Author name: srishtifertility

Best Gynecologist and obstetrician in jaipur- Dr Mamta Gupta Finding the right gynecologist and obstetrician is an important decision for women in Jaipur looking for personalized care and advanced treatment options. With over 21 years of experience, Dr. Mamta Gupta is regarded as one of the best gynecologists and obstetricians in Jaipur. She is currently practicing at Srishti Hospital located in Vidhyadhar Nagar, which is one of the most trusted gynecology hospitals in Jaipur. Key Points Cover In Blog About Dr. Mamta Gupta’s Credentials and Experience: Dr. Mamta Gupta completed her MBBS and post-graduation in Obstetrics and Gynecology from the prestigious SMS Medical College, Jaipur. She further enhanced her clinical skills and knowledge by pursuing obstetric and gynecological training from premier institutes like CMC Vellore and JIPMER, Pondicherry.Her passion for bringing the latest advancements in reproductive medicine led her to undergo specialized endoscopy and IVF training from IBC London, UK. She is accredited as a fellow of IBC, London.With over two decades of experience managing complex gynecological disorders and high-risk pregnancies, Dr. Gupta is ranked among the top 10 gynecologists in Jaipur. She has also conducted extensive research in the field of reproductive health and medicine under ICMR, New Delhi. Dr. Gupta’s Areas of Expertise: Over the years, Dr. Gupta has honed her skills across a wide spectrum of obstetrics and gynecology including: High-Risk Pregnancy Care: She has vast expertise in managing pregnancies with complications right from conception to the final delivery. Her personalized care ensures the best outcomes. Laparoscopic and Hysteroscopic Surgeries: She is one of the most experienced laparoscopic gynecologists in Jaipur adept in minimally invasive procedures like hysterectomy, ovarian cyst removal, excision of endometriosis etc. Infertility Treatment: Dr. Gupta provides comprehensive diagnosis and treatment for infertility including ovulation induction, IUI, IVF, ICSI and advanced procedures. PCOD/PCOS Treatment: She is well-versed in the medical and surgical management of ovarian diseases and hormonal disorders like PCOD and PCOS. Menopause Care: From perimenopause to the post-menopausal stage, she helps women transition smoothly with custom treatment protocols. Advanced Diagnostics: She offers precise investigative services including 3D and 4D ultrasonography for early detection of disorders. Why Choose Dr. Mamta Gupta? There are several reasons why Dr. Mamta Gupta is considered the best gynecologist and obstetrician in Jaipur: Over 21 years of experience and outstanding credentials Expertise in high-risk obstetrics and advanced laparoscopic surgeries Specialized training in IVF and endoscopy Research work in gynecology under ICMR Provides personalized care and treatment planning Patient-centric approach and excellent counselling skills Special interest in infertility treatment and PCOD/PCOS Compassionate care and emotional support throughout treatment Continuously upgrades her knowledge with advancing medical technologies Affordable and transparent treatment costs About Srishti Hospital Jaipur: Dr. Mamta Gupta consults out of Srishti Hospital located in Vidhyadhar Nagar, Jaipur. It is a leading multi-specialty hospital with advanced infrastructure and equipment to provide comprehensive women’s health services.Srishti Hospital was established with a mission to improve women’s health and well-being from puberty through menopause. The hospital has extensively helped countless couples realize their dream of parenthood through IVF and advanced fertility treatments. The Key Services Provided at Srishti Hospital Include: Maternity and Newborn Care: From antenatal checkups, high-risk pregnancy management to childbirth and neonatal care. Women’s Health: Diagnosis and treatment for menstrual disorders, uterine health, breast care, menopause issues, pelvic pain, etc. Infertility Treatment: Cutting-edge IVF Lab, IUI procedures, ICSI, egg/sperm freezing, blastocyst culture. Gynecological Surgeries: Laparoscopy, hysteroscopy, female urology procedures, oncology surgery, elective sterilization etc. Adolescent Health Services: Counselling for teenage sexual health, PCOD, irregular periods, etc. Fetal Medicine: Genetic counselling, chromosomal disorder screening, targeted anomaly scans. Other Services: 3D/4D ultrasounds, contraception advice, vaccines, cosmetic procedures, general OPD. The hospital offers these services in a welcoming ambience by female doctors and counsellors. The staff provides compassionate care and emotional support to patients throughout their treatment journey. Conclusion For women in Jaipur looking for a caring, experienced and knowledgeable gynecologist, Dr. Mamta Gupta is the best choice. With her outstanding profile, clinical skills and patient-focused approach, she provides comprehensive obstetric and gynecological care. Her association with Srishti Hospital also gives access to advanced reproductive medicine services. To experience her personalized consultations, visit the hospital in Vidhyadhar Nagar, Jaipur today.

