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[blog_title] => Hypothyroidism in Children
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What is hypothyroidism?
Hypothyroidism is a condition in which the thyroid gland, located in the front of the neck, does not produce enough thyroid hormones, which control overall metabolism and many bodily functions. Hypothyroidism can have several causes, including an autoimmune disorder, in which the body’s immune system mistakenly destructs its own thyroid gland. In teens, this is the most common cause of underactive thyroid, compared to other causes of the condition. Other causes could be due to certain medications or central hypothyroidism, in which the pituitary gland which controls the thyroid gland does not produce enough hormone. Congenital hypothyroidism occurs in new born babies.
Undiagnosed hypothyroid children may experience slowed growth rate. Additional symptoms include sluggishness, pallor, dry and itchy scalp, increased sensitivity to cold and constipation. If untreated, the condition may have devastating effects, such as stunted physical growth and mental retardation.
Symptoms
- Slowed growth rate
- Puffy face
- Swollen hands and feet
- Poor muscle tone
- Sluggishness, sleepiness
- Constipation
- Fatigue
- Dry, itchy scalp
- Dry, coarse skin
- Heavy menstruation in girls
- Mood swings
- Weight gain
- Hoarse cry or voice
- Dry, coarse skin
- Enlarged thyroid gland
Diagnosis
Your doctor will suspect underactive thyroid if several of the above symptoms are present; however, a definitive diagnosis can be easily made by testing the level of a pituitary hormone called thyroid-stimulating hormone (TSH). If the thyroid is producing normal levels of thyroid hormones, TSH will be within normal range. However if the thyroid is underactive, then the pituitary starts secreting more TSH to jump-start the sluggish thyroid. Thus, a higher-than-normal level of TSH indicates an underactive thyroid. Most newborns are tested for hypothyroidism within 72 hours of birth as part of a routine screen for other conditions. T3 and T4 are the active thyroid hormones produced from the thyroid gland which act on various organs of the body.
When to Consult your doctor
If you see any of the above symptoms in your baby, infant or child — particularly slow growth — call your pediatrician.
Treatment
Replacement therapy with synthetic thyroid hormones in the form of a single daily tablet is usually given. Thyroid hormones are critical for normal brain development in babies and children, therefore treatment with the correct dose of synthetic hormone is very important. The child should be retested periodically to make sure the right amount of hormone is given and the dose is adjusted as needed.
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[updatedDate] => 2024-01-10 14:03:30
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What is hypothyroidism?
Hypothyroidism is a condition in which the thyroid gland, located in the front of the neck, does not produce enough thyroid hormones, which control overall metabolism and many bodily functions. Hypothyroidism can have several causes, including an autoimmune disorder, in which the body’s immune system mistakenly destructs its own thyroid gland. In teens, this is the most common cause of underactive thyroid, compared to other causes of the condition. Other causes could be due to certain medications or central hypothyroidism, in which the pituitary gland which controls the thyroid gland does not produce enough hormone. Congenital hypothyroidism occurs in new born babies.
Undiagnosed hypothyroid children may experience slowed growth rate. Additional symptoms include sluggishness, pallor, dry and itchy scalp, increased sensitivity to cold and constipation. If untreated, the condition may have devastating effects, such as stunted physical growth and mental retardation.
Symptoms
- Slowed growth rate
- Puffy face
- Swollen hands and feet
- Poor muscle tone
- Sluggishness, sleepiness
- Constipation
- Fatigue
- Dry, itchy scalp
- Dry, coarse skin
- Heavy menstruation in girls
- Mood swings
- Weight gain
- Hoarse cry or voice
- Dry, coarse skin
- Enlarged thyroid gland
Diagnosis
Your doctor will suspect underactive thyroid if several of the above symptoms are present; however, a definitive diagnosis can be easily made by testing the level of a pituitary hormone called thyroid-stimulating hormone (TSH). If the thyroid is producing normal levels of thyroid hormones, TSH will be within normal range. However if the thyroid is underactive, then the pituitary starts secreting more TSH to jump-start the sluggish thyroid. Thus, a higher-than-normal level of TSH indicates an underactive thyroid. Most newborns are tested for hypothyroidism within 72 hours of birth as part of a routine screen for other conditions. T3 and T4 are the active thyroid hormones produced from the thyroid gland which act on various organs of the body.
When to Consult your doctor
If you see any of the above symptoms in your baby, infant or child — particularly slow growth — call your pediatrician.
Treatment
Replacement therapy with synthetic thyroid hormones in the form of a single daily tablet is usually given. Thyroid hormones are critical for normal brain development in babies and children, therefore treatment with the correct dose of synthetic hormone is very important. The child should be retested periodically to make sure the right amount of hormone is given and the dose is adjusted as needed.
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What is hypothyroidism?...
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[blog_title] => 5 Tips to Care for Premature Baby At Home
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Babies born before 37 weeks are known as preterm or premature babies. According to the World Health Organisation (WHO), approximately 15 million babies are born preterm each year and the number continues to rise. Since premature babies are delivered before their due time, some of their internal organs may not be fully developed, thereby making them more vulnerable. Consequently, premature babies spend a few days in the neonatal intensive care unit (NICU) before parents are permitted to take them home.
The transition from hospital to home can be worrisome for new parents as a premature baby requires special and undivided care and attention. But parents must rejoice in the fact that their preterm baby is finally stable enough to be moved from the hospital to the comfort of home. By following the instructions of doctors religiously and keeping in mind some vital tips, parents can nurse their premature baby back to health.
Five Vital Tips to Care for Premature Baby At Home
Feeding the Baby Correctly
Ideally, Mother’s own milk is best nutrition. But premature babies have more nutritional requirements, so feeding a preterm baby is an amalgamation of breast feeding along with supplements and expressed breast milk with fortifiers. So caregivers should be well versed with the feeding techniques (paladai, spoon feeding, tube feeds), avoiding spillages leading to better growth and development. A preterm baby requires 8 to 10 feeds a day and in intervals not exceeding four hours. Comprehension of the cues given by the baby is important both for initiation and completion of feeding, to have adequate feeding as well as avoid overfeeding. Do not forget to burp the baby after every feed.
Also, Read: How to Take Care of Newborn Baby in Summer
Maintaining the Ideal Temperature
While in the hospital or the NICU, the doctors take care of the premature baby’s body and room temperature. Maintenance of body temperature is paramount importance for baby’s growth as the energy consumed should not be used up in maintaining body’s temperature. Once at home, parents should pay special attention to maintaining the ideal room temperature, which is 20-23 degrees Celsius. Similarly, the baby’s body or axillary temperature should range between 36.5-37.0 degrees Celsius. Proper layering should be done. Baby’s temperature should be assessed by comparing hands and feet with the abdominal temperature. Try to avoid over heating as well as low temperatures. In case of doubt, try skin to skin contact for better temperature regulation.
Practicing Kangaroo Care
Kangaroo Mother Care, now better as kangaroo family care is an essential modality of care of premature babies. Caregivers should learn it at hospital and once home, should practice it with their premature baby regularly. Kangaroo care is a special method of holding the baby close to your chest to establish skin-to-skin contact. Mothers, fathers as well as other caregivers, can practice it in a warm room by dressing the baby in a diaper, cap and front open shirt and placing him/her on their chest inside their robes or putting a cloth over, lasting till baby is comfortable. Practicing skin-to-skin contact with the little one can enhance bonding, promotes breastfeeding, stabilizes the baby’s heart and breathing rate, better temperature regulation, faster weight gain, gain in sleep time better development also parents have increased confidence and sense of control.
Also, Read: Precautions to Take When Your Baby Is in Neonatal Care
Helping the Baby Sleep Accurately
For the first few months, parents should pay close attention to their preterm baby’s sleep requirements and habits. sleep is essential to brain development and optimizing physical growth. It is completely normal for the premature baby to sleep the day out and parents should ensure an optimal temperature, dim lighting and no noise in the room. Sleep baby on the back, never on the tummy or side, with head and face uncovered. Wrapping and swaddling have proven benefits. Additionally, parents should make sure that the baby is sleeping on a firm mattress without any pillows or extra blankets that may suffocate him/her, preferably on a separate cot. Skin to skin care sessions also encourage sleep.
Avoiding Visitors and Public Places
The preterm baby’s immunity is very low and has a higher risk of catching infections and diseases. It is advisable to limit the number of visitors to your home for the first few crucial weeks, especially anyone with an illness. Do not allow smoking inside your house or near the baby. All visitors should wash their hands thoroughly before holding or touching the premature baby. Too many visitors can also overstimulate the little ones as preterm babies are extra sensitive to sounds and touch and get tire easily. Moreover, you should also avoid visiting public or crowded places lest baby’s exposed to unwanted infection or smoke.
Final Thoughts
The journey of a premature baby is a roller coster ride, more so for the parents. So the transition from hospital to home and from a premature baby to a mature, stronger baby can be trying and tiring. But regular follow-ups with the doctors, following all the necessary recommendations and devoting extra care and time to the young one can help the new parents and the newborn find stability and safety. Prematurity should not be seen as an encumbrance but rather a blessing to welcome your little one earlier.
Also, Read: Know How the Brain of Your Baby Develops
Apollo Cradle Specialist
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Babies born before 37 weeks are known as preterm or premature babies. According to the World Health Organisation (WHO), approximately 15 million babies are born preterm each year and the number continues to rise. Since premature babies are delivered before their due time, some of their internal organs may not be fully developed, thereby making them more vulnerable. Consequently, premature babies spend a few days in the neonatal intensive care unit (NICU) before parents are permitted to take them home.
The transition from hospital to home can be worrisome for new parents as a premature baby requires special and undivided care and attention. But parents must rejoice in the fact that their preterm baby is finally stable enough to be moved from the hospital to the comfort of home. By following the instructions of doctors religiously and keeping in mind some vital tips, parents can nurse their premature baby back to health.
Five Vital Tips to Care for Premature Baby At Home
Feeding the Baby Correctly
Ideally, Mother’s own milk is best nutrition. But premature babies have more nutritional requirements, so feeding a preterm baby is an amalgamation of breast feeding along with supplements and expressed breast milk with fortifiers. So caregivers should be well versed with the feeding techniques (paladai, spoon feeding, tube feeds), avoiding spillages leading to better growth and development. A preterm baby requires 8 to 10 feeds a day and in intervals not exceeding four hours. Comprehension of the cues given by the baby is important both for initiation and completion of feeding, to have adequate feeding as well as avoid overfeeding. Do not forget to burp the baby after every feed.
Also, Read: How to Take Care of Newborn Baby in Summer
Maintaining the Ideal Temperature
While in the hospital or the NICU, the doctors take care of the premature baby’s body and room temperature. Maintenance of body temperature is paramount importance for baby’s growth as the energy consumed should not be used up in maintaining body’s temperature. Once at home, parents should pay special attention to maintaining the ideal room temperature, which is 20-23 degrees Celsius. Similarly, the baby’s body or axillary temperature should range between 36.5-37.0 degrees Celsius. Proper layering should be done. Baby’s temperature should be assessed by comparing hands and feet with the abdominal temperature. Try to avoid over heating as well as low temperatures. In case of doubt, try skin to skin contact for better temperature regulation.
Practicing Kangaroo Care
Kangaroo Mother Care, now better as kangaroo family care is an essential modality of care of premature babies. Caregivers should learn it at hospital and once home, should practice it with their premature baby regularly. Kangaroo care is a special method of holding the baby close to your chest to establish skin-to-skin contact. Mothers, fathers as well as other caregivers, can practice it in a warm room by dressing the baby in a diaper, cap and front open shirt and placing him/her on their chest inside their robes or putting a cloth over, lasting till baby is comfortable. Practicing skin-to-skin contact with the little one can enhance bonding, promotes breastfeeding, stabilizes the baby’s heart and breathing rate, better temperature regulation, faster weight gain, gain in sleep time better development also parents have increased confidence and sense of control.
Also, Read: Precautions to Take When Your Baby Is in Neonatal Care
Helping the Baby Sleep Accurately
For the first few months, parents should pay close attention to their preterm baby’s sleep requirements and habits. sleep is essential to brain development and optimizing physical growth. It is completely normal for the premature baby to sleep the day out and parents should ensure an optimal temperature, dim lighting and no noise in the room. Sleep baby on the back, never on the tummy or side, with head and face uncovered. Wrapping and swaddling have proven benefits. Additionally, parents should make sure that the baby is sleeping on a firm mattress without any pillows or extra blankets that may suffocate him/her, preferably on a separate cot. Skin to skin care sessions also encourage sleep.
Avoiding Visitors and Public Places
The preterm baby’s immunity is very low and has a higher risk of catching infections and diseases. It is advisable to limit the number of visitors to your home for the first few crucial weeks, especially anyone with an illness. Do not allow smoking inside your house or near the baby. All visitors should wash their hands thoroughly before holding or touching the premature baby. Too many visitors can also overstimulate the little ones as preterm babies are extra sensitive to sounds and touch and get tire easily. Moreover, you should also avoid visiting public or crowded places lest baby’s exposed to unwanted infection or smoke.
Final Thoughts
The journey of a premature baby is a roller coster ride, more so for the parents. So the transition from hospital to home and from a premature baby to a mature, stronger baby can be trying and tiring. But regular follow-ups with the doctors, following all the necessary recommendations and devoting extra care and time to the young one can help the new parents and the newborn find stability and safety. Prematurity should not be seen as an encumbrance but rather a blessing to welcome your little one earlier.
Also, Read: Know How the Brain of Your Baby Develops
Apollo Cradle Specialist
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Babies born before 37 weeks are known as preterm or premature babies...
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[blog_title] => Parenting Tips for the First Two Years of Life
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The first year of being a parent can never be easy, no matter how prepared parents may think they are. No doubt, if not the most, it’s one of the most challenging jobs in the world. It often becomes tough for parents to get their ‘me time’ as they get occupied with a lot of work-related to taking care of their infant in the first two years of life.
