Dr. Liudmyla Serko

Keloid treatment. Before and after.Contact for more info.

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https://emergency.cdc.gov/han/2022/han00466.asp

Pain management

Normal Labor after first c- section? Of course! One c-section , not always c- section! For more information book your consultation today .

COVID-19 😷

Smoking- kills

Pregnancy and COVID -19

Heat rash.

Also known as prickly heat or miliaria, heat rash in babies occurs when excessive sweating clogs sweat glands, trapping perspiration beneath the skin and resulting in telltale red bumps or blisters. It’s most common in the summer, when weather is hot and humid. Tight or too-warm clothing can make it worse.

How to treat baby's heat rash

A baby with miliaria needs to chill out — literally. Some heat rash treatment ideas to help cool off those pricklies:

Use a mild soap and tepid water during bath time to help soothe baby's skin. Gently pat dry.

Keep affected skin dry. If it’s extra hot, use a fan to help wick away sweat.

Skip powders, oils and lotions, which will only make the rash worse by further blocking the pores.

Give your baby a break from clothes on the play mat or let him take a naked stroll or crawl around the house.

Here are a few tips to prevent heat rash in your baby:

Avoid heavy clothing and too much time in a carrier or sling, where the combination of your body heat and poor ventilation can keep your little one sweltering.
Avoid spending a lot of time outside in hot weather.
Opt for loose-fitting, lightweight clothes, especially in warm weather.
Never leave baby in a car by himself (incredibly important for reasons more serious than heat rash prevention!), and use air conditioning when you’re driving on hot days.
Stay in air-conditioned spots whenever possible. If you're inside with no AC, try to use a fan to keep air circulating, and if you're outside, opt to spend most of your time in shady areas.
Keep baby’s sleeping area cool and well- ventilated

When to call the doctor about heat rash in babies

If your baby’s rash lasts for three or more days or seems to be getting worse, call the pediatrician. Also keep an eye out for pustules and swelling, which could be symptoms of a yeast or bacterial infection due to baby’s scratching and would require a visit to the doc for a prescription medication.

One more thing to keep in mind: A fever can trigger a heat rash but is never caused by one — so if your baby has a fever, you still need to figure out why and contact your child’s doctor.

World’s First Unis*x Condom Is here

https://www.therakyatpost.com/news/malaysia/2021/10/28/worlds-first-unis*x-condom-is-here-and-was-created-by-a-malaysian/amp/

Second Woman Spontaneously Clears HIV: 'We Think More Are Out There'

It sounds like a fairy tale steeped in HIV stigma: A woman wakes up one morning and, p**f, the HIV she's been living with for 8 years is gone. But for a 30-year-old Argentinian woman from the aptly named village of Esperanza, that's close to the truth, according to an article published in Annals of Internal Medicine.
The woman, the so-called Esperanza Patient, appears to be the second person whose immune system cleared the virus without the use of stem cell transplantation. The first was Loreen Willenberg, a California woman who, after living with HIV for 27 years, no longer had replicating HIV in her system. That case was reported last year. https://www.medscape.com/viewarticle/963083

Crying babies is the most beautiful music and the best sermon . Because it is a shout of hope that life’s go on…. That love is fruitful…

From a satisfied patients🥰🥰☺️

Everything You Need to Know About Surgical Sutures

Sutures are used by your doctor to close wounds to your skin or other tissues. When your doctor sutures a wound, they’ll use a needle attached to a length of “thread” to stitch the wound shut.

Types of sutures

Suture material can be classified as either absorbable or nonabsorbable.

Absorbable sutures don’t require your doctor to remove them. This is because enzymes found in the tissues of your body naturally digest them.

Nonabsorbable sutures will need to be removed by your doctor at a later date or in some cases left in permanently.

-Continuous sutures

-Interrupted sutures

-Deep sutures

-Buried sutures

-Purse-string sutures

-Subcutaneous suture

Suture removal

When your sutures are removed will depend on where they are on your body. According to American Family Physician, some general guidelines are as follows:

scalp: 7 to 10 days
face: 3 to 5 days
chest or trunk: 10 to 14 days
arms: 7 to 10 days
legs: 10 to 14 days
hands or feet: 10 to 14 days
palms of hands or soles of feet: 14 to 21 days
To remove your sutures, your doctor will first sterilize the area. They’ll pick up one end of your suture and cut it, trying to stay as close to your skin as possible. Then, they’ll gently pull out the suture strand.

https://globalpressjournal.com/africa/zambia/health-experts-zambia-warn-women-stay-away-chinese-contraceptives/

Health Experts in Zambia Warn Women to Stay Away from Chinese Contraceptives Chinese contraceptive pills are illegal in Zambia but easily purchased in the capital city of Lusaka. Health officials say women should be cautious when using them because it’s not clear what they contain, and some women have reported serious side effects including heavy bleeding.