Understanding Ectopic Pregnancy: A Guide for Women’s Health Ectopic pregnancy is a complication that occurs in the early stages of pregnancy when the fertilized egg implants itself outside of the uterus, most commonly in one of the fallopian tubes. An ectopic pregnancy is a serious condition that affects 1-2% of all pregnancies and can be life-threatening if not caught and treated early. Key Points Cover In Blog What is an Ectopic Pregnancy? An ectopic pregnancy occurs when the fertilized egg implants itself somewhere other than the uterus. The vast majority (over 90%) of ectopic pregnancies will occur in one of the fallopian tubes, which are narrow tubes that connect the ovaries to the uterus. Less commonly, an ectopic pregnancy may implant in the cervix, ovaries, or abdomen. An ectopic pregnancy will not be able to develop normally and will eventually rupture the fallopian tube or other surrounding structures, causing severe internal bleeding if left untreated. Causes and Risk Factors There are several factors that can increase a woman’s risk for having an ectopic pregnancy: Damage or abnormality of the fallopian tubes – Fallopian tube damage is the number one cause of ectopic pregnancy. Damage can occur from prior infections, surgery, or endometriosis. Abnormal tube shape can also increase risk. History of pelvic inflammatory disease (PID) – PID is usually caused by untreated STIs and can lead to scarring and damage of the reproductive organs. Women with a history of PID have a higher risk of ectopic pregnancy. Prior ectopic pregnancy – Once you’ve had one ectopic pregnancy, your risk for another is increased. Age – Risk increases with age, with women over 35 having a higher incidence. Fertility issues – Use of fertility drugs or procedures like IVF raises the risk. History of pelvic or abdominal surgery – Surgeries that cause scarring (like cesarean section, appendectomy) can increase risk. History of smoking – Smoking can damage the fallopian tubes and is associated with higher ectopic pregnancy risk. History of endometriosis – Endometrial tissue growing outside the uterus can affect the nearby fallopian tubes. Multiple sexual partners – Increased risk of STIs that can cause pelvic scarring. Use of an IUD – With an IUD, a fertilized egg is more likely to implant in the tube than the uterus. Symptoms of Ectopic Pregnancy Classic symptoms of ectopic pregnancy include: Abdominal pain – This may start out mild but will become sharper and more severe. It may be felt on one side or throughout the pelvis. Vaginal bleeding – The bleeding may be light at first and then become heavier. The blood is often darker. Dizziness or fainting – This can result from internal blood loss if the fallopian tube ruptures. Shoulder pain – Blood from a ruptured ectopic pregnancy can irritate the diaphragm, causing shoulder pain. Other symptoms can include: mild cramping, nausea, breast tenderness, and low back pain. Many of these symptoms can seem similar to a normal early pregnancy. However, with an ectopic pregnancy the symptoms will progressively worsen rather than improving.Rupture of the fallopian tube can lead to life-threatening internal bleeding, severe abdominal pain, and collapse. Seeking prompt medical attention for any concerning symptoms in early pregnancy is extremely important. Diagnosing an Ectopic Pregnancy If an ectopic pregnancy is suspected, your doctor will use a combination of tools to make the diagnosis: Pelvic exam – Tenderness may be felt during the exam, sometimes with a palpable mass. Blood tests – A blood test can detect HCG levels, which will rise more slowly in an ectopic pregnancy compared to a normal one. Ultrasound – An early ultrasound may show an empty uterus with no embryo present. It may also show the ectopic mass in the tube. Laparoscopy – If diagnosis is uncertain, your doctor can use a tiny camera inserted in the abdomen (laparoscope) to visually inspect the fallopian tubes and pelvis. Treatment Options Treatment depends on the location and development of the ectopic tissue, as well as the patient’s symptoms and stability. Options may include: Medication – An injection of methotrexate stops the growth and dissolves the ectopic tissue, allowing the body to reabsorb it. Laparoscopic surgery – The ectopic mass is removed through tiny incisions using