During this stage, constant engagement with the child in terms of breastfeeding and caregiving might also take a toll on parents’ sleep cycles. Parents usually don’t realize how soon time passes, but it isn’t always bad. The first two years can be excellent for parents to notice the little things the infant does and may entertain for hours.
Tips to Make This Journey Even More Fruitful
Infants Between the Ages of 0 and 1
Infants are tiny and sensitive at this stage, so good hand hygiene before holding the baby is a must. In the pandemic-stricken world, newborns are vulnerable as they lack a solid immune system and are susceptible to germs, bacteria, and viruses. Also, while carrying or holding infants, supporting their heads and necks is very important till the 3rd or 4th month.
Most infants follow a steady sleep cycle during the initial newborn stage, waking up only for feeds or diaper changes. Babies usually need a feed every 2-3 hours until a particular weight milestone is achieved, post which the feeds can be on-demand which means when the baby cries for milk. This schedule can be stressful for mothers or primary caretakers, and it is essential to sleep or rest when the baby does the same.
Also, Read: How to Manage Your Twin Babies
It is imperative to allow infants to see, hear, touch, and use all their developing senses. It also promotes primary hand, leg, and eye movements. The infants gradually learn to control their actions. When looking into the eyes of a child, always smile. The infant mainly responds to facial expressions. Enjoy this phase, talking to the baby in a calm, quiet tone to engage and interact.
Touch, hold and make skin-to-skin contact to give infants a sense of peace and security. Encourage the infants to achieve their goals like crawling, clapping, moving, and some basic movements. When the infant tries to play, play with them, spend more time with the infants every day to understand their needs and actions better. Breast feeding is the best time for mothers to have conversation with babies, as baby can see mother’s smile and lip movements.
The most important challenge for all new mothers is breast feeding. As according to WHO normal baby should start breast feed within half an hour of delivery. Baby should be breast fed every 2-3 Hours .i.e. nearly 8 to 10 times per day. During initial 2 – 3 days mothers should be monitored by lactation consultant during breast feeding.
Infants Between the Ages of One and Two Years:
One-year-old infants, by this age, start doing a few things for themselves and get pretty good at routine tasks like trying to eat with their hands. Infants begin to observe the parents on how they do things and try to imitate them, like using a spoon, telephone, hairbrush, etc., although they might not get it correct in the first place. Encourage the baby during this phase and help get comfortable around the home environment.
At this stage, the infants also begin to make sounds, smile, and make hand motions, and parents need to assist them in this developing stage to adapt better.
Parents can ask their infant to find any object and give little tasks that will help them recognize things, places, etc. Parents need to ask simple questions and always respond to the child’s attempt to talk to help them start saying a few words in the beginning. Parents can offer their children anything to put in the container and then let them take it out, which will help develop eye and hand coordination—playing a game that can be questioned and answered, such as where is the sky? Where is the bird? What is in the wall picture? It also helps the child to remember a few things.
Also, Read: How to Set a Bedtime Routine for Your Baby
Parents also can teach infants basic gestures like Hi – fi, Clap Hands, waving BYE BYE, Shake hands. Try to teach body parts with help of nursery rhymes audio. Slowly also making learning as fun by showing variety of colour flash cards.
After 15 – 18 Months baby can have diaper free time & learn to toilet train by parents, so as baby can express themselves before going playschool.
Conclusion
Being a parent is the most beautiful feeling, but parenthood is not easy. It is a phase of life where commitment and joy go hand-in-hand. Parents should congratulate themselves on making it through the first two years of parenthood.
Also, Read: Know How the Brain of Your Baby Develops
Apollo Cradle Specialist
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The first year of being a parent can never be easy, no matter how prepared parents may think they are. No doubt, if not the most, it’s one of the most challenging jobs in the world. It often becomes tough for parents to get their ‘me time’ as they get occupied with a lot of work-related to taking care of their infant in the first two years of life.
During this stage, constant engagement with the child in terms of breastfeeding and caregiving might also take a toll on parents’ sleep cycles. Parents usually don’t realize how soon time passes, but it isn’t always bad. The first two years can be excellent for parents to notice the little things the infant does and may entertain for hours.
Tips to Make This Journey Even More Fruitful
Infants Between the Ages of 0 and 1
Infants are tiny and sensitive at this stage, so good hand hygiene before holding the baby is a must. In the pandemic-stricken world, newborns are vulnerable as they lack a solid immune system and are susceptible to germs, bacteria, and viruses. Also, while carrying or holding infants, supporting their heads and necks is very important till the 3rd or 4th month.
Most infants follow a steady sleep cycle during the initial newborn stage, waking up only for feeds or diaper changes. Babies usually need a feed every 2-3 hours until a particular weight milestone is achieved, post which the feeds can be on-demand which means when the baby cries for milk. This schedule can be stressful for mothers or primary caretakers, and it is essential to sleep or rest when the baby does the same.
Also, Read: How to Manage Your Twin Babies
It is imperative to allow infants to see, hear, touch, and use all their developing senses. It also promotes primary hand, leg, and eye movements. The infants gradually learn to control their actions. When looking into the eyes of a child, always smile. The infant mainly responds to facial expressions. Enjoy this phase, talking to the baby in a calm, quiet tone to engage and interact.
Touch, hold and make skin-to-skin contact to give infants a sense of peace and security. Encourage the infants to achieve their goals like crawling, clapping, moving, and some basic movements. When the infant tries to play, play with them, spend more time with the infants every day to understand their needs and actions better. Breast feeding is the best time for mothers to have conversation with babies, as baby can see mother’s smile and lip movements.
The most important challenge for all new mothers is breast feeding. As according to WHO normal baby should start breast feed within half an hour of delivery. Baby should be breast fed every 2-3 Hours .i.e. nearly 8 to 10 times per day. During initial 2 – 3 days mothers should be monitored by lactation consultant during breast feeding.
Infants Between the Ages of One and Two Years:
One-year-old infants, by this age, start doing a few things for themselves and get pretty good at routine tasks like trying to eat with their hands. Infants begin to observe the parents on how they do things and try to imitate them, like using a spoon, telephone, hairbrush, etc., although they might not get it correct in the first place. Encourage the baby during this phase and help get comfortable around the home environment.
At this stage, the infants also begin to make sounds, smile, and make hand motions, and parents need to assist them in this developing stage to adapt better.
Parents can ask their infant to find any object and give little tasks that will help them recognize things, places, etc. Parents need to ask simple questions and always respond to the child’s attempt to talk to help them start saying a few words in the beginning. Parents can offer their children anything to put in the container and then let them take it out, which will help develop eye and hand coordination—playing a game that can be questioned and answered, such as where is the sky? Where is the bird? What is in the wall picture? It also helps the child to remember a few things.
Also, Read: How to Set a Bedtime Routine for Your Baby
Parents also can teach infants basic gestures like Hi – fi, Clap Hands, waving BYE BYE, Shake hands. Try to teach body parts with help of nursery rhymes audio. Slowly also making learning as fun by showing variety of colour flash cards.
After 15 – 18 Months baby can have diaper free time & learn to toilet train by parents, so as baby can express themselves before going playschool.
Conclusion
Being a parent is the most beautiful feeling, but parenthood is not easy. It is a phase of life where commitment and joy go hand-in-hand. Parents should congratulate themselves on making it through the first two years of parenthood.
Also, Read: Know How the Brain of Your Baby Develops
Apollo Cradle Specialist
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The first year of being a parent can never be easy, no matter how pr...
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[blog_title] => 5 Most Common Digestive Disorders in Kids
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“My tummy hurts” or “my belly aches” are the two most common complaints in any house with little children. Stomach ache in kids usually come and go, but can be a matter of concern if it tends to persist. If a child frequently complains of stomach ache, parents must not hesitate in visiting a doctor. Recurring or chronic stomach aches can disrupt the growth and development of a child and interfere with their day-to-day life.
Stomach aches could be an indication of an underlying digestive condition or disorder. More often than not, these digestive issues share some common symptoms such as stomach ache, diarrhoea, nausea, vomiting, bloating or blood in the stool. If a child presents one or more of these symptoms, it’s best to seek medical counsel so a proper diagnosis can be made. Below are some of the,
Most Common Digestive Disorders in Kids
-
Inflammatory Bowel Disease
Inflammatory Bowel Disease (IBD) is a group of digestive disorders that causes inflammation in part or all of the intestine. IBD is known to include Crohn’s disease and ulcerative colitis – two major disorders that affect the bowel. Over 1.5 million patients suffer from chronic inflammation of the intestines in India. It usually affects older children or teens. The most common symptoms of IBD are abdominal pain, diarrhoea, constipation, bloating. IBD can stunt a child’s growth or delay the onset of puberty. Over the passage of time, IBD can also destruct the bowel walls leading to narrowing of intestines and sores. Medications along with diet changes can ease the symptoms of IBD.
Also, Read: Dengue Fever: Symptoms, Treatment, and Prevention in Kids
A child is said to have celiac disease when he is intolerant to gluten, a type of protein found in wheat, barley and rye. Because of this disorder, their immune system mistakenly attacks and damages the lining of their small intestine. As a result, preventing their body from absorbing valuable nutrients and causing weight loss. The most common symptoms are stomach ache, vomiting, diarrhoea, bloating and constipation. By following a strict gluten-free diet, celiac disease can be treated and the damage already done to the intestine lining can be healed.
Some kids’ bodies are unable to break down or process lactose, a naturally occurring sugar in milk and other dairy products. This is because their bodies lack an enzyme needed for breaking down lactose. As a result, they become lactose intolerant and are unable to digest milk and dairy products. These children may present symptoms like diarrhoea, stomach cramps, gas or bloating after consuming dairy products. Fortunately, lactose intolerance can be treated by either not consuming dairy products or taking enzyme supplements to help break down the lactose in dairy products.
-
Eosinophilic Gastrointestinal Disorders
A prevalent digestive disorder among kids is eosinophilic gastrointestinal disorder (EGID). It is caused by a surplus or collection of white blood cells in the child’s digestive tract. As a result of the inflammation and swelling in the tract, the child may experience trouble swallowing, pain, nausea and vomiting. There is no absolute cure for EGID, but certain medications can lower the number of white blood cells in the gut and ease the symptoms. Since EGID is often caused by allergic reactions to certain foods, the doctor may advise some changes in the diet.
A common intestinal disorder, irritable bowel syndrome (IBS), indicates a problem in the intestine or bowel. It is a chronic condition that causes disruption in bowel movements and leads to loose and frequent bowel movements, stomach pain, diarrhoea and gas. The doctor may need to identify what triggers IBS in the child. IBS can be treated with specific dietary changes, medications or probiotics.
Final Thoughts
The formative years in a child’s life are crucial for the rest of his life to be healthy and happy. By identifying these symptoms and timely diagnosing these digestive disorders or conditions in children, parents can ensure that their child’s growth and development are not disrupted. If these symptoms persist in a child and interfere with their routine activities, it is best to visit a doctor at the earliest. No child’s childhood should pass clutching his stomach or crying in pain; these are their years for playing and enjoying.
Also, Read: Diet of Kids with Cystic Fibrosis
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“My tummy hurts” or “my belly aches” are the two most common complaints in any house with little children. Stomach ache in kids usually come and go, but can be a matter of concern if it tends to persist. If a child frequently complains of stomach ache, parents must not hesitate in visiting a doctor. Recurring or chronic stomach aches can disrupt the growth and development of a child and interfere with their day-to-day life.
Stomach aches could be an indication of an underlying digestive condition or disorder. More often than not, these digestive issues share some common symptoms such as stomach ache, diarrhoea, nausea, vomiting, bloating or blood in the stool. If a child presents one or more of these symptoms, it’s best to seek medical counsel so a proper diagnosis can be made. Below are some of the,
Most Common Digestive Disorders in Kids
-
Inflammatory Bowel Disease
Inflammatory Bowel Disease (IBD) is a group of digestive disorders that causes inflammation in part or all of the intestine. IBD is known to include Crohn’s disease and ulcerative colitis – two major disorders that affect the bowel. Over 1.5 million patients suffer from chronic inflammation of the intestines in India. It usually affects older children or teens. The most common symptoms of IBD are abdominal pain, diarrhoea, constipation, bloating. IBD can stunt a child’s growth or delay the onset of puberty. Over the passage of time, IBD can also destruct the bowel walls leading to narrowing of intestines and sores. Medications along with diet changes can ease the symptoms of IBD.
Also, Read: Dengue Fever: Symptoms, Treatment, and Prevention in Kids
A child is said to have celiac disease when he is intolerant to gluten, a type of protein found in wheat, barley and rye. Because of this disorder, their immune system mistakenly attacks and damages the lining of their small intestine. As a result, preventing their body from absorbing valuable nutrients and causing weight loss. The most common symptoms are stomach ache, vomiting, diarrhoea, bloating and constipation. By following a strict gluten-free diet, celiac disease can be treated and the damage already done to the intestine lining can be healed.
Some kids’ bodies are unable to break down or process lactose, a naturally occurring sugar in milk and other dairy products. This is because their bodies lack an enzyme needed for breaking down lactose. As a result, they become lactose intolerant and are unable to digest milk and dairy products. These children may present symptoms like diarrhoea, stomach cramps, gas or bloating after consuming dairy products. Fortunately, lactose intolerance can be treated by either not consuming dairy products or taking enzyme supplements to help break down the lactose in dairy products.
