ZF Demonstrates EasyTurn Axle Concept in India

EasyTurn transforms larger vehicle models into highly agile entities, allowing them to navigate tight parking spaces and perform U-turns in exceptionally confined areas, equivalent to the width of soccer goal. This significant advancement improves the turning radius for a typical midsize passenger car up to 30%, simplifying numerous urban driving scenarios.

Aligned with the global shift towards sustainable mobility, EasyTurn is compatible with rear-wheel drive vehicles commonly seen in electric cars. Additionally, it fits seamlessly with MacPherson axle systems, which cater to around 80 percent of modern vehicle platforms, showcasing its suitability for widespread market adoption.

“EasyTurn represents a major leap forward in our commitment to innovative mobility solutions,” says Akash Passey, President, ZF Group India. “By increasing the steering angle to an unprecedented level, we provide enhanced agility and efficiency that meet the demands of urban environments and contribute to a sustainable future for mobility.”

The innovative EasyTurn axle system offers substantial benefits for both passenger and cargo vehicles, particularly in congested urban areas. It excels in narrow alleys, construction sites, parking spaces, traffic jams, and loading zones, delivering nearly effortless turning and parking manoeuvres.

ZF continues to enhance vehicle technology, driving forward the next generation of mobility solutions that meet the demands of modern transportation. With EasyTurn, ZF sets a new standard in vehicle steering capability, expanding possibilities for vehicle design, driving experiences, and Redefining India’s Mobility.

Can the Budget Revive India’s Growth from 6.4%

1.Macro Indicators: Growth and Fiscal Deficit

  • The GDP growth for FY25, as projected by the RBI, stands at 6.76, while the first advance estimates by the government anticipates 6.4%, a four year low. This budget will need to align its policies to reverse the recent slowdown and push GDP growth closer to the earlier aspiration of 7%.
  • Fiscal deficit control remains critical. With the FY25 target at 4.9% of GDP, the upcoming budget is expected to tighten this further to approximately 4.3%. However, the depreciating rupee (₹86/$) could be a challenge, on account of the rising global pressures.

2.Infrastructure Spending

  • The 2024 budget allocated ₹11.11 lakh crore (3.4% of GDP) to infrastructure, including roads, water, and urban development. For 2025, an even higher allocation is expected to sustain growth momentum. Efficient execution, however, will be the key monitorable factor, addressing delays caused by state elections in the previous year and other administrative challenges.
  • Railways are expected to witness continued focus in what can be termed as Railway Capex 2.0, with investments in wagons, new routes, and high-speed rail projects and corridors driving long-term connectivity and economic benefits.

3.Retail Investors and Market Protection

  • Retail investor participation in markets has surged, with monthly SIP contributions growing by more than 200% from ₹8,000 crore in 2019 to ₹25,320 crore in 2024. As Nirmala Sitharaman aptly pointed out in 2019, the retail investors’ should not be underestimated with their increasing role in India’s financial ecosystem.
  • As the Finance Minister emphasized in earlier budgets, the government remains committed to protecting retail investors. This budget could see measures to further encourage systematic investments while curbing speculative activity with a strong word of caution, as over 93% of retail investors have lost money in the F&O frenzy in three years.

4.Private Sector Push and Capex Revival

Private sector capital expenditure remains below pre-pandemic levels, with a sharp 22% YoY drop in new project announcements. To address this, the budget could introduce:

  • Incentives for R&D, such as a National Research Fund and targeted VC funding.
  • Capex-linked tax breaks and enhanced depreciation benefits to stimulate investments.

Simplification of tax structures (e.g., lower surcharges and increased minimum tax slab under the new regime) could also spur disposable income and private capex.

5.Green Energy and Mobility

Execution is the buzzword for the EV sector, with policies that should focus on:

  • Expanding EV charging infrastructure.
  • Enhancing public transport electrification, such as interstate and intrastate electric buses.

Renewable energy storage, such as pump hydro storage, could also see targeted policy support.

6.MSMEs: Bridging Credit Gaps

Addressing supply-side constraints and improving access to formal credit channels remain priorities. Liquidity measures and tax benefits for MSMEs could ease their challenges and ensure their sustained contribution to the economy.

