AAP ke Satta

Delhi win had made Kejriwal over confident.  This win had raised his hopes to win in other places too.  He seems to think that if elections are held once again in Delhi, his party will win a sure majority.  AAP getting lesser seats than BJP should make him think twice before opting for polls soon.  By refusing to form government with unconditional support from Congress exposes his fear to run the government.  His failure to grab the opportunity to form government and show his ability, or at least make attempt to give good governance conveys that he is man of words and not deeds.  I feel Arvind Kejriwal of AAP should form the government with the support of Congress and put a step forward for good governance.  If ever another election is held he will lose as people lost trust in his ability and may elect BJP as they are sick of Congress.   

                     *************************************************

Finally Telangana Bill is introduced into the Assembly.  The discussion also started.  So it has to end.  Shortly it will reach the President of India and Parliament.  But Telangana people are still not in a mood to celebrate.  They know that until the bill is passed in parliament they can’t be assured of Telangana State. 

The unity of Telangana public representatives is impressive.  I have a doubt.  Jaya Prakash of Loksatta Kukatpally MLA and Jayasudha Congress MLA from secunderabad has won from Telangana.  Now what will they do?  Do they support Telangana?  It will be a lesson to people that they should elect native people only as their representative.  

United Telangana

Telangana Joint Action Committee is doing great job by meeting all Telangana MLAs and MLCs.  Irrespective of party affiliations the TJAC is requesting all the Telangana public representatives to act in unison.  As Telangana formation is imminent all the TMLAs are also working out strategies to act united in state Assembly. 

Everybody in Telangana is anxious to see that the Telangana Bill comes for discussion earliest.  We do not know what the Seemandhra speaker, Seemandhra CM and pro Andhra governor do to delay the discussion.  Whatever they might do they may delay the process by few days but cannot stall it forever.  Delay causes only unrest in the state and agitations results in derailed progress of the state. As the Union government has taken decision, and bill is formulated by the Central Government, whoever is in the government in future will have to move the bill and finally pass it.  The two national parties, Congress and BJP have committed for Telangana.  Telangana formation is definite in short time. 

The Seemandhra politicians should realise this and instead of playing polytricks should put forward their requirements to be fulfilled after demerger of Telangana from Andhra Pradesh.  At this historical juncture all sensible leaders should act with wisdom and foresight.  Let the division take peacefully so that in future Telangana and Andhra people will move together as Telugu speaking people but not as rivals. 

Hey Seemandhras, understand the aspiration of Telanganites and stop all dramas.  Do not test the patience of Telanganites.  Their patience is their strength.  Their patience is not weakness or cowardice.  They have immense capacity to fight.  They could throw out the Nizam to join the Indian Union.  The Indian government is now behind them.  Just don’t make the situation worse that you are asked to leave the state within 24hrs as happened when Andhra state was formed in 1953.  

Jai Telangaana!  Jayaho Telangaana!!

Pregnancy - Fetal movements

Once a woman is pregnant she keenly observes all the changes in her body.  Just after three months of pregnancy many worry about the size of their abdomen not increasing.  Usually, until three months are over there will be no apparent change in the abdomen.  The gravid uterus grows into the abdomen from 4^th month onwards.  Slowly there will be fullness or, if gravida is thin, bulge in the lower part of abdomen can be seen.  This slowly increases till 9^th month.  Later as the head enters the pelvis – birth canal the height of uterus may decrease slightly.  Any anxious gravida who conceives after infertility treatment can feel reassured by feeling the increase in the size of tummy.

The most important observation a gravida should have is of fetal movements.  Fetal movements are generally felt in the 5^th month of pregnancy (18-20^th week).  A sensitive gravida can perceive movement as early as 16^th week of pregnancy.  By 20 weeks they must be felt by the gravida.  The first perceived fetal movement is called ‘quickening’.  Once the movements are felt they have to be perceived well until delivery.  The perception of movements felt in the 5^th month gradually increases till 8^th month.  In the 9^th month the movements may not be as many as felt in 7^th and 8^th month.  There is slight decrease as the fetus settles down and head descends into the birth canal. 

In high risk pregnancy – where pregnancy is complicated by any other medical condition or pregnancy complication, gravida should observe fetal movements regularly.  Usually the fetus’ resting time is 15-20 minutes.  Fetus generally moves at least once in every 15-20 minutes.  In high risk pregnancy gravida is asked to keep a count on fetal movements every day – Daily Fetal Movement Count (DFMC).  Gravida is asked to count at least ten movements and note the time taken for the same.  Every day within that same period of time she should feel ten movements.  If time increases day after day fetal compromise is suspected. 

To count 10 movements may take more than two hours and it may be stressful to watch continuously for 2-3hrs.  I advise my clients to observe fetal movements for an hour - once immediately after waking up, again in the afternoon and before retiring to bed.  She should feel four movements in an hour, three is must.  The total movements felt in a day will be 10-12. If she cannot feel three movements she has to observe another hour and feel 3-4 movements.  Even in the second hour if she is unable to feel at least three movements she has to consult.  This is the way she can be assured of the fetal movements, and well being and consult obstetrician at earliest if she could not perceive movements as said.  This helps in decreasing sudden fetal deaths in late pregnancy.  This simple clinical follow up advice has helped me to save few babies at right time.

It is good that every gravida in late pregnancy keeps count of fetal movements and consult the obstetrician when the movements are not felt for more than two hours on observation.  

Mettugutta Ramalingeshwara Temple

Entry arch

Warangal is a city of historical importance.  The Kakatiya Kings who ruled this city had built many architecturally and sculpturally beautiful buildings and temples.  Kakatiya kings being Shivaites have built many Shiva temples.  Thousand pillars temple and Ramappa are world famous for engineering marvel also.  There are also lesser known temples which are unique in their own way.

On the way to the temple.  The one seen is Ganesha temple.
The piled stones - Twin rocks are called as 'Donthulamma gundlu'
These were stones with which Hidimba played 'kacchakayalu'!

Mettugutta Ramalingeshware temple is special for its serene location on hillock surrounded by rocks, trees and water trenches.  Anyone traveling in a train passing via Kazipet railway station can have the glimpse of twin rocks and temple.  The temple is about 2Km from Kazipet railway station on the highway to Hyderabad from Warangal.  This is half a kilometer from the main road in the village Madikonda.  The rocky road to the temple passes between rocks and trees and water trenches. According to local people, in this beautiful place love blossomed in the hearts of Hidimba and Bheemasena.  The area between the twin rocks was the abode of Hidimba and people believe that Bheemasena had fallen in love with Hidimba during their exile into forest. 