-
Eosinophilic Gastrointestinal Disorders
A prevalent digestive disorder among kids is eosinophilic gastrointestinal disorder (EGID). It is caused by a surplus or collection of white blood cells in the child’s digestive tract. As a result of the inflammation and swelling in the tract, the child may experience trouble swallowing, pain, nausea and vomiting. There is no absolute cure for EGID, but certain medications can lower the number of white blood cells in the gut and ease the symptoms. Since EGID is often caused by allergic reactions to certain foods, the doctor may advise some changes in the diet.
A common intestinal disorder, irritable bowel syndrome (IBS), indicates a problem in the intestine or bowel. It is a chronic condition that causes disruption in bowel movements and leads to loose and frequent bowel movements, stomach pain, diarrhoea and gas. The doctor may need to identify what triggers IBS in the child. IBS can be treated with specific dietary changes, medications or probiotics.
Final Thoughts
The formative years in a child’s life are crucial for the rest of his life to be healthy and happy. By identifying these symptoms and timely diagnosing these digestive disorders or conditions in children, parents can ensure that their child’s growth and development are not disrupted. If these symptoms persist in a child and interfere with their routine activities, it is best to visit a doctor at the earliest. No child’s childhood should pass clutching his stomach or crying in pain; these are their years for playing and enjoying.
Also, Read: Diet of Kids with Cystic Fibrosis
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[blog_title] => Impact of Online Education on Kids’ Health
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Ever since the outbreak of the Covid-19 pandemic, our lives have upended in anticipated ways. As the world was thrust into consecutive lockdowns, businesses became digital, offices adopted remote work and schools took to online education. Cooped up inside homes, kids began spending hours glued to their screens, taking one class after another. The excitement of the first few months gave way to the physical and mental toll that was soon to follow.
Extensively long screen hours and lack of physical activity have caused adverse effects on the physical as well as mental health of these kids. From eyesight problems and poor posture to mounting levels of stress and anxiety and emotional outbursts, online education has deteriorated the health of children. Given the paradigm shift towards online education, kids have developed severe health conditions that could have a long-term impact on their life.
Severe Health Effects on Kids’ Health Due to Online Education
• Eyesight Problems
One of the most visible and early impacts of online classes seen in children is eyesight problems. As children attend school online and later tuitions and extracurricular activities as well, their screen time has increased. Due to prolonged hours before a screen, the strain on their eyes has aggravated, resulting in poor vision and headaches. Lack of clarity in vision and frequent headaches are the tell-tale signs of deteriorating eyesight and parents should see a doctor at the earliest.
Also, Read: How to Care for your Kids During Summer
• Poor Posture
As kids began taking online classes from the comfort of their beds and sofas, their posture was severely compromised. Constant sitting and lack of physical games and activities have further exacerbated their postural problems. As a result, kids are nowadays complaining of backaches, neck pain, fibromyalgia, etc. Parents must make sure that children sit straight on a table and chair instead of lying down or bending at add angles while studying. Including some stretching and physical exercises daily can also help in rectifying their posture.
• Fatigue
Back-to-back Zoom classes, online games and binge-watching have led to mental fatigue and burnout in young children. Children are spending maximum hours before a screen for studying as well as recreation. Online education has robbed kids of going to school, participating in new activities, getting exposure and making new friends. As a result, kids of such young age are facing lethargy, boredom and exhaustion. This can have a severe impact on their mental and emotional well-being.
• Obesity
Lack of regular physical activities, sports participation, and extended sitting have resulted in weight gain in masses of children. Along with constant sitting, kids are binge eating snacks and junk food which is resulting in obesity in many young kids. Due to physical inactivity, kids are losing their muscle mass and gaining fat. As a result, they are experiencing obesity, lack of stamina and flexibility.
• Deficiencies
Lack of a stable school-going routine has caused kids to wake up and take their meals at irregular times. Additionally, lack of exposure to Sun and sports along with poor diets is resulting in nutritional deficiencies in young kids. As a result of dietary deficiencies, kids are becoming prone to injuries and their fitness levels are deteriorating. Deficiencies in a child’s formative years can cause them serious health concerns in later life.
• Restlessness and Anxiety
Due to the pandemic, disruption in their school lives and education has caused kids to become easily restless and anxious. Moreover, social isolation and recent traumas are worsening the mental state of young children. Skipping online classes, lack of a serious environment and other factors are causing their attention span to decrease. As a result, kids are becoming more fidgety, inattentive and anxious. Such kids are also more likely to face self-esteem and stress issues.
Key Takeaways
While it is impossible to predict when the global pandemic will pass and life will return to normal, it is possible to minimize the adverse effects of online education on kids. Maintaining a routine that involves physical exercise, healthy diet and sound sleeping habits can help kids get their lives back on track. Parents should be cautious and supportive and help their kids create a healthy routine for themselves. They should not only focus on their physical well-being but also their mental health so future problems can be averted well in time.
Also, Read: Child Development Milestones
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Ever since the outbreak of the Covid-19 pandemic, our lives have upended in anticipated ways. As the world was thrust into consecutive lockdowns, businesses became digital, offices adopted remote work and schools took to online education. Cooped up inside homes, kids began spending hours glued to their screens, taking one class after another. The excitement of the first few months gave way to the physical and mental toll that was soon to follow.
Extensively long screen hours and lack of physical activity have caused adverse effects on the physical as well as mental health of these kids. From eyesight problems and poor posture to mounting levels of stress and anxiety and emotional outbursts, online education has deteriorated the health of children. Given the paradigm shift towards online education, kids have developed severe health conditions that could have a long-term impact on their life.
Severe Health Effects on Kids’ Health Due to Online Education
• Eyesight Problems
One of the most visible and early impacts of online classes seen in children is eyesight problems. As children attend school online and later tuitions and extracurricular activities as well, their screen time has increased. Due to prolonged hours before a screen, the strain on their eyes has aggravated, resulting in poor vision and headaches. Lack of clarity in vision and frequent headaches are the tell-tale signs of deteriorating eyesight and parents should see a doctor at the earliest.
Also, Read: How to Care for your Kids During Summer
• Poor Posture
As kids began taking online classes from the comfort of their beds and sofas, their posture was severely compromised. Constant sitting and lack of physical games and activities have further exacerbated their postural problems. As a result, kids are nowadays complaining of backaches, neck pain, fibromyalgia, etc. Parents must make sure that children sit straight on a table and chair instead of lying down or bending at add angles while studying. Including some stretching and physical exercises daily can also help in rectifying their posture.
• Fatigue
Back-to-back Zoom classes, online games and binge-watching have led to mental fatigue and burnout in young children. Children are spending maximum hours before a screen for studying as well as recreation. Online education has robbed kids of going to school, participating in new activities, getting exposure and making new friends. As a result, kids of such young age are facing lethargy, boredom and exhaustion. This can have a severe impact on their mental and emotional well-being.
• Obesity
Lack of regular physical activities, sports participation, and extended sitting have resulted in weight gain in masses of children. Along with constant sitting, kids are binge eating snacks and junk food which is resulting in obesity in many young kids. Due to physical inactivity, kids are losing their muscle mass and gaining fat. As a result, they are experiencing obesity, lack of stamina and flexibility.
• Deficiencies
Lack of a stable school-going routine has caused kids to wake up and take their meals at irregular times. Additionally, lack of exposure to Sun and sports along with poor diets is resulting in nutritional deficiencies in young kids. As a result of dietary deficiencies, kids are becoming prone to injuries and their fitness levels are deteriorating. Deficiencies in a child’s formative years can cause them serious health concerns in later life.
• Restlessness and Anxiety
Due to the pandemic, disruption in their school lives and education has caused kids to become easily restless and anxious. Moreover, social isolation and recent traumas are worsening the mental state of young children. Skipping online classes, lack of a serious environment and other factors are causing their attention span to decrease. As a result, kids are becoming more fidgety, inattentive and anxious. Such kids are also more likely to face self-esteem and stress issues.
Key Takeaways
While it is impossible to predict when the global pandemic will pass and life will return to normal, it is possible to minimize the adverse effects of online education on kids. Maintaining a routine that involves physical exercise, healthy diet and sound sleeping habits can help kids get their lives back on track. Parents should be cautious and supportive and help their kids create a healthy routine for themselves. They should not only focus on their physical well-being but also their mental health so future problems can be averted well in time.
Also, Read: Child Development Milestones
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Ever since the outbreak of the Covid-19 pandemic, our lives have upe...
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[blog_title] => Monkey pox and its impact on Children & Pregnant Moms
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Everyone has been reading or hearing about the most recent virus outbreak i.e. monkey pox. The worry is much greater when it comes to children, and it is important to know some basic facts about this new outbreak, before getting unnecessarily anxious.
Monkey pox has several symptoms common to other viruses, including ‘hand, foot and mouth disease’ or measles and chicken-pox, and it is best to consult a paediatrician for a correct diagnosis. This virus is contagious, and usually spreads through close physical contact. It can take between 5 days to 3 weeks after exposure, for symptoms to become evident.
Though children can contract this virus, parents can rest assured that in nearly all children the risk is low.
SYMPTOMS:
- Fever
- Shivering / Chills
- Headache
- Muscle Soreness
- Backache
- Fatigue
- Swollen lymph nodes
- Rash or blisters that appear on the face, in the mouth or on other parts of the body (hands, feet or chest)
The rash is the most significant symptom. Like in measles and chicken-pox, the rash turns into boils. They become reddish, filled with fluid/pus, turn into scabs and eventually fall off. After this, the skin heals.
HOW IT SPREADS:
- Direct contact with rash, scabs or body fluids
- Touching, hugging, cuddling an infected person
- Prolonged face-to-face contact (through respiratory particles, while breathing in close proximity)
- Touching contaminated items like bedding, clothing or objects (toys, pillows) previously touched by a person.
- Foetus getting it within the womb (via placenta)
- Getting scratched or bitten by an infected animal, or eating contaminated meat.
An infected person may keep transmitting the virus from the time s/he contracts it, until the skin has healed after the rash disappears.
RISK LEVEL OF MONKEYPOX: PREGNANT WOMEN & CHILDREN
- Compared to COVID-19, monkey pox takes much longer to transmit to another person, so one need not panic.
- It is still quite rare, and this makes it a less dangerous illness.
- Most people are known to heal by themselves but, in exceptional cases, pneumonia, eye or brain infections can occur.
- A foetus may contract it from the mother, in the womb.
- Pregnant women and children below 8 are at a greater risk for severe disease.
VACCINES IN INDIA:
As we have witnessed in the case of COVID-19, vaccines help patients get a less severe form of the virus, and they tend to recover better and faster.
In the case of monkey pox, 2 vaccines have been approved and licensed by the FDA (Food & Drug Authority) – JYNNEOS and ACAM2000
They are / are not yet available in India.
Pregnant women and nursing mothers are not eligible for these vaccines. The former can receive treatment via monoclonal antibodies, if they contract the virus.
DO’s & DON’Ts for PARENTS:
It is only natural that parents may feel worried about this new virus. Therefore, some simple precautions and steps can ensure that the virus does not spread further, and children and adults are safe.
Frequent hand washing:
It is essential that you and your children maintain good hygiene practices, in order to help contain the virus before it spreads. Washing hands with a mild soap or an alcohol-based sanitizer can prevent most infections anyway.
Avoiding close contact with suspected or confirmed cases:
If someone has been diagnosed with the monkey pox virus, it is safest to avoid close contact.
Little children, pregnant women and nursing mothers should not have any physical interaction with the person. Touching any objects used by that person is a big ‘No!’.
Speak to your child’s doc:
If any person in the family seems to have a boil, rash or symptoms listed above, speak to your doctor immediately. A blood test maybe recommended, to confirm whether it is monkey pox or something else. Presently testing is done by government authority only.
In a population of over 1 billion, 8 or 9 cases is still a very small number. This reflects how one need not get overly anxious or panicky about the situation. By taking basic precautions one can stay safe and healthy.
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Everyone has been reading or hearing about the most recent virus outbreak i.e. monkey pox. The worry is much greater when it comes to children, and it is important to know some basic facts about this new outbreak, before getting unnecessarily anxious.
Monkey pox has several symptoms common to other viruses, including ‘hand, foot and mouth disease’ or measles and chicken-pox, and it is best to consult a paediatrician for a correct diagnosis. This virus is contagious, and usually spreads through close physical contact. It can take between 5 days to 3 weeks after exposure, for symptoms to become evident.
Though children can contract this virus, parents can rest assured that in nearly all children the risk is low.
SYMPTOMS:
- Fever
- Shivering / Chills
- Headache
- Muscle Soreness
- Backache
- Fatigue
- Swollen lymph nodes
- Rash or blisters that appear on the face, in the mouth or on other parts of the body (hands, feet or chest)
The rash is the most significant symptom. Like in measles and chicken-pox, the rash turns into boils. They become reddish, filled with fluid/pus, turn into scabs and eventually fall off. After this, the skin heals.
HOW IT SPREADS:
- Direct contact with rash, scabs or body fluids
- Touching, hugging, cuddling an infected person
- Prolonged face-to-face contact (through respiratory particles, while breathing in close proximity)
- Touching contaminated items like bedding, clothing or objects (toys, pillows) previously touched by a person.
- Foetus getting it within the womb (via placenta)
- Getting scratched or bitten by an infected animal, or eating contaminated meat.
An infected person may keep transmitting the virus from the time s/he contracts it, until the skin has healed after the rash disappears.
RISK LEVEL OF MONKEYPOX: PREGNANT WOMEN & CHILDREN
- Compared to COVID-19, monkey pox takes much longer to transmit to another person, so one need not panic.
- It is still quite rare, and this makes it a less dangerous illness.
- Most people are known to heal by themselves but, in exceptional cases, pneumonia, eye or brain infections can occur.
- A foetus may contract it from the mother, in the womb.
- Pregnant women and children below 8 are at a greater risk for severe disease.
VACCINES IN INDIA:
As we have witnessed in the case of COVID-19, vaccines help patients get a less severe form of the virus, and they tend to recover better and faster.
