21 April, 2021

Know the best time to switch to formula feeding

One of the most important ways to guarantee a child’s welfare and survival is to breastfeed them. For babies, breast milk is the best medicine and food. It is nutritious, clean, and contains antibodies that help protect children against a variety of illnesses. Breastmilk supplies all of the calories and nutrients that an infant requires during the first few months of life.

Breast milk helps to supply up to half or more of a child’s nutritional needs during the second quarter of the first year. Up to one-third of a child’s dietary needs during the second year are also served through mothers breast milk. However, the most confusing part for almost every mother is when to switch the feeding patterns for the baby. When is the best time to switch to formula feeding for their babies? Is it always confusing? 

When should you switch to formula feeding from breastfeeding?

Knowing the best time to switch to formula feeding from breastfeeding is a key to nurture your baby with increasing nutritional needs. Some toddlers maintain their breastfeeding attachment well into adulthood. While others are less interested and begin self-weaning before their first year (between 9 and 12 months typically).

You can start introducing formula feeding when, 

  1. The baby is interested in food. For example, you may observe them watch others eat, reach for food, and open their mouths when food approaches with expectation. 
  2. A simple thumb rule would be when your baby weighs double the birth weight. 
  3. When your milk is waning, your milk generation might reduce after a couple of months and might not meet the needs of your baby.
  4. If you notice your baby is fussy and still hungry after feeding or isn’t gaining as much weight. It is time for external feeding. 
  5. When your baby starts keeping his/her head up and sits up with little to no assistance.

The American Academy of Pediatrics suggests exclusive breastfeeding for the first six months of your baby’s life, followed by a combination of breast milk and solid food before he becomes one. And if the arrangement is going well for your routine, it’s entirely appropriate to extend it.

The decision to stop breastfeeding is a personal one, and each mother should do what is best for her and her child. Following the general precautions and most appropriate methods will help the baby, and you have a much healthier and happier time. 

*Information shared here is for general purpose. Please take doctors’ advice before taking any decision. 


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05 August, 2020

5 easy tips for caring your newborns’ umbilical cord

Umbilical cord is the little hanging pipe that you see on your baby’s belly after birth. This umbilical cord is originally 50 coms long and connects both the mother and child when the baby is inside. This long organ is generally grown to nourish your baby with food, oxygen, and everything else. After birth, the cord is cut close to the baby’s body as they are fully grown. This little lump looks like a small rope in purplish color and will fall off itself after a few weeks. However, when still attached to the baby, it can actively spread infections to your newborn and hence require your care and attention till it falls off. Here are 5 easy tips you can follow while caring for your newborn’s umbilical cord. Keep it clean and dry all the time   This little slump needs to be clean and dry all the time. Moisture around it attracts the bacteria and causes irritation to the tender skin around it. Hence ensure you clean the cord separately soon after the bath to ensure the cleansing. Do not stamp it under the nappies   Stamping it under the nappies will not expose it to air and attracts the wet from the nappies. Thus, you should always place the nappies below the cord and let the
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15 February, 2021

Identifying newborns with heart defects- are we doing better?

Congenital heart disease (CHD) or heart defects present from birth, is the most common type of birth defect, with an overall prevalence of approximately  1 percent. Critical CHD, defined as requiring surgery or catheter-based intervention in the first year of life, accounts for approximately 25 percent of CHD. Infants with critical CHD may present during the birth hospitalization, often with serious and life-threatening clinical findings that require immediate intervention. However, some infants with CHD may appear normal on routine examination and signs of critical CHD may not be apparent until after discharge. The timing of presentation varies with the underlying lesion.  Two tools have revolutionized the early detection of congenital heart defects – Fetal echocardiography and neonatal pulse oximetry screening. Clinicians skilled at fetal echocardiography are able to identify most critical congenital heart defects. Referrals for fetal echocardiography are typically prompted by the presence of risk factors or suspicion on obstetrical ultrasounds, typically performed in the second trimester.  The second tool – universal newborn screening with pulse oximetry improves the identification of patients with critical CHD compared with physical examination alone. Prior to the routine use of pulse oximetry screening, approximately 30 percent of patients with critical CHD were discharged from the birth hospitalization undiagnosed. The next important question is what happens after diagnosis? Procedures done through cardiac catheterization —
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17 February, 2021

Complementary Feeding

The practice of introducing complementary foods (solid foods and liquids other than breast milk or infant formula) during the first year of life is variable. The American Academy of Pediatrics and World Health Organization recommend that complementary foods be introduced around six months of age What is the ideal time to start complementary feeding? The optimal time to start solid foods depends on the child’s age, the child’s ability to sit up, support his or her head, and meet other developmental milestones. These guidelines apply to all children, including those who have delays with gross motor skills. Your infant should be able to do the following: sit with support, have good head and neck control, must be ready for varied textures of supplemental foods by placing their hands or toys in their mouth and lean forward and open the mouth when interested in food, and lean back and turn away when uninterested in the food or not hungry. Why should solids not be introduced earlier? Introducing solid foods before age four to six months is not helpful and could be harmful. Reasons for delaying the introduction of solid foods include the following: Introducing solid foods before your infant is four to six months of age may interfere with his or her ability to take in an adequate number of
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