Another mythological story is attached to this place.  Lord Rama during his forest stay along with Sita had lived in this area.  Here, he worshipped Lord Shiva – Swayambhu Linga.  As Shri Rama worshipped, Lord Shiva here is called as Ramalingeshwara.  Temple is said to be built by Kakatiya kings.  Lord Rama’s temple also is built here.  There are nine gundams (water trench) – Pala, Ginne, Kannu, Kathi, Rama pada/ Bheema, Brahma, Vara, Mangala, Chakali gundams, around these temples.  These gundams will never dry up in any seasons.

Ramalingeshwara Temple

Swayabhu Shivalinga.  The one behind it is sculpted one.
Recently silver panipattum is made to cover the original one.

The temples will be open everyday in the morning from 6AM to 1PM and 5PM to 7PM for regular rituals.  On second Sunday of every month 'Mahanyasa Poorvaka Rudraabhishekam’ is performed by the Mettu Ramalingeshwara Seva Samithi.  All the material for this ceremony is provided by the Seva Samithi and anybody can participate in it for free. Those who want to take part in the abhishekam should reach the temple before 8AM, men should wear lungi and shella on shoulders and women should wear sarees.  After the abhishkem lunch is served for all. Special festive rituals are held on Mahashivaraathri and Sree Ramanavami, when people throng for puja and abhishekam.

Mahanyasa Poorvaka Rudrabhishekam

There is a small library with spiritual books and free health camp is held on  2nd Sunday of the month. There  The view of tricities looks wonderful from here.  Also we can view the trains passing on the tracks from Kazipet railway station.

Rama Temple

Vara (Boon) gundam.  People believe that if a childless couple takes
a dip in this will soon be blessed with offspring

? Kathi (Sword) gundam

 

Kannu (Eye) gundam

  

A train on the track is seen.  This is another gundam covered
with greenery. ?Ginne(bowl) gundam

Bheema/Rama pada (foot) gundam.  When the water is less in the gundam
imprints of toes can be seen - people say.

The twin rocks look so small and standing just behind.
But they are far away

On the rocks here and there there are flowering plants

This temple is under endowments department.  If this department takes some interest and develops this area by cleaning the gundams and beautifying the surrounding areas will make it iconic pleasant tourist spot in Warangal district.  This can also become attractive location for shooting movies too.

An old building in dilapidated condition

Mini pond on the way to the temple

Exit

CWC - T? RT?

Everyone in Telangana and also in Andhra Pradesh is waiting for the Cabinet meeting that is going to be held today.  This is going to decide the future course of action of people of Telangana and TRS.  This may also have a strong reaction in Ralayaseema.  There the people or people’s organization may now be watching closely for the decision.  This division of Rayalaseema is the wish of the powerful factionistic capitalistic feudal politicians.  Common people seem to have no say here.  There are no agitations or a demonstration for the formation of Rayala Telangaana or division of two districts of Seema by the people any region of Andhra Pradesh.  This proposal may benefit a single party who has its presence in old city of Hyderabad.  The politicians of Seema have initially spoke of merging with Telangana and not with Andhra Pradesh if a separate Telangana state is formed.  Later they changed their stand and are asking for state capital of Andhra Pradesh to be in Kurnool.  Selfish and cunning Andhras want to get rid of Kurnool and develop capital in coastal Andhra, and could influence the GOM to put forward the proposal of vertical division of the state.  This weakens Seema people for ever, their identity stands questioned, can never be able to fight for separate state in future and at present even fail to demand for a special package for the development of its backward regions.  Water problems will be there with or without Rayala Telangana.  The tribunals and water boards will anyway have to tackle this.

People all over the state are believe that the proposal of Rayala Telangana is brought about only to stall Telangana state formation.  Andhras do not want Telangana state to be formed, and they can go to any extent to prevent its formation by means of lobbying.  If they cannot stop the formation, they at least see to it that it is postponed for an indefinite (infinite) period.

 All Congress people talk of CWC as the highest, supreme body of Congress party and its decision is final.  CWC has decided to give Telangana with ten districts as of now with Hyderabad its capital.  Now they want to propose something different brings down its level.  Once the decision is changed there will be demand from Seemaandhra politicians to roll back the decision of Telangana state formation as declared by the CWC on July 30, 2013.  If the CWC changes its decision for R-T, for sure congress will lose its credibility not only in Andhra Pradesh but also in the nation forever.  The Congress party should show its strength, and prove its credibility by forming Telangana state with its 10 districts as of now and Hyderabad its capital.

Pregnancy - Emergency Consultation

During the course of pregnancy a gravida consult

s obstetrician regularly as scheduled.  But sometimes there can be problems which necessitate the gravida to consult immediately.  The common problems which need to be attended to by the obstetrician are:

• Abdominal pain:  Any pain in the abdomen, particularly in the lower part, may be an early symptom of abortion or delivery.  There can also be other causes, first and foremost, the possibility of pain related to causes in pregnancy should be ruled out.  Some serious conditions in pregnancy which can compromise health of the mother and fetus also present with pain and may need hospitalization and appropriate management.
• Bleeding:  Any vaginal bleeding any time during the course of pregnancy needs immediate attention by the obstetrician.  The cause could be an impending abortion or delivery or certain serious conditions like bleeding from the placenta which is low down in the uterus or its premature separation.
• Watery discharge:  Breaking of bag of membranes which holds the fetus will cause sudden gush of watery discharge.  Some times it can be slow constant or occasional leak.  Depending on the duration of pregnancy and the amount of loss of fluid (amniotic fluid) treatment is instituted.
• Swelling of the body:  Sudden onset of swelling of feet, puffiness of face and stiffness of fingers could be due to increased blood pressure.  Early consultation with the obstetrician to identify the cause of swelling of the body will help in proper treatment to optimize maternal and fetal outcome in pregnancy.

• Severe headache, blurring of vision, pain in the upper part of the abdomen, vomiting, and convulsions could be presenting symptoms of high blood pressure which require immediate attention by the obstetrician.

These are important conditions when a gravida has to consult obstetrician earliest for better health of self and fetus.

Pregnancy - Diabetes Mellitus

November 14^th is the World Diabetes day.  In the present day of changed life style the incidence of Diabetes is increasing rapidly.  Asians, Indians in particular are more prone to diabetes because of their genetic constitution.  Along with diabetes there is also increase in diabetes in pregnant woman – gestational diabetes mellitus.

Diabetes in pregnancy could be two of types.  The woman who is diabetic has become pregnant or diabetes is diagnosed during pregnancy.  The diabetes which has its onset in the course of pregnancy will subside after delivery.  But these women are prone for diabetes in later life.  The risk factors for developing diabetes in pregnancy are:

• Ethnicity – Asians, Hispanics, Africans have more incidence.
• Diabetes in the family members – First degree relations.
• Obesity - over weight women.
• Age above 25 years.
• History of abortions, premature delivery, birth of overweight or underweight babies or abnormal babies in the previous pregnancies.

