The 10 Most Advanced IVF and Fertility Centers 2018

www.insightscare.com October 2018

1 0 IVF

M o st A d v a n c e d

The

F E R T I L I T C eN nt D re s 2018 A Y

Kishore Kumar Founder & Chairman

Cloudnine D e d i c a t e d to t h e Ho li sti c We l l - b e i n g of a M o t h e r a n d H e r Baby

From the

Editor

‘Designer Babies’ Future of Parenthood?

H

ave you ever imagined that you and your partner visiting a maternity and fertility clinic and while you are sipping your co ffee you are o ffered a menu card, descriptions of embryos? Yes, that’s right! There are hundreds of containing descriptions of the embryos that you can pick from, all made by In- vitro Fertilization (IVF); from you and your partner’s egg and sperm. Thus, handing it over to you, will you choose it? Choosing the eye color, height, complexion, physic, or immunity of your baby could be a possibility in the near future.

Although this idea of cherry-picking your baby’s phenotype and talents fills most of us with a sense of dismay. Yet, some are overpowering the taboo in a proposition to create ‘the perfect child’ or ‘a designer baby’. If there’s any kind of future for ‘designer babies’, it might look somewhat like this.

DNA editing could one day develop into an option for parents wanting to ‘alter the genetic characteristics of their child.’ Well this day is not far now. The advancements in Genetics, Biotechnology, and Genetic Engineering have opened the doors wide open to manipulate and conceive customized babies. While technologies like CRISPR Cas9 or RNA silencing combined with In-vitro Fertilization could play an enormous role in curing susceptibilities to cancers and dementia, or devastating genetic illnesses, scientists have not ruled out the cosmetic uses as well.

The ethical repercussions of manipulating human embryos are huge. Many scientists have raised queries over these technologies and they have been termed as a ‘slippery slope’ towards the alteration in human embryos. At present, researchers are only permitted to genetically edit human embryos for 14 days for research purposes, after which they must be destroyed. And it is illegal to implant them into a womb.

Due to the high possibility of misuse of these technologies and the interference it will create in the natural reproductive process, ethics have not yet legalized the full-fledged study of these technologies on human embryos. CRISPR Cas9, a genetic editing technique, which acts like a molecular scissors to snip away bad DNA and interchange it with healthy code, is reported to be most sought out procedure that may pose as a prospective tool. However, there have been reports recently that have suggested that the technique might cause wide-ranging mutations in the DNA away from the anticipated site. The researchers have warned the scientific community that this may lead to important genes being switched on or off, which may cause devastating conditions.

On a irrefutable note, it is safe to say that although these technologies will pose as promising prospect for parents who wish to customize the genotype and phenotype of their babies; the ethical and scientific concerns need to be addressed with utter scrutiny to make ‘designer babies’ a reality.

Sayali

ane

Sayali Rane

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Cover Story

CXO Standpoint

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10

Cloudnin e

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Dedicated to the Holistic Well-being of a Mother and Her Baby

Articles

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40

Advances in IVF

Pregnancy Nutrition

New-age Techniques that can Prevent Life-Threatening Diseases among Infants

Nutritional Desideratum during Pregnancy

38 50

UTI in Gynaecology Urinary Problems in Gynaecology

Resilience & Courage

How to Become More Courageous and Resilient in our life?

Rising Infertility Why is infertility so common today?

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Contents Interview with InsightsCare

18 OoWomaniy

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a Revolutionizing & Offering a Comprehensive Health Solutions for Women

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Barmade Hospital Offering Distinctive Services to Realise the Dream of Motherhood

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International Fertility Centre A Revered Destination where Lost Hope turns into Joyful Blessing

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KGN Test-Tube Baby Hospital & Research Centre Cherishing Motherhood at its Best

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Mannat Fertility-IVF Centre A Blessing in Disguise

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MedAnsh A Preferred Destination for IVF

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Pravi IVF & Fertility Center Pioneer in Introducing Advanced, Transparent and Ethical Practices in IVF

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Most Advanced IVF & Centres 2018

FERTILITY

In-vitro Fertilizatio n A Need of the Hour

ince the first IVF birth of Louise Joy Brown, in the 1978, the industry has seen tremendous advancements.

Both technology and healthcare have always advanced simultaneously. The worldwide in-vitro fertilization (IVF) market size is anticipated to propagate at a CAGR of around 10%. It is already a USD 15 billion dollar industry. The increased cases of infertility and development of advanced technologies, like lens-less imaging of the sperms, are expected to drive the market in the impending years.

The busy schedules and careers have taken a toll on our reproductive health. A recent report has suggested that 25% of the couples have more than one factor that leads towards infertility. Immune infertility, sexually transmitted infections, genetic disorders, hormone imbalance, and mainly lifestyle changes have influenced the reproductive health of both males and females. The change in the average age of men and women getting married and having their first baby has increased, due to educational and career priorities. This tendency has amplified the number of women opting for the IVF treatment. Besides, to emphasize on their jobs, a lot of women freeze their eggs to have a child at a later stage in life.

The government has subsidized egg/sperm freezing, to bring down the probabilities of multiple pregnancies.

Technological developments that aid in pre-identification of the genetic illnesses, and numerous other industrial upheavals are expected to boom the IVF market growth. With the growing number of patients deciding on IVF and gamete freezing, the demand is anticipated to witness growth. With the need for high standards of IVF treatment, we bring the “The 10 Most Advanced IVF and Fertility Centers 2018.” These fertility clinics are providing contemporary paraphernalia to meet all the demands the IVF and Fertility vertical poses.

On the cover we have Cloudnine Hospital; it is India’s premier destination for comprehensive woman & child healthcare.

We have also incorporated some clinics that are creating milestones, with their state-of the-art infrastructure and services, to combat infertility. KGN Test-Tube Baby Hospital & Research Centre provides comprehensive information and alternative options for making infertility affordable; Barmade Hospital provides a holistic solution to all infertility problems, with its state-of-the-art infrastructure and noble vision to fulfil the dreams of motherhood; International Fertility Centre gives hope to those who are left in despair due to their infertility and brings happiness to their gloomy faces with its state-of-the-art fertility treatment; Pravi IVF & Fertility Center is gaining popularity among consumers due to its advanced IVF treatment; Mannat Fertility-IVF Centre is a fertility solution centre, dedicated to the holistic wellbeing of its patients; MedAnsh Multispeciality Hospital is focused on healthcare needs of women, and provides customized ART treatment at affordable prices in a comfortable atmosphere; Xenith Advanced Fertility Center, Nova IVI Fertility, and Manipal Fertility.

We also bring an interesting view into OoWomaniya, a platform that has revolutionized the way women access and retrieve healthcare information.

Apart from this we have also included some articles written by Experts, who have contributed to the IVF and Fertility sector. We have also included some articles and facts that might intrigue you; these have been penned down by our in- house editorial team.

So flip through the pages to embark on journey of happy and healthy maternity!

Cover Story

Cloudnine Dedicated to the Holistic Well-being of a Mother and Her Baby

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n a book called ‘Eating for Pregnancy’, Catherine Jones said, “Whether your pregnancy was meticulously planned, medically coaxed, or happened by surprise, one thing is certain — your life will never be the same”. Bringing a child to life is no than a miracle, especially for a parent. So many couples dream of parenthood every day. less Wistfully, infertility affects approximately one out of ten people, round the world. But today, with the development of various technologies and numerous inventions, it is possible to overcome this hurdle to attain parenthood without a worry.

One such prominent hospital chain, Cloudnine Group of Hospitals, has been creating the miracle of childbirth every day. Incepted in 2007, it is India’s premier destination for comprehensive woman & child healthcare. Cloudnine believes that every story is unique and it crafts a distinctive fertility plan for every couple trying to conceive, investing much time and thought into every family that it creates. The success story of the hospital is made up of thousands of little ones, each belonging to a family born at Cloudnine.

The organisation envisions to effectively bridge the gap between Indian and international standards through a combination of clinical excellence, comprehensive care, and an atmosphere of celebration, to ensure world-class standards. Its fertility facilities are aligned to an international gold standard, carefully enfolded in superlative medical expertise and state-of-the-art technology, and layered with thought and care. With a team composed of veteran medical specialists sourced from across the globe, it is not a surprise that Cloudnine’s success rates are some of the best in India, offering every couple the hope of a baby.

Kishore Kumar Founder & Chairman

“ The Ideal Leader of Cloudnine Dr. R. Kishore Kumar, Founder and Chairman of Cloudnine Group of Hospitals, established the hospital chain in 2007 to realize his vision of high quality healthcare in India, at par with international standards. During his training, he saw the number of deaths due to lack of qualitative medical care in India, but hardly any during his 16-year-tenure abroad.

Hence, he had this dream of providing similar care in India.

Dr. Kishore is an internationally acclaimed neonatologist who has worked in four continents over the course of his career. He completed his MBBS, DCH, MD from India, DCH & MRCP from London & FRCPCH from UK; MRCPI and FRCPI from Ireland. Additionally, he also holds Fellowship in Advanced Neonatal ICU from Melbourne with an FRACP from Sydney, Australia. At the beginning of his career, he was amongst one of the

youngest and highest qualified neonatologists in the world. Amidst his many awards and accreditations is the honour of being felicitated by former US President, Bill Clinton, for his exceptional achievements in the field of neonatology.

Journey through the Years Started with a flagship centre at J P Nagar in 2009, Cloudnine established its fertility services at Malleshwaram branch in three years. In 2014, it completed more than 2500 IVF cycles.

Expanding its facilities further, the organisation started fertility services at Cloudnine hospitals in Chennai, Gurugram, Pune, and Mumbai by 2015. Here, it introduces latest technologies like Laser-assisted Hatching (LAH) and DNA Fragmentation Index (DFI). A year after that, it launched the Cloudnine Fertility facility at Old Airport Road, Bengaluru. Later, the hospital chain adopted advanced technologies like

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At Cloudnine, we believe in breathing magic and memories into pregnancy and parenthood

Preimplantation Genetic Screening (PGD) and Time-lapse Embryo Monitoring (TLM).

Best-in-Class Services Today, Cloudnine’s world-class services envelop a broad spectrum of medical specialties, including maternity, gynaecology, paediatrics, neonatology, fertility, and stem cell banking. Cloudnine Fertility is stitched from a versatile fabric that enwraps a veritable legion of fertility treatments.

