#Prenatal Risk Assessment
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Pre-pregnancy counseling: Your stepping stone to parenthood. Get expert guidance and prepare for a healthy and informed pregnancy journey.
Learn more: https://www.drshubhragoyal.com/welcome/blogs/pre-pregnancy-counseling:-a-stepping-stone-to-parenthood
#Pre-Pregnancy Counseling#pre pregnancy genetic counseling#Preconception Counseling#Family Planning Advice#Reproductive Health Consultation#Pre-Pregnancy Health Tips#Fertility Planning#Pre-Pregnancy Genetic Counseling#Genetic Screening before Pregnancy#Preconception Genetic Testing#Genetic Counseling Services#Prenatal Risk Assessment#Planning for Pregnancy#Healthy Pregnancy Preparation#Conception Readiness Guidance#Fertility Awareness Counseling#Pre-Pregnancy Wellness#Genetic Health Evaluation#Pregnancy Readiness Consultation#Hereditary Disease Counseling#Carrier Screening before Pregnancy#Counseling for Future Parents#Genetic Risk Assessment for Pregnancy#Family Health History Review#Reproductive Life Planning#Pre-Pregnancy Checkup
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Maternal Nursing: Combatting the Rising Maternal Mortality Rate
Maternal nursing is a critical care sector focused on the health and wellness of mothers during pregnancy, childbirth, and postpartum. In recent years, a concerning trend has surfaced worldwide: an increase in maternal deaths during childbirth and the postpartum period. This escalating problem underscores the urgency for nursing interventions aimed at safeguarding mothers’ health and minimizing…
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#Emotional Support in Maternity#Hypertension in Pregnancy#Maternal Health Disparities#Maternal Health Education#Maternal Mortality#Maternal Nursing#Nursing Interventions#patient-centered care#Postnatal Care#Postpartum Care#postpartum depression#Postpartum Hemorrhage#Prenatal Care#Risk Assessment
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pregnancy update 🍼🍼🍼
Today we had a prenatal ultrasound and blood test results: the risk is low and acceptable enough for us. The doctor said that if he were to assess the baby's condition based on the ultrasound alone, he would say it's healthy.
We saw it kicking in my belly, how it responded to the probe the doctor pressed against my skin, we heard its heartbeat. My husband was with me and saw everything and said that it was a shocking and moving experience for him. "Watching our baby move, I thought it was over, I can't help but love them." And I feel the same way.
Relief is my word for today.
And now little photoshoot of our alien ����
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He Comes Alive (Part 7)
Part 1 Part 2 Part 3 Part 4 Part 5 Part 6
Summary: You awake in a top secret facility where you learn of Leon's true nature
Word Count: 5.9k
Pairing: vampire/plagas!Leon Kennedy x fem!reader (afab)
Disclaimer: This story is a work of fiction. Actions depicted in this story are not condoned in real life. You are responsible for your own content consumption. If any of the following warnings trigger you, please read at your own risk. Minors do not interact, this story is 18+ only.
Warnings: Biting, blood, gore, murder, unprotected p in v, masterbation, oral (m and f receiving), stalking, pet names, kidnapping, breeding kink, blood play/kink, age gap, dubcon, pregnancy, monster f*cking, body horror, lactation kink, DEAD DOVE: DO NOT EAT [More warnings may be added in future entries]
A quick reminder that I no longer do tag lists
“Where’s Leon?”
“In this building.”
“Where am I?”
“At the BSAA North America headquarters in Washington D.C..”
“BSAA?”
“The Bioterrorism Security Assessment Alliance.”
“Did Leon do something wrong?”
The man called Clive lets out a chuckle, leaning back in his chair, “that’s a loaded question.”
You feel a lump form in the back of your throat. You swallow it back, remaining silent in hopes that Clive will continue.
“Nine years ago, the president’s daughter was kidnapped by a cult in Spain called Los Illuminados. D.S.O. Agent Leon S. Kennedy was sent to rescue her. Both of them had become infected with a bioweapon-- a parasite the cult called Las Plagas. Leon had successfully removed the parasite from the president’s daughter, however…”
Clive pauses and you can feel your heart start to race at the implication, but still you press, “however, what?”
Clive clears his throat, “by the time the U.S. government realized Leon was still infected, he was long gone, leaving a trail of bodies in his wake. He’s been on the run for nine years.”
“What are you talking about?”
“The hikers? That man at the festival? Your father? They’re all his victims,” Clive states.
“You’re lying!” you shout, standing up from the chair and slamming your hands onto the table.
“The plaga feeds on blood in order to survive; it seems to have an affinity to human blood, too.”
“You do realize this sounds absolutely insane, you’re making it sound like Leon’s a vampire or something.”
Clive chuckles again, “that honestly wouldn’t be that far from the truth,” you watch his eyes glance to your swollen belly, “I take it that’s Leon’s baby you're pregnant with?”
“Yes,” you reply curtly before sitting back in the chair, crossing your arms, “it is.”
“Shit…”
“What?”
Clive takes a deep breath before continuing, “I hate to tell you this, but your baby isn’t entirely human.”
Your eyes widen, “excuse me?! Now you’re fucking with me, this is insane!”
“Don’t you find it odd that Leon hasn’t taken you to a single prenatal appointment? Odd that your pregnancy seems to be progressing awfully fast?”
You stand back up again, angrily shaking your finger at Clive, “you are full of shit!”
“Deny it all you want, it’s the truth. Unfortunately you’re too far along in your pregnancy to safely abort, we’ll have to wait until you give birth so we can euthanize it; we’ll make sure it’s done humanely.”
“No one is coming near my baby! You’re just trying to scare me!”
You watch Clive reach into his jacket, pulling out a photo and placing it on the table in front of you. What you see immediately makes you pause and stare. It’s a poorly lit room, a person is tied to the support beam, covered in blood and what you assume is bite marks on their neck.
“This was taken in Leon’s basement after we apprehended him. This is why he kept the basement locked.”
You can’t take your eyes off the photo, especially after you realize you recognize the clothes; it’s a woman that had gone missing after coming out of a work Christmas party in Plymouth; you had seen a photo of her at the party on the news. You feel chills go up your spine.
"Unfortunately she died from blood loss when we were transporting her to our clinic," Clive states.
You swallow hard before making eye contact with Clive, “what the hell is going on…?”
“I think it will be easier to show you, come with me,” Clive replies, standing up from his chair and motioning for you to follow him.
You hesitate for a moment before you decide to follow, going back out into the hallway. The two of you eventually make your way to a single elevator, watching Clive swipe a card and then call the elevator. It beeps before the doors slide open and the two of you step inside.
“How long have you been watching us?” you ask, figuring out that based on what Clive had said to you about Leon not taking you for prenatal check-ups, that someone was watching you and Leon’s every move.
“Shortly after Halloween, a police officer in Oakvale had reached out to the FBI to ask about Leon; in turn the FBI reached out to us. We had to ensure that it was definitely him before making our move.”
You nod, shifting uncomfortably on your feet and unconsciously rubbing your belly. After a couple minutes, the elevator door opens and Clive steps out, you follow him closely. Several men in lab coats turn and greet Clive.
“Director O’Brien! For what do we owe the pleasure?” one of the scientists asks before looking at you, “is this…?”
“Yes she is,” Clive replies, “has he been fed yet?”
The scientist looks back at Clive, shaking his head, “not yet, we were just about to get ready to.”
“Excellent, bring us to the observation room.”
“Of course, director.”
The scientist leads the way bringing you down another hallway that’s barricaded with several large steel doors. At the end, he turns to a door on the left, swiping a keycard and inputting a passcode, causing the door to slide open. You can’t help but feel like you somehow woke up in a science fiction movie. You pinch yourself again to make sure you’re definitely not dreaming.
Once in the room, the scientist pulls up the blinds on a large window and you see Leon, still in just his sweatpants, sitting on a basic metal bed hunched over, staring at the floor. Your heart seemingly skips as you rush up to the window, putting your hands on the glass.
“Leon…” you say softly.
From what you can see, there is nothing out of the ordinary about Leon and you start to reckon that they have the wrong man. Leon wouldn’t hurt anyone. Looking around the room, you notice there is a purple hue. You look up at the room’s ceiling and see that between each fluorescent light is a purple one; the same lights that you saw when you and Leon had gotten ambushed at home.
“What are the purple lights?” you ask, turning to Clive as you remove your hands from the glass.
“High powered ultraviolet lights. The plaga can’t stand sunlight. That’s why he only hunts at night.”
Suddenly, a walkie talkie that is sticking out of Clive’s outer jacket pockets goes off, “We’re ready to commence feeding if you are, director.”
Clive grabs the walkie talkie out of his jacket and replies, “proceed.”
On the left side of the room, a door slides open and a blindfolded man is pushed in and the door closes. The man practically falls onto his face. The man sits up on his knees and you see that his hands are bound behind his back.
“He’s a death row inmate,” Clive says, answering a question you hadn’t even asked, “we have a partnership with the penitentiary and they supply us with inmates that are going to be executed.”
Your attention is drawn back into Leon’s room when the UV lights are switched off and the fluorescent lights dim. Your eyes are drawn to Leon when he suddenly lifts his head, his eyes locked on the man that’s in the midst of a panic attack in the middle of the room. Before your eyes, you watch dark, inky veins start to spread over Leon’s exposed skin. Leon suddenly stands up, walking towards the man like a predator stalking its prey. Movement coming from behind Leon makes your breath hitch; a long, jet black tail comes out of Leon’s back; the closest thing you can compare it to is a scorpion’s tail.
That isn’t all, four more appendages come out of his back, these looking like claws. You want to close your eyes, you want to run, but you can’t; your eyes remain locked on Leon. In a split second, Leon pounces onto the man, the man’s cries for help going unanswered as you watch Leon’s mouth latch itself onto his neck. The four claws latch onto the man as his tail whips itself back and forth as Leon feasts upon him. You suddenly feel your baby shift in your belly.
Leon suddenly stops, unlatching himself from his meal and looking directly at you.
“Can he see us?” you ask, your voice shaking.