Gravida with any of the risk factors will have to undergo screening test for gestational diabetes mellitus (GDM). The obstetrician once recognises that a gravida is high risk for GDM will advise initial blood glucose test.  If this is normal – less than 100 mg% further screening test is done between 24 – 28 weeks (early in the 7^th month) of pregnancy.  The test is Glucose Challenge Test (GCT).  If this is normal further follow up test is done in the 9^th month.  If the result is abnormal another test Glucose Tolerance Test (GTT) is done.  Based on the report dietary suggestion, life style modification (exercise) and medication is instituted. 

Gestational diabetes complicating pregnancy is a high risk pregnancy, wherein the health of the fetus is affected adversely.   Certain complications of pregnancy like increased blood pressure – pre-eclampsia, premature delivery may increase. The chance of baby being large or of low birth weight is high.  This makes normal delivery difficult so operative delivery may required.  The possibility of still births and neonatal complications like respiratory disease or certain metabolic disturbances may also increase.  

Team management including physician, obstetrician, dietician and paediatrician will result in successful out come, healthy mother and baby.

In women who are diabetic and become pregnant the incidence of morning sickness, abortion, premature delivery, pre-eclampsia, very low birth weight or overweight baby, congenital malformations, still births and postnatal health problems to the baby will be high.  In these women early scans can help in diagnosing abnormal fetus.  When blood glucose levels are monitored and proper diabetic control is done fetal health will be improved. 

In the present day women are career oriented and marriage and child birth is being delayed to the third  decade.  These women should maintain healthy life style.  A healthy woman will give birth to healthy baby.

Chandrababu Naidu - Dielemma

A leader should be strong, physically and mentally, able to take decisions with brain, be unbiased and be able to carry his followers in unity with him.  He should have a comprehensive outlook towards a problem and decision should be taken with a vision to progressive development.  I thought Chandrababu Naidu is a politician with vision.  Present situation failed him as a leader who can take tough decisions.  He has become insane by repeatedly invoking emotional views, talking of two eyes and two sons.  In the emotional storm he is moving rudderless.  He is being carried away by the strategy of a rogue politician and political party.  He lost all his sanity and is simply aping a junior politician who is not acquitted of his financial crimes. 

As a leader he is not able to convince his cronies the decision taken in their politburo after extensive deliberations.  Seemandhra politicians are not acting in the interest of people of both regions, Andhra and Telangana.  They are thinking about their personal benefits.  Andhras separated from Madras as they felt being treated inequitably by Tamalians.  They did not learn lessons from that separation.  They never tried to work and develop their identity and their Andhra State.  Instead they influenced the Union government to form Andhra Pradesh on linguistic basis.  What they learnt under the British rule and what they suffered in Madras they practiced in Telangana and subjected Telanganites to discrimination and finally a stage had come that Telanganites have achieved separate state and Andhras have to pack up to their place. 

Andhraites who boast of developing Hyderabad of Telangana in their rule should now try to develop entire Andhra into a new planned state and prove their capabilities.  They have an opportunity to establish their long cherished identity and dignity by developing their new state of Andhra Pradesh into a model democratic state.

Chandrababu who had vision 2020 for Andhra Pradesh previously should think of his future state and its development.  Though I dislike him for the way he had come to power, imposing taxes to continue welfare schemes and then discontinuing the schemes, and by dodging Telangana issue causing death of more than 1000 youth of Telangana, I thought he is the only Seemaandhra politician who can plan to promote residuary Andhra Pradesh into 2050, if only he has strength to take decision and abide by it.  But what is happening now presents gloomy picture of TDP and its leader.  Chandrababu Naidu is not fit to be a leader.  A person who cannot solve an issue, who fails to present to people clear picture of situation and guide them, steer them out of ambiguity and desperation, can never be their ruler.  Chandrababu should now quit politics and enter ‘vanaprastha ashrama’. 

Pregnancy - Medicines

Pregnancy being a special condition, every pregnant woman takes special precaution in all her activities.  Gravida becomes cautious in what she eats and drinks.  Special precaution should be exercised even while using medicines during the course of pregnancy and breast feeding period.  Certain medicines and infections will have harmful effects on the fetus.  They can cause various system abnormalities and anatomical defects.  The period of pregnancy from day 31 to 71 is critical for differentiation and development of fetus.  Some drugs can have impact on the development of embryo-fetus, resulting in abnormalities.

A healthy gravida is advised simple folic acid tablets in the first three months of pregnancy.  This will help in the reduction of certain nervous system abnormalities.   After 4^th month iron and folic acid tablets are started and continued till 9^th month or delivery depending on the health of the gravida.  As more than 50% women are anemic in our country, ICMR recommends 60 mg of elemental with 500 mcg of folic acid for 100 days to all pregnant women.  A poorly nourished gravida not taking balanced diet is also recommended to take supplementation of all other vitamins and minerals especially calcium.  

Any other medication in pregnancy is taken only on specific indication.  A gravida suffering from any medical disorder like high blood pressure, diabetes or epilepsy has to continue according to the advice of the physician.  If the gravida develops any other serious illness like typhoid, malaria, urinary infection etc, should use medicines appropriate to the condition.  She should inform the physician of her pregnancy and its duration.  Even high temperature itself may be harmful to fetus and gravida.  So when any illness that is harmful to mother and fetus, as far as possible medications are given as not to harm the fetus.  When gravida’s condition is serious priority is given to the gravida and fetus then becomes secondary. 

Even during the course of pregnancy when the gravida has any abnormal bleeding or possibility of premature delivery hormonal treatment is given.  

Immunisation against tetanus is routinely practiced in our country.  Two T.T. injections are given in the 5^th and 6^th month in first pregnancy and from second pregnancy single dose is advised in the 8^th or 9^th month of pregnancy. 

Any pregnant woman should be cautious in using self medication, using medicines (other than folic acid) particularly in early pregnancy, the period of organ formation, is avoided

In short a healthy gravida taking a balanced diet does not need any medication other than iron supplementation.

Pregnancy - Investigations

Antenatal checkups help gravida to give birth to healthy baby.  The aim of antenatal checkups is to evaluate the health of woman and recognise any medical or surgical

condition that can have adverse effect on the outcome of pregnancy.

