Dealing with infertility

Whenever you plan to have a baby, it comes with a lot of emotion. Before you are even pregnant you might have already started thinking of decorating the baby room, finalising names, thinking of your life ahead with the little one… and it is disappointing when you realise you haven’t become pregnant the first time you tried. 

Most people, even perfectly healthy ones, can take up to a year to get pregnant. But there is a good chance you already know that, so you try again. And again. And again. But no good news. At this point, it’s a good idea to take medical help to conceive. There are a number of options available which the doctor will consider based on the results of the various tests and physical examinations of the couple, like:

• Lifestyle modification: the female is asked to get her weight in check - for every kg lost, the chances of conception increase dramatically 
• Fertility drugs: women typically take prescribed medicines for 5 days starting from the 3rd day of the menstrual cycle. Even men may be prescribed supplements for increasing the mobility and production of sperms if the need be 
• Removal of tubal blockage: Fallopian tubal blockage can be diagnosed by methods like using dye or saline water injections. Laparoscopy is done to remove blockage if any 
• Follicle Egg Monitoring: The monitoring is done via ultrasound to ensure ovulation and intercourse are timed correctly 

But every now and then there are cases of people who are perfectly ok but still can’t conceive. In such cases, many couples opt for In Vitro Fertilization (IVF). IVF is a treatment for fertility where eggs and sperms are extracted from a couple’s bodies, fertilised in a laboratory, and reinserted in the uterus for maturing. IVF services are available through many clinics across all major cities. However, do ensure you choose a reputed fertility clinic, as assisted reproductive methods are time consuming and expensive, and lack of results can lead to further frustrations.

There are cases where IVF is not possible, desirable or affordable, or where medically it’s not possible for either partner to reproduce. In such cases there are other options, like surrogacy, artificial insemination and adoption available.

If you are going through infertility, discuss it with your partner and your doctor for choosing the right option for you. Many doctors believe that apart from medication, a stress free life is extremely critical for conception as stress can make the hormones run haywire. Therefore, simply enjoy the intimacy with your partner and don’t let the treatment become a chore.

If required, take counselling sessions to deal with your emotional trauma, exacerbated by social pressures of India, so that once you do have a baby through any method, you are healthy and happy to receive it. Remember, irrespective of whose sperm/eggs are used, or which uterus the baby matured in, the moment you have a baby, it is yours and yours alone, and you are a parent, for life. Don’t let anyone take that away from you!

(image courtesy www.freeimages.co.uk)

Readiness Checklist for Pregnancy

Once as a couple you have decided to go for a baby, the most important aspect of preparation is getting your body ready for conception. Though it is the woman who conceives and carries a child for 9 months, there are certain responsibilities of the man as well. Men and women should tick off the following from their to-do list before they start trying for a child:

1. Quit smoking and drinking, cut down on caffeine – consumption of alcohol and cigarettes, as well as caffeine adversely affects ability to conceive.
2. Control chronic diseases like diabetes, thyroid issues, hypertension etc. to improve your chances and avoid complications. If you’re suffering from any conditions, like UTI etc. get them cured before you start trying.
3. Achieve ideal weight in case you’re overweight – the more you lose, the more your chances increase to conceive.
4. Find a good doctor/gynaecologist, check your family and pregnancy history and scan for potential issues. Get a genetic screening done if required and update your immunizations.
5. Visit the dentist and ophthalmologist– pregnancy aggravates dental problems and some women may even experience vision changes. Best to get both eyes and teeth checked before you conceive.
6. Start eating healthy, take multivitamins and avoid any stress – a healthy lifestyle will go a long way in helping you during and post pregnancy. Chart out low sugar/salt etc. diet if you foresee chances of/ suffer from hypertension/diabetes etc.
7. Get rid of the contraceptives – throw out the pills or devices a couple of months in advance so that your body get used to its natural cycle.

Most importantly, stay positive and be patient. A happy mind leads to a healthy body, healthy pregnancy, and a healthy baby. Good luck!!

(image courtesy www.freeimages.co.uk)

The Hullabaloo of the Indian Pregnancy

Sometimes I wonder why is there so much hallabaloo regarding pregnancy in india???
I see such weird attitudes/reactions from WOMEN all around me:

1. Dont tell anyone you are planning: nazar lag jayegi, and you wont be able to conceive? What crap! If at all given our sex ed levels, sharing plans may help with tips, and important information.

2. If you realise you are pregnant, dont tell anyone for 3 months except family: nazar lag jayegi, you will end up miscarrying? or it will be embarrassing or sad if you tell everyone and then miscarry? Again, telling people wont affect anything, and miscarriages etc can happen after 3 months also. What then?

