April 30 – Late Posting
I Know there is no updates from past 20 days and even the comments were not approved, there were too many things happening, My running behind banks to release the payments due to me, then my anniversary, the Baby Shower Function and to top all that the IPL, and top even that RCB doing good. I hardly found time to update this blog.
However will start updating starting from today. I also received couple of reviews on Hospitals, will upload that too, but after some time.
After a long time posting
Our Journey from Chickmagalur ( thanks to the anonymous to correct me here ) was pretty fine, on our way backed we stopped at Coffee Day outlet in the outskirts of Hassan ( I guess Hassan only ) Nice place to hangout, combined with Kamat Hotel and a Petrol Bunk, this place becomes an automatic stop to all those driving in that Highway.
I had Coffee while Vanitha had a Fruit Juice, we spent about 30 min there and again we left. This time I was travelling a bit slow but the journey seemed to be very long for me. I could not believe the way board which said Bangalore was XY Km away. Every time I see such board I would be like “ All that travelling and still come only this far??” Dunno why but Bangalore seemed to move further every 30 min.
I was constantly checking with Vanitha if she was fine but in between our Pregnant Lady had to put the car on halt, to Vomit. This time it was more convenient for both of us compared to the last time (….What an Painful return, she had NT Scan scheduled on 28th (already delayed by a week) and hence had to come back with me on 27th ( 26 th was Grahan and she did want to take the risk). She vomited about 4 times on 26th Eve and about 5 times from morning starting from right before we left till we reached home….. ). This time she stopped once and the complete lunch, breakfast had come out – n not to forget even that fruit juice. Was painful to watch her but apart from giving her an occasional pat on her back and to provide with napkin n water there was nothing I could do.
The eve turned to night and again most of them would not dim their lights while passing over. I further slowed down and allowed every car who were flashing headlights to overtake. By the time we reached Nelamangala it was almost 9 Pm.
This time we took the Nice Road back to our place. Even here we travelled relatively slowly and then the bustling traffic of Bannergatta Road before we finally reached home.
Home – what a relief. I entered the home and just went flat on bed and later found out that there was a pain on my right thigh – may be due to driving about 600 Km in a span of 36 Hrs, applied some pain relied medication and went Flat again 
I had to go Office tom morning.
We have our Consultation in about couple of days, this time we have just about couple of Q to ask.
In continuation to my previous post on this – Lengthier Post
….. WOW, It was some scene, I tried to count and I guess there were more than 150 people inside. Why? Was it the Speaker “Dr. Gayatri Kamath” or the Topic “The ‘expecting’ mother in labour – What to expect”? I guess the Topic…..”
Please Note : All information on this blog is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.
This was not how the session went on – but I have put this in a form of conversation for better understanding
What is Labour?
Labour refers to the chain of physiologic events that allow a fetus to undertake it`s journey from the uterus to the outside world
Why & When does Labour begins?
The exact Trigger is still not exactly known but usually it is :-
What is Hypothalamo-Pitituary Axis?
The Hypothalamo-Pituitary Axis is the unit formed by the hypothalamus and pituitary gland, which exerts control over many parts of the endocrine system. This unit functions by means of interaction of the nervous and endocrine systems.
What do you mean by Cervix?
The cervix (or neck of the uterus) is the lower, narrow portion of the uterus where it joins with the top end of the vagina. It is cylindrical or conical in shape and protrudes through the upper anterior vaginal wall.
When does Labour begin, the Normal Labour ?
For Normal Labour – Delivery period sets in and delivered between 37 weeks 41 weeks.
What is pre term Labour?
When when the Labour sets in after 28 weeks and delivered before 37 weeks it is knows as Pre Term Labour
What happens in Pre Term Labour – is the baby safe?
All the baby organs are formed except full development of lungs, a pre term born baby may need oxygen for some time till it can breathe with ease.
How do you identify your labour?
