Tuesday, 17 September 2013

Testimonial

It gives an immense pleasure to read testimonies by my patients. It just boosts our morale more to do good work.

Here’s another beautiful message by my patient-

Words become less when, emotions are profuse, same views of mine for Dr. Shobha Gupta and her Mother's Lap IVF Centre team. As a doctor she is very knowledgeable and skilled, as a person she is very sweet, humble, spiritual and down to earth. We consulted her in September 2010 when she advised us meditation classes for removing physical and mental stresses which we were facing for last 10 years to have a child. Then, after next month she started needful investigation and relevant treatment accordingly.

Dr. MK Bharti with his wife and kid

In December she did IUI, and by her clinical expertise in field of infertility made my wife pregnant in very 1st chance. We are so much obliged and thankful to her that there are no suitable words for this expression. We are wishing her every success and our firm belief that she and her team of "Mothers Lap IVF Center" will be on top in Delhi and NCR.


Well done, Mother’s Lap team!!!

Lots of Love,
DR M K BHARTI
DEPARTMENT OF RADIOTHERAPY
Pt.B.D.Sharma University of Health Sciences 
Rohtak, Haryana-124001

Thank You Mrs and Mr. Bharti for your endearing words. Lovely family picture.

About the MOTHERS LAP IVF CENTRE
The Mothers Lap is a world class advanced fertility, IVF and Surrogacy centre based in Pitampura, New Delhi. This Center is the brightest ray of hope for all those couples who have been trying for years to conceive. The clinic provides the treatment to childless couples, also provides treatment for male and female infertility, diagnosis, counseling and many more under one roof. Mothers Lap gets all the investigations done; provide 4D Doppler studies, as well as all the drugs and injections are provided.

Dr. Shobha Gupta is the managing director of Mothers Lap IVF centre (MBBS (LHMC) DGO (MAMC), MD in OBS & Gynae, Trained in ART under Justus Leibig University (Germany), Member of FOGSI, AOGD, IFS, IMA).  Mother's lap IVF center is dedicated to every aspect of infertility treatment to help the patients to achieve pregnancy in the shortest possible time. 

Contact Mothers Lap IVF Centre for Surrogacy, Infertility treatments, Egg donation, Test Tube baby, IUI, ICSI and Freezing embryos.

Dr. Shobha Gupta


Monday, 9 September 2013

Soothing words from our patient


“A doctor is someone who listens to your problems, makes it their own and looks after you till you get well.”


Here’s sharing a beautiful message by my patient.

Dear Dr. Shobha,

The attention given to us, regarding timely answers, the methodology (the fact you use more than one surrogate increases chances of pregnancy) and the cost was reasonable. We always felt more than just a “client”, the treatment was always very professional and sensitive, making us feel comfortable, understood and supported. We would be happy to make reference to your services to other couples in similar situation.

We also want to express our thanks and appreciation for the wonderful treatment and care you all showed to us following Bernardo’s birth. You demonstrated your total commitment into caring for Bernardo, and also gave us the support and encouragement we needed to take my first steps as new born parents!

Thank you for all support in Delhi and for being always there during those incredible days of our lives - not only medical but also administrative and bureaucratic.

Thanks to you all; without your help, our dream would not have been possible - so you can imagine how grateful we are. Now our family is complete! We cannot thank you enough.

Mrs and Mr. Paulo Amaral from Portugal
I remember, when we contacted you for the first time, we were looking forward to a long-held dream: to have a second child. Nine months later, you gave us a wonderful gift, so precious and sweet! Bernardo, born in Delhi on May 3rd, is healthy and beautiful boy, growing well every day.

We deeply thank Mother’s Lap team; you have done an amazing job. We’d like to particularly thank Dr. Gupta and Dr. Raj for their medical expertise. These were members of the team whom we saw on a daily basis and whom we became particularly close to during our stay in India. Besides the medical miracle, your support during the past 9 months was very much-appreciated. So, we’d also like to thank all the other people (nurses and support staff) who all played such an important part in Bernardo’s beginning!