a laparoscope and small instruments. The affected tube may be removed or repaired. Laparotomy – If the fallopian tube has ruptured and caused extensive bleeding, emergency abdominal surgery through an open incision may be needed. Often the affected tube has to be removed Expectant management – If the ectopic tissue has not developed far and HCG levels are dropping, your doctor may recommend closely monitoring with frequent blood tests until resolved. The treatment goal is to stop the ectopic tissue growth and prevent rupture and internal bleeding as soon as possible. In around 2% of cases, the body will reabsorb an early ectopic pregnancy on its own without treatment. However, rupture and life-threatening bleeding can occur unpredictably so early diagnosis and treatment is critical. Recovery and Future Fertility Physical recovery from an ectopic pregnancy will depend on the treatment method used: With medication, normal activities can often be resumed within a few days of the injection. After laparoscopic surgery, recovery takes 1-2 weeks. Strenuous activity should be avoided for a full month after. Recovering from abdominal surgery takes at least 6 weeks, avoiding any heavy lifting. Emotional recovery is also very important. Losing a pregnancy, even abnormally, is difficult. Be sure to take time to grieve and speak to your doctor about any ongoing emotional effects. Joining a support group may also help provide comfort. An ectopic pregnancy only affects one fallopian tube, meaning the other one is often still healthy. So, future fertility is often still possible after an ectopic pregnancy. The odds for a successful future pregnancy vary based on the type of treatment: After medication, around 65% will conceive again, with 60% having a healthy intrauterine pregnancy. With laparoscopic tube-sparing surgery, 70% will conceive with a 60% intrauterine pregnancy rate. With one tube removed via laparotomy, between

Managing Cord Prolapse to Prevent Birth Asphyxia and Stillbirth Cord prolapse, also known as umbilical cord prolapse, is an obstetric emergency that occurs when the umbilical cord descends through the open cervix alongside or ahead of the presenting fetal part during labor or delivery. It is an uncommon but serious complication, occurring in 0.1-0.6% of pregnancies. If not managed promptly, cord prolapse can lead to obstruction of blood flow in the umbilical vessels, fetal asphyxia, neurological damage and stillbirth. However, with early recognition and appropriate management, many adverse outcomes can be prevented. This article provides an overview of cord prolapse, its causes, diagnosis and evidence-based management principles aimed at optimizing fetal outcomes. Key Points Cover In Blog What Causes Cord Prolapse? Certain obstetric factors predispose to umbilical cord prolapse by allowing the cord to descend ahead of the presenting part. These include: Malpresentation – breech, oblique lie or other non-cephalic presentations Prematurity Rupture of membranes before the presenting part is engaged Multiparity – previous deliveries causing laxity of uterine and cervical tissues Polyhydramnios – excessive amniotic fluid allowing cord to “float” down Placenta previa – low-lying placenta over the cervix External Cephalic Version (ECV) maneuvers During labor or delivery, any situation where the lower segment of the uterus is suddenly decompressed can also precipitate cord prolapse e.g. sudden drainage of large amniotic fluid volume, artificial rupture of membranes (ARM) or quick change from vertex to non-cephalic presentation. Vigilance is required in such cases to check for cord prolapse. Signs and Symptoms of Cord Prolapse Typical symptoms that should raise suspicion of umbilical cord prolapse include: Sudden onset fetal bradycardia after drainage of liquor or ARM Palpation of a soft pulsating structure (umbilical cord) alongside the presenting fetal part Visualization of cord protruding from the cervical opening on sterile speculum examination As cord compression can occur rapidly after prolapse, fetal heart rate monitoring is key both in early diagnosis and ongoing management. Variable decelerations or prolonged bradycardia signifies cord compression and urgent management is needed. Confirming Diagnosis and Assessing Compression Diagnosis of cord prolapse is made