“No, it’s a two way mirror,” Clive replies, rubbing his chin with his fingers.
Leon stands up walking right up to the window, his eyes locked onto you. To your horror, you see his eyes are red, seemingly glowing in the dim light. His blood stained mouth hangs agape and you can see that all four of his incisors are elongated and sharp. Leon puts his hands onto the glass, his gaze still locked onto you.
“Angel?” he says, his eyes widening, “is that you?”
His tail moves back and forth as he stares at you and that’s when your baby inside you starts moving erratically, causing you to wince in pain as you grab your belly.
“I’m sorry you have to see me like this,” Leon continues, his hands running down the glass, leaving trails of blood behind, “this is not how I wanted to show you my gift.”
“Gift?” you whisper, taking a couple of steps back from the window.
“He’s referring to the plaga.” Clive replies.
“Our little girl has the gift, too,” Leon continues, his right hand pets the glass as you watch his gaze shift to your belly, made even more unsettling knowing that he can’t see you, “isn’t that right, sweetie?”
Your baby shifts again, feeling your baby’s foot go up your rib cage, causing you to yelp as you once again grab your swollen belly.
There’s no way your baby is reacting to him right? Right?
You watch as Leon’s crimson eyes narrow, one of his fists balling up and punching the glass, causing it to crack. You scream, stumbling backwards and falling to the floor as Leon throws another punch at the glass, cracking it further. Clive rushes over, picking you up off the floor as he grabs his walkie talkie.
“Turn those damn UV lights back on! NOW!” he shouts into the walkie talkie as he pulls you out of the observation room.
You turn and look back as the UV lights are powered back on, Leon letting out the most inhuman scream you’ve ever heard in your life and in an instant, you watch his grotesque appendages retreat back into his body as he stumbles away from the glass, clutching his head with his hands.
As you and Clive retreat back to the elevator, Leon’s cries of your name fill the halls.
You have no idea how much time has passed since the incident with Leon. Clive had you relocated to a more comfortable room at the facility; it has furniture, a small refrigerator and a window to look outside. You’re sitting in a rocking chair next to the window, rubbing your pregnant belly unconsciously as you watch a gentle snowfall outside. Over and over, your brain plays out the last few months since you returned home from dropping out of college.
Every little thing you had noticed that was odd suddenly made sense: eating the rarest meat imaginable, that one time you thought he had sharp teeth when he bit into his burger, him suddenly going into the basement, him getting up in the middle of the night to ‘check traps,’ the day they found what was left of your father, that smile he had on his face was burned into the back of your mind. Your eyes unconsciously widen at another revelation; the red eyes you saw in your window that night, they were Leon’s.
“It was him… he was the B.O.W. the whole time…” you whisper to yourself, a single tear rolling down your cheek.
The sound of the door opening startles you and you watch Clive walk in, giving you a gentle smile and wave as he steps into the room.
“I just spoke with your mother,” Clive says, taking a seat on your bed across from where you sit, “I let her know you were experiencing complications in your pregnancy and that you had to be taken to a specialist in D.C., so she at least knows where you are. I didn’t mention Leon to her.”
“Thank you,” you reply softly, letting out a sigh as you return your attention back out the window.
“How are you feeling?” he asks, the concern evident in his voice.
“Empty? Lost? I’m not sure what to feel… I feel like the last few months have been a cruel lie,” you reply honestly, wiping more tears that run down your face away with the back of your hand.
“I know and I’m sorry. I can’t even imagine how hard this has been for you.”
“Is it true that you can’t cure him?” you ask, looking back over at Clive.
Clive nods, “unfortunately. The parasite has completely taken over his body, if we try to remove it, he will die.”
“How… how is he?” you ask, not really sure you actually want the answer.
“He’s refusing to feed. We’ll have to execute him sooner than we intended,” Clive replies, leaning forward, resting his forearms onto his legs.
“Execute?!”
Clive nods, “yes, he’s too dangerous to keep alive. Our hope was to study the plaga inside of him before putting him out of his misery, but he’s making that difficult.”
“Is there any chance I could say goodbye to him before he’s executed?”
Clive stares at you puzzled for a moment before replying, “I believe I can have that arranged.”
“Good,” you say with a soft sigh of relief.
Despite everything, you still love him. You still love the baby growing inside of you. The thought that both of these things that you love so dearly are going to get taken from you absolutely kills you.
“I’ll make sure to come get you when that time comes,” Clive says, standing up from the bed and walking over to the door, “don’t hesitate to give us a holler if you need anything.”
You believe another few days passes, you awake one morning to the sound of wind howling; a blizzard seems to have come in. Just after you get yourself dressed and cleaned up, Clive once again comes into your room.
“It’s happening tonight,” Clive says, his look solemn.
You acknowledge him with a nod before following him out of your room and back to the elevator that brings you to the underground research facility. This time, instead of bringing you to the observation room, Clive brings you to the door leading to Leon’s containment chamber.
“Remember,” Clive begins, causing you to draw your attention to him, “we’ll be watching. We won’t let him hurt you.”
You nod as the door to his containment chamber slides open. You step inside the small chamber inside the door, it sprays some kind of mist on you which you suspect is some kind of sanitizer. After that, the final door opens and you see Leon, laying on his back staring at the ceiling. You step inside, listening as the door slides shut and locks, making your heart jump in nervousness. At first, Leon doesn’t acknowledge you, instead he continues to stare at the ceiling.
“Leon?” you finally speak up, your voice soft.
Leon lifts his head, staring at you for a moment before he sits up, swinging his legs over the edge of the bed, practically running to you. He places his hands on your shoulders, looking at you in disbelief.
“Angel! You’re ok, I’ve been so worried!” he exclaims before planting a kiss onto your forehead.
Now you’re able to get a good look at him. His skin is extremely pale and you can see the faint, inky black veins all over his exposed skin. It reminds you of the time you had gone to the festival, before he had killed that man behind the fairground. Now you know why Leon had looked so terrible that day.
“I’ve been worried about you, too,” you say hesitantly, avoiding eye contact with him.
“What’s wrong Angel? It’s just me,” Leon coos, his hand gently grasping your chin, forcing you to look at him.
His gaze shifts down to your belly, a smile slowly overtaking his lips as he stares down in awe; once again feeling your baby move inside you.
“My God… you’ve gotten so big! Our little girl is growing like a weed!” he says, the excitement evident in his voice as he places a hand on your belly, rubbing it slowly.
A hint of sadness hits you, knowing that as soon as your baby is born, it’s going to be humanely euthanized, but you don’t want to do anything that could cause Leon to lash out, so you keep that knowledge to yourself.
“How do you know it’s a girl?” you ask, genuinely curious.
“She told me,” Leon explains, his gaze shifting back to you, “because of our gift, we are constantly connected.”
You feel your pulse pick up, feeling your baby continue to writhe inside you as Leon continues to rub your belly.
“I’m going to give you the gift, as well. We’ll be together in both body and mind. Isn’t that wonderful?”
Before you can even process what he just said to you, you notice there’s a sudden change in the lighting; your eyes dart around to see what changed when you notice the subtle purple hue is gone. The UV lights have been turned off. You want to panic, but you take deep breaths to try to keep yourself calm. You reckon it must be a mistake, they’ll turn the UV lights back on in any second. However, more agonizing seconds go by and you realize that they are not coming back on.
Leon slowly looks up, a smirk spreading across his lips when he realizes the UV lights are off, “well… that's convenient.”
He closes his eyes, rolling his neck and shoulders as you watch in horror as the dark veins on his skin get even darker. When he opens his eyes again, you are once again met with the crimson eyes that have haunted your subconscious since the day you saw Leon from the observation room. But now that he’s right in front of you, everything inside you is telling you to get away. You take a couple steps back away from him, his smirk immediately turning into a frown.
“No, no, no! It’s ok, I won’t hurt you, Angel,” he pleads, reaching out to you and grasping your upper arms to stop you from moving away, “I just want to take care of you.”
You watch as his tail snakes out from behind him, moving between the two of you. The end of it goes under your shirt and you watch as the blade-like end of his tail moves upwards, slicing through your shirt. Once your shirt is completely sliced open, his fingers gingerly push the remains of the shirt off you, exposing your swollen breasts to him. He brings one hand up, brushing one of your sensitive nipples under his thumb, causing a small white bead of liquid to come out before running down your breast, pooling onto your pregnant belly.
“Aw look, you’re making milk. Our little girl will need blood, not milk. No matter, I’ll make sure it won’t go to waste,” Leon says before leaning down, wrapping his mouth around the leaking nipple and sucking hard.
“L-Leon!” you cry out, trying to push him away.
You look over at the mirror, knowing that there are people watching. Does Leon know there are people watching? You want to cry out for help, to get someone to come get you out, but you can’t; you don’t want to risk invoking Leon’s fury. After what seems like an eternity, Leon unlatches himself from your breast, his crimson eyes staring down at you lustfully. A grin slowly forms on his face, showing off his long, sharp canine teeth.
He grasps you gently, coaxing you over to his bed where he spins you around, forcing you to bend over onto the bed with your knees on the floor. You rack your brain over what on Earth he’s doing when you feel a very sudden sharp pain in your shoulder, causing you to scream. You then hear a low moan; Leon’s mouth is latched onto your shoulder, his fangs sinking deep into your flesh as blood starts to pour out from the wound.
He releases his mouth from you briefly, his breaths heavy as he grips onto your waist, his hands then reaching around to undo your belt and pants, “you taste just as divine as I remember, Angel,” he purrs into your ear.
You start to question mentally what he’s talking about until you recall back to the first night you stayed at Leon’s house when the two of you had sex for the first time. He wasn’t just eating you out that night. He was feeding off you. This newest revelation causes a sudden wave of nausea to come over you, causing you to gag. You quickly cover your mouth with one hand while the other grips the sheets on his bed, tears burning the corners of your eyes, threatening to pour out.