Difference between True Labour & false Labour??
|
True Labour |
False Labour |
| Contractions become stronger, longer and closer together | Contractions usually don’t get closer together or last longer |
| Contractions are Regular | Contractions are usually not regular |
| Cervix progressively effaces (shortens) and dilates (opens) | Cervix shows little or no dilation or effacement |
| Interval between Contractions are Pain Free | Pain lasts much longer and continuous |
| Pain not relieved by enema / sedation | Pain generally relieved by enema / sedation |
| Discomfort in back and abdomen | Discomfort usually only in lower abdomen |
| Walking increases intensity | Change in activity, either resting or moving around, may stop contractions |
| Contractions don’t go away after rest or activity | Position change may stop contractions |
What are the different stages of labour?
First Stage –
Latent Phase : "Yippy! I’m in labor!"
The uterus starts to contract or tighten regularly. The contractions gradually become more painful, Each woman has her own rhythm and pace of labour. Some may not even be aware of the very early contractions and are several centimeters dilated before they realize they’re in labour
What should I do in this stage?
Active Phase : "This is hard work."
Doctors say you are in active labour when your cervix has dilated, or opened, to six to eight centimeters. Your contractions will be getting stronger and more frequent. They’re also getting longer. Eventually they may be coming as frequently as every three to four minutes and lasting 60 to 90 seconds — and feel very tense indeed.
What should I do in this stage?
Second Stage – Actual Delivery
"I can push?"
Pushing usually feels better for most women. They have spent the first stage of labor relaxing and letting their body do all the work, now they can actually do something to help. This stage can last three or more hours, but for many women will not. The length of this stage is dependent upon the positioning of the mother (upright = faster), the positioning of the baby, whether medications have been used, etc. The contractions will usually space out a bit, going back to about four minutes apart. This stage ends with the birth of your baby!
This is the stage of labour when your womb pushes your baby down the vagina (sometimes called the birth canal) into the world and, at long last, you meet him or her for the first time.
What should I do in this stage?
Third Stage – Separation on Placenta
"I forgot the placenta!"
In the third stage, you deliver the placenta. After you are holding your beautiful baby, you may be asked to push again after some point, and you might be puzzled. Oh yes, the placenta! Don’t worry this one has no bones and is much easier to push out. Nursing your baby after he or she is born will help the uterus to contract and expel the placenta, but most come within an hour after birth, usually within a few minutes. Don’t worry about it, spend the time bonding with your new little one.
Fourth Stage – Watching for Bleed & Vital Parameters
"I asked for this?"
No real contractions to speak of, but postpartum is generally accepted as the fourth stage of labor. Your body is going through many changes now that the baby has been born the Doctors will check for any excessive Bleeding or other Imp/Vital changes in your body.
How long does this all stages take?
Please note that there is no cut-off period for duration of labour, your Doc is the best judge for the same.
What do I do when Labour begins??
What is C – Section Delivery?
A Caesarean section also known as C-section or Caesar, is a surgical procedure in which incisions are made through a mother’s abdomen and uterusto deliver one or more babies.
It is usually performed when a vaginal delivery would put the baby’s or mother’s life or health at risk, although in recent times it has been also performed upon request for childbirths that could otherwise have been natural
What are the Indications for Cesarean section?
Fetal Indications
Maternal Indications
What are other methods of Delivery?
Instrumental vaginal delivery
Episiotomy
It is an incision given to enlarge the outlet area to facilitate delivery. Required generally in primis with vaginal soft tissue dystocia or to facilitate forceps /vacuum delivery
When should Doc Intervene?
There was also discussion on the Epidural Anesthesia, Pregnancy Myths and some Q & A, the same will be posted later… already tired of posting this lengthy one 
, hope it is usefull to all
Resources & Details extracted from ( apart from Ante-Natal Classes ):-
April 25 – Late Posting
I got my car batteries repaired ( it had some problems ) and all set to leave to Chickmangalore via NICE Road. I had actually planned to leave early in morning to avoid the Traffic but office never stopped stalking me, I actually ended up leaving at 3;30.