visually by seeing the cord protruding from the vagina on sterile speculum exam. Degree of cord compression should also be quickly evaluated: Is the cord pulseless indicating complete occlusion? How much is the cord compressed – slightly, moderately or severely? Is fetal distress indicated by heart rate changes? This assessment guides the urgency and aggressiveness of subsequent management steps. The goal is to urgently relieve cord compression to restore blood flow and oxygenation to the fetus. Key Principles in Management of Cord Prolapse Evidence-based management principles aimed at quickly alleviating cord compression and optimizing fetal outcomes include: Call for Help and Prepare for Rapid Delivery- Activate emergency obstetric measures by calling for senior medical staff for assistance. Alert the neonatal resuscitation team for potential asphyxiated birth and make preparations for urgent cesarean delivery if needed. Relieve Cord Compression with Manual Maneuvers- Have an assistant (nurse or doctor) immediately insert fingers vaginally and gently lift the presenting fetal part off the cord to release pressure. Alternatively, the cord can be pushed back above the baby’s head if accessible. This manual uterine displacement should be maintained until urgent delivery is achieved. Improve Pelvic Outlet Space- Maternal positioning to increase pelvic dimensions can aid cord decompression. Placing the mother in exaggerated Sim’s (lateral), knee-chest or Trendelenburg positions may help relieve cord pressure. Give High-Flow Oxygen to Mother- Administer oxygen at 10-15 L/min via face mask to improve fetal oxygenation until delivery. Rapidly Achieve Delivery- Emergency delivery by cesarean section or operative vaginal birth (forceps, vacuum) if imminent should be performed promptly aiming for delivery within 30 minutes of prolapse. Cord occlusion time correlates directly with adverse outcomes – the longer the delay, higher the risk of fetal asphyxia or death. Prepare for Neonatal Resuscitation- Have personnel skilled in newborn life support at delivery to resuscitate and stabilize infants at risk of asphyxia due to cord compression. Steps include drying/stimulating baby, clearing airways, giving oxygen or positive pressure ventilation if needed. Outcomes after Cord Prolapse With optimal, evidence-based management as outlined, most cases of cord prolapse can achieve good fetal outcomes if delivered rapidly. However, perinatal mortality rates are still elevated compared to unaffected pregnancies, ranging from 2-15% in reported case series. Contributing factors for poor outcomes include prolonged umbilical cord occlusion over 30 minutes, fetal prematurity, non-reassuring fetal heart rates warranting immediate delivery and delay in cesarean capability at referring facilities. For survivors, the prognosis depends significantly on whether hypoxia/acidosis occurred from cord compression resulting in organ damage. Babies delivered in good condition generally do well without long term neurological morbidity. But those with birth asphyxia can face risks of permanent impairments such as cerebral palsy, learning disabilities or hearing/vision deficits. Access to cooling therapy for hypoxic-ischemic encephalopathy improves outcomes. Conclusion Cord prolapse is an uncommon but extremely dangerous obstetric event where timely management is imperative. Despite being rare, all labor staff must remain vigilant to the risk scenarios where cord prolapse is likely to occur. They must have a standardized emergency response plan focused on relieving cord compression and achieving categorical delivery within 30 minutes. With prompt recognition, teamwork and coordinated maneuvers to decompress the cord manually, improve pelvic dimensions through positioning and rapidly deliver via cesarean section or instrumentals, fetal injury can often be averted. Though associated with elevated risks, outcomes can still be optimized in many cases through evidence-based management principles. Maintaining capabilities for around-the-clock emergency obstetric care including options for immediate cesarean delivery is key for facilities providing labor services. If cord prolapse is managed using established protocols, babies can still be saved and spared from hypoxic insult, allowing them healthy, productive lives.