He bites back down into your shoulder as his hands make quick work pulling down your pants and underwear, his fingers rubbing your slit slowly, gathering up the slick of your body’s arousal on his fingertips. While still feeding off you, he pulls down his sweatpants and you feel the head of his cock prod at your entrance. Your eyes widen when you watch two of the claw-like appendages stab down onto the bed in front of you while the other two wrap around your waist, trapping you against him; you feel one of his hands rest on your hip while the other grips your hair, pulling your head back. It takes everything in you not to scream.
With a quick thrust of his hips, he buries his cock inside you, unlatching his mouth from your shoulder with a loud moan as his grip on your hair tightens. You cry out at the feeling of him practically splitting you in half; he feels so much larger than you remember. There’s also another sensation inside you, one you don’t recognize at all. It’s almost hard for your mind to even describe; like a thousand fingers are stroking your inner walls and your cervix and with each quick thrust of Leon’s hips, it feels amazing. You can’t help but let out a loud moan as Leon pistons himself into you, hurtling you towards your release.
“That’s it Angel, you’re doing so well for me. My perfect mate,” he purrs as he picks up the pace of his thrusts, the hand on your hip gripping so tight that it’ll surely leave bruises, his other hand running down your neck before resting onto your other shoulder, “now, be a good girl and take my gift.”
Against your better judgment, you turn your head to look at him. Leon is opening his mouth and you watch as four mandibles come out from the depths of his mouth and you can hear something squealing from inside his throat. No longer able to put on a brave face, you start to scream, thrashing your body in a desperate attempt to get away from him. The strange sensation you noted inside you suddenly starts to sting as you try to get yourself off him and you feel the claws wrapped around your waist start to cut into your skin as they grip you tighter.
The door to Leon’s room suddenly opens and Clive along with two men with tactical gear and guns swarm in. Clive holds up a large UV flashlight, shining it directly at Leon’s head. Leon roars, the mandibles going back inside his mouth as he falls backwards, freeing you from his grasp. You quickly pull your underwear and pants back up before running over to Clive, using your arms to cover your exposed breasts. Clive positions you behind him as the two men move to either side of Leon, their guns drawn and pointed at him. One of the scientists then rushes inside the room, Clive turns his head to address him.
“What the fuck were you thinking?!” Clive shouts at the scientist right before the UV lights turn back on.
You wince when you hear the inhuman cry come from Leon as he scrambles to crouch himself into the corner of the room, gripping his head and trembling.
“We just wanted to see what he would do, that’s all!” the scientist says, pleading with Clive.
“She nearly got infected! Was that part of your plan?!” Clive shouts, walking up to the scientist, getting in his face.
“Well, no…”
“The lead researcher will be hearing about this, now get out of our way, I need to take her back to her room,” Clive continues, practically shoving the scientist out of the way as he gently grasps your upper arm to lead you out of Leon’s containment chamber.
As you walk out, you turn and look at Leon, who’s still crouched in the corner; his eyes are locked onto you, a smirk spread across his lips.
Leon stays seated in the corner of his containment chamber for the majority of the day, only moving to relieve himself in the toilet inside his containment chamber. Scientists have been in and out of his containment chamber as well, almost as if they’re preparing for something, though he didn’t have the slightest clue of what that could be until the lead researcher comes in with his young assistant, who looks vaguely familiar to Leon.
The lead researcher takes Leon’s vitals and a blood sample, staying completely still through it all, watching the assistant take a seat on Leon’s bed, taking notes with a clipboard and pen.
“Dr. Jacobs, a question if I may?” the assistant suddenly asks.
“Go ahead, Chambers.”
Chambers. Rebecca Chambers. That’s why I recognize her…
Rebecca was a former member of S.T.A.R.S. Bravo Team prior to the Raccoon City outbreak incident on September 30, 1971; Leon’s first day as a police officer. A part of him wishes he had died that day.
“How did he manage to infect the fetus? I thought you said it was transmitted via the bloodstream, hence why he bit her.” she asks, setting the clipboard and pen down onto the bed next to her.
Dr. Jacobs swallows hard as he turns to address her, “we believe there are plaga larvae in his semen, which fused with the embryo upon fertilization even though we found no larvae in the semen samples we were able to get. Somehow… the plaga inside him can control when a larva is released… absolutely extraordinary, a real shame we’re executing him tonight.”
Leon subtly raises an eyebrow.
“What about the baby?” Rebecca presses.
“The baby will be humanely euthanized upon birth, the BSAA wants to put the plagas parasite to bed for good even though the child could provide valuable data. I tried to fight it but O’Brien wouldn’t budge.”
What?
Leon remains calm on the outside, but on the inside, he is panicking. He has to protect his offspring at all cost, but how? That answer comes on a silver platter when he watches Rebecca stand up from the bed, grabbing the clipboard but leaving the pen behind on his bed. He waits a couple minutes to see if they realize she had left the pen in here. When he’s confident they’re not coming back in, he stands up, walking over to the bed and collapsing onto it, clutching the pen in his hand as he lays down. He turns, his back facing the camera that’s on the opposite wall pointed towards the bed.
During his stint in the military after surviving the Raccoon City outbreak, Leon picked up a few tricks, one being how to make lockpicks out of just about anything. He meticulously takes the mechanical pen apart, using the metal parts to make a crude lock pick, small enough to fit into the palm of his hand.
Later that evening, the door to his containment chamber opens and Dr. Jacobs comes in along with another man in tactical gear with an AK-47 slung over his shoulder and a pistol strapped to his leg. Dr. Jacobs is carrying a metal folding chair, which he hands to the guard for him to set down onto the floor after opening.
“Sit,” the guard orders Leon, pointing at the chair.
“Yeah, yeah…” Leon replies, standing up from his bed and sitting in the chair.
“Hands behind your back. Now,” the guard barks.
Leon does as he’s ordered, putting his hands behind his back around the back of the chair. The guard walks behind him, handcuffing his wrists together. Unbeknownst to the guard, Leon has his makeshift lock pick wedged between two of his fingers, completely concealing it. The guard walks back around, standing in front of Leon as Dr. Jacobs prepares a syringe of bright green liquid. Slipping the lock pick out, he begins to pick the lock on his cuffs.
“It pains me to do this Leon, it really does,” says Dr. Jacobs as he approaches, the guard moving to the side of Leon to let him through, “you were a brilliant agent. I admit this will not be pleasant, but you won’t suffer for long, I promise.”
Leon manages to free himself just as Dr. Jacobs kneels down to inject him with the deadly serum in the syringe. In the blink of an eye, Leon snatches the syringe from Dr. Jacobs, stabbing it into his neck and pushing the syringe. Dr. Jacobs’ expression contorts as he collapses onto the floor, his body going into a seizure in what Leon imagines is the painful thralls of death.
The guard curses as Leon stands up from his chair, pointing his AK-47 at him to shoot. However, Leon’s too quick, he side steps and grabs the AK-47, using the strap slung around the guard’s body to strangle the man, all the while, the gun is still firing, shooting out all the lights in the ceiling, including the UV lights. Inky black veins quickly envelope Leon’s body and his eyes shift into the deep crimson as Leon bites into the guard’s exposed neck, drinking as much blood as he can in a short period of time.
He then kneels down to Dr. Jacobs’ lifeless body, searching his pockets to find a fob. With this fob in hand, the door to the containment chamber opens, allowing Leon to make his escape. He can sense his offspring is several floors above where he is, so he quickly finds the elevator, the fob allowing him access to it.
When the elevator doors open, several guards are waiting for him, guns drawn. In an instant, Leon’s tail and back appendages emerge and he practically leaps out of the elevator pinning one of the guards down and ripping out his throat while his tail whips around, decapitating and fatally stabbing the other guards. Just when Leon thinks he’s in the clear, he hears more footsteps coming towards him. He looks up, blood dripping from his mouth and chin and finds Director O’Brien with about 10 more guards behind him.
“I should have known you wouldn’t go quietly, Leon,” Director O’Brien says, crossing his arms.
“Where is my mate?” Leon growls, standing up to face them, using his back claws and tail to make himself look bigger.
“In a place you won’t get to, Leon. You’re not leaving this hallway alive,” Director O’Brien replies.
“We’ll see about that.”
Leon begins to step forward, his legs and arms mutating, turning black like his claws and tail. His fingers become more claw like and his legs contort to become more insect-like; his feet also transform into three toed claws. His jaw splits open to reveal rows of sharp elongated teeth, his four incisors still longer than the rest. His four mandibles also come out of his mouth and he lets out an inhuman roar as he charges towards Director O’Brien and the guards. This is the furthest Leon’s ever let himself transform and he’s honestly eager to see what he can do.
The guards shoot at him, but the bullets do little to no damage to Leon as he rips through them like paper with his razor sharp claws, blood and guts spilling everywhere. In the chaos, Director O’Brien slips away, running down the hall. Leon sees this and quickly gives chase, what’s left of the guards strewn all over the white marble floor in his wake. Director O’Brien comes around the corner with his angel, his mate in tow, both of them stopping in their tracks upon seeing Leon.
Leon opens his mouth wide, letting out a loud hiss as he glares at Director O’Brien. Unfortunately in his current state, he’s unable to speak. His crimson stare shifts over to his angel, who to his dismay, is visibly frightened.
Angel, don’t be afraid, I won’t hurt you. I could never hurt you…
He curses internally about not being able to give her his gift; if he had been successful, he would be able to communicate with her easily. His gaze then shifts to her swollen belly, sensing his offspring is strong and healthy inside her. He watches as she grips her belly, flinching.
“Back off, Leon!” Director O’Brien shouts, pulling out a small flashlight from inside his dark green coat and turning it on, pointing its purple beam directly into Leon’s face.
Leon, turns his face away, growling as he feels the light sting his mutated parts. His tail whips forward, slicing off the hand holding the UV flashlight before he turns back to Director O’Brien, stalking towards him and using one of his clawed hands to pick him up and pin him against the wall. Letting out a guttural growl, his mouth and mandibles open wide only stopping when he feels his mate’s hands on his arm.
