High Risk Obstetrics

The Many Causes of Ringworm Itch

Certain infections or condition causes itchiness in some parts of the body. Tracing up the cause of the skin irritation leads you to the main issue. Sometimes the itch in ringworm is associated with another type of disease. To avoid the conflict and confusion in dealing the cause of itchiness, you must know some basic facts regarding with the other causes of skin itching. Here are some of its many causes:

- Dry skin – the cracking up of skin due to a hot weather causes the skin to become itchy. This condition happens under a hot climate or temperature where the skin moisture is being absorbed by the heat which dries the skin. When the skin is dry, it is easily irritated.

- Insect bites – the sting coming from a mosquito causes us to produce histamine that is triggered by its saliva. This causes the affected part to swell or to feel itchiness. Allergic reactions in people vary. Others may feel strong response from an insect bite while it doesn’t harm others that much.

- Fungal infection – dermatophytes or the fungus producing microorganisms are causing the itch associated in ringworm.

- Prickly heat (Miliaria Rubra) – these are rashes produced from the clogged sweat gland that caused the itching. There is an abnormality in excreting the sweats from the body. Inflammation and rashes are shown in this condition.

- Scabies – is a skin condition that was caused by Sarcoptes scabiei. The bite coming from the termite result to itchiness that you might assume as a ringworm itch. It is an allergic reaction from the infestation coming from the insect.

- Chicken pox (Varicella) – it is a skin infection that affects children aging from 5 up to 10 years old. A rash gradually develops at the onset of the disease covering the body. The infection is associated with itchiness as it spreads.

- Cirrhosis – salts from the bile are being deposited on skin causes the itching. This is a cancer of the liver where the liver is not able to perform its function due to some manifestations of infection in the liver.

- Lymphoma – itchiness is one of the symptoms that were shown by people who are suffering from this type of disease. There’s no clear evidence what caused the itchiness that you can compare to a ringworm itch.

- Polycythemia – is a disease where the red blood cells in our blood are increasing in number beyond its normal count. Included in its symptoms is itchiness.

- Swimmer’s itch (Cercarial Dermatitis) – this is an allergic reaction coming from mammals and birds where you could catch from waters especially in swimming pools. A rash gradually develops after the person was exposed to the contaminated water. The rashes might be similar to the itch that was produced by ringworm.

- Obstetric Cholestasis – the first symptom that occurs in the second or third trimester in women who are pregnant is itchiness. The risk of having a stillbirth is high when the simple irritation caused by itching is ignored.

- Gonorrhea – this is a sexually transmitted disease that you could get from having multiple partners. One of its symptoms is itchiness in the vagina which is having a similar itch caused by ringworm in the genitals.

- Lice – this is an external parasite that is mostly found in the head, pubic hair and body. Itchiness is experienced by the person after the lice manifested the head, body and genital are that are covered by hair.

Physician Fails To Diagnose Umbilical Cord Compression And Child Experiences Brain Injury

Pregnancy carries with it the possibility of complications a number of of which may, if not diagnosed and treated immediately, result in substantial harm to the unborn child and the mother. One such complication, normally referred to as umbilical cord compression, occurs when the umbilical cord comes under pressure. Circumstances under which this happens include when the cord slips into the birth canal and gets compressed as the baby descends, or when the umbilical cords becomes wrapped around the baby’s neck . As the pressure on the cord increases, the oxygen essential for the health and even the survival of the baby becomes more and more restricted.

If doctors or nurses find a substantial slowing down of the baby’s heart rate they should look at a cord compression as a possible reason. This is specially true if the heart rate slows downs in waves or episodes – a pattern that is known as decelerations. If the baby’s heart rate drops too low and does not quickly return to normal immediate action needs to be takes to protect the baby from suffering brain damage or death due to the lack of oxygen. If the compression is not severe then repositioning the mother to lessen pressure on the cord, or giving her oxygen and fluids, may ease the problem. In those situations where these steps do not reduce the pressure on the cord, it may become necessary to perform an emergency C-section.

The inability on the part of a physician or nurse to identify the signs of a cord compression and to immediately take suitable action to resolve the situation or deliver the baby might lead to a medical malpractice claim. In one reported claim, an expectant mother, at full term, showed up at the hospital for the planned delivery of her baby. The staff gave her Pitocin to induce labor. After the drug was given, the fetal heart rate monitor showed multiple umbilical cord compressions as decelerations of the unborn baby’s heart rate. The staff repositioned the woman after which the baby’s heart rate went back to normal.

