"Yes, it is possible to have a Painless labour with the help of an epidural analgesia. In epidural anesthesia is a regional anesthesia that helps to bring down pain and it tends to numb the nerves that carry the pain stimulus form the birth canal and it is one of the most effective methods compared to any other formats"

"Do you require a pain relief? It depends on individual mother. Few of them can tolerate this labor pain, but vast majority of them think this labor pain as the worst pain of their life and require some kind of pain relief. By pain relief we reduce the stress in the mother. So once the stress in the mother is reduced the stress in the baby also comes down. Also it is very beneficial when the pregnancy is documented with hyperextension or some heart problems. So the Labor Pain Relief is the non pharmacological method where we give some medicine and the non pharmacological method where we don’t require medicine. So first the Non pharmacological method we have the Lamaze and the Bradley Method. This is a breathing technique where the mother is encouraged to take few deep breaths when the contain is there. This is explained during the delivery process and it also encourage the husband to be there inside the labour room. So this is some kind of a psychological motivating. We have music. Certain soothing music is added to have psychological benefits. Certain methods like yoga and hot showers are also used. Next method is TENS or Transcutaneous Electrical Nerve Stimulation. Here we apply small electrodes to the pataitns lowrer back and small dose of electric current is given and we get 10 to 15% of pain relief. Coming to the Pharmacological method there is Entonox. Entonox is a mixture of oxygen and nitrous . Nitrous is nothing but Laughing gas. Here the mother administers the gas by herself and breathes in and out by herself. Next is injection of strong pain killers. Opioids is given by intramuscular or intravenous route. Sometimes there is chances of the drug crossing form the mother to the baby and the baby may delay in crying and it may require a few assistance by the baby doctor or if necessary they might give an antidote. Then coming to the most common method is the epidural or the combined spinal epidural is the most effective methods for pain relief"

"Hysterectomy is removal of the uterus with or without ovaries. So we have 2 methods One is the laparoscopic method and the other is the open method. In the laparoscopic method, the choice of anesthesia would be general anesthesia. Though the spinal anesthesia can be given it results is a lot of discomfort to the patient and hence the general anesthesia is preferred the paint is made unconscious and so they are not aware of the pain and the procedure that is going on. Once the procedure is done here patient becomes awake and conscious within few minutes. In order to manage the post operative pain they give local anesthesia to the wound site. Apart form this we also give the Tap Block or the Transverse Abdominis Pain Block . A small amount of block is give with the help of an ultrasound in order to manage the pain, the other type is the Open method. In Open Hysterectomy we have two routes, one is the Vaginal route and the other is the Abdominal route. In the abdomen route the choice of Anesthesia in Spinal Anesthesia or Combined Spinal and Epidural Anesthesia. In case of Vaginal Hysterectomy, the Anesthesia of choice is the Spinal Anesthesia. Compared to abdominal hysterectomy, the vaginal hysterectomy is less discomfort"

"The first situation we have is a miscarriage. For some unavoidable condition miscarriage takes place and the product of conception is not expelled for which the person is taken for a short gynecological procedure called as D & E"

"There are certain painkillers, the strong painkillers like the opoids when it is given to the mother to manage the labor pain, it can cross over to the baby and sometimes it can delay the crying for which the baby doctor sees if necessary they can assist the breath or they give antidotes to reverse the medications. The Entonox or gas method has no effect on the baby the spinal or the epidural being the regional anesthesia where with the help of the regional anesthesia it tends to numb the nerve has no direct effect ion the baby. The general anesthesia when it is given in a cesarean section, also certain pain killers called the opioids when cross over to the baby and can delay the crying in the baby for which the doctors give some assisted breaths or if it is necessary an antidote is given which can reverse the medication and things will be fine"

"IUI or IVF is a day care procedure. By day care we mean that the person is admitted and discharged on the same day"