Category: Pediatrics & Neonatology

Newborn Care

 

Newborn period refers to the first twenty-eight days of life. This period is the most challenging period of human life, since babies are born to an entirely new surrounding from a warm and quite place, i.e. the mother’s womb. There are lots of physiological changes happening during this period in the baby, which is essential for their survival. Also this period is an important time in the life of the baby and the family, since both of them face lots of changes from their routine.

A newborn baby can either be born earlier than expected / prematurely (delivery before thirty seven completed weeks of pregnancy), at term (delivery between thirty seven completed weeks and forty two weeks of pregnancy), or post term (delivery after forty two weeks of pregnancy). These three groups of newborn have their peculiar features and require appropriate support and care for their optimal growth and development. It is imperative to take care of the preterm and low birth weight babies as many studies have demonstrated beyond doubt that these conditions can later on causes various health issues like hypertension and increased cardiovascular risk amongst other morbidities like developmental delays and low IQ, thus reducing the productivity of the individual and increasing the burden on the socio-economic status of the country.

As soon as possible after birth, and within 24 hours of birth, the newborn baby should undergo a detailed clinical evaluation. The goal of the detailed examination is to:

  • Detect congenital abnormalities, if any.
  • Ascertain that the baby has withstood the stress of delivery without suffering any injury such as excessive molding, cephal hematoma, nerve palsies, or fractures.
  • Look for signs and symptoms of problems which needs medical attention and care at the earliest, such as respiratory difficulties, vomiting, feeding issues, low blood sugars, bluish discoloration of skin / cyanosis or seizures.

Few dos and don’ts for new born babies:

  1. Immediately after birth, the airway should be cleared of any fluid, blood or excess mucus if present.
  2. The umbilical cord should not be cut in a hurry as the advantages of delayed cord clamping is now well established. Delaying cord clamping for about 1-2 minutes or until the cord pulsation ceases in otherwise well term newborns may give the baby extra 20-40 mls of blood and about 30-35 mg of iron, thereby protecting the baby from the risk of anemia later during infancy.
  3. Immediately after birth, if airway is patent, the baby is wiped dry to reduce heat loss and wrapped in a warm towel and then handed over to the mother or nursed skin-to-skin beside the mother, covered with dry linen. The mother should be encouraged to breast feed at the earliest.
  4. All precautions should be taken for maintaining temperature in newborn babies, sustain adequate feeding and thus avoid low blood sugars and prevent infections.

Dr. Abdul Majeed, Specialist Paediatrician

Dr. Abdul Majeed 

Specialist Paediatrician 

Aster Hospital, Mankhool 

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Childhood Cancer; Know the Warnings

Childhood Cancer updated blog picture

Cancer in children accounts for just 1 % of the total number of cancer cases. The ‘Golden Ribbon’ which is symbolic of paediatric cancers denotes the importance in curing these cancers. Although rare, they cause much distress in the young parents and immediate family members, for obvious reasons. Unlike adult cancers, the onset can be quite rapid and dramatic. Continue reading “Childhood Cancer; Know the Warnings”

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Tips To Keep Your Baby Safe

Baby Safety Tips

Providing a safe environment is an important part of caring for new born babies. Babies need to be safe at home and also when they’re away from home. There are some simple things you can do to help keep your baby safe and secure at all times. Your child’s safety is your responsibility. The following tips should help you to keep your baby away from harm: Continue reading “Tips To Keep Your Baby Safe”

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Children and Allergies: Who has allergies and why?

Allergies in Children

With coughing, sneezing, itching and vomiting only being a few, children with allergies can face various miserable symptoms, making their life difficult. Allergies in children may be precipitated due to various reasons, including seasonal changes, different kinds of food, changes in the place of stay etc. Continue reading “Children and Allergies: Who has allergies and why?”

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Getting Yourself Aware About Common Infant Problems

Common Infant Problems

It is hard when your baby is sick. Common health problems in babies include cold, cough, fever, and vomiting. Babies also commonly have skin problems, like dry skin,eczema, diaper rash or cradle cap. Trust your intuition – if you are worried about your baby, call your health care provider right away. Continue reading “Getting Yourself Aware About Common Infant Problems”

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Can Your Baby Hear You?

New Born screening picture

The World Health Organization (WHO) states that 0.5-5 newborns in every 1000 births suffer from hearing impairment to some degree (1).

Ensuring that your baby gets the necessary screenings to detect any health disorders post birth is the first and the most crucial step towards promising them healthy growing years. Most health disorders screened in the first week of the child’s birth are treatable to a great extent. Newborn screening includes a set of tests performed on the child, 24-48 hours after birth, although some studies also suggest that the screening be done 12 hours after birth in order to identify and diagnose any kind of treatable conditions. Continue reading “Can Your Baby Hear You?”

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Baby First Foods – ‘WEANING’

Weaning is the process by which a baby gradually gets used to eating adult food or the food that the family generally eats, and relies less on breast milk. The World Health Organization defines ‘weaning’ as a gradual process of getting the baby accustomed to food other than the mother’s milk. This process starts around the age of 4-6 months as the mother’s milk alone is not sufficient to sustain a baby’s growth beyond 6 months. It should be supplemented by food rich in proteins and other nutrients, called as supplementary foods.

Why weaning is Important by 6 months? Continue reading “Baby First Foods – ‘WEANING’”

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When to Start Giving Water to Babies?

1.When should one start giving drinking water to babies?

Babies younger than 6 months old should never be given water to drink. Daily water intake is fulfilled by mother’s milk up to the age of 6 month. If formula milk started the water requirement is fulfilled by it. We don’t need to give additional drinking water.

2. What happens if we give drinking water apart from breast feeding or formula milk?

Baby’s tiny intestine is not much strong to fight against outside food or water it may chance for the loose motion or diarrhea. Continue reading “When to Start Giving Water to Babies?”

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New Born Hearing Screening with OTO Acoustic Emissions (OAE) and it’s Importance.

Hearing impairment in children across the world constitutes a particularly serious obstacle to their optimal development and education, including language acquisition. According to a range of studies and surveys conducted in different countries, around 0.5 to 5 in every 1000 neonates and infants have congenital or early childhood onset sensorineural deafness or severe-to-profound hearing impairment. Deaf and hearing-impaired children often experience delayed development of speech, language and cognitive skills, which may result in slow learning and difficulty progressing in school. Continue reading “New Born Hearing Screening with OTO Acoustic Emissions (OAE) and it’s Importance.”

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Why Vaccinate?

Vaccinations are extremely important for the health and well-being of a child. Parents are often sceptical about getting their child vaccinated, which is partly due to the fact that they have very little familiarity with the devastating effects of a vaccine-preventable illness. Childhood vaccination is a topic that involves various opinions. Doctors and medical professionals recommend getting all children vaccinated as per the established vaccination schedules because vaccinations provide immunity against infectious and life-threatening diseases. Vaccinations build a child’s immune system and make their body strong enough to fight against certain infectious diseases. Continue reading “Why Vaccinate?”

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