Regrettably, when the woman requested to use the bathroom, the obstetrics resident disconnected the fetal heart rate monitor. It was discontinued for 11 minutes. These eleven minutes were vital. The cord became compressed limiting the baby’s oxygen supply. The baby was born suffering from asphyxiation with resulting significant mental retardation and cerebral palsy.

The law firm representing the family admitted evidence at trial that, with the history of decelerations, disconnecting the fetal heart rate monitor for those critical eleven minutes was below the acceptable standard of care. Basically, it came with too high a risk that there might be further umbilical cord compressions that would not be discovered and therefore would not, and indeed did not, lead to such curative actions as more position changes and, if required, an emergency C-section that could have kept the child from suffering brain damage. The law firm reported that the jury awarded $15.8 million for the family.

Middle Georgians weigh more than health care reform: Rodney Manley

When members of Congress return to Washington next month from its summer recess, it is unlikely that they meet the firestorm raging over health care and proposals reform.Representatives senators have expired, are always an earful at town hall meetings for the President Obama’s push for a government insurance program that would guarantee coverage for all Americans. And public opinion in the coming weeks may well be able to deliver the voting rule in one way or another.The Telegraph interviewed a sample of residents – from doctors, patients and people who work – their concerns, hopes and thoughts on health reform. Here’s what he had to say: Name: Dr. Michael Greene Age: 52 Residence: Macon OCCUPATION: physicianDr Family Medicine. Michael Greene was at the American Medical Association in Chicago in June, when President Obama outlined his plan for health reform. He read most of the 1,000 page bill to reform Democrats.Greene House, a family physician and former president of the Medical Association of Georgia is proposed, is not a fan of what he had read or heard. “I am not for socialism, and this is the high speed on the road to a single payer system and socialism. “A debtor is a unique system to bring in one unit – in this case, the federal government – would be, and pay for all health conditions – fees and expenses. Under the proposals the Democrats of the House, the government would offer government insurance program and to assess the cost and coverage of all private insurance.Greene ’s biggest problem with the plans? “From the perspective of a doctor who might be intruding in the doctor-patient relationship.” The bill the House to create an advantage for the Health Advisory Committee has recommended that levels of performance and allocation. Under the bill, the 26-member Committee is required to include only a physician or other healthcare professional. “We’re putting a tremendous amount of energy in a particular branch of government,” said Greene. “It creates an enormous amount of bureaucracy.” Some people, including Greene, the estimates of disputes that 48 million Americans are insured. Approximately 10 million of this number, he said, are foreign residents who choose to buy insurance. Many more people have access to Medicare and Medicaid and are not enrolled, he said. “There are about 12 million to 18 million is not really insurance. I’m not sure we should have a system handles 350 million to care for 18 million disturb. Greene agrees that there are “many improvements to be made,” including an increase in primary care, the elimination of pre – existing condition exclusions, and a movement away from employer-based insurance legislation. Any, but needs to reform insurance and unlawful, efficiency and increased competition in the market, he said, and patients should remain responsible for their health. The models of socialized health care abroad, he said, are not the solution. Despite its shortcomings, health care in America is “head and shoulders” better, “said Greene. “There is nothing in this Act, extending the assistance to be given. This law regulates the cost of such assistance. … If you wait 12 months until we go an MRI, to Great Britain. It is free, but is not fast. Name: Dr. G. Sekhar Thekkepat AGE: 45 RESIDENCE: Perry OCCUPATION: Obstetrics and Gynecology physicianAmerica can have the best health care system in the world, but what’s the point, Dr. Sekhar Thekkepat asked if some people can afford it? “People who can not afford not to get health care,” said Sekhar, Chief of Staff at Houston Medical Center. Or you receive health care and put themselves in debt, bankruptcy may be at risk, he said.That ’s Sekhar because it was a health care system where everyone would like to see some form of adequate coverage, whether through an employer work, a private company or a state program.Sekhar rejects the idea that a private system of health care promotes competition and allows the choice. Insurance companies all have the same amount of base, “he said. His practice, the medical notes of women – in Warner Robins, facing the same challenges, such as high premiums and other small businesses, “said Sekhar. “We’re slowly getting what we think the down payment.” And when it comes to decisions about the treatment of a patient, the insurance company that finally makes the call, he said. It is “ridiculous” or even pay the premiums and not a choice, said.Sekhar said he would like to see more emphasis on primary care and prevention, rather than deletion of “fire”. If an insured person who is a hospital for emergency treatment, doctors can not turn that person away. Rather, it passes on costs to patients through increased costs of service. “The debt (if any) will be transferred somewhere. Nobody does it for free, “said said.When it comes to current health reform debate Sekhar is too much misinformation and demagoguery. At the same time, have not sufficient knowledge of problems actually read the proposals, instead of listening to audio files of the moment, he said.People both sides, “said Sekhar. One of the biggest hurdles is finding a way to finance the system, he said.NAME: Dr. David Parish, Louisiana Age: 60 RESIDENCE: Macon Job: Professor, Interim President of Mercer University School of Medicine in Internal Medicine DepartmentDr. David Parish, a member of the faculty at Mercer University School of Medicine for 26 years, has a problem with the proposed health reform: “It does not go far enough.” “It could be as happens in the United States today? “he asked. “Maybe.” President Obama has proposed a reform that provides for state funding for public health insurance for all Americans. Parish prefer real “universal access”, in which health care is simply made available to all patients and healthcare providers are paid the same. “People know that it was good for the system in our country, and you may have noticed, many aspects of a better way to do it. Why should people because of the failure of medical bills? “Our health care under way, said,” pushing people into states of chronic disease “is not for the treatment of diseases such as diabetes before they can cause serious health problems, such traits to be achieved. ‘And’ How do I change the engine of the old 18-wheeler that you would pay the oil inside, “Parish said the draft law for reform is pretty close to universal access to large holes in coverage – as people in nearby always written out of coverage for pre-existing conditions – and to guarantee the transparency of its insurance coverage. “What is on the table is really the reform of insurance and to some extent, is the regulation of insurance. … The purpose of health reform is maintenance-free. The easiest way to do this, a system – to cover everyone. “Universal access has worked in countries like Britain, France, Germany and Canada,” said Parish, and you can work here. ” You do not see the drug companies is based companies in these countries. They are not simply the oh my god that gains in this country. … The things that insurance away with success did not stop there. The system does not allow it. “” This is not a radical proposal to say that with a developed country and sophisticated, we would have universal access. There should be a system developed USA. It’s got to be one, that we are a design and you could live with. “

