Monday to Friday – 5pm to 8pm | Saturday – 10am to 1pm | Sunday – Closed
A-289, Sector-43, Noida | +91 98106 40531
Dr Puja Jain Dewan
sr gynecologist | obstetrician | Laparoscopic Gynae Surgeon
MBBS | MD | DGO | FMAS | FICOG
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Join Us in A Beautiful Journey to Motherhood
Routine antenatal care is the regular medical check-ups and assessments from a qualified gynecologist that all pregnant women need. It ensures both their health and the health of their developing baby.
Pregnancy care begins as soon as the pregnancy is detected and continues throughout the gestation period (that is until delivery).
During these appointments, Dr Puja Dewan, the best obgyn & pregnancy care specialist in Noida will monitor the baby’s growth, mother’s blood pressure, weight, and will give advice on nutrition, exercise, and overall well-being. She will also address any queries that the couple may have regarding pregnancy care.
If you remain in touch with your gynecologist, she will know about your concerns and your health problems beforehand and this will help in a smooth delivery experience.
You can book an appointment with Dr Puja Dewan Here!
Why Do You Need to Visit a Gynecologist When You are Pregnant?
- Visiting a gynecologist while you are expecting is important for the health of both the mother and the baby. It helps to monitor the patient regularly, detecting high risk factor and early complications, monitoring fetal health and providing professional advice on the same.
- Pregnancy can come with unexpected challenges such as high blood pressure, gestational diabetes, or fetal development problems. These issues are more common these days due to pregnancies in 30s and 40s .
- Regular gynecological check-ups ensure that these problems are diagnosed early and treated effectively, reducing the risk of serious health issues.
- Also, an OB-GYNs provide critical information on what to eat, how to manage weight, what exercise to do, along with do’s and don'ts. This helps the expectant mothers go through their pregnancy comfortably and safely.
- Moreover, your gynecologist is your primary resource when it comes to preparing for labor and delivery. She will help you understand the birthing process and recommend the safest delivery method, whether it's a natural birth or a C-section. Their guidance ensures the well-being of both mother and child.
Meet your Doctor
Dr Puja Jain Dewan - Sr Gynecologist & Obstetrician
M.B.B.S., M.D., D.G.O., F.MAS, FICOG
Dr Puja Jain Dewan is an experienced gynecologist and laparoscopy specialist in Noida. She is known for handling severe Uterine Prolapse cases and complex surgeries as well. Dr Puja always carries a comprehensive approach and works in the best interest of the patient. If You are looking for the best gynecologist in Noida, You have reached the right place!
Impact of an OB-GYN on a Pregnant Lady’s Health
- An OB-GYN or a pregnancy care specialist supports the physical as well as emotional well-being of a pregnant woman. Her reassurance and guidance through each trimester plays a significant role in reducing anxiety. This support is important for all the expecting mothers as they deserve to know what is best for them and their baby.
- The obstetrician also prepares her patient for the delivery, talks about the pros and cons of each method that will help her in making an informed decision. The visits and check-ups also prevent complications like preterm labor or low birth weight.
- With an OB-GYN’s care, pregnant women are more likely to have healthier pregnancies and safer deliveries.
- Diagnosis and management of PCOS are very important as it can further lead to infertility and trouble in conceiving if not treated promptly. You can Book an appointment with Dr Puja Dewan for the best treatment of PCOS in Noida.
Delivery: Normal Delivery vs. C-Section
- There are two main delivery methods: normal (vaginal) delivery and cesarean section (C-section). Each method has its own advantages and risks, and the choice between the two often depends on the mother’s health, the baby’s position, and other factors related to the pregnancy.
- Normal delivery, or vaginal birth, is the natural method of childbirth. It involves a shorter recovery period, lower infection risk, and less hospital stay time in most cases. Mothers can usually resume normal activities more quickly compared to those who undergo a C-section. However, vaginal birth can be physically demanding, and complications may arise that necessitate an emergency C-section such as breech delivery, cord complications etc.
