RJ: On the occasion of World IVF Week, We have Dr. Shivani Sachdev Gour, director SCI IVF Centre Delhi and Noida, who is a part of record-making awareness activity in India and Asia Book of Records to spread awareness about IVF.
RJ: Doctor, After how long can a person go for IVF treatment if she has been infected with Covid19?
Dr: If a person has been infected with covid19, they can start IVF treatment after four weeks, if they were asymptomatic. If you have had respiratory symptoms like cough or breath listeners but did not need hospitalization, then you should wait for six weeks. If you were hospitalized for Covid19, then please wait for 8 to 10 weeks before starting treatment. If you were admitted to ICU, then you should wait for at least 12 weeks after complete recovery before you start your treatment.
RJ: Issued in the public interest by Zydus Healthcare Limited.
RJ: On the occasion of World IVF Week, We have Dr. Shivani Sachdev Gour director of SCI IVF Centre Delhi and Noida, who is a part of record-making awareness activity in India and Asia Book of Records to spread awareness about IVF. The doctor is it safe to go for IVF treatment post covid infection?
Dr: Yes, it is safe to go for IVF treatment post covid infection. You should wait till you have recovered completely and are no longer infectious and you have been reviewed by a doctor. We know that increasing age and increasing duration of infertility both have a negative impact on the success rates for treatment.
So you should follow all the safety precautions and start your treatment.
RJ: issued in the public interest by Zydus Healthcare Limited.
One must do detailed research in order to get pregnant with the help of modern medical techniques efficiently and effectively. Your pressure to start a family can be replaced with preparations for welcoming the new member in the family if you choose the best IVF doctor in Delhi. The doctors are responsible enough to carefully carry the procedure of IVF and don’t let you down on your expectations. One should look out to hire the best IVF doctor in Delhi because of several reasons. Some of which are mentioned below.
Knowledge about the latest medical techniques
The IVF doctors in Delhi are linked with hospitals or clinics. Before deciding to proceed with IVF under a specific doctor’s guidance, make sure that the medical Center is updated with the latest technologies and equipment. It is essential to understand the instruments used by the fertility center. The best IVF doctors in Delhi are aware of the latest techniques and technologies used for the treatment.
Choosing a definite clinic is based on the doctor’s experience, which forms a very important factor to the lookout. The reviews from other patients and the years of experience in that field determine the best IVF doctors in Delhi. The success rate of the process of IVF is connected with the experience of the doctor. As IVF is regarded as sensitive as well as an expensive procedure, you must take the help of the best IVF specialist doctor in Delhiwho is professional and capable of handling complications.
Maintains clarity and transparency
The best Ivf doctors in Delhi will furnish you with the relevant details and clearance about the procedure. Maintaining transparency with the patients in each and every proceeding step in the treatment will prevent the patients from bringing high hope. The best IVF specialist doctor in Delhi will also discuss the financial expenses beforehand. There will be no extra charges at the last moment. Nevertheless, the cost of the treatment is financially exhausting without the surety of success. But hiring the best IVF doctor in Delhi can increase the chance of getting success in the IVF procedure.
Sanitation and hygiene are crucial in every medical Center. The medical centers under the best doctors in Delhi are well maintained. As the IVF procedure is very sensitive, bad hygiene and sanitation expose it to a high possibility of having an infection. An infection can interfere with the whole process and deplete its chance of having success.
It is extremely essential for the couple to not rush into the process rather take time in doing thorough research regarding the treatment. One should also be aware that the process will demand lots of financial and physical investment. Choosing the best IVF specialist in Delhi will help manage the overall pressure, making time for the couple to sit back and enjoy the journey towards parenthood. Carrying the child in your arms is a moment of extreme joy and hence the best clinics always make sure the moment is enjoyed by the couple as well as the entire family.
Lockdown stops couples who took a surrogate route to parenthood from holding newborns.