“Leon, don’t kill him, please!” she cries, “don’t kill him and I’ll… I’ll go with you…”
His mutated mouth closes, turning to her to see her bloodshot eyes staring up at him, pleading with him. He lets out a soft purring sound, turning back to Director O’Brien and abruptly dropping him. He falls to the floor with a gasp, Leon’s attention back onto his mate as he grabs her by her wrist. She looks up at him, the fear evident in her eyes as she starts to panic, pulling against his grasp as she hyperventilates.
Angel, don’t do this… it’ll be ok, I promise…!
She then faints; Leon’s quick reflexes catch her before she collapses onto the floor. He picks her up into his arms bridal style, stalking into one of the rooms that has a window. Using his tail, he smashes the window open, the blizzard raging outside now blowing snow into the room. Leon leaps out of the window, carrying his mate into the stormy winter night.
Part 8
#leon kennedy#leon s kennedy#leon kennedy x reader#leon s kennedy x reader#leon kennedy smut#leon kennedy x reader smut#vampire!leon kennedy#plagas!leon kennedy#gigabyte writes#he comes alive
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i read a (20 year old) study that found prenatal down syndrome diagnosis leads to an elective abortion in 92-95% of cases, whereas for an immediately fatal birth defect like anencephaly it's roughly 76%. which really surprised me- knowingly continuing a pregnancy with a high likelihood of eventual uncontrolled miscarriage and if not, a guarantee of death of the infant within minutes or hours after birth with all the risks that has for both appears to be a significantly more common choice than having a down syndrome kid with a life expectancy of >60 years. and an even lower 72% elective abortion rate was found following spina bifida aperta diagnosis, which is also severely disabling but statistically allows living for up to a few decades while requiring constant, extensive and lifelong care. so it seems down syndrome is outstandingly intolerable to expecting parents despite being, in my layman assessment, the least impactful on quality of life and causing the least dependence on care throughout life. the condition with the longest life expectancy and the only one of those three with a possibility for a (near-)independent life at all, in fact. so i genuinely wonder why that is. purely the social stigma of intellectual disability? sort of a silver medal effect, too close to "normal" and yet not?
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On death, dying, and birth
Many view death as the final curtain, drawing life to a close and silencing all experience. Yet, death itself is not inherently tragic—it’s the loss of future dreams, desires, and pursuits that stirs our sorrow. In death, we no longer see, feel, or hold meaning; we are emptied of all that once made life vivid. Since death robs us of consciousness, we can neither feel nor judge it. The beauty and weight we attach to things, like the joy of camping under a vast sky or the thrill of wandering foreign streets, come only through experience. Death, however, is a realm beyond experience, an absence rather than an event we can assess.
What truly frightens us, then, is not death itself but the slow approach—the steady departure from all we know and love. The process of dying, with its echoes of separation and fears of pain, is what casts the shadow we fear. And while death sometimes bestows gifts unlooked for, as when an artist’s work finds fame only after they’ve passed, we still choose life, with all its risks and sorrows, over the blankness of the unknown. Death, by its nature, lacks feeling; but the letting go, the closing of all that is alive within us—that is what haunts our hearts.
The asymmetry of existence is a curious thing. We dread the silence that follows life, yet never think to mourn the silence that came before it. We stir in fear at the thought of death, not because of death itself, but because it marks the end of all we know, all we desire, all we imagine still lies ahead. But what of the eternity before birth, that vast stretch of nothingness? Why does it not haunt us in the same way? Perhaps because we are creatures made of memory, of presence, of senses—there is no ache for something we never touched.
Imagine someone longing to have been born in an earlier time, wistful for those unspent years. But such a longing is only possible because they are already here, already alive to imagine what might have been. Life itself gives birth to regret and dreams. Yet even if we could conjure ourselves into another era, would we still be ourselves? The plans and passions we nurture are woven into the fabric of our own time; take them from that context, and they unravel, reshaped by the circumstances of another world.
Some suggest that if we could somehow spring into life earlier, as if plucked from some ancient thread, we might have seized more from time. But this presumes that time itself would lay gifts at our feet, a generous master who owes us joy. In truth, time makes no such promises. To say an earlier birth would be “better” is a fantasy, built on the illusion that life is a garden of predetermined riches, waiting only to be gathered. Life, more truthfully, is a gamble with no guarantees.
It all depends on where we cast our gaze. Some, consumed by the longing for lost opportunities, find more sorrow in what came before than what comes after. But most of us look forward, seeing in death the thief of possibility, the door that closes on every half-formed dream. If we knew the hour and day of our passing, perhaps we would wish for more years, a head start on life. Yet without that knowledge, we carry on, grasping at goals, savoring the journey, urged onward by life’s impermanence.
Death unsettles us because, once we taste life, we learn its richness, its wonders, its pangs—and we shudder to lose them. Before birth, we had no such sense, no way to know what was missing, and so no reason to mourn. Death may not be evil, nor may that vast prelude before birth, but we cannot help fearing the end of something we have come to cherish. Those who claim death is not to be feared might say the same of prenatal nonexistence—both lie outside the realm of our experience, indifferent to the notions of good or bad, merely states of being beyond the reach of memory or longing.
#my writing#writers on tumblr#writing blog#writblr#writers community#think about it#just thinking#life is strange#life#death is inevitable#life and death#beauty#excerpts#female writers#essay#journal#my journal#author#short essay#draft of an essay i will probably never fully write#my thougts#my excerpt
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Comprehensive Overview: Common Conditions Treated by Physiotherapists
Physiotherapy, a cornerstone of modern healthcare, plays a pivotal role in alleviating pain, promoting mobility, and enhancing overall well-being. Physiotherapists are highly trained professionals who cater to a diverse range of conditions, offering specialized treatments tailored to individual needs. From sports injuries to chronic pain management, physiotherapy services encompass a broad spectrum of expertise. Let's delve into the common conditions treated by physiotherapists, offering a comprehensive overview of their services and approaches.
Sports Injuries and Rehabilitation
A community's vibrant sports culture often leads to various sports-related injuries, ranging from sprains and strains to more complex musculoskeletal issues. Physiotherapists specializing in sports physiotherapy employ a multidisciplinary approach to assess and treat such injuries. Through personalized exercise therapy, tailored rehabilitation programs, and modalities like massage and dry needling, they aid athletes and sports enthusiasts in their recovery journey.
Pain Management and Relief
Chronic pain can significantly impact one's quality of life, hindering daily activities and overall well-being. Physiotherapists employ evidence-based techniques to manage and alleviate pain effectively. From manual therapy and acupuncture to exercise prescription and electrotherapy modalities, they craft holistic treatment plans to address the underlying causes of pain and enhance functional outcomes.
Musculoskeletal Conditions
Conditions like knee osteoarthritis, shoulder impingement, and bursitis are commonly treated by physiotherapists. Utilizing a combination of hands-on therapy, exercise interventions, and education, they aim to improve joint function, reduce stiffness, and enhance mobility. Whether it's through clinical pilates, hydrotherapy, or tailored exercise programs, physiotherapists play a pivotal role in managing musculoskeletal ailments.
Neurological Rehabilitation
Physiotherapy plays a crucial role in neurological rehabilitation, aiding individuals recovering from strokes, spinal cord injuries, or neurological disorders. Physiotherapists specialize in neuro-rehabilitation, offering targeted interventions to improve motor function, balance, and coordination. Through task-specific training, gait re-education, and neurophysiological techniques, they facilitate recovery and optimize independence for their patients.
Cardiac Rehabilitation
Cardiac rehabilitation is another area where physiotherapists excel. Following cardiac events or surgeries, patients benefit from tailored exercise programs, risk factor management, and lifestyle modifications under the guidance of qualified physiotherapists. By promoting cardiovascular fitness and addressing cardiac risk factors, physiotherapy plays a vital role in cardiac rehabilitation and secondary prevention.
Women's Health
Physiotherapists also provide specialized care for women's health issues such as pelvic floor dysfunction, prenatal and postnatal musculoskeletal conditions, and continence management. Through pelvic floor exercises, manual therapy, and education, they assist women in optimizing their pelvic health and overall well-being throughout various life stages.
Aged Care and Disability Services
For individuals in aged care or those living with disabilities, physiotherapy services cater to unique needs and challenges. Physiotherapists collaborate with multidisciplinary teams to enhance mobility, prevent falls, and improve overall function and independence. Through tailored exercise programs, mobility aids prescription, and environmental modifications, they promote optimal aging and quality of life for their clients.
In conclusion, physiotherapists offer a comprehensive range of services to address various conditions and promote optimal health and well-being. Through evidence-based practice, personalized care, and a multidisciplinary approach, they play a vital role in enhancing the lives of their patients across the lifespan. Whether it's through sports injury rehabilitation, pain management, neurological rehabilitation, or specialized women's health services, physiotherapy remains a cornerstone of healthcare, empowering individuals to live their best lives.
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I'm on OB rotation again. I asked the attending what are things the PCP should know about prenatal and postpartum pts. Stuff we discussed:
SSRIs can be continued during pregnancy. I often see patients on Zoloft during pregnancy if they need an antidepressant. In fact, I just started a prenatal patient on Zoloft the other day in clinic. It is safe to continue SSRIs during pregnancy because you should treat the patient's depression. Babies can come out sort of jittery because of the SSRI, but that goes away.
Postpartum patients will have bleeding somewhat similar to a menstrual period right after giving birth. It starts to decrease and becomes like a brownish color and can last up to 6 weeks postpartum. Any bleeding beyond that point is abnormal.
There is some evidence that if you have estrogen-containing birth control, it can decrease milk supply. Actually, I had a patient in clinic recently who was seen by an attending and he started her on a progesterone only birth control so that it would not affect her milk supply. Estrogen decreases the patient's milk supply, so patients who plan to breast-feed should not be started on estrogen-containing birth control. Right after giving birth, your body has increased amounts of estrogen, so you would not start estrogen containing birth control until at least 6 weeks postpartum anyway. Increasing estrogen immediately postpartum increases risk of blood clots. For patients who plan to breastfeed and want to be on an oral contraceptive, use progesterone only oral contraceptives until she stops breastfeeding.