- C-section is a surgical procedure where the baby is delivered through an incision in the mother's abdomen and uterus. It is recommended in cases where natural delivery could pose risks, such as when the baby is in a breech position or if the mother has health complications there is disproprotion between the size of baby and mother's pelvis or in cases of multiple births etc. While a C-section is a common and safe procedure, it typically involves a longer recovery time, higher risk of infection, and more hospital time.
- Read more about C-section Delivery Both methods aim to ensure the health and safety of both mother and child, and your gynecologist will help you determine the best delivery option based on your circumstances. You can book an appointment with Dr Puja Dewan by clicking here!
about pregnancy
Frequently Asked Questions
You should schedule your appointment as soon as you suspect you’re pregnant. The pregnancy care starts only after confirming the pregnancy.
Yes, moderate exercise such as walking or swimming is generally safe and beneficial during pregnancy, but it’s important to consult your doctor before starting or continuing any exercise routine because everyone’s health and comorbidities are different. You will be guided about the best exercises for you once you are examined well.
Avoid raw or undercooked veggies, meats or eggs, raw papaya, unpasteurized dairy products etc. Limiting the caffeine intake is also suggested.
Weight gain varies but typically 11 to 15 kgs for a woman of average weight. Your gyne will provide guidance based on your specific health needs and pre pregnancy weight.
Travel is usually safe until around the 36th week, but nothing can be said without examining the patient especially if you are flying or traveling long distances. Travelling should be avoided in first trimester if you have symptoms like pain in abdomen or vaginal spotting.
Most women feel their baby’s first movements between 18 and 24 weeks, although it may be sooner for second-time mothers.
High-Risk Pregnancy - Management & Care
A high-risk pregnancy is one where the mother, baby, or both face an increased risk of complications before, during, or after delivery. These risks may stem from pre-existing health conditions, lifestyle factors, or issues that arise during pregnancy. High-risk pregnancies require closer monitoring and more frequent medical attention to ensure the well-being of both the mother and baby.
While many women with high-risk pregnancies go on to have healthy pregnancies and babies, the heightened risk means that these women may need specialized care from an obstetrician or maternal-fetal medicine specialist. Factors like advanced maternal age, multiple pregnancies (twins or more), and a history of pregnancy complications can make a pregnancy high risk. In some cases, conditions like preeclampsia, gestational diabetes, or placental issues can develop during pregnancy, elevating the risk.
Early detection and careful management are essential to reducing complications. Women with high-risk pregnancies are often given personalized care plans and may require more frequent prenatal visits, specialized tests, and sometimes hospitalization.
Criteria for High-Risk Pregnancy
- There are various criteria that can place a pregnancy in the high-risk category. These include:
- Maternal age: Women under 17 or over 35 are at a higher risk of complications.
- Pre-existing medical conditions: Conditions such as high blood pressure, diabetes, kidney disease, or autoimmune disorders can make pregnancy riskier.
- Multiple pregnancies: Carrying twins, triplets, or more significantly increases the chances of complications like premature birth or preeclampsia.
- Previous pregnancy complications:A history of preterm birth, miscarriage, stillbirth, or cesarean delivery raises the risk for future pregnancies.
- Lifestyle factors: Smoking, alcohol consumption, or drug use can increase the risks associated with pregnancy.
- Obesity or underweight: Extreme body weight can contribute to complications such as gestational diabetes, pre-eclampsia, or fetal growth restrictions.
- Placental issues:Conditions like placenta previa or placental abruption also elevate the risk.
- If one or more of these factors apply, Dr Puja Dewan will closely monitor both the mother and baby throughout pregnancy to mitigate the risk of complications.
Medical Conditions that Make Pregnancy High-Risk
- Several medical conditions can make a pregnancy high-risk, requiring specialized attention:
- Hypertension (High Blood Pressure): Uncontrolled high blood pressure can lead to preeclampsia, a serious condition that affects both mother and baby.
- Diabetes (Type 1, Type 2, or Gestational Diabetes): High blood sugar levels can affect fetal development, increase the likelihood of birth defects, and complicate delivery.