Read more http://www.pannipa.com/2009/08/23/middle-georgians-weigh-more-than-health-care-reform-rodney-manley/

Pregnancy Complications: The Dangers of Unmanaged Gestational Diabetes

Gestational diabetes is a condition that occurs to a woman during pregnancy and the disease accounts for approximately less than 5% of all pregnancies in the United States. The pregnancy manages to trigger factors that will eventually lead to gestational diabetes if the woman is not careful in monitoring her health. Women who have diabetes even before they get pregnant are different from those who develop gestational diabetes when they get pregnant.

It is therefore important that all pregnant mother participate in screening around the 25th to 28th week of pregnancy unless they are of known to be of higher risk when earlier consultation with obstetric team / diabetes management team at from 12-14 weeks is important.

The Effect Of Gestational Diabetes

Gestational diabetes may be just for a limited amount of time but it can affect the health of the fetus or the mother if it is left untreated and unmanaged. There are several negative health implications for the fetus in particular if blood sugar levels remain uncontrolled throughout the pregnancy. Primarily the baby can suffer from several metabolic health complications. A condition known as macrosomia is common as a result of unmanaged blood sugar levels among newly born children. Macrosomia means the baby is born with an unusually high birth weight and it may cause complications during delivery. For instance, if your baby is very large, you may have a more difficult delivery or you may need a cesarean section.

Shortly after delivery, your baby may also have low blood sugar (hypoglycemia) because his body will still be producing extra insulin in response to receiving extra glucose from you. Low blood sugar can cause several health complications for the baby and is usually treated in the hospital with either a high glucose drink or injection. ‘Respiratory Distress Syndrome’ or other respiratory problems occur frequently in a child whose mother was diagnosed with gestational diabetes as well. A minor complication known as jaundice, which is characterized by the slight discoloration of the baby’s eyes and skin, is also not unusual.

What can I do if I have gestational diabetes?

It’s important that you control your blood sugar level. Controlling and monitoring blood glucose levels should be the cornerstone of any diabetes management regiment for women diagnosed with gestational diabetes. Women should use a blood glucose testing meter and test their blood sugar regularly, several times a day.

You can manage gestational diabetes by eating healthy foods, exercising regularly and, if necessary, taking medication. Taking good care of yourself can help ensure a healthy pregnancy for you and a healthy start for your baby.