Thank you all once again for all your care and support.



Well done, Mother’s Lap team!!!

Lots of Love,
Mr and Mrs Paulo Amaral, Portugal

Thank You Mrs and Mr. Paulo for your sweet words. Your baby looks super cute in the pic.

About the MOTHER'S LAP IVF CENTRE
The Mother's Lap is a world class advanced fertility, IVF and Surrogacy centre based in Pitampura, New Delhi. This Center is the brightest ray of hope for all those couples who have been trying for years to conceive. The clinic provides the treatment to childless couples, also provides treatment for male and female infertility, diagnosis, counseling and many more under one roof. Mother's Lap gets all the investigations done; provide 4D Doppler studies, as well as all the drugs and injections are provided.

Dr. Shobha Gupta is the managing director of Mother's Lap IVF centre (MBBS (LHMC) DGO (MAMC), MD in OBS & Gynae, Trained in ART under Justus Leibig University (Germany), Member of FOGSI, AOGD, IFS, IMA).  Mother's lap IVF center is dedicated to every aspect of infertility treatment to help the patients to achieve pregnancy in the shortest possible time. 

Contact Mother's Lap IVF Centre for Surrogacy, Infertility treatments, Egg donation, Test Tube baby, IUI, ICSI and Freezing embryos.




Tuesday, 3 September 2013

Tips for IVF success rate


 By Dr. Shobha Gupta

Very important tips if taken in a proper manner can help triples the chances of success for couples undergoing IVF treatment

Foods for fertility
  • Avoid vegetables like bittergourd, spinach, methi as they have hot properties which can terminate your pregnancy.
  • Do not consume chicken or fish for first three months.
  • Take more Pulses in your diet as they are low fat, high in fibre, with no cholesterol, low glycemic index, high in protein and nutrients.
  • Reduce or eliminate caffeine like coffee, tea, chocolate, colas or alcohol.
  • Vitamin C is very important to women undergoing IVF as it significantly increases the pregnancy rate; Tomatoes provide an excellent amount of Vitamin C and E, They are also rich in anti-oxidants.
  • Protein in your diet is very important for your fertility as it helps to maintain blood sugar balance also. Include more salads and fruits in your diet

Stay Healthy..!!


Dr. Shobha Gupta

Thursday, 22 August 2013

Watch out unwanted hairs and extra weight around your waist

It could be Poly-Cystic Ovarian Syndrome

By Dr. Shobha Gupta

  • Women with infrequent menstrual periods, increased growth of hair on face, chest, stomach etc are likely to have PCOS
  • Life style management and weight management can help manage PCOS
  • IVF specialist is of utmost importance in controlling this syndrome in order to achieve pregnancy

PCOS
The Pleasure of mother hood and bringing a new life into existence is undoubtedly the greatest blessing to every woman.  Every mother trained their daughters in teens to beware of Polycystic Ovarian Syndrome which could get in the way of a pregnancy. Poly-Cystic Ovarian Syndrome (PCOS) is the most common total body endocrine disease that affects women of reproductive age from puberty to menopause. It affects approximately 10% of women in the reproductive age group.

Both males and females produce hormones called androgens, referred to as male hormones, which play a role in sexual functioning of the body. In girls with PCOS, the ovaries produce higher levels of androgens than normal, and this interferes with egg development and release. Some of the eggs develop into cysts which are little sacs filled with liquid and instead of being released during ovulation, these cysts build up in the ovaries and even get enlarged , hence the main polycystic ovaries or Poly-Cystic Ovarian Syndrome.

Women with infrequent menstrual periods or irregular bleeding are likely to have PCOS. Increased growth of hair on the face, chest, stomach, back, thumbs, or toes acne, oily skin, or dandruff may be some of the signs associated with PCOS. Infertility or inabilities to get pregnant because of not ovulating, weight gain or obesity, usually carrying extra weight around the waist are part of the Poly-Cystic Ovarian Syndrome.