- Kidney Disease: Impaired kidney function can lead to complications such as preterm birth and low birth weight.
- Autoimmune Disorders: Conditions like lupus or rheumatoid arthritis can increase the risk of pregnancy complications such as miscarriage or preterm labor.
- Heart Conditions: Pre-existing heart disease may place excessive strain on the cardiovascular system during pregnancy, leading to complications.
- Obesity: Excessive maternal weight can increase the risk of gestational diabetes, preeclampsia, and delivery complications.
- Thyroid Disorders: Both hyperthyroidism and hypothyroidism can lead to pregnancy complications, including preterm birth or developmental issues for the baby.
- Mental Health Issues: Conditions like depression or anxiety can increase stress and affect prenatal care, leading to poor pregnancy outcomes.
- These conditions require continuous monitoring, specific treatments, and lifestyle adjustments to protect the health of both the mother and baby.
Precautions & Management of High-Risk Pregnancy
- Managing a high-risk pregnancy involves careful monitoring and adopting certain precautions to reduce complications. Below are the key strategies for managing such pregnancies:
- Frequent Prenatal Visits: Women with high-risk pregnancies will often need to see their healthcare provider more frequently to monitor their health and the baby’s development.
- Specialized Tests and Screenings: Additional tests such as ultrasounds, fetal echocardiograms, and non-stress tests may be required to check for potential complications as per the symptoms.
- Medications and Treatments: In some cases, the use of medications to manage conditions like high blood pressure, diabetes, or thyroid disorders is necessary. Pregnant women may also need to take supplements like folic acid or iron to prevent anemia.
- Diet and Exercise: Maintaining a healthy diet and engaging in moderate, doctor-approved physical activity can help manage conditions like gestational diabetes or high blood pressure. Eating a balanced diet rich in nutrients is vital.
- Stress Management: High-risk pregnancies can be stressful, so it’s important to manage stress through relaxation techniques, therapy, or support groups.
- Hospitalization: In some severe cases, bed rest or hospitalization may be necessary to closely monitor both mother and baby, especially if preterm labor or other serious complications are suspected.
- By following these precautions and collaborating closely with a healthcare provider, the risks associated with high-risk pregnancies can often be mitigated.
about high-risk pregnancy
Frequently Asked Questions
A pregnancy is considered high-risk if the mother or baby faces increased chances of complications due to medical conditions, lifestyle factors, or pregnancy-related issues like age, hypertension, or diabetes.
Yes, many women with high-risk pregnancies go on to deliver healthy babies. Close monitoring, proper management, and early intervention can minimize risks.
High-risk pregnancies usually require more frequent prenatal visits, often every two weeks or more, depending on the specific risk factors involved.
This depends on the nature of the risk and the type of work you do. Some women may be advised to reduce their activity levels or take time off work, while others may continue working with precautions.
Bed rest may be recommended in certain high-risk cases, such as preterm labor or placental issues, but it is not necessary for all high-risk pregnancies. Your doctor will provide specific advice based on your condition.
A normal delivery is possible in some high-risk pregnancies, but many factors, such as the baby’s position and the mother’s health, will determine whether a cesarean delivery is safer.
Normal Vaginal Delivery
Normal vaginal delivery, commonly called as the normal delivery is the natural process of childbirth. In this process the baby is born through the mother’s birth canal without the need for any surgical measure.
This is the most common and preferred method of delivery and is generally considered the safest and healthiest. However, there should not be any complications for that.
In the beginning of a normal delivery, the lady experiences labor pain which involves contractions that help expand the cervix and allow the baby to move through the birth canal.
Labor can last anywhere from a few hours to more than 24 hours. Vaginal delivery has several advantages, such as a quicker recovery time as compared to cesarean section (C-section), less hospital stay, and lower risk of infection.
At our clinic, normal vaginal delivery is encouraged unless there are medical conditions that require an alternative approach, such as a C-section or the mother’s choice is different. Book an appointment with Dr Puja Dewan, the best obgyn in Noida for the best pregnancy and delivery experience.