In the case of monkey pox, 2 vaccines have been approved and licensed by the FDA (Food & Drug Authority) – JYNNEOS and ACAM2000
They are / are not yet available in India.
Pregnant women and nursing mothers are not eligible for these vaccines. The former can receive treatment via monoclonal antibodies, if they contract the virus.
DO’s & DON’Ts for PARENTS:
It is only natural that parents may feel worried about this new virus. Therefore, some simple precautions and steps can ensure that the virus does not spread further, and children and adults are safe.
Frequent hand washing:
It is essential that you and your children maintain good hygiene practices, in order to help contain the virus before it spreads. Washing hands with a mild soap or an alcohol-based sanitizer can prevent most infections anyway.
Avoiding close contact with suspected or confirmed cases:
If someone has been diagnosed with the monkey pox virus, it is safest to avoid close contact.
Little children, pregnant women and nursing mothers should not have any physical interaction with the person. Touching any objects used by that person is a big ‘No!’.
Speak to your child’s doc:
If any person in the family seems to have a boil, rash or symptoms listed above, speak to your doctor immediately. A blood test maybe recommended, to confirm whether it is monkey pox or something else. Presently testing is done by government authority only.
In a population of over 1 billion, 8 or 9 cases is still a very small number. This reflects how one need not get overly anxious or panicky about the situation. By taking basic precautions one can stay safe and healthy.
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[blog_title] => Know How the Brain of Your Baby Develops
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Development of Baby Brain –
As you may know, the brain and neural systems direct all functions and voluntary and involuntary activities of the body. The course of foetal brain development is fascinating as it starts as early as when the baby is still a tiny embryo, when you may not even be aware of your pregnancy. The various stages of brain development in a baby are explained below-
During the First Trimester
A few weeks after the conception, the embryo forms the neural plate of the foetus. This rudimentary structure eventually develops into the brain and spinal cord of the baby. The first trimester sees rapid foetal brain development, with cells differentiating for their eventual functions. 4 to 5 weeks into pregnancy, the neural plate elongates and folds onto itself forming a neural tube. The bulging part of the neural tube later develops into the three portions of the brain- forebrain, midbrain and hindbrain, while the rest of the part further elongates to become the spinal cord.
Eventually, the five regions of the brain develop – cerebrum, cerebellum, brain stem, pituitary gland and hypothalamus. These distinct parts are not fully developed in the first trimester.
At this stage, the first interactions between neurons appear and the foetus shows synapses. Hence, the baby may make tiny indistinct movements that may go undetected by the mother.
During the Second Trimester
In the second trimester, the brain structure and functions develop significantly. The brain can now control the functions and movements of the body. It can now control breathing by directing steady contractions of the diaphragm and chest muscles. Motor control of the brain is more pronounced in the second trimester, hence, the baby becomes more active. You may experience the baby kicking, stretching and moving inside the womb.
The nerves cells become covered in the myelin sheath, which is an insulating layer that facilitates the rapid transmission of electrical impulses. Hence, this stage is also marked with reflex movement development of the baby such as sucking and blinking. The baby can now swallow the amniotic fluid. The nervous system, too, is developed, so the baby can detect the noises from outside. Around this time, the brain develops a sleep pattern and it structurally resembles an adult brain.
During the Third Trimester
The brain development rate is highest in the third trimester. More and more grooves are formed on the brain’s surface and its weight also increases. The cerebellum of the brain undergoes the fastest growth than any other brain structure. Since the cerebellum is responsible for motor skills and controlling voluntary movements, the baby’s activity increases substantially. You can very distinctly feel the baby wiggling, punching or kicking inside the womb. In fact, the movements can get surprisingly strong.
You should monitor the baby’s movements to map brain development. You can go for prenatal screening to ensure that the baby’s brain is developing satisfactorily. It can also help identify any disorder or abnormalities at the earliest stage. This helps you begin treatment on time.
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Development of Baby Brain –
As you may know, the brain and neural systems direct all functions and voluntary and involuntary activities of the body. The course of foetal brain development is fascinating as it starts as early as when the baby is still a tiny embryo, when you may not even be aware of your pregnancy. The various stages of brain development in a baby are explained below-
During the First Trimester
A few weeks after the conception, the embryo forms the neural plate of the foetus. This rudimentary structure eventually develops into the brain and spinal cord of the baby. The first trimester sees rapid foetal brain development, with cells differentiating for their eventual functions. 4 to 5 weeks into pregnancy, the neural plate elongates and folds onto itself forming a neural tube. The bulging part of the neural tube later develops into the three portions of the brain- forebrain, midbrain and hindbrain, while the rest of the part further elongates to become the spinal cord.
Eventually, the five regions of the brain develop – cerebrum, cerebellum, brain stem, pituitary gland and hypothalamus. These distinct parts are not fully developed in the first trimester.
At this stage, the first interactions between neurons appear and the foetus shows synapses. Hence, the baby may make tiny indistinct movements that may go undetected by the mother.
During the Second Trimester
In the second trimester, the brain structure and functions develop significantly. The brain can now control the functions and movements of the body. It can now control breathing by directing steady contractions of the diaphragm and chest muscles. Motor control of the brain is more pronounced in the second trimester, hence, the baby becomes more active. You may experience the baby kicking, stretching and moving inside the womb.
The nerves cells become covered in the myelin sheath, which is an insulating layer that facilitates the rapid transmission of electrical impulses. Hence, this stage is also marked with reflex movement development of the baby such as sucking and blinking. The baby can now swallow the amniotic fluid. The nervous system, too, is developed, so the baby can detect the noises from outside. Around this time, the brain develops a sleep pattern and it structurally resembles an adult brain.
During the Third Trimester
The brain development rate is highest in the third trimester. More and more grooves are formed on the brain’s surface and its weight also increases. The cerebellum of the brain undergoes the fastest growth than any other brain structure. Since the cerebellum is responsible for motor skills and controlling voluntary movements, the baby’s activity increases substantially. You can very distinctly feel the baby wiggling, punching or kicking inside the womb. In fact, the movements can get surprisingly strong.
You should monitor the baby’s movements to map brain development. You can go for prenatal screening to ensure that the baby’s brain is developing satisfactorily. It can also help identify any disorder or abnormalities at the earliest stage. This helps you begin treatment on time.
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Development of Baby Brain –
As yo...
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Symptoms & Coping Strategies for Epigastric Hernia
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An epigastric hernia is a condition where a part of the upper abdomen, which lies between the chest and the belly button, forms a small, outward bulge. It happens when a weakened portion of the abdomen allows for the tissues or fat to push through.
Risk factors of Epigastric Hernia
Epigastric Hernia is caused due to many factors. Some of the common risk factors that increase your chances of developing an epigastric hernia include:
- Previous surgeries
- Abdominal injuries
- Genetic defects
- Strenuous physical activity, such as lifting weights
- Chronic coughing
- Obesity
- History of hernia
- Pregnancy
The condition can occur in children as well as adults. In infants, they may be present since birth. Among adults, the risk could increase with age.
Symptoms of Epigastric Hernia
In most epigastric hernia cases, a small, protruding bulge forms in the upper abdomen. However, this sign may not always be noticeable. It may become lucid when the person affected is coughing, crying, sitting, standing for long durations, or experiencing abdominal strain.
The affected area could emanate a dull ache that worsens through the day or sharp pain that develops immediately. Apart from this, doctors also look for signs such as tenderness and redness. In some cases, a person may also develop more than one hernia.
Most hernias can be diagnosed with a physical examination. The condition affects children as well as adults. If you notice a small abdominal bulge or pain, consult your doctor.
How to cope with Epigastric Hernia?
Epigastric hernias do not heal on their own. They require medical attention, and the most common way of treatment is surgery.
If an infant has had an epigastric hernia since birth, the condition is left untreated until the child grows up. Surgery is performed when they are older, so they can tolerate it better.
As for adults, they could be suffering from epigastric hernia long before the symptoms appear. In some cases, hernias do not cause pain, and thus, years could pass by without the patient noticing them. The treatment, as with children, is surgery.
There are two types of surgeries available for epigastric hernia – open surgery and minimally invasive surgery. During open surgery, the mass is manually pushed back into place. If required, they may also place a mesh in the affected area to support it. Recovering from open surgery may take several weeks.
Minimally invasive surgery, meanwhile, involves using a laparoscope and a special gas. A mesh will be inserted, if necessary. This technique results in less scarring and quicker recovery. Your physician will be able to better determine which procedure is suitable for you.
An incarcerated hernia, or a hernia that remains in the out position, demands immediate attention. If left untreated, it could turn into a strangulated hernia. This condition is signified by the affected tissue turning red or purple, accompanied by signs such as nausea, swelling, diarrhoea, and more.
After surgery, the patient should avoid any activities that lead to abdominal pressure. The area of surgery must be protected during sneezing, coughing, crying, vomiting, or other such activities.
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Symptoms & Coping Strategies for Epigastric Hernia
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An epigastric hernia is a condition where a part of the upper abdomen, which lies between the chest and the belly button, forms a small, outward bulge. It happens when a weakened portion of the abdomen allows for the tissues or fat to push through.
Risk factors of Epigastric Hernia
Epigastric Hernia is caused due to many factors. Some of the common risk factors that increase your chances of developing an epigastric hernia include:
- Previous surgeries
- Abdominal injuries
- Genetic defects
- Strenuous physical activity, such as lifting weights
- Chronic coughing
- Obesity
- History of hernia
- Pregnancy
The condition can occur in children as well as adults. In infants, they may be present since birth. Among adults, the risk could increase with age.
Symptoms of Epigastric Hernia
In most epigastric hernia cases, a small, protruding bulge forms in the upper abdomen. However, this sign may not always be noticeable. It may become lucid when the person affected is coughing, crying, sitting, standing for long durations, or experiencing abdominal strain.
The affected area could emanate a dull ache that worsens through the day or sharp pain that develops immediately. Apart from this, doctors also look for signs such as tenderness and redness. In some cases, a person may also develop more than one hernia.
Most hernias can be diagnosed with a physical examination. The condition affects children as well as adults. If you notice a small abdominal bulge or pain, consult your doctor.
How to cope with Epigastric Hernia?
Epigastric hernias do not heal on their own. They require medical attention, and the most common way of treatment is surgery.
If an infant has had an epigastric hernia since birth, the condition is left untreated until the child grows up. Surgery is performed when they are older, so they can tolerate it better.
As for adults, they could be suffering from epigastric hernia long before the symptoms appear. In some cases, hernias do not cause pain, and thus, years could pass by without the patient noticing them. The treatment, as with children, is surgery.
There are two types of surgeries available for epigastric hernia – open surgery and minimally invasive surgery. During open surgery, the mass is manually pushed back into place. If required, they may also place a mesh in the affected area to support it. Recovering from open surgery may take several weeks.
Minimally invasive surgery, meanwhile, involves using a laparoscope and a special gas. A mesh will be inserted, if necessary. This technique results in less scarring and quicker recovery. Your physician will be able to better determine which procedure is suitable for you.
An incarcerated hernia, or a hernia that remains in the out position, demands immediate attention. If left untreated, it could turn into a strangulated hernia. This condition is signified by the affected tissue turning red or purple, accompanied by signs such as nausea, swelling, diarrhoea, and more.
After surgery, the patient should avoid any activities that lead to abdominal pressure. The area of surgery must be protected during sneezing, coughing, crying, vomiting, or other such activities.
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An epigastric hernia is a condition where a part of the upper abdome...
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[blog_title] => Teach Your Child To Grip The Pencil Or Pen Better
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How old is your child?
What kind of motor activities do you engage your little one in?
Do you know that good eye-hand coordination is essential for good writing skills?
By the time a child is about 2 years old, they have already learnt to attempt holding things with their hands, while playing with things like toys or objects around the house. Initially it may be larger objects, and then slowly they develop the capacity to hold slimmer and smaller objects.
As your child is ready to go to play school and then kindergarten, it is time to help them get comfortable getting a good grip on the pencil, so that they will write better and not strain their hands or wrists.
Observe their natural tendencies:
Before teaching them, observe your children’s natural tendencies while writing, drawing or scribbling.
Do they use their right hand or left?
Do they switch between either hand?
Are they able to effortlessly use both hands
Never insist on a child using only the right hand, or only one hand. It is their innate skill, and must not be restrained in any way. Children who can write, eat or work with either hand, or use both simultaneously are ambidextrous and always likely to be more intelligent and gifted.
Start with some colours and plenty of freedom:
Give your child an assortment of colour pencils, crayons and felt tip pens, along with blank papers. Let them unleash their creativity on it, uninhibitedly. As they enjoy dots, lines, curves and scribbles, they will associate stationery with joy.
Whether they colouring inside the lines or outside, should be from their imagination. Allow them to draw whatever they associate with. If a cat is purple and a dog is silver, that’s welcome. Leave them to do as they please, without too many instructions. The more they get bored, the more they will innovate while at play.
Keep complimenting them on their efforts, and appreciating their art. This is an age where they should be taught to believe in themselves.
Show them how:
A simple and easy technique while initiating your child into writing, is to show them how to grip the pencil or pen while writing. They learn by observing.
If a child is too young, use an object resembling a pencil, but ensure it does not have sharp edges.
Hold their hand while practising:
Once a child is going to learn writing the alphabet in school, start practising by holding their hand as they attempt to write.
They might falter or grip it too tight or too loose. Gently show them the correct way.
Start with simple shapes:
Draw some basic shapes on a blank page, and ask your child to copy it, while asking them what it resembles. Circles, lines, diagonals, curved lines are easy to replicate, and associating them with real objects will help them remember.
Different types of grip:
Every child will eventually grip the pen/pencil differently.