Its made-to-measure solutions encapsulate the following treatments: Ovulation Induction and Cycle Monitoring, Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), Intra-cytoplasmic Sperm Injection (ICSI), Blastocyst Transfer, Frozen Embryo Transfer (FET), Hysterosalpingogram (HSG) and Tubal Evaluation, Hysteroscopy and Laparoscopy Surgeries, Doppler Tests & Urological Procedures, Surgical Sperm Retrieval - TESA, MESA, PISA,

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Most Advanced IVF & FERTILITY Centres 2018

Micro TESE, Cryopreservation of Embryos, Vitrification of Eggs, Endometrial Receptivity Analysis (ERA), Time Lapse Embryo Monitoring, Laser Assisted Hatching (LAH), Preimplantation Genetic Screening (PGS), DNA Fragmentation Index of Sperm (DFI), Oocyte Donation, Sperm Donation, Surrogacy and Gestational Surrogacy, and Counselling.

Distinguishing Features Cloudnine is one of the best in the IVF and fertility industry of India. The elements that help it outshine the counterparts are: Seasoned Super-specialists: Team Cloudnine of seasoned fertility superspecialists is underpinned by superior technological infrastructure and cutting-edge medical procedures. Its medical team is geared towards male and female fertility in equal measure, ensuring a holistic treatment plan and higher success rates for a couple seeking help.

Advanced Technologies: At Cloudnine, they strive to stay ahead of the curve, by constantly updating our technological repertoire. Their treatment portfolio includes modern technologies such as Time Lapse Embryo Monitoring, Vitrification, Preimplantation Genetic Screening (PGS), DNA fragmentation index (DFI), laser assisted hatching (LAH), and micro testicular sperm extraction (micro TESE).

State-of-the-Art Infrastructure: Cloudnine’s gold-standard infrastructure is a true testament to the thought and care that goes into creating a fertility protocol. Its fertility ecosystem is composed of dedicated operating theatres and treatment

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We provide world-class medical expertise, state-of-the-art facilities, and a space lled with love and laughter

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laboratories, equipped with air filters and environmental control features.

Every Cloudnine Fertility unit also hosts an exclusive Andrology Lab that deals with diagnosing male fertility issues.

Consistency in Processes: The revolutionary fertility treatments offered at Cloudnine are the best of their kind in India today. The hospital pays close attention to training and its processes, protocols, and success rates are consistent across India.

Guest Experience: At Cloudnine, the consultations and treatment plans are

personal, ethical, transparent, and confidential, ensuring the people seeking help are enveloped in privacy, all the way through. Every treatment cycle also includes a sequence of counselling sessions to prepare them for the road ahead. Cloudnine’s success rates are reflections of the depth of detail involved in every treatment plan.

State-of-the-Art NICU Facilities: The seasoned neonatal team at Cloudnine is experienced at handling high-risk preterm deliveries. Its NICU has been certified as Level-3 by the National Neonatology Forum and features the most advanced neonatal equipment in

the world. Babies conceived through IVF are at a higher risk of being born premature and a state-of-the-art NICU facility can offer a supportive environment armed with necessary resources for preemies to thrive in. Its GE Giraffe incubators and medical infrastructure form an uplifting ecosystem that is specialized in caring for babies as premature as 24 weeks.

Measures to Tackle Challenges in the Industry Cloudnine has been pro-active and providing the information on leaflets, blogs, and websites about its treatment options to the clients – being very

“ transparent in its dealings, which many of its clients have referred as being a very positive development in this industry. It has been striving to implement the latest technologies to stay abreast in the healthcare journey to improve its outcomes. Cloudnine is opening more and more centres across the country so that larger array people can access its services. Moreover, it has the best professionals and largest group of doctors in the specialty across the country that can provide the bestin-class services. The organisation has also employed a full time medical director and an embryologist to provide uniform treatment across all centres.

The Perfect Team Cloudnine has the flawless combination to deliver great service – a Founder and Chairman – a neonatologist who understands the nuances of premature babies with all medical aspects; and its fertility specialists across the country are chosen by the Chairman himself after

careful evaluation to ensure we have the best in the country, along with the best team of embryologists to give the best success rates in the country.

Awards and Recognitions Cloudnine aims to be a revolutionary leader in the fertility space in India by providing premier fertility solutions to men and women. It is already moving towards achieving this mission. The hospital chain has been honoured with various accolades and felicitations including Number one fertility hospital in Bengaluru, number two in Chennai, number three in Pune- in All India Fertility & IVF Ranking Survey 2018 by renowned media house; India MART Leaders of Tomorrow Award; Time Research Healthcare Excellence Award; BIG Brands Research Business & Service Excellence Award; National Quality Excellence Award for Best Customer Service; Brand Academy Healthcare Excellence Award; 2014 Australian Service Excellence Award; CIMS Healthcare Excellence award for Hospital with highest standard in

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We strive to provide best fertility the solutions and help realize your dreams of parenthood

patient care; Silicon review award for 50 best companies to work for; Worldwide Achievers Business Leadership Summit Award for Best Women and Child Hospital in India; and Extraordinary award by Brand Vision, to name a few.

Cloudnine is driven by the vision of providing the best fertility solutions, by setting consistently higher standards for itself and striving continually to achieve them. With all the dedication the team has put in and with the worldclass facilities provided by the organisation, it has reached closer to this vision. Cloudnine has been a part of my happy stories, aiding and assisting the people that seek help. This fast-growing, prominent hospital chain stands true to its tagline- “Pregnancy is wellness and not an illness and Menarche to Menopause explains all our upcoming products. We cater for every need of a woman and a child – we want the wellness to continue in the family”.

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CORPORATE OFFICE Insights Success Media and Technology Pvt. Ltd. Ofď€ ce No. 510, 513, 5th Floor, Rainbow Plaza, Shivar Chowk,Pimple Saudagar, Pune, Maharashtra 411017 Phone - India: 7410033802, 74100058552 Email: info@insightscare.com For Subscription: www.insightscare.com

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Hospital Name

Management

Most Advanced

IVF & FERTILITY Centres 2018

Brief

Barmade Hospital barmadehospital.com

Dr. Kalyan Barmade MD

Barmade Hospital provides a holistic solution to all infertility problems, with its state-of-the-art infrastructure and noble vision to fulfil the dreams of motherhood.

Cloudnine Hospital cloudninecare.com

Dr. R. Kishore Kumar Founder & Chairman

Cloudnine is India’s premier destination for comprehensive woman & child healthcare.

Dr. Saarthak Bakshi CEO

International Fertility Centre gives hope to those who are left in despair due to their infertility and brings happiness to their gloomy faces with its state-of-the-art fertility treatment.

KGN Test-Tube Baby Hospital & Research Centre kgnfertility.com

Dr. Aamir Shaikh Director

KGN Test-Tube Baby Hospital & Research Centre provides comprehensive information and alternative options for making infertility affordable.

Manipal Fertility manipalfertility.com

Dr.Vasan Chairman

Manipal Fertility provides comprehensive services in field of andrology, reproductive medicine and men’s health with state of the art technology and infrastructure.

Mannat Fertility IVF Centre mannatfertility.com

Dr. Archana Agarwal Director Infertility

Mannat Fertility-IVF Centre is a fertility solution centre, dedicated to the holistic wellbeing of its patients.

MedAnsh Multispeciality Hospital

Dr. Shrutika Thakkar Director

MedAnsh Multispeciality Hospital is focused on healthcare needs of women, and provides customized ART treatment at affordable prices in a comfortable atmosphere.

Nova IVI Fertility

Dr. Manish Banker Medical Director

Nova IVI Fertility (NIF) is the among the largest service providers in the fertility space.

Pravi IVF & Fertility Centre praviivf.in

Dr. Monica Sachdev MD

Pravi IVF & Fertility Center is gaining popularity among consumers due to its advanced IVF treatment.

Xenith advanced fertility center xenith.clinic

Dr. Mamta Dighe MD

Xenith aims to resolve fertility problems in the right way for each individual patient.

International Fertility Centre

internationalfertilitycentre.com

novaivifertility.net

Interview with InsightsCare

OoWomaniy a

Revolutionizing & Offering a Comprehensive Health Solutions for Women

W

omen health has been neglected for a long time now. In spite of being the nurturing hand of the home and family, this problem has persisted for decades.

OoWomaniya is a platform developed with the notion to provide women a chance to share and read about issues in “An anonymous and non-judgmental environment.”

Established by Sneh Bhavsar (Co-founder & CEO) and Krutika Katrat (Co-founder & CAO), the company is providing comprehensive healthcare information to women, and creating a revolution in the way women access this information. More than 7000 women have received help from doctors via online consultation and workshops, through OoWomaniya’s Health and Wellness Network.

1.What is OoWomaniya? What’s the idea and concept behind your startup?

OoWomaniya is an online community exclusively for women to access information, services and expert consultations on their physical, mental and emotional health and well-being.

OoWomaniya was incepted with an idea to let women share their issues anonymously in a safe and non-judgmental environment. The platform on web and mobile evolved over the period to create a strong, trustworthy forum over 4 years for women to access credible information and services regarding their health and wellness.

2. Who are the faces behind this startup?

Sneh Bhavsar, 34, Co-founder & CEO (Chief Executive Officer)— Sneh pursued his graduation in Information Systems Management from University of London an worked in the IT industry for over 7 years before he plunged into staring his own business. Sneh has 12+ years of experience in IT and ITeS working with technologies, business analysis, process design, product planning, product design, management and recruitment. He is a member of Global Shapers Community, an initiative by the World Economic Forum and leads several initiatives personally and professionally.

Krutika Katrat, 28, Co-founder & CAO (Chief Acquisition Officer)— She has pursued her M. TECH (Integrated) in Biotechnology from Pune and has pursued internships and projects while being a student at Zydus Research Centre, Zydus Manufacturing unit and Cadila’s Plant Tissue culture lab. She has worked as a research trainee in a DBT/DST project at ACTREC, Tata Memorial Centre, Navi Mumbai in the field of cancer biology and structural biochemistry before taking a plunge into entrepreneurship.