Dam that traffic at Nelamangala – after driving in all that glory of 120 Km /hr on NICE road and then you come down to 20kmph, man it sucks.
I actually planned to eat one plate of Pani Poori at every village I pass by, had at Kunegal Starting, then in Mahatma Gandhi PUC College again in Kunegal and then one more in Aalapana Gudi, but it was getting late and did want to drive at night – so left that adventure midway with a promise to finish that some other time.
But I actually ended up driving at night – the Trucks and heavily lit vehicles who just do not want to dim their light, that makes driving a tedious job.
Anyway reached Chickmangalore ( yes kaku it is chickmangalore and not chickbangalore ) at 8:30 Pm and the first sight of Vanitha brought smile to both our faces , she had grown a lil fat I guess, it’s been nearly 20 days since I have seen her.
April 24 – late posting
None in our office knew that me and Vanitha were married, we had decided well in advance that we did want not reveal this with the staff or clients, we wanted to maintain utmost professionalism and did not want our relation to result in complacency. Infact in my Dad’s office I refer him as MD and never as dad.
We attended several meetings together ( the training phase for Vanitha ) and later she took up the responsibility of attending meetings and clearing the doubts of clients while I could concentrate on the Construction Business.
It was so funny that our staffs thought that I was having an affair with Vanitha he he – coz I never scolded her when she came to late to office, or hardly come and every time she comes it is with me and return back again with me and on top of that we also used to have lunch together.
But recently recd a mail from one of our client wishing us – one client now knows this secret of the relations we both share I guess side effects of the blog – nevertheless thanks for your wishes
April 23 – Late Posting
The day had come, and still could not trace my Voter’s ID card, searched my entire home and I found my Missing Passport and inside that was My Voter’s ID Card .
With my car not working I took an auto and went to the same place where I got my Election ID done ( that is near my Dad’s home ) and my Part ( 125) was not there, so taking direction from there I reached two more school and then finally reached the school where I had to caste my Vote.
Once I pressed that Blue button, for the first time I felt I was part of India and the Buzzer sound confirmed it. It was an amazing feeling and I’m sure all you guys felt the same when you did it.
I voted for Capt. Gopinath, many of them said that he may be good but their reasoning was that they voted for the party whom they wanted to have a stake in the Centre, I was of the opinion that if we continue to do the same when will candidates who deserve the vote will ever get a chance to Lead?? and I believe If he wins he will make the Govt Accountable at least his constituency.
After the voting I though of searching the Main Road coz I had no idea where I landed up. But for my surprise it was exactly behind my Dad’s home. I never knew such a school existed, went to his home but he had gone out with his family, so took the long auto back to my home:(
I’m leaving to bring back Vanitha from Chickmangalore – a nice 4.5 Hrs of Travel on ma swift – but before that need to repair the car and make it long journey ready
Had a meeting with my Land Lord and ‘My Car Gave Hath’ I know I sound like Chamrajpet Charles but that is exactly what happen. I could not miss the meeting and so decided to take an auto to Hosur Road.
Was seeing some sort of Traffic until I realized what’s in store for me ahead. It was an election Campaign. But how can they block the entire road?? what about the other travelers?? what if there was an ambulance waiting??
Poor Cops were trying their best to control the almost standstill traffic, infact many of the campaign supporters with two wheelers never wore helmets and also travelled triples but still cops did not do anything
I was sort of disturbed, a) these guys are seen in real only during Elections, b) What If I had to take Vanitha for an emergency?? even if the cops wanted to help me, it would not have been possible. How do you ask about the people who cause such Traffic Jams to help the State get rid of them?
Wondering where are all the Pregnancy Topics?, Vanitha is not here, just wait for couple of days and then I should be able to blog as used to ..
April 20 – Late Posting
I know my last update on the 11th Ante Natal Class is still pending. Actually I had written all the details in my Consumer Marketing Book ( I was carrying that since I was also studying ), and as always typical of guys – we throw the books once the exam is over. Basically not able to locate that book – but will that shortly and post the details.
