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October 2018
Most Advanced
IVFAND
FERTILITYCentres 2018
The10
CloudnineDedicated to the Holistic Well-being
of a Mother an d Her Baby
Kishore Kumar
Founder & Chairman
From the
Editor
ave you ever imagined that you and your partner visiting a
maternity and fertility clinic and while you are sipping
Hyour coffee you are offered a menu card,
containing
descriptions of embryos? Yes, that’s right! There are hundreds of
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 combinedwith
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.
‘Designer
Babies’
Future of
Parenthood?
Sayali Rane
sales@insightscare.com
October, 2018
Corporate Of ces:
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Editor-in-Chief Pooja M. Bansal
Managing Editor Devasish Kanojiya
ExecutiveEditor Sayali Rane
Contributors
Aishwarya Nawandhar,
Urvasi, Shweta
Visualiser David King
Art &Design Director Amol Kamble
Associate Designer Priyanka Rajage
Co-designer Rahul Kavanekar
Art &Picture Editor Paul Belin
Jayant Khanna
Business DevelopmentManagerAkansha Garewal
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Sales Executives
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Circulation Manager Robert, Tanaji
Database Management Stella Andrew
TechnologyConsultant David Stokes
Cover Story
CloudnineDedicatedtotheHolistic Well-being of a
Mother andHerBaby
Articles
22
38
50
Advancesin IVF
New-ageTechniquesthat can
PreventLife-Threatening
Diseases among Infants
Pregnancy Nutrition
Nutritional Desideratum
during Pregnancy
Resilience &Courage
HowtoBecomeMore
CourageousandResilient in
our life?
UTI in Gynaecology
Urinary Problemsin
Gynaecology
Rising Infertility
Whyis infertility so common
today?
28 40
50
38
22
CXO Standpoint
10
Contents
20
Barmade Hospital
Offering Distinctive Services toRealise
theDream of Motherhood
26
International Fertility Centre
AReveredDestination whereLost Hope
turns into Joyful Blessing
32
KGN Test-Tube BabyHospital &
Research Centre
Cherishing Motherhood atitsBest
44 Mannat Fertility-IVF Centre
ABlessing in Disguise
48 MedAnsh
APreferred Destination for IVF
Interview withInsightsCare
54
Pravi IVF &Fertility Center
Pioneer in IntroducingAdvanced,
Transparent andEthical Practicesin IVF
20
26
32
44
48
54
18
OoWomaniya
Revolutionizing & Offering a
Comprehensive Health
Solutions for Women
In-vitro
Fertilization
ANeedoftheHour
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
S(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!
The
1
MostAdvanced
IVF & FERTILITY
Centres2018
DedicatedtotheHolisticWell-beingof aMother
and HerBaby
Cloudnine
n a book called ‘Eating for Pregnancy’, Catherine Jones said, “Whether your
pregnancy was meticulously planned, medically coaxed, or happened by surprise,one
Ithing is certain — your life will never be the same”. Bringing a child to life is no less
than a miracle, especially for a parent. So many couples dream of parenthood every day.
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.
Cover Story
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 & FRCPCHfrom
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. Amidsthis
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
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,
At Cloudnine, we
believe in
breathing magic
and memories
into pregnancy
and parenthood
“
“
Micro TESE, Cryopreservation of
Embryos, Vitrification of Eggs,
Endometrial Receptivity Analysis
(ERA), Time Lapse Embryo
Monitoring, Laser Assisted Hatching
(LAH), Preimplantation Genetic
Screening (PGS), DNAFragmentation
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 super-
specialists 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: AtCloudnine,
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
The
1
MostAdvanced
IVF & FERTILITY
Centres2018
laboratories, equipped with air filters
and environmental control features.
Every Cloudnine Fertility unit also
hosts an exclusive Andrology Labthat
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
We provide
world-class
medical expertise,
state-of-the-art
facilities, and
a space lled
with love and
laughter
“
“
We strive to
best fertility
solutions and
help realize
your dreams of
parenthood
“provide the
“
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 specialtyacross
the country that can provide the best-
in-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
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 world-
class 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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Hospital Name Management 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.
CloudnineHospital
cloudninecare.com
Dr. R. Kishore Kumar
Founder & Chairman
Cloudnine is India’s premier destination for
comprehensive woman & child healthcare.
International Fertility
Centre
internationalfertilitycentre.com
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. ArchanaAgarwal
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
novaivifertility.net
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.