7.Water Infrastructure and River Linkage

  • Long-pending projects, could see enhanced clarity on inter-state agreements and execution frameworks, like the ₹40,000 crore Ken-Betwa river linkage. Investments in water infrastructure may accelerate under a broader sustainability agenda.

The Union Budget 2025 is expected to strike a balance between fiscal prudence and growth. With a focus on infrastructure, green energy, and private sector revival, it may signal a pragmatic approach to addressing immediate challenges while laying the foundation for long-term economic progress. The Finance Minister’s commentary will be key in setting the tone for the next fiscal, emphasizing execution as the defining element for 2025. Although the market might see a short term volatility it will remain largely range-bound over the next three months, driven by a mix of cautious optimism, global headwinds and what is expected to be a tepid earning season.

Hemant Shah, Fund Manager, Seven Islands PMS

Education Reforms Should Be National Security Priority, Says Apurv Mishra at India Education Summit 2025

New Delhi, January 23, 2025 – In a compelling call to action, Apurv Mishra, member, Prime Minister’s economic advisory council (EAC) on Wednesday, emphasized the critical role of education in shaping India’s future as a developed nation (Viksit Bharat) and global power by 2047.

“There is an immediate need for systemic reforms, highlighting education not only as a social and economic imperative but as a cornerstone of national security and strategic autonomy,” Mishra said at North India Education Summit 2025, organized by the Indian Chamber of Commerce (ICC) in Delhi.

“Education is not just a social or economic issue; it is a pressing national security concern. If India aims to be a developed country by 2047 and a leading global power, we must build world-class capabilities in frontier technologies. Incremental improvements—like faceless assessments, updated teaching practices, better infrastructure, real-time parent-student accountability, alumni involvement, state university funding, and a healthy PhD ecosystem—are crucial to reforming our higher education system,” Mishra further stated.

The summit brought together policymakers, educators, and thought leaders to explore strategies for addressing challenges in teaching, training, and institutional frameworks. Discussions centered on fostering a thriving ecosystem for deep science, building capabilities in frontier technologies, and driving incremental yet impactful changes, such as modernized curriculums, improved infrastructure, and enhanced state university funding.

Simrin Bakshi, chairperson, North India Education Committee , ICC, addressed the dual role of education in individual and national transformation, stressing the need for stronger industry-academia linkages, quality faculty, and innovative solutions for inclusive and globally competitive education.

“There is an urgency of aligning India’s education system with its global aspirations. By addressing systemic gaps and embracing innovation, we can position education as a catalyst for societal and economic transformation.” said Bakshi.

A key theme of the summit was innovation in education, encompassing advancements in technology, pedagogy, and sustainability. The event also focused on creating equitable learning environments to empower individuals to contribute meaningfully to their communities and beyond.

The Lalit Chandigarh Rolls Out Fresh Pan-Asian Flavors at OKO

Chandigarh, 23 January, 2025 – The Lalit Chandigarh is thrilled to unveil a new progressive pan-Asian menu at its signature restaurant, OKO. Renowned for its masterful presentation of the distinctive cuisines of South East Asia, OKO offers an unforgettable dining experience showcasing the finest flavours.

Situated within the premises of The Lalit Chandigarh, the new OKO brings an elevated dining concept to the region, blending exceptional cuisine with an ambiance that transforms seamlessly from a tranquil day retreat to a vibrant nightlife haven. Guests can savour signature dishes such as Spicy Tuna Maki, Pan-Fried Lamb Dim Sums with Peanut Butter Sauce, Balinese Prawn Curry with Sticky Rice, and Chef Vijender’s exquisite Dessert Sampler featuring Green Tea Cheesecake and Date Pancake. The expertly crafted menu celebrates the bold and intricate flavours of South East Asia, offering a harmonious blend of authenticity and innovation.

In collaboration with ASK Consultants, OKO is set to redefine dining in Chandigarh by merging authentic flavours with innovative culinary techniques. The restaurant takes pride in embracing diversity, celebrating inclusivity, and empowering a variety of artists through special performances, reflecting The Lalit’s ethos of respect and care.