3. How have they helped build up this platform?

Sneh and Krutika started OoWomaniya together with an intention to work in preventive healthcare combining their expertise. Sneh has contributed largely toward the product, technology and design of the platform along with managing the strategy of marketing, planning and acquisition of resources. Krutika’s background in clinical research brings a lot 18| October 2018 |

Sneh Bhavsar Krutika Katrat

Co-founder & CEO

Co-founder & CAO

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and the solutions we created – we struggled to monetize the idea for some time. With several ups and downs, and finally pivoting to the community platform – we raised an angel round in 2016 and also won a couple of grants.

of expertise in healthcare content and also acquiring the experts/doctors to contribute in building the repository.

She engages with the community and looks after the business development.

4. How did you start OoWomaniya?

What was the motivation behind starting this company?

As we were extremely concerned about the healthcare systems and how we can use the technology to create an intervention – we conducted a few workshops with the community. These workshops were the starting point for our research and we built a prototype on web to receive stories from women about their day-to-day issues.

We found women’s health issues getting ignored significantly and major factors include social and cultural practices in India. Realizing it to be a long battle – we started with the venting platform for women to share their physical and emotional health issues. Feedback from women was a huge motivation to pursue the idea further and create a query to cure solution for the Indian women.

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5. The name is quite interesting.

Why did you name it OoWomaniya?

This name is inspired by one of the songs in a regional language where Womaniya means a woman who is independent and takes her own decisions. That is at the core of women’s well-being.

6. How OoWomaniya is different than other websites in the same domain? What makes OoWomaniya standout amongst the rest?

OoWomaniya is the only platform which is exclusively focused on women’s over all health and wellbeing. It doesn’t encourage the market driven ideas of beauty, image and persona for women. OoWomaniya focuses on core healthiness, emotional wellness and freedom of choice for women. OoWomaniya also attempts to eradicate the myths and taboos around social and cultural practices which affect women’s well-being.

7. Establishing a startup is no piece of cake. What amount of time and money did you invest in this venture?

We have been working on our startup for more than 4 years now. We had our share of struggles with the subject, with the perception towards women’s health and also sustaining the venture as a business. However, we were extremely confident about the problem

8. How do you think this venture has revolutionized the way a woman approaches doctors?

Online consultation is not a new concept but it is important to create an ecosystem around it in order to make the women feel safer, secure and nonjudgmental. Also, women’s health issues are evolving rapidly due to the lifestyle and food and hence it is also essential that this ecosystem also educates them primarily about the issues they might be facing.

OoWomaniya empowers women with the information on health issues and resources to take informed decisions about their well-being.

9. What’s your future plan?

Our web and mobile platforms are revamped and our immediate goals is to reach out. We will be acquiring more users in coming months, expand the community across India and add more features and solutions related to women’s well-being in center.

10. What is entrepreneurship according to you? What advice would you give the budding entrepreneurs?

Being an entrepreneur is more than building a product and doing sales and marketing. It requires you to learn every day from your own business and being alert about the opportunities of innovation, collaboration and growth.

Revenues are as important as the valuation and hence – focus on sustaining the business through sizable revenue can be the best possible strategy to succeed.

Community Care Collaboration (C3) Model

Care Teams Family, friends and Professional community care providers

Mobilize Care Actions Care instructions distributed via mobile devices shared by Care Teams

Lifestyle Support Access to lifestyle products/services to keep people in their homes

Because together, we’re better. Our C3 model – Community Care Collaboration – supports care programs that require high levels of collaboration between interdisciplinary care providers, patients, and family caregivers. Our goal is your goal: to keep patients independent, living comfortably in their homes.

Care3.c o

Barmade Hospital Offering Distinctive Services to Realise the Dream of Motherhood

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he IVF industry is booming and there will be IVF clinic in all practicing Obstetrics and Gynaecology clinics in the next 10-15 years. The global IVF doctors’ services revenue market is projected to reach $22,467 million by 2025, growing at a CAGR of 9.8% from 2018 to 2025.

This sector is anticipated to exhibit significant market growth in the coming years, owing to rise in infertility rate, increase in trend of delayed pregnancies, surge in IVF success rate, and rise in disposable income worldwide.

Dr. Kalyan B. Barmade Founder & Managing Director

We help to fulfil the dreams of motherhood for every female who is infertile

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One such sanatorium that works towards fulfilling the dream of motherhood for every female who is infertile is Barmade Hospital.

Established in 2007 in the historic city of Latur; the hospital set up Latur Institute of Fertility & Endoscopy (LIFE IVF) in 2010. Barmade Hospital is a fastest growing hospital in Latur.

It is a fifty bedded hospital with exclusive Gynaecological and Obstetrics unit with ICSI set up, Endoscopy Unit, Sperm Bank, NICU (Neonatal Intensive Care Unit), Modular OT, Modular IVF Lab with AHU set up.

Successful Journey of Barmade Hospital Barmade Hospital started out in 2004 with only a consulting room and went to become a fullfledged twenty bedded super-specialty hospital in 2007. The hospital has now reached to fifty beds within span of fourteen years because of

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blessings from 5,000 plus couples who received treatment and got success in infertility and their dream of parenthood being successfully completed. It has set up a unit in Latur (Marathwada zone); this is the only super-specialty IVF/ICSI modalities. The patient load of Barmade Hospital has tripled in last 3-4 years.

Skilful Visionary behind the Hospital Instigated by Dr. Kalyan B. Barmade and Dr. Manisha K. Barmade, it caters to over two thousand OPD patients a month and 30-40 IVF / ICSI related services a month. Dr. Kalyan is Undergraduate and Post Graduate from esteemed KEM Hospital and N.Wadia Hospital, Mumbai. He is practicing in Latur since 2004. He has completed his specialization and training in IVF from ASSUTA University, Tel Aviv, Israel and from esteemed Dr. Nadkarni from Gujarat, respectively. Dr. Kalyan is one of the leading gynaecological endoscopic surgeons and fertility specialist in the country. His fields of expertise include hysteroscopy, laparoscopy, microsurgery, assisted reproduction and sonography. But above all from his vast experience as a surgeon, he has carved a niche for himself in his field of expertise. He believes that the prospectus in rural India is great, and there is a need for special clinics in rural India to give benefit to 70% of population staying in this part of the country.

Dr. Kalyan has single-handedly performed more than 8,000 advanced endoscopic surgeries. He asserts, “Latur fertility centre has given joy of motherhood to more than 5000 patients.” He has trained more than fifty doctors in laparoscopic surgeries, and has also extended his service nationally and internationally.

He has conducted live endoscopic workshops and participated in various infertility and endoscopy workshops in India.

Unique Services at Barmade Hospital The hospital provides a plethora of services to its patients. The Latur Fertility and Endoscopy center has a Test Tube Baby (IVF& ICSI) and Yashodip Sperm Bank. Apart from these the hospital also provides facilities that include:

Most Advanced IVF & FERTILITY Centres 2018

Awards and Achievements Dr. Kalyan & Barmade Hospital has received many acclaims in field of Art & Endoscopy like; • Rajiv Gandhi Gold Medal at Bangalore • IMA STAR award at Latur, Icons of Latur Award by Lokmat Media • IMA appreciation Award • Dr. R. K. Menda trophy for community service project by IMA Maharashtra Dr. Kalyan has been elected on IAGE (Indian Association of Gynaecology and Endoscopy) as executive committee member, AMOGS (All Maharashtra OBGYN Society) executive member, and MISAR (Maharashtra chapter of Indian society of assisted reproduction).

Working for a Social Cause

•Two ICSI units •IMSI (Intracytoplasmic Morphologically-selected Sperm Injection) •Laser Hatching Services •Embryoscope (Primo Vision) Services available at LIFE IVF The Barmade Hospital is looking forward to the installation of CASA (Computer Assessment of Sperm Analysis) in the next few months. An integration of these services will improve success rate, while services like PGD will help to select genetically abnormality free baby in near future.

The hospital is planning for the successful integration of CASA, PGD/ PGS and other state-of-the-art services for poor patients in rural India. As a social initiative, the hospital has also done thousands of plantations in drought affected area of Latur. It organizes yearly two free camps for underprivileged people.

Barmade Hospital has been contributing, for the past ten years, as a community service to maintain and educate village girls’ about menstruation hygiene, anaemia and plantation.

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Urinary Problems in U Gynaecology rinary problems are the most frequently encountered complaints of gynaecological patients visiting the the outpatient department. Several causes contribute to the varied presentations and types of the urinary problems. The establishment of a proper diagnosis involves a detailed history, meticulous examination and a complete urological investigation.

Common urinary problems that patients present with include Urinary Tract Infections (UTI), retention of urine, difficulty in micturition, painful micturition, increased frequency of micturition, difficulty in controlling urination, involuntary passage of urine on cough or sneeze, abdominal pain associated with micturition and increased night frequency of micturition. Let’s concentrate on a few of these complaints in this article.

Urinary Tract Infection (UTI) It can be an infection in any part of the urinary system from kidneys to ureters to bladder and/or urethra.

Most common method of infection in women is ascending from the urethra

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into the bladder, due to anatomical reasons – urethra is shorter in females than males, and is closer to vagina and anus. Some factors like poor personal hygiene, sexual intercourse, catheterization, pregnancy, and menopause make women more susceptible to UTIs. Symptoms and signs of UTI are painful micturition, increased frequency, urgency (strong urge to urinate), burning sensation, cloudy or blood stained urine, foul smelling urination, mild fever and/or passage of frequent small amounts of urine; if the infection reaches the kidneyhigh fever with or without chills, nausea, vomiting and pain in back radiating on one side. Diagnosis is made by characteristic symptoms and by urinary examination- urine may contain pus and organisms.

Culture and microscopy of the discharge helps in establishing the diagnosis.

Treatment consists of administration of large quantities of fluids, at least 2.5 litres/24 hours, especially in cases of cystitis (inflammation of bladder) and appropriate antibiotics.

Patients are advised to avoid all irritants like deodorants, vaginal

contraceptives and douches. Alkaline drinks and citrates are helpful.

Menopausal women may benefit by supplementing oestrogen (hormonal) creams to improve the atrophic (thin and shrunk tissue) state of vagina and urethra. Some preventive measures can be followed to avoid UTI: like use a 100% cotton inner wear, maintain proper personal hygiene, urinate after intercourse, use proper antibiotics as advised, cranberry juice can help in decreasing number of UTIs, have plenty of oral fluids, use lubricated condoms without spermicide creams and most importantly proper toilet training should be followed.

