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Pregnancy Notes

Pregnancy Notes

The Doctor Who Ghosted Me

January 7, 2024

As many of you know, I’ve been largely disappointed by the medical fraternity (the allopathic one, that is) for my pregnancy.  I speak about my experiences in this video.  During my search for a compassionate and credible doctor, I tried “famous” doctors.  The strangest doctor was The Doctor Who Ghosted Me.

I feel women should be vocal about their fertility issues because during my journey I found friends, friends of friends and even people on Instagram were more than happy to volunteer information and contacts.   Instagram is where I heard about The Doctor Who Ghosted Me  – a friend’s friend had shared a ‘he saved my life’ kind of posts and I quickly got in touch to find out more.  Feeling a renewed sense of hope, I booked an appointment.  It was gratifying to see the crowded waiting room at the hospital.  It meant the doctor was in high demand.

The Doctor Who Ghosted Me

He came across as open, friendly and even compassionate, a welcome change from the other doctors I’d met.  He was uncharacteristically laid-back about IVF, saying he believes it to be physically, emotionally and financially draining.  It was refreshing to meet a doctor who wasn’t aggressively selling IVF, and I appreciated this fresh approach.  But when I told him my history of yoga practice, he said he’d heard that yoga helps but since he’s never met anyone it has actually helped, he can’t comment on it.  When I told him I’d done a few acupuncture sessions he said acupuncture didn’t work for his debilitating backache.

Before he took out his prescription pad he seemed to think, and looked up once again.  “You’re sure you don’t want to try IVF, correct?” he asked.  I nodded and said, “Yes.”

He wrote prescription detailing the steps we can take for more clarity on what is happening.  “And this is it,” he said.  “You don’t have to come in to see me again. Scan your reports and email them to me.  I will respond within an hour.”  It seemed to good to be true.

The next month I mailed him my report and got prompt replies from him.  Things looked good and we would monitor another cycle.  Month 2 came around and I emailed him my reports as usual.

“Attached is my scan from today.  Apparently there’s a new submucosal fibroid that hadn’t been detected before,” I wrote to him. “Is it something to worry about?  What are my next steps?”

“We had planned three cycles right?” he wrote back.

“Yes, I meant does this new finding change how we will proceed.  In terms of medication etc.,” I wrote back.

I never heard back from him.

Takeaways

  1. Someone else’s personal experience doesn’t foreshadow yours.  This doctor worked well for the girl who recommended him to me.  Since he’s known for hysterectomies, I wasn’t his usual patient profile and therefore not lucrative enough for him.  This is a sad but real fact.
  2. A doctor who makes you feel bad about asking questions, or doesn’t answer your questions is not a good doctor.  Not all doctors are created equal and you owe it to yourself to find the best you can.
  3. From the numerous women I’ve met, I know that most women aren’t doing their research (because of overwhelm, anxiety, feelings of inadequacy and incompetence etc), and this needs to change.  As women we need to do our research.  Much of what we hear is opinion or myth and the more you research the more you’ll be able to separate myth from fact.  I read books and research papers and listened to podcasts about many of the queries I had.  This helped to ask the right questions.    This also empowered me to gauge whether a doctor would actually work with me or was only interested his/her bottom line.

In retrospect I feel that this doctor was probably uncomfortable with a woman who was was forthright, informed, confident about her decisions and had ownership of her body and mind.  Maybe it’s easier for men to ghost such women, than to hold a conversation as equals with them.

Pregnancy Notes

Pelvic Girdle Pain (PGP) – A (Literal) Pain in the Ass

January 2, 2024

Prior to actually falling pregnant I never really understood pregnancy back pain.  About three months into my pregnancy I started feeling an unfamiliar pain whenever I turned over in bed, or slid off the bolsters after cross-bolster setubandha sarvangasana.  Basically, whenever my weight was unevenly supported by my pelvis.  This kind of pain is common and is referred to as Pelvic Girdle Pain (PGP) and also Pubic Symphysis Dysfunction (PSD).

About 2 in 5 women experience this pain, so it’s more common than we think.

This pain occurs in different areas of the pelvis, such as the groin, the buttocks (similar to sciatica), the thighs, the lower back, or the hips.  I sometimes even feel a clicking in my pelvic joints (even now, 6 months into the pregnancy).  But thankfully, I’ve been able to successfully manage the pain through regular yoga and conscious movement.

Source: https://thebackbone.co.uk/pelvic-girdle-pain-pgp/

Source: https://thebackbone.co.uk/pelvic-girdle-pain-pgp/

Causes

There are many causes for Pelvic Girdle Pain.  It can be related to previous injuries or even the natural structural build of a woman.  The weight of the growing baby also puts added strain on a woman’s pelvis, which can be a contributing factor.  Other factors are:

  1. The most common reason is the hormone relaxin which is released during pregnancy by the ovaries and the placenta.  This hormone loosens the muscles and ligaments and enable your pelvis to enlarge to let the baby to descend down and out of the vagina.  In short, relaxin makes labor and delivery easier.  The downside is that relaxin also affects other joints in the body, which are responsible for postural changes during pregnancy.  These can also lead to back pain, but can be managed with yoga therapy or the help of a good physiotherapist.
  2. An unstable pelvis.  This causes body weight to load one side of the body which puts repeated uneven stress on one side of the body.  This is why this pain can sometimes be felt after an active day.  If you’ve been able to identify what aggravates this pain, you should avoid it.  Ignoring the pain won’t help – the pain only gets worse.
  3. In some cases the position of the baby in-utero can also cause PGP.
  4. Weak core muscles.
  5. Tight muscles.
  6. Inflammation of the muscles and ligaments.