1. Tripod grip:
In this style, a person holds the pencil between the thumb and the index finger, and the writing instrument rests on the middle finger. This is one of the most common methods of holding a pen/pencil while writing.
2. Quadrupod Grip:
In this style, a person holds the pen/pencil between the thumb and the index finger+middle finger, while resting it on the ring finger.
Common challenges while learning:
In the initial months, a child is likely to struggle with finding the ideal way to grip the pencil while writing. Some common hiccups are:
- Gripping the pencil too tightly or too loose.
- Holding the pencil with the whole hand.
- Placing the thumb beneath the index finger.
- Holding the pencil perpendicular, instead of at an angle.
- Difficulty holding a longer pencil.
- Bending the wrist inwards, while writing
All of these can be corrected with mild reminders, and asking them to ensure that their hand and wrist are at ease.
It is a process, and you are definitely going to see an improvement over time.
Cursive Writing Books:
As children grow older, you can refine their handwriting skills by allowing them to practice in cursive writing books.
A person’s handwriting reflects their personality and traits, as they grow older and therefore, a good, clear handwriting should be encouraged over time.
Each child is unique, beautiful and intelligent in their own way. As parents, you are doing a wonderful job and so is your child. The best thing you can do for your children is to appreciate their smallest efforts, encourage them when they fall, and instil in them the lifelong values of love, kindness, compassion and mindfulness.
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How old is your child?
What kind of motor activities do you engage your little one in?
Do you know that good eye-hand coordination is essential for good writing skills?
By the time a child is about 2 years old, they have already learnt to attempt holding things with their hands, while playing with things like toys or objects around the house. Initially it may be larger objects, and then slowly they develop the capacity to hold slimmer and smaller objects.
As your child is ready to go to play school and then kindergarten, it is time to help them get comfortable getting a good grip on the pencil, so that they will write better and not strain their hands or wrists.
Observe their natural tendencies:
Before teaching them, observe your children’s natural tendencies while writing, drawing or scribbling.
Do they use their right hand or left?
Do they switch between either hand?
Are they able to effortlessly use both hands
Never insist on a child using only the right hand, or only one hand. It is their innate skill, and must not be restrained in any way. Children who can write, eat or work with either hand, or use both simultaneously are ambidextrous and always likely to be more intelligent and gifted.
Start with some colours and plenty of freedom:
Give your child an assortment of colour pencils, crayons and felt tip pens, along with blank papers. Let them unleash their creativity on it, uninhibitedly. As they enjoy dots, lines, curves and scribbles, they will associate stationery with joy.
Whether they colouring inside the lines or outside, should be from their imagination. Allow them to draw whatever they associate with. If a cat is purple and a dog is silver, that’s welcome. Leave them to do as they please, without too many instructions. The more they get bored, the more they will innovate while at play.
Keep complimenting them on their efforts, and appreciating their art. This is an age where they should be taught to believe in themselves.
Show them how:
A simple and easy technique while initiating your child into writing, is to show them how to grip the pencil or pen while writing. They learn by observing.
If a child is too young, use an object resembling a pencil, but ensure it does not have sharp edges.
Hold their hand while practising:
Once a child is going to learn writing the alphabet in school, start practising by holding their hand as they attempt to write.
They might falter or grip it too tight or too loose. Gently show them the correct way.
Start with simple shapes:
Draw some basic shapes on a blank page, and ask your child to copy it, while asking them what it resembles. Circles, lines, diagonals, curved lines are easy to replicate, and associating them with real objects will help them remember.
Different types of grip:
Every child will eventually grip the pen/pencil differently.
1. Tripod grip:
In this style, a person holds the pencil between the thumb and the index finger, and the writing instrument rests on the middle finger. This is one of the most common methods of holding a pen/pencil while writing.
2. Quadrupod Grip:
In this style, a person holds the pen/pencil between the thumb and the index finger+middle finger, while resting it on the ring finger.
Common challenges while learning:
In the initial months, a child is likely to struggle with finding the ideal way to grip the pencil while writing. Some common hiccups are:
- Gripping the pencil too tightly or too loose.
- Holding the pencil with the whole hand.
- Placing the thumb beneath the index finger.
- Holding the pencil perpendicular, instead of at an angle.
- Difficulty holding a longer pencil.
- Bending the wrist inwards, while writing
All of these can be corrected with mild reminders, and asking them to ensure that their hand and wrist are at ease.
It is a process, and you are definitely going to see an improvement over time.
Cursive Writing Books:
As children grow older, you can refine their handwriting skills by allowing them to practice in cursive writing books.
A person’s handwriting reflects their personality and traits, as they grow older and therefore, a good, clear handwriting should be encouraged over time.
Each child is unique, beautiful and intelligent in their own way. As parents, you are doing a wonderful job and so is your child. The best thing you can do for your children is to appreciate their smallest efforts, encourage them when they fall, and instil in them the lifelong values of love, kindness, compassion and mindfulness.
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How old is your child?
...
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[blog_title] => Monsoon Illness In Children
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Monsoon showers: What to be prepared for?
The much awaited rains always bring relief, after a spell of hot summer afternoons. But, they also bring with them a host of viral infections and fevers, that completely dampen the spirit – especially with children being more prone to falling ill.
This year, with a pandemic adding to everyone’s woes, it has become difficult to distinguish between a normal viral fever triggered by the weather or mosquitoes, and something more serious. Illnesses like Dengue, Malaria, Influenza, Gastroenteritis or Typhoid make an appearance every year, and one should always be prepared to ensure that your family is protected.
The best way to know the root cause of any health issue bothering your child, is a visit to your trusted pediatrician, and taking the recommended tests. However, it is also good to practice some basic precautionary measures to stay healthy.
Here is a quick guide to fevers that one might encounter this season, and some do’s and don’ts to look after your kids.
Viral Fever:
Viral fevers are contagious, and easy to catch. They can range from mild to severe, and are mostly airborne. They may be accompanied by body ache and shivering. The faster a viral fever is addressed – the quicker a child will be back to normal.
Dengue:
Caused by a bite from the Aedes Aegypti mosquito, dengue is transmitted directly to the bloodstream by the carrier insect. The fever fluctuates from moderate to high, and needs to be flushed out of the system through plenty of fluids and prescribed medicines.
Malaria:
Caused by the bite of the female Anopheles mosquito, Malaria leads to high fever, shivering and severe exhaustion. The temperature spikes upwards quickly, and parents must only give prescribed medication, after testing.
Influenza i.e ‘Flu’
Commonly referred to as ‘Flu’, Influenza is marked by a runny nose, fever, body ache, cough and irritable throat. Caused by an airborne virus, it enters the body through the nose and throat, and affects the upper respiratory tract.
Typhoid:
This waterborne infection is caused by a bacteria called Salmonella Typhi,
present in either food or water. Typical symptoms include prolonged fever, severe abdominal pain and headaches.
Gastroenteritis:
Our digestive system is most sensitive during the monsoons, as compared to other seasons, and bacterial infections from contaminated food, water or even surfaces can disrupt the stomach severely. This could lead to vomiting, loose motions and stomach cramps, leading to severe, debilitating weakness.
Do’s and Don’ts:
While one cannot stress enough the importance of a good immune system, it is still essential to follow some basic practices for health and hygiene, that go a long way in keeping us safe.
- The bedding of infants should be washed and ironed, before using again, to kill any bacteria or germs on the fabric.
- Infants and little children often pick up small things from the floor, and put it in their mouth. Be watchful about your baby, when they start crawling, or take baby steps.
- Wipe all the surfaces of your home with a child-safe disinfectant. Optionally, clean them with hot water and a clean cloth.
- Once the children are potty trained, teach them to wash their hands thoroughly everytime they use the bathroom.
- It is a good practice to wash clothes every day, so that sweat or moisture does not lead to fungal /bacterial infections
- Try and increase immunity boosting foods and herbs in your cooking – like ginger, garlic, turmeric, tulsi, ajwain and lemon juice. Add these to your children’s soups and salads, along with your daily meals. You can also add a cinnamon piece or a few cloves while boiling drinking water.
- Ensure that adults and children are drinking plenty of water every day, and stay hydrated. Children should only drink water that has been boiled and cooled, as this process kills the maximum bacteria.
- Avoid ordering junk food from outside. Substitute it with homemade snacks and recipes.
- Keep foods, fruits and water covered, in a clean place.
- If a child is feverish, monitor the temperature while you consult your pediatrician. Keeping a child’s forehead and feet cool with wet towels or wipes, helps additionally.
- If on medication, give the child light, easy to digest food like dal-rice or ‘khichdi’, with no spice. It is important for the child to drink plenty of fluids and stay hydrated.
- Other children or elderly family members should avoid interacting with a child who is unwell, to prevent the infection from spreading.
- Self-medication must be avoided at all costs, as it may cause more harm than good.
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Monsoon showers: What to be prepared for?
The much awaited rains always bring relief, after a spell of hot summer afternoons. But, they also bring with them a host of viral infections and fevers, that completely dampen the spirit – especially with children being more prone to falling ill.
This year, with a pandemic adding to everyone’s woes, it has become difficult to distinguish between a normal viral fever triggered by the weather or mosquitoes, and something more serious. Illnesses like Dengue, Malaria, Influenza, Gastroenteritis or Typhoid make an appearance every year, and one should always be prepared to ensure that your family is protected.
The best way to know the root cause of any health issue bothering your child, is a visit to your trusted pediatrician, and taking the recommended tests. However, it is also good to practice some basic precautionary measures to stay healthy.
Here is a quick guide to fevers that one might encounter this season, and some do’s and don’ts to look after your kids.
Viral Fever:
Viral fevers are contagious, and easy to catch. They can range from mild to severe, and are mostly airborne. They may be accompanied by body ache and shivering. The faster a viral fever is addressed – the quicker a child will be back to normal.
Dengue:
Caused by a bite from the Aedes Aegypti mosquito, dengue is transmitted directly to the bloodstream by the carrier insect. The fever fluctuates from moderate to high, and needs to be flushed out of the system through plenty of fluids and prescribed medicines.
Malaria:
Caused by the bite of the female Anopheles mosquito, Malaria leads to high fever, shivering and severe exhaustion. The temperature spikes upwards quickly, and parents must only give prescribed medication, after testing.
Influenza i.e ‘Flu’
Commonly referred to as ‘Flu’, Influenza is marked by a runny nose, fever, body ache, cough and irritable throat. Caused by an airborne virus, it enters the body through the nose and throat, and affects the upper respiratory tract.
Typhoid:
This waterborne infection is caused by a bacteria called Salmonella Typhi,
present in either food or water. Typical symptoms include prolonged fever, severe abdominal pain and headaches.
Gastroenteritis:
Our digestive system is most sensitive during the monsoons, as compared to other seasons, and bacterial infections from contaminated food, water or even surfaces can disrupt the stomach severely. This could lead to vomiting, loose motions and stomach cramps, leading to severe, debilitating weakness.
Do’s and Don’ts:
While one cannot stress enough the importance of a good immune system, it is still essential to follow some basic practices for health and hygiene, that go a long way in keeping us safe.
- The bedding of infants should be washed and ironed, before using again, to kill any bacteria or germs on the fabric.
- Infants and little children often pick up small things from the floor, and put it in their mouth. Be watchful about your baby, when they start crawling, or take baby steps.
- Wipe all the surfaces of your home with a child-safe disinfectant. Optionally, clean them with hot water and a clean cloth.
- Once the children are potty trained, teach them to wash their hands thoroughly everytime they use the bathroom.
- It is a good practice to wash clothes every day, so that sweat or moisture does not lead to fungal /bacterial infections
- Try and increase immunity boosting foods and herbs in your cooking – like ginger, garlic, turmeric, tulsi, ajwain and lemon juice. Add these to your children’s soups and salads, along with your daily meals. You can also add a cinnamon piece or a few cloves while boiling drinking water.
- Ensure that adults and children are drinking plenty of water every day, and stay hydrated. Children should only drink water that has been boiled and cooled, as this process kills the maximum bacteria.
- Avoid ordering junk food from outside. Substitute it with homemade snacks and recipes.
- Keep foods, fruits and water covered, in a clean place.
- If a child is feverish, monitor the temperature while you consult your pediatrician. Keeping a child’s forehead and feet cool with wet towels or wipes, helps additionally.
- If on medication, give the child light, easy to digest food like dal-rice or ‘khichdi’, with no spice. It is important for the child to drink plenty of fluids and stay hydrated.
- Other children or elderly family members should avoid interacting with a child who is unwell, to prevent the infection from spreading.
- Self-medication must be avoided at all costs, as it may cause more harm than good.
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Discharge from the hospital
Premature babies need to attain several milestones before they can be safely discharged from the maternity hospital. These include:
- Breathing without external oxygen support
- Steady heart rate
- All feeding through the mouth
- Steady weight gain
- A stable body temperature
Key points to aid a smooth transition
- Care for the baby while in the maternity hospital NICU so you develop readiness under trained supervision.
- Learn how to use and maintain the baby’s medical equipment. Also, practise administering medication.
- Identify a healthcare provider for the baby’s follow-up care before discharge from the NICU.
What can you expect on discharge day?
The doctor will meet you before discharge from the maternity hospital to give you key instructions and to answer questions you may have. Make sure to get a copy of the baby’s discharge summary as well, since it documents the treatment in the NICU and the follow-up required.
Key points of concern after discharge
Feeding
Breast milk is the best source of nutrition, even for premature babies, and the baby can be exclusively fed breast milk until six months of age. It is advisable to follow the feeding schedule recommended by the maternity hospital to determine the frequency of feeds.
Nutrition
Premature infants are at risk of anaemia. This makes regular screening essential. In case of deficiency, the doctor should be consulted for suitable supplements.