The menu has been thoughtfully crafted by the newly appointed Executive Chef Ankur Sharma, who brings over 18 years of expertise in the hospitality industry. Chef Sharma’s vision is to redefine pan-Asian cuisine by blending traditional recipes with contemporary techniques and presentations. Guests can look forward to signature dishes, live teppanyaki stations, and an exquisite fine-dining experience

OKO at The Lalit Chandigarh is a tribute to the rich, layered cultures of South East Asia. Each dish is crafted with precision and passion, ensuring every guest experiences the authenticity of traditional flavours while enjoying a modern twist,” said Ankur Sharma, Executive Chef, The LaliT Chandigarh.

Mr. Devinder Walia, General Manager, The Lalit Chandigarh said “The new menu at OKO reflects our commitment to pushing culinary boundaries while celebrating the authenticity of Asian flavours”

HCLTech and MIT Technology Review Insights Stress Importance of Implementing Responsible AI Principles

NEW YORK and NOIDA, India, Jan 23, 2025—A study by HCLTech, a leading global technology company, and MIT Technology Review Insights has revealed that while 87% of business executives believe that responsible AI principles are critical to adopt, 85% of all the executives say they are not well prepared to implement them.

The findings reveal that despite the recognized importance of responsible AI, a significant gap exists between the acknowledgment of its importance and the ability to implement it effectively.

The challenges attributed to the adoption vs preparedness gap include:

On a more optimistic note, the study revealed that business executives plan to increase investments in building responsible AI in the next twelve months.

The report — Implementing Responsible AI in the Generative AI Age — was released at the sidelines of the World Economic Forum’s Annual Meeting in Davos. It outlines the key challenges faced by enterprises as they integrate responsible AI, with major concerns including bias and fairness, data privacy and security, compliance with regulations, operational disruptions and user adoption. The report also details how organizations can integrate responsible AI effectively and sustainably following best practices to enhance readiness.

The quantitative study is based on a survey of senior business leaders across multiple industries globally.

Some of the key report findings:

GenAI and AI-driven transformation are progressing from proof of concept to wider adoption, with executives acknowledging AI’s potential to drive productivity and innovation in key business functions like customer service, software development and marketing.

Responsible AI can provide competitive advantage. Most executives say their business will increase investments in building responsible AI in the next twelve months.

Agentic AI, which operates autonomously with minimal human involvement, is being adopted and gaining traction in lower-risk areas, such as IT operations, where it can work alongside humans.

While half of respondents are confident in managing operational risks, less than a quarter feel prepared to handle issues related to user adoption, change management and bias.

Steven Hall, President of Europe and Chief AI Officer of ISG, whose advisory firm covers the AI space and who was interviewed for the report, said that although we all know AI is the most influential change in technology today, there is still a huge disconnect on how to embrace it. “Everybody understands how transformative AI is going to be and wants strong governance, but the operating model and the funding allocated to responsible AI are well below where they need to be given its criticality to the organization.” Hall said.

According to Vijay Guntur, CTO & Head of Ecosystems, HCLTech, “AI can be a tremendous force of positive change in businesses and society at large, but its full potential can only be realized when it can be trusted.”

Guntur continued that to support responsible AI adoption, the ethical use of technology and to close the “readiness gap” to widespread adoption and implementation, HCLTech has several key recommendations.

First, companies should architect a robust responsible AI set of enterprise-guiding frameworks and capabilities that provide guardrails for trustworthiness, ethics, responsibility, safety and security, sustainability, regulatory compliance, change management and user empowerment.

Second, organizations should lean into their tech partner ecosystems to pilot, test and learn to bring the most appropriate technologies and best practices together to move at pace.

Third, establishing a dedicated team (or Center of Excellence) is advisable to act in a cross-functional driving role across the organization.

HCLTech recently established an Office of Responsible AI and Governance led by SMEs with experience on NIST frameworks, the Europe AI Act, ISO, risk and compliance, ethics and bias mitigation. This office drives co-innovation and the development of consulting capabilities and intellectual property solutions, with a focus on Responsible AI and partnerships.

Agilus Launches 3-Day Myeloid Malignancies Genomic Test

Delhi, 23nd January 2025: Agilus Diagnostics, India’s largest and most trusted diagnostic network, announces a ground-breaking achievement in genomic testing with its industry-leading 3-day turnaround time (TAT) for test results in myeloid malignancies.

