Transcript
0:00 [Music] so let's talk about contraception for new women right now right so for new moms what are the options available see the contraception to me is something which one the woman or the couple should take it as as a responsibility the problem is not that they are not aware of contraceptives the problem is they are inhibited to use them so
0:31 you know there's a lot of awareness needed to break these myths about contraception there are many contraceptions available and for new moms the one of the best contraception available is in form of a intrauterine property that's dying try uterine device you know because the new bombs the challenge is that you have to take care of the newborn you have to take care of yourself you have to take care of the household as well as work and
1:00 contraception then takes a back seat so if there's something which is there which is taking care of itself on its own then you really don't have to bother first of all uh for the new moms uh pills cannot be started in the first six months the usual pills the combined contraception pills cannot be started in the first six months because it affects the quality and the quantity of the milk so it it needs to be started at least six months
1:29 later in these six months they can start the single dose pill or in four weeks after delivery they can just insert a property forget about it for the next three years so since you've mentioned copper t what is copper t and is it safe yeah so copper t is a very age old contraceptive it's in form of a very small device and it goes into the uterus into the womb
2:00 and it basically makes the environment unfriendly for um a baby to grow there are simple properties there are hormonal uh loops also available hormonal loops of course are much better in contraception ah simple properties are also good in contraception they are for three years five years ten years so as long as you want to in half the gap or have an interval these are fantastic long acting contraception available so what's the
2:31 most popular contraceptive used by moms pills six months later but properties are of course different definitely a better option especially with the hormonal loop which has come out which is also taking care of the menstrual blood because you bleed very less does it really cause mood swings and is it safe and available start pills and it's a hormone because the hormones the hormones in the pills are the hormones which are already
3:02 in your body okay so it's not that it's going to completely be different in your body but of course it has to because it is given in a dose which the body is not used to so it takes a little time to get adjusted during that time you might have some side effects like you know the mood swings slowly over a period of time let's say two three months of continuous usage these all go to town
3:29 okay is it a viable option or would you still suggest copper tea for everybody i would prefer that's my first recommendation the copper t or the hormonal loop the hormonal loop is the my first preference second is capital third is the pill okay the problem with the pill for the new moms you are talking about new moms right it has to be taken every day at the same time correct okay so for a new mom the challenge of
3:56 remembering that and keeping a track of it correct correct so we have uh hormonal rings available now so that can be changed in once in three weeks uh that's also a viable option what are the exercises new moms need to do right after the surgery to bounce back to health i feel exercise should start right as soon as you get pregnant so it continues after that because fitness cannot start suddenly after
4:26 you give birth and you have already you know gained too much weight and things like that so it needs to be uh started it it it needs to start from early pregnancy and it needs to be continued the trick is to start gradually and slowly build up your exercise levels to the levels where you are initially what are kegels like you mentioned right now it's one of the things that you should do but what are
4:56 they kegels are basically to strengthen the muscles which support the womb the intestines the bladder the water bag and the stool back so during a delivery or during even a pregnancy it's not a normal delivery even after cesarean uh the uh pelvic floor muscles which support these vital organs become loose so it's the pregnancy itself which makes them lose correct so in that case you need to do
5:28 some exercise to contract those muscles and relax there's a definite technique how you do it so one should go to the health care provider and ask for that particular technique it's that's not um to be done to relax and contract it's not that you have to contract those particular muscles there's a way of identifying those muscles and then contract hold on for about 10 seconds and slowly release it extended the muscles
5:59 and it keeps the wound and the water bag in position otherwise what we end up in having is something which we called as a prolapse um that the womb comes comes down water comes down there has to be a difference between a woman who's getting pregnant at 25 and at 35 so the first pregnancy i'm talking about of course right and uh by the age of 35 there are certain gynecological things that come into
6:30 being which was not at 25. for example fibroids so fibroids are benign growths in the tumor in the walls of the womb which are as i said essentially benign they are not like malignant tumor they're not cancerous uh tumors but they and they're very common like 25 out of 100 women will have it of course and post 30s it's more common so by the age of 35 37 you see more women with
7:00 fibroids wanting to get pregnant fibroids affect chances of having a baby fibroids per se does not really matter correct until and unless they are in a place which can interfere with the implantation that is hooking up the baby with the in the lining of the womb so suppose it's a big fibroid in the lining of the womb and it's occupying the whole space so there's no place for the baby correct come and get hoot that's one uh
7:31 sometimes very big fibroids can interfere otherwise small asymptomatic fibroids usually don't interfere what are the symptoms of fibroids common symptoms that even know fibroids the most common symptom is heavy bleeding and there can also be pressure symptoms if they are very big you can you know one can have pressure symptoms of going frequently to the low urine and also there can be a
8:01 dull ache in the lower tummy but most of the fibroids are detected incidentally incidentally when they are doing a sonography for something else they are detected what are the typical reasons of not being able to conceive age nowadays the stress of life of course has tremendous influence on the couple and of course environmental toxins have
8:33 you know added on to the ovarian function and the ovaries age much faster than indian women so if you see a american women conceiving or a nigerian woman conceiving easily at 49 easily at 44 or 45 it's not that same but indeed within in women there are infections there are male factors there are hormonal imbalances like pcos which is a
9:04 major contributing factor for infertility for for not conceived
Summary
- New moms should consider long-acting contraceptives like IUDs or hormonal loops, which require less daily management.
- Combined contraceptive pills are not recommended during the first six months postpartum due to potential effects on breast milk.
- Copper T is an effective, long-standing contraceptive option that creates an unfavorable environment for pregnancy in the uterus.
- Hormonal loops can reduce menstrual bleeding and may be preferable for many women.
- Kegel exercises are recommended to strengthen pelvic floor muscles post-delivery, helping prevent issues like prolapse.
- Age and health factors, such as fibroids, can impact fertility, with older women facing increased risks.
- Common symptoms of fibroids include heavy bleeding and pressure symptoms, though many are asymptomatic and discovered incidentally.
- Lifestyle factors, stress, and environmental toxins can contribute to infertility, particularly in women.