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Today there is an increasing rate of infertility, with more and more couples going in for infertility treatments. With the advancement in science and technology, new treatments are becoming available. Over the years, data from studies has shown that the use of ovulation inducing agents has increased the number of multiple pregnancies about ten-fold. This is not the result of advanced assisted reproductive techniques like IVF, GIFT, and ZIFT, but from sole use of fertility enhancing drugs. It has been observed that use of drugs like Clomiphene citrate and Gonadotropins result in 6-8% and 15-53% cases of multiple pregnancy, respectively.
In the struggle to treat infertility selective embryo reduction may sound absurd, but it is a necessary evil to reduce foetal and maternal risks associated with high order multi-foetal pregnancies. Embryo reduction was introduced to avoid increased incidence of abortion and premature labour associated with multiple pregnancies along with their attendant problem
Several techniques have been suggested for embryo reduction. One such technique is the injection of potassium chloride into or in the vicinity of the foetal heart thereby causing it to stop functioning. In recent years a simpler and relatively safer method has been tried with the extensive use of ultrasonography. Around 6-8 weeks of gestation, embryo aspiration is done under ultrasound guidance through the vagina. A preliminary ultrasound is done to map the configuration and position of each embryo relative to the uterine cavity and to each other. The embryos not to be terminated are carefully identified so that no injury is caused to their sacs. The ones to be terminated are demarcated precisely since any attempt after a failed foetal reduction can lead to problems in the foetuses. It is done under general anaesthesia, under cover of antibiotics and the most easily accessible sac is chosen.
Dr. Rekha Khandelwal M.S.
Surgical Abortion
Child Vaccination
PCOS Treatment
PCOD Treatment
Teenage Pregnancy
Child Nutrition
Hymenoplasty Surgery
Infertility Treatment
Medical Abortion
The Authorities at the hospital were very accommodating with all the assistance required in order to fulfil the procedure successfully. We felt we were looked after carefully and very well by the doctors, nurses and there assistance.
We would definitely keep in touch and hope such wonderful memories are cherished even of the cause was not good.
Good Wishes to everyone.
A couple of years back when my uncle Dr D K Tandon was diagnosed with Dementia, we were looking for a decent place where he can be taken care of. We chanced upon Vardaan Senior Citizen centre. I spoke to Dr Rekha Khandelwal and found her to be quite empathetic & considerate in her approach. My uncle is staying in Vardaan for last couple of years and we are grateful to Dr Rekha and her staff for taking care of my uncle.
My mother, Manorama Devi, was a patient of Parkinson’s disease and paralysis. We were managing her at home but due to complications of the illness and lack of trained caregivers I had to shift her to Vardaan Senior Citizens Home. Vardaan is truly home away from home and the entire staff under the able guidance of both Dr Rekha Khandelwal and Dr Rajiv Khandelwal works tirelessly to make the senior citizens feel at home.
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