Xenithadvanced
fertility center
xenith.clinic
Dr. Mamta Dighe
MD
Xenith aims to resolve fertility problems in the right
way for each individual patient.
The
1
MostAdvanced
IVF & FERTILITY
Centres2018
OoWomaniya
Revolutionizing &Offering aComprehensive
Health Solutions for Women
Women 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
Interview with InsightsCare
18| October 2018 |
Sneh Bhavsar
Co-founder& CEOKrutika Katrat
Co-founder& CAO
| October 2018 |19
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.
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 well-
being. 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
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.
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 non-
judgmental. 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 futureplan?
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.
20| October 2018 |
Mobilize Care Actions
Care instructions distributed
via mobile devices shared by
Care Teams
Care Teams
Family, friends and
Professional community care
providers
Lifestyle Support
Access to lifestyle
products/services to keep
people in their homes
Community Care Collaboration (C3) Model
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.co
Barmade Hospital
he IVF industry is booming and there
will be IVF clinic in all practicing
Offering Distinctive Services to Realise the Dream
of Motherhood
TObstetrics and Gynaecology doctors’
clinics in the next 10-15 years. The globalIVF
services revenue market is projected to reach
$22,467 million by 2025, growing at aCAGR
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 successrate,
and rise in disposable income worldwide.
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 full-
fledged twenty bedded super-specialty hospital
in 2007. The hospital has now reached to fifty
beds within span of fourteen years because of
We help to
fulfil the dreams
of motherhood
for every female
who is infertile
Dr.Kalyan B. Barmade
Founder & ManagingDirector
20| October 2018 |
blessings from 5,000 plus couples
who received treatment and got
success in infertility and theirdream
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 behindthe
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 8,000advanced
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 hasa
Test Tube Baby (IVF& ICSI) and
Yashodip Sperm Bank. Apart from
these the hospital also provides
facilities that include:
•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.
Awards andAchievements
Dr. Kalyan & Barmade Hospital has
received many acclaims in field of
Art & Endoscopy like;
• Rajiv Gandhi Gold Medalat
Bangalore
• IMA STAR award at Latur, Icons
of Latur Award by LokmatMedia
• IMA appreciationAward
• Dr. R. K. Menda trophy for
community service projectby
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 SocialCause
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.
The
1
MostAdvanced
IVF & FERTILITY
Centres 2018
| October 2018 |21
Urinary Problems
in Gynaecology
rinary problems are themost
frequently encountered
Ucomplaints of
the
gynaecological patients visiting the
outpatient department. Several
causes contribute to the varied
presentations and types of theurinary
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 infectionin
women is ascending from the urethra
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 kidney- high
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 appropriateantibiotics.
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, cranberryjuice
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 elicitin
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 peopleworldwide.
Studies have found the incidence as
high even in younger population,
affecting nearly 24% women
between ages 18-44 years. Urinary
22| October 2018 |
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.
About the Author
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 animportant
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.
Dr. Nishita Shah
Consultant Obstetrician
& Gynaecologist
UTI in Gynaecology
| October 2018 |23
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
Spressure, which occurs during physical activities like coughing, sneezing, running, lifting heavy
anc
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 performed- Kelly’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 reachthe
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 are preferred as
first line treatment followed by surgery for SUI ( if needed).Thus, to conclude, urinary 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.
24| October 2018 |
International FertilityCentre
A Revered Destination where Lost Hope turns into
Joyful Blessing
Parenthood is the biggest blessing of Godto
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.
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 suffers 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
Championing the cause
of parenthood withadept
IVF specialists, state-of-the-art
infrastructure, and leading
-edge technologies
SaarthakBakshi
CEO
26| October 2018 |
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 in-vitro
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 pre-
implantation 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
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.”
The
1
MostAdvanced
IVF & FERTILITY
Centres 2018
| October 2018 |27
New-age
Techniques
that canPrevent Life-
ThreateningDiseases amongInfants
28| October 2018 |
Every 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, the
circumstances during the childbirth are quite different. There are things which one couldn’t control earlier, that is the
case of some 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.
Advancesin IVF
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
| October 2018 |29
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 PronuclearTransfer
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 inthem
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. Mitochondrialdiseases
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 DNAfrom 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 themitochondria.