 

Yoga for PGP

Viparita Karani helps to relax and align the lower back. Make sure to use a bolster for extra comfort and width on the pelvis.

Viparita Karani helps to relax and align the lower back. Make sure to use a bolster for extra comfort and width for the pelvis.

 

Make sure to keep your legs wide to accommodate the growing belly.

Make sure to keep your legs wide to accommodate the growing belly.

 

You can give more support to your lower back using another bolster.

In the prenatal yoga classes I attended, my teacher taught me this variation – where you can give more support to your lower back using another bolster. It seems like a small and insignificant change – but on many days this variation felt extra soothing.

 

Widen your legs.

Widen your legs.

 

Supta padangushtasana B is wonderful to stabilise the pelvis.

Supta padangushtasana B is wonderful to stabilise the pelvis. Do it on both sides for about 2 minutes each, and don’t forget the bolster under the extended leg.  The height of the leg isn’t important – in fact, you might feel better if you reduce the angle between the legs.

 

Remedies/Precautions

  1. Early on I realised that demonstrating asanas in yoga class aggravated the pain because we often only demonstrate on one side.  Since then I’ve been very cautious about the kinds of asanas I demonstrate and often opt not to demonstrate at all, relying on oral instructions.
  2. I’ve moved two bolsters to my bedroom and now sleep with them between my knees.  (Also, it’s recommended to sleep on the left side, and I usually do this.)
  3. Although many women continue to lift heavy weights in the gym, or even lift and carry their toddlers or groceries – this puts uneven strain on your back.  Even for women who are used to heavy lifting – the added hormones and growing belly makes your back vulnerable.  For this reason I eliminated the tree pose and natrajasana from my practice.
  4. I also found that crossing my legs when sitting at my desk causes the pain, probably because of the uneven weight distribution.  So I consciously changed the way I sit.
  5. As much as possible sit in baddhakonasana, sukhasana or upavishta konasana with your back supported.
  6. During the prenatal yoga classes I attended, my teacher would remind me to not rush and move slowly, more consciously.  This really helps as it reduces the chances of something getting inadvertently tweaked.
  7. Icing reduces inflammation.
  8. Water based activities – like aqua yoga, aqua zumba, swimming or even just walking back and forth in the pool help a lot because it strengthens your muscles while supporting about 70% of your body weight.
  9. Rest it out.

Because there is no one reason for why this pain occurs, prevention is better than cure.  But, because pregnancy is also a game of hormones, it’s not always possible to prevent pelvic girdle pain, and you might need to just manage the symptoms.

Hope this helps!

Food Pregnancy Notes

The Joys of Fenugreek

January 20, 2014

I guess we’ve come a full circle in terms of appreciating the health benefits of traditional Indian cooking and spices.  From mindlessly eating spicy food, to eschewing spice in favor of bland food to the present when we know that moderation is the key.  Lately we’ve started re-discovering the health benefits of the spices that we’ve been using and consuming for years.  One such spice is methi or fenugreek.

Some other spices I frequently use in my cooking.

Some other spices I frequently use in my cooking.

Five Reasons Why Methi/Fenugreek is Good for You

  1. Women need a lot of iron during their period, pregnancy and while they breastfeed. Including me
    this in your diet ensures thatyour body constantly has a ready supply of iron.  Chop up methi leaves and use it to make paranthas or chapattis or just make aloo-methi sabji.  Make sure that you cook it using tomatoes or potatoes to enable iron absorption.  Many people have reported that the aches and pains in their joints diminished after regular consumption of methi seeds/leaves.
  2. Methi helps to reduce cholesterol levels so is great for weight management.
  3. The potassium content of methi counteracts the effects of sodium in your body which helps in stabilising heart rate and blood pressure.  This can lower the risk of heart attacks.
  4. Methi is great for digestion.  It helps to flush out toxins from your system.  It’s great to cure indigestion and constipation.  Try this home remedy for smooth digestion: Leave some methi seeds overnight in a glass of water.  Drink the water the next morning.  Do this consistently for a week and notice the difference.
  5. Methi is great for skin and hair.  Try this:  Grind fresh methi leaves into a paste and use apply on your face.  Do this regularly and your skin will become more clear and supple.  Grind methi seeds and mix them in your mehendi (henna) paste.  This helps keep dandruff at bay and stops the thinning and falling of hair.

These are just a few of the numerous benefits of methi seeds.  If you incorporate methi in your diet, you’re bound to see many more benefits.

If you have any tips about how to use fenugreek seeds, leave me a comment!

Also if you’re interested in other Indian superfoods, here’s a book review I did of Indian Superfoods by Rujuta Diwekar.