenta is well positioned, and the amniotic fluid levels are adequate. Her blood pressure and blood sugar are within normal limits, and her weight is healthy. The baby is in a cephalic position, which is the most favourable position for a normal delivery. When babies are in transverse or other abnormal positions, va**nal delivery becomes difficult.

Fetal weight also matters. A baby weight up to about 3.5 kg is generally considered suitable for a normal delivery. Another key factor is the adequacy of the birth canal. If the pelvis is narrow, a condition called cephalopelvic disproportion, normal delivery may not be possible. In her case, this was not a concern.
What we can truly judge only during labour is how the cervix opens. Ideally, it should dilate at about 1–2 cm per hour. If progress is slow or effacement is inadequate, decisions are taken accordingly at that time.

As she enters the last trimester, I advised her to maintain a balanced diet, include a small amount of ghee in moderation, and consider adding dates to her diet. A daily 20-minute walk, gentle exercises like the duck walk, and simple squatting activities help strengthen the pelvic floor. The baby’s descent into the pelvis, known as engagement, is also crucial.

The rest is assessed carefully during labour, with the safety of mother and baby always coming first.
____

Contact Dr. Pragya at 9415240772.

23/12/2025

After childbirth, one of the most common questions new mothers ask me is when it is safe to resume sexual activity. There is no fixed timeline that suits everyone, because the body and mind need time to recover after delivery.

Postpartum low libido is very common. After childbirth, estrogen levels drop sharply, which can lead to va**nal dryness and make in*******se uncomfortable or painful.

Added to this are sleep deprivation, physical exhaustion, emotional changes, and prolonged breastfeeding, all of which can reduce desire and cause irritability.

The first and most important step is open communication with your partner and taking things slowly, without pressure.

Medically, we usually advise waiting at least six weeks after delivery before resuming sexual activity. This allows the uterus to heal and any va**nal or perineal stitches to recover properly.

If you have had a cesarean section, the abdominal stitch line can also cause discomfort during intimacy, and extra care is needed.
Using mild, water-based lubricants can help reduce dryness and pain. Pelvic floor exercises are very useful after childbirth; they improve muscle tone, increase confidence, and can make intimacy more comfortable over time.

You should avoid sexual activity and consult your doctor if you notice bleeding or spotting, pain during in*******se, pain at the stitch site, fever, or foul-smelling discharge. These could be signs that healing is not complete or that an infection is present.

It is also important to use contraception as advised by your doctor. There is a common myth that you cannot get pregnant during the postpartum period, but pregnancy can occur even before your periods return. A very short gap between pregnancies is not healthy for the mother or the family.

If discomfort, pain, or emotional concerns persist, please seek medical advice. Postpartum recovery is a journey, and getting the right guidance can make this phase healthier and more comfortable for you.

____

Contact Dr. Pragya at 9415240772.

17/12/2025

During a counselling session, a patient in her last month of pregnancy asked me a very common and important question, “My stomach feels tight at times. How do I know if it’s gas or actual labour pain?”

I explained to her the difference between false labour pains and true labour pains.

False labour pains, also called Braxton Hicks contractions, are usually irregular and tend to settle down with activity or a change in position. If the tightness is due to gas, it often eases when you move, walk, or change the way you’re lying. These pains are usually felt only in the abdomen and do not follow a fixed pattern.

True labour pain, however, has a clear pattern. The pain typically starts from the lower back and then moves to the lower abdomen and inner thighs. The contractions become regular. First every 15 minutes, then 10 minutes apart, then 5 minutes, and eventually every 3 minutes. Unlike false pains, true labour pain does not reduce with rest, activity, or medication.

You may also notice mild bleeding, which we call a 'show,' and sometimes a watery discharge if the amniotic sac ruptures. This fluid is different from the usual white discharge of pregnancy. It is watery, similar to urine in consistency, and usually comes in a noticeable amount.

Another sign of true labour is the feeling that the baby has moved down into the pelvis.

I always tell my patients to keep their doctor’s emergency contact handy and to come to the hospital immediately if these signs of true labour appear. When in doubt, it’s always better to get checked.