Conquering Infertility: IVF Success Rates in India Now Up to 45% Per Cycle Wondering what your chances of getting pregnant through IVF in India are? With advanced technologies and skilled doctors, IVF success rates in India have significantly improved over the years. However, success still depends on several factors. Read on to learn about typical IVF success rates in India and what impacts your chances of conception. Key Points Cover In Blog IVF Techniques Commonly Used in India IVF (in vitro fertilization) involves fertilizing eggs with sperm in a lab. The most common IVF techniques used in India include: Conventional IVF: Eggs are retrieved and fertilized with sperm in a petri dish. The embryo(s) are then transferred into the uterus. This is the standard IVF procedure. ICSI (Intracytoplasmic Sperm Injection): A single sperm is directly injected into each mature egg to achieve fertilization. ICSI is commonly used for male factor infertility issues. FET (Frozen Embryo Transfer): Extra high quality embryos from a fresh IVF cycle are frozen to use in future cycles. This avoids additional egg retrievals. PGS/PGD (Preimplantation Genetic Screening/Diagnosis): Done along with IVF to check embryos for abnormalities prior to transfer. Helps select the healthiest embryo and can improve IVF success. Success Rate of IVF in India The average IVF success rate in India is between 35-45% per cycle according to recent data. For couples under 35 years using their own eggs, IVF success rates per cycle can reach over 65%. As a woman’s age increases, especially over 40, success rates decline. IVF Success Rates By Age Age is the most significant factor affecting IVF success in India and globally. Younger women produce higher quality eggs with fewer abnormalities, leading to higher success rates: Under 35 Years Old: 65%+ Success Rate: Women under 35 have the highest IVF success rates, with over 65% resulting in a live birth per cycle. This is because younger women have a much higher ovarian reserve and produce higher quality eggs with significantly fewer abnormalities. With a fertile 30-something woman, her eggs, uterus, and other reproductive organs are still at an optimal functioning level for pregnancy. This high egg quality leads to higher quality embryos and increased chances that implantation and conception will occur after the embryo transfer. Even if the first cycle is unsuccessful, women under 35 often have a good response to IVF medication with ample eggs retrieved. This allows multiple embryos to be created in one cycle, some of which can also be frozen for future Frozen Embryo Transfer cycles if needed. Given both higher success per cycle plus remaining fertility potential, under 35 is the most advantageous time to pursue IVF treatment. 35-37 Years Old: 55% Success Rate: From 35-37 years old, women still have reasonably good outcomes from IVF treatment in most cases. Average success rates per cycle generally fall to around 55% live births in this age group. Egg quality is declining slightly compared to the early 30’s, but still much better than later years. Chromosome abnormalities and tubal issues also increase somewhat by the mid to late 30’s as overall fertility starts decreasing. However, this is still considered a good age group for IVF cycles. Clinics can still retrieve a decent number of eggs per cycle to create multiple embryos. Extra embryos can be frozen for future attempts if needed. The slight decline to 55% success per cycle is mostly attributed to the start of fertility aging rather than an outright issue. This is still an age bracket with positive IVF success outcomes overall in Indian clinics. 38-40 Years Old: 35-45% Success Rate: From 38-40 years old, chances of IVF resulting in pregnancy start to decline more rapidly as egg quantity drops and abnormalities increase. Average success rates range from 35-45% per cycle by this point, with the spread accounting for differences in individual patients. Chromosome issues in embryos rise notably in this bracket, requiring more cycles for viable embryos or reducing implantation potential per transfer. Egg quality deterioration also accelerates in these years, resulting in fewer follicles and eggs retrieved per cycle. Sometimes few or no embryos result from a full IVF cycle. If embryos do form, abnormalities are higher and miscarriage risks increase if pregnancy does occur. More total IVF cycles total may be needed for success up to age 40 before chances drop off steeply. However, with multiple attempts 3 in 4 women can still conceive via IVF. Over 40 Years Old: 15-25% Success Rate With Own Eggs: Past age 40, IVF success rates per cycle with a woman’s own eggs drop down to 15-25% on average. This period known as “advanced maternal age” for fertility represents a steep decline in remaining ovarian reserve as menopause approaches. Far fewer follicles respond to IVF drugs making egg retrieval difficult each round. The limited eggs obtained are lower in quality with a high rate of defects. Fewer embryos develop and chromosome issues are prevalent in remaining ones. This causes low implantation rates, higher miscarriage risk and overall much lower IVF success chances per transfer. By early to mid-40’s, 5% or lower live birth rates per cycle are common with a woman’s own eggs. Most in this bracket rely on donor eggs from younger women instead to achieve success with IVF.  The sharp decline after age 40 is due to poorer egg quality and chromosome issues making embryo implantation difficult. Using an egg donor can increase chances for older women. Talk to your doctor about optimal treatment plans for your age. IVF Success Rate By Number of Embryos Transferred In the past, multiple embryos were often transferred to increase the odds of conception. However, guidelines now recommend single embryo transfers (SET) to reduce twin/high-order pregnancy risks. Single embryos are chosen based on quality indicators like early cell division rates. IVF success rates in India by number of embryos transferred: SET (Single Embryo Transfer): 35-45% live birth rate Double Embryo Transfer: Increases to 55-65% live birth rate 3 Embryos: Slightly higher chance but not proportional and