The genomic testing market in India is experiencing rapid growth, driven by advancements in technology, increasing awareness, and the rising demand for personalized medicine. Currently valued at approximately USD 150 million, the market is projected to grow at a CAGR of over 15% in the next five years. Genomic testing is transforming cancer diagnostics by revolutionizing targeted therapy and personalized medicine. By providing actionable insights into an individual’s unique genetic profile, it enables clinicians to identify specific mutations, tailor treatment plans, and select therapies that offer the highest efficacy. As the future of cancer diagnostics, genomic testing empowers early detection, precise interventions, and better disease management, marking a significant shift in how cancer care is delivered. With these advancements, Agilus Diagnostics’ cutting-edge offerings place it at the forefront of this expanding market. By delivering unparalleled speed and precision, the company is well-positioned to capitalize on the growing demand for genomic testing in India, establishing itself as a leader in the space.

Next Generation Sequencing (NGS) is revolutionizing genetic testing by enabling precise, comprehensive analysis of genetic variations, empowering clinicians with actionable insights for personalized patient care. While genomic testing has traditionally been a lengthy process, often taking weeks to deliver results, Agilus Diagnostics has set a new benchmark by delivering individualized reports—meticulously crafted by expert molecular pathologists—in just three days (for myeloid malignancies). This rapid turnaround ensures faster clinical decision-making, ultimately improving patient outcomes and setting us apart as leaders in precision diagnostics.

The Myeloid Genomics Testing and Precision Assay is designed to offer faster, more precise insights into cancer and myeloid disorders. The Myeloid Genomics Testing covers 79 genes, including those linked to inherited risks, to detect key genetic changes like mutations and fusions. This enables personalized treatment recommendations for conditions like Acute Myeloid Leukemia (AML) and Myeloproliferative Neoplasms (MPN). Reports are reviewed by expert pathologists and include internationally recognized risk assessment tools and therapy suggestions tailored to the patient.

The Genomic Profiling Precision Assay provides comprehensive genomic profiling for cancers like lung, colon, breast, and melanoma by analyzing 50 critical genes. It identifies mutations, amplifications, and fusion genes, offering actionable insights for targeted treatments. With optimized panels for tissue and blood samples, the test ensures accurate results within 2 days for liquid biopsy samples and 7 days for tissue block samples, making it a powerful tool for precision medicine.

“Our 3-day genomic testing initiative for myeloid malignancies addresses one of the biggest challenges in precision oncology —Time. With this breakthrough, Agilus Diagnostics is not only setting a new industry standard but also transforming patient care by enabling faster diagnoses and treatment,” said Dr. Anand K, Managing Director & CEO of Agilus Diagnostics.

Currently, the labs in the genomic testing space often take up to 2 -3 weeks to deliver results for myeloid malignancies, which can delay critical clinical decisions. In contrast, Agilus Diagnostics’ rapid testing approach significantly shortens the diagnostic timeline, reducing hospital visits and enhancing the patient experience.

Driving Global Standards in Genomic Testing

Agilus Diagnostics’ commitment to speed and precision extends beyond technological advancements. The company ensures that every report is individualized, with expert molecular pathologists meticulously interpreting results. This personalized reporting approach ensures that physicians receive not just data but clinically actionable insights that support timely and effective patient management.

Agilus Diagnostics is setting new benchmarks in genomic testing, aligning with global standards in personalized medicine. The combination of advanced technology, rapid turnaround times, and expert oversight positions the company as a leader in precision diagnostics. By offering unparalleled speed, accuracy, and patient-focused care, Agilus Diagnostics reaffirms its commitment to bringing world-class diagnostic services to India.

“With our advanced genomic testing capabilities, we aim to provide clinicians with the tools they need to make timely, informed decisions. This not only improves outcomes but also sets a new benchmark for the healthcare industry in India,” added Dr. Anand K.