Preventing infections
Premature infants have relatively lower immunity. To reduce the risk of their contracting infections, the environment at home should be extremely clean. Avoid too many visitors as they may transfer viruses. Take care to immunize the baby properly as per the immunization schedule shared by the maternity hospital. Being at higher risk for respiratory infections, premature babies should specifically be given Respiratory Syncytial Virus (RSV) antibody injections.
Sleep
Premature babies are at higher risk for Sudden Infant Death Syndrome (SIDS) wherein seemingly healthy babies sometimes die in their sleep. Active measures can be taken to reduce the risk for this. Babies sleep safer on their backs. Make sure to keep his/her head uncovered and tuck the blanket under the arms. Maintaining a comfortable temperature that’s neither too hot nor cold helps reduce the risk too because extremes are dangerous for the baby.
Warmth and security
Warmth plays an important role in the baby’s health. Mothers and other caregivers should use the Kangaroo Mother Care (KMC) approach wherein the baby is placed between the mother’s breasts. This provides warmth and intimacy, improves the baby’s respiration by syncing it with the mother’s, and also allows it to feed on demand.
Alarming signs
Parents should be able to identify signs of alarm such as breathing trouble, high fevers, reduced food intake, decreased activity or convulsions. In such situations seek medical help immediately.
Regular follow- up
Premature babies may be prone to long-term health problems related to vision, hearing and respiration. Regular monitoring ensures timely detection and corrective interventions in case of anomalies.
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Discharge from the hospital
Premature babies need to attain several milestones before they can be safely discharged from the maternity hospital. These include:
- Breathing without external oxygen support
- Steady heart rate
- All feeding through the mouth
- Steady weight gain
- A stable body temperature
Key points to aid a smooth transition
- Care for the baby while in the maternity hospital NICU so you develop readiness under trained supervision.
- Learn how to use and maintain the baby’s medical equipment. Also, practise administering medication.
- Identify a healthcare provider for the baby’s follow-up care before discharge from the NICU.
What can you expect on discharge day?
The doctor will meet you before discharge from the maternity hospital to give you key instructions and to answer questions you may have. Make sure to get a copy of the baby’s discharge summary as well, since it documents the treatment in the NICU and the follow-up required.
Key points of concern after discharge
Feeding
Breast milk is the best source of nutrition, even for premature babies, and the baby can be exclusively fed breast milk until six months of age. It is advisable to follow the feeding schedule recommended by the maternity hospital to determine the frequency of feeds.
Nutrition
Premature infants are at risk of anaemia. This makes regular screening essential. In case of deficiency, the doctor should be consulted for suitable supplements.
Preventing infections
Premature infants have relatively lower immunity. To reduce the risk of their contracting infections, the environment at home should be extremely clean. Avoid too many visitors as they may transfer viruses. Take care to immunize the baby properly as per the immunization schedule shared by the maternity hospital. Being at higher risk for respiratory infections, premature babies should specifically be given Respiratory Syncytial Virus (RSV) antibody injections.
Sleep
Premature babies are at higher risk for Sudden Infant Death Syndrome (SIDS) wherein seemingly healthy babies sometimes die in their sleep. Active measures can be taken to reduce the risk for this. Babies sleep safer on their backs. Make sure to keep his/her head uncovered and tuck the blanket under the arms. Maintaining a comfortable temperature that’s neither too hot nor cold helps reduce the risk too because extremes are dangerous for the baby.
Warmth and security
Warmth plays an important role in the baby’s health. Mothers and other caregivers should use the Kangaroo Mother Care (KMC) approach wherein the baby is placed between the mother’s breasts. This provides warmth and intimacy, improves the baby’s respiration by syncing it with the mother’s, and also allows it to feed on demand.
Alarming signs
Parents should be able to identify signs of alarm such as breathing trouble, high fevers, reduced food intake, decreased activity or convulsions. In such situations seek medical help immediately.
Regular follow- up
Premature babies may be prone to long-term health problems related to vision, hearing and respiration. Regular monitoring ensures timely detection and corrective interventions in case of anomalies.
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Discharge from the hospital
Premature b...
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[blog_title] => 5 Premature Baby Care Tips At Home
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Premature babies are infants that are born about 3 weeks before their estimated due date. Another way of putting it would be a baby that is born before the start of the 37th week of pregnancy. Premature birth is dangerous for the infant as the baby has not been given the time in the mother’s womb that he/she needs to develop fully. Premature babies, especially those that are born very early, usually suffer from medical complications such as apnoea, respiratory stress disorder, jaundice, anaemia, etc. Here are a few Premature Baby Care Tips At Home:
1. Taking your child home from the hospital
This might come across as a very daunting situation when it is finally time for you to take your premature baby care tips at home. It is important to know that it is very beneficial for not only your baby but even you as a parent as it reduces the chances of your child catching any infection in the hospital. Also, your infant learns how to feed on its own, and benefits from the positivity and comfort of your home environment, where you can establish a stronger bond with your new family member. Do remember that a hospital would never suggest you take your baby home if they did not think that both you and your baby were ready to go home. Going home from the hospital is definitely a good thing as it means that your baby’s health is stable.
2. Breastfeeding your premature baby
Breastfeeding is an important part of motherhood, no matter what. There are a lot of benefits to breastfeeding as breast milk contains certain amount of nutrients and vitamins that help your premature baby grow and develop faster and healthier. Breast milk is much easier to digest than formula milk as it is specially designed by your body for your baby. If your infant is too premature for breastfeeding, it is recommended that you start expressing your milk eight to ten times a day and once in the night in order to keep your milk supply up. You can have a nurse or midwife show you how to express milk in case you are new to it. Your other option is donor’s breast milk that can be provided either by your hospital or some other source.
3. Maintain skin to skin contact with your premature baby
This has proven to be a great exercise for not only the baby and mother but also the father. You can practice skin to skin contact by dressing your infant in a nappy and letting him/her rest on your chest under your shirt or under a blanket so that he/she is tightly secured to your body. The benefits of skin to skin contact are many, and include reducing any pain or stress your child is feeling. It also promotes healthy weight gain, helps establish breast feeding, makes it easier for your baby to adapt to its new environment, and also helps regulate its heart rate and breathing.
4. Pay extra attention to your baby’s sleeping requirements
It is normal for your preterm baby to sleep throughout the day as this helps in its growth and development process. A few tips to make sure your baby is sleeping well: ensure that your baby is always sleeping on his/her back and never on the stomach, and always on a hard and flat surface without any pillows.
5. Limit outdoor visits
It is wise to ensure that your baby stays at home for the first few weeks after birth. Doctor appointments are an exception and should be attended regularly. However, the reason that we ask you to make sure your baby is at home most of the time is because your child’s immunity is very low at this stage and he/she is prone to catching infections and viruses very easily. To avoid complications, and even fatality, your baby should be kept in safe and clean environments for at least the first few months.
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Premature babies are infants that are born about 3 weeks before their estimated due date. Another way of putting it would be a baby that is born before the start of the 37th week of pregnancy. Premature birth is dangerous for the infant as the baby has not been given the time in the mother’s womb that he/she needs to develop fully. Premature babies, especially those that are born very early, usually suffer from medical complications such as apnoea, respiratory stress disorder, jaundice, anaemia, etc. Here are a few Premature Baby Care Tips At Home:
1. Taking your child home from the hospital
This might come across as a very daunting situation when it is finally time for you to take your premature baby care tips at home. It is important to know that it is very beneficial for not only your baby but even you as a parent as it reduces the chances of your child catching any infection in the hospital. Also, your infant learns how to feed on its own, and benefits from the positivity and comfort of your home environment, where you can establish a stronger bond with your new family member. Do remember that a hospital would never suggest you take your baby home if they did not think that both you and your baby were ready to go home. Going home from the hospital is definitely a good thing as it means that your baby’s health is stable.
2. Breastfeeding your premature baby
Breastfeeding is an important part of motherhood, no matter what. There are a lot of benefits to breastfeeding as breast milk contains certain amount of nutrients and vitamins that help your premature baby grow and develop faster and healthier. Breast milk is much easier to digest than formula milk as it is specially designed by your body for your baby. If your infant is too premature for breastfeeding, it is recommended that you start expressing your milk eight to ten times a day and once in the night in order to keep your milk supply up. You can have a nurse or midwife show you how to express milk in case you are new to it. Your other option is donor’s breast milk that can be provided either by your hospital or some other source.
3. Maintain skin to skin contact with your premature baby
This has proven to be a great exercise for not only the baby and mother but also the father. You can practice skin to skin contact by dressing your infant in a nappy and letting him/her rest on your chest under your shirt or under a blanket so that he/she is tightly secured to your body. The benefits of skin to skin contact are many, and include reducing any pain or stress your child is feeling. It also promotes healthy weight gain, helps establish breast feeding, makes it easier for your baby to adapt to its new environment, and also helps regulate its heart rate and breathing.
4. Pay extra attention to your baby’s sleeping requirements
It is normal for your preterm baby to sleep throughout the day as this helps in its growth and development process. A few tips to make sure your baby is sleeping well: ensure that your baby is always sleeping on his/her back and never on the stomach, and always on a hard and flat surface without any pillows.
5. Limit outdoor visits
It is wise to ensure that your baby stays at home for the first few weeks after birth. Doctor appointments are an exception and should be attended regularly. However, the reason that we ask you to make sure your baby is at home most of the time is because your child’s immunity is very low at this stage and he/she is prone to catching infections and viruses very easily. To avoid complications, and even fatality, your baby should be kept in safe and clean environments for at least the first few months.
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Premature babies are infants that are born about 3 weeks before thei...
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[blog_title] => Your Guide to Natural Childbirth Classes
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While we have numerous information relating to labor and delivery there is some shrouded mystery around the act of childbirth itself. It’s time to lift the veil and introduce the world to knowledge around childbirth. Birthing classes can be a real asset to understand the intricacies involved in normal childbirth. By taking a natural childbirth class, one can break the stereotypes created around it, where it’s generally shown as gory, violent and hysterical.
Childbirth classes differ in their focus and mode of operation. But nonetheless they all provide essential information on labor, delivery and postpartum issues. One of the most famous is Lamaze courses, where information about different ways to position yourself for labor and birth, relaxation techniques, breathing techniques, communication skills and breastfeeding is given.
The Bradley Method prepares the mother to give birth without pain medications while the father learns to act as coach to the birth mom. The class also prepares you for emergency situations like cesarean section. Another method known as Hypnobirthing or The Mongan Method, teaches moms how to use hypnosis techniques to avoid a fear-tension-pain cycle and instead focus on how comfortable childbirth is.
Informed Beginnings are in-person birth classes where the focus is to make moms understand that natural childbirth and breastfeeding are healthiest and safest for both mother and child. These classes also emphasize on the importance of having a loving support team during pregnancy. These classes can effectively help in lowering anxiety around childbirth. You are also coached on the importance of nutrition and exercise. They also provide you with information about possible complications that may arise during childbirth and how they can be effectively handled. Information about hospitals, birthing centres are also given.
They slightly differ amongst themselves in schedule but if you are too busy to join any or none of the schedule suits you, you can always hire a private instructor at home. But remember, knowing what to expect from that first contraction to labor pain and the final push, will go a long way in preparing you for childbirth. All these classes may differ in their philosophy but their ultimate aim is to make your journey of pregnancy a joyful one. Don’t miss the opportunity!
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While we have numerous information relating to labor and delivery there is some shrouded mystery around the act of childbirth itself. It’s time to lift the veil and introduce the world to knowledge around childbirth. Birthing classes can be a real asset to understand the intricacies involved in normal childbirth. By taking a natural childbirth class, one can break the stereotypes created around it, where it’s generally shown as gory, violent and hysterical.
Childbirth classes differ in their focus and mode of operation. But nonetheless they all provide essential information on labor, delivery and postpartum issues. One of the most famous is Lamaze courses, where information about different ways to position yourself for labor and birth, relaxation techniques, breathing techniques, communication skills and breastfeeding is given.
The Bradley Method prepares the mother to give birth without pain medications while the father learns to act as coach to the birth mom. The class also prepares you for emergency situations like cesarean section. Another method known as Hypnobirthing or The Mongan Method, teaches moms how to use hypnosis techniques to avoid a fear-tension-pain cycle and instead focus on how comfortable childbirth is.
Informed Beginnings are in-person birth classes where the focus is to make moms understand that natural childbirth and breastfeeding are healthiest and safest for both mother and child. These classes also emphasize on the importance of having a loving support team during pregnancy. These classes can effectively help in lowering anxiety around childbirth. You are also coached on the importance of nutrition and exercise. They also provide you with information about possible complications that may arise during childbirth and how they can be effectively handled. Information about hospitals, birthing centres are also given.
They slightly differ amongst themselves in schedule but if you are too busy to join any or none of the schedule suits you, you can always hire a private instructor at home. But remember, knowing what to expect from that first contraction to labor pain and the final push, will go a long way in preparing you for childbirth. All these classes may differ in their philosophy but their ultimate aim is to make your journey of pregnancy a joyful one. Don’t miss the opportunity!
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An arrhythmia refers to any change or distortion in the regular rhythm of one’s heartbeat, and while most of these are harmless, some of these can be serious, even life-threatening. Most arrhythmias that occur in children are isolated incidents, and can be dealt with by treating the problem that causes the sensation, like fever. Children may report irregularity of their heartbeat as a feeling of ‘fluttering’.
A child with arrhythmia can experience excessively slow or fast beating of the heart, or their heart could have extra beats or even skip beats. It can arise from heart defects or in response to external illnesses like infections, fevers, etc. If your child’s heart beats too fast (tachycardia) or too slow (bradycardia), it could affect the ability of the heart to pump adequate amounts of blood to the rest of the body, causing serious damage to vital organs like the brain, liver or kidneys.