For the last 12 years, Sheeba* and her husband have been trying to have a baby. Their dream came true last month when she had a baby through surrogacy, but life has been more agonising for the couple. The couple is among the many who are unable to see their babies delivered by surrogate mothers since the country went into lockdown on March 24. In India, 5,000 to 10,000 babies are born through surrogacy every year.
“They had come down from Dubai to Kanyakumari and planned to come to Chennai a few days before the delivery,” says Dr Geetha Haripriya, fertility expert and chairperson of Prashanth Hospital. The surrogate was due to deliver by March-end. “Sheeba’s mother fell ill and the surrogate went into labour on March 17. By the time Sheeba’s mother recovered, the lockdown was announced. We’ve sent them photographs of the baby. We give them daily updates about the baby’s health,” said the doctor.
Dr. Shivani Sachdev Gour, fertility expert and founder-director of SCI IVF Hospital in New Delhi, says that four babies were born through surrogacy at the centre in the past two weeks. “While two couples were able to come and get the children as they live in Delhi, two others have not yet seen their babies,” says Dr Sachdev. “One of the couples is from UP and have had a girl after trying for 14 years. The other, from Rajasthan, has had a boy. Though we gave them letters from the hospital, they are unable to come as the areas they live in have been sealed off.”
Pregnant women do not appear more likely to contract the infection than the general population. However, pregnancy itself alters the body’s immune system and response to viral infections in general, which can occasionally be related to more severe symptoms and this will be the same for COVID-19.
Reported cases of COVID-19 pneumonia in pregnancy are milder and with good recovery.
Pregnant women with heart disease are at the highest risk (congenital or acquired).
IVF is the complicated process involving a chain of procedures to remove the signs of infertility or any genetic disorders inside you that may hinder fertility following with the birth of a baby. The best IVF clinic in Noida undertakes the treatment with proper guidance and under excellent supervision by one of the best doctors in Delhi. The procedure starts from the day you admit with few medications and injections for ovulation to take place. The three steps in the initial stage of the process take almost three weeks that may prove decisive if the menstrual signs do not appear or vice versa. The releasing of eggs to retrieval to implanting are the complex three phases of initial treatment which is scary as well as full of enthusiasm to see a new life soon ardently.
IVF- the most trusted name in Assisted Reproductive Technology
Apart from so many ways of artificial reproduction other than intercourse, the IVF treatment centre in Delhiproves to be one of the most famous centers working and experimenting continuously on the treatment. In almost all the cases, your eggs and your spouse’s sperms play a part in the procedure whereas it becomes different when you are unable to produce eggs. Then the treatment involves a donor who may donate sperms, eggs to fertilize followed by implantation inside your uterus.
Factors playing an essential role in the delivery of your offspring
The Best infertility hospital in Delhi works on various factors playing an important role in delivering a healthy full-grown baby of your own through IVF treatment. Your age and the reason for not being fertile so long are the factors concern with infertility. To properly understand the purpose and go to depths to solve the root cause may take months involving extensive laboratory tests that may be very expensive too.
The need for the IVF treatment
You may undergo IVF treatment in the SCI IVF Center if you are suffering from the underlying health issues.
If the fallopian tubes are damaged and blocking the way of a fertilized egg to reach the uterus, maybe one of the reasons for your infertility.
If there are few eggs for fertilization to take place, then the process of pregnancy is disturbed.
The presence of fibroids in the uterus walls may disturb the implantation process.
If the quantity of your partner’s sperms is below average or the shape and size of the sperm are abnormal and unable to fertilize the egg, then you need to go to the specialist for its correction. It leads to infertility in most of the couples, as the cause remains hidden in most of the cases.
These few factors among many of them suggest you undergo the IVF treatment and help in delivering your baby. Dr. Shivani Sachdev Gour, a renowned IVF expert, working from the last 18 years on the treatment is always with you guiding about future treatments. You may also check Dr. Shivani Sachdev Gour’s reviews and her favorable treatment solving more than 10, 000 cases in India and abroad following with happy parents telling about the politeness and the friendly nature of the doctor.