In the first visit obstetrician not only confirms pregnancy but also evaluates the woman by taking her personal, family history and appropriate blood and urine examinations.  General health checkup includes total physical examination and recording height and weight of the gravida.  Common investigations in the first visit are,

Blood examination:  most importantly to know the hemoglobin percent, blood grouping and Rh typing, also for any sexually transmitted diseases, and serum hepatitis. In regions where hypothyroidism is endemic thyroid hormone test is done.  Few more tests are done depending on the gravida’s medical history.

Urine examination:   for any infection.

If the gravida is having Rh negative blood group, husband’s blood grouping and Rh typing is done to take appropriate precautions if the husband is Rh positive.  If the gravida is positive for any sexually transmitted diseases, spouse also evaluated for the same and the couple treated to prevent any complications to the fetus.

First visit:  confirmation of pregnancy, height and weight, blood pressure recording, blood and urine examination, if necessary ultrasound scanning. 

In developed countries Pap smear test is done as a screening procedure for cancer cervix.

In consecutive visits and every visit

Weight, blood pressure, fetal growth (height of uterus) is noted.  Any complaints by the gravida are addressed to.  The total weight gain in pregnancy in a normal healthy woman, with a healthy pregnancy is 10-12 Kg.  Increase in weight by 1/2 Kg a week after 16 weeks of pregnancy is expected.  Underweight woman is encouraged to gain more weight and obese to restrict total pregnancy weight gain to 6-8 Kg only.  

Blood test for hemoglobin percent and urine for any sugar and proteins is done.

If family history of diabetes mellitus is present the gravida needs to undergo test for blood sugar at 20 weeks, 28 weeks and repeated at appropriate intervals if necessary.

Rh negative group woman with Rh positive husband will have to undergo blood test (Coomb’s test) at 20 weeks, 28 weeks and 36 weeks to note any changes in the blood that may adversely affect the fetus.

Woman with hypothyroidism may have to undergo repeat test for thyroid evaluation for adjusting the dose of thyroxin hormone.

Ultrasound scanning is done early in pregnancy to confirm viable pregnancy and for dating, between 12-14^th week and around 18 - 22 weeks to rule out any fetal anomalies.   Scanning may be repeated if there are any problems affecting the growth of the fetus and evaluation of fetal growth.

Any illnesses occurring during the pregnancy will need appropriate tests.

In India gravida is given all the reports of investigations.  She has to carry all these when she visits the obstetrician.  If the clinic or hospital gives a record of all the investigations with the history and examination of woman she should carry this to her consultant at every visit to record findings.  This will help in early identification of any risk arising during the course of pregnancy.

Good antenatal care will ensure healthy mother and healthy baby.

Pregnancy - Antenatal Checkups

More than a century ago, a woman consulted the doctor once to confirm pregnancy and later at the time of delivery.  Pregnancy care and antenatal checkups (checkups during the course of pregnancy) in pregnancy have started about a century ago.  In the early 20^th century the nurses of Instructive Nursing association, Boston, had started visiting women registered for delivery at Boston Lying-in Hospital.  The dramatic improvements in the health of the newborn and mother laid foundation to the regular antenatal checkups and special care during and after delivery.

Presently a pregnant woman consults doctor (obstetrician) a week or two after the missed period till three months after delivery – totally for about one year she will be under the care of obstetrician.  Checkups in pregnancy can be categorized as – antenatal checkups or antenatal care, intranatal care – at the time of delivery and postnatal checkups/care in the following three months after delivery.

The aim of regular checkups in pregnancy is to recognise high risk pregnancy and take appropriate care to minimize complications to mother and fetus.

Obstetricians date the pregnancy in weeks.  The normal duration of pregnancy is 40 weeks from the day of first day of last menstrual period.  The first 14 weeks is termed first trimester, later upto 28 weeks is called second trimester and the last 12 weeks is the  third trimester.  The regular checkups are advised once in 4 weeks until 28 weeks, after 28 weeks till 36 weeks - once in 2 weeks and after that weekly until delivery.  After delivery, the woman should have at least two postnatal checkups, once after three weeks of delivery later in the 12th week.

  In general gravida should undergo monthly checkups till 7^th month, fortnightly till ninth month and weekly until delivery.  If the gravida has any risk associated with pregnancy she will have to visit more frequently, as advised by the obstetrician. 

In India, or any other developing country for various reasons gravida may not be visiting the obstetrician regularly.  If the woman is healthy, and has no risk factor, with the advice of the obstetrician she can cut down her visits.  A minimum of four checkups during the course of pregnancy will help to safeguard the health of gravida.  These should be once to confirm pregnancy in first three months, 2^nd visit in the fifth month, third in the 7^th month and 4^th in the ninth month.  If the gravida does not deliver in 15days she should again have another checkup.  If any risk factor is noticed during these checkups the gravida will be advised consultations accordingly.

I generally advise/persuade rural woman who are averse and ignorant of health care in pregnancy to, at least, have four antenatal checkups, use iron tablets for three months, two tetanus toxoid injections, a day admission for delivery in the hospital.  Following this simple principle will help to reduce maternal and fetal mortality and morbidity to a great extent.

Pregnancy - General Care

We all know that pregnancy is a physiological condition needing special care.  Though a natural phenomenon, it is a special condition when a woman needs professional and tender loving care from the medical professional as well as family members.  A woman becoming pregnant for the first time will be more anxious and will have many doubts about what to eat and what activities she can carry on.

Diet:  The calorie requirement of average Indian woman doing moderate work is 2200kcal/day.  If the activity is less less calories are required.  Average Indian diet has more carbohydrates contributing almost 70-80% kcal.  The rest obtained from fats and proteins.  But it is best to have 50-60%kcal from carbohydrates, 25-30%kcal from proteins and the rest from fats.  All the vitamins, minerals are obtained from various food items including fruits and vegetables. 

In pregnancy as the woman nurtures another life in her body she has to take more food. The burden of pregnancy requires woman to increase calorie intake by 15-20% during the course of pregnancy and another 5%-10% in the lactational period.  This is about extra 300kcal in pregnancy and 500kcal in first 6months of feeding and 400kcal in the next 6 months of feeding. 

As pregnancy is a body building process protein requirement is increased and it will be good to increase intake of more proteinecious foods like pulses, eggs, meat, fish and milk.

Gravida need not eat double of what she eats.  If she increases to take cereals and fats marginally and doubles the protein supplementing foods and fruits and vegetables she will meet all the needs of pregnancy nutrition.   For an average Indian diet, if the gravida adds two glasses of milk (300ml), an egg, fistful (20gm) of pulses soaked and sprouted, and any fruit like banana, guava or any seasonal fruits one or two (100gm) will provide almost all the extra nutrients and calories required for healthy fetal development.

High calorie non fibre foods and drinks are avoided.  Instead of having just two meals, food intake should be every two three hours in the day.  What ever food is taken it is better divided into appropriate portions and taken as breakfast, lunch, supper and two snacks.  Snacks can be fruits and sprouts along with milk taken early in the morning, between breakfast and lunch and lunch and supper. 

Physical Activity:  A healthy gravida can carry all the physical activities she is accustomed to previously.  Routine domestic chores, and other activities like walking and swimming can be carried out as long as she is comfortable. Yoga, and aerobics can be done only under the expert guidance.  Two hours rest in the afternoons and eight hours rest at night will keep the woman healthy.

 Employment:  Woman doing sedentary jobs can continue to do.  Employment where a gravida has a possibility of getting exposed to radiation or chemical fumes or severe physical exertion like lifting heavy weights should be avoided.  These activities can adversely affect fetal development or continuation of pregnancy till term. 

Travel:  Long distance journeys, strenuous traveling, traveling in early and late pregnancy is best avoided.  This is to avoid the woman being away from the doctor if any problem arises, particularly in late pregnancy.  If the gravida has any problem of bleeding or abdominal pain or cramps anytime, journeys are avoided other than to visit the doctor.

Sexual Activity:  A healthy gravida with a normal pregnancy in a healthy relationship can have sexual activity as long as it does not hurt her.  Over indulgence is avoided.  Complete abstinence is not a must.  If there is possibility of genital infections sexual activity must be completely avoided.  Also when gravida has history of previous abortions, or premature deliver or has bleeding in the present pregnancy or cramps in the abdomen or due to certain pregnancy conditions when the obstetrician advises abstinence is must.  It is best to restrict sexual activity in early pregnancy for fear of abortion and in late pregnancy, premature delivery.

 Addictions: Everybody is aware of the adverse effects of smoking and excessive alcohol intake and drug addictions.  All these, smoking, alcohol and ‘drugs’ have harmful effects on the fetus and compromise even maternal health and increase certain complications in pregnancy.  Hence smoking, alcohol and drugs are a strict “NO’ in pregnancy.

Healthy diet, appropriate physical activity and rest will result in healthy pregnancy resulting in the birth of healthy baby.

Seemaandhra Unrest

It is disgusting for common people to see the leaders change their stand and give contradicting statements.  Because of the false assurance of the Seemaandhra leaders common people of that region are suffering.  The formation of Telangaana is a long pending demand.  If ever Seemaandhra political junta had any sense of attachment to Telangaana or Telugu unity, they would have strictly followed all the regulations brought by the Union government for the protection of rights of Telanganites.  But they were selfish to the core.  The propaganda of unity of Telugu people is exposed when they declare that Telangaana can be given sans Hyderabad. 

These crooked industrialist politicians scant regard for the welfare of people of their region.  They gave false assurance that the will never allow the formation of Telangaana under any circumstances.  They twisted and masked the history of formation of Andhra Pradesh.  Being in majority forever in the state, they had strong belief that their authority and fiefdom on Telangaana will continue for ever.  In a democracy it is the responsibility of the government to protect minority.  After prolonged agitation of Telanganites the Union government of India has finally taken decision for formation of State of Telangaana.  After announcing the resolution on Telangaana, Seemaandhra leaders started enacting new dramas.  They conveniently forgot that it was election promise of Congress in the year 2004 and 2009.  BJP has promised Telangaana in the year 1999.  Shri Lal Kishan Advani revealed that BJP could not form Telangaana state along with other three new states as Shri Nara Chandra Babu Naidu was against it.  Now we understand that Chandra Babu Naidu who scuttled Telangaana formation in the year 2000, and took ‘U’ turn in the year 2009 December is responsible for the death of more than 1000 Telangaana youth. 

Chandra Babu Naidu who considers himself a great politician is simply a cunning fellow without any principles.  His aim is to be in power.  He is sentimental and emotional in considering Telangaana issue.  Had he been pragmatic Telangaana demerger from Andhra Pradesh would have been smooth and pleasant with both sides distributing sweets to one another.  Jagan Mohan Reddy is always arrogant, ignorant and rash.  Late YSR’s benefit to the Seema people is fanning Jagan in comfortable position.  CBN, who is acting emotional, lost his balance and analytical ability and trying to ape Jagan.  Whatever activity YSR party takes up, he simply follows it with different name.  I think at this juncture he should give up his party and join YSR party. 

All the political leaders in Seemaandhra should understand that Telangaana is inevitable and explain the facts to people of Seemaandhra.  The reorganized Andhra Pradesh state will present more opportunities to all categories of people.  The construction of new capital and Union Government’s help to develop the state will provide employment to youth.  If the youth want to work in Telangaana they can work as they do in any other neighboring states like Bengaluru, Chennai , Maharashtra etc..  Most of the IT companies are MNCs.  Employment in these companies is based on merit and not on the region.  Government employment is for lucky 10% - 15%.  These lucky few will gain employment in their native states.  So youth need not worry at all.  All Indians have a right to stay with gainful employment anywhere in India and live with dignity.  This is constitutional right of Indians.  Sharing of water is done as per regulation and abiding by the regulation by both sides will benefit either regions.  Allocation of funds from central government will be directly to the state and help each state to develop optimally.  My appeal to Seemandhra common people is to know the facts, understand the situation and work for best deal from the Central Government.

Jai Telangaana

One step forward.  Just one more step.  

State of Telangaana is visible in great clarity.

Jai Telangaana! Jayaho Telagaana!!

Sakala Jana Bheri

Tomorrow is the first ever government permitted Telangaana public meeting in Hyderabad.  As the Andhra government has held APNGO’s public meeting under its auspices a few days ago, might have felt the obligation to permit TJAC public meeting.  Previously all Telangaana meetings in Hyderabad were held only after the court permission given few hours before the meeting imposing many restrictions.  The government on its behalf in the name of maintaining law and order would create hurdles to the people coming to the meeting by canceling all public transport systems, making house arrests and bind-overs and precautionary arrests, threatening people that government benefits will be cancelled. I hope tomorrow people can reach the place and attend/participate in the Sakala Jana Bheri peacefully and happily and make it a grand success.

More than half a century struggle has led to the announcement of demerger of Telangaana from Andhra Pradesh which was formed conditionally and experimentally on false promises and linguistic basis.  The experiment failed.  Promises broken, finally, the democratic struggle of people of Telangaana have made the central government to concede to the demand of Telangaana state with Hyderabad as its capital. 

The Congress Core Committee declared its decision on formation of Telangaana on 30^th July, 59 days ago.  That’s all.  Since then there is no further activity towards implementing this decision.  Under the leadership of Nallari Kiran Kumar Reddy Seemaandhra politicians instigated agitations in their region to negate CWC decision.  It is atrocious that people do counter agitations with a demand to continue their subjugation of people of one region in a democratic country. 

Recently I read the likening of Telangaana state birth is in the process of delivery, suffering labour pains.  The birth of Telangaana is achievement of a democratic right in a democratic way.  I feel this labour is unduly prolonged.   The labour has turned out to be obstructed causing anxiety to all concerned.  In case of obstructed labour, to save mother and fetus emergency surgery is done.  In a teaching institute (strong decisive central government) patient is never allowed to land in obstruction for that increases feto-maternal morbidity and mortality.  If it is a corporate hospital, the management first wants money to be paid. The corporate hospital (CWC) is more worried about the financial aspects than the condition of poor woman. .  Husband (unscrupulous politicians) doesn’t mind if the woman dies for he can remarry with more dowry.  He is rather wishing that woman should die.  Now it’s the duty of the team of doctors who are taking care of the woman.  The team of doctors (various parties supporting Telangaana) along with the team chiefs – the surgeon TJAC and anaethetist (BJP), on humanitarian grounds make the hospital management (Congress) to support immediate surgical treatment and Telangaana be delivered safely without any morbidity to mother or baby.

Sakala Jana Bheri is a preparatory step for surgery – and early delivery of Telangaana.

I hope Telangaana will be a reality very soon.

Jai Telangaana! Jayaho Telangaana!!

Changes in Pregnancy

 Pregnancy is a natural process.  But it is a special condition which needs due care to have best outcome.  Various changes occur in the body during the course of pregnancy, delivery and lactational period.  All these changes in the woman help growth of the fetus and newborn. 

Some changes are obvious and external and some may present as symptoms in pregnancy.  As the fetus grows, the abdominal girth increases, becomes maximum by ninth month.

Enlargement of the abdomen is more obvious after 5^th month.  In the initial phase there is increase or fullness noted in the lower abdomen as the uterus grows and starts entering abdomen from below (pelvis).  Increasing size of the abdomen after 7^th month may result in stretch marks and their pigmentation.  The stretch marks are due to stretching of the abdominal skin beyond its elasticity.  Stretch marks may not appear in all women.  The protuberant abdomen may result in change postural change to maintain balance.  Also the changes in the pelvic joints preparatory to delivery may result backache.   

As the urinary bladder is close to the uterus, along with uterus the urinary bladder gets upward displacement.  In the last few weeks of pregnancy, in thin woman, urinary bladder when filled can be seen as a bulge in the lower part of abdomen.

The size of the breasts also increases, areola darkens, and small tubercles are seen on the areola.  Veins may become prominent and stretch of breast skin may result in stretch marks and they may be pigmented.  Sometimes there can be thin, watery secretion from the nipples after 5^th month. 

Apart from these external changes there are internal changes in the body.  The apparent increase in salivation is due to nausea resulting in failure to swallow it.  Sometimes gums may be swollen and bleeding from them can occur at the time of brushing.  The hormonal changes in pregnancy results changes in the stomach.  After a meal stomach takes more time to get emptied.  Some woman may experience acidity problem.  Slow movement of food in the stomach and intestines will cause more absorption of water and constipation is a common problem in pregnancy. 

The most important changes that occur are in the heart and blood circulation.  Heart has to supply blood to uterus to sustain the growing fetus.  It has to pump more blood per beat and number of beats increases as the pregnancy advances.  The increase in heart rate will be 15/min than non-pregnant state. The blood volume also increases and by term, it could be almost 50%.  The coagulability of the blood also increases.  These changes help in tolerating and limiting blood loss at the time of delivery.  

The changes in kidneys will help in clearing the waste products of increased metabolism in the body.  The efficiency of kidney increases. 

There are also changes in the lungs.  The increase in the size of uterus and becoming abdominal organ pushes the diaphragm upwards.  The respiratory rate increases per minute.  Woman may sometimes feel breathing laborious. 

To sustain growth of fetus and increasing metabolic process of the pregnancy there are insidious changes in the metabolism of carbohydrates, proteins and fats. 

All pregnant women gain weight.  The increase in weight is not just because of the fetus and placenta or increased size of the uterus but also increased maternal weight.

A healthy woman tolerates all these changes and will have successful outcome.

All the changes that occur in pregnancy will revert to normal by the end of three months after delivery.  

Pregnancy - Common Complaints - 2

Urinary frequency:  Early in pregnancy and in the last few weeks of pregnancy gravida may complain of increased frequency of urination.  This is because of growing uterus in early stage and head of the fetus causing pressure on the urinary bladder at later stage.  At any stage if the frequency is associated with painful urination, investigation is done to rule out or confirm urinary tract infection and if necessary appropriate antibiotic treatment is instituted.

Lower Abdomen Pain:  In early pregnancy there can be dull occasional lower abdominal pain due to stretching of ligament of the uterus.  This pain can be more on the right side.  If pain is intolerable simple local heat or plain paracetamol tablet will relieve it. 

Backache:  It is another common complaint which increases with period of pregnancy.  Proper maintenance of posture and using appropriate footwear will  help in relieving pain.  Avoiding excessive weight gain and back strengthening exercises will also be helpful.

Fever:  Many times a woman with missed periods consults family physician complaining of fever.  But in fact, it is not fever in its true sense, but increased warmth in the body due to hormonal changes in early pregnancy.  The temperature when recorded will always be below 99.5*F.  Explanation to the woman is sufficient.  If the temperature is 100*F, and patient is having any other complaints, appropriate investigations are done and treatment is given.

Breast Pain:  Pregnancy induces changes in the breast.  The size of the breast increases.  Gravida can also develop small tubercles on the areala.  It may become painful to touch.  After 5^th month some women may have watery discharge from the breast. 

Giddiness:  It can occur in early pregnancy due inadequate diet or later pregnancy when the uterus compresses large blood vessels when gravida stands for prolonged periods.  When there is feeling of giddiness, gravida should immediately lie down on her left.  This immediately clears the blackout.

Swelling of the feet:  generally occurs in the later half of pregnancy, most commonly in the the ninth month.  This is due to pressure of uterus on the blood vessels.  This will subside with rest, lying on the left side.  Swelling of the face or hands need special attention.

Pigmentation:  Many women may have darkening of the skin on the face (chloasma) , nipple and areola,  in the midline of abdomen.  This is again due to hormonal changes in pregnancy.  This usually occurs after 4^th month.  Exposure to sunlight may increase darkening on the face.

Stretch Marks:  This occurs in the latter third of pregnancy.  Stretch marks occurs on the abdomen due to increasing size of uterus causing stretch on the abdominal wall.  The stretch marks also can occur on the breasts.  These stretch marks can be lighter shade or may get darkened.

In general there are some complaints, which are symptoms of  pregnancy, usually more than 80% woman will tolerate all the physiological symptoms with assurance or minimal medication.    

Pregnancy - Common Complaints - 1

Young married woman who misses her regular menstrual period will suspect pregnancy.  Since the day of missed periods she will be having many doubts.  In a joint family mother-in-law or other elders will guide her or reassure her for certain routine problems.

The common complaints in pregnancy are

Nausea and vomiting:  (Morning Sickness)  More than 50% of women may have this complaint in various degrees.  Some may have occasional nausea or vomiting while others have persistent nausea which may continue rarely till delivery.  Most of the time, it will subside by the completion of third month.  Even vomiting in pregnancy, though troublesome in first three months, may continue in a lesser degree, rarely, to term.    

Indians have a habit to tickle the throat at the time of brushing teeth in the morning and bringing out all the contents of stomach.  Usually the stomach is empty in normal condition.  In pregnancy due to physiological changes the stomach emptying is delayed and there may be some digestive fluids in the stomach.  At the time of brushing and cleansing process when throat is tickled, this fluid, white or light yellowish or greenish sour fluid, is vomited out.  This is of no consequence.  The woman should stop this forcible vomiting.

Minor degrees of nausea and vomiting may respond with counseling, reassurance, change in diet with easily digestible nonspicy foods.  Sometimes gravida (pregnant woman) may

have intolerance to certain odours and sight of certain foods.  The sight and odour of the food itself induces nausea and vomiting.  In such conditions it is best to avoid such foods.  When nausea and vomiting are interfering with nutrition of the patient, simple medication like doxylamine succinate with pyridoxine tablet is advised.  If persistent, more powerful pregnancy safe anti-emetic like phenergan tablets will be administered.  Rarely a gravida may have persistent vomiting and will be unable to retain anything taken orally resulting in deterioration of health.  In such conditions she is hospitalized and parenteral treatment is initiated.  Gravida should be investigated for her health status and to rule out any obstetric or medical condition resulting in intolerable vomiting – Hyperemesis gravidarum.  Correction of electrolyte balance and IV fluid administration and anti-emetic inject:ions will generally restore the health of the woman.  Usually nausea and vomiting will subside and general appetite is restored by 12^th to 14^th week of pregnancy.

 Excessive Salivation: Sometimes woman may have excessive salivation - always wanting to spit. This will subside by the end of third month.  Rarely medication is required.   

Heart Burn: Some women may also have heartburn – burning pain in the middle of the chest.  For relief of this gravida is advised not to lie down immediately after taking food.  Avoiding spicy foods and eating curds or drinking buttermilk can reduce the symptom to a great extent.  After having food it is better to be in reclined position for some time than to lie down.  In occasional cases antacid liquid may be used.

As the pregnancy progresses some women may feel fullness with small quantity of food.  In such condition she should have frequent meals in small quantities. 

Constipation: Another significant problem in pregnancy is constipation.  This may become the cause of manifestation of piles – bleeding with defecation.  Constipation can be corrected by taking foods having more fibre – vegetables and fruits and drinking plenty of water. 

                                                                                                    ......contd

Thousand Murders

I am very much anguished at the present situation in Andhra Pradesh.  The politicians seem to have no principles.  Their only principle in life appears to be in power.  They do not seem to have any ideals or morals.  Power hungry monsters do not have any qualms in killing people with their irresponsible activity and statements.  They take pride in creating public turmoil for achieving political mileage. 

Nara Chandrababu Naidu thinks himself to be great political strategist.  The back stabber who took reigns of TDP, by backstabbing his father-in-law, is a power maniac.  He never likes to utter the word ‘Telangaana’.  But to gain power in the state he had given letter to the central government to take decision on Telangaana.  He even blamed the congress and central government of India for not taking decision on Telangaana.  When decision of Telangaana is announced by the Home Minister of India on December 9^th, 2009, he was the master mind behind the Seemaandhra MLAs and MPs resignation drama.  This led to agitations in Telangaana and almost 1000 youth have committed suicide till date.  

Finally, the ruling party has declared its decision to forward the process of formation of Telangaana state.

Now Nara Babu is instigating Seemaandhra people to agitate against Telangaana formation.  Telangaana people have achieved their state after a democratic struggle for 60years.  The instigated agitations by Seemaandhra people against Telangaana formation only exposes their dictatorial attitude against which all these years Telanganites struggled.  In support of Seemandhra people Chandrababu Naidu started “telugu jaati aatma gourava yatra”.  Under this pretext he is igniting anti national feeling in the people by questioning the Center’s authority on the state.  It is obvious by his speeches that he is considering Andhra Pradesh as a different nation and not a state in the Indian Union.  He unabashedly discloses that he negated Telangaana formation when the BJP in NDA government in the 2002 wanted to grant statehood to Telangaana along with the formation of other states – Chattisgarh, Jharakand and Uttaranchal. 

Chandrababu Naidu, who stood with Seemaandhra people, always scuttled the formation of Telangaana.  Had he been a true leader working for the betterment of people of all regions he would have consented for formation of Telangaana in 2002 itself.  His foul play has resulted in the death of 1000 Telangaana youth.  All the suicides of Telangaana youth are nothing but mass homicide by Seemaandhra biased backstabber power greedy political monster.  

It is said that a person who lives by the sword dies by it.  We should just wait and see how this man sees his end.

Early Pregnancy

Procreation is one of the fundamental desires of a living being.  Every person would like to have children of his/her own.  In a happy marriage pregnancy is a celebration.  This is a step towards firm establishment of a family.

 

In a healthy couple the chance of conception is 60-70% within 6 months, about 80% conceive within one year and another 10% within 2 years.  Couple not using any contraception and do not conceive within 2 years need evaluation.

The first indication of pregnancy is failure to have menses in a regularly menstruating woman.  Within a week of missing period, pregnancy can be confirmed by any home pregnancy test.  As days pass by woman may have impaired appetite, nausea, sometimes occasional vomiting.  This is the time when woman consults obstetrician. 

In the early pregnancy a visit to the obstetrician helps in basic health evaluation of the woman.  In a healthy woman in the first 3 months of pregnancy the only medication that is advised is folic acid tablets.  This will reduce the incidence of certain abnormalities in the fetus, central nervous system in particular.  If the nausea and vomiting are not bothersome no medication is necessary.  Nausea and vomiting are generally more in the mornings, hence morning sickness.  This can be overcome by reassurance, taking small frequent feeds, avoiding spicy foods and long hours of starvation and also starting the day with eating than drinking coffee or tea or milk. Milk is preferred as it is healthier than tea or coffee.  If the nausea and vomiting are persistent resulting in starvation and dehydration in woman, medication is advised.  This is usually a combination of pyridoxine – a vitamin and doxylamine tablet.  It is taken twice or once daily depending on the preparation.

The first three months of pregnancy (first trimester) is critical for the development of the fetus. This is the time when all the organs are formed.  This is the time when certain medicines, infections and radiation can cause a disturbance in the organogenesis that can lead to minor or major malformations in fetus.  Any medication during this time is taken under proper guidance only. 

A healthy woman needs one checkup in the first three months of pregnancy.  A healthy woman can carry out her regular activities.  Women who are doing manual labour or strenuous work or getting exposed to chemicals or radiation should avoid it.  Pregnant woman can carry on her physical activity as long as she is comfortable. 

Pregnancy in general a physiological condition and initiates certain changes in the body that continue during the course of pregnancy.  With the support of the family and under the guidance of obstetrician woman will adjust to all changes and will have a successful and happy outcome. 

NaMo

Like many in the state I was eager to hear what Mr. Narendra Modi would speak at LB stadium.  His speech was not inspiring.  He just quoted the facts that everybody knew.  He did not present his vision of India/Bharat and what plans he has to make it realise.  Youth is worried about the situation in India and NaMO is worried about youth.  But what will he do for betterment of the youth?  What are his plans for upliftment of the women and downtrodden classes?  I think he should bring forth the plans he have for making India a developed country. 

Mr. Modi, before coming to the venue met the rich and powerful private persons in the state.  I think that is an indication for his priorities.  His praise for NTR will not be appreciated by Telangaana people at this juncture. “Yes we can, yes we will”, doesn’t sound original or ‘desi’.  His addressing of the present turmoil in state is inadequate.  I felt, “he came, he failed to conquer, and he went”. 

                                       **************************************

AP CM Kiran Kumar Reddy says that Modi had acted as he met actors immediately before arrival to the venue.  I think all politicians are actors.  Everyday we see politicians giving contradictory statements, or denying what they said and sometimes even blaming the media or journalists, saying that they were wrongly interpreted.  In the present situation of formation of Telangaana state everyday every politician of Seemandhra expresses contradictory statements every hour with great seriousness. 

For the past three years every MLA and MP with origins in Seemaandhra said they would abide by the ‘High Command” decision or Union government’s dictat.  But the moment decision on Telangaana is announced all these people simply say that it is done in haste and without any consideration.  Watching the expressions and body language lets us know how biased every Seemandhra Politician is. 

The BJP says if it comes to power it will form Telangaana state within 100 days.  But in the parliament Venkaiah Naidu says congress has not addressed the Seemandhra people’s sentiments and taken a hasty decision and that is the cause of all the reverse agitation in Seemandhra.  His impatient long face as the discussion on Telangaana was going in Rajya Sabha will not be forgotten by Telanganites.  Also when Modi came to Hyderabad he talks about Jai Andhra agitation and gathering then, conveniently forgetting the huge gathering at Nizam’s college when Mrs. Sushma Swaraj addressed Telangaana youth in December 2009.  He and Telugu Desam Naidu are behind the BJP’s failure to form Telangaana when three other new states formed in the nation during BJP rule.  Even now given a chance, these two Seema Naidus will hinder the formation of Telangaana state. 

Chandra Babu Naidu, leader of a regional party and Venkaiah Naidu, a leader in national party, fail to consider Telangaana issue in a democratic way.  Belonging to Seemandhra they are thinking locally, to be precise, as personal issue and becoming emotional.  They are giving importance to their native place and people but are not considering the constitutional rights of Telangaana.  If the politicians rise above personal feelings, and think in larger interests of people of all regions and religions, people will have faith in democracy.  Otherwise there will always be agitations.

When it comes to acting, I think KKR should be given best actor award for the role he is playing in the state now.  Though he speaks weird Telugu in media interviews, he actually can speak good Telugu when emotional. 

Whatever is going on in Andhra Pradesh is worrying people of all regions.  Only politicians are having good time hosting breakfast, lunch and dinner to their colleagues and having get-togethers.  I pray that these dramas should end and peace prevail in all the regions of the state.

Telangaana - Democratic Achievement

I do not understand why every party is blaming the other party as cause for Telangaana State formation.  It is not the formation of a new state but demerger of the Hyderabad state from Andhra Pradesh formed on experimental basis in 1956.  The merger itself was conditional.  Andhra people who were in majority and promised for unity and development of Telugu people failed to keep their promises.  They started to discriminate the local people – people of Hyderabad state – Telangaana people.  They ridiculed the language and culture of Telanganites forgetting that they have joined them as all being Telugu speaking.  This led to unrest in Telanganites within 2-3 years of merger resulting in serious agitation in 1969, when the central government suppressed it with military action causing the death of about three hundred Telangaana youth. 

Though suppressed, the Telanganites never gave up the aspiration for the Telangaana state - separation from the Andhra Pradesh. This aspiration of Telangaana people is taken as the main agenda and Telangaana Rashtra Samithi, a political party, is formed under the leadership of Shri K.Chandrashekar Rao in 2001.   KCR’s political shrewdness and his policy to achieve Telangaana not just by agitations but through the power of ‘vote’ in a democratic way have made him the one and the only leader of Telangaana people. With the support of people – educated and employees and students he could take the struggle forward and could make the national political party Congress to commit to Telangaana in principle in 2004 general and assembly elections. This is his important achievement as TRS party leader.  

His fast unto death, unending agitations in Telangaana and call for a ‘peace rally’ on 10^th December by all student Joint Action committee of Telangaana led to the pronouncement of  ‘initiation of Telangaana state formation’ by Home minister of  India on 9^th December, 2009.  This announcement was the result of KCR’s fast unto death resulting state wide protests against the Andhra Government by students and general public and political and intellectual leaders.  The announcement had come after all party meet in the state and serious discussions in the both houses of parliament. Telangaana State formation is not the gift by any party or person.  It is the democratic achievement of Telangaana people by their nonviolent consistent struggle daring the cruel oppression and violence by the Andhra government and police.

The sociocultural humiliation, political domination resulting in backwardness and oppression of Telanganites by the majority Andhra people are the sole cause of Telangaana struggle for demerger of their state from that of Andhra Pradesh.  The cause for Telangaana movement is the malicious attitude of Andhra junta and Industrialists.  Telangaana people achieved the state by their prolonged consistent struggle.  Telangaana is not given by any party.  It is the democratic achievement of all Telangaanites.

Jai Telangaana!  Jayaho Telangaana!!