DEAR Doctor:My daughter had her first period at 15. That was six months ago, and she hasn’t had a period since. Should I take her to see a health care provider, or is this typical?

ANSWER: When they first start, periods in teens are often irregular. It’s not uncommon to go several months without a period within the first year or two of beginning to have menstrual cycles. In your daughter’s situation, a gap of six months at this point probably doesn’t require an evaluation. However, if she goes another three to six months without another period, make an appointment for her to see her health care provider.
What’s Menarche??

The average age for periods to begin is 12. But they may start as early as 8 or as late as 16, and still be considered within the normal range.

For the first few years after menstruation begins, long, irregular cycles are common and not cause for concern.

If a girl has her first period and then doesn’t have another one for about a year, an evaluation is appropriate.

In some elite athletes, such as gymnasts, runners and dancers, periods may stop due to high levels of physical activity coupled with inadequate caloric intake

Also, don’t be surprised if your daughter’s health care provider recommends a pregnancy test — even if she says she hasn’t been s*xually active.

Whether she is s*xually active or not, now would be a good time to encourage your daughter to be honest and forthcoming with her health care provider about topics such as s*x, menstruation, birth control and other potentially sensitive issues. Emphasize that doing so can help her get the best health care possible. She should know, too, that health care providers are only allowed to share information discussed during an appointment with others if a patient says she’s going to hurt herself or someone else. All other information is confidential, including treatment for s*xually transmitted infections and pregnancy.

Pap - smear and colposcopy, the best way prevents Cervical cancer . Book your screening now. Better safe than sorry.

What Is a Pap Smear?

A Pap smear is an exam a doctor uses to test for cervical cancer in women. It can also reveal changes in your cervical cells that may turn into cancer later.

How Often Should I Have a Pap Smear?

You should have the test every 3 years from ages 21 to 65. You may choose to combine your Pap testing with being tested for the human papillomavirus (HPV) . If you do so, then you can be tested every 5 years instead. HPV is the most common s*xually transmitted infection (STI), and it’s linked to cervical cancer.

What’s a colposcopy?

A colposcopy is a type of cervical cancer test. It lets your doctor get a close-up look at your cervix — the opening to your uterus. It’s used to find abnormal cells in your cervix.

On-line consultations 24/7. Stay safe !

Importance Of Online Gynaecology Consultation During COVID 19

Online consultation lets the patients and doctors virtually connect with each other remotely, with the use of tech tools like video calls. Any female can connect with a gynaecologist for any of her concerns in just a few minutes.

What all gynaecology related problems can be discussed on call?

Common gynaecology issues to consult a gynaecologist for include-

Issues relating to periods, and menopause
Pregnancy-related problems
Vaginal Dryness or Itching
Abnormal va**nal discharge
Pain during s*x
Painful urination
Queries regarding contraception, birth control and sterilization
STIs and STDs
PCOS and PCOD
Stress Urinary Incontinence
F***l incontinence
Endometrial hyperplasia and cervical dysplasia
Conge***al abnormalities of the female’s reproductive tract
Emergency care related to gynaecology
Endometriosis
PID (pelvic inflammatory disease)
Health issues relating to s*xual relationships
Sexual dysfunction

Consulting a Gynaecologist online- Better than Self-Diagnosis!!!!

In the COVID-19 pandemic along with a nationwide lockdown, online medical consultation has become a boon to the country. For females who want a consultation for their gynaecological problems, online consultation seems a safe and convenient option.

Bartholin's cyst

-If the tube (duct) that drains the fluid becomes blocked then a fluid-filled swelling (cyst) develops.
-The size of a cyst can vary from small and pea-like to the size of a golf ball, or even bigger.
-The reason why a Bartholin's duct may become blocked and lead to a cyst is not clear.
-Treatment
-A small operation is needed in many cases
-The main aim of the operation is to drain any fluid or pus.
-marsupialisation is the traditional treatment used to treat a Bartholin's cyst or abscess. It may be done under general anaesthetic. It can also be done under local anaesthetic when the overlying skin is numbed with an injection of local anaesthetic. A small cut (incision) is made into the cyst or abscess just inside the entrance to the va**na. Any fluid or pus drains out. The cut is widened to about 1 cm. A few stitches are then used to stitch the inside lining of the cyst to the overlying skin. This then creates a small new permanent opening for fluid to drain out of the gland.