Coming to the next common urinary problems which most women elicit in their history either as chief complaint or on enquiring include frequency of micturition, urgency to urinate and/or inability to control urination or involuntary passage of urine (incontinence). Incontinence affects nearly 400 million people worldwide. Studies have found the incidence as high even in younger population, affecting nearly 24% women between ages 18-44 years.

Urinary

UTI in Gynaecology

About the Author Dr. Nishita Shah has completed her MBBS, DNB, ICOG fellowship in Reproductive Medicine (Mumbai). She is practicing Gynaecologist, with special interests in Urogynaecology and Infertility. She has been the Youth Council Member in Mumbai Obstetrics and Gynaecological Society for over five years. Dr. Nishita works as Consultant Obstetrician & Gynaecologist at Opera House, Kemps Corner, Colaba; Hospital Attachments: Bhatia hospital, St. Elizabeth’s Hospital, Surya Mother and Childcare Hospital, Shanti Nursing Home (Ghatkopar), Apollo Spectra hospital, K. J. Somaiya Hospital. She has five years of experience in practice, and has won prizes and awards at National and International Conferences for various paper and video presentations. Nishita has authored and co-authored chapters in different textbooks and publications in journals.

Dr. Nishita Shah

Consultant Obstetrician & Gynaecologist

incontinence is a worldwide problem and the burden is expected to grow with an ageing population with longer life span and availability of better healthcare facilities. In women, pregnancy, childbirth, and menopause are major reasons for increased prevalence of incontinence. Although Urinary Incontinence is not a life threatening problem, it negatively affects the quality of life; may cause emotional problems like depression, anxiety, stress, and embarrassment in public impacting their travel, exercises, and sexual activity as well. Thus it is an important public health problem which needs to be addressed not just medically, but socially also. The common causes which are postulated to precipitate urinary incontinence are genital prolapse (weakening of genital tissues leading to their prolapse outside the vagina), type of childbirth, and longer duration of delivery, number of children, urogenital infections, and injuries to the genital regions, genetics and menopause.

| October 2018 | 23

S

tress Urinary Incontinence (SUI) is the commonest cause of urinary incontinence noted worldwide.

SUI is involuntary loss of urine from the urethra when there is increase in intra- abdominal pressure, which occurs during physical activities like coughing, sneezing, running, lifting heavy weight or exercise. Diagnosis is made during detailed history of the symptoms, along with important past history relating to injury to the genital tract (example during child birth); followed by meticulous examination of the patient in supine (lying down), standing, and squatting positions. Urodynamic tests focus on the bladder’s ability to hold urine and empty steadily and completely, that is, a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Sonography and cystoscopy (a tube with a camera and light to visualize the inside of the bladder) are other tests which may be individualized as per the patients. Treatment options for Stress Urinary Incontinence are non-surgical and surgical.

Non- surgical therapies include behavioural therapy like bladder training, fluid, and diet modification, Kegel’s exercises and Pelvic floor muscle training and drug therapy. However, surgical therapy is well established and over 200 different surgical procedures are described. Most effective and durable long term therapies are Surgical. The goal of the surgical treatment is to provide sufficient urethral support to prevent urine from leaking in cases of increased intra-abdominal pressure. When determining the optimal surgery for a patient, factors to be considered include type of SUI, bladder capacity, severity of the problem, associated other conditions which may require concomitant surgery (like prolapse). There are many modifications since the advent of surgeries for SUI, to name the most common ones performedKelly’s plication, retropubic suspension ( Burch colposuspension), Laparoscopic Procedures, Trans Vaginal needle suspension procedures, sling surgery ( mid- urethral polypropylene mesh, Tension free Vaginal Tape, Trans Obturator Tape), bulking agents, etc. Sling surgeries are the most popular and easy to perform surgeries.

The choice of the surgery depends on the cause of urinary incontinence and thus to ensure optimal efficacy of the selected procedure with reduction in risk of complications, careful patient selection is a must.

The other common complaints are increased frequency of urination- day and/or night, inability to reach the washroom when there an urge to pass urine (urgency) and inability to hold the urine before reaching the toilet with some amount of leakage of urine (urge incontinence). In these patients detailed history especially of any associated medical conditions (like diabetes, high blood pressure on treatment) is vital.

Urinary infection is also ruled out in patients with these complaints. After the diagnosis is confirmed, the treatment is mainly pharmacological and non-surgical. The underlying medical condition should be addressed along with the treatment for the urinary complaints; minimizing the side effect profile of these medicines. The treatment is always individualized depending on the severity of the problems. When patients have mixed symptoms along with SUI, non-surgical or pharmacological methods an are preferred as first line treatment followed by surgery for SUI ( if needed).Thus, to conclude, urinaryc symptoms are commonly encountered problems in gynaecological practice and it is of utmost import e to focus on its prevention along with treatment, eliminating their negative effects on the quality of life.

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International Fertility A Revered Destination where Lost Hope turns Centre into Joyful Blessing

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arenthood is the biggest blessing of God to the mankind. But sometimes, God itself does not shower equal happiness among all of its beloved children and lets them walk empty handed with sorrow, anxiety, and deep pain.

Delhi-based International Fertility Centre (IFC) gives hope to those who are left in despair due to infertility problem and brings happiness to their gloomy faces with its state-of-the-art fertility treatment.

Saarthak Bakshi CEO

Championing the cause of parenthood with adept IVF specialists, state-of-the-art infrastructure, and leading -edge technologies

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This prominent fertility center has gained global recognition due its precise and result-driven fertility treatments. It was incepted in the year 2012 and since then it has witnessed meteoric rise and colossal success in fertility vertical. It has built a robust network of ten IVF clinics across the length and breadth of India and even expanded its business footprint in the neighbouring Himalayan country- Nepal.

Headquartered in the national capital, IFC is mentored by India’s leading IVF specialist Dr. Rita Bakshi with the diligent support from an adept team of medical practitioners, who know all the nitty-gritty of fertility treatment.

Today, there are millions of people across the world who suers from the trauma of infertility.

Reproductive techniques, such as in-vitro fertilization, are the hope to the millions who want to attain parenthood. IFC is a trailblazer and an expert in IVF, who treats both male and female infertility issues with utmost care.

Reasons behind its Colossal Success IFC has state-of-the-art lab with latest world-class technologies and equipment’s that cater the need

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of different patients who come for various fertility treatments. Providing services that match with the international standards has always been the main focal point of IFC. It has cutting edge equipment’s, which are the latest ion the industry and provides the best result. The team is as good as the technology it works on and hence Dr Rita Bakshi always believes in up gradations and trying out the newesty best technical innovations in the fertility industry.

IFC is the only destination in North India to offer CASA – Computer Assisted Sperm Analysis, which performs the widest range of sperm function tests. Since its inception and up until now, IFC has performed more than fifteen thousand IVF cycles and has the highest success rates in every fertility treatment, as compared to any other clinic. Along with good success rate, the increased live birth rate of this hospital tells the prominence of its services. This is the reason IFC has been voted as the Most Trusted IVF Brand of India in 2018 by Indian Education Excellence Awards, 2018.

Although IFC and its specialist have received many awards but they considers giving smile on the face of infertile couples is their real award which they want to win from every single couple.

Services and Products of IFC IFC provides various top-notch services, which include invitro fertilization (IVF), intrauterine insemination (IUI), intracytoplasmic sperm injection (ICSI), egg donation, surrogacy, assisted hatching, hysteroscopy, laparoscopy, and many more.

In cases where intrauterine insemination fails, it offers in-vitro fertilization treatment where the fusion of male and female gametes takes place outside the human body in a petri dish and then the resultant embryo is transferred to the uterus of the mother.

There are cases where IVF doesn’t work, for instance, if the sperm count is very low or the woman is in advanced maternal age resulting to decline in the quality of her eggs. In case of low sperm count, IFC offers intracytoplasmic sperm injection, a technique that allows the specialists to choose one high grade sperm with good morphology and motility that can be injected directly into the egg and then the formed embryo is implanted into the womb of the intended mother.

In case where age is the major factor, IFC offers the option of egg or sperm donation for the intended parents. As for women with uterine issue or if they have their uterus removed due to medical condition then IFC provides them surrogacy as an option wherein a surrogate mother, a third party agrees to carry the child for the couple. The healthcare provider also offers surgical treatments to overcome infertility issues.

IFC has already successfully implemented physiological intracytoplasmic sperm injection (PICSI), pre-implantation genetic testing (PGT), which includes preimplantation genetic diagnosis (PGD) and pre-implantation genetic screening (PGS), percutaneous epididymis sperm aspiration (PESA), testicular sperm aspiration (TESA), sperm slow and DNA fragmentation index. “We are looking forward to adopt new techniques that can help us to give better success rates and can improve

Most Advanced IVF & FERTILITY Centres 2018

the chances for infertile couples even in rare cases,” stated IFC. IFC’s CEO is the Beacon of Hope “Fail fast and rise early,”- It even takes courage to spell the word ‘Fail’, Saarthak Bakshi lives his life believing in this great philosophy every day. He is the Chief Executive Officer (CEO) of International Fertility Centre who never hesitates to take calculated risk.

His relentless desire to succeed; sharp business acumen, and aptitude to solve any crisis in no time- makes him the entrepreneur of new-age that don’t only has vision but also the passion to transform his dreams into realities.

Saarthak is a graduate from renowned institute – Indian School of Business.

He has worked with reputed companies - Infosys and Ernst & Young – and then moved onto different entrepreneurial ventures that gave him a lot of insights and in depth acumen of running a business.

Today, along with his mother he has taken the fertility industry to a different level all together and as a result everybody know how successfully International Fertility Centre is running by creating life and giving hope to infertile couples.

“We will try our best to raise awareness amongst the masses and to tell them how few trivial lifestyle changes can help to thwart infertility and to experience the bliss of parenthood,” concluded the CEO. Recently, Forbes has recognized his caliber as a leader and featured him in its issue of- “Forbes 30 under 30 ASIA, 2017 for HealthCare and Science.”

