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There is a raging debate regarding the pros and cons of a vaginal delivery versus a cesarean birth. A lot has been said about the alarming rise in the incidence of so called unindicated cesarean births in corporate hospitals. Dr Uma Vaidhyanathan, Fortis Hospital, Shalimar Bagh talks about the details of both so you’re better informed.
Being an obstetrician in clinical practice for several years now and having seen both sides, PDr. Vaidhyanathan can safely opine it varies from case-to-case and from patient-to-patient!
“There are several factors which come into play for a vaginal delivery–if there are no medical or pregnancy related complications, the baby size is adequate enough to negotiate through the maternal pelvis, and most importantly, if the mother to be is well tuned for labour pains then nothing better than a vaginal delivery. For this the mother should be well counselled throughout the pregnancy about stages of labour, and should be mentally prepared to go through it. It helps if she has a supportive partner and family to boost her morale throughout the process of labour and delivery. It is definitely more natural, recovery and the period of staying in the hospital is definitely shorter,” confirms Dr Vaidhyanathan.
She also states that, “early contact with the baby, early establishment of breastfeeding and natural squeezing out of fluid from the lungs of the baby reduces chances of distress. The return to normal life and normal physical activity, too, is undoubtedly faster for the mother. Some issues that may present themselves with vaginal birth are tears in the vagina during the passage of the baby during birth which may need stitches. Without stitches, the tearing can negatively affect urine and bowel function which happens more frequently after vaginal birth. A vaginal birth may leave the mother with some pain in the perineum – the area between the vagina and anus.”
With regards to a cesarean delivery, the doctor feels, “at times, a cesarean delivery becomes necessary if the mother has a complication such as severe hypertension, twin or triplet pregnancy or placenta related complications. The complications can be a low lying placenta, abnormal position of the baby in utero such as breech or transverse lie, severe growth restriction in the baby wherein the baby may not be able to tolerate the stresses of a vaginal birth or the baby may be too big for the maternal pelvis!”
She also confirms that a cesarean may be unplanned, “especially in cases where there is a sudden dip in the baby’s heart rate during labor or if labour is prolonged beyond acceptable international guidelines for the various stages of labor. In such cases a well-planned cesarean birth does help saving both the mother and the baby in a well-equipped set up.”
But what are the disadvantages of a cesarean? “The disadvantages of a cesarean are increased length of hospital stay, discomfort in stitch line that may last weeks or months, higher risk of blood loss and infection, increased risk of a cesarean delivery in a future pregnancy as well as increased risk of placental abnormalities. These days though, with shorter surgical times, better suture materials and good antibiotics and stringent infection control practices in hospitals and good physiotherapy and lactation support post-delivery, we see patients getting mobilized as early as 6-12 hours post cesarean and seeking early discharge within 48-72 hours,” she replies.
All in all, a lot depends on counseling, mental preparedness and how comfortable the mother to be is with both modalities of birthing. Every prospective parent should have a detailed discussion with their obstetrician regarding their pregnancy, possible complications and options for birthing and pain relief available. Both modalities have their distinct advantages and disadvantages in select cases, and a well conducted delivery in which both the mother and baby go home safely, is what every obstetrician aspires for! (IANS)
Heinz has just rolled out a new product that the condiment company says is the "biggest innovation in sauce since the packet itself." Earlier this month, the world's largest producer of ketchup announced the Packet Roller, a ketchup bottle-shaped gadget that allows users to squeeze the most out of a condiment packet, CNN reported.
"Do not click 'purchase' unless you are prepared to change everything about the way you sauce," the Heinz Packet Roller website says. The roller goes for $5.70. The roller is pocket-sized, can be added to a keychain, and features a packet corner cutter.
Heinz has just rolled out a new product that the condiment company says is the "biggest innovation in sauce since the packet itself | Flickr
This announcement could be part of the fast-tracked, "future-focused culinary and packaging innovations" that Steve Cornell, president of Kraft Heinz's US grocery business unit, hinted at earlier this year amid a shortage of ketchup. A surge in takeout and delivery food orders during the pandemic led to a scarcity of ketchup packets, the report said.
In April, Heinz pledged to increase production of ketchup by 25 per cent to 12 billion packets annually. "Gone are the days of fumbling with ketchup packets, pants ruined by mustard disasters, and minutes taken off your life trying to get to the bottom of that mayo packet. With the patent-pending Heinz Packet Roller, what was once taxing becomes simple -- just snip and roll to squeeze out every drop of your sauce of choice," the website says
Keywords: Heinz, Packet roller, sauce, company, ketchup
Swiss tennis ace Roger Federer, who is recovering from a right-knee surgery he underwent last month, said on Sunday that it was a difficult process to decide whether to undergo a third right-knee surgery after having two last year. But following Wimbledon, where he was "really unhappy" with his performance in reaching the quarterfinals, Federer opted to go through with it.