Depending on the nature of its transmission, pneumonia can be classified into many categories. The general forms of pneumonia significantly visible in pregnant women are given below:
Bacterial pneumonia is the most common pneumonia in both pregnant and non-pregnant women. Bacterial pneumonia make pregnancy more complicated 1 in 600 pregnancy cases. This type of pneumonia may be arising due to more incidences of women with chronic diseases becoming pregnant. Bacteria normally reach the lungs by aspiration or inhalation and originates from a bacteria carried by someone. The bacteria that cause this include streptococcus pneumonia, mycoplasma pneumonia and haemophilus influenza. These bacteria normally live in the upper respiratory tract. These bacteria can be known as “atypical” because pneumonia caused by these organisms might have somewhat different symptoms, respond to different antibiotics than the typical bacteria that cause pneumonia appears different on a chest X-ray. Even though these infections are not uncommon and are called “atypical”. Bacterial pneumonia can develop after you’ve had a viral cold or the flu or occur on its own. The people those at greatest risk for bacterial pneumonia include people who have weakened immune systems, people with respiratory disease or viral infection and people recovering from surgery. Symptoms include chills, fever, fast breathing, and shortness of breath, fatigue and chest pain.
Viruses are the second most common cause of pneumonia. Viruses that infect the upper respiratory tract may also responsible for pneumonia. The same viruses that bring on colds and flu cause the viral pneumonia. The most common viral pneumonia is influenza and varicella. The influenza virus is the most common reason of viral pneumonia in adults. Viral pneumonia caused by the influenza virus can be dangerous and sometimes life threatening. Influenza more aggressively spread during pregnancy than bacterial pneumonia. With a mortality rate of 10 percent in pregnant and also non pregnant women, varicella pneumonia is the more serious condition of the Viral Pneumonia. Varicella can also be increase the risk of preterm delivery.
Viral pneumonia can become more serious if the pregnant woman also contracts bacterial pneumonia. This combination often leads to death. Clinically viral pneumonia is somewhat hard to differentiate from bacterial pneumonia because symptoms are similar in both cases. Most viral pneumonias are not severe and last only a shorter time than bacterial pneumonia in most patients. The virus approaches the lungs and multiplies rapidly. This pneumonia is most serious in pregnant women and people who have pre-existing heart or lung disease. The risks of viral pneumonia further complicated by a secondary invasion of bacteria, exhibits all the typical symptoms of bacterial pneumonia.
This type of pneumonia is less common cause of pneumonia, and it is primarily due to a fungal called ‘coccidioidomycosis’ and it normally occur in patients who are severely immunocompromised, especially in those with AIDS. The fungal pneumonia spreads by breathing in tiny particles called fungal spores. It can affect immunity and stimulate effect on progesterone in the affected women. This pneumonia has a mortality rate of 25 percent. It symptoms include, fever, dry cough, anorexia and dyspnea. People in certain activities such as farmers, landscapers and gardeners are more likely to come into contact with such pneumonia.
Assisted Hatching is an assisted reproductive technology that can be sometimes done along with in vitro fertilization (IVF) treatment. It is usually recommended to the women who are facing unexplained IVF failure or for women with a poor prognosis. But Assisted Hatching is not recommended by the American Society of Reproductive Medicine (ASRM) as it hasn’t been shown to improve live birth rates and there are also additional costs and risks associated with this technology. There are many different methods available for Assisted Hatching that works differently. Each method involves their own pros and cons and the skill of the technician always matters a lot.
This method is also known as Partial Zona dissection.With the help of a pipette, the embryologist keeps the embryo steady. A micro-need is used to puncture through the zona pellucida to reach the shell for a bit and then come out the other end. After that, the space between the two punctures is softly rubbed until a small tear take place. But with this method, the control the size of the opening is bit difficult.