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New-age

Techniques that can Prevent LifeThreatening Diseases among

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Advances in IVF

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very parent wants their child to be delivered healthy and is able to live a healthy life. While living healthy after birth depends upon many factors like nurturing, proper diet, health awareness, exercises, good sleep, and more, circumstances during the childbirth are quite different. There are things which one couldn’t control earlier, that is the case of some the defective genes in father, mother or in both. But with the advent of landmark IVF treatment and successive progression towards its improvements have gifted this world many popular, sometimes controversial but effective medical techniques that can prevent the transfer of faulty genes into the child and ensure a good health of baby on its arrival.

Karyomapping and three parents IVF are the few techniques which have even got the acceptance (both in legal and societal aspect) in many countries, including the UK. Karyomapping People are often affected with lethal genetic diseases, which many a times transfer to their dear ones and drastically affect their health and well-being. While in the process of expecting a child, its health is always a matter of great concern for the families and especially for the parents. With hectic life schedule, bad food habits, work pressure, loneliness, depression, and more, people often suffer from many life-threatening diseases like diabetes, mental illness, and many more.

No parent, even after knowing that they are suffering from a particular genetic disorder, will ever want to let affect the health of their new baby in a negative way. Now with the advent of Karyomapping, a couple can avoid passing a genetic disorder on to their offspring. In this revolutionary technique, embryos get screened before getting implanted into the mother’s womb (uterus). This method is also known as pre-implantation genetic diagnosis or PGD for short.

In-vitro fertilization (IVF) is needed to carry out this technique successfully. In this process several eggs get collected from the ovaries and then are fertilized outside the body using previously extracted sperm, to produce embryos. Each embryo is then screened, on various parameters, to check its health. Karyomapping technique scrutinizes the chromosomes of the mother, father, and the reference at 300,000 different points. Through this method, doctors can find the defective embryos and precisely remove those from the IVF process. Only the embryos that are free from any genetic condition are transferred to the

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uterus. In this way one can ensure a healthy life for the new born and can also reduce the probability of miscarriage, significantly.

Three Parent IVF or Pronuclear Transfer Mitochondria are small organelles that sit inside our cells and provide vital energy to it. Mitochondria also play a vital role in the respiratory process. But when this significant organelle of our body gets defected, it invites a plethora of life-threatening diseases.

A recent study revealed that many children every year are born with faulty mitochondrial DNA, caused by mutations in them that affect mitochondrial function. Its symptoms includes: heart disease, liver disease, kidney disease, poor growth, loss of muscle coordination, muscle weakness, neurological problems, autonomic dysfunction, and dementia.

Mitochondrial disorder becomes worse when the faulty mitochondria present in the muscles, cerebrum, or nerves as these vital parts of our body require more energy as compared to other parts. Mitochondrial diseases strike early in childhood and get worse steadily and even prove fatal before adulthood.

Mitochondria replacement therapy is a controversial but effective technique, which can be used to prevent the transmission of mitochondrial diseases from mother to child.

This procedure is used in cases when mothers contain genes affected with mitochondrial diseases.

Mitochondrial donation, also known as three parents IVF, is said to be the solution for the problem mentioned above. In this method, a third party donor, apart from the father and mother, gets involved in this well-known IVF process. The donor’s healthy mitochondria are used and the nuclear DNA from the third party is removed and replaced with DNA from the both.

Many would think that when a third party gets involved in the fertility process then it may also claim some right over the child. The answer is NO. The third party donor does not have any right over the child and his/her identity is always kept as a secret. Third party donor is not even involved in the upbringing of the child. Even if we talk on genetic level, all of the 20,000 genes on the child’s 23 pairs of chromosomes come from the child’s original mother and father. The donor’s contribution here remains miniscule- less than 0.2% of the total that too in the DNA that concentrated in the mitochondria.

Recently, a 34-year-old Ukrainian mother has been gifted with a healthy child with this IVF procedure, which is also sometimes known as pronuclear transfer.

Although, these techniques are gaining popularity due to their effectiveness and many countries have even made these processes legal, but still these techniques have to test the waters concerning its broader acceptability. Only time will tell how far these techniques will impact both- in the domain of healthcare, especially IVF, and in the hearts of infertile couples struggling with genetic disorders. It will be very interesting to watch what the future holds for these intriguing techniques!

30| October 2018 |

KGN Test-Tube Baby Hospital & Research Centre Cherishing Motherhood at its Best

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aving a baby is a feeling which can’t be expressed in words; it’s truly a delight, a blessing. A point comes in the life every couple, where they desire to expand their of family and welcome a new member. But, some couples fail to enjoy this bliss due to various medical issues and unknown reasons. The situation has now been amended, all thanks to the tech-enabled advancements in medical science.

Today, there are several options which can help fulfil this desire. Healthcare industry is embracing these advancements and converting every challenge into opportunity to help couples suffering from infertility problems across the globe.

Dr. Aamir Shaikh Founder

Our Motto is not Pregnancy, Our goal is delivery of Healthy Baby

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KGN Test-Tube Baby Hospital & Research Centre established in 2000, is Latur’s, first infertility and test tube baby center. In 2004 KGN Infertility Centre became KGN Test-Tube Baby centre and is also one of the leading fertility units in India. With an aim to offer the most advanced and globally competitive ART (Assisted Reproductive Technology) programs and services, the hospital has been in the field of infertility for the past ten years. It is a well-equipped centre with the state-of-the-art Embryology Laboratory.

Its eighteen years of fertility practice along with 12500 live births clearly states its success journey to motherhood. By supporting couples facing problems of infertility, KGN has set its benchmark at Latur.

KGN has a competent team of doctors, Andrologists, Anaesthetists, Paediatricians, scientists, technicians and paramedical staff including medical social workers, counsellors,

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donation programme promoters and surrogacy promoters who work together to achieve world-class success rates in its IVF Programme.

Meet the Intuitive Healthcare Expert Dr. Aamir Shaikh is the Founder of KGN Test-Tube Baby Hospital & Research Centre. He has completed his post-graduation MD, DGO (Diploma in Gynecology and Obstetrics) from JJ group of hospitals with FCPS (Fellowship of the College of Physicians and Surgeons) and DFP (Diploma in Family Planning) from Mumbai University. Dr. Aamir is practising medicine since the past 32 years. He received formal training in Assisted Reproduction, at various prestigious IVF (in-vitro fertilization) Centres like Lilavati Hospital Mumbai, Purandare Hospital and Melbourne IVF centre, Ahmedabad. With over twenty-six years of medical practice, Dr. Aamir has been actively performing ART in India for the last ten years.

Besides conducting his own ART unit, he is also an honorary Associate Professor at the Maharashtra Institute of Medical Science & Research (MIMSR) Medical College Latur.

Healing Lives by Embracing Technology “Our aim is to offer the latest services, with success rates equivalent to the West, at very affordable costs, but without compromising on quality,” says Dr. Aamir.

Believing in the age-old dictum prevention is better than cure, KGN has been embracing latest equipment, best-quality disposable culture media imported from the West and delivering

high-class competent services at a very economical professional fees. This objective has enabled its unit to be at the forefront of offering fertility services and treating numerous patients from India, Pakistan, and SaudiArabia.

KGN is on a mission to provide complete medical care experience to the people by keeping abreast with the latest technology and upgrading its teams’ expertise with international training experience. Armed with highend machinery and instruments imported from around the globe, the centre is offering quality at its best.

KGN is the first unit in Marathwada to initiate the technique of Assisted Laser Hatching, to improve pregnancy rates in elderly patients and in previously failed cycles. The unit has started performing Blastocyst Cultures. The centre has expertise in the area of Egg Donation and Embryo Donation, which is a boon to elderly and menopausal women.

Since inception, the hospital is smoothly performing state-of-the-art IVF treatment at affordable prices in a comfortable atmosphere. It is crafting out all the newest reproductive techniques, including ICSI (Intracytoplasmic Sperm Injection), Embryo Freezing, Embryo Biopsy, IUI (Intrauterine Insemination), TESA (Testicular Epididymis Sperm Aspiration), Surrogate Mother, Ovum donation, Sperm Donation, Cryopreservation and so on.

Most Advanced IVF & FERTILITY Centres 2018

best infertility specialist at national and international conferences. It has successfully collected many jewels in its pocket among which the few are: • Rashtriya Chikitsak Ratna Award, New Delhi • Bhartiya Chikitsak Ratna Award, Pune • Marathwada Chikitsak Ratna Award • Latur Chikitsak Award • Muslim Bhushan Award • IMA Best Doctor Award • Invited as a best ART specialist at Munich (Europe) and Bangkok (Thailand) A Comprehensive Vision Most of the IVF centres are located in metropolitan cities where the infertility patients are unable to reach. It is essential to develop IVF hospitals in the rural areas also the rural population believes that IVF babies are not normal and the treatment is highly expensive. Therefore, with a vision to deliver super specialty treatment at low cost, KGN settled in Latur. It is giving cost- effective best-in-class services in infertility international treatment and aims to eradicate all infertility related problems from the society.

Awards and Recognitions Over the years, KGN’s sheer dedication and unified efforts has helped it to attain many awards as a

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6

Intriguin g

Fact s ConcerningIVF that

You Must Know

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Louise Joy Brown (born 25 July 1978) is an English woman known for being the first human to have been born after conception by in vitro fertilization, or IVF. Her birth was heralded around the world, with headlines declaring that the first testtube baby had been born. The announcement was met with excitement from some, fear and hostility from others. But one thing was certain: This was truly the beginning of a new era in how babies are created. Since 1978, over 8 Million babies have been born through IVF.

Infertility isn’t as uncommon as you would think. When you are trying to get pregnant, it feels like everyone around you is a Fertile Myrtle. There is a baby in every abdomen that walks by…or so it seems. In fact, infertility affects about 12% of the population so you are definitely not alone.

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Acupuncture, which involves inserting fine needles under the skin at particular points in the body depending on the condition being treated, has long been used in China to help with a range of diagnoses, including regulating female reproduction. In a study it is found that Acupuncture can increase the chances of getting pregnant for women undergoing fertility treatment by 65%.

Eggs harvested does not equal eggs fertilized. Your eggs will be carefully screened to make sure they have everything required to produce a healthy embryo. So, although your doctor may harvest 10 to 20 eggs, it may be that only a small portion of these can actually be used to create embryos for IVF transfer.