If the mother is breastfeeding at least every 4 hours, then this can be used for contraception. It's about 80% effective. Once baby starts sleeping through the night or once baby starts feeding more than every 4 hours, this method won't work! If you go more than 4 hours without breastfeeding, breastfeeding will not protect you from pregnancy! You can also ovulate before your menstrual period returns, so you can't say you can't get pregnant because your period has not returned yet!
I asked the attending I worked with today about how she goes about prescribing birth control. She said she will usually start with Sprintec. It's usually covered by insurance and if it's not covered, it's pretty affordable. She also said Junel is pretty well tolerated. Certain progestins in certain brands of birth control may work better for certain things like acne control, but she didn't have as much knowledge on that. I'll ask another attending again about that. I usually start people on Sprintec as well.
PCP should know that alkaline phosphatase is high in pregnant patients. It comes from the placenta. So don't be freaked out by that.
You should know HTN in pregnancy and preeclampsia workup. High BP is 140/90. Severely high BP is 160/110. Swelling occurs in many pregnant pts, but that should also alert you to start preeclampsia workup.
[Preeclampsia w/u from UpToDate:
Diagnostic evaluation
•Laboratory – Patients with suspected preeclampsia should have a complete blood count with platelets, creatinine level, liver chemistries, and determination of urinary protein excretion.
•Fetal status – Fetal status is assessed concurrently or postdiagnosis, depending on the degree of concern during maternal evaluation. At a minimum, a nonstress test or biophysical profile is performed if appropriate for gestational age. Ultrasound is used to evaluate amniotic fluid volume and estimate fetal weight, given the increased risk for oligohydramnios and growth restriction.
•Consultation with the neurology service is generally indicated in patients with neurologic deficits/abnormal neurologic examination, which may include ocular symptoms or a severe persistent headache that does not respond to initial routine management of preeclampsia.]
An important thing to review is physiology of pregnancy. Blood volume increases during pregnancy, so there are lots of new RBCs and that will throw off a HgbA1c reading, therefore HgbA1c is not measured during pregnancy and will not be accurate! My attending today told me there was a midwife who offered pts either HgbA1c or oral glucose tolerance tests to screen for gestational DM. The HgbA1c is not accurate in pregnancy, so this should not be done. That would be bad to miss a diagnosis of gestational diabetes. You have to wait until 3 months postpartum to measure HgbA1c to get an accurate reading. Had a pt who did not have a PCP prior to getting pregnant, was on insulin during the pregnancy, and after giving birth, still needs to establish with PCP for diabetes f/u. After you give birth, you insulin needs drastically change, so you don't need as much as you did when you were pregnant. So I stopped her insulin and advised that she f/u with her new PCP for diabetes care.
I still need to review fetal heart tracings. The attending today said the first thing to look at is the baseline (the baseline HR should be about 160 beats/min), then the variability, then look for accelerations and decelerations. If more than 32 weeks GA, accelerations are 15 beats/min above the baseline lasting at least 15 seconds. Early decelerations are representative of compression of the fetal head, which is normal during labor as baby moves down the pelvis/birth canal. Variable decelerations look sharper like a "V" and can represent compression of the umbilical cord. Late decelerations represent placental insufficiency.
ACOG has very helpful practice bulletins.
I can't take screen shots on my work laptop, so I'm just going to summarize gestational HTN w/u from UpToDate:
Gestational HTN: New onset of systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg on at least 2 occasions 4 hours apart after 20 weeks of gestation in a previously normotensive individual
And:
No proteinuria
No signs/symptoms of preeclampsia-related end-organ dysfunction (eg, thrombocytopenia, renal insufficiency, elevated liver transaminases, pulmonary edema, cerebral or visual symptoms)
Preeclampsia: New onset of systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg on at least 2 occasions at least 4 hours apart after 20 weeks of gestation in a previously normotensive individual. Patients with systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg should have blood pressure confirmed within a short interval (minutes) to facilitate timely administration of antihypertensive therapy.
And:
Proteinuria (≥300 mg per 24-hour urine collection [or this amount extrapolated from a timed collection], or protein:creatinine ratio ≥0.3, or urine dipstick reading ≥2+ [if other quantitative methods are not available]).
In a patient with new-onset hypertension without proteinuria, the diagnosis of preeclampsia can still be made if any features of severe disease are present.
Preeclampsia with severe features: In a patient with preeclampsia, presence of any of the following findings are features of severe disease:
Systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg on 2 occasions at least 4 hours apart (unless antihypertensive therapy is initiated before this time)
Thrombocytopenia (platelet count <100,000/microL)
Impaired liver function as indicated by liver transaminase levels at least twice the normal concentration or severe persistent right upper quadrant or epigastric pain unresponsive to medication and not accounted for by alternative diagnoses, or both
Progressive renal insufficiency (serum creatinine concentration >1.1 mg/dL [97 micromol/L] or doubling of the serum creatinine concentration in the absence of other renal disease)
Pulmonary edema
Persistent cerebral or visual disturbances
Eclampsia: A generalized seizure in a pt with preeclampsia that cannot be attributed to other causes.
HELLP syndrome: hemolysis, elevated liver enzymes, low platelets. Hypertension may be present (HELLP in such cases is often considered a variant of preeclampsia).
Chronic (pre-existing) hypertension: hypertension diagnosed or present before pregnancy or on at least 2 occasions before 20 weeks of gestation. Hypertension that is first diagnosed during pregnancy and persists for at least 12 weeks postpartum is also consider chronic hypertension.
Blood pressure criteria during pregnancy are:
Systolic ≥140 mmHg and/or diastolic ≥90 mmHg
Prepregnancy and 12 weeks postpartum blood pressure criteria are:
Stage 1 – Systolic 130 to 139 mmHg or diastolic 80 to 89 mmHg
Stage 2 – Systolic ≥140 mmHg or diastolic ≥90 mmHg
Chronic HTN with superimposed preeclampsia*:
Any of these findings in a patient with chronic hypertension:
A sudden increase in blood pressure that was previously well-controlled or an escalation of antihypertensive therapy to control blood pressure
New onset of proteinuria or a sudden increase in proteinuria in a patient with known proteinuria before or early in pregnancy
Significant new end-organ dysfunction consistent with preeclampsia after 20 weeks of gestation or postpartum
*Precise diagnosis is often challenging. High clinical suspicion is warranted given the increase in maternal and fetal-neonatal risks associated with superimposed preeclampsia.
Chronic hypertension with superimposed preeclampsia with severe features:
Any of these findings in a patient with chronic hypertension and superimposed preeclampsia:
Systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg despite escalation of antihypertensive therapy
Thrombocytopenia (platelet count <100,000/microL)
Impaired liver function as indicated by liver transaminase levels at least twice the normal concentration or severe persistent right upper quadrant or epigastric pain unresponsive to medication and not accounted for by alternative diagnoses, or both
New-onset or worsening renal insufficiency
Pulmonary edema
Persistent cerebral or visual disturbances
A reduction in blood pressure early in pregnancy is a normal physiologic occurrence. For this reason, women with chronic hypertension may be normotensive at their first few prenatal visits. Later in pregnancy, when their blood pressure returns to its prepregnancy baseline, they may appear to be developing preeclampsia or gestational hypertension if there are no documented prepregnancy blood pressure measurements.
BP: blood pressure.
* Blood pressure should be elevated on at least two occasions at least four hours apart. However, if systolic pressure is ≥160 mmHg or diastolic pressure is ≥110 mmHg, confirmation after a short interval, even within a few minutes, is acceptable to facilitate timely initiation of antihypertensive therapy.
¶ The onset of preeclampsia and gestational hypertension is almost always after 20 weeks of gestation. Preeclampsia before 20 weeks of gestation may be associated with a complete or partial molar pregnancy or fetal hydrops. Postpartum preeclampsia usually presents within two days of delivery. The term "delayed postpartum preeclampsia" is used for signs and symptoms of the disease leading to readmission more than two days but less than six weeks after delivery.
Δ Significant proteinuria is defined as ≥0.3 g in a 24-hour urine specimen or protein/creatinine ratio ≥0.3 (mg/mg) (34 mg/mmol) in a random urine specimen or dipstick ≥1+ if a quantitative measurement is unavailable.
◊ Almost all women with the new onset of hypertension and proteinuria at this gestational age or postpartum have preeclampsia, but a rare patient may have occult renal disease exacerbated by the physiologic changes of pregnancy. An active urine sediment (red and white cells and/or cellular casts) is consistent with a proliferative glomerular disorder but not a feature of preeclampsia. Women with chronic hypertension who had proteinuria prior to or in early pregnancy may develop superimposed preeclampsia. This can be difficult to diagnose definitively, but should be suspected when blood pressure increases significantly (especially acutely) in the last half of pregnancy/postpartum or signs/symptoms associated with the severe end of the disease spectrum develop.
§ Photopsia (flashes of light), scotomata (dark areas or gaps in the visual field), blurred vision, or temporary blindness (rare); severe headache (ie, incapacitating, "the worst headache I've ever had") or headache that persists and progresses despite analgesic therapy; altered mental status. Seizure occurrence upgrades the diagnosis to eclampsia.¥ The differential diagnosis of preeclampsia with severe features includes but is not limited to:
Antiphospholipid syndrome
Acute fatty liver of pregnancy
Thrombotic thrombocytopenic purpura (TTP)
Hemolytic uremic syndrome (HUS)
The laboratory findings in these disorders overlap with those in preeclampsia with severe features. (Refer to table in the UpToDate topic on the clinical manifestations and diagnosis of preeclampsia.) The prepregnancy history, magnitude and spectrum of laboratory abnormalities, and additional presence of signs and symptoms not typically associated with preeclampsia help in making the correct diagnosis, which is not always possible during pregnancy.
In addition, a variety of medical disorders may be associated with hypertension and one or more of the signs and symptoms that occur in women with preeclampsia with severe features. These patients can usually be distinguished from patients with preeclampsia by taking a detailed history, performing a thorough physical examination, and obtaining relevant laboratory studies.‡ In contrast to preeclampsia, gestational hypertension is not associated with end-organ involvement, so neither proteinuria nor the symptoms or laboratory findings of preeclampsia are present.
