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Suggest Treatment For Generalized Anxiety Disorder During Pregnancy

Posted on Wed, 11 Feb 2015

Question: Dear DR
Am lady pregnant 37 weeks am known case of generalized anxiety disorder on zoloft and i have small problem . Moderate vaginismius . I have no problem in intercourse but i should use lubricant at the begining and i can have full penentration with mild bareable pain , in my gyne exam i also have no problem in ultrasound and speculum but dr should be really gentle , last antenatal clinic visit i was anxious and the dr took dry swap and i was dry too for GBS and it was really painful . She was asking me how would i deliver naturally if i didnt bare the swab , she scare me which made me consider c-section but again i dont want to do surgery if i maybe can deliver normally ?!! Will it affect the delivery process ?? Am planing to take epidural i heard it help and ease the process .. I really need help ,, thank u

Answered by Dr. Dalia Muraleedharan (8 minutes later)

Brief Answer:
Don't worry

Detailed Answer:
Hi,
Thanks for writing..
I understand your concern..

Don't worry.. Relax.. Delivery is a natural process.. It is normal to have anxiety regarding normal delivery.. A counselling with videos which educate you regarding natural process of labour will relieve your anxiety..

Avoid intercourse at this stage as it can cause early rupture of membrane.. Breathing exercise and yoga helps to relieve stress.. Bit pain while examination is normal at this stage.. Epidural will further help in pain relief.. So always have a positive approach towards normal delivery.. This will help you to feed your baby immediately after delivery.. Moreover postoperative pain is very less as compared to caesarian..

Hope I have answered your query.. Feel free to ask any doubts.. Good day..

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Dalia Muraleedharan (5 hours later)

Thanks for answering my question i also have query as my baby is posterior (back labour ) will that cause any peoblem to baby coming out?

Answered by Dr. Dalia Muraleedharan (9 hours later)

Brief Answer:
when contractions start, the baby is likely to rotate

Detailed Answer:
Hi,
Thanks for writing.

Dont worry about that because in labour when contractions start, the baby is likely to rotate and you will have a normal delivery.. In case the baby don't rotate, the baby will come out as face presentation.. Only that, there will be some delay in delivery..

Hope i have answered your query.. Good day..

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dalia Muraleedharan (3 days later)

Dr is there any problem in delivering planned c-section at 38 weeks my l.m.p is 30/april/2014 and my planned c_section is on 21/jan/15

Answered by Dr. Dalia Muraleedharan (7 minutes later)

Brief Answer:
Do not worry

Detailed Answer:
Hi dear..
Thanks for writing..

I have explained about it in your premium question.. Please check my answer..

Feel free to ask any doubts.. Good day..

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dalia Muraleedharan (7 hours later)

Dear dr dose plan c-section increase the chance of persistant pulmonary hypertension ?

Answered by Dr. Dalia Muraleedharan (14 hours later)

Brief Answer:
Not very common

Detailed Answer:
Hi...
Thanks for writing..

There is very few cases reported with persistent pulmonary hypertension with planned CS.. Generally not commonly seen.. So dont worry.. Go ahead with your plan.. Good day..

Above answer was peer-reviewed by : Dr. Prasad