This technique involves using mouth controlled acid which is Tyrode on the external surface. Very small amounts of acid are applied to the zona pellucida until the shell is broken. Then the embryo is quickly washed to avoid the harmful effects of acid exposure.
Laser-assisted hatching offers more control on the size of the hole created than mechanical hatching with a needle. In this method, the Zona is pierced by using non-contact mode controlled by a computer. The special designed computer software enables more focus and measurement of embryos and find out a suitable position of embryos. For better performance three different laser intensities – low, medium and high are used.
This technique uses another technology something known as Piezo technology. It this technique vibratory movements are used to create a conical opening.
Assisted hatching by Pronase thinning of Zona pellucid:
In this technique, diluted solution of Pronase is used. The process is starts by transferring of embryos to Pronase diluted solution in the G2 medium. The main goal of this technique is to make thin ZP without removing it completely.
Of all the hatching methods, laser-assisted hatching may be considered as the safest and most effective. A Laser-assisted Hatching is more superior to chemical and manual hatching as it is a safe and gentle way to thin and weaken a small section of the zona pellucida which allow the embryo to hatch.It also offers many advantages including least handling of the embryo and giving fast and exact control over the entrance procedure. But chemical hatching is more commonly used hatching methods. The skill and experience level of the embryologist is an important factor responsible for the success of any methods.
Ectopic pregnancies are diagnosed by your doctor, who performed a pelvic exam to locate tenderness, pain or a mass in the abdomen. Your doctor will recommend an ultrasound examination to determine developing fetus in the uterus or elsewhere. The ultrasound can be performed using a wand-like device in your vagina early in pregnancy.It uses sound waves to create images of your fallopian tubes and uterus ovaries. A transvaginal ultrasound images allows your doctor to identify the exact location of your pregnancy. Abdominal ultrasound may also be used to confirm your problems with your pregnancy or evaluate for internal bleeding. The measurement of HCG (human chorionic gonadotropin) levels also plays an important role. The lower level of an hCG than expected is one of the primary reasons to suspect an Ectopic pregnancy. If your doctor confirms that you have an Ectopic pregnancy, she will recommend you about the best available treatment based on future plans for pregnancy and your present medical condition. Low levels of progesterone in your body could be a sign of an Ectopic pregnancy, so your doctor may also test your progesterone levels for diagnosing an Ectopic pregnancy. Apart from progesterone levels tests, your doctor may perform a culdocentesis, which is a process in which a needle is inserted into a space at the top of the vagina, in front of the rectum and behind the uterus. The sign of blood in this area may suggest bleeding from a ruptured fallopian tube.
Treatment of an Ectopic pregnancy depends on the physical health conditions of the woman and the size and location of the Ectopic pregnancy. The injection of methotrexate could be a treatment against early Ectopic pregnancy case as it stops the growth of the embryo.If the pregnancy is farther along, the fertilization of egg can’t able to develop and survive outside of the uterus. In such conditions the patient immediately needs a surgery to remove the abnormal pregnancy so the tissue has to be removed successfully to safe the patient having serious complications. Few years ago, this complication requires a major operation and requiring a large incision across the pelvic area. But this can still be necessary in cases of extensive internal injury or emergency. Your doctor can apply an injection of methotrexate (Trexall) if your pregnancy hasn’t progressed very far and fallopian tube hasn’t ruptured. It stops the cells from further growth and your body can be able to absorb them. Early detection of Ectopic pregnancies can be treated with methotrexate.If the condition worst and severe a surgery is required. The most common surgery is laparoscopy. In this surgery a very small incisions in your lower abdomen has been done and a thin, flexible instrument (laparoscope) has been inserted to remove the Ectopic pregnancy. If the condition of the fallopian tube is bad, the doctor recommends removing it as well. You might need an immediate emergency surgery with a larger incision, if you’re bleeding to a great extent or your doctor suspects your fallopian tube is ruptured. This condition is called laparotomy.