Gynae Care With Dr Pragya

Gynae Care With Dr Pragya Empowering Women Health
Expert in PCOS, Period Problems, Infertility & CosGyn

22/05/2026

Every pregnancy journey teaches us something important . Sometimes, despite everything looking perfect for a normal delivery, labour can still take an unexpected turn.

This beautiful couple had prepared themselves mentally and physically for a normal delivery. The pregnancy was progressing well and all signs were favourable. But during labour, the mother was unable to tolerate the pain and we collectively decided to go ahead with a Cesarean section for the safety and comfort of both mother and baby.

What stood out during this journey was the husband’s perspective as a yoga instructor. He spoke about how modern lifestyles, stress, reduced physical activity and inadequate nutrition are affecting women’s stamina and overall pregnancy health today.

And this is something we must reflect upon.

Pregnancy is about months of nourishment, movement, emotional support and preparation.

Today, the couple is blessed with a healthy baby girl and is stepping into a beautiful phase of parenthood.

19/05/2026

Breastfeeding is natural, but proper latching is something many new parents need guidance with.

In this session, we discussed some very important basics of feeding a newborn correctly.

A good latch means:

- The baby’s chin should touch the breast.
- The nose should remain free for breathing.
- The baby should take a large part of the ar**la into the mouth, not just the ni**le.

Many babies fall asleep while feeding, especially in the first few weeks. Mothers should gently stimulate the baby by touching the feet, cheeks or back so the feeding continues properly.
Ideally, one feeding session should last around 30–45 minutes. Do not switch breasts too quickly. Let the baby empty one breast properly before moving to the other side.

Why is this important?

Because the thicker hindmilk that comes later during feeding is rich in nutrients and healthy fats that are extremely important for the baby’s growth, weight gain and brain development.

Breastfeeding is about bonding, immunity, nourishment and reassurance for both mother and child.

15/05/2026

Many women avoid bathing after a C-section because of the fear that the stitches may get damaged or infected. But the truth is quite the opposite.

In this reel, during stitch removal, I noticed that the stitch area was not properly cleaned and even the tape marks were still present. On asking, the patient shared that she had avoided bathing altogether out of fear.

After a Cesarean delivery, maintaining hygiene is extremely important. The stitch area should be gently cleaned with soap and water and kept dry and clean. Poor hygiene can increase the risk of infection, sweating, itching and delayed healing.

It is also important to wear loose, breathable cotton clothes or gowns so that the area remains dry and comfortable.

Recovery after delivery is not just about medicines. Your body needs proper nutrition, balanced meals rich in protein and iron, adequate hydration, gentle movement and activity. Complete bed rest is not advised. Stay active, but avoid overexertion initially.

Small steps in postpartum care can make recovery smoother, safer and much more comfortable.

12/05/2026

Breast heaviness, pain and tightness after delivery are very common, especially in the first few weeks postpartum. But many mothers silently tolerate it without understanding the reason.

In this case, the mother was just 13 days post delivery and her breasts were extremely full and painful due to milk engorgement. When the breast remains overly filled with milk, it can lead to pain, fever, blocked ducts and sometimes even breast abscess formation if ignored.
The solution is not to stop feeding. In fact, frequent breastfeeding is the most important relief.

If the baby is unable to empty the breast completely, excess milk should be expressed manually or with a pump. Proper breast support with a comfortable bra also helps reduce discomfort and milk congestion.

Another important issue we discussed was diet. Many new mothers are incorrectly advised to survive only on khichdi or very restricted food after delivery. This weakens recovery, especially after blood loss during childbirth.

After delivery, the body needs:
- Green vegetables
- Fruits
- Protein-rich food
- Adequate fluids
- Milk and balanced home-cooked meals

There is no need to unnecessarily starve or follow extreme food restrictions. Just avoid excess oily and heavy foods initially.

08/05/2026

Many young girls and women come to the clinic worried after feeling a small lump in the breast. In many cases, this lump turns out to be a fibroadenoma, commonly called a “breast mouse” because it feels smooth and mobile under the skin.

A fibroadenoma is a benign (non-cancerous) breast lump made up of fibrous and glandular tissue. It is most commonly seen in adolescent girls and young women, especially before pregnancy, because this phase of life involves significant hormonal fluctuations, particularly estrogen-related changes.

How is it detected?
- Clinical breast examination
- Ultrasound
- Mammography in selected cases

The reassuring part is that most fibroadenomas are harmless. Their size may increase or decrease with hormonal changes and many can even disappear on their own over time.

If the lump is large, painful or causing anxiety to the patient, it can be surgically removed. In some cases, a core needle biopsy may be advised to confirm that there are no suspicious or cancerous changes.

It is also important to know the warning signs that need immediate medical attention. Malignant breast lumps are more likely to be:
- Hard and immovable
- Associated with redness or skin dimpling
- Painful in some cases
- Associated with symptoms like unexplained weight loss, fatigue or hair fall

Not every breast lump is cancer. But every persistent lump deserves proper evaluation.
Awareness and timely examination are the key to reassurance and early detection.

05/05/2026

“Doctor, my wife is 7 months pregnant and her report says low amniotic fluid… is the baby safe?”

Low amniotic fluid, also called oligohydramnios, can be concerning but the first step is not panic, it is proper evaluation.

There can be multiple reasons behind low fluid levels such as:
- Blood pressure issues
- Increased sugar levels
- Conditions like cholestasis
- Placental blood flow concerns

So before jumping to conclusions, we need to identify the root cause.