____

Contact Dr. Pragya at 9415240772.

13/12/2025

Packing your hospital bag in advance makes labour and delivery far less stressful. I usually recommend keeping it ready by 36 weeks of pregnancy. Here’s a complete checklist I advise my patients to follow:

Medical documents (most important)
• Antenatal file with all prescriptions
• Ultrasound and scan reports (NT, anomaly, growth scans)
• Blood test reports
• Blood group card
• Hospital registration papers
• Insurance documents and ID proofs
• Previous medical or surgical records, if any

For the mother
• Loose, comfortable clothes or maternity nightwear
• Nursing bras and comfortable underwear
• Maternity pads or adult diapers
• Slippers or anti-skid socks
• Toiletries - toothbrush, toothpaste, face wash, shampoo, lip balm, hair tie
• Towel and wet wipes
• Water bottle and healthy snacks
• Phone, charger and power bank
• Any regular medications and supplements

For the baby
• Newborn clothes (including a going-home outfit)
• Diapers and wipes
• Soft blanket or swaddle
• Mittens, cap and socks
• Baby towel or napkin

Optional but useful
• Extra pillow or nursing pillow
• Folder to keep discharge papers and baby records
• Car seat installed in advance

Being prepared helps you stay calm and focused when labour starts. If you’re unsure what to pack or have special medical needs, always discuss them with your doctor.

Prepared mom, peaceful delivery.
______

Contact Dr. Pragya at 9415240772.

As an obstetrician, I meet many moms-to-be who are surprised to learn that thyroid disorders can directly affect pregnan...
09/12/2025

As an obstetrician, I meet many moms-to-be who are surprised to learn that thyroid disorders can directly affect pregnancy. But the good news is, with early diagnosis and the right treatment, we can ensure a completely healthy pregnancy and a healthy baby.

Your thyroid hormones play a major role in your baby’s brain and nervous system development. That’s why symptoms like fatigue, palpitations, weight fluctuations, or hair fall should never be ignored especially when you’re pregnant or planning to conceive.

During pregnancy, I always check TSH and Free T3/T4 levels and monitor them closely every few weeks. If needed, thyroid medication is absolutely safe, and adjusting the dose is key. Balanced nutrition, adequate iodine, and regular follow-up help keep everything on track.

If you’ve been diagnosed with hypothyroidism or hyperthyroidism, please remember:
A controlled thyroid = a safe pregnancy.

Stay consistent with your medicines, get your tests on time, and don’t hesitate to ask questions.

We’re here to guide you at every step. 💛

____

Contact Dr. Pragya at 9415240772.

06/12/2025

A newly married patient came to me extremely anxious. She got married just 15 days ago, but her reports showed that her pregnancy was already one and a half months old, and she was worried about how to explain this to her family.

I explained to her something very important:
Pregnancy age is ALWAYS calculated from the date of your last menstrual period (LMP), not from the date of ovulation or in*******se.
That’s because ovulation differs from woman to woman, but LMP gives us a fixed and reliable timeline.

In her case, she conceived after marriage, exactly when she was ovulating, but her last period was one and a half months ago, so naturally the pregnancy is counted from that cycle.

Her ultrasound parameters are absolutely perfect, the dating matches her LMP, and we have already detected a healthy heartbeat. Everything is normal and healthy.

I reassured her that she has conceived after marriage, and this is simply how pregnancy dating works. And if she faces any difficulty explaining this to her family, I am always here to support her.

Pregnancy is a journey of understanding, and I’m here to walk you through every step with clarity and care.

___

Contact Dr. Pragya at 9415240772.

03/12/2025

Back pain during pregnancy is extremely common, but understanding why it happens can help you manage it better.

I explained to a patient today that there are four major reasons behind pregnancy-related back pain:

1. Poor posture
As the tummy grows and the breasts become heavier, many women unknowingly begin to slouch. This puts extra pressure on the spine and back muscles.