Recognising arrhythmia symptoms depend on the maturity and age of your child. Older children may be able to report feelings of lightheadedness or their heart fluttering and skipping beats. In case of toddlers or infants, parents may notice irritability, pale skin, etc. Other common symptoms to look out for are weakness, palpitations, sweating and shortness of breath, and pauses between heartbeats.
Treatment for these fluttering symptoms depend on the age of the child and the cause behind the symptoms. Some popularly used techniques are medication, cardioversion where small amounts of electric current are used to shock the heart and convert irregular beats to a normal rhythm, radio frequency ablation which makes use of a cardiac catheterisation and involves radio energy to heat and kill the tissue causing arrhythmia, or implantable devices like pacemakers which use electric pulses to control heart rhythm, or implantable cardioverter defibrillators (ICD’s) which use small shocks to control life threatening arrhythmias. In a few cases, surgical procedure called maze surgery is used to treat atrial fibrillation.
In many cases, heart flutters are common and harmless among children, but when they begin to occur outside of their exercise or playtime routines, increase in frequency and begin to last longer, and that too along with any of the other symptoms, they must be reported to a doctor immediately.
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An arrhythmia refers to any change or distortion in the regular rhythm of one’s heartbeat, and while most of these are harmless, some of these can be serious, even life-threatening. Most arrhythmias that occur in children are isolated incidents, and can be dealt with by treating the problem that causes the sensation, like fever. Children may report irregularity of their heartbeat as a feeling of ‘fluttering’.
A child with arrhythmia can experience excessively slow or fast beating of the heart, or their heart could have extra beats or even skip beats. It can arise from heart defects or in response to external illnesses like infections, fevers, etc. If your child’s heart beats too fast (tachycardia) or too slow (bradycardia), it could affect the ability of the heart to pump adequate amounts of blood to the rest of the body, causing serious damage to vital organs like the brain, liver or kidneys.
Recognising arrhythmia symptoms depend on the maturity and age of your child. Older children may be able to report feelings of lightheadedness or their heart fluttering and skipping beats. In case of toddlers or infants, parents may notice irritability, pale skin, etc. Other common symptoms to look out for are weakness, palpitations, sweating and shortness of breath, and pauses between heartbeats.
Treatment for these fluttering symptoms depend on the age of the child and the cause behind the symptoms. Some popularly used techniques are medication, cardioversion where small amounts of electric current are used to shock the heart and convert irregular beats to a normal rhythm, radio frequency ablation which makes use of a cardiac catheterisation and involves radio energy to heat and kill the tissue causing arrhythmia, or implantable devices like pacemakers which use electric pulses to control heart rhythm, or implantable cardioverter defibrillators (ICD’s) which use small shocks to control life threatening arrhythmias. In a few cases, surgical procedure called maze surgery is used to treat atrial fibrillation.
In many cases, heart flutters are common and harmless among children, but when they begin to occur outside of their exercise or playtime routines, increase in frequency and begin to last longer, and that too along with any of the other symptoms, they must be reported to a doctor immediately.
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[blog_title] => How to Set a Bedtime Routine for Your Baby
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If you are wondering about how to ship off your young one to his or her faraway land of dreams routinely, then here is an article you should consider reading. First question is, why set a bedtime routine for your baby? What’s the use?
The predictability of a routine sleep cycle is something that both you and your baby will learn to follow and appreciate. Setting a bedtime routine will help your baby adjust their best in unfamiliar surroundings and situations. It’s always best to set a bedtime routine as early as possible, preferably within 6 to 8 weeks of birth itself. Once you have done this, your baby will adhere to this consistency of routine. Plus, for you as a parent, following a bedtime routine also increases your work efficiency. You don’t need to worry about having to sleep your baby because once a routine is set, you’ll find your sweetie yawning when it’s time by himself or herself.
How to Plan your Bedtime Routine?
It’s nothing complicated! Just set some simple tasks that your baby enjoys and make sure you start well within evening so that you can get enough time to carry out the entire sequence. As such, your baby’s bedtime routine must be unique for him or her alone. No two babies are alike!
However, the following routines are a part of most babes’ bedtime fairy story:
- Let him or her use up his or her share of energy that he or she might have accumulated all day.
- Give him or her a nice long bath. While you do so, make sure you massage his or her face, hands and chest. Warm water relaxes them.
- All the very best if you’ve gotten your baby to the tooth-brushing habit as early as possible.
- Play with your kid. Not only will both of you enjoy this but also this helps your baby burn off more steam and relax.
- Have a nice Mommy kiddie chat. Talk about their hair that has grown so much, cuddle them. Tell them a nice bedtime story.
- Sing them a nice long lullaby or play soft music. Watch them sleep.
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If you are wondering about how to ship off your young one to his or her faraway land of dreams routinely, then here is an article you should consider reading. First question is, why set a bedtime routine for your baby? What’s the use?
The predictability of a routine sleep cycle is something that both you and your baby will learn to follow and appreciate. Setting a bedtime routine will help your baby adjust their best in unfamiliar surroundings and situations. It’s always best to set a bedtime routine as early as possible, preferably within 6 to 8 weeks of birth itself. Once you have done this, your baby will adhere to this consistency of routine. Plus, for you as a parent, following a bedtime routine also increases your work efficiency. You don’t need to worry about having to sleep your baby because once a routine is set, you’ll find your sweetie yawning when it’s time by himself or herself.
How to Plan your Bedtime Routine?
It’s nothing complicated! Just set some simple tasks that your baby enjoys and make sure you start well within evening so that you can get enough time to carry out the entire sequence. As such, your baby’s bedtime routine must be unique for him or her alone. No two babies are alike!
However, the following routines are a part of most babes’ bedtime fairy story:
- Let him or her use up his or her share of energy that he or she might have accumulated all day.
- Give him or her a nice long bath. While you do so, make sure you massage his or her face, hands and chest. Warm water relaxes them.
- All the very best if you’ve gotten your baby to the tooth-brushing habit as early as possible.
- Play with your kid. Not only will both of you enjoy this but also this helps your baby burn off more steam and relax.
- Have a nice Mommy kiddie chat. Talk about their hair that has grown so much, cuddle them. Tell them a nice bedtime story.
- Sing them a nice long lullaby or play soft music. Watch them sleep.
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[blog_title] => How to Manage Your Twin Babies?
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New mother of two? Still in a state of bewilderment of your beloved ‘Get one free’ prizes? In addition to that, are you wondering how to manage your two darlings at once? If it seems like a somewhat hectic job to you, know this. Most new mommies are struggling with having to care for their new-born with perfection. You have two: so there is an added bonus of responsibility. But, don’t fret! You are in the right place and about to learn some real hands-on tips about how to take care of twin babes.
Can the two New-Borns Sleep Together?
This is what doctors refer to as co-bedding which is completely safe. In fact, twins when sleeping together in the same cot, regulate body temperatures better and co-ordinate their sleeping cycles. This is good for both babies. There are no special rules for co-bedding- just don’t forget to put everything in pairs. Two pillows, two soft toys, two suckers and er…two babies!
Well! Here are some tips to follow when you’re stuck about how to manage both twins at once.
- Breastfeed both babies together. Try using a nursing pillow for feeding both at a time. If tandem feeding is problematic, try feeding alternately with one being breastfed and the other bottle-fed. Switch their turns during your next meal.
- Make them fall asleep together on the same cot.
- Bottle feed them together as well.
- Learn the inside and outs of using a double stroller.
- Remember to alternate holding and laying down each babe.
- Learn to use an infant cushion.
- Also, learn how to lay them on the blanket together.
- Be extra fast with changing diapers, because you got to do both at a time.
- Have equal speed with preparing their sucking bottles.
- Be organised with how you keep your baby stuff. It won’t be nice for you if your breast pumps are going missing while both babes are crying for attention.
- Learn bathing them together.
- Plus, here’s a fact: twins have spent longer together than you have with each of them times two. Let them maintain their special bond. Don’t show favouritism to any of the two.
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New mother of two? Still in a state of bewilderment of your beloved ‘Get one free’ prizes? In addition to that, are you wondering how to manage your two darlings at once? If it seems like a somewhat hectic job to you, know this. Most new mommies are struggling with having to care for their new-born with perfection. You have two: so there is an added bonus of responsibility. But, don’t fret! You are in the right place and about to learn some real hands-on tips about how to take care of twin babes.
Can the two New-Borns Sleep Together?
This is what doctors refer to as co-bedding which is completely safe. In fact, twins when sleeping together in the same cot, regulate body temperatures better and co-ordinate their sleeping cycles. This is good for both babies. There are no special rules for co-bedding- just don’t forget to put everything in pairs. Two pillows, two soft toys, two suckers and er…two babies!
Well! Here are some tips to follow when you’re stuck about how to manage both twins at once.
- Breastfeed both babies together. Try using a nursing pillow for feeding both at a time. If tandem feeding is problematic, try feeding alternately with one being breastfed and the other bottle-fed. Switch their turns during your next meal.
- Make them fall asleep together on the same cot.
- Bottle feed them together as well.
- Learn the inside and outs of using a double stroller.
- Remember to alternate holding and laying down each babe.
- Learn to use an infant cushion.
- Also, learn how to lay them on the blanket together.
- Be extra fast with changing diapers, because you got to do both at a time.
- Have equal speed with preparing their sucking bottles.
- Be organised with how you keep your baby stuff. It won’t be nice for you if your breast pumps are going missing while both babes are crying for attention.
- Learn bathing them together.
- Plus, here’s a fact: twins have spent longer together than you have with each of them times two. Let them maintain their special bond. Don’t show favouritism to any of the two.
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[blog_title] => Single Umbilical Artery in Pregnancy and its Significance
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The normal umbilical cord contains 2 arteries and 1 vein (there vessel cord ) single umbilical artery is characterized by the absence of either the lep- or right umbilical artery. This malformation has a reported incidence of 0.5-6% in singleton pregnancies it increases of 3-4 times in twin pregnancies.
Single umbilical artery is of 3 types
TYPE 1– The entire length of the cord from baby to placenta , has just 2 vessels – one artery and one vein
TYPE 2– There are 3 vessel at the baby’s end of the cord but at the placental side, 2cms from the surface of the placenta, there are just 2 vessels .
The cause is anagtomosis.
Type 1 and 2 are related to problems with the umbilical cord development
TYPE 3– The cord initially has 3 vessels but occlusion close one artery of the cord .
It is related to circulatory problems in the umbilical cord and baby.
Sometimes there can be persistence of the original single allantoic artery of the baby stalk.
Prenatal ultrasound evalvation for single umbilical for single umbilical artery should be during the second and third trimester of pregnancy.
Single umbilical artery may be an isolated finding (I.E with out any other associated anomaly or chromoromal abnormality) or it may be non-isolated.
Risks Associated with Single Umbilical Artery
Babies with single umbilical artery are at a 6.77 times higher risk for congenital.
The most common anomalies associated with single umbilical artery are renal ( 6.48%) followed by cardio vascular (6.25%) and musculo skeletal (5.44%) .
There may be occult renal malformation like vesicoureteric reflin, grade 2 or more.
We need to maintain a low thresold for diagnosing and managing urinary tract artery infection in there babies.
Neonates with single umbilical artery have a 15 times higher risk of chromaramal abnormalities
There is a higher risk of placental abnormalities( or 3.63, 95% CI 3.01-4.39)
A higher incidence of hydramnios has also been reported in some studies ( or 2.80, 95% CI 1.42-5.49)
There is an increased risk of fetal growth restriction, prematurity, intra uterine and intra partum death among fetures with single umbilical artery .
Management
When a 2 vessel cord is detected, a through search for other anomalies is required. A fetal 2D-ECHO is warranted.
Invasive testing is not recommended in isolated single umbilical artery.
Invasive testing with chromoromal evalvation (Micro array) is recommended if associated malformations are detected. Studies have shown a higher incidence of amniocentesis in there patients ( or 2.52, 95%, CI 1.82-3.15).
Serial growth scans with doppler indices are needed once a 2 vessel cord is seen
For normal weight fetures with isolated single umbilical artery and normal insertion of the cord, no particular precautions during labour are needed and induction can be performed
Studies have shown a higher incidence of cesarean section in these women ( due to prematurity, fetal growth restriction and oligohydramnios ) .
Neonates night have a prolonged NICU stay.
Apollo Cradle Specialist
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The normal umbilical cord contains 2 arteries and 1 vein (there vessel cord ) single umbilical artery is characterized by the absence of either the lep- or right umbilical artery. This malformation has a reported incidence of 0.5-6% in singleton pregnancies it increases of 3-4 times in twin pregnancies.
Single umbilical artery is of 3 types
TYPE 1– The entire length of the cord from baby to placenta , has just 2 vessels – one artery and one vein
TYPE 2– There are 3 vessel at the baby’s end of the cord but at the placental side, 2cms from the surface of the placenta, there are just 2 vessels .
The cause is anagtomosis.
Type 1 and 2 are related to problems with the umbilical cord development
TYPE 3– The cord initially has 3 vessels but occlusion close one artery of the cord .
It is related to circulatory problems in the umbilical cord and baby.
Sometimes there can be persistence of the original single allantoic artery of the baby stalk.
Prenatal ultrasound evalvation for single umbilical for single umbilical artery should be during the second and third trimester of pregnancy.
Single umbilical artery may be an isolated finding (I.E with out any other associated anomaly or chromoromal abnormality) or it may be non-isolated.
Risks Associated with Single Umbilical Artery
Babies with single umbilical artery are at a 6.77 times higher risk for congenital.
The most common anomalies associated with single umbilical artery are renal ( 6.48%) followed by cardio vascular (6.25%) and musculo skeletal (5.44%) .
There may be occult renal malformation like vesicoureteric reflin, grade 2 or more.
We need to maintain a low thresold for diagnosing and managing urinary tract artery infection in there babies.