Early diagnosis is very important; Infertility specialist is of utmost importance in controlling this syndrome. Most of these patients need help from an infertility/ IVF specialist in order to achieve pregnancy or regularize their periods.

If PCOS is not diagnosed early and treated properly it can lead to problems like type 2 diabetes , high cholesterol, high blood pressure, abnormal bleeding from the uterus, and very occasionally cancer too. The most important step is screening the condition and PCOS can be easily diagnosed through Blood tests and Ultrasound and therefore the chances of having serious side effects are reduced.

Fortunately today PCOS can be treated using various medications and other techniques like weight loss and exercise. These are very effective in lessening many of the health conditions associated with this disease, such as high blood pressure and diabetes. Apart from this medications are also available which counter the effects of excess androgens in a woman’s body.

Below are the methods commonly used to treat PCOS:

Life style management and weight optimization - Maintaining a healthy weight is another way women can help manage PCOS. Since obesity is common with PCOS, a healthy diet and physical activity help maintain a healthy weight. Even loss of 10% of body weight can help make a woman's cycle more regular and increase the chances of ovulation by 25%.

Birth control pills - For women who don’t want to become pregnant, birth control pills can regulate menstrual cycles, reduce male hormone levels, and help to clear acne.

Fertility Medications - The main fertility problem for women with PCOS is the lack of ovulation. Clomiphene (pills) and Gonadotropins (injectables) can be used to stimulate the ovary to ovulate. IVF is sometimes recommended to control the chance of having triplets or more. Metformin can be taken with fertility medications and helps to make PCOS women ovulate on lower doses of medication.

Medicine for increased hair growth - If a woman is not trying to get pregnant there are some other medicines that may reduce hair growth. Spironolactone is a blood pressure medicine that has been shown to decrease the testosterone effect on hair. Cyproterone acetate, is another medication that blocks this effect. Both of these medicines can affect the development of a male fetus and should not be taken if pregnancy is possible. Other non-medical treatments such as electrolysis or laser hair removal are effective at getting rid of hair. A woman with PCOS can also take hormonal treatment to keep new hair from growing.

Surgery - Although it is not recommended as the first course of treatment, surgery called ovarian drilling is available to induce ovulation. This is done via laparoscopy or key-hole surgery. The ovaries are punctured with a small needle carrying an electric current or using laser to voluntarily breech the ovarian capsule. This surgery can lower male hormone levels and help with ovulation.

Dr. Shobha Gupta

Saturday, 10 August 2013

Some Frequently Asked Questions - FAQs

By Dr. Shobha Gupta

There are various issues and questions that came to our mind whenever we go for treatments like IVF, Surrogacy, ICSI etc. or even when you are unable to conceive then there are numerous questions which arises. Here are few:

Q.1 What is the success rate for IVF?
Ans. Success rate vary between 40 - 60% in IVF. Success rate depends on centre to centre from where the patient is taking the treatment and is more individualized depends on cause of infertility. Here at the Mothers Lap we have delivered 60% success rate which is still sustained and maintained.

Q.2 What should one expect from the IVF treatment?
Ans.  IVF is the combination of female’s egg and a male’s sperm and implanting the resulting embryos in woman’s uterus. IVF is more costly and persistent than other treatments but can be successful if other options fail. Try to relax and be positive throughout the process.

Q.3 What's the time taken to conceive and approximate cost?
Ans.  10 to 15 days for injection and after 2 or 3 days we do embryo transfer and then pregnancy test. So it takes roughly around 4 to 6 weeks. Cost for IVF is around 1.2 Lakhs to 1.7 Lakhs; but again it depends on centre to centre.

Q.4 What are the Precautions for late pregnancies?
Ans.  If a lady is pregnant in the late ages then she needs extra care as it is always risky to conceive after certain age.
She should be registered for close monitoring with a Gynecologist as risk of miscarriages is high, chances of growth restricted baby is also there. Ultrasound should be done regularly and she should be regularly monitored with blood pressure and blood sugar checkups too in 28th, 32nd and 36th week.