#OB#OBGYN#birth control#gestational HTN#preeclampsia#eclampsia#breastfeeding#gestational diabetes#fetal heart tracing#FHT
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so hi good morning this is a post very outside of my normal posting but i am so mad that this is happening here now
the beginning of this story is that i am attending a virtual two-day conference regarding the implications of revising the regulatory definition of lead-based paint. and for the first presentation, there were these two graphs shown.
i got really mad because no recent study would use the words "'mentally retarded'", and so i had a feeling that this had to be outdated as all hell.
i did a deep dive into this, trying to figure out where the hell it could have come from. i found one article, paywalled of course, that referenced these conclusions, and had the same graphs but of higher quality.
these two graphs were part of Rice, D. (2020). Neurodevelopmental toxicants1. In J. Nriagu (Ed.), Encyclopedia of Environmental Health. That visual reference listed the source as being Weiss, B. (1988). Neurobehavioral toxicity as a basis for risk assessment. Trends in Pharmacological Sciences 9, 59–62.
one really obvious thing that stood out to me is that this paper cited is only 3-4 pages long. there's no way this is the original study. i found the 1988 paper, which had these graphs as Figure 4. the source of this information is introduced as follows:
"A recent study^12 of lead levels in umbilical cord blood assigned children to three groups: low, medium and high, with respective means of 1.8, 6.5 and 14.5 mcg/dL. Even the high lead group fell far below the value considered to present a hazard; yet children in this group, at the age of 24 months, scored about 8% below the other children on the Mental Development Index of the Bayley Scales of Infant Development".
the recent study, noted as superscript 12, was Bellinger, D., Leviton. A., Watemaux, C.. Needleman. H. and Rabinowitz. M. (1987) N. Engl. i. Med. 316, 1037-1043, or "Longitudinal Analyses of Prenatal and Postnatal Lead Exposure and Early Cognitive Development". i skimmed through this study, and noted that there is no discussion of IQ, as the study utilized the Mental Development Index (MDI) for infants up to 24 months of age. MDI and IQ are not at all equivalent measures, so then were did this bitch Weiss get the conclusions on IQ?
the answer shortly follows the introduction of the data. it is that "Individual attribution of risk would not apply to this study because none of the children displayed any demonstrable deficits. Viewed in societal terms, however, the implications are compelling."
so what does this mean? that this pair of graphs from 1988 have been touted as truth, when it is merely based off of implications of societal harms that weren't even measured in the 1987 study!!!!! the conclusions of these graphs from 1988 are potentially entirely baseless, at the bare minimum because MDI is not mappable onto IQ, and even moreso, because the author just made it up!!! the bitch Weiss saw the conclusions of the 1987 study and just went "hmmm but what if society...."
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Dr. Gitanjali Devgarha — Best Laparoscopic Surgeon & Pregnancy Specialist in Jaipur
When it comes to women’s health, finding a trusted and experienced gynecologist is key. Dr. Gitanjali Devgarha, one of the most renowned Laparoscopic Surgeons and Pregnancy & Maternity Specialists in Jaipur, has become a leading name in women’s healthcare. With her expertise in minimally invasive surgeries, advanced fertility treatments, and comprehensive maternity care, she is recognized as a compassionate and skilled doctor who prioritizes her patients’ well-being.
Expertise in Laparoscopic Surgery
Laparoscopic surgery has revolutionized the field of gynecology by providing a minimally invasive alternative to traditional surgeries. This technique involves making small incisions to perform surgeries, which significantly reduces recovery time, minimizes scarring, and lowers the risk of infection.
Dr. Gitanjali Devgarha is known as the Best Laparoscopic Surgeon in Bapu Nagar, Jaipur. Her expertise in laparoscopic procedures ensures that patients receive the most effective and least invasive treatment options available. Some of the common laparoscopic procedures Dr. Gitanjali specializes in include:
Hysterectomy: The removal of the uterus, which is often necessary for treating conditions like fibroids, cancer, or endometriosis.
Ovarian Cyst Removal: Removing cysts that can cause pain or other complications.
Endometriosis Treatment: Using laparoscopy to diagnose and treat endometriosis, a condition where tissue similar to the lining inside the uterus grows outside of it.
Fibroid Removal: Treating fibroids, non-cancerous growths that can affect the uterus.
Tubal Ligation and Reversal: Performing tubal ligation for permanent contraception or reversal for women seeking to conceive.
Dr. Gitanjali’s advanced skills and commitment to minimally invasive techniques ensure that her patients experience faster recovery times, less pain, and a quicker return to their daily activities.
Specialized Care for Pregnancy and Maternity
Dr. Gitanjali is not only an expert in laparoscopic surgery but also a highly skilled Pregnancy and Maternity Specialist. Pregnancy is an exciting journey, but it can also come with its share of challenges. As a Pregnancy and Maternity Specialist in Jaipur, Dr. Gitanjali offers comprehensive care for women before, during, and after pregnancy.
Her services include:
Pre-pregnancy Counseling: Offering advice on fertility, nutrition, and lifestyle changes for couples planning to conceive.
Routine Prenatal Care: Regular checkups, ultrasounds, and fetal health assessments to ensure a healthy pregnancy.
High-Risk Pregnancy Management: Expert care for women dealing with conditions like gestational diabetes, hypertension, and other complications during pregnancy.
Normal and Cesarean Deliveries: Whether you are planning a natural birth or need a C-section, Dr. Gitanjali provides personalized care tailored to your needs.
Postnatal Care: Ensuring that mothers receive the necessary care and support during their recovery after childbirth.
Dr. Gitanjali’s clinic offers a warm, supportive environment where women feel empowered and confident throughout their pregnancy journey.
Why Choose Dr. Gitanjali Devgarha?
There are several reasons why Dr. Gitanjali is regarded as one of the best gynecologists and the Best Laparoscopic Surgeon in Bapu Nagar, Jaipur:
Expert in Minimally Invasive Surgeries: Dr. Gitanjali’s proficiency in laparoscopic surgery ensures that patients experience less pain and faster recovery, compared to traditional open surgeries.
Comprehensive Maternity Care: Dr. Gitanjali provides holistic care for women, addressing both routine and high-risk pregnancies, making her a trusted expert in the field.
Personalized Attention: She understands that every patient is unique, which is why she takes the time to tailor treatment plans that suit individual needs.
State-of-the-Art Technology: Dr. Gitanjali utilizes the latest medical equipment and techniques to ensure the highest quality of care for her patients.
Compassionate and Caring: Dr. Gitanjali is known for her empathetic and patient-centered approach. She believes in making patients feel comfortable, informed, and supported throughout their healthcare journey.
A Holistic Approach to Women’s Health
Dr. Gitanjali Devgarha’s clinic in Bapu Nagar, Jaipur, focuses on providing a holistic approach to women’s healthcare. From adolescent care to menopause management, Dr. Gitanjali offers a wide range of services to ensure the overall well-being of her patients. Her expertise spans various aspects of women’s health, including:
Menstrual Health
Fertility and Conception
Postmenopausal Care
Hormonal Imbalance
Weight Management
By offering a full spectrum of gynecological services, Dr. Gitanjali ensures that women of all ages have access to the care they need to live healthy and fulfilling lives.
Conclusion
If you are looking for the Best Laparoscopic Surgeon in Bapu Nagar, Jaipur, Dr. Gitanjali Devgarha is the trusted choice for women’s health care. With her expertise in laparoscopic surgery, pregnancy care, and maternity services, Dr. Gitanjali offers comprehensive treatment that combines advanced medical techniques with compassionate care. Whether you need a minimally invasive surgery, expert advice on pregnancy, or a holistic approach to women’s health, Dr. Gitanjali is here to guide you every step of the way.
For top-tier care in a comfortable and compassionate setting, choose Dr. Gitanjali Devgarha — your partner in health.
This blog highlights Dr. Gitanjali Devgarha’s exceptional expertise as the Best Laparoscopic Surgeon in Bapu Nagar, Jaipur, and her comprehensive care as a Pregnancy & Maternity Specialist. She combines the latest surgical techniques with a compassionate approach to provide the best care for women’s health in Jaipur.
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Examination Of The Nasal Bone
Examination Of The Nasal Bone
#Gestation 😇
#Fetal 🙌
#Nasal 👀
#Bone 👋
#Examination 🙂↕️
• The gestation should be 11–13+6 weeks and the fetal crown–rump length should be 45–84 mm.
• The image should be magnified so that the head and the upper thorax only are included in the screen.
• A mid-sagittal view of the fetal profile should be obtained with the ultrasound transducer held in parallel to the direction of the nose.
• In the image of the nose there should be three distinct lines. The top line represents the skin and the bottom one, which is thicker and more echogenic than the overlying skin, represents the nasal bone. A third line, almost in continuity with the skin, but at a higher level, represents the tip of the nose.
• At 11–13+6 weeks the fetal profile can be successfully examined in more than 95% of cases. • In chromosomally normal fetuses the incidence of absent nasal bone is less than 1% in Caucasian populations and about 10% in Afro-Caribbeans.
• The nasal bone is absent in 60–70% of trisomy 21 fetuses, in about 50% of trisomy 18 fetuses and 30% of trisomy 13 fetuses.
• For a false positive rate of 5%, screening by a combination of sonography for fetal NT and nasal bone and maternal serum free b-hCG and PAPP-A can potentially identify more than 95% of trisomy 21 pregnancies.
• It is imperative that sonographers undertaking risk assessment by examination of the fetal profile receive appropriate training and certification of their competence in performing such a scan
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Pre-Pregnancy Counseling: A Stepping Stone to Parenthood
Do you have a baby bump? Yes! Then, before you jump in the air with joy, you should take a look at pregnancy counseling, because expecting a baby requires a lot of acceptance and awareness, and that makes it a stepping stone to parenthood, a path of responsibility and mindfulness.
Pre-pregnancy counseling is a motto that pre-empts the certain risk factors pertaining a women’s, the fetus and neonatal health from entering an unfavorable phase. The one-to-one interaction with the professional can be a great aide in optimizing the health care of mother and child, which also extends to the family ties, as their care is invested from the first days.
