Shivam IVF Centre (A Unit of Shivam Surgical & Maternity Centre) is a well-established IVF Centre in Delhi. Established in 1996, Shivam Surgical & Maternity Centre is offering care in all Specialities and most super specialities.

1. Dr. Bhavana Mittal

2. POSITIONS HELD
 EXECUTIVE DELHI STATE CHSPTER OF ISAR
 CHAIRPERSON - MONOGRAPH COMMITTEE , DELHI ISAR
 (2016-2017)
 DIRECTOR SHIVAM IVF & INFERTILITY CENTRE
 CONSULTANT MAX SUPERSPECIALITY HOSPITAL, VASIAHLI
 EX FOGSI RECOGNIZED TRAINER FOR BASIC/ADVANCED
 INFERTILITY
MEMBER
 Federation Of Obstetric & Gynecological Societies of India
(FOGSI) since 2005
 Indian Society of Assisted Reproduction (ISAR) since 2009
 Delhi Gynecologists Forum(DGF) since 2010
 Wellbeing of Woman (WOW) India since 2010
 European Society of human Reproduction(ESHRE)since
2012
 Fetal Medicine Society of India since 2014
 IAGE since 2015
 ISPAT since 2016
DR BHAVANA MITTAL
DNB, DGO, FNB, FNAMS

3. Women’s Health Concerns
 From family to careers, typically the last
area women attend to are their own health
 They focus instead on their partners & their
children.
 What we say is “Take care of yourself first”

4. 5 Medical Conditions that are of
Great Concern

5. Women should take charge of their Health

6. WOMEN‘S WELLNESS

7. Who do you think is a Healthy Woman?

9. "An ounce of prevention is worth a pound of cure"?

10. Is it just the absence of disease?
 Wellness- Harmony of body & mind
 Well balanced nutritional diet
 Physical fitness
 Lifestyle & stress management
Wellness: What is it?

11. Why is it important ???
Linked to the family
Linked to the child
Whole society

12. Key Factors For Wellness
 Optimum nutrition
 Balanced hormonal level
 Vitamins, minerals, supplements
 Adequate intake of water
 Exercise, meditation

13. Key Factors For Wellness
 Deep relaxation
 Adequate Sleep
 Strive for balance & be good to yourself!
 Enhance Detoxification
 Boost metabolism
 Calm Your Mind

14. WHAT TO EAT?
 Variety and fresh foods are key
 Whole grains, beans, winter squashes
 Fresh fruits
 Dark leafy greens, berries
 Olive oil instead of vegetable oil or processed ghee
 Carrots, peaches, sweet potatoes, tomatoes
 Green tea
 Organic food
Wellness Diet: Nutrition for Life

15. WHAT TO AVOID?
 Foods made with hard flour and sugar, especially bread &
 sweet bakery products
 packaged snack foods
 Foods with artificial sweetener
 Avoid: high- GLUCOSE intake
 Other animal proteins, full-fat dairy products
 chicken skin, fatty meats
Wellness Diet: Nutrition for Life

16. Everyday Activities
 Taking the stairs
 Parking farther away
 Getting off the bus a few stops early
 Gardening
 Taking fitness breaks at work
Exercise: How Much? What kind?

17. Exercise , How much? What kind?
 At least 30 to 60 minutes/day
 Brisk walking, running, bicycling, jumping
 rope, dancing & swimming.
 Weight lifting, push ups.
 Walking, jogging in the park.
 Yoga, pranayama & meditation.

18. POSITIVE EFFECTS OF EXERCISE
 Improved cardiorespiratory & muscular fitness
 Improved bone health
 Improved cardiovascular & metabolic health biomarkers
 Favourable body composition
 Lower risk of coronary heart dz, stroke, BP, DM & early death
 Lower risk of cancer breast, colorectal, lung, endometrium
 Prevention of weight gain
 Reduced depression
 Better cognitive function (for older adults)

19. Manage Stress
 Women are the world’s best jugglers
 Health consequences:
1. Digestive issues
2. Compromised immune function
3. Sleep disorders
4. Weight gain
 CDC estimates that 75% to 90% doctor visits are stress related

20. Women & Stress
2006 survey by the American Psychological
Association indicates women are more effected
by stress than men:
 More women report engaging in unhealthy
behaviours
 Women report feeling the effects of stress on
their physical health more than men