Precautions to Be Followed in Normal Delivery
- These precautions help in minimizing the risk of complications and ensure a healthy experience for both mother and the baby -
- Regular Prenatal Checkups - Regular visits to the gynecologist are crucial to monitor the baby’s growth, to check for any complications, and ensure the mother’s health is on track.
- Stay Active Physically - Simple exercises, such as walking, prenatal yoga, or pelvic floor exercises are advised but they are all done in a professional’s supervision as per the pregnancy month. This helps in making the labor a bit easier.
- Practice Relaxation Techniques - Deep breathing and meditation can also help in managing labor pain and can also reduce stress during delivery.
- Plan for Labor - We always discuss with our patients about their preference for an epidural pain injection so that we can stay prepared when the time comes.
- Stay Hydrated - Drinking enough water is essential, especially during labor, as it helps in maintaining energy levels and prevents dehydration too.
- Hospitalization: In some severe cases, bed rest or hospitalization may be necessary to closely monitor both mother and baby, especially if preterm labor or other serious complications are suspected.
- By following these precautions and collaborating closely with a healthcare provider, the risks associated with high-risk pregnancies can often be mitigated.
Points to Remember for Recovery After Normal Vaginal Delivery
- Recovery after normal delivery is typically faster but it still requires care and attention. Both physical and emotional healing of the new mother is required. Some precautions are advised for faster recovery -
- Rest: Giving birth is physically exhausting, so adequate rest is vital for recovery. The new mother should get some sleep whenever possible and she must avoid overexertion.
- Vaginal Care: The area between the vagina and anal area will be sore or may have minor tears after delivery. Keeping the area clean is very important to avoid any infection. Use cold compresses and the prescribed ointments religiously for good healing.
- Eat a Nutritious Diet: A well-balanced diet that is rich in fiber, iron, and protein as most of the new mothers are breastfeeding and they need to recover from the delivery experience as well. Iron-rich foods are required to help recover from blood loss during delivery.
- Stay Hydrated: Drinking plenty of water helps with milk production if you are breastfeeding and prevents constipation. Gentle walks and light exercises are recommended after the initial period of recovery.
- Dr Puja Dewan will guide you about it on your follow-up visits. These visits are important to monitor your recovery, check for infections, and ensure that both you and the baby are doing well. As new mothers always have a lot of queries, asking them all is a great opportunity on your follow-up visits.
about normal vaginal delivery
Frequently Asked Questions
In a normal delivery, the patient is likely to recover faster, have shorter hospital stay, lower risk of infection, and quicker return to normal activities as compared to a C-section delivery.
Yes, vaginal birth after cesarean (VBAC) delivery is possible in many cases. However, it depends upon the mother’s health and the type of incision made during the previous C-section.
Labor pain varies from person to person, but pain relief options such as epidurals, medications, or natural techniques like breathing exercises are available to manage the discomfort. We will be by your side during labor time to ensure that we can provide you the best assistance & treatment.
Do attend your doctor’s appointment regularly, follow the dietary advice, maintain a healthy and active lifestyle and discuss your pain management options with your doctor. Also, don’t forget to ask all your queries and doubts from Dr Puja to prepare yourself for the normal delivery.
Most women recover from normal delivery within 4-6 weeks, but the recovery timeline can vary from patient to patient. It depends upon a few factors such as tearing or episiotomy during birth, overall health of the mother, comorbidities etc. Proper rest and postpartum care can aid faster recovery.
Delivery packages
| Vaginal Delivery | |
|---|---|
|
Starting Cost |
₹ 30,000 |
|
Average Cost |
₹ 55,000 |
|
Maximum Cost |
₹ 1,00,000 |
Cesarean Delivery or C-section Delivery
A Cesarean section (C-section) is a surgical procedure used to deliver a baby through incisions made in the mother’s abdomen and uterus. It is typically performed when a vaginal delivery could pose risks to the mother or baby, or when complications arise during labor. Although C-sections are generally safe, they are considered major surgery and are usually recommended only when necessary.