3. No matter how obviously pregnant you are, dont announce it to the world, put it up on social networking sites, click pictures of baby bump etc.: its bad luck? Cmon people around the world send announcement mails/postcards asap, put up baby bump pics everywhere. Nothing happens to them! If you're a private person I understand, but just to keep it all hush hush cuz we are indian is so stupid!

4. dont keep names or buy baby stuff before birth: bad luck - what if baby dies? well thats an eventuality all of us must be aware of. but why does it stop us from planning? in my opinion its dumb to run around buying stuff AFTER the baby is born: its too last moment and chaotic! buying stuff or deciding names in advance doesnt jinx pregnancy or baby. it just helps.

5. heavily pregnant women wear loose fitting clothes, or cover huge baby bumps with dupattas, as if doing this will hide the fact that they are pregnant: nazar lag jayegi? Seriously is pregnancy something to be hidden, be embarrassed about, be ashamed of? Why do u wanna hide? whats so uncomfortable in people knowing ur pregnant? that u had sex with your partner? cmon grow up!

6. baby's father/family members not allowed/wanted during birthing: its indecent, interfering. Again, ur ok with stranger doctors and nurses prying your legs apart and exposing your modesty for everyone to see when you are in labour but not allowing/wanting baby father or own mother, both of whom have seen u naked, to be there to support you (in case its a normal birth n there are no issues) is so archaic. Whats the big deal yaar?

Once the baby is born there are a million dos and donts: put nazar ka teeka, dont go out for 2 months, mom should or shouldnt eat xyz things, etc etc etc. 90% of these things have NO scientific base but we so called educated people still go on following this bullshit blindly! I personally find it very old fashioned and stupid. Wonder when we will come out of the dark ages!

The great Indian baby planning!

In India, the three things that are most important in life are: birth, marriage, and death. Much has been said about marriage and death. What about birth? Having a baby in India is a family affair, and not a personal choice. It all starts from the day you decide to get married.

Talking about a typical Hindu North Indian wedding scenario, there is a function that's always there: god bharayi. When all the married women from both the bride and groom's family come together and bless the to-be-bride with fertility (specifically bearing a baby boy). The girl sits down with a doll in her lap, and women come and bless her with money and dry fruits and sweets and what not, hoping for a baby to be born ASAP.

Once a couple is married, within reasonable time (from a few months to a year or two, depending upon their ages and level of family conservatism), one or both sides of the family start pushing the couple to bear children. Whether they are ready or not. There is always a teary eyed grandma hoping to see her great grandson before she dies, or a mother/mother-in-law requesting the couple to bear kids as long as she is in good health so she can help with the baby. It seems everyone needs a baby more than the couple in question who actually have to physically give birth to, and financially/mentally/emotionally take care of the child.

And if parents were not enough, as we grow up, we hear of stories everyday of xyz getting married, and abc having a baby. Peer pressure is just as bad. Parents see their siblings' children having babies, or their children's friends having babies, and their yearning becomes stronger. "dekho ab to tumhari friend manisha, jo tumse badi hai. ka bhi baby ho gaya, tum kiska wait kar rahi ho? jaldi karo warna kahin der na ho jaye."

Its assumed that after marriage, having babies is the natural progression. Sooner or later the couple will realise this and start planning for a baby. But today things aren't that simple. Many couples don't want to rush into having children, and many even decide never to have kids at all! Its a tough life for them to fight against all the pressure from all sides, but such is life in the Indian society. Of course there are some lucky few who want to have kids and thus aren't perturbed by the constant winking at every function by everyone - "kyun bhai good news kab suna rahe ho?" Or they have never been pushed by their own family at least and can plan as per their convenience.

Once the news is out that the couple has started planning, start all the suggestions and advice. When to start planning, how to do it, which days etc etc. Friends, family, Internet.... there is no dearth of information pouring in. Enough to make a couple so overwhelmed that they may give it up midway or never plan again!:P
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But its still nothing compared to the hell that breaks loose when you actually confirm you are pregnant. A huge list of Dos and Donts is shared and regular updates are taken by everyone (more than the doctor) on your eating, workout, sleeping etc routines. "Have 2 glasses of milk every day, have 5 white almonds and walnuts, don't have pineapple or papaya, don't sleep on your stomach, don't have sex, don't exert yourself, don't stay in bed, pray everyday. Don't tell anyone in the first trimester else you will miscarry due to buri nazar". etc etc

Haha. Buri Nazar. Evil Eye. Bad wishes for you by others. Who don't like you, want to ruin your life. I don't understand why all the buri nazar of the world resides in India? Are we such horrible people that we cause tragedy in people's lives by just looking at them in a way or wishing bad for them? Abroad, people tell everyone excitedly about their pregnancy and are so open about the whole thing. No evil eyes there? Its so stupid. Forget telling others, sometimes people have issues telling their own parents. How do you tell you male father-in-law that you are pregnant? Cuz its embarrassing? Cuz one gets pregnant by having sex? Well hello! The father in law also did that to make the husband. So whats the big deal? I fail to understand.