Received a mail from Aparna from Wockhardt regarding the next Ante-Natal Classes, the details were as follows :-
This was a repeat so I will not consider this as an Ante-Natal Class – Guys if you have nice info on the Stem Cell Banking please do share – I’m still confused
However the next class details are as follows :-
I will be leaving to Chickmangalore to bring the Pregnant Lady back – so will not be able to attend it 
, hope some one will makes notes coz Iam sure there will be lot of interactions on this particular topic
April 19 – Late Posting
Out of the Two Orthodontist I sent the mails, I got a reply from one of them Dr. Tradip Jayapal (I don’t reveal names of the Doc until I’m comfortable with them). The time he told me to call I was busy and when I was free he was busy. So we decided to have a phone conversation at around 9:30 PM.
First when I spoke to him he was eating while talking, I was like… either he is very casual and free with his patients ( which is good and I like that ) or he is ……. Anyways I have to admit he was very friendly & casual, he called me back after his dinner and we spoke for more than an hour ( ripping him of all that STD Call Charges ).
He did say that if the reference has come from Dr. Grayson himself it is nothing short of an “EGO TRIP” but also said that expecting the mother and the child to travel all the way to Calicut would be a sin. ( I liked his honest approach ). He said that there is a guy in Bangalore who also does NAM – Dr. Tardib met him while presenting a paper in Pondicherry and also gave me the name, but did not have any email or contact No.
He also spoke in great extent sharing his views on the Old School of Thought of many Plastic Surgeons who think NAM is not required – as they are used to perform from so many years without NAM.
He kept on repeating that it was not a big deal and told to console Vanitha. But Doc also pointed out that speech therapist is very much required from the beginning and also the Dentist as Teeth and Speech are the most affected which cannot be exactly corrected by Cosmetic Surgeries.
When asked about the Difference of NAM Device in India & Abroad, he said that the materials used would be different, NAM is still not commercial in India and does not have the advancement of materials used as in Abroad. Simple things like the 3M Tape is used abroad while it is not available here in India. I think that can be bought from there.
On a closing note he told me to make sure to choose a Plastic Surgeon wisely as :-
He referred a Plastic Surgeon whom he knows and does these Cleft surgery and made it clear that it was his opinion on the Surgeon and that does not mean he can do 100 % perfect job or that others are not as good as him.
Anyways will now search for the Doc in Bangalore who does this NAM, Dr Tardib did give me another Doc phone no who can help me contacting the Orthodontist in Bangalore. Iam not rushing into things, will discuss this NAM with Vanitha and then jointly meet the Doc.
I really appreciate the extended Co-operation given by Dr. Tardib Jayapal and sharing with me so many insights and also referring a Doc in Bangalore who does NAM, I could not have asked for anything more, Thank You Again Dr. Tardib.
Vanitha does not know what NAM is and is very skeptical about it, anyhow she will back in a while then will giver her one proper presentation on this NAM Device
April 18 – Late Postings
I had sent NYU – Dr Maroutsis, Margy the Co-ordinater for Dr. Grayson (Pioneer of NAM Device) asking them if they have trained anyone in India who specializes in NAM. They asked me for couple of days and then sent a Mail.
Dr. Margy said that their Faculty responded to the query and replied that they have thought the NAM course in India – The Two Orthodontist names and emails were shared. One was Dr. TJ from Calicut Kerala and Dr. A/R from Chennai, Tamil Nadu.
What a relief – I was actually planning and being mentally prepared to Travel to USA or UK . The worst part is that My Passport is lost – I know it sounds really juvenile. It is one of those things that to protect it you keep it in a really safe place but so safe that even you cannot figure it out later .
But – I have only the name and Emails ID – nothing else – no other information. However I thanked NYU for their extended support and sent mail to both of them and eagerly waiting for their response.