21. Different concerns &
requirements at different ages

22. WOMEN AT ALL AGES
From adolescence to menopause

23. TEENAGERS
 Menstrual hygiene
 HPV & Tdap vaccination
 Pubertal problems
 Polycystic Ovaries

24. TWENTIES & THIRTIES
 Contraception & starting a family successfully;
 Regular pap smear;
 Screening for rubella virus;
 Folic acid for to-be-moms

25. A Time of Choices
20s or late 30s

26. Healthy Pregnancy
 Start with preconception care
 Take a multivitamin multimineral
with at least 400 mcg of folic acid
 Get early & regular prenatal care
 Be active, stay fit
 If you smoke or drink alcohol, STOP
 Avoid or control caffeine intake

27. A Time of Choices
Late 30s to Late 40s

28. FORTIES, NEW YOUNG AGE
 Contraception once again;
 Menopausal symptoms;
 Tendency to gain weight;
 Consider calcium
 Lipid profile

29. A Time for Living Well
Late 40s to 50 Plus

30. FIFTIES
 menopausal hot flashes;
 frequent urinary infections & vaginal dryness;
 natural drop in bone density & need for calcium;
 check for blood pressure & diabetes;
 mammography & bone density scan

31. Perimenopause
 The time leading upto the menopause
 Natural part of aging that signals the end of
your reproductive years
 Ovaries shut down, make less estrogen &
progesterone

32. SIXTIES & BEYOND
 Exercise, healthy diet & weight management is
helpful;
 Risk of heart disease, ovarian, uterine & breast
cancer is highest;
 Benign causes of discomfort are uterine & vaginal
prolapse & osteoarthritis

33. The Average Woman
 Loses 5 pounds of muscle every decade.
 Adds 10 pounds of fat every decade.
 By 50 - reduces muscle mass by 1/3
 By 60 – reduces muscle mass by ½, with a high %
of body fat

34. Why screening tests are important
 To diagnose even before symptoms
develop
 Easier to treat in early stage
 WHICH ONE depends on your age,
family history, your own health history

35. PREVENTIVE GYNECOLOGY
Women Health Check

36. Essential Screening Tests
EVERY WOMAN NEEDS

37. Breast Cancer
Ultrasound
Mammography

38. Cervical Cancer

39. BONE DENSITY - OSTEOPOROSIS

40. HPV Vaccination
Gardasil & Cervarix
 Best for women under 26
 The vaccines don't protect against all the cancercausing strains
of HPV, however.
 So routine Pap smears are still important

41. BONE DENSITY - OSTEOPOROSIS
DEXA to measure bone strength, predict future breaks
Bones become weak and fragile

42. Screening For Skin Cancer
 Look for any moles or freckles

43. COLORECTAL CANCER

44. High Blood Pressure
 <120/80 mmHg - Normal”
 120 to 139 / 80 to 89 - Pre-hypertension
 140 over 90 - High
Know Your Numbers

45. High Cholesterol
 Your blood cholesterol
<200 mg/dL
 LDL “bad cholesterol”
<100 mg/dL
 HDL “good cholesterol”
>50 mg/dL or higher

46. DIABETES
 Type 1
 Type 2
 Gestational Diabetes

47. GLAUCOMA
Baseline eye examination at 40

48. VITAMIN D DEFICIENCY
 D-fence for your health
 Muscle and bone pain
 Increases risk of Type I
Diabetes

49. ASK YOUR DOCTOR ABOUT SCREENINGS

50. No Matter What Stage……
It is essential for women to
Eat healthy
Be active
Manage stress
Supplement wisely

51. Celebrate Women’s Health

52. Preventive Health Checks
26% Discount

53. The Beauty of a Woman
The beauty of a woman
Must be seen from in her eyes;
Because that’s the doorway to her heart,
The place where love resides.
The beauty of a woman
Isnt in a facial moie;
But true beauty in a woman,
Is reflected by her soul.
It’s the caring that she cares to give,
The passion that she shows;
And the beauty of a woman
With passing years only grows.

54. Targeted Solutions
 Meet your own individual health needs
 Enjoy healthier, more active lifestyle today
 Promote prevention for life