Case Studies
A 30 year old lady pregnant for the second time was following up with me. She had a traumatic experience in her first labour as she had an instrumental delivery followed by heavy bleeding and a deep episiotomy which took more than a month to heal.
She was apprehensive about the painful experience of labor and post-delivery discomfort. Pain relief methods in labor were discussed with her and she did not want any medical intervention like epidural analgesia.
She was offered the option of laboring under water. Since this form of delivery is not usual in India she was initially apprehensive about it. She was explained about the benefits of water birth which included faster labour, lesser pain, improved relaxation, decreased anxiety and lesser need of episiotomy.
She was advised, during pregnancy, to follow a healthy diet and exercise regime and adequate weight gain to avoid complications
Since she fulfilled all the selection criteria for water birth she was encouraged to go for the same.
She came to the hospital with spontaneous rupture of membranes at term and was having regular contractions. She entered the pool once in active labor and delivered within an hour without the need of an episiotomy comfortably. She was grateful for her wonderful experience.
About Dr Astha Dayal
Dr Astha Dayal is a renowned Gynaecologist working as a Senior Consultant in CK Birla Hospital for Women, Gurgaon, specializing in medical and surgical management of women’s health. She has a special interest in managing high-risk pregnancy. She is a highly progressive and well-read and has published extensively in national and international indexed journals.
She has worked previously in Medanta Medcity, Artemis, MAMC, over the past 20 years of her illustrious career and has many publications in national and international medical journals to her name
Dr. Astha has completed her MD/MBBS from Maulana Azad Medical College, New Delhi with multiple distinctions. She won the CL Jhaveri Award for best presentation in All India Congress of Obstetrics and Gynecology and was awarded the Best Thesis in Gynecology and Obstetrics.
Dr Astha is also an active member of the Royal College of Obstetricians and Gynaecologists (RCOG), London (UK). She is also associated with the World Association of Laparoscopic Surgeons (WALS).
She has had a number of firsts to her name the latest of them is the first successful water birth delivery in Gurugram.
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Advise to young gynecologists
I meet a number of bright gynecologists and these are my top 5 advice to them
- As gynecologists, we meet women in their most vulnerable situations and it’s important to be empathetic to them.
- You will find yourself in high pressure situations early up in your career and you should keep your cool while in stressful situations
- Your job as a gynecologist gives you an opportunity to just not cure a patients immediate illness but to provide them with holistic advise on how they can lead a more healthy and happy life
- While it is important to keep yourself up to date with new advances, it is equally important to document and research your own experiences to create evidences that help other medical practitioners.
- Have fun