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Rajo Devi Lohan is the World’s Oldest Mother with IVF Treatment. Rajo Devi Lohan gave birth in 2006 at the age of 66 (and 358 days) to twin boys in Giuleşti Maternity Hospital in Bucharest. She received much criticism at the time for her age, which she defended firmly. She admitted to fabricating her age in order to receive treatment because she had so desperately wanted a child.

Fertilization Rate is higher in Eggs Subjected to Music! A study was done at Institute Marques fertility Clinique in Barcelona Spain with 1,000 embryos. 500 were subjected to music during IVF. This included a variety of genres and artists played 24 hours per day such as Mozart, Madonna, Metallica, Nirvana and Michael Jackson.

The other 500 embryos did not have access to music in their incubators. For the eggs fertilized, rates were higher by 5% in incubators in which music was being played.

6

How to Become More

C

Courageous and in our Resilient life?

ourage is about challenging yourself, reaching beyond what is normal, and changing in ways that increase your potential for growth and transformation.

There are no ground rules to accept a courageous challenge. The only requirement to be courageous is to understand that you are going above and beyond the normal range of activity in your life.

Right from our childhood to last journey of our lives, we must think about the colorful rainbows in dry and dark sky. No matter that, no one believes in you, no matter that your value is zero in society. Just start to believe in yourself and make yourself very precious to you only.

Resilience is that ineffable quality that allows you to be knocked down by life and gives you the courage to come back stronger than ever. Rather than letting failure overcome you and drain your resolve, you gather your courage, face your fears, and find a way to rise from the ashes.

The following are main characteristics of resilience: • positive attitude • optimism • ability to regulate emotions • the ability to see failure as a form of helpful feedback

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Your ability to stay resilient and relevant as a sentient being is the key to implementing and maintaining a courageous and vibrant life.

being courageous is inconvenient and interrupts your cozy life; sometimes being courageous upsets others in your environment.

Facing Your Fears Many of times in my medical profession maximum infertile patients are frustrated so when they enter in OPD they have extreme fear about treatment. Once they get assurance about treatment, then second fear is about success. Means the infertile patient has many of fears on every step of their treatment.

In theory, you know that fear is an irrational state of being. If it is irrational, then why are you fearful?

Perhaps fear is recognition that you have not fully and willingly accepted yourself.

The key to breaking the fear barrier is to seek balance in your life –balance derived from values based on beliefs and heart centered thinking and behavior. When you are balanced, you can take risks; make glorious mistakes, and plenty of leaps-of-faith. In other words, you have the courage to do what comes from your heart, and you can take responsibility for what you can control, even in the face of fear.

To be courageous, feel the fear and don’t run away from it. Then go and do what you fear. When my patients ask me about whether they will enjoy parenthood or not, that time I ask them that “Ask yourself- What’s the worst that can happen?” Try to imagine what would be the worst possible outcome of your fears and write it down. Not only does admitting your fears lessens its impact, but also writing down your fears is a courageous act in and of itself.

Change Your Story from Infertility to Maternity Is the Total Positive Attitude If everything is perfect in your life, leave it alone if you are comfortable.

But if you want to take a risk, if you feel a passion to embrace another way

So, you resist and create artificial boundaries to stay in that familiar place of resisting. This is the opposite of courage. During counseling I must try to make them bold to face each and every failure alone & be ready for next challenge. Due to this you become more courageous to taking responsibilities of your failures. This cycle will help you to become more confident for the next stand. Being courageous, taking responsibility for what you can control even in the face of fear and exceeding yourself is by no means an easy journey. Sometimes

Resilience & Courage

About the Author This interesting article has been penned down by Dr. Raziya Shaikh, who is a M.D. (IVF Centre) & Gynecologist at KGN Test-Tube Baby Hospital. She is practicing Gynecology for the past 20 Years. She has worked as a RMO at Cama & Albless Hospital under prestigious

Dr. Raziya Shaikh M.D. (IVF Centre) & Gynecologist

Grant Medical College and J.J Group of Hospitals, Mumbai. She received formal training in Assisted Reproduction, at various prestigious IVF Centers. She has also developed ovum donation, embryo donation & surrogacy programs in rural India, at affordable cost for people with humble backgrounds.

of thinking and living, create that story by journaling. Tracking a different narrative gives you an opportunity to force another course in life or experience the inexperienced.

“Make small intentions throughout the days to simply be yourself,” one of the most effective ways to think about living courageously is to create intentions within your immediate and natural environment. Then, through your own process of discovery, courage will follow. Many of ambitious people are not successful in their businesses and big planning. Whatever dreams you had seen for your life were not supposed to become successful so try to make small intensions dreams to become happy and successful life. Don’t try to run behind the false imagination just think real of the real image of life, and you will succeed more in life.

One of the most effective ways to move into a new reality is to control your imagination. Don’t let your imagination run amok, because an uncontrolled imagination can be your adversary. Distorting reality will not allow for opportunities, possibilities, and explorations. Focus and face life in the present. Believe in yourself and then move forward with courage.

How good are you at making changes to your life when you need to? Most of us find change to be challenging and difficult. Yet you intuitively understand that the easier you adapt, the more interesting and challenging your life will be.

| October 2018 | 39

Nutr”iona Pregnanc lP Desideratu m durin g

y

regnancy is a significant moment in the life of a woman. This is the period where the individual needs to take good care of herself and ensure that she includes an equally healthy diet into her daily regime. This is where the nurturing of the child starts and helps it grow in an ideal environment. The fetus growing inside the womb relies entirely on the food consumed by the mother. It is hence necessary to supplement it with foods containing more calcium, folic acid or folate, iron, and proteins. The intake of fruits and vegetables needs to be taken seriously as incorporating an assortment of them into the diet can prove to facilitate more vitamins and minerals within the body.

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Implementation of Nourishment for the Fetus

Food is the element that helps humans survive and provides them with energy to carry out their day-today tasks. The ingested nutrients, upon getting absorbed into the body, start building up the body and repair it from within. Similarly, for women who are expecting, they need to double the nutrition as it needs to be balanced out for the growth of the baby as well as energy for the mother. Here are some of the things to add into the diet compulsorily to ensure a healthy pregnancy.

Dairy Products – The need to consume foods that are rich in protein and calcium is at its peak as this is a major requirement for the fetus’ bone health. The high quality protein mainly casein and whey are found in dairy products along with magnesium, phosphorous and zinc. Yoghurt is a rich source of all the above nutrients especially calcium gives assurance

that the babies developing bones, teeth and muscles are healthy. Some variants of yoghurt also contain probiotic bacteria that are very important for digestive health and assist in constipation during pregnancy. Consumption of milk may also help in reducing the chances of pregnancy related complications.

Legumes – These small pods are rich in iron, protein and folate. During the first trimester it is essential that both the mother and fetus receive folate as it is possible that the chances of low birth weight are reduced. The fibers present in it also help in preventing hemorrhoids for the duration of the pregnancy.

Fish – This is also a natural source of vitamin D which is good for the hair as well as nails. Consumption of fish helps in providing the body with Omega 3 fatty acid. The fetus’ brain and eyes are built using this nutrient but fish like salmon should be consumed in moderation. The risk of impurities or large quantity of

Pregnancy Nutrition mercury does exist, but nonetheless, the occasional sea food can help in fulfilling this very important dietary requirement.

Broccoli and Dark Leafy Greens – The presence of fiber, vitamins C, K, folate and potassium in these vegetables holds various benefits for both. These are rich in anti – oxidants that may help in preventing cancer, arthritis and Parkinson’s disease as well. It can also help in reducing the risk of low birth weight.

The likes of Spinach, Kale and Arugula are crucial for the purification of blood as well.

Whole Grains – Grains like whole wheat, whole oats, barley and quinoa help a pregnant woman fulfill the daily calorie requirements. This is especially necessary during the second and

third trimester as the growth of the fetus is the fastest and the body requires energy to carry out everyday functions as well. They also contain magnesium which may help in relaxing the muscles and also preventing the uterus from contracting prematurely.

Fruits – These contain natural sugars that can help with the sweet cravings as well. Avocados contain more folate than any other fruit apart from which it also

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contains vitamin C, Vitamin B and choline. They also contain iron, an essential for the blood health of the mother and the fetus. The potassium also may relieve leg cramps that are a common occurrence during pregnancy. Bananas are also helpful in giving the woman’s body the required amount of potassium. Apart from this berries contain flavonoids and carbohydrates that can give the body a boost of energy. The entire duration of pregnancy maybe exhausting but nonetheless, it’s all about consuming the right food that will bring good health to the mother as well as baby.

Water – Finally, the elixir of life – water, is extremely important in any case.

This is one fluid that helps in maintaining overall health. During pregnancy the blood volume usually increases considerably. The water helps maintain this level and also helps in reducing the risk of urinary tract infections.

Imperative Pre-requisites for a Safe and Healthy Pregnancy In the entire term of pregnancy it’s necessary for the mother to get lots of sleep. In a lot of cases, women tend to lose out on sleep due to bodily and hormonal changes.

But rest is required to help the body relax and heal. No matter at what point of the day, if one feels the need to sleep they need to ensure to get the desired amount of rest especially in the final trimester. It is also necessary to implement some light workouts which may reduce the chances of drastic weight gain, mood problems, and muscle pain which are very common. The doctors themselves usually suggest these exercises which will help refresh the mind and body as well. The things to avoid would be eating raw meat which may contain various harmful bacteria and also avoid getting into a hot tub as the high water temperatures maybe harmful for the fetus.

The food consumed during pregnancy always has an e ffect on the energy and wellbeing of the mother. Hence it is necessary to maintain a healthy practice to ensure the healthy growth of the baby and a well-nourished pregnancy.

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Mannat Fertility-IVF Centre A Blessing in Disguise

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nfertility often creates one of the most distressing life and unfortunate crises that a couple ever experiences together. There one clinic that gives hopes to the distressful iscouple and offers a comprehensive range of fertility services, namely, Mannat Fertility-IVF Centre. Its fertility experts understand the emotional aspect, and provide an ethical and meticulous research-based approach to fertility treatment. The centre provides wide ranging solutions that include IUI Treatments, IVF Treatments, ICSI, Surrogacy Options, Egg and Sperm Donation, Freezing, Blastocyst Transfer and Gynaecological Services that are among the best in the region. “We pride ourselves in our ability to offer all our patients the very best care,” asserts the Director.