2. Loosening of ligaments
Hormonal changes during pregnancy relax the ligaments around the back and pelvic region. This provides space for the baby to grow but also reduces stability, triggering pain.

3. Lordosis (increased spinal arch)
When the abdomen protrudes forward, the spine automatically arches more than usual. This shifts the upper body weight onto the back and legs, causing strain.

4. Weak core muscles
If you stand for long periods or sit without support, weak abdominal muscles cannot hold the posture resulting in pain.

What can you do?
- Avoid slouching; sit straight with proper back support
- Place a pillow between your legs while lying down
- Use a maternity belt to support your bump
- Apply warm compression when the pain increases
- Wear well-fitted bras with broad straps or sports bras for better posture
- Practice pregnancy-safe yoga like cat-cow, child’s pose, and butterfly stretch
- Take your Magnesium, Calcium and Vitamin D supplements as advised

However, if your back pain shifts toward the lower belly, or you experience va**nal bleeding or leaking, please seek medical care immediately.

Pregnancy is a beautiful journey with the right posture, support and guidance, you can stay comfortable and pain-free.

___

Contact Dr. Pragya at 9415240772.

29/11/2025

Today in my counselling session, I met a patient who was understandably worried after noticing some spotting. After examining her, I explained that her baby is safe. What we found is a low-lying placenta, which is a common condition and often the reason behind light bleeding during pregnancy.

When the placenta sits lower than usual, even simple activities like lifting weight, standing for long periods, or putting pressure on the pelvic area can trigger spotting. That’s why I’ve advised her to avoid exertion, take her prescribed Iron and Calcium supplements, and be mindful of her daily movements.

Some simple precautions I recommend:
- Do household chores in a seated position like cutting vegetables
- Limit the use of staircases
- Avoid lifting anything heavy (even if you have another child)
- Take frequent breaks and don’t stand for too long

The good news is that in many cases, the placenta moves upward naturally as the uterus expands. If it does, things usually return to normal. If it doesn’t migrate, then a C-section becomes the safest delivery option, as normal delivery is ruled out in such cases.

A little care, rest, and timely follow-up can make all the difference. If you ever experience spotting during pregnancy, don’t panic. Consult your doctor immediately.

I’m always here to guide you through every step of this journey.

___

Contact Dr. Pragya at 9415240772.

27/11/2025

In pregnancy, your body speaks to you, and some symptoms should never be ignored. I’m sharing the key red flags every expecting mother must know for her own safety and her baby’s well-being.

1. Severe headache or blurring of vision

If your headache does not improve even after taking paracetamol, or you see flashes, blurring, or spots in your vision, it may indicate rising blood pressure or the onset of preeclampsia. This condition can affect the brain, kidneys, and placenta. So immediate medical evaluation is essential.

2. Sudden swelling of hands, feet, or face

Mild swelling is normal, but sudden, excessive, or persistent swelling can point toward fluid retention associated with high blood pressure disorders. Never ignore it.

3. Bleeding or spotting at any stage

Bleeding may occur due to reasons like placenta previa, threatened miscarriage, or placental abruption. Even light spotting should be checked, because early intervention can prevent complications.

4. Reduced fetal movements

Your baby’s movements are the biggest indicator of well-being. A sudden drop in movements may signal uteroplacental insufficiency, decreased oxygen supply, or fetal distress. After meals, you should feel 4-5 movements; throughout the day at least 10-12. If not, get evaluated immediately.

5. Leaking fluid with abdominal pain
Clear watery discharge from the va**na could be rupture of membranes. If this is accompanied by severe or increasing abdominal pain, it may indicate preterm labor or an infection risk. This is an emergency. See your doctor without delay.

Pregnancy is a delicate journey, and timely action can save both mother and baby. If you notice any of these warning signs, do not wait. Seek medical help right away.

___

Contact Dr. Pragya at 9415240772.

Address

Prithivipuram, Sultanpur Road, Ahmamau
Lucknow
226002

Telephone

+917376987574

Website

Alerts

Be the first to know and let us send you an email when Gynae Care With Dr Pragya posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram