When a woman finds out that she is pregnant, it can be the start of a remarkable, life-changing experience. The first changes a woman is most likely to experience when she is pregnant are a missed period followed by a positive pregnancy test. Pregnancy tests, whether done at home or at a doctor's office, measure the amount of human chorionic gonadotropin (hCG) in a woman's urine or blood. This hormone is released when a fertilized egg attaches to the lining of the uterus. Urine pregnancy tests can detect levels of hCG about 10 days after conception, while blood tests usually done at a doctor's office, can detect a pregnancy about seven to 10 days after conception. Testing too soon can produce a false negative result.

Every woman is different. So are her experiences of pregnancy. Not every woman has the same symptoms or even the same symptoms from one pregnancy to the next. Some women experience many signs and symptoms very early in pregnancy, while others experience very few or even none. The earliest symptoms of pregnancy can appear in the first few weeks after conception. Here's what you might experience, missed period, nausea and tender breasts to dizziness and mood swings. To confirm pregnancy use a home pregnancy test, if the result is positive be sure to see your healthcare provider as soon as possible. The earliest symptoms of pregnancy can appear in the first few weeks after conception. Some symptoms show up when you have a missed period or a week or two later. In fact 7 out of 10 women’s have some symptoms by the time they are 6 weeks pregnant. If you have no track record of your menstrual cycle or have delayed periods then if following symptoms surface, you might be pregnant.

Knowing that you are pregnant the first thing that you need to do is to consult your physician. You can either consult your local medical practitioner or you can approach the gynaecologist in any maternity home and get your regular checkups done over there during your pregnancy. You can have a detailed knowledge of what services will be provided by maternity home at http://www.rupalhospital.com/obstetrics_maternity.html#

Here's what you might experience, from nausea and tender breasts to dizziness and mood swings.

1. A positive home pregnancy test

The home pregnancy test taken after a missed period or after 8 to 10 days from the missed period will tell you whether you are pregnant. Remember that a baby starts to develop before you can tell you're pregnant, so take care of your health while you're waiting to find out. Once you've gotten a positive result, make an appointment with your practitioner.

2. Missed Period

A missed period is one of the surest signs of pregnancy. A missed period might make a woman wonder if she could be expecting. However, there are other reasons for missing a period. Perhaps a woman is not keeping track of her menstrual cycle, or maybe its length is irregular from month to month. Other explanations for why a woman could be late include excessive exercise, gaining or losing too much weight, stress, illness or breastfeeding, according to the National Institutes of Health. In this case, tender breasts, feeling queasy and making extra trips to the loo may be early clues that you’re pregnant.

Read in detail about all early signs and symptoms of pregnancy at https://rupalhospital.wordpress.com/2015/04/17/pregnancy-signs-and-symptoms or follow us on facebook at https://www.facebook.com/pages/Rupal-Hospital-For-Women/121887391342443

3. Basal Body Temperature
4. Nausea
5. Tender, swollen breast
6. Fatigue and Sleepy
7. Frequent urination
8. Abdominal bloating
9. Mood swings
10. Food aversions

Apart from these common pregnancy symptoms, one may also have symptoms like constipation, diarrhoea, Headaches and back pain, spotting or bleeding, Darker areolas, vaginal discharge, Heightened sense of smell and increased thirst.

To confirm pregnancy use a home pregnancy test, if the result is positive be sure to see your healthcare provider as soon as possible. Good lifestyle choices, healthy diet and proper prenatal care will give your baby the best start in life. Rupal Hospital for Woman is a one stop place for all gynaec problems and solution for all maternity related complications. Gynaecology & Obstetrics Section at Rupal Hospital have renowned female Doctors and each one of them is outstanding in their own field of expertise. We at Rupal Hospital are dedicated to providing the highest quality in women's health. Obstetrics and Gynaecology services include pregnancy (Ante-natal) care & Delivery services, specialised high risk pregnancy care, painless (epidural) delivery, menstrual disorders, endometriosis, chocolate cyst, ovarian cyst, ovarian cancer, hysterectomy, fibroids removal, sterilization, polyp removal and IUD insertion. We have been a one stop place for all gynaec problems and our expertise lies in providing affordable Laparoscopic surgeries and difficult cases of infertility. The team of our doctors believe that preventive interventions are equally important as curative medicine and prevention always requires awareness and educations. We provide patients all information and counselling right from the stage of conception to delivering.

Once you have a positive pregnancy test you can contact Rupal hospital at http://www.rupalhospital.com/ or fix up an appointment with us at 91-261-2591130

MYSTERY OF DEVOTION: DR. SHRINIWAS KASHALIKAR

We are often desperate to spread our conviction about NAMA and NAMASMARAN!
Why is this so?
This is because, even as we are convinced for years together that NAMASMARAN is the key to individual and universal blossoming, we do not have the experience of 1) the continuous universal grace of NAMA, 2) the ecstatic romance involved in NAMASMARAN and 3) most importantly its supreme and pivotal role in individual and universal blossoming.
But at some point in time, we get; 1) the glimpse of the universal grace of NAMA, 2) the ecstatic romance involved in NAMASMARAN and 3) most importantly the supreme and pivotal role of this romance in individual and universal blossoming.
At this point, we are “promoted” to the status of being romantically involved in NAMASMARAN, from the status of “understanding its importance; and practicing and spreading it”!
With this promotion we feel happy that we could practice and spread NAMASMARAN without being disheartened, cynical, indolent and escapist about it! We feel happy in the realization that while we are promoted to the status of being romantically involved in NAMASMARAN, the spread of the importance of NMASMARAN is actually multiplied, by the divine hand, without us being apparently involved in it!
We begin to get freed from our obsession, as we become aware of the infinitely more powerful mighty hand of God involved in universalization of NAMASMARAN!

POSITIVE THINKING: DR. SHRINIWAS KASHALIKAR

There is an ongoing process of individual consciousness being dissolved into cosmic consciousness. This is called holistic evolution. The fact that holistic evolution is an ongoing process is a great reassurance to all of us!
We the individuals are actually the indivisible parts of cosmic consciousness. But as we are oblivious to it; we are rendered isolated from this “whole” the cosmic consciousness! This isolation deprives us of the supply of vitality and wholesomeness! Moreover; being in isolation; we enter into conflict with the “whole”; the cosmic consciousness; even as we are only part of it! This conflict makes us restless!
Those who are one with the “whole”; guide, inspire and empower us to reestablish our oneness with the “whole” through the universally acceptable and practicable process of NAMASMARAN!
What is NAMASMARAN?
It is remembering the name of God.
What is God?
God is actually the same as cosmic consciousness or the “whole” that simultaneously occupies our internal and external universe!
NAMASMARAN is the opposite of being oblivious to God, the “whole”; the cosmic consciousness i.e. the true self!
In other words; being oblivious to true self is the root cause of stress and being in NAMASMARAN is; being one with the “whole” in harmony; and conquering the stress!
Interestingly; the true self of ours is not accessible to our ordinary and superficial states of consciousness and that is why we are isolated, we are in conflict and we are in stress! This is why and this is how; our “ego” is conflict with our true self; and NAMASMARAN is the freedom from the “ego” and freedom from the conflict! Hence it is the panacea for stress!
Hence; a firm conviction and latter the experience of the victorious power of NAMASMARAN is the key to true and holistic positive thinking!
In absence of this; we remain shackled in our ego and in conflict with “whole”! Our attempts towards positive thinking are born out of ego; and remain subjective, feeble, unrealistic and hence pathetic! Alternatively; “our positive thinking” is actually heinous and fanatic and is viciously “negative” to the majority!

HRUDGAT: (A Heart to Heart Dialogue with newly admitted Medical Students)
Dr. Shriniwas J. Kashalikar,

GURURBRAHMA GURURVISHNU:
GURURDEVO MAHESHVARA:
GURU: SAKSHAT PARABRAHMA
TASMAI SHRI GURAVE NAMA:

I salute my Guru, who is Brahma, Vishnu and Mahesh called Gunamaya i.e. the penultimate truth; and the Parabrahma; i.e. the ultimate truth.

Teacher: Dear friends! Hearty welcome to this prestigious and ambitious institute of medical sciences and research center! Medical career is crucial to health, happiness and progress of an individual as well as the society.
Students: Thank you very much sir! Sir, what is your advice for us; as the beginners in the medical career?
Teacher: The advice is simple! Make the most of life you may; life is short and wears away! Life is very precious! Make use of it to the best of your capacity! This is true for every one of us, but especially for you all, who are young, full of energy and full of dreams and aspirations! This is a great opportunity to express your vitality and potentials in a creative and constructive way and blossom together!
Students: Sir, are there any practical suggestions?
Teacher: Yes! The first and the foremost; is to keep meeting and interacting with your teachers, other staff members and colleagues. Ask questions and share your difficulties and problems! We all are at your service. In short, help us to help you. Let us all progress happily and together!
Students: Sir, but we often feel shy!
Teacher: That is natural. But the best way to; overcome shyness is to begin somewhere to open up and be bold! Many of you already seem to be bold! This way; you would enjoy every moment of your life here; and would never repent!
Students: Sir, we have apprehension about hostel life!
Teacher: Being away from your family you may be uncomfortable initially. There could be some problems regarding the food and day to day requirements also. But you are sure to get new friends, well wishers and caring people around; during your hostel life, which would make you comfortable and there would be improvement on other fronts also! Everybody here is busy in making your life better in every way!
Students: We have heard that the medical career is tough!
Teacher: Medical career is not very easy but it is rewarding in every possible way! Moreover; we all are here to make it easier and enjoyable! In fact; everybody here is busy in the mission of blossoming together and to groom you into excellent medical graduates!
Students: Is there any practical way to make this career easier?
Teacher: Well! One simple but important thing is to buy a Medical Dictionary. When you start understanding the medical terms, the medical subjects become not only easier but also; more enjoyable. It is essential to also buy English into Marathi (or your language) dictionary; if you already don not have one. This makes it further easier as well as interesting. This is essential even as the teachers keep trying to explain everything in your language, besides English!
Students: What about our daily conduct?
Teacher: You are all cultured and good students. You know the value of being moderate; in eating, sleeping, exercise, sports, extracurricular activities; and above all; respecting yourself and the others! Moreover you need to be disciplined and punctual so as to improve your efficiency.
Students: Sir, many of us have fear of failures!
Teacher: It is true that some students take longer time than others to cope up with the studies. But in case of fear of failure as well as actual failure; you should seek the support/guidance without any hesitation; from your teachers. They are always eager to help you.
Secondly; always remember that irrespective of failure; there is enormous potential in all of you! You can come out of even the worst situation and achieve the best! (Of course; this does not mean that you should be complacent, reckless or careless)!
Students: Sir, what should be our ideal?
Teacher: I think, our deal should be; individual and universal blossoming!
Students: Can you elaborate on this?
Teacher: This ideal is incorporated in the following Sanskrit verse from the great text book of Ayurvedic Medicine; Ashtanga Hridaya (The core of the eight aspects of Ayurveda); by the great genius Wagbhat.
BHISHAJAM SADHUVRUTTANAM
BHADRAM AGAMSHALINAM
ABHYASTA KARMANAM BHADRAM
BHADRAM BHADRABHILASHINAM
Roughly; this means:
Blessed be the doctor/healer, who is well behaved, who is well versed with complete science of healing, who has achieved expertise and skills in clinical practice and research; and above all; who yearns individual and universal blossoming!
Students: This is really inspiring! Can you elaborate further; sir?
Teacher: In short, BHISHAJA: SADHUVRUTTANAM BHADRAM AGAMSHALINAM means; blessed be he/she, who studies human life, suffering and the preventive, curative and rehabilitative ways; from different angles and varied approaches.
Students: Do you mean that we have to study Ayurveda, Homoeopathy etc also?
Teacher: All the systems of Medicine are not included in the present curriculum Further, in a limited time frame; it may not be possible to study different systems of Medicine. But it is good to keep mind open; and get introduced to the principles of different systems as an extracurricular activity; and try to appreciate the interdisciplinary complementarity in healing and the health promotion. For this, it is important to get rid of our subjectivity, sectarian attitude and prejudices; and be as much objective as possible. The unbiased, unprejudiced and impartial nature and purity and innocence of heart are essential for accurate learning and appropriate decision making in medical career, even though this is true for other fields also.
Students: How to be objective?
Teacher: The best way to be objective; is to practice NAMASMARAN, more about which you can find in my books and articles available for free download on internet.
Students: What is ABHYASTA KARMANAM BHADRAM?
Teacher: Blessed be the one, who undergoes necessary training in techniques of prevention, examinations, investigations, treatment, rehabilitation and research.
Students: This is easy to understand. What is the meaning of BHADRAM BHADRABHILASHINAM?
Teacher: BHADRAM BHADRABHILASHINAM means; blessed be he/she, who yearns for individual and universal blossoming!
Students: Thank you sir! We appreciate this. But don’t you think that in this world of cut throat competition; we would be failures if we pursue such “noble” and probably “unrealistic and impractical” ideals?
Teacher: This is really an honest and frank question! Actually, we are trapped in cut throat competition and chaotic, confused and illusory pursuit of mirages! It is deceptive! Hence whether successful or otherwise, most of us are unhappy and hence add to the unhappiness of others! Most of us are disturbed and add to the disturbance of others! Most of us are under stress and add to the stress of others! This is a vicious cycle!
On the other hand; the pursuit “individual and universal blossoming” sets in a wellness cycle! It is like nurturing roots of the “life tree” of which we are a part. It is full proof and infallible!
In the present rat race; whether we succeed or fail, we land up becoming maniac or failures or suicidal; respectively. This is detrimental to us and/or others!
In the pursuit of individual and universal blossoming; we are sure to be in “win win” situation and increasingly fulfilled and never repent!
Students: Please elaborate; how this pursuit would be beneficial to us as well as the society.
Teacher: This pursuit embodies the natural principle of homeostasis, in which every constituent part nurtures the whole system and vice versa. Thus it involves contribution of every individual from different fields of life; to the health and happiness of the society as a whole, which in turn ensures the blossoming of different fields and the individuals therein!
Today; this happens to some extent; as a consequence of ongoing holistic evolution (and not merely biological evolution) by virtue of the spiritual legacy of our great and enlightened ancestors! But this would happen far more extensively if, we, the would be doctors, doctors, industrialists, agriculturists, engineers, artists, scientists, bureaucrats, politicians and so on; are increasingly freed; from tubularity of vision, sectarian attitude, fragmented thinking, fanatic tendencies, bigotry, prejudices, rigid biases, petty selfishness, and vested interests.
Students: But how to get freed from these?
Teacher: As I said earlier the simplest and universally accepted way (which I know) to conquer the subjectivity and pettiness of every kind; and be increasingly objective and broad, is the practice of NAMASMARAN.
Students: What is the meaning of NAMASMARAN? Can you please tell more?
Teacher: NAMASMARAN (From Sanskrit: Name = a (divine) name; smaran = remembrance); means remembering the name of God, which implies the true self, either loudly or silently. This is called jaap, jap, jikra in Hindi and Urdu respectively. It is also called simaran and sumiran.

NAMASMARAN; by virtue of its almost universal acceptability, simplicity, non-technicality and inexpensiveness; is the key to individual and universal blossoming i.e. Total Stress Management, irrespective of age, sex, occupation, socioeconomic stratum, race, religion, culture, ideology, nationality and other variables! This is especially so, because; NAMASMARAN does not involve any stringent rules, coercive regulations or crippling bindings. It does not interfere with the customs or belief systems.
NAMASMARAN, which is focusing on NAMA, gradually frees us from our individualistic and selfish shackles and reorients us to our own true selves. It revitalizes and rejuvenates us and catalyzes the evolution and implementation of holistic perspective, policies, plans, programs and achieve individual and universal blossoming!
This embodies SATPRERANA, SADDHARANA, SADVICHAR, SADBHAVANA, SATPRAVRUTTI, SADVASANA, , SADICCHA, SATSHAKTI, SATSANKALP AND SATKARMA or SADACHAR.
Students: Will you please explain these terms further?
Teacher: Yes! It is interesting as well as essential to understand them! PRERANA is the inspiration and SATPRERANA is the inspiration to realize truth. DHARANA is the conviction and SATDHARANA implies the conviction in the truth. VICHAR is thinking and SADVICHAR means thinking that enables us to realize the truth. BHAVANA is feeling and SADBHAVANA is the totality of our feelings, which lifts us to reach the truth! PRAVRUTTI is convergence of our inclinations, aptitudes, fixations; and SATPRAVRUTTI is; this bent of our mind to realize truth. VASANA means instincts. SADVASANA means the evolving and directing the array of our passions, to merge with truth! ICCHHA means desire and SADICCHHAA is a convergence of all desires in realizing truth. SHAKTI means power and SATSHAKTI is the power - the might involved in SADACHAR. SANKALP means synthesis and crystallization of our perspective, thoughts, feelings and instincts into a specific well defined pursuit and SATSANKALP means directing this towards individual and universal blossoming inherent to the realization of truth! KARMA means action and SATKARMA reorienting every different activity reaching us to to truth. ACHAR means transactions and SADACHAR means the transactions in different fields; at personal, family and social level, conducive to merging with truth (called NAMA by the practitioners of NAMASMARAN)!
Students: This appears promising!
Teacher: The practice of NAMASMARAN is a life line in every circumstance and forever! The best of everything in the world and of course; in the medical world; springs from the blissful enlightenment inherent to NAMASMARAN and in turn; culminates into it as well!
For example, in the pursuit of this ideal; if you become a health minister, then the whole nation would be healthier and happier; by virtue of your holistic perspective, policies, plans, programs and their implementation! The healthier and happier nation in turn, would provide all the needs to every individual in different fields of life; including you, for healthier and happier life. In such a case; won’t the parents, teachers and alma mater be satisfied and proud of you? Won’t they cherish your legendary association with them? Hence this HRUDGAT is the best gift we can offer you; on this memorable occasion! I would however request you not to accept or reject this HRUDGAT casually; but verify it for yourself!
Before ending; it may be noted that, over 45 books, 600 articles and 200 videos in English, Hindi and Marathi on physiology, health, stress management and NAMASMARAN; written and demonstrated by Dr. Shriniwas Janardan Kashalikar are available for free download on internet on; over 300 free sharing international websites including
www.youtube.com/superliving08.

Prayer
SARVETRA: SUKHIN: SANTU
SARVE SANTU NIRAMAYA:
SARVE BHADRANI PASHYANTU
MA KASHCHIT DU:KHAMAPNUYAT
(ESSENCE IN ENGLISH)
Let all of us be happy through empowerment for universal perspective, vision, thinking, feeling and working for simultaneous individual and universal blossoming through freedom from suffocating superficiality and petrifying pettiness

The osteotome technique is more predictable with simultaneous implant placement when there is <5-7 mm of preexisting alveolar bone height beneath sinus. Proper combination of platelet rich fibrin, mineralized freeze-dried human bone allograft, and autogenous bone has been recommended for this situation. The purpose of this article was to describe the proper method and materials which can grow >10 mm bone with osteotome technique and grafting materials where the edentulous posterior maxilla radio-graphically showed less bone between the alveolar crest and sinus floor.