Education about the pregnancy journey in pre-pregnancy course is open to all genders, sexualities and parents, as they offer a holistic approach to better parenting. Regardless of whether you are planning a pregnancy or using contraception, the pre-pregnancy counseling is applicable to both parties.
As the saying goes, health status can't be the same forever, over growing time potential risks can occur anytime. Thus, pre-pregnancy counseling does not last for a day, but it occurs several times for ensuring a healthy and happy baby journey!
Day in and out whenever an expectant mother gets counselled, fresh knowledge is added to her advantage for handling the situation. There is a certainty of several chronic conditions viz; diabetes, hypertension, thyroid and mental health require monitoring during pre-pregnancy for a desirable outcome.
In the pre-pregnancy counseling sessions, a crucial assessment for examining STDs is a must with a vivid screening for any probable genetic conditions that might pass down to the life growing inside.
The other important matter of concern here is to debrief on possible strong addictions namely, liquor, nicotine consumption, drugs or any other medicines taken for some underlining or nonmedical reasons.
There is also a significant survey conducted on partner violence during intimacy during prepregnancy counseling as it has entirely a direct impact on the mother and child both.
The expert guidance - Suggestions from the desk of the American College of Obstetrician and Gynecologists
The ACOG institute emphasizes the opportunity to stroke the iron hard and discuss overall wellness, and healthy habits as a routine irrespective of the patient for a successful outcome.
“Would you like to become pregnant next year?” Serves the purpose, of the right to speak out one's heart for suitable guidance without coyness.
The goal of prepregnancy counseling is to ensure a pregnancy that is away from the instructions and if any challenges occur one has the tact to handle it with expert guidance.
An annual influenza inoculation is mandatory for every patient unbiased as it is for additional benefit.
Prepregnancy is not limited to basic health checkups and discussions a patient's lifestyle and underlining conditions are crucial to tap on! If discovered to be a specific virus prone or any infection or allergies due to climate/ certain food types must be cautioned beforehand as travelling is a massive no.
Appropriate nourishment and vitamins are so significant for a healthy pregnancy tenure. Always fall back on your medical adviser for the proportion of food intake that suits your body the best during the prepregnancy period.
Read More: https://www.drshubhragoyal.com/welcome/blogs/pre-pregnancy-counseling:-a-stepping-stone-to-parenthood
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Horseback Riding in Pregnancy: A Risky Pursuit?
Horseback riding can be a joyful and fulfilling activity, but its safety during pregnancy is a significant concern.
The Risks:
Risk of Falls: The most significant risk is the potential for falls. Even a minor fall can have serious consequences for both mother and fetus.
Abdominal Trauma: The impact from a fall or sudden movements of the horse can potentially harm the developing fetus.
Increased Risk of Miscarriage: While not definitively proven, there is a theoretical risk of increased miscarriage rates associated with horseback riding during pregnancy.
Recommendations:
Consult Your Doctor: Before continuing any equestrian activities, it's crucial to consult with your doctor or an obstetrician. They can assess your individual health and pregnancy status to determine the risks involved.
Consider Alternatives: If your doctor advises against horseback riding, explore alternative forms of exercise that are safer during pregnancy, such as swimming, prenatal yoga, or walking.
If Continuing, Take Precautions: If you choose to continue riding, take extra precautions:
Ride only calm, well-trained horses: Avoid riding spirited or unpredictable horses.
Avoid jumping or other high-impact activities: Stick to gentle riding and avoid any activities that could increase the risk of falls.
Wear a properly fitted helmet: Always wear a properly fitted helmet for added protection.
Discontinue if any concerns arise: Stop riding immediately if you experience any discomfort, pain, or unusual symptoms.
Staying Informed:
Continuous learning is crucial for making informed decisions about your health and well-being during pregnancy. Websites like Light Pink Care and other reputable sources can provide valuable information on pregnancy safety, exercise guidelines, and other important topics.
Disclaimer: This information is for general knowledge and does not constitute medical advice. Always consult with your doctor or a qualified healthcare professional for any health concerns or before making any decisions regarding your health and pregnancy.
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Avoiding Down Syndrome: What Every Expecting Parent Needs to Know
Welcoming a child into the world is a life-changing event for parents. While most pregnancies progress without complications, genetic disorders such as Down syndrome are a concern for many expecting parents. Down syndrome, a genetic condition caused by an extra chromosome 21, can affect the physical and cognitive development of a child. Although it cannot always be prevented, advancements in medical technology and prenatal care allow parents to reduce risks and make informed decisions. This article explores ways to avoid Down syndrome, the role of gender selection, and how genetic testing empowers families for healthier pregnancies.
Understanding Down Syndrome and Its Causes
1. What Is Down Syndrome?
Down syndrome, also called trisomy 21, is a chromosomal abnormality that occurs when a baby has an extra copy of chromosome 21. This genetic condition leads to developmental delays, intellectual disabilities, and distinct physical features, such as low muscle tone and unique facial characteristics.
2. Causes of Down Syndrome
The primary cause of Down syndrome/متلازمة الداون is an error during the division of reproductive cells, resulting in the extra chromosome. The likelihood of this genetic condition increases with maternal age, especially for women over 35. However, it can occur in pregnancies at any age.
How to Reduce the Risk of Down Syndrome
While it’s impossible to eliminate all risks, certain measures can help parents minimize the chances of having a child with Down syndrome.
1. Genetic Testing
One of the most effective ways to reduce the risk is through genetic testing. Prenatal screenings and diagnostic tests help identify chromosomal abnormalities early in pregnancy.
Non-Invasive Prenatal Testing (NIPT): A blood test that analyzes fetal DNA in the mother’s bloodstream to detect chromosomal abnormalities.
Amniocentesis and Chorionic Villus Sampling (CVS): Diagnostic procedures that examine fetal cells for genetic conditions, providing accurate results.
2. Family Planning at a Younger Age
As maternal age is a significant factor, planning pregnancies earlier in life can reduce the risk of chromosomal abnormalities.
3. Preimplantation Genetic Testing (PGT)
For couples using assisted reproductive technologies like in-vitro fertilization (IVF), preimplantation genetic testing is a valuable tool. PGT screens embryos for chromosomal abnormalities before implantation, ensuring that only healthy embryos are used in the IVF process.
The Role of Gender Selection in Family Planning
Gender selection, a method often associated with family balancing, can also play a role in reducing genetic risks. While it does not directly prevent Down syndrome, it is part of a comprehensive fertility approach.
1. How Gender Selection Works
Through advanced reproductive technologies, doctors can identify the sex of an embryo before implantation during IVF. Gender selection is often combined with preimplantation genetic testing to ensure the healthiest embryos are chosen.
2. Family Balancing and Genetic Health
Some parents opt for gender selection as part of their family planning to balance their household while prioritizing genetic health. By selecting healthy embryos, the chances of chromosomal abnormalities, including Down syndrome, are significantly reduced.
3. Ethical Considerations
While gender selection is legal in many countries, ethical considerations should be taken into account. It is essential for parents to prioritize genetic health and consult with medical professionals about the best options.
The Importance of Genetic Counseling
Genetic counseling is a vital resource for families who want to understand their risks and explore preventive measures.
1. Assessing Risk Factors
A genetic counselor evaluates personal and family medical histories to estimate the likelihood of chromosomal abnormalities, including Down syndrome.
2. Explaining Testing Options
Counselors provide guidance on the types of genetic tests available, helping parents choose the most appropriate option for their situation.
3. Supporting Informed Decisions
Genetic counseling empowers parents to make informed decisions about their reproductive options, including IVF, PGT, and prenatal testing.
How Technology Empowers Parents to Avoid Down Syndrome
Medical advancements have revolutionized prenatal care, giving parents more control over their pregnancies.
1. IVF and Genetic Screening
In cases where natural conception carries higher risks, IVF combined with genetic screening ensures a healthy start for the baby.
2. Early Detection Through Testing
Modern prenatal tests, such as NIPT, provide early and non-invasive detection of Down syndrome, allowing parents to plan accordingly.
3. Healthier Pregnancy Outcomes
Technologies such as PGT and gender selection contribute to healthier pregnancies by reducing the chances of chromosomal abnormalities.
Coping with the Diagnosis of Down Syndrome
Despite preventive measures, there is no guarantee of avoiding Down syndrome. For parents facing this diagnosis, support and preparation are key.
1. Building a Support Network
Families can connect with local and international Down syndrome organizations for resources, support, and education.
2. Embracing Medical Care and Therapy
Children with Down syndrome benefit greatly from early medical care, speech therapy, physical therapy, and educational programs tailored to their needs.
3. Celebrating Individual Potential
Many individuals with Down syndrome lead fulfilling lives, contributing to their communities in meaningful ways. Parents should focus on nurturing their child’s unique abilities and potential.
Conclusion
Avoiding Down syndrome requires a proactive approach that includes genetic testing, advanced reproductive technologies, and informed decision-making. While risk factors such as maternal age can’t always be controlled, tools like PGT, prenatal screening, and gender selection empower parents to plan for healthier pregnancies. In Dubai and around the world, advancements in medical technology make it possible to detect and manage genetic conditions like Down syndrome early. By consulting with genetic counselors and leveraging cutting-edge fertility techniques, expecting parents can take meaningful steps to minimize risks while embracing the joys of parenthood. For families navigating these choices, knowledge and preparation are invaluable. Whether through early testing, IVF, or other medical interventions, taking proactive steps helps ensure the best possible outcome for parents and their children.
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Maternity Hospital in Jaipur
A good maternity hospital in Jaipur offers comprehensive care for expecting mothers. These hospitals are equipped with advanced facilities, clean rooms, and experienced medical staff. They provide prenatal checkups, delivery services, and postnatal care, all under one roof. Whether you’re planning for a normal delivery or a cesarean, these hospitals prioritize your comfort and health.
Childbirth Expert in Jaipur
When it comes to childbirth, having an expert by your side makes all the difference. A childbirth expert in Jaipur ensures that every step of the pregnancy journey is smooth and stress-free. From guiding you through labor to providing the best care during delivery, these professionals focus on the safety and comfort of both mother and baby. They are skilled in handling normal deliveries, cesarean sections, and complicated cases, ensuring the best outcomes.