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 |
KGNTest-Tube Baby Hospital
& Research Centre
aving a baby is a feeling which can’t be
expressed in words; it’s truly a delight, a
Cherishing Motherhood at itsBest
Hblessing. A point comes in the life of
every couple, where they desire to expand their
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.
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,
Our Motto is
not Pregnancy,
Our goal is
delivery of
Healthy Baby
Dr.Aamir Shaikh
Founder
32| October 2018 |
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 ARTunit,
he is also an honorary Associate
Professor at the Maharashtra Institute
of Medical Science & Research
(MIMSR) Medical College Latur.
Healing Lives byEmbracing
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 Saudi-
Arabia.
KGN is on a mission to provide
complete medical care experience to
the people by keeping abreast withthe
latest technology and upgrading its
teams’ expertise with international
training experience. Armed withhigh-
end 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.
Awards and Recognitions
Over the years, KGN’s sheer
dedication and unified efforts has
helped it to attain many awards as a
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 BhushanAward
• IMA Best DoctorAward
• Invited as a best ART specialistat
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.
The
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| October 2018 |33
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 soyou
are definitely not alone.
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%.
1 3
2
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 test-tube 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.
6
Intriguing
FactsConcerningIVFthat
YouMustKnow
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.
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.
5
4 6
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.
How to BecomeMore
CourageousandResilient
in our life?
Courage 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
Your ability to stay resilient and
relevant as a sentient being is the key
to implementing and maintaining a
courageous and vibrant life.
Facing YourFears
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 willinglyaccepted
yourself.
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
being courageous is inconvenient and
interrupts your cozy life; sometimes
being courageous upsets others in your
environment.
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
38| October 2018 |
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.
Resilience& Courage
About theAuthor
This interesting article has been
penned down by Dr.Raziya Shaikh,
who is a M.D. (IVF Centre) &
Gynecologist at KGNTest-Tube
Baby Hospital. She is practicing
Gynecology for the past 20 Years.
She has worked as a RMO at Cama
& Albless Hospital under
prestigious
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
withhumble backgrounds.Dr.RaziyaShaikh
M.D. (IVF Centre) & Gynecologist
| October 2018 |39
Nutr”ional
Desideratum
during
Pregnancy
regnancy is a significant
moment in the life of a
Pwoman. 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 onthe
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.
Implementation of Nourishment
for the Fetus
Food is the element that helps
humans survive and provides them
with energy to carry out their day-to-
day 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 peakas
this is a major requirement for the
fetus’ bone health.The high quality
protein mainly casein and wheyare
found in dairy products along with
magnesium, phosphorousand
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. Duringthe
first trimester it is essential that both
the mother and fetus receive folateas
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 sourceof
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
40| October 2018 |
third trimester as the growth of thefetus
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 folatethan
any other fruit apart from which it also
Pregnancy Nutrition
mercury does exist, but nonetheless, the occasional sea foodcan
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 secondand
| October 2018 |41
contains vitamin C, Vitamin Band
choline. They also contain iron, an
essential for the blood health of the mother and
the fetus. The potassium also may relieve legcramps
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 pregnancythe
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 thefetus.
The food consumed during pregnancy always has an effect 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.
42| October 2018 |
Mannat Fertility-IVF Centre
A Blessing in Disguise
nfertility often creates one of the most
distressing life and unfortunate crises that a
Icouple ever experiences together. There is
one clinic that gives hopes to the distressful
couple 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.
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
A holistic &
healing journey
towards
parenthood
Dr.ArchanaAgarwal
Director
44| October 2018 |
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-Mind-
Spirit 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 time-
consuming, 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 suitabledestination.
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 &
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/PGDas
a part of it state-of-the-art facilities.
The
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5
P
CO I N
A Hope to Conquer Infertility
Naturally with a
5P Coin-sizedDevice
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 unexplainedinfertility 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
trialof the gadget, the start of which is due in the nextfewmonths, the
researchbranchofNHS-NationalInstitute forHealth
Researchhasprovidedthemwithof
£850,000grant.
The DevelopmentTeam
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,inturn,transfersthedatatotheelectronicdevice.
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,”saysProfessorCheong.
Potential Benefits
O2 & H2O
MedAnsh
A Preferred Destination forIVF
India is at par with most nations with respect
to technology and advancements in all fields
of medicine including AssistedReproduction
(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.
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 onesuch
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 woman-
whether it is an IVF treatment she is seeking or a
fibroid removal surgery.