Aging swingers at high STD risk

Aging swingers at high STD risk
All those wild and crazy nights may be catching up with swingers as they age, new research found.

Read more on KFJX Pittsburg

Tips on Losing Weight after a Pregnancy

Weight loss following pregnancy and hanging up the tent sized maternity clothes is something all new mothers look forward to with anticipation. For most women, but for others, the baby fat is a bit more difficult to shed.  Each woman is different and there is no “one size fits all” formula for shedding the weight gained during pregnancy.  However there are a few weight loss guidelines to follow that will have the new Mom back feeling great and wearing her jeans once she gets her strength back.

How much weight did you gain during pregnancy?

The 25 pounds the average woman gains during a pregnancy are spread out more or less like this:
-Baby-8 pounds
-Placenta-1.5 pounds
-Amniotic fluid-2 pounds
-Breasts-2 pounds
-Uterus-2.5 pounds
-Fat, blood volume and water retention

If you were already a little overweight when you first became pregnant, remember that the numbers on your scale kept going to go up almost every time you stepped on it. Fasting or Weight-loss fasting diets following pregnancy are absolutely not a good idea.

A Latino tradition following pregnancy

One of the best Latino traditions during the time right after childbirth is cuarentena, or the quarantine. The mother will spend forty days resting with the newborn after delivery and only worry about taking care of the baby.  The new mother doesn’t even consider weight loss issues during this time. Other members of the family will keep house and watch over the other children. While this may not be practical for most new mothers of today, if you do have relatives who live nearby, it would be a good idea to follow some version of this tradition. You’ll feel like a new woman after those forty days of recuperation (or even twenty).

A nutritious diet is more important than weight loss for the first six weeks.

Pregnancy is a magical and mysterious time of life and many women worry about how to achieve weight loss after they give birth. During the first six weeks of postpartum, a healthy diet is much more important than a weight-loss diet. Continue to eat a balance of fruits, vegetables, whole grains, protein, calcium, and iron. Whether or not you’re breastfeeding, your body is still recovering from the pregnancy and birth, and a nutritionally balanced diet will help you heal and feel better much faster.

Your care provider or doctor may recommend that you take an iron supplement for the first six weeks postpartum, while your body recovers. If you’re breastfeeding, it’s even more important to eat a well-balanced diet, since you’re still sharing all the calories you’re consuming. If you count calories, a breastfeeding woman should consume the same amount as she did before pregnancy to maintain her weight plus about 500 calories. For many, this means about 2,500 to 2,700 calories a day, which will support milk production and allow for moderate weight loss of half a pound per week.

Continue to avoid fish that are high in methyl mercury in your weight loss plan.  Other foods, such as sushi, raw milk products, and deli meats, are less risky these days, but you should still take reasonable precautions to avoid food-borne illnesses. Precautions include cooking meat and poultry all the way through, washing all cooking utensils thoroughly, washing all fruits and vegetables thoroughly, and only eating raw foods like sushi from a dependable source.

Healthy weight loss

Other than feeling good and having more energy, there are many motivators for systematically striving for weight loss following pregnancy. If you carry extra pounds, you have an increased risk of diabetes, hypertension, and cardiovascular disease.  Losing weight will improve your health not only now but it can also influence your weight in future years to come. Studies have shown that women who breastfed beyond 12 weeks and participated in postpartum aerobic exercise had lower weight gain 15 years later. Excess pregnancy weight gain and failure to lose weight in an appreciable time are indicators of obesity in midlife. Weight loss following pregnancy involves three things: Nutrition, exercise and scores of patience.  It’s generally difficult to lose weight without exercise being part of your weight loss program.

If you’re breastfeeding, a good bit of the pregnancy weight will come off fairly quickly. But this isn’t a time to try to lose weight. Whether or not you’re breastfeeding, your body won’t recover as well or as quickly if you cut back drastically on your portions or calorie intake. If you ate a lot of sweets or treats during your pregnancy, you can start to cut back on those. But otherwise, there’s no need to add the extra pressure of dieting to an already stressful period pf taking care of a newborn baby.

Cautions of exercise

The six-week postpartum visit is a simple check-in with your caregiver or doctor. You’ll be weighed, have your blood pressure taken, and you’ll be asked about any problems. You will probably be given the green light on exercise.