Best Childbirth Expert in Jaipur
Looking for the best childbirth expert in Jaipur? You deserve someone who understands your needs and provides personalized care. The best childbirth experts have years of experience and use the latest medical techniques to ensure a safe and healthy delivery. They create a supportive environment, answer all your questions, and make you feel confident about the process. Choosing the best means peace of mind for you and your family.
Maternity Centers in Jaipur
Maternity centers in Jaipur are designed to provide focused care for mothers-to-be. These centers specialize in pregnancy and childbirth services, including antenatal checkups, ultrasounds, and delivery care. They also offer counseling sessions and nutrition advice to ensure a healthy pregnancy. With friendly staff and modern amenities, maternity centers make the entire journey of motherhood a joyful experience.
Pregnancy Checkup in Pratap Nagar
Regular pregnancy checkups are essential to monitor the health of both mother and baby. In Pratap Nagar, reliable pregnancy checkup services include blood tests, ultrasounds, and routine health assessments. These checkups help detect any complications early and provide timely solutions. With experienced doctors nearby, expecting mothers can feel secure about their health during pregnancy.
Uterine Fibroid in Pratap Nagar
Uterine fibroids are non-cancerous growths in the uterus that can cause discomfort. In Pratap Nagar, expert gynecologists offer effective treatments for uterine fibroids, including medication and minimally invasive surgery. Early diagnosis and treatment can help manage symptoms like heavy bleeding and pelvic pain, ensuring better quality of life for women.
Recurrent Abortion Treatment in Pratap Nagar
Recurrent abortion can be emotionally and physically challenging. In Pratap Nagar, specialized treatments are available to address this issue. Gynecologists work to identify the underlying causes, such as hormonal imbalances or genetic issues, and provide personalized care plans. These treatments aim to support a healthy pregnancy in the future.
Delivery Hospital in Pratap Nagar
A delivery hospital in Pratap Nagar ensures safe and comfortable childbirth experiences. These hospitals are equipped with modern labor rooms, NICU facilities, and experienced obstetricians. They offer both normal delivery and cesarean services, focusing on the well-being of both mother and baby. Choosing a trusted delivery hospital ensures you receive the best care during this special time.
Antenatal Care in Pratap Nagar
Antenatal care is crucial for a healthy pregnancy. In Pratap Nagar, antenatal care services include regular checkups, nutritional guidance, and screening tests. These services help monitor the baby’s growth and identify any potential risks early. By attending antenatal appointments, mothers-to-be can ensure their health and their baby’s development are on track.
Ectopic Pregnancy Treatment in Pratap Nagar
An ectopic pregnancy occurs when the fertilized egg implants outside the uterus, requiring immediate medical attention. In Pratap Nagar, gynecologists provide advanced treatments to address this condition safely. Early detection through ultrasounds and blood tests ensures effective care. These treatments aim to protect the mother’s health and prevent complications.
Early Pregnancy Checkup in Pratap Nagar
Early pregnancy checkups are essential to confirm pregnancy and assess the mother’s health. In Pratap Nagar, clinics offer detailed examinations, including ultrasounds and blood tests. These checkups provide valuable insights into the baby’s development and help plan the next steps in care. Starting your pregnancy journey with an early checkup ensures a healthy foundation.
Antenatal Checkup in Pratap Nagar
Antenatal checkups in Pratap Nagar focus on monitoring the health of both mother and baby throughout pregnancy. Regular visits include physical exams, tests, and advice on managing pregnancy symptoms. These checkups are vital for identifying any issues early and ensuring a safe and healthy pregnancy experience.
Childbirth Expert in Pratap Nagar
Childbirth experts in Pratap Nagar are dedicated to helping mothers have safe and positive delivery experiences. They provide guidance throughout labor and ensure the delivery process is as smooth as possible. With their expertise, mothers can feel reassured and supported at every step of their journey.
Best Childbirth Expert in Pratap Nagar
Choosing the best childbirth expert in Pratap Nagar ensures that you and your baby receive the highest level of care. These professionals are skilled in handling different delivery scenarios and focus on making the experience stress-free. With their compassionate approach, they help mothers feel confident and well-cared for during childbirth.
Maternity Hospital in Pratap Nagar
A maternity hospital in Pratap Nagar provides all the services needed for a healthy and safe pregnancy. From prenatal care to delivery and postnatal support, these hospitals are equipped with modern facilities and experienced staff. They aim to make every mother’s journey smooth and joyful.
Best Maternity Expert in Jaipur
The best maternity expert in Jaipur is someone who offers exceptional care and personalized attention to every expecting mother. They provide comprehensive services, including regular checkups, delivery care, and postnatal support. With their guidance, mothers can feel confident and well-prepared for childbirth, ensuring a happy and healthy experience.
Dr. Deepali is widely recognized as the best gynecologist in Jaipur, offering exceptional care to women at every stage of their lives. With years of experience in gynecology and obstetrics, she specializes in handling high-risk pregnancies, infertility treatments, and general women’s health concerns.
Consult today with us.
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Maternal Care and the Role of Telehealth
Maternal care is an essential component of healthcare that ensures the well-being of both mother and child throughout pregnancy, childbirth, and the postpartum period. Traditionally, maternal care involves frequent in-person visits to healthcare providers, which can be challenging for many women due to various barriers. However, the advent of telehealth is transforming this landscape, providing innovative solutions to enhance maternal care.
The Importance of Maternal Care
Maternal care encompasses a range of services aimed at ensuring the health of pregnant women and their babies. It includes prenatal care, labor and delivery services, and postpartum care. Prenatal care involves regular check-ups, screenings, and education to monitor and promote a healthy pregnancy. Labor and delivery care ensure safe childbirth, and postpartum care supports recovery and addresses any complications following birth.
Quality maternal care is crucial for several reasons:
Monitoring and Managing Health Conditions: Conditions like hypertension, diabetes, and preeclampsia can pose significant risks during pregnancy. Early detection and management are vital to prevent complications.
Nutritional Guidance: Proper nutrition is essential for fetal development. Maternal care provides education and support for maintaining a healthy diet.
Mental Health Support: Pregnancy and the postpartum period can be emotionally challenging. Access to mental health services is a critical component of maternal care.
Birth Planning: Educating and preparing women for childbirth helps ensure a safer delivery process.
Newborn Care: Guidance on newborn care practices, including breastfeeding and immunization, promotes the health of the baby.
Despite its importance, access to maternal care can be limited by factors such as geographic location, socioeconomic status, and lack of healthcare resources. Telehealth is emerging as a powerful tool to bridge these gaps.
The Role of Telehealth in Maternal Care
Telehealth refers to the use of digital information and communication technologies, such as computers and mobile devices, to access healthcare services remotely. In the context of maternal care, telehealth offers several advantages:
Accessibility: Telehealth makes maternal care more accessible, especially for women in rural or underserved areas. It eliminates the need for travel, which can be a significant barrier for those living far from healthcare facilities.
Convenience: Virtual visits can be scheduled more flexibly, making it easier for pregnant women to attend appointments without disrupting their daily lives or work schedules.
Continuous Monitoring: Wearable devices and mobile health applications enable continuous monitoring of vital signs and other health indicators. This allows healthcare providers to track the health of both mother and baby more closely and intervene promptly if needed.
Education and Support: Telehealth platforms can provide educational resources and support groups for expecting and new mothers. These resources are crucial for sharing information on prenatal and postpartum care, breastfeeding, and mental health.
Mental Health Services: Telehealth facilitates access to mental health services, including counseling and therapy, which are essential for addressing prenatal and postpartum depression and anxiety.
Telehealth Applications in Maternal Care
Telehealth can be applied in various ways to enhance maternal care:
Virtual Prenatal Visits: Routine prenatal check-ups can be conducted virtually, allowing healthcare providers to assess the health of the mother and fetus through video calls. Women can discuss symptoms, receive guidance, and have their questions answered without leaving their homes.
Remote Monitoring: Devices such as blood pressure monitors, glucose meters, and fetal heart rate monitors can transmit data to healthcare providers in real-time. This continuous monitoring can help detect and manage potential complications early.
Telepsychiatry: Mental health support is critical during and after pregnancy. Telepsychiatry services can provide timely access to mental health professionals, helping to address issues like depression, anxiety, and stress.
Postpartum Care: After childbirth, telehealth can facilitate follow-up appointments and provide support for breastfeeding, newborn care, and postpartum recovery. This is particularly beneficial for new mothers who may find it difficult to leave the house with a newborn.
Educational Webinars and Support Groups: Online platforms can host webinars, workshops, and support groups where expecting and new mothers can learn from healthcare professionals and connect with peers.
Challenges and Considerations
While telehealth offers numerous benefits, there are challenges and considerations to address:
Digital Divide: Access to telehealth services requires internet connectivity and digital literacy. Efforts must be made to ensure that all women, regardless of their socioeconomic status, have access to the necessary technology and skills.
Quality of Care: Ensuring that telehealth services provide the same quality of care as in-person visits is crucial. This includes training healthcare providers in virtual care delivery and maintaining clear communication with patients.
Privacy and Security: Protecting patient data is paramount. Telehealth platforms must comply with regulations such as the Health Insurance Portability and Accountability Act (HIPAA) to ensure the confidentiality and security of patient information.
Reimbursement and Policy: Reimbursement policies for telehealth services can vary. Advocacy for consistent and fair reimbursement practices is necessary to support the widespread adoption of telehealth in maternal care.
Conclusion
Telehealth is revolutionizing maternal care by making it more accessible, convenient, and comprehensive. By leveraging digital technologies, healthcare providers can offer continuous monitoring, timely interventions, and essential support to pregnant women and new mothers. While challenges remain, the potential benefits of telehealth in maternal care are substantial. As technology continues to evolve and healthcare systems adapt, telehealth is poised to play an increasingly vital role in ensuring the health and well-being of mothers and their babies. Contact us today to learn more about how we can improve maternal health outcomes together.
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