We have the best of
IVF technology atour disposal,
we are better at solving and
diagnosing problems for
infertile couples
Dr.Shrutika Thakkar
Obstetrician-Gynaecologist &
Founder Director
48| October 2018 |
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 2kms
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 sterileenvironment.
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 post-
delivery. 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’
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.
The
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| October 2018 |49
Why is
INFERTILITYso commontoday?
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; Certification 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 field 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.
AbouttheAuthor
t’s not an uncommon sight to see a couple looking for infertility treatment these days. When a couplevisits
with their parents, the parents always have this questioning look on their face; why this generation has so
Imany infertility issues, it was never this way at our times. Often my friends and families consult me about
the same. The problem is so much prevailed that people generally want to consult a gynecologist beforeplanning
a baby to check if everything is alright.
50| October 2018 |
NehaPundir
Dietician
Rising Infertility
| October 2018 |51
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 healthcomplications.
• 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 difficult 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 partof
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 isalready
gone.
52| October 2018 |
Pravi IVF & Fertility Center
Pioneer in Introducing Advanced, Transparent and
Ethical Practices in IVF
nfertility is not a new problem. It hasbeen
prevalent in this world since its formation.
IAlthough, 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 withthe
infertility problem.
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 thattoo
with healing touch of empathy and humanity.
Pravi has state-of-the-art infrastructure and
advanced equipment, through which it
performs all routines and advancedprocedures
for infertility and ART (AssistedReproductive
Technology). Its endeavor is to render
happiness on the faces of distressed couples
Proficiency with
precision in infertility
treatment is our
unique strength
Dr.Monica Sachdeva
CEO
54| October 2018 |
The most advanced ivf and fertility centres 2018
The most advanced ivf and fertility centres 2018
The most advanced ivf and fertility centres 2018
The most advanced ivf and fertility centres 2018

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The most advanced ivf and fertility centres 2018

  • 1. www.insightscare.com October 2018 Most Advanced IVFAND FERTILITYCentres 2018 The10 CloudnineDedicated to the Holistic Well-being of a Mother an d Her Baby Kishore Kumar Founder & Chairman
  • 2.
  • 3.
  • 4. From the Editor ave you ever imagined that you and your partner visiting a maternity and fertility clinic and while you are sipping Hyour coffee you are offered a menu card, containing descriptions of embryos? Yes, that’s right! There are hundreds of 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 combinedwith 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. ‘Designer Babies’ Future of Parenthood? Sayali Rane
  • 5. sales@insightscare.com October, 2018 Corporate Of ces: Copyright © 2018 Insights Success, All rights reserved. The contentandimagesusedin this magazine should not bereproducedor transmitted in anyform or by anymeans, electronic, mechanical,photocopying, recording or otherwise, without prior permission from Insights Success. Reprint rights remain solely with Insights Success. Insights SuccessMedia TechLLC 555 Metro PlaceNorth, Suite 100, Dublin, OH 43017, United States Phone - (614)-602-1754 Email: info@insightscare.com For Subscription: www.insightscare.com Insights SuccessMedia andTechnologyPvt. Ltd. Of 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 Editor-in-Chief Pooja M. Bansal Managing Editor Devasish Kanojiya ExecutiveEditor Sayali Rane Contributors Aishwarya Nawandhar, Urvasi, Shweta Visualiser David King Art &Design Director Amol Kamble Associate Designer Priyanka Rajage Co-designer Rahul Kavanekar Art &Picture Editor Paul Belin Jayant Khanna Business DevelopmentManagerAkansha Garewal Marketing Manager Dhruv Apte Sales Executives Karishma M. Attar TechnicalHeadSwapnilPatil TechnicalSpecialist Amar, Vivek, Pratiksha Digital Marketing Manager Marry D’Souza SME-SMO Executives Prashant Chevale, Uma Dhenge Circulation Manager Robert, Tanaji Database Management Stella Andrew TechnologyConsultant David Stokes
  • 6. Cover Story CloudnineDedicatedtotheHolistic Well-being of a Mother andHerBaby Articles 22 38 50 Advancesin IVF New-ageTechniquesthat can PreventLife-Threatening Diseases among Infants Pregnancy Nutrition Nutritional Desideratum during Pregnancy Resilience &Courage HowtoBecomeMore CourageousandResilient in our life? UTI in Gynaecology Urinary Problemsin Gynaecology Rising Infertility Whyis infertility so common today? 28 40 50 38 22 CXO Standpoint 10
  • 7. Contents 20 Barmade Hospital Offering Distinctive Services toRealise theDream of Motherhood 26 International Fertility Centre AReveredDestination whereLost Hope turns into Joyful Blessing 32 KGN Test-Tube BabyHospital & Research Centre Cherishing Motherhood atitsBest 44 Mannat Fertility-IVF Centre ABlessing in Disguise 48 MedAnsh APreferred Destination for IVF Interview withInsightsCare 54 Pravi IVF &Fertility Center Pioneer in IntroducingAdvanced, Transparent andEthical Practicesin IVF 20 26 32 44 48 54 18 OoWomaniya Revolutionizing & Offering a Comprehensive Health Solutions for Women
  • 8. In-vitro Fertilization ANeedoftheHour 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 S(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! The 1 MostAdvanced IVF & FERTILITY Centres2018
  • 9.