Tech for Automotive Circularity Takes Center Stage at SIAM’s 3rd International Conference

The Society of Indian Automobile Manufacturers (SIAM), the apex body representing the country’s leading automobile manufacturers, hosted the 3rd International Conference on Sustainable Circularity (ICSC) at Bharat Mandapam, New Delhi, on the sidelines of Bharat Mobility Global Expo 2025. Theme ‘Nature Positive Recycling – Systemic Transformation to Automotive Circular Economy in India’, the conference emphasised the need for systemic transformation through regulatory frameworks, technological advancements and collaborative efforts across stakeholders, underscoring India’s potential to lead global efforts in sustainable automotive practices.

Bhupender Yadav, Union Minister of Environment, Forest & Climate Change, Government of India, who was the Chief Guest during the inaugural session of the conference, launched the SIAM Strategy Paper ‘Towards Circular Future in the Indian Automobile Industry: Integrating EPR Regime in Waste Stream Regulations’ and said, “As the automotive industry observes a notable growth, it is imperative to reflect on our environmental obligations. Nature, with its innate capacity for regeneration, serves as an exemplar for our operational strategies. Our focus extends beyond mere waste management to stimulating economic development, diminishing emissions and cultivating societal advancements through the promotion of green jobs. Initiatives such as the Vehicle Scrappage Policy 2021 and the endorsement of electric vehicles manifest our commitment to sustainable practices. As we navigate towards a circular economy, our actions must be guided by a steadfast dedication to environmental integrity and ecological stewardship. SIAM has done an admirable job of initiating discussions on circularity which showcases its commitment to the growth of the automotive sector and promoting India’s green goals.”

SIAM organised panel discussions centred on the vital topic of ELV recycling, covering themes such as the Impact of EPR on ELV Recycling and Compliance, Regulatory & Policy Challenges in ELV Recycling, Harnessing Technologies and Business Models, and Closing the Loop on Automotive Materials. These sessions united policymakers, industry leaders, and technology experts to explore key aspects of ELV recycling, including regulatory frameworks and technological innovations, promoting dialogue for advancing sustainable circularity.

A handbook on “Automotive Circularity in India: Unlocking a Sustainable Future” co-created by SIAM and Recykal was unveiled by Mr Mahmood Ahmed, Additional Secretary, Ministry of Road Transport & Highways in the presence of  Mr Prashant K Banerjee, Executive Director, SIAM, Mr Timo Unger, Chairperson, ACEA, Mr Sanjay Mehta, President, Material Recycling Association of India, Mr A L N Rao, Circularity Head, Recykal, Mr Rajesh Menon, Director General, SIAM, Mr Arvind Kumar Nautiyal, Joint Secretary & Member Secretary, CAQM, Mr Vikram Kasbekar, Executive Director & CTO, Hero MotoCorp, and Mr Anandkumar M S, Senior General Manager & Head, TVS Motor Company. The handbook outlines a visionary approach to reimagining the automotive value chain. It offers practical insights and sustainable innovations, addressing challenges like material procurement and end-of-life vehicle management. It also provides a strategic roadmap for transitioning India’s mobility sector from linear to circular models, paving the way for a more sustainable future.

Rajendra M Petkar, President and CTO, Tata Motors Ltd and Chairperson, SIAM Sustainable Mobility Group, R K Goyal, Director, Saarloha Advanced Materials and Managing Director, Kalyani Steel, Sonal Choithani, Vice President and Head of Market Development, Vedanta, Sosho Kitajima, Chairman, Japan Automobile Recycling Alliance (JARA), R Mukhopadhyay, Director (R&D), J K Tyres, David Nolan, Executive Director, Auto Recycler Association of Australia, Sarvesh Tomar, General Manager, BPCL, Prabhjot Sodhi, Sr Programme Director, CEE, Sujit Kumar Bajpayee, Member, Commission for Air Quality Management (CAQM), Ashim Sharma, Senior Partner, NRI Consulting & Solutions, Vinod Babu, Director, CPCB, Masaru Akaishi, Managing Director, Maruti Suzuki Toyotsu India Pvt Ltd, Kartick Nagpal, President, Rosmerta, Nitin Chitkara, CEO, Meta Material Circular Markets (MMCM), Prabhakar Bhangare, CEO, Global PCCS, Anant Bhargava, IFP Petro, Ved Prakash Mishra, Joint Secretary – HSM, MoEFCC, Government of India, Kiran Sarkar, Co-Chairperson, SIAM Recycling and Material Groups and Head – Sustainability, Mahindra & Mahindra, Likith Koundinya, Consulting Specialist, S&P Global, Anand Kumar, Director, CPCB, Sumit Agrawal, Director, BigMint Technologies Pvt Ltd (SteelMint), Dr Rashi Gupta, Founder & MD, Vision Mechatronics, V Manjunath, Regional Standards Manager – South Asia and Sub-Saharan Africa, UL Standards & Engagement Inc. (ULSE) also participated in the conference addressing the challenges and potential solutions for the adoption of formal circular economy practices.