Newborn Care from Head to Toe

Follow these simple tips.

Face

It's disconcerting to see a newborn with a red, blotchy face, but baby acne is a common and harmless condition.

Care tip: Wash your baby's face daily with a mild baby soap.

Eyes

Some babies have a yellowish discharge or crusting in the eye or on the lid, which is usually caused by a blocked tear duct. This condition can last several months. Care tip: Wipe the area using a cotton ball moistened with warm water.

Scalp

Many newborns develop a scaly scalp condition called cradle cap. It typically disappears in the first few months.

Care tip: Wash your baby's hair with a gentle baby shampoo no more than three times a week and gently brush out the scales daily using a baby hairbrush or soft toothbrush. Nose

Babies' narrow nasal passages tend to fill with mucus.

Care tip: Gently unclog nostrils with an infant-sized nasal bulb syringe or try the trauma-minimizing Nosefrida To loosen mucus, insert saline solution with an eyedropper before suctioning. Nails

A newborn's nails usually are soft, but they can scratch his sensitive skin.

Care tip: Use baby nail clippers or blunt-nosed scissors. Clip after his bath when nails are soft, or when he's asleep and his fingers are relaxed. Skin

Some babies develop red, itchy patches called eczema or atopic dermatitis—an inheritable skin condition.

Care tip: Limit baths to 10 minutes, and use a mild, fragrance-free soap and lukewarm water; liberally apply hypoallergenic skin cream immediately afterward. Stick to cotton clothing.

Bottom

Too much moisture plus sensitive skin can equal diaper rash for many babies.

Care tip: Change diapers frequently. Rinse your baby's bottom with water during each change and blot dry. Avoid using wipes; they may irritate skin. Barrier creams, such as petroleum jelly or white zinc oxide, may help.

Umbilical Cord
Keep the umbilical cord stump clean and dry; it will shrivel and fall off within a few weeks.

Care tip: Avoid covering the cord area with a diaper and stick to sponge baths until the stump detaches.

Circumcision

The tip of the p***s will be swollen, and a yellow scab will appear.

Care tip: Gently clean the ge***al area with warm water daily. Use petroleum jelly to protect the site and prevent the p***s from sticking to a diaper.
Legs

Newborns' legs are bowed out and the feet are turned in, which is no surprise, given their previous cramped living quarters.

Care tip: Don't worry about it—your baby's legs and feet will straighten in anywhere from six to 18 months.

Feet

Newborns' toes frequently overlap and the nails look ingrown (but aren't).

Care tip: Don't sweat it—this appearance is perfectly normal.

Myomectomy is the surgical removal of fibroids from the uterus. It allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. Myomectomy is the preferred fibroid treatment for women who want to become pregnant. After myomectomy, your chances of pregnancy may be improved but are not guaranteed.
Before myomectomy, shrinking fibroids with gonadotropin-releasing hormone analogue (GnRH-a) therapy may reduce blood loss from the surgery. GnRH-a therapy lowers the amount of estrogen your body makes. If you have bleeding from a fibroid, GnRH-a therapy can also improve anemia before surgery by stopping uterine bleeding for several months.
Surgical methods for myomectomy include:
Hysteroscopy, which involves inserting a lighted viewing instrument through the va**na and into the uterus.
Laparoscopy, which uses a lighted viewing instrument and one or more small cuts (incisions) in the abdomen.
Laparotomy, which uses a larger incision in the abdomen.

What To Expect After Surgery
The length of time you may spend in the hospital varies.
Hysteroscopy is an outpatient procedure.
Laparoscopy may be an outpatient procedure or may require a stay of 1 day.
Laparotomy requires an average stay of 1 to 4 days.
Recovery time depends on the method used for the myomectomy:
Hysteroscopy requires from a few days to 2 weeks to recover.
Laparoscopy requires 1 to 2 weeks.
Laparotomy requires 4 to 6 weeks.

Why It Is Done
Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:
Anemia that is not relieved by treatment with medicine.
Pain or pressure that is not relieved by treatment with medicine.
A fibroid that has changed the wall of the uterus. This can sometimes cause infertility. Before an in vitro fertilization, myomectomy is often done to improve the chances of pregnancy.