  • 10. DedicatedtotheHolisticWell-beingof aMother and HerBaby Cloudnine n a book called ‘Eating for Pregnancy’, Catherine Jones said, “Whether your pregnancy was meticulously planned, medically coaxed, or happened by surprise,one Ithing is certain — your life will never be the same”. Bringing a child to life is no less than a miracle, especially for a parent. So many couples dream of parenthood every day. 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. Cover Story
  • 12. 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 & FRCPCHfrom 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. Amidsthis 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 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, At Cloudnine, we believe in breathing magic and memories into pregnancy and parenthood “ “
  • 13. Micro TESE, Cryopreservation of Embryos, Vitrification of Eggs, Endometrial Receptivity Analysis (ERA), Time Lapse Embryo Monitoring, Laser Assisted Hatching (LAH), Preimplantation Genetic Screening (PGS), DNAFragmentation 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 super- specialists 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: AtCloudnine, 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 The 1 MostAdvanced IVF & FERTILITY Centres2018
  • 14. laboratories, equipped with air filters and environmental control features. Every Cloudnine Fertility unit also hosts an exclusive Andrology Labthat 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 We provide world-class medical expertise, state-of-the-art facilities, and a space lled with love and laughter “ “
  • 15. We strive to best fertility solutions and help realize your dreams of parenthood “provide the “ 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 specialtyacross the country that can provide the best- in-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 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 world- class 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”.
  • 16. Yes I would like to subscribe to Insights Care Magazine. Global Subscription Name : Date: Address : Telephone : Email : City : State : Zip : Country : SUBSCRIBE TODAY NeverMiss an Issue Checkshould bedrawn in favor of : INSIGHTS SUCCESS MEDIA & TECHNOLOGY Pvt. Ltd. CORPORATE OFFICE Insights Success Media and Technology Pvt. Ltd. Of 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
  • 17. Hospital Name Management 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. CloudnineHospital cloudninecare.com Dr. R. Kishore Kumar Founder & Chairman Cloudnine is India’s premier destination for comprehensive woman & child healthcare. International Fertility Centre internationalfertilitycentre.com 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. ArchanaAgarwal 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 novaivifertility.net 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. Xenithadvanced fertility center xenith.clinic Dr. Mamta Dighe MD Xenith aims to resolve fertility problems in the right way for each individual patient. The 1 MostAdvanced IVF & FERTILITY Centres2018
  • 18. OoWomaniya Revolutionizing &Offering aComprehensive Health Solutions for Women Women 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 Interview with InsightsCare 18| October 2018 |
  • 19. Sneh Bhavsar Co-founder& CEOKrutika Katrat Co-founder& CAO | October 2018 |19
  • 20. 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. 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 well- being. 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 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. 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 non- judgmental. 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 futureplan? 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. 20| October 2018 |
  • 21. Mobilize Care Actions Care instructions distributed via mobile devices shared by Care Teams Care Teams Family, friends and Professional community care providers Lifestyle Support Access to lifestyle products/services to keep people in their homes Community Care Collaboration (C3) Model 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.co
  • 22. Barmade Hospital he IVF industry is booming and there will be IVF clinic in all practicing Offering Distinctive Services to Realise the Dream of Motherhood TObstetrics and Gynaecology doctors’ clinics in the next 10-15 years. The globalIVF services revenue market is projected to reach $22,467 million by 2025, growing at aCAGR 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 successrate, and rise in disposable income worldwide. 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 full- fledged twenty bedded super-specialty hospital in 2007. The hospital has now reached to fifty beds within span of fourteen years because of We help to fulfil the dreams of motherhood for every female who is infertile Dr.Kalyan B. Barmade Founder & ManagingDirector 20| October 2018 |
  • 23. blessings from 5,000 plus couples who received treatment and got success in infertility and theirdream 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 behindthe 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 8,000advanced 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 hasa Test Tube Baby (IVF& ICSI) and Yashodip Sperm Bank. Apart from these the hospital also provides facilities that include: •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. Awards andAchievements Dr. Kalyan & Barmade Hospital has received many acclaims in field of Art & Endoscopy like; • Rajiv Gandhi Gold Medalat Bangalore • IMA STAR award at Latur, Icons of Latur Award by LokmatMedia • IMA appreciationAward • Dr. R. K. Menda trophy for community service projectby 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 SocialCause 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. The 1 MostAdvanced IVF & FERTILITY Centres 2018 | October 2018 |21