In India, C-section deliveries have become more common, especially in cases where medical conditions or labor complications make vaginal delivery difficult. In some cases, C-sections are scheduled in advance, while in other situations, they may be performed as an emergency procedure if complications arise during labor.
While C-sections involve a longer recovery period than vaginal births, they can be lifesaving in certain situations. Modern medical advancements have made this procedure much safer, with most mothers and babies recovering well after surgery. However, due to its surgical nature, it requires proper post-operative care for a smooth recovery.
In Which Cases is C-Section Delivery Required?
- A C-section delivery is often required when there are specific medical reasons or complications that make a vaginal delivery unsafe for the mother or baby. Some common situations where a C-section may be necessary include:
- Fetal distress: If the baby shows signs of distress, such as an abnormal heart rate, a C-section may be needed to deliver the baby quickly and safely.
- Prolonged labor: If labor is not progressing as expected, despite medical interventions, a C-section may be recommended to prevent exhaustion or risk to the mother and baby.
- Breech or transverse position: If the baby is not in the head-down position or is lying sideways (transverse), a C-section may be the safest way to deliver.
- Placenta previa: When the placenta is covering the cervix, a vaginal delivery can cause severe bleeding, making a C-section necessary.
- Multiple births: In the case of twins, triplets, or more, the risk of complications increases, and a C-section is often the safest delivery method.
- Previous C-section: While many women can have a vaginal birth after a previous C-section (VBAC), some may need another C-section depending on the type of uterine incision or other medical factors.
- Maternal health issues: Conditions like hypertension, diabetes, or infections (such as herpes) can make a C-section necessary to protect the health of both mother and baby.
- In each case, the decision for a C-section is based on ensuring the safety and well-being of both the mother and child.
C-Section Procedure Step-wise
- A C-section procedure is a carefully planned and well-executed surgical operation. Here’s a step-by-step overview of the typical procedure:
- Preparation: The mother is given an intravenous (IV) line to administer fluids and medications. In most cases, regional anesthesia like an epidural or spinal block is used, numbing the lower half of the body while keeping the mother awake during the procedure.
- Incision: Once anesthesia takes effect, the surgeon makes an incision in the abdomen, usually a horizontal cut just above the pubic hairline (bikini cut). This incision is about 10-12 cm long.
- Uterine Incision: After the abdominal incision, the surgeon makes a second incision in the uterus. This is typically a horizontal incision in the lower part of the uterus.
- Delivery of the Baby: The surgeon gently pulls the baby out through the uterine incision. Once the baby is delivered, the umbilical cord is cut, and the baby is handed to the medical team for immediate care, such as cleaning, suctioning, and checking vital signs.
- Placenta Removal: After the baby is delivered, the surgeon removes the placenta from the uterus and inspects it to ensure no part is left inside.
- Closing the Incisions: The uterus is stitched closed using dissolvable stitches, and the abdominal incision is closed with stitches or surgical staples. These stitches will dissolve or be removed after a few days, depending on the hospital’s procedure.
- Post-Surgery Care: After the surgery, the mother is moved to a recovery area where medical staff monitor her vitals, bleeding, and pain levels.
- In each case, the decision for a C-section is based on ensuring the safety and well-being of both the mother and child.
Recovery After C-Section Delivery
- Recovery after a C-section takes longer than a normal vaginal delivery due to the surgical nature of the procedure. However, with proper care, most mothers recover well. Here are key aspects of recovery:
- Hospital Stay: After a C-section, most women stay in the hospital for 3-4 days. During this time, doctors monitor the mother for signs of infection, excessive bleeding, or complications. Pain medications are administered to help manage post-surgical discomfort.
- Pain Management: Some pain and discomfort are normal after a C-section due to the incision. Pain relief medications, including ibuprofen or paracetamol, are commonly prescribed. The mother should avoid heavy lifting and strenuous activities for a few weeks.