Most caregivers recommend waiting until the six-week postpartum checkup before starting vigorous exercise, but that’s a somewhat arbitrary time frame, based on the typical model of obstetric care.  If you’re stitches seem to be have healed, and if you want to be more active. Moderate exercise before the six week postpartum visit shouldn’t be a problem

Listen to your body.  Don’t push yourself hard.  Start out slowly, and if you find you’re tired or uncomfortable, take your activity level down a notch.  There is no reason to rush the healing process.  There will always be time to exercise and address weight loss.

If you suffer from obesity, your doctor will tell you what kind of diet and exercise you should follow following the childbirth for weight loss.

Eating for one

When you were pregnant, you may have eaten more than usual to support your baby’s growth and development. Proper nutrition is still important after the baby is born – especially if you’re breast-feeding – but your needs and goals are different now. Making wise choices can promote healthy weight loss after pregnancy.   Focus on fruits, vegetables and whole grains. Foods high in fiber – such as fruits, vegetables and whole grains. These foods provide you with many important nutrients while helping you feel full longer. Other nutrient-rich choices include low-fat dairy products, such as skim milk, yogurt and low-fat cheeses. White meat poultry, most fish, beans, and lean cuts of beef and pork are good sources of protein, as well as zinc, iron and B vitamins.  These foods will help in your weight loss program.

1. Avoid Temptation- Buy healthy foods at the grocery store and don’t keep junk food in the house.
2. Eat smaller portions – Don’t try starving yourself or skipping meals.  Just cut back on the portions.
3. Eat only when you are hungry – Distract yourself with an activity if you are constantly hungry.
4. Drink water before meals.

Beginning exercise

It’s a good idea to start taking short, easy walks as soon as it feels comfortable for you.  If weather permits, simply load up the baby in the stroller and take brisk walks to the park, library, neighborhood coffee shop or anywhere that makes the exercise walk enjoyable.  If you have a reliable baby sitter, joining a local gym would be an excellent idea.

The most important factors in weight loss after pregnancy will be patience and consistency, along with a sensible, healthy diet and an exercise plan.  It generally takes about 6-12 months to achieve the total weight loss following pregnancy.

Surrogacy in India ? a Boon for Childless Couples

Medical tour to India for surrogacy will enable you to explore its vast dimensions while experiencing the best of hospitality services, may it is in terms of the best hotels you stay in or the high-end hospitals where you are treated. India’s aim is to offer the most advanced and globally competitive ART programs and services. The centers are equipped with the state-of-the-art ‘Embryology Laboratory’ and staffed with the team of highly trained professionals. It offers the latest services, with success rates equivalent to the West, at very affordable costs, but without compromising on quality. This has been possible by making use of the latest equipment, best quality disposable and culture media imported from the West, high-class competent service and very economical professional fees. This objective has enabled our unit to be at the forefront of offering fertility services in India. During the past ten years, patients from Middle East, Africa, UK & USA, were enable to have babies and bringing joy to their lives.

Surrogacy is a highly controversial method of reproduction whereby a woman agrees to become pregnant for the purpose of gestating and giving birth to a child she will not raise but hand over to a contracted party. She may be the child’s genetic mother (the more traditional form of surrogacy), or she may be, as a gestational carrier, carry the pregnancy to delivery after having been implanted with an embryo. In some cases surrogacy is the only available option for parents who wish to have a child that is biologically related to them. Surrogates may be relatives, friends, or previous strangers. Many arrangements are made through agencies that help match up intended parents with women who want to be surrogates for a fee. The agencies often help manage the complex medical and legal aspects involved. These arrangements can also be made independently. Careful screening is needed to assure their health as the gestational carrier incurs potential obstetrical risks. Surrogacy is presented as an option to couples who otherwise would not be able to have children.

India is the land of cultural heritage and hospitality is one of the core strength that is inculcated in every Indian heart. Today Indian tourism offers an array of tourist destination that attracts travelers from all over the world. It has always intrigued and fascinated the rest of the world with its diverse natural splendor and will continue to do that for ages. It is the land of natural beauty and spiritual wisdom has always been a great attraction for tourists all over the world. The unimaginable diversity in its natural settings that range from the Himalayan peaks to the deserts of Rajasthan and to the ever-flowing Ganges can definitely be a dream experience for anyone. The sandy beaches and the multitude of historical monuments are just to mention a few more. Healthcare facilities for surrogacy in India is being provided in some of the hospitals are on par with that being provided in developed nations that too at one-fifth of the price. “It will help over as patients avail these services.

To know more about surrogacy in India:

http://www.indianmedguru.com

Submit your case details:

contact@indianmedguru.com