  • 24. Urinary Problems in Gynaecology rinary problems are themost frequently encountered Ucomplaints of the gynaecological patients visiting the outpatient department. Several causes contribute to the varied presentations and types of theurinary 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 infectionin women is ascending from the urethra 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 kidney- high 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 appropriateantibiotics. 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, cranberryjuice 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 elicitin 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 peopleworldwide. Studies have found the incidence as high even in younger population, affecting nearly 24% women between ages 18-44 years. Urinary 22| October 2018 |
  • 25. 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. About the Author 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 animportant 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. Dr. Nishita Shah Consultant Obstetrician & Gynaecologist UTI in Gynaecology | October 2018 |23
  • 26. 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 Spressure, which occurs during physical activities like coughing, sneezing, running, lifting heavy anc 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 performed- Kelly’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 reachthe 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 are preferred as first line treatment followed by surgery for SUI ( if needed).Thus, to conclude, urinary 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. 24| October 2018 |
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  • 28. International FertilityCentre A Revered Destination where Lost Hope turns into Joyful Blessing Parenthood is the biggest blessing of Godto 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. 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 suffers 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 Championing the cause of parenthood withadept IVF specialists, state-of-the-art infrastructure, and leading -edge technologies SaarthakBakshi CEO 26| October 2018 |
  • 29. 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 in-vitro 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 pre- implantation 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 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.” The 1 MostAdvanced IVF & FERTILITY Centres 2018 | October 2018 |27
  • 31. Every 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, the circumstances during the childbirth are quite different. There are things which one couldn’t control earlier, that is the case of some 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. Advancesin IVF 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 | October 2018 |29
  • 32. 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 PronuclearTransfer 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 inthem 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. Mitochondrialdiseases 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 DNAfrom 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 themitochondria. 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 |
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  • 34. KGNTest-Tube Baby Hospital & Research Centre aving a baby is a feeling which can’t be expressed in words; it’s truly a delight, a Cherishing Motherhood at itsBest Hblessing. A point comes in the life of every couple, where they desire to expand their 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. 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, Our Motto is not Pregnancy, Our goal is delivery of Healthy Baby Dr.Aamir Shaikh Founder 32| October 2018 |
  • 35. 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 ARTunit, he is also an honorary Associate Professor at the Maharashtra Institute of Medical Science & Research (MIMSR) Medical College Latur. Healing Lives byEmbracing 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 Saudi- Arabia. KGN is on a mission to provide complete medical care experience to the people by keeping abreast withthe latest technology and upgrading its teams’ expertise with international training experience. Armed withhigh- end 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. Awards and Recognitions Over the years, KGN’s sheer dedication and unified efforts has helped it to attain many awards as a 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 BhushanAward • IMA Best DoctorAward • Invited as a best ART specialistat 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. The 1 MostAdvanced IVF & FERTILITY Centres 2018 | October 2018 |33
  • 36. 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 soyou are definitely not alone. 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%. 1 3 2 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 test-tube 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. 6 Intriguing FactsConcerningIVFthat YouMustKnow
  • 37. 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. 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. 5 4 6 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.