- Incision Care: The surgical incision requires proper care to avoid infection. Keeping the area clean and dry, avoiding rubbing or scratching, and monitoring for signs of infection like redness or discharge is essential.
- Mobility: Gentle movement is encouraged as soon as possible to promote blood circulation and prevent blood clots. Walking short distances helps improve recovery and reduces the risk of complications.
- Diet and Hydration: Drinking plenty of water and eating a balanced, nutritious diet helps in the recovery process. It is also important for breastfeeding mothers to stay hydrated.
- Postpartum Checkup: Follow-up visits with the doctor are essential to ensure proper healing of the incision and to monitor the overall health of the mother.
- Full recovery from a C-section generally takes about 6-8 weeks, but every woman’s experience is different. Listening to the body and resting as needed is crucial during this time.
about cesarean section delivery
Frequently Asked Questions
The C-section itself is not painful because anesthesia is used to numb the lower half of the body. However, there will be some discomfort and pain after the surgery, which is managed with medications.
Full recovery typically takes 6-8 weeks. However, most women can resume light activities within a couple of weeks, but heavy lifting and strenuous exercise should be avoided until fully healed.
Yes, vaginal birth after cesarean (VBAC) is possible in many cases. However, it depends on factors like the type of uterine incision used in the previous C-section and overall health conditions.
While generally safe, C-sections carry risks such as infection, blood loss, reactions to anesthesia, or complications in future pregnancies. The risks increase with multiple C-sections.
In most cases, mothers can start breastfeeding within a few hours after a C-section. Nurses and lactation consultants are available in hospitals to assist with breastfeeding positions that are comfortable after surgery.
Several factors contribute to the rise in C-section rates in India, including the increase in maternal age, multiple births due to IVF treatments, and a preference for scheduled deliveries in private hospitals. However, it is important to ensure that C-sections are performed only when medically necessary.
| Cesarean Section (C-section) | |
|---|---|
|
Starting Cost |
₹ 44,000 |
|
Average Cost |
₹ 77,500 |
|
Maximum Cost |
₹ 1,20,000 |
Some Kind Words By My
Patients along my journey
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I was referred to Dr. Puja Jain Dewan after developing high blood pressure in the early stages of my pregnancy. She immediately put me on a closely monitored plan that included regular check-ups, medication adjustments, and dietary changes. Her proactive approach helped me avoid any severe complications. When I experienced issues towards the end of my pregnancy, Dr. Puja was there every step of the way, ensuring both my baby and I were safe. I successfully delivered a healthy baby girl, and I am forever grateful for the extraordinary care Dr Puja provided.
I was going through a pre-menopausal phase where I was having trouble managing my symptoms of hot flashes, irritability and mood swings. I am so glad that I visited Dr Puja for that. She listened to me patiently, made me feel comfortable and assured me that everything is going to be alright. She then suggested some lifestyle changes, dietary changes and prescribed some meds. I didn't know that all these things will make such a huge difference. I finally feel like myself again! Thank you Dr Puja You are an amazing doctor and a good human being.
As I was experiencing various annoying symptoms, My friend recommended Dr Puja So I visited her clinic. I was quite sceptical as I had never visited a gynac before. But the experience was great, she understood my concerns and diagnosed PCOS. She also reassured me that some lifestyle changes and meds will have it managed. I followed her advice religiously and I am perfectly fine again. All those annoying symptoms, mood swings and acne are now gone. Such gynaecologists are rare these days. She is now going to be my gyne for life! Thank You so much Ma'am
Want to Visit our Clinic or send us a Message?
Book an Appointment with Dr Puja Jain Dewan, Best Gynecologist in Noida, Delhi & NCR
Our Clinic is located at Lower Ground Floor, A 289, Sector 43, Noida, Uttar Pradesh 201301, India
Monday to Friday – 5 PM to 8 PM
Saturday – 10 AM to 1 PM
OPD fees is 1000 INR.
A-289, LGF,Sector-43, Noida,
Uttar Pradesh, India
Pin – 201301
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