Q.5 What are the reasons of low fertility in female with age?
Ans.  Fertility starts declining for women at the age of 30, dropping down more abruptly at the age of 35. As women grow older the chances of getting pregnant rapidly falls down resulting in infertility. 
As the age raises the number of eggs in female decreases and at the same time quality also decreases. The ageing process effects the rate of fertility and catching power of fallopian tube also falls down. As a woman ages it is more likely that she may have had longer exposure to a condition that has not been treated. An untreated Chlamydia infection, for example, can develop into pelvic inflammatory disease, blocking your fallopian tubes resulted in inability to conceive and infertility

Q.6 What are some age and lifestyle related diseases which lead to decreased fertility in women. How? 
Ans.  Lifestyle plays a very vital role in fertility. Most common disease due to lifestyle choices that could affect your fertility is PID- Pelvic Inflammatory disease. PID mostly affects sexually active women between the ages of 15 and 24. It is common in females and is gradually growing in India especially in metropolitan cities because of so much exposure to sex.
Apart from it sometimes these things are a result of lifestyle choices that include smoking, drinking, thyroid or auto immune diseases, exposure to radiation like chemotherapy or radiotherapy, poor nutrition etc. 
Hormonal imbalance is also one of the causes of infertility.  If your female hormones fail to transmit their chemical signals at precisely the right time, ovulation may be irregular, infrequent or fail to occur. Periods will likely be erratic and unpredictable. Female hormonal imbalances can often be treated with fertility drugs.

Q. 7 What are the risks of planning late pregnancies. And what are the risks to both mother and child?
Ans. There is trend of becoming moms at the age of 30 or more. Planning late pregnancies are mainly due to work pressure or most girls these days get married post 26 as a result they plan late pregnancies. The later you plan pregnancies, chances of high blood pressure, diabetes and stress are high. It is true that the risks of having a baby after 30 tend to multiply, but it is also true that the vast majority of working women all over the globe today are having their first babies in their mid thirties.

Risks:
Your chance of having a baby with Down’s syndrome is 1 in 1000 at the age of 30. However the same risks increase to 1 in 400 if you are planning to have a baby at age 35. So, its better if you plan baby as soon as possible.
For an average woman below 30 the risk of having a miscarriage in the first 20 weeks of pregnancy is between 12% to 15%. For a woman over 35 years of age the same risk increases to 20%. 
During the second and third trimester, a mother's diabetes can lead to over-nutrition and excess growth of the baby. Having a large baby increases risks during labor and delivery. For example, large babies often require caesarean deliveries and if he or she is delivered vaginally, they are at increased risk for trauma to their shoulder.

Dr. Shobha Gupta


Thursday, 1 August 2013

LOOSING WEIGHT BEFORE INFERTILITY TREATMENT IMPROVES IVF SUCCESS

By Dr. Shobha Gupta

Some facts about obesity:
Obese woman checking her weight
  • 2 billion people worldwide are officially classified as overweight
  • 70% of India's urban population is obese
  • 10% of couples in the country get affected by infertility due to obesity
  • Women who are obese are also at a greater risk for pregnancy complications 

Losing excess weight before undergoing in vitro fertilization (IVF) treatment can improve pregnancy and birth outcome. The women with normal weight (BMI below 20) had higher live birth rates (38.6 percent) and embryo implantation (40.4 percent) compared to obese women (BMI above 30 -27.7 percent and 30.9 percent respectively).

A body mass index (BMI) of 19 to 25 is considered to be the ideal weight for conceiving. A healthy body and optimum weight during pregnancy is crucial for having a smooth pregnancy and delivering a healthy child.

According to the WHO 1.2 billion people worldwide are officially classified as overweight. According to recent study 70% of India's urban population is obese and comes under overweight category.

Both underweight and overweight women and men suffer from a higher incidence of infertility. I see at least 10 patients in a day coming to me for infertility out of which 3 to 4% are obese. Women who are obese are also at a greater risk for pregnancy complications like having a C-section, giving birth to a large baby or even developing gestational diabetes and hypertension.