Dr. Archana Agarwal Director

A holistic & healing journey towards parenthood

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Situated in the City of Gardens, Bengaluru, India; Mannat Fertility Centre is an IVF clinic, which provides a wide range of solutions in the field of fertility. The IVF cost in Bengaluru and in India is skyrocketing with each coming day, but Mannat’s services is making these available at reasonable costs, as well as providing these at the hands of the top IVF doctors in Bengaluru. This is one of the key reasons behind its stupendous growth in Bengaluru region.

The clinic takes utmost care of all its patients and ensures that it offers customised solutions and all its patients’ needs are met in the best possible way. “Mannat is evidently the best IVF hospital in Bengaluru, India because it has a great track record of handling all kinds of complicated fertility related issues,” asserts the centre

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spokesperson. “We at Mannat understand that infertility can create distress in the lives of couples who dream to have a happy and a life full of joy.” Its team of highly qualified doctors make every effort to helps one reclaim ones dream.

Distinctive Services and Therapies Mannat is a fertility solution centre. It explores conceiving in a natural manner as the first option. The clinic has previously proven research that human body can come back to normal on its own. It works on Body-MindSpirit to detect the cause of one’s infertility beyond biology. Mannat has found that negative emotions or a negative event of a person’s life creates biological disorder to cause infertility, these are almost always reversible.

With research and treatments to cure people in a natural way, it is an integrated medical centre driven by specialists, who have more than a decade long experience in dealing with infertility. Realizing that infertility is a fairly new concept for many to believe, Mannat has worked out a package of 10 hours of the module, for its patients called VEDANA. It allows one not only to experience the peace, which it is talking about, but there are cases where a couple conceived within three weeks of completing this package.

In case, IVF is to be done, the centre increases the success rate from 35% to more than 50% through its holistic work. It is equipped with the latest technology including ICSI, surgical sperm retrieval, embryo freezing, embryo biopsy, laser assisted hatching and blastocyst transfer, using the best equipment and disposables. Through holistic healing, the centre has been

able to increase mortality rate, decrease biological age, reduce stress and bring peace to its patients to understand why they are going through this problem.

Needless to say, Mannat’s approach is highly personal, confidential and very intimate and caring. Its highly personal touch and very timeconsuming, but the clinic keeps no stone unturned to provide its patients with the most comprehensive solutions. “We are not an IVF (In Vitro Fertilization) factory. In fact, IVF is last option for us. So far we have achieved maximum success in most cases combining healing and coaching sessions with our Allopathy treatment.

Even IVF success rate increased phenomenally using these holistic approaches,” quotes Dr. Archana.

Mannat Fertility Centre firmly believes that PCOS is over-diagnosed condition and most of the couples get benefit just by correcting and balancing it out. The doctors, working at Mannat, are also well experienced as they have served as the leading positions in some of the top IVF centres nationwide. Mannat has some of the most advance facilities in the field of IVF technology, thereby, making it the most suitable destination.

In the sector of IVF technology the centre has earned its name mostly due to its top in-house IVF doctors from Bengaluru and India. The services provided by Mannat are world-class, which also provides an edge among other IVF clinics in Bengaluru or India.

The Experienced & Judicious Leadership Dr. Archana Agarwal is the Director Infertility, and Consultant Infertility Specialist &

Most Advanced IVF & FERTILITY Centres 2018

Gynaecologist/Obstetrician, at Mannat. She has received training from Jhansi Medical College, for both undergraduate and post-graduate, and Batra Research Centre. She undertook further training both in India and abroad for ART (Assisted Reproductive Technology). She has been in practice for the past 20 years and is one of the forerunners in ART in the country. She has been a visiting Consultant to various major & midsize institutions like Columbia Asia Hospital, Cloud9 Hospital Bengaluru.

Apart from private practice, Dr. Archana has been constantly in touch with teaching/ training post-graduates in ART & General Gynaecology and Obstetrics. She has successfully treated many infertile couples with all the available techniques of Infertility Management, like IUI, IVF, ICSI, etc.

Being friendly, practical, reassuring she has won many hearts of her patients & is immensely popular in this area.

Awards and Accolades The number of smiling parents and healthy babies that were delivered at Mannat speak leaps and bounds of the success of the centre. Acknowledging this, it has been awarded ‘One of Top Most t IVF Clinic’ in Bengaluru South India Last three years consecutively as per Times of India Survey conducted from 2015 onwards in South India.

Future Perspective of Mannat Mannat Fertility centre is working towards starting a fertility centre in Malaysia and subsequently expanding across South East Asia. It has recently launched laser Hatching, PGS/PGD as a part of it state-of-theart facilities.

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A Hope to Conquer Infertility Naturally with a 5P Coin-sized Device

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The Development Team A few British scientists have brought hope to numerous infertile couples yearning to have children by developing a tiny device. This device can eliminate the need to turn to the arduous IVF treatment.

The geniuses at the University of Southampton can now help diagnose the causes of unexplained infertility with their device that is as small as a 5p coin. This sensor was devised by Professor Cheong along with a bioelectronics engineer Professor Hywel Morgan.

They have established Vivoplex Medical, a Southampton University spin-out company, where they started developing this device. For the clinical trial of the gadget, the start of which is due in the next few months, the research branch of NHS- National Institute for Health Research has provided them with of £850,000 grant.

About the Revolutionary Device The tool helps in monitoring the vital elements that have a major impact on fertility- temperature, oxygen levels, and pH in a mother’s womb. It is to be implanted in the uterus by a doctor or a nurse, just like a contraceptive coil is inserted. The process of implantation may not take more than a few minutes. The inserted device then monitors the womb’s conditions for about seven days. The sensor is connected to an electronic device, say a smartphone or a computer. The data that it gathers is wirelessly transmitted to a small transmitter that is worn on a piece of clothing. This transmitter, in turn, transfers the data to the electronic device.

O 2 & H2O

Potential Benefits Myriads of couples around the globe are facing the problem of infertility. Until now, fertility doctors have had no reliable way of investigating the natural conditions of the womb- its temperature, oxygen, and pH factors. With this device, something as small and simple as aspirin can change the conditions of the uterus. “Not only could it give doctors the ability to diagnose fertility issues sooner – and potentially reduce the burden that fertility treatment brings to our patients – but it also has promising potential to inform the development of new fertility therapies and treatments,” says Professor Cheong.

MedAnsh A Preferred Destination for IVF

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ndia is at par with most nations with respect to technology and advancements in all fields of medicine including Assisted Reproduction (ART). The concept of IVF would earlier be shunned in the Indian society but today it has gained popularity at a swift pace. Families are no longer shying from going to an IVF centre to achieve their dream of parenthood.

Dr. Shrutika Thakkar Obstetrician-Gynaecologist & Founder Director

We have the best of IVF technology at our disposal, we are better at solving and diagnosing problems for infertile couples

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The demand for IVF has steadily increased over the years. Factors such as late pregnancies, altered lifestyle, dual income families and changing preferences are the key reasons due to which the problem of infertility in the country is increasing at an alarming rate. Owing to the sensitive nature of the IVF treatment, couples prefer to survey all options before they embark upon the IVF journey at a centre they trust.

MedAnsh Multispeciality Hospital is one such centre that has received rave reviews in the field of infertility for providing good quality service. Situated in Mulund, Mumbai it is a luxurious hospital focused on healthcare needs of women.

A perfect blend of technology and human touch, MedAnsh is ready to support women throughout their journey of life. The hospital has been started with a vision of providing excellent international quality treatment at affordable rates. The MedAnsh team believes in providing a holistic treatment to the patient. The panel of doctors at MedAnsh consists of a gynaecologists, IVF specialist, embryologists, andrologists, endoscopic surgeons, counsellors, dieticians and physiotherapists who understand the kind of care and efficiency required to assist a womanwhether it is an IVF treatment she is seeking or a fibroid removal surgery.

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Persistent and Determined Personality Dr. Shrutika Thakkar is an Obstetrician-Gynaecologist and Founder Director of MedAnsh Multispeciality Hospital. She has a keen interest in fertility and endoscopic surgery. She has completed her Master’s degree in OBGY from the famous Grant medical college, and Sir J.J. hospital, Mumbai. Shrutika has completed fellowship programs in fertility and endoscopic surgery from Homerton, U.K as well as Kiel University, Germany.

She has worked as an Assistant Professor in K.E.M. Hospital, imparting education to undergraduate and postgraduate students of OBGYN. With numerous publications in reputed books and journals, she is a thorough academician. She has been invited as a faculty at various conferences and has many presentations to her credit.

Throughout her career spanning more than a decade, she has helped numerous couples achieve their dream of parenthood.

Mulund – The Fertility Centre MedAnsh Multispeciality Hospital’s fertility clinic provides customized ART treatment at affordable prices in a comfortable atmosphere. It offers all the newest reproductive techniques, including IVF, ICSI, laser assisted hatching, embryo freezing, egg donation, PGD, embryo biopsy, and blastocyst transfer.

The MedAnsh team is led by a single doctor, Dr. Shrutika Thakkar and no part of the treatment or diagnosis is delegated to assistants or associates.

Being located in Mulund, a quiet central suburb of Mumbai, means that it is within 25 kms of the Mumbai International Airport and within 2 kms of a major railway station.

Mulund is

one of the less polluted suburbs of Mumbai in the close vicinity of the evergreen Yeoor hills. This makes it the perfect location for an IVF centre as positive results are dependent on having a clean and sterile environment.

Defining the True Essence of Motherhood Treatment at MedAnsh is customised for each and every couple and MedAnsh doesn’t believe in having a ‘one protocol for all’ run of mill like strategy. The hospital is specially designed to optimize IVF success rates. Adjacent pass through from the Operating room to the IVF lab ensures the eggs that are being retrieved or embryos that are being transferred are not exposed to detrimental fluctuations in environment. The IVF OT is a separate operation theatre that is not used for any other purposes except for assisted reproduction. This ensures that the operation theatre meets all the sterilization and air purification criteria essential for successful pregnancies.