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  • 40. How to BecomeMore CourageousandResilient in our life? Courage 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 Your ability to stay resilient and relevant as a sentient being is the key to implementing and maintaining a courageous and vibrant life. Facing YourFears 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 willinglyaccepted yourself. 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 being courageous is inconvenient and interrupts your cozy life; sometimes being courageous upsets others in your environment. 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 38| October 2018 |
  • 41. 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. Resilience& Courage About theAuthor This interesting article has been penned down by Dr.Raziya Shaikh, who is a M.D. (IVF Centre) & Gynecologist at KGNTest-Tube Baby Hospital. She is practicing Gynecology for the past 20 Years. She has worked as a RMO at Cama & Albless Hospital under prestigious 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 withhumble backgrounds.Dr.RaziyaShaikh M.D. (IVF Centre) & Gynecologist | October 2018 |39
  • 42. Nutr”ional Desideratum during Pregnancy regnancy is a significant moment in the life of a Pwoman. 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 onthe 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. Implementation of Nourishment for the Fetus Food is the element that helps humans survive and provides them with energy to carry out their day-to- day 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 peakas this is a major requirement for the fetus’ bone health.The high quality protein mainly casein and wheyare found in dairy products along with magnesium, phosphorousand 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. Duringthe first trimester it is essential that both the mother and fetus receive folateas 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 sourceof 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 40| October 2018 |
  • 43. third trimester as the growth of thefetus 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 folatethan any other fruit apart from which it also Pregnancy Nutrition mercury does exist, but nonetheless, the occasional sea foodcan 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 secondand | October 2018 |41
  • 44. contains vitamin C, Vitamin Band choline. They also contain iron, an essential for the blood health of the mother and the fetus. The potassium also may relieve legcramps 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 pregnancythe 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 thefetus. The food consumed during pregnancy always has an effect 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. 42| October 2018 |
  • 45.
  • 46. Mannat Fertility-IVF Centre A Blessing in Disguise nfertility often creates one of the most distressing life and unfortunate crises that a Icouple ever experiences together. There is one clinic that gives hopes to the distressful couple 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. 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 A holistic & healing journey towards parenthood Dr.ArchanaAgarwal Director 44| October 2018 |
  • 47. 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-Mind- Spirit 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 time- consuming, 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 suitabledestination. 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 & 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/PGDas a part of it state-of-the-art facilities. The 1 MostAdvanced IVF & FERTILITY Centres 2018 | October 2018 |45
  • 48. 5 P CO I N A Hope to Conquer Infertility Naturally with a 5P Coin-sizedDevice
  • 49. 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 unexplainedinfertility 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 trialof the gadget, the start of which is due in the nextfewmonths, the researchbranchofNHS-NationalInstitute forHealth Researchhasprovidedthemwithof £850,000grant. The DevelopmentTeam 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,inturn,transfersthedatatotheelectronicdevice. 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,”saysProfessorCheong. Potential Benefits O2 & H2O
  • 50. MedAnsh A Preferred Destination forIVF India is at par with most nations with respect to technology and advancements in all fields of medicine including AssistedReproduction (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. 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 onesuch 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 woman- whether it is an IVF treatment she is seeking or a fibroid removal surgery. We have the best of IVF technology atour disposal, we are better at solving and diagnosing problems for infertile couples Dr.Shrutika Thakkar Obstetrician-Gynaecologist & Founder Director 48| October 2018 |
  • 51. 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 2kms 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 sterileenvironment. 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 post- delivery. 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’ 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. The 1 MostAdvanced IVF & FERTILITY Centres 2018 | October 2018 |49
  • 52. Why is INFERTILITYso commontoday? 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; Certification 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 field 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. AbouttheAuthor t’s not an uncommon sight to see a couple looking for infertility treatment these days. When a couplevisits with their parents, the parents always have this questioning look on their face; why this generation has so Imany infertility issues, it was never this way at our times. Often my friends and families consult me about the same. The problem is so much prevailed that people generally want to consult a gynecologist beforeplanning a baby to check if everything is alright. 50| October 2018 |
  • 54. 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 healthcomplications. • 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 difficult 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 partof 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 isalready gone. 52| October 2018 |
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  • 56. Pravi IVF & Fertility Center Pioneer in Introducing Advanced, Transparent and Ethical Practices in IVF nfertility is not a new problem. It hasbeen prevalent in this world since its formation. IAlthough, 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 withthe infertility problem. 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 thattoo with healing touch of empathy and humanity. Pravi has state-of-the-art infrastructure and advanced equipment, through which it performs all routines and advancedprocedures for infertility and ART (AssistedReproductive Technology). Its endeavor is to render happiness on the faces of distressed couples Proficiency with precision in infertility treatment is our unique strength Dr.Monica Sachdeva CEO 54| October 2018 |