After How Many Weeks IVF Pregnancy Is Safe? For those undergoing in vitro fertilization (IVF), the journey to pregnancy can be filled with anticipation, hope and also anxiety. One of the biggest questions on an expecting mother’s mind is when is the pregnancy finally “safe” and the risk of miscarriage starts decreasing. This concern is valid, as studies show the miscarriage rate for IVF pregnancies in the first trimester is estimated up to 11-14%. However, there is good news – the odds start improving dramatically after reaching certain milestone weeks. What Impacts IVF Pregnancy Success Rates There are various factors that play a role in influencing the viability and safety of an IVF pregnancy, including: Maternal Age – The older the mother, the higher the chances of chromosomal abnormalities leading to miscarriage. At age 35, risk is 15%. At 40, risk increases to 34%. Embryo Quality – Embryos graded higher have a better chance of resulting in an ongoing pregnancy without miscarriage. Top quality embryos have 85% viability. Number of Previous Failures – More previous failed transfers or miscarriages reduces future viability rates. After 3 failures is considered “recurrent implantation failure”. Lifestyle Factors – Smoking, alcohol abuse, high BMI can adversely impact IVF pregnancy rates. Optimizing health improves safety. Miscarriage Risk by Week in IVF Pregnancies Here is how the miscarriage risk changes week-by-week after a positive pregnancy test following IVF: Week 4 – 1 in 4 risk of loss Week 5 – 1 in 5 risk Week 6 – 1 in 10 risk Week 7 – 1 in 15 risk Week 8 – 1 in 25 risk Week 12 – 1 in 100 risk As you can see, once an IVF pregnancy makes it through the first 8-10 weeks, the odds start going down more significantly. By week 12 the risk is just 1%. After How Many Weeks Are IVF Pregnancies Considered Viable Generally speaking, IVF pregnancies are considered viable once they reach these two essential milestone weeks with a heartbeat confirmed: Week 6 – At this point, the risk drops to 9-11%. Considered a “chemical pregnancy.” The embryo has implanted successfully but still very early days. Week 8 – Now the risk is under 5%. Embryo is developing rapidly into a fetus with recognizable heartbeat on ultrasound. Considered the time most doctors feel confident about viability. By week 9, the risk drops as low as 2%. Therefore weeks 6 to 8 are critical hurdles for an IVF pregnancy. If you have a healthy ultrasound showing embryo growth and heartbeat by your 8 week appointment, you have crossed an essential viability threshold. However miscarriage risk will never be completely zero until you give birth. After week 8 the risk just keeps progressively decreasing each additional week the pregnancy continues. Reducing Risk Factors Once Pregnant The weeks following your first positive pregnancy test are crucial. Here are proactive steps you can take to help support your IVF pregnancy during the critical first trimester: Continue Progesterone Supplements – Most doctors will keep you on supplements until at least week 10 as progesterone helps sustain pregnancy in early days. Start Prenatal Vitamins – Essential vitamins and minerals support embryo development and reduce defects. Mainly folic acid and omega-3’s. Stay Hydrated – Dehydration can impact early cell division and growth. Drink plenty of purified water. Prioritize Sleep – Getting consistent deep sleep helps lower stress hormones that can impair pregnancy. Adopt Healthy Lifestyle – Follow balanced nutritious diet, exercise moderately, and do relaxing activities. This nourishes your body to nurture the pregnancy while also keeping stress low. The first trimester requires diligence and tender love of your body. Once you have a healthy first ultrasound, you can finally start bonding more with your future baby! Before you know it, the weeks fly by and risks continually fade as you get one day closer to holding your little one. Conclusion The journey towards motherhood through IVF is filled with anticipation and anxiety about when an IVF pregnancy can be considered viable and safe. As covered in this article, generally after 6-8 weeks is when the risk of miscarriage drops considerably and doctors confidently reassure patients that their IVF pregnancy is now safe to continue carrying to term. Specifically after 8 weeks, when a healthy heartbeat is detected, the chances of loss are under 5% and after 9 weeks under 2%. So for those eager moms wondering “after how many weeks ivf pregnancy is safe”, be assured that your long-awaited dreams of parenthood are well within reach around the 2 month milestone in your pregnancy journey ahead. Continue treasuring the miracle growing within you, stay diligent about your health, and trust that before long you’ll be embracing your beautiful IVF baby that made the odds and came to fruitful life.