Think of the baby in the womb like a fish in water. Amniotic fluid is essential for movement, nutrition, cushioning and even for supporting labour. When the levels are very low, like in this case (around 3 cm), it needs close monitoring.

At this stage, our focus is on:
- Monitoring baby’s heartbeat through NST
- Checking blood flow with Doppler studies
- Supporting lung maturity with steroid injections (Dexa) as the baby is still preterm
- Starting medications like Ecosprin and Sildenafil, which may help improve placental circulation and fluid levels
- Treating the underlying cause once identified

It is also important to understand that normal delivery may not be possible if fluid levels remain low, and the priority always is the safety of the mother and baby.

If at any point we feel that the baby’s well-being is compromised, we may need to plan an early delivery.

Right monitoring, timely decisions and proper guidance can make all the difference in such situations.

01/05/2026

Breast pain, also called mastalgia, is a very common concern among women and in most cases, it is not serious.

What is mastalgia?
It simply means pain or discomfort in the breast. It can vary from mild heaviness to sharp or burning pain.

Types of breast pain:
- Cyclic mastalgia: linked to the menstrual cycle. Usually occurs before periods due to hormonal changes and settles once periods begin.
- Non-cyclic mastalgia: not related to periods. It can be constant or occasional and may need evaluation.

Who can experience it?
- Young girls and women during reproductive age
- Before or during periods
- During pregnancy
- Postpartum and breastfeeding mothers due to engorgement, milk stasis or infection
- Perimenopausal women
- Women with hormonal fluctuations or certain medications

Sometimes, what feels like breast pain may not actually be from the breast. It could be due to:
- Muscle strain
- Rib or chest wall injury
- Poor posture

What can help?
- Proper breast support with a well-fitted bra
- Warm compress
- Simple pain relievers when required
- Treating the underlying cause if identified

Most breast pain is harmless, but if you notice a lump, redness, discharge or persistent pain, do consult your doctor.

28/04/2026

Katyayani Singh came to us with preeclampsia and gestational diabetes, conditions that require very close monitoring and timely decisions. Considering the risks, a C-section was planned. The most important outcome - a healthy mother and a healthy baby, with no NICU stay required.

What truly makes a difference in such journeys is not just treatment, but constant support and trust. Katyayani shares how being able to reach out anytime over calls or messages gave her reassurance throughout. And yes, sometimes I had to be a little strict too because following instructions is just as important as the treatment itself.

Pregnancy is not just about medical care. It is about feeling heard, supported and guided at every step.

Stories like these remind us that with the right care, even high-risk pregnancies can have beautiful outcomes.


'Ovarian cyst' on your report can sound scary, but the truth is, most cysts are common and not harmful.An ovarian cyst i...
24/04/2026

'Ovarian cyst' on your report can sound scary, but the truth is, most cysts are common and not harmful.

An ovarian cyst is simply a fluid-filled sac in or on the o***y. In many cases, these are functional cysts, which form as a part of the normal menstrual cycle and often resolve on their own within a few months.

There are other types of cysts like dermoid cysts, endometriotic cysts or cystadenomas that may need closer monitoring or treatment. But again, not every cyst means a serious problem.

What matters is understanding which type of cyst it is and whether it is causing symptoms.

Watch out for signs like persistent or severe pain, sudden abdominal discomfort, irregular periods, bloating or increase in size. These need medical attention.

The most important takeaway:
Do not panic after reading your ultrasound report. Right evaluation and follow-up are key.
Because in most cases, ovarian cysts are manageable and often harmless.

21/04/2026

Breast health is not something to think about only later in life. It starts with awareness from your 20s.

A breast self examination is a simple habit that helps you understand what is normal for your body, so that you can detect any unusual change early. Many women first notice a lump themselves, which is why awareness matters.
When should you do it?

The best time is just after your periods are over, around 3 to 7 days, when the breasts are least tender and easier to examine. Make it a monthly habit.

How to do it?
• Look in front of a mirror
Check for any change in size, shape, skin dimpling, redness or ni**le changes
• Feel using your fingers. Use the pads of your fingers in small circular motions. Cover the entire breast, including the underarm area. Use light to deep pressure to feel all layers of tissue

Why is it important?
Because early detection can make a significant difference.
Knowing what is normal for you helps you notice:
• Lumps or thickening
• Skin changes or dimpling
• Ni**le discharge or inversion

Not every change is cancer, but every change needs attention.

Also remember, self examination does not replace clinical check ups or screening tests. It is the first step of awareness.

Start early. Stay aware.
Your body often gives signals, you just need to listen.

18/04/2026

“Ma’am, my periods come once in 2–3 months… do I have PCOD?”

This is a very common concern in teenage girls, and often leads to unnecessary panic.

In this case, the patient is just 17 years old and it has been only one year since her first period.

This is a very early phase where the body’s hormonal system, called the hypothalamic-pituitary-ovarian axis, is still maturing. Irregular periods during this time can be completely normal.

An ultrasound may show Polycystic Ovarian Morphology (PCOM), but that is not the same as PCOD/PCOS. In many young girls, this can settle on its own over the next couple of years.
The key message here is:

Do not rush into hormonal treatments too early.
Unnecessary hormonal pills at this stage can actually disturb the natural hormonal balance.

Instead, the focus should be on:
• Correcting low hemoglobin
• Maintaining a nutritious diet
• Staying physically active
• Avoiding excess junk, spicy and sour foods

The first 2–3 years after the onset of periods are crucial. With the right lifestyle and patience, the cycle often regularizes naturally.

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Lucknow
226002

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