NMIT Teams Triumph at Eco-Avengers 2025, A National Sustainability Competition, Securing First Place and Multiple Top Rankings

Bengaluru, 23rd January — Students from Nitte Meenakshi Institute of Technology (NMIT) have clinched first place at Eco-Avengers 2025, a prestigious National Level Sustainability Pitch Battle competition. The event, organized by Mount Carmel College and EIMR Business School, Bengaluru, was held recently, showcasing innovative solutions for environmental challenges.

The winning team, TEAM BOREAS, comprising Tanush SN, Kevin Joseph, Abhay PS, Jeevan S, and Sathvi Nagaraj, impressed the panel of distinguished judges, including Supriya Panchangam, CEO at The Future Founders Co. and Rohan Subash, Sustainability Education at The Futures Founders Co. with their innovative project: a low cut-in speed Eco-Friendly Dual-Axis Wind Turbine (DAWT). Their innovation stands out for its sustainable design, incorporating recyclable materials and advanced features that maximize energy output while minimizing environmental impact.

Under the exceptional guidance of Dr. L. Harish Kumar, Associate Professor, Department of Mechanical Engineering, NMIT, three teams from the institution qualified for the finals, with all three securing positions in the top five. The other two finalist teams, TEAM HORUS and TEAM TRYDAN presented innovative projects on solar electric vehicles and eco-friendly automobile body panels, respectively.

Speaking about the student’s achievement Dr. L. Harish Kumar, NMIT said, “This achievement reflects our institution’s commitment to promoting sustainable innovation. “Our students have demonstrated exceptional creativity and technical expertise in developing solutions that address critical environmental challenges.”

The winning project demonstrated several notable sustainable features. It incorporated recyclable materials in its key components, while achieving enhanced energy efficiency even at low wind speeds. The design successfully reduces its carbon footprint and employed a modular approach that facilitates easy maintenance. During operation, the project maintained minimal environmental impact, making it an environmentally responsible solution.

This victory marks a significant milestone for NMIT, highlighting the institution’s dedication to sustainability and innovation in engineering education. The comprehensive eight-month mentorship provided by Dr. Harish Kumar, which included technical guidance, training sessions, and pitch preparation, played a crucial role in the teams’ success.

Adani Says No To Star-Studded Wedding

Prayagraj: 23nd January, 2025: Industrialist Gautam Adani today scorched soaring speculation and buzzing social media rumours that his son Jeet’s upcoming wedding is going to be an extravagant spectacle.

Responding to a media question at Prayagraj if the wedding were going to be a “Maha Kumbh of celebrities,” the billionaire said, “Definitely not!”

In recent days, social media has been awash in reports that a pantheon of global stars and celebrities would be attending Jeet Adani’s wedding with Diva Shah, daughter of Surat diamond merchant Jaimin Shah. The guest names included Elon Musk, Bill Gates, Mark Zuckerberg, Daniel Craig, Taylor Swift, Justin Bieber, Kanye West, the Kardashian sisters, Rafael Nadal, Diljit Dosanjh, Sundar Pichai, Satya Nadella, Billie Eilish, Coldplay and even King Charles and the Pope. Some social media users also said that the India-England ODI at the Motera stadium had been moved to accommodate the wedding, which was expected to feature 1,000 super cars, hundreds of private jets and chefs from 58 countries at a cost of over Rs 10,000 crore.

Speaking after performing the Ganga Aarti with his family at Prayagraj’s Triveni Sangam, Adani said, “My upbringing and our way of doing things are that of a common person from the working class. Jeet too is here for Ma Ganga’s blessings. The wedding will be a simple and traditional family affair.”

