Dr Sanjana Sainani In Nagpur, Preconceptional Counselling / Consultation, (Gynecologist In Nagpur). скачать в хорошем качестве

Dr Sanjana Sainani In Nagpur, Preconceptional Counselling / Consultation, (Gynecologist In Nagpur).

Genetic Folic acid supplement (400 mcg routine, 4 mg previous neural tube defect) Carrier screening (racial/ethnic background/family history): Sickle cell anemia Cystic fibrosis Thalassemia Tay-Sachs disease Screen for Infectious Diseases, Treat, Immunize, Counsel HIV Syphilis Gonorrhea/Chlamydia Hepatitis C in those with tattoos and/or body piercings Immunizations: Rubella, varicella, hepatitis B Influenza vaccine if woman will be pregnant during influenza season Toxoplasmosis – avoid raw meat, cat litter, garden soil Cytomegalovirus, parvovirus B19 (fifth disease): Frequent hand washing Universal precautions for child health care Environmental Toxins Smoking cessation Screen for alcoholism and use of illegal drugs Occupational exposures – Material Safety Data Sheets from employer Household chemicals – avoid paint thinners/strippers, other solvents, pesticides Radiation exposure in early pregnancy Medical Assessment Evaluate overall health and opportunities for improving health Determine if woman suffers from any undiagnosed or uncontrolled medical problems (e.g. diabetes, thyroid disease, dental caries or gum disease, heart disease, asthma) Diabetes – optimize control Hypertension – avoid ACE inhibitors, angiotensin II receptor antagonists Epilepsy – consider increased dose of folic acid DVT – switch from warfarin (Coumadin) to heparin Acne – stop isotretinoins (e.g. Accutane) Depression/anxiety and other mental health issues-discuss current benefit/risk medication data Lifestyle Recommend regular moderate exercise Avoid hyperthermia (hot tubs) Counsel to maintain a healthy weight Assess risk of nutritional deficiencies: Vegan Pica Milk intolerance Calcium or iron deficiency Avoid overuse of: Vitamin A (limit to 3,000 IU per day) Vitamin D (limit to 400 IU per day) Caffeine (limit to two cups of coffee or six glasses of soda per day) Screen for domestic violence Screen for social issues (e.g. place to live, child care, transportation) Counsel on the use of over-the-counter medications, nutritional supplements, and naturopathic substances Assess Any Complications from Previous Pregnancies Cesarean section Premature delivery Hypertensive disorder of pregnancy Diabetes Rh incompatibility Postpartum hemorrhage Thrombotic event (DVT/PE) Dr Sanjana Sainani Gynecologist and Laparoscopic & Hysteroscopic Surgeon. MBBS Sep 2005 — June 2010 (NKP Salve Institute Medical Sciences, Nagpur MS (OBGY) June 2011 — May 2014 (NKP Salve Institute Medical Sciences, Nagpur) FMIGS (Fellowship in Minimal Invasive Gynaec Surgery and Hysteroscopy (MUHS university) 1st Batch Oct 2015 — Nov 2016 (Galaxy Care Laparoscopy Institute, Pune) Key Skills Performed successfully Lap Total Hysterectomy in various simple as well as previous one scar cases Performed Lap adhesiolysis in cases of prev scar and dense adhesions. Performed Lap Myomectomy , ovarian cystectomies, chocolate cyst removal. Performed Lap pararectal , paravesical spaces dissection along with Lap Lymph node dissection in various cases. Performed various diagnostic and Operative Hsyteroscopies and Lap in cases of infertility. Performed various Office hysteroscopies with endometrial biopsies in cases of AUB and targeted biopsies in endometrial cancer. Assisted Lap Radical Hysterectomies in cases of Ca cervix and ca ovary. Assisted various Lap VVF and UVF repairs. Performed colposcopies. Assisted Various Hysteroscopic procedures like polyp removal, myomectomies, Asherman’s synd. Assisted rare cases like Lap radical trachelectomy, Mulerian Anomalies, vulvectomy. Our Specialities -- Women’s Wellness Examination -- Pregnancy (Normal and high risk) -- Sonography -- Gynecological Laparoscopic Surgeries -- Laparoscopic Fibroid Removal -- Laparoscopic Endometriosis Surgery -- Office & Operative Hysteroscopy -- Family Planning -- Infertility Clinic -- PCOS Clinic -- Sling Surgery -- Prenatal Counselling -- Diet and Weight Control -- Irregular Periods -- Bladder Problems -- Cancer Screening -- Menopause Clinic Contact Details Clinic Address : Women & Child Care Clinic, Plot No, 4, Central Bazar Road, opp. Centre Point Hospital, Gandhi bagh, Ramdaspeth, Nagpur, Maharashtra 440010. Our Website - https://www.drsanjanasainani.com/ Phone : 08010582213, 07798622111 Email : [email protected] Clinic Opening Hours : Mon-Fri, 9am–8:30pm Sat, 9am–8pm Sun, 11am–3pm.