Federer, who made a late decision to attend this year's Laver Cup in Boston -- a tournament held between teams from Europe and the rest of the world -- said on the sidelines of the event that the recovery and rehabilitation are "going to take me a few more months and then we'll see how things are at some point next year". "The reception I've received, everybody is so upbeat that I'm here. They wish me all the best and they don't even see the crutches. They just want me to be good again and enjoy the weekend," Federer said in an interview for the event with former world No. 1 Jim Courier.
"I've seen some incredible tennis, some great matches and it's been wonderful. I'm really happy I made the trip," the winner of 20 majors was quoted as saying by atptour.com. On why he opted for a third surgery, the tennis ace said, "I was just nowhere near where I wanted to be to play at the top, top level. But I tried my best and at the end... too much is too much. Now I've just got to take it step by step," Federer said.
Federer received thunderous ovations inside Boston's TD Garden, where he has often been sitting in the front row watching the action or behind the scenes visiting with the players. | Wikimedia Commons
"I've got to first walk again properly, run properly and then do the sidesteps and all the agility work and then eventually I've got to be back on the tennis court. But it's going to take me a few more months and then we'll see how things are at some point next year. "I've got to take my time. I don't want to rush into anything at this point. This is also for my life. I want to make sure I can do everything I want to do later on. There's no rush with anything, so I'm actually in a really good place. I think the worst is behind me. I took the time and, I don't know, I'm just really in a good place. I'm really happy."
Federer received thunderous ovations inside Boston's TD Garden, where he has often been sitting in the front row watching the action or behind the scenes visiting with the players. The former world No. 1 has played in the first three editions of the Laver Cup. "I think Boston is a great city. The stadium is wonderful, the crowds have been incredible. Both teams are stacked with absolute quality and top players," Federer said. "That's what the idea was behind it: that everybody could come together, have the most incredible weekend, learn from one another and then hopefully that's going to inspire them, motivate them and get them going for the rest of this year, next year." (IANS/ MBI)
Keywords: Roger Federer, tennish, player, sports, knee, surgery
By Hitesh Rathi
Cleopatra, was regarded as a great beauty, to preserve her skin, she took her daily bath in donkey milk. Besides, Hippocrates, the father of medicine, prescribed donkey milk for various diseases including fever, wounds, etc. To add to these benefits, donkey milk has four times the amount of Vitamin C than cow's milk has. So, it's no secret that donkey milk is a powerhouse of nutrients for both the skin and body.
Used for Anti-Ageing and Healing
The milk contains essential fatty acids that work as powerful anti-ageing and healing properties. These fatty acids blur the wrinkles on the skin and help to regenerate damaged skin. Plus, donkey milk also contains anti-bacterial properties which are effective in healing skin irritation and redness.
The milk contains essential fatty acids that work as powerful anti-ageing and healing properties.| Flickr
Antioxidant and Nutrient-Rich
Known as a "natural elixir of youth", donkey milk is packed with antioxidants and nutrients. It contains vitamin E, amino acids, vitamins A, B1, B6, C, E, Omega 3, and 6. These properties together make it a rich ingredient when it comes to skin treatment. Moreover, vitamin D is another important ingredient for human skin, and the primary source to get it is through UV exposure. At the same time, too much of that leaves an adverse effect on the skin. Here is when donkey milk acts as a great substitute as it naturally contains vitamin D. All in all, if this milk is applied frequently, it brings a glowing effect while making the skin look brighter.
Known as a "natural elixir of youth", donkey milk is packed with antioxidants and nutrients.| Photo by Jernej Graj on Unsplash
Moisturizer and Softener
By now it's a well-known fact that this milk works as a powerful moisturizer for the skin. Besides, if donkey milk is used consistently, it acts as a great cleanser as well as helps in keeping the skin healthy, hydrated, and soft.
If donkey milk is used consistently, it acts as a great cleanser as well as helps in keeping the skin healthy, hydrated, and soft. | Photo by febri sym on Unsplash
Therefore, donkey milk with its healing, nutritional and rejuvenating properties for the skin is rapidly emerging as a key ingredient for skincare. These are also driving several leading players to roll out personal care products such as soap, cream, etc. manufactured using donkey milk. Moreover, the global donkey milk market is expanding rapidly with the market value projected to reach $68,139.0 thousand by 2027, registering a CAGR of 9.4 per cent from 2021 to 2027. And the growing use of donkey milk as an ingredient in cosmetic and personal care products will significantly contribute toward the growth of this market in the years to come. (IANS/ MBI)
Keywords: Skin, donkey milk, skincare, anti-ageing, soft skin, hydrate, antioxidant, healing