Paternal postpartum depression

Postpartum depression is finally getting the attention it deserves in the media, hospitals, and healthcare in general, but fathers generally aren’t mentioned. Paternal postpartum depression affects men all over the world, but it’s rarely discussed.

Paternal postpartum depression typically begins in the first 12 months after a baby’s birth, with the highest number of cases beginning between 3 and 6 months after birth—later than when postpartum depression generally develops in women.

Signs and symptoms of paternal postpartum depression are similar to maternal postpartum depression, but men may experience additional symptoms:

Aggressiveness
Anger
Anxiety
Cynicism
Depressed mood
Fatigue and sleep problems
Feelings of worthlessness
GI symptoms
Headaches
Indecisiveness
Infidelity
Lower stress threshold
Marital conflicts
Negative parenting behaviors (for example, excessive yelling or hitting)
Partner abuse/violence
Risky behaviors (for example, drunk driving)
Self-criticism
Social withdrawal
Spending excessive time away (for example, online or at work)
Substance misuse
Suicidal ideation and/or action

Preventing and treating paternal postpartum depression should begin before the baby is born and continue in the hospital and after the baby is delivered.

Education should include information about physical changes the mother can expect during pregnancy, physical and hormonal changes that the father may experience, how the new parenting role will change the couple’s life, and maternal and paternal postpartum depression.

Doctors have to Assess the father’s confidence in taking on his new role and encourage him to practice childcare skills (such as diapering and bathing) before the baby comes and to participate in care as much as possible after birth. Also provide lifestyle education about sleep health, nutrition, physical activity, self-image, and postpartum s*xual activity to help prevent paternal postpartum depression.

Mothers may experience the physical effects of childbearing, but fathers also are affected by a baby’s birth. In most cases, both parents will be sleep deprived as they face the challenges of becoming new parents and letting go of their previous life and routine. In addition, they’ll be overwhelmed at times by their baby’s needs, and they may feel a loss of control over their own lives. All of these factors can lead to postpartum depression in mothers and fathers.

The stigma associated with paternal postpartum depression can leave fathers overlooked. However, mental health issues don’t discriminate. Paternal postpartum depression is a serious condition that affects fathers and their families every day

Pregnancy health myths debunked

Myth 1: You can’t eat seafood

The mercury levels in fish make them a talking point for pregnancies. Most fish, according to the FDATrusted Source, are safe if they’re not consumed in abundance. Some of the safe choices include:

canned tuna
salmon
catfish
crab
The FDA has a full list hereTrusted Source.

There’s a lot of benefits to seafood, like healthy fats which aid in a baby’s development. Just cap your seafood intake to 340 grams a week, and avoid raw sushi to limit your risk of exposure to certain bacteria.

Fish to avoid:

shark
swordfish
king mackerel
tuna (albacore and bigeye)
marlin
tilefish from the Gulf of Mexico
orange roughly

Myth 2: You should avoid exercise and exertion

If you’re healthy and have the go-ahead from your physician, it’s safe to continue doing most types of exercise, says the American College of Obstetricians and Gynecologists.

Some risks are associated with certain exercises — like horseback riding and contact sports — but that doesn’t mean you should avoid physical activity altogether. Regular exercise is extremely beneficial for both mom and baby, and can even alleviate pain points of pregnancy.

Recommended exercise by trimester

First trimester: Pilates, yoga, walking, swimming, running, weight training, biking

Second trimester: walking, yoga, swimming, running

Third trimester: walking, jogging, aqua sports, low-impact, toning

Myth 3: You’re not allowed to enjoy hot baths

Based on an old tale that people who are pregnant should avoid heat stress, many still believe they can’t soak in a hot bath.

New recommendationsTrusted Source, however, state that hot baths and exercise are safe during pregnancy, as long as your body temperature doesn’t go above 102.2°F.

PS. You’re also allowed to enjoy s*x! It’s safe and won’t hurt the baby. Learn which positions are the best.

Myth 4: You can’t drink coffee

While it was previously believed that caffeine could cause a miscarriage, research showsTrusted Source that one to two cups per day is entirely safe. So no need to ditch your morning latte as your go-to energy boost!

Myth 5: You’re eating for two

The popular mantra “Go ahead, you’re eating for two!” can cause extra weight gain if we take it to heart. Instead, staying within the recommended range for weight gain will make weight loss easier post-birth and give you increased energy throughout your pregnancy.

Remember, everyone’s journey with pregnancy is different. Keep these tips in mind. At the end of the day, don’t forget to listen to your body.