Neonates with single umbilical artery have a 15 times higher risk of chromaramal abnormalities
There is a higher risk of placental abnormalities( or 3.63, 95% CI 3.01-4.39)
A higher incidence of hydramnios has also been reported in some studies ( or 2.80, 95% CI 1.42-5.49)
There is an increased risk of fetal growth restriction, prematurity, intra uterine and intra partum death among fetures with single umbilical artery .
Management
When a 2 vessel cord is detected, a through search for other anomalies is required. A fetal 2D-ECHO is warranted.
Invasive testing is not recommended in isolated single umbilical artery.
Invasive testing with chromoromal evalvation (Micro array) is recommended if associated malformations are detected. Studies have shown a higher incidence of amniocentesis in there patients ( or 2.52, 95%, CI 1.82-3.15).
Serial growth scans with doppler indices are needed once a 2 vessel cord is seen
For normal weight fetures with isolated single umbilical artery and normal insertion of the cord, no particular precautions during labour are needed and induction can be performed
Studies have shown a higher incidence of cesarean section in these women ( due to prematurity, fetal growth restriction and oligohydramnios ) .
Neonates night have a prolonged NICU stay.
Apollo Cradle Specialist
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[blog_title] => In Conversation with Dr. Gaurav Jawa on World Prematurity Day – Cradle Neonatal Doctors
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Dr. Gaurav Jawa is a Paediatrician in Delhi with an experience of 14 years in Paediatrics. Dr. Gaurav Jawa practices at Apollo Cradle in Nehru Place, Delhi. He completed MBBS from the University of Delhi in 2003 and MD – Pediatrics from the University of Delhi in 2008. He is a renowned Neonatal specialist and is sought after for his treatment of paediatric cases. On the occasion of World Prematurity Day, he presents us insights into the world of Neonatal Care, and shares personal stories of spreading happiness and joy.
1) Why did you choose this practice? What is it like?
I chose Pediatrics as my main domain, as I always wanted to have a profession which yielded a good outcome- my present career for me is both emotionally satisfying and gratifying as well. In fact, I specialized in Neonatology as it is revolutionary, relatively new, novel in nature, and an upcoming and challenging field which has a lot of scope for development. In a country like India, where the medical technology is not as upgraded as its foreign counterparts, the need for progress in Neonatology is pivotal for progress.
2) What is the best part of your job?
For me, the happiest moment is discharging a healthy NICU baby home. The joy in the parents’ eyes is irreplaceable. And the gratitude that they hold towards us doctors makes up for the best part of my job.
3) What’s the biggest challenge you face?
The biggest challenge I face is dealing with parents of NICU cases. Every time a new NICU case comes in, counseling the parents of these infants who are critical in NICU is crucial. Our duty is to give them hope that things can go well, and to achieve it with our utmost efforts.
4) Can you give us some insight on prematurity in India?
In a recent survey, it was found out that more than 16% of the infants delivered in India are still born premature. Except for the metro cities and suburban areas, facilities for a regular newborn in other parts of the county are still lacking.And this is worse for the case of a premature baby as they require extensive care and treatment. Most of these infants die either due to lack of care, or due to the lack of having the desire to care- as the parents are themselves unaware of the consequences of neglecting a premature infant’s health.
5) What are your recommendations for parents on a high-risk of delivering a preterm baby?
Delivery must be planned in a unit which has a level III NICU with experience to handle preterm babies. The mother must be prepared to put in extra efforts with breast milk, and both the parents should be patient and understanding in terms of the baby’s health and progress in the same. Beyond all, they must always hope for the best and be prepared for any outcome.
6) Can you share a case study on a premature baby that you have handled at Apollo Cradle?
There was a 25 weeks, 840 gm infant transferred from another NICU, who was delivered with no antenatal care. The infant came in on the 7th day of his life, was on the ventilator, and was suffering from infection and a premature cardiac status. It took us 80 days of intensive care, along with the combined efforts of the parents and staff, to finally bring the infant back to his best health.Finally he got discharged with no eye, hearing, brain or lung sequela, with safe breastfeeding on the mother with a weight of 2.2 Kgs.
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[blog_title] => In Conversation with Dr. Gaurav Jawa on World Prematurity Day – Cradle Neonatal Doctors
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Dr. Gaurav Jawa is a Paediatrician in Delhi with an experience of 14 years in Paediatrics. Dr. Gaurav Jawa practices at Apollo Cradle in Nehru Place, Delhi. He completed MBBS from the University of Delhi in 2003 and MD – Pediatrics from the University of Delhi in 2008. He is a renowned Neonatal specialist and is sought after for his treatment of paediatric cases. On the occasion of World Prematurity Day, he presents us insights into the world of Neonatal Care, and shares personal stories of spreading happiness and joy.
1) Why did you choose this practice? What is it like?
I chose Pediatrics as my main domain, as I always wanted to have a profession which yielded a good outcome- my present career for me is both emotionally satisfying and gratifying as well. In fact, I specialized in Neonatology as it is revolutionary, relatively new, novel in nature, and an upcoming and challenging field which has a lot of scope for development. In a country like India, where the medical technology is not as upgraded as its foreign counterparts, the need for progress in Neonatology is pivotal for progress.
2) What is the best part of your job?
For me, the happiest moment is discharging a healthy NICU baby home. The joy in the parents’ eyes is irreplaceable. And the gratitude that they hold towards us doctors makes up for the best part of my job.
3) What’s the biggest challenge you face?
The biggest challenge I face is dealing with parents of NICU cases. Every time a new NICU case comes in, counseling the parents of these infants who are critical in NICU is crucial. Our duty is to give them hope that things can go well, and to achieve it with our utmost efforts.
4) Can you give us some insight on prematurity in India?
In a recent survey, it was found out that more than 16% of the infants delivered in India are still born premature. Except for the metro cities and suburban areas, facilities for a regular newborn in other parts of the county are still lacking.And this is worse for the case of a premature baby as they require extensive care and treatment. Most of these infants die either due to lack of care, or due to the lack of having the desire to care- as the parents are themselves unaware of the consequences of neglecting a premature infant’s health.
5) What are your recommendations for parents on a high-risk of delivering a preterm baby?
Delivery must be planned in a unit which has a level III NICU with experience to handle preterm babies. The mother must be prepared to put in extra efforts with breast milk, and both the parents should be patient and understanding in terms of the baby’s health and progress in the same. Beyond all, they must always hope for the best and be prepared for any outcome.
6) Can you share a case study on a premature baby that you have handled at Apollo Cradle?
There was a 25 weeks, 840 gm infant transferred from another NICU, who was delivered with no antenatal care. The infant came in on the 7th day of his life, was on the ventilator, and was suffering from infection and a premature cardiac status. It took us 80 days of intensive care, along with the combined efforts of the parents and staff, to finally bring the infant back to his best health.Finally he got discharged with no eye, hearing, brain or lung sequela, with safe breastfeeding on the mother with a weight of 2.2 Kgs.
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For first time parents, their baby’s first fever is usually a scary situation. But if you’re well prepared, it is nothing to panic about. Infants are very delicate in the first few months of their life and their immune system takes time to develop. So it is important to pay attention to any changes in your baby’s behavior. Touch your baby’s forehead and check to see if it is warm. It is not always necessary for the baby’s body to heat up if he/she has a fever.
Look out for symptoms such as:
- Running nose
- Vomiting
- Diarrhea
- Unusual crankiness (Irritability)
- Loss of appetite
- Loss of sleep
- Rashes
If the baby seems warm, check the temperature using a thermometer. Make sure the thermometer is clean. If the thermometer shows the temperature around 101-103 degrees, he/she has a fever. Babies under the age of 3 months require immediate medical attention whereas babies older than 6 months can be observed by the parents at home for 24 hours. If the fever is still constant or rises again then make sure to contact your doctor immediately.
Tips to follow to handle your baby’s first fever:
- Never give your baby medicines without consulting the doctor first. Always ask your doctor which medicine is apt for your baby’s weight and the prevailing condition.
- Fever causes the infants to lose fluids faster. Keeping your baby hydrated throughout the fever prevents the condition from worsening any further.
- Try to reduce your infant’s fever by giving him/her a sponge bath with lukewarm water.
- Do not give a sponge bath with cold water or with rubbing alcohol as it may bring down the temperature too fast and then the temperature may rise higher than before.
- Never give your baby aspirin as it may become a cause of a fatal illness known as Reye’s Syndrome.
Following these tips will help you prepare for your child’s first fever. Remember to consult your doctor in case of any confusion. Pay attention to your baby’s behavior in order to determine his/her condition and then consult the doctor to get the best care possible for your child. For more useful information about preventive postnatal care, you can check out this page.
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For first time parents, their baby’s first fever is usually a scary situation. But if you’re well prepared, it is nothing to panic about. Infants are very delicate in the first few months of their life and their immune system takes time to develop. So it is important to pay attention to any changes in your baby’s behavior. Touch your baby’s forehead and check to see if it is warm. It is not always necessary for the baby’s body to heat up if he/she has a fever.
Look out for symptoms such as:
- Running nose
- Vomiting
- Diarrhea
- Unusual crankiness (Irritability)
- Loss of appetite
- Loss of sleep
- Rashes
If the baby seems warm, check the temperature using a thermometer. Make sure the thermometer is clean. If the thermometer shows the temperature around 101-103 degrees, he/she has a fever. Babies under the age of 3 months require immediate medical attention whereas babies older than 6 months can be observed by the parents at home for 24 hours. If the fever is still constant or rises again then make sure to contact your doctor immediately.
Tips to follow to handle your baby’s first fever:
- Never give your baby medicines without consulting the doctor first. Always ask your doctor which medicine is apt for your baby’s weight and the prevailing condition.
- Fever causes the infants to lose fluids faster. Keeping your baby hydrated throughout the fever prevents the condition from worsening any further.
- Try to reduce your infant’s fever by giving him/her a sponge bath with lukewarm water.
- Do not give a sponge bath with cold water or with rubbing alcohol as it may bring down the temperature too fast and then the temperature may rise higher than before.
- Never give your baby aspirin as it may become a cause of a fatal illness known as Reye’s Syndrome.
Following these tips will help you prepare for your child’s first fever. Remember to consult your doctor in case of any confusion. Pay attention to your baby’s behavior in order to determine his/her condition and then consult the doctor to get the best care possible for your child. For more useful information about preventive postnatal care, you can check out this page.
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For first time parents, their baby’s first fever is usually a ...
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[blog_title] => Signs of Postpartum Depression
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Postpartum Depression usually affects women right after childbirth. It normally occurs in the first year after delivery. Frequent changes in your mood or the way you feel about everyday things are the affects of depression. It mostly effects women but can also be seen in men who are new fathers and even in couples who have adopted. Without proper counseling, the depression may last a long time.
Postpartum depression is common in people who:
- Are relatively younger parents.
- Have financial problems.
- Have mixed feelings about raising a child.
- Have almost no support from friends and family.
- Are part of a problematic relationship with their partner.
Symptoms of having postpartum depression:
- You feel you aren’t good enough: Every parent doubts whether he/she is doing the new parenting thing right. But this isn’t one of those things. You always feel like you cannot do it. You even wonder if it was the right choice to become a parent.
- You have no patience: Everything around you irritates or angers you. You cannot be patient to stop your baby from crying. You feel trapped.
- You have trouble sleeping: You cannot fall asleep no matter how much you try. Something always keeps you up even if the baby is sleeping.
- You can’t stop crying: You keep crying even when there is no real reason to cry. You feel emotionally drained. You feel hopeless and like a failure.
- You do not feel connected: You do not feel connected to your baby or to anyone else. It seems as though no one understands how you feel.
Help and treatment you need:
- Talk about your feelings to someone close. Do not hide away.
- Go for counseling or therapy sessions.
- Seek medical help to tackle depression.
- Exercise regularly to boost your mood.
- Take some quality time out for yourself.
- Engage in activities you enjoy or find relaxing.
Medicines and Talk therapy can have a major affect on the person’s depression. If the counseling does not help you it is better to consult a doctor and go about with the treatment which includes antidepressants and blood tests. Book an appointment here with our expert consultants to help tackle this issue.
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Postpartum Depression usually affects women right after childbirth. It normally occurs in the first year after delivery. Frequent changes in your mood or the way you feel about everyday things are the affects of depression. It mostly effects women but can also be seen in men who are new fathers and even in couples who have adopted. Without proper counseling, the depression may last a long time.
Postpartum depression is common in people who:
- Are relatively younger parents.
- Have financial problems.
- Have mixed feelings about raising a child.
- Have almost no support from friends and family.
- Are part of a problematic relationship with their partner.
Symptoms of having postpartum depression:
- You feel you aren’t good enough: Every parent doubts whether he/she is doing the new parenting thing right. But this isn’t one of those things. You always feel like you cannot do it. You even wonder if it was the right choice to become a parent.
- You have no patience: Everything around you irritates or angers you. You cannot be patient to stop your baby from crying. You feel trapped.
- You have trouble sleeping: You cannot fall asleep no matter how much you try. Something always keeps you up even if the baby is sleeping.
- You can’t stop crying: You keep crying even when there is no real reason to cry. You feel emotionally drained. You feel hopeless and like a failure.
- You do not feel connected: You do not feel connected to your baby or to anyone else. It seems as though no one understands how you feel.
Help and treatment you need:
- Talk about your feelings to someone close. Do not hide away.
- Go for counseling or therapy sessions.
- Seek medical help to tackle depression.
- Exercise regularly to boost your mood.
- Take some quality time out for yourself.
- Engage in activities you enjoy or find relaxing.
Medicines and Talk therapy can have a major affect on the person’s depression. If the counseling does not help you it is better to consult a doctor and go about with the treatment which includes antidepressants and blood tests. Book an appointment here with our expert consultants to help tackle this issue.
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Postpartum Depression usually affects women r...