When going for infertility treatment
There are numerous potential complications for obese women trying to get pregnant. Some of these include:
Lower response to medication used to regulate or initiate ovulation.

Greater need for carefully titrated dosing of medication, especially in patients with polycystic ovaries (PCO).

Greater frequency of over-response and the risk of over-stimulation and / or multiple pregnancies in response to medications used to induce ovulation. And if a multiple pregnancy is conceived, there are greater obstetrical complications in patients with excessive BMI than in multiple pregnancies in patients with a normal BMI.

More complicated IVF cycles (besides those complications listed above) including: 
  • Fewer eggs retrieved
  • Greater technical difficulty retrieving eggs with greater risk of bleeding or injury
  • Greater anesthesia risk at the egg retrieval, including maintaining adequate airway, hypertension and     aspiration
  • Greater difficulty with embryo transfer in visualizing the uterus and accomplishing the embryo transfer    effectively
  • Lower embryo implantation rates
  • Lower IVF success rates
LIFESTYLE CHANGES TO GET RID OF OBESITY WHICH AUTOMATICALLY INCREASES YOUR CHANCES TO GET PREGNANT FASTER.
Obesity needs to be managed long-term with a combination of diet, increased activity and lifestyle changes.

1.      Balanced diet
2.      Regular physical exercise and relaxation exercise
3.      Eat three meals everyday breakfast, lunch and dinner
4.      Reduce your intake of food or drinks that contain high level of sugar and fat
5.      Eat more fruits, green leafy vegetables and salads
6.      Quit smoking and drinking
7.      Go for brisk walking twice in a day for 30 minutes

Stay healthy and obesity free..!!


Dr. Shobha Gupta

Wednesday, 17 July 2013

SURROGACY - A Celeb Choice..!!

By Dr. Shobha Gupta

It isn’t a long time when the chaos of discussions and controversies about IVF or surrogacy of Aamir Khan or Farah Khan got settled, yet another Khan –Shahrukh Khan triggered it recently with the news of his third baby born through surrogacy.

There is all of a sudden so much craze about IVF and Surrogacy in the celebrities. As a matter of fact it may be a new trend in Bollywood, but it has been prevailing from a long time in Hollywood and the other countries.

Bollywood Celebs opted for Surrogacy
We all knows that India is a led by country, people here do not think of its own they do things and believes things which is happening in and around them. As an Infertility specialist, in this matter I believe that it is a positive step taken by celebrities by far. When an icon like Aamir Khan or Shahrukh Khan opts for surrogacy and talks about such a medical procedure openly, it helps remove taboos associated with it.

What is IVF surrogacy?

In IVF surrogacy or gestational surrogacy a pregnancy is created by the egg and sperm of the parent couple. The surrogate is just a carrier and is not genetically related to the child. While the procedure costs Rs. 11 lakhs upwards, a surrogate earns Rs. 3-4 lakh and is paid Rs. 7-8,000 per month during the pregnancy.

Joyhood
Surrogacy is a legal deal between a couple and an individual and a third party to carry their baby to term. There may be many reasons why couples opt for surrogacy; it may be a missing uterus, multiple pregnancy losses, or failed in vitro fertilization attempts. So, now the couple can have their own biological baby by hiring a surrogate.

The arrangement can be made between relatives or someone known by the patient or an agency. When searching for a surrogate, a couple might use the Internet, contact an agency, or network through friends and family.

Be it Shahrukh Khan or Aamir Khan’s baby born through IVF (In Vitro Fertilisation) surrogacy, it comes as a blessing for not only the celeb couple but also a large number of couples facing difficulty in conceiving.

It is a good omen and a great step taken by our celebrities of Bollywood to help shed the social stigma attached to it and it will also help surrogate mothers to gain respect in the society and light up the lives of childless couples.

Dr. Shobha Gupta, Infertility Specialist

Tuesday, 9 July 2013

WATCH OUT! YOU ARE AN EASY TARGET.!!