Once the pregnancy starts to progress, there are more terms and conditions. Don't travel, don't drive a car, don't go out much, don't be out in the sun, don't wear heels, don't wear western clothes, don't eat or drink xyz stuff. Cover your baby bump when you are out. Pray tell me why??? Again - Buri Nazar. For God's sake if you are pregnant and showing, covering yourself with a scarf will not hide it! Also clicking baby bump pictures or announcing on facebook will not lead to a miscarriage! We are such an insecure bunch of people!

Towards the end of the pregnancy, all the post birthing gyaan starts: how to manage labour, what to eat/drink to make it easy, what to do after birth, with self and baby etc. And also start the last leg of advices: don't decide on names or buy any clothes or baby furniture before the birth, its ill luck, Well its more practical in my opinion than anything to be ready for the baby before the baby arrives. I want to have a name in place so my baby isn't christened munnu guddi after birth for weeks, and I'd rather have all the stuff ready so I'm good to go as soon as I'm home. I still don't get any scientific connection between preparing for a baby leading to disasters.

The funniest thing though, is all the baby gender prediction: based on the shape and size of tummy, the complexion of the mother, the way she walks or her cravings, people are 100% sure what the gender is. Again there is no scientific connection of all this with gender, and whatever your belief is, you have a high chance 50% being right about the gender, so don't gloat! :P

Last but not the least when the mother goes into labour, comes the question: will the father go into the labour room with her and witness the birth? Well unlike Western countries, its still a new concept in India for the fathers to be allowed inside the labour room by hospitals, and for fathers willing to sit through the ordeal. I can imagine its not a small deal to see your wife writhing in labour pain, and all the blood and stuff which accompanies birth. But most men today take that step and go in with their wives and hold their hands through it all. still there are many who object to this cuz its embarrassing or disturbing. well i think every husband should be forced to be in the labour room to appreciate what his wife is going through to bring their child into the world, it will help increase the respect they have for the wives. And embarrassing? C'mon, its less embarrassing for your husband to see you half naked than the dozen doctors and nursing staff that will hover around you for hours, prying your legs apart and staring at your privates! Grow up people!

Baby is out? Congratulations and good luck with all the stuff that follows. Make baby wear old, worn out clothes, after baby no going out for 40 days, keeping head covered, tying up the tummy to keep it slim, making baby wear sacred threads around the neck pr wrists and putting kohl on forehead or eyes to ward off the famous Buri Nazar... there is no end to post natal advice for both mom and baby, which unfortunately has no scientific base and clashes with the doctor's advise. Managing what the doctor has said, with expectations and eagerness of grandparents to unfurl all their knowledge of child rearing can be quite a task, as there is a good chance you will end up upsetting the "bade buzurg" by your "modern ideas". "what are you telling us, this new age nonsense... you doubt us? we had more children than you at a much younger age!" True that Mummyji, no offense but it would be great if you allow the actual mom and dad to make the important decisions on bringing up their baby :)

A I was thinking about all this and more, I put up a post on cultural influence on pregnancy, on a pregnancy group online, and to my surprise, I learnt that there are many such beliefs in other countries as well! A sample of answers I got:

• Mexico: if someone is staring at your baby and wants to touch him/her but doesn't, the baby will be super fussy, don't cross legs after baby, don't bend, don't cut hair of baby before one year
• Africa: not step out for first 6 weeks as body is fragile
• New Zealand: mother not allowed to cut hair or fingernails
• Philippines: don't eat bacon, eggplant and crab; don't bathe for 10 days after birth, eat light coloured foods to ensure complexion of baby is fair; and the best: if you sleep on your back, put a hand on your tummy else the monsters will get the baby! :P

So it seems its not just India but other cultures as well which have their amazingly fascinating beliefs and traditions regarding pregnancy and childbirth. While its fun to talk about them, let's hope all parents around the world get the opportunity to make the decisions they think are right for themselves and the baby, and the families/friends/society helps rather than inhibits them in doing the same!

Welcome to the world of Mommyhood!!

Whether you are a mother, or expecting to be, or aspiring to be, or never wanna have anything to do with babies, this blog is all about just that: moms and babies and the amazing journey of motherhood. Lots has been said about the miracle of birth and the joys of parenthood, but nothing like going through it personally to appreciate all the fuss. Although Ive been thinking about it and planning for it since donkey's years, my journey actually began just about 7-8 months ago. This blog is dedicated to my personal experiences, right from the day the plan was finalised, to the day I discovered I was pregnant, and going forward, my encounters with  my baby. Hope you enjoy reading it as much as Ill enjoy writing!