As MedAnsh hospital is a complete women care set up, the couples’ pregnancy is also managed with the utmost of care. Most IVF set ups think that their job ends when the couple is pregnant and do not get involved in the journey of pregnancy and delivery of the baby. MedAnsh- believes in ensuring the couple actually achieves their dream of becoming parents. It provides full obstetric care and pediatric support to the couple throughout pregnancy and postdelivery. It realizes the value of the precious pregnancy and does not stop caring until the baby is in the safe hands of its parents.‘We believe in creating happiness for all our patients.

MedAnsh Multispeciality Hospital =Miracles Made Here’

Most Advanced IVF & FERTILITY Centres 2018

Inside the Laboratory at MedAnsh MedAnsh has a certified advanced air purification system for the IVF operation theatre and laboratory that cleans the air in the Lab and incubators inside-out. The outgassing of the materials in the Lab, the incubators and the dishes inside the incubators are usually the main source of chemical contamination. It is designed to purify not only the incoming air, but also the VOCs and particulates originated from the inside of the incubator, gas tank, and the room itself.

The embryos are kept in incubators, which are monitored on a 24-hour basis to assure appropriate culture conditions. The andrology laboratory is also conveniently just outside the IVF OT. A separate semen collection room equipped with audio-visual aids helps in ensuring patient comfort and compliance.

The IVF laboratory is equipped with the Nikon- Narishige Micromanipulation System, which offers ultimate performance and ease of use, with automated pipette set-up.

This machine is useful to perform Intra Cytoplasmic Sperm Injection (ICSI) in couples suffering from male factor infertility. New technologies have opened up new possibilities for therapeutic advances, which will increase the success rates for IVF of oocytes from women with compromised oocyte quality. For example, transference of fully functional mitochondria from other cells into mitochondria impaired oocytes can be done. MedAnsh looks for such new initiatives at low cost assisted with reproductive technologies, which needs to be considered by healthcare professionals.

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Why is

INFERTILITY so common About the Author

today?

Dietician Neha Pundir is a Nutritionist based in Pune, India. She has a B.Sc. in Clinical Nutrition and Dietetics from University of Lucknow, P.G.D. In Dietetics and Hospital food services from IHM Pusa, New Delhi; CertiďŹ cation in Diabetes Education from Apollo Hospital, and M. Sc. in Dietetics from Swami Vivekanand Subharti University, Meerut. Neha is a weight loss diet expert. She has a rich and varied experience in the ďŹ eld of dietetics and specializes in providing customized diet plans for a healthy lifestyle. She is helping people to reach to their health related goals with his healthy diets & lifestyle.

Neha provides weight loss diet consultations online. Online diet consultation, customized online diet plans, personalized Diet chart are provided for services like fast and healthy weight loss, healthy weight gain, control and manage diabetes , Healthy Hair & Skin Care Diet Packages for Men & Women, Online diet for Pregnancy & Lactation, Sports Nutrition diet and other disease management.

Email & phone consultation is also provided.

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t’s not an uncommon sight to see a couple looking for infertility treatment these days. When a couple visits with their parents, the parents always have this questioning look on their face; why this generation has so many infertility issues, it was never this way at our times. Often my friends and families consult me the same. The problem is so much prevailed that people generally want to consult a gynecologist before about planning a baby to check if everything is alright.

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Rising Infertility

Neha Pundir Dietician

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After doing the in depth research with more than 100 patients of infertility, at my clinic; I have found out the most common causes of infertility in both males and females.

• Unhealthy and Insufficient Diet: This is an era of quick foods. Long working hours at office and excessive workload make them think that they should grab a quick meal instead of a complete Indian Thali. Even if they eat Indian food it comes out of office canteen. People are eating outside more and more. When we eat outside food the hygiene and quality of food is not guaranteed. Instead of fruits, nuts, milk etc. as a “To Go Snack” working people are majorly consuming sandwiches, vada pao, pav bhaji etc. which provide minimum or no nutrition at all. To suppress their hunger people take help of tea, coffee, black teas and coffees etc. This is a wrong practice. People should understand the importance of food and health. People should carry healthy snacks such as fruits and nuts along with them.

• Obesity & Malnutrition: Metro cities like Pune, Mumbai, Delhi etc. has more industries and more and more people are into sitting jobs. Continuous sitting with an imbalanced diet leads to weight gain, obesity and malnutrition.

• Irregular and Insufficient Sleep: Mobiles phones and extended working hours have snatched the sleep from people in today’s time. Generally people sleep and wake up at different times on weekdays than weekends which induces hormonal imbalance and leads to health complication including infertility.

• Stress: Busy lifestyle, career priority, long working hours leaves a person stressful and exhausted at the end of the day. A stressful mind leads to health complications.

• Lack of Physical Activity: Our facilitated world leaves no space for physical activity. For example, people own private vehicles and do minimum walking while commuting for daily works; most of the buildings have lifts and people use them even if they have to go up by one floor; most of the people don’t play sports because of lack of time. Lethargy is more prevalent and one feels lazy to do any physical activity.

• Planning Past Fertile Period: Keeping career as a priority people push the baby planning to future. Our fertility decreases with age. For women the fertility window starts to close after 35 while men are fertile till late ages. But even if one partner has passed the fertile period it becomes di fficult to conceive.

• Excessive or Wrong Use of Birth Control Measures: For long term child control women tend to use birth control pills. In some cases it can affect their fertility. One should opt for better and harmless ways of birth control. So far condoms have been proved as the most harmless method.

• Alcohol, Smoking & Drug Abuse: In metro cities, weekend and late night parties are becoming a part of life. People consume much more amount of alcohol than the ideal allowance, which leads to infertility. Movies and television influences people to indulge into smoking and drugs. People start with these habits at early ages and by the time they make the decision of having kids; their fertile health is already gone.

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Pravi IVF & Fertility Center Pioneer in Introducing Advanced, Transparent and Ethical Practices in IVF

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nfertility is not a new problem. It has been prevalent in this world since its formation.

Although, what’s new is the magnitude at which this distressing issue is augmenting.

According to a prominent report, more than 27.5 million couples are suffering with the infertility problem.

Dr. Monica Sachdeva CEO

Proficiency with precision in infertility treatment is our unique strength

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Sir Robert Geoffrey Edwards, Physiologist, has gifted this world with IVF concept but many still track a secretive route with little transparency and complex detailing that collectively shakes the patient’s trust and confidence. However, not all healthcare providers are same as their peers. Kanpur-based Pravi IVF & Fertility Center is a shining gem amongst its other contemporaries. Over the years, Pravi IVF & Fertility Center has gained immense popularity and recognition due to its transparent, ethical and personalized patient care approach.

This center has a robust and adept team of ace IVF specialists and embryologists who always ensure delivery of efficient, result-driven and precision-based treatment to its patients that too with healing touch of empathy and humanity.

Pravi has state-of-the-art infrastructure and advanced equipment, through which it performs all routines and advanced procedures for infertility and ART (Assisted Reproductive Technology). Its endeavor is to render happiness on the faces of distressed couples

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through transparent, affordable and personalized approach.

On the eve of Indian Independence in 2015, Pravi started its operations to serve the infertile couples and since then it has witnessed a meteoric rise and stupendous growth not only in terms of revenues but also in terms of clients’ trust, affection and faith towards its services. “Best part of our journey has been the phenomenal rate of patient satisfaction towards our center. We are now treating many national and international couples with the utmost care which they desired for,” stated the clinic.

Pioneers of IVF Treatment No organization can lead towards the zenith of success if its leaders who share a common farsighted vision, necessary vital skills, diligence, and sharp acumen to solve any crisis do not drive it. Dr. Monica Sachdeva and Rit Shukla are such leaders who have made this center a huge success in such a limited time.

Dr. Monica Sachdeva, an MBBS, DNB (O&G), MRCOG is currently serving as the CEO at PRAVI. She is a seasoned medical professional who has performed over two thousand IVF cycles in her decade long of IVF practice and knows all the nittygritties related with infertility treatment.

The other pillar of strength is Pravi’s Scientific Director, Dr. Rit Shukla.

He is also the Co-Director of the center, and a renowned embryologist who has played a pivotal role in the

Most Advanced IVF & FERTILITY Centres 2018

establishment and development of Pravi IVF and Fertility Center. This duo works in tandem to render happiness on the faces of childless couples and feels proud to do so.

Screening/Diagnosis (PGS/PGD) and Endometrial Receptivity Array (ERA) along with egg freezing are some other services that are gaining immense popularity at Pravi’s.

Services and its Uniqueness Pravi gives hope to parents who are left in the dark due to their infertility issues. This center has a commendable success rate of attaining motherhood. Services like IUI (husband/donor sperm), IVF (self-egg/donor eggs), ICSI, PICSI, embryo vitrification, frozen embryo transfers, and surrogacy services assist infertile couples to realize their dream of parenthood. This center also has a proficient team of pre IVF laparoscopy and hysteroscopy physicians. The center recounts that infertility is certainly a subtle epidemic, which is disturbing our society. In recent years, there has been a substantial rise in incidence of male infertility. Moreover poor egg quality is definitely a major concern nowadays.

“This procedure of egg freezing is gaining popularity among women who are in their late 20s or early 30s, not yet married or not wanting a child at present, and living in metros but also among those in Tier 1 and Tier 2 cities, more out of choice than the default,” added the CEO.

Doctors at Pravi believe that every individual couple is different and requires an individualized approach.

“Our target is to maximize success rate with minimalistic complications.

Our sincere efforts are to do as many as possible blastocyst transfer (D5 Embryos), which are considered the strongest of embryos and enhance success rate by 10 percent,” asserts the CEO.

Future Roadmap In near future, the center is planning to overhaul its existing IVF lab and will attempt to introduce Laser Hatching and PGD/PGS to rule out aneuploid embryo in order to prevent transmission of rare life threatening genetic diseases to off-springs.

“Our motto is to spread the awareness about infertility problems to all and sundry so we will be soon opening up satellite OPDS in tier 2/3 cities and frequent infertility camps,” concluded the CEO. “Training budding gynecologists and embryologists is another important aspect where we are progressing steadily.”

Personalised embryo transfer using Pre-implantation Genetic Tests (PGT) that includes

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