PELVIC INFLAMMATORY DISEASE CAUSING INFERTILITY

“A woman completes her ‘Womanhood’ only when she becomes a mother”, a saying which seems to have embossed into the Indian minds!

But today, the complex issue of infertility outlaws a woman from gaining the grade of complete womanhood. Many women in today’s world pour their anxiety of not being able to conceive and hence being branded ‘INFERTILE’.

Other than POS, PCOS etc, another new name intruding into the field of STD infertility is Pelvic Inflammatory Disease. It is the next complicated stage of sexually transmitted disease (STD). PID refers to infection of the womb, fallopian tubes (tubes that carry eggs from the ovaries to the womb) and other reproductive organs, leading to infertility quandaries.

Pelvic inflammatory disease develops when microorganisms, like bacteria infect female reproductive organs. Normally the Cervix (the lower part of the Uterus extending into the vagina) acts as a barrier to prevent the entry of disease-causing microorganisms into the inner reproductive organs. During certain disease conditions, the Cervix gets tainted facilitating the entry of microorganisms to the other parts, which might lead to PID.


The famous heiress PARIS HILTON is one of the big names infected with STD
(As per a website)


CAUSES:

Although there are diverse grounds for being troubled by the disease, you can get PID through several ways. The most common cause is having sex with a person infected with Chlamydia (A sexually transmitted disease caused by an organism called Chlamydia trachomitis).

Other than that, those women who choose to have multiple sex partners and the ones who are in the right age cohort of conceiving are also at most risk. Females under the age 25 are also more likely to develop Pelvic Inflammatory Disease (PID) than those older than 25, the fundamentals behind is that the cervix of girls below 25 is not fully prepared to fight with Sexually Transmitted Disease which later results into PID.

PID mostly affects sexually active women between the ages of 15 and 24. It is common in females and is gradually growing in India especially in metropolitan cities because of so much exposure to sex.

MAJOR TYPES OF STD RESULTING IN PID:
Most cases of PID are caused by an infection that has spread from the vagina or the neck of the womb (cervix) to the reproductive organs higher up.
Many different types of bacteria can cause PID, but most cases are the result of a sexually transmitted infection (STI) such as Chlamydia or gonorrhoea.
This means that the most effective way of preventing PID is to protect you against STIs by using a barrier method of contraception such as a male or female condom, and to get regular sexual health check-ups.

Symptoms can include:

·         Vaginal irritation
·         Vaginal discharge
·         Lower abdominal pain
·         Intermenstrual bleeding
·         Fever
·         Vomiting
·         Bleeding after sexual intercourse,
·         And some patients are asymptomatic. 

When ignored the bacteria multiplies and spread to other organs like uterus (womb) through Cervix (The part of the uterus that opens into the upper part of the vagina) and from there to the Fallopian Tubes where it makes scar tissues to Ovaries, Bladder, wall of Pelvis and other reproductive organs.


Dr. Shobha Gupta, Infertility Specialist at Mothers Lap IVF Centre – New Delhi says, “Pelvic Inflammatory Disease can lead to serious consequences including infertility, or pregnancy in the fallopian tube or elsewhere outside of the womb, sore formation, and chronic pelvic pain. Seek medical help; early detection can prevent severe outcomes. Precaution is better than Cure!”

She further adds “an estimated one woman in five who have PID becomes infertile as a result. However, most women are able to get pregnant without problems after a single episode of PID”

EVERY CAUSE HAS AN EFFECT AND EVERY NEGATIVE EFFECT CAN BE AVOIDED THROUGH PREVENTION says Dr Shobha :

1. One should get an early treatment if they find they are infected with STD
2. Use of condoms is mandatory - Practicing safe sex, using superior quality latex condoms which can reduce the risk of STD
3. Regular testing for:
· Sexually active women age 25 or younger
· Older women who have a new sex partner or multiple sex partners
· All pregnant women
4. Any genital symptoms such as an unusual sore, discharge with odor, burning during urination, or bleeding between menstrual cycles could mean Sexually Transmitted infection.

In such a scenario one should abstain from having sex and consult a gynecologist.