Gautam Adani’s announcement that his son’s wedding on 7 February would be a low-key private ceremony in Ahmedabad came during his visit to the Maha Kumbh Mela in Prayagraj. He was accompanied by his wife Dr Priti Adani, sons Karan and Jeet, daughter-in-law Paridhi and granddaughter Kaveri. At the Maha Kumbh, the Adani family offered prayers at the Lete Hanuman Temple after participating in the Mahaprasad Seva at ISKCON, where Adani is supporting the distribution of over one lakh free meals daily. Adani is also giving away one crore prayer books printed by the renowned Gita Press of Gorakhpur.

Calling the Maha Kumbh Mela “an indescribable experience,” the industrialist lavished praise on the Modi and Yogi governments for the arrangements, especially policing and sanitation, and said that the Mela’s successful administration should be studied by management institutes and corporate houses.

Milann Fertility Center Bengaluru Successfully Manages Safe Delivery for High-Risk Pregnancy

Pregnancy causes stress on the heart and circulatory system because the blood volume rises from 30% to 50%, which puts more strain on the heart valve. In India, congenital heart disease and rheumatic heart disease are the most prevalent forms of heart illness during pregnancy. Preeclampsia, anaemia, premature labour, and intrauterine foetal development restriction are among the obstetric problems that frequently affect pregnant women with heart disease.

Mrs. Sohini (Name Changed), a 35-year-old woman who had been married for ten years, had a history of rheumatic heart disease. In 2006, she had to have a prosthetic valve placement because of blockage of a heart valve. Although this valve replacement saved her life, there were still concerns, such as the possibility of infection and clot development. She had to be on high-dose of blood thinners for that. She consulted Infertility specialist for pregnancy. While being evaluated for fertility concerns, she became pregnant naturally. Unfortunately, 10 weeks into her natural pregnancy, she miscarried. She underwent minor surgery for termination of pregnancy. Even after carefully following her cardiologist’s advice, she had valve obstruction, which required a second replacement procedure,” shared Dr. Varini N, Senior Consultant – Obstetrician and Gynaecologist, Milann Fertility Center, Bengaluru.

“Due to her cardiac disease and the usage of blood thinners, Mrs. Sohini’s current pregnancy was deemed high-risk. This presented two-fold challenges: managing the risk of bleeding that could endanger the baby while preventing clots to protect her heart. She was sent to the Milan Maternal-Fetal Medicine (MFM) department for specialized care at 10 weeks,” added Dr. Varini.

What is Rheumatic heart disease?
As a result of rheumatic fever, the heart valves become permanently damaged, leading to rheumatic heart disease. In the early stages of the disease, rheumatic heart disease usually shows no symptoms. Shortly after a childhood streptococcal infection that is either untreated or inadequately treated, heart valve damage may begin. Of greater significance, rheumatic heart disease continues to rank among the world’s most common causes of maternal cardiac problems during birth. Pregnant patients who have received inadequate or no treatment are at a greater risk of developing heart failure, and abortion is strongly advised.

Fever, lumps under the skin (nodules), a raised red rash, weakness, exhaustion, shortness of breath, chest pain, and swollen, tender, and painful joints—especially in the knees and ankles—are all typical indications and symptoms of rheumatic heart disease. Sudden cardiac death could result if treatment is not received for an extended length of time.

Rheumatic Heart Disease and Pregnancy Risks
During pregnancy, the blood volume increases which puts extra strain on heart valves. In women with rheumatic heart disease, this heightened pressure on damaged valves raises the risk of severe complications, including maternal and fetal death, preterm delivery, and heart failure around delivery.

Because she needed blood thinners and was at risk for pre-eclampsia, Mrs. Sohini’s pregnancy was high risk. The hazards associated with stopping or continuing the medicine were substantial, requiring careful monitoring of the fetal growth and the mother’s heart health. To control bleeding risks, an elective C-section was carefully arranged at 37 weeks. Blood components were ready, and twelve hours before surgery, her blood thinners were stopped. Six hours after the surgery, she resumed taking blood thinners, and the baby, weighing 2.8 kg, was born healthy. She spent 24 hours in the high-dependency unit before moving to the ward and was released on the fourth day. Mother and child had a full and trouble-free recovery.