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Dr. Lata Bhat - Pediatrician, Delhi

Dr. Lata Bhat

92 (157 ratings)
Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS

Pediatrician, Delhi

31 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Lata Bhat 92% (157 ratings) Fellowship in Neonatology, MRCPCH(UK), Diploma in Child... Pediatrician, Delhi
31 Years Experience  ·  500 at clinic  ·  ₹300 online
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Good afternoon, I am Dr Lata Bhat, a developmental Pediatrician in Delhi. We take care of develop...

Good afternoon, I am Dr Lata Bhat, a developmental Pediatrician in Delhi. We take care of developmental disorders in children like Autism, Hyperactivity, ADHD, learning and physical disability. Today I will talk about Autism.

Autism is a spectrum disorder that means there is a wide range of presentations.

Why did I choose to speak on this topic? The incidents are alarmingly high. It is a sort of epidemic and if not addressed, it can lead to a disaster.

The cause is Genetic. If one child has got Autism then the siblings also have the maximum chance to suffer from the same disease.

How does it affect the children?

Autism affects the communication of the child. It affects the speech, language as well as the non- verbal communications. Communication is the exchange of thoughts, ideas between the two or more people. Speech is delayed.

How do the parents or a care taker suspect the child?

Initially, the norms of the communication come first and then the speech.

 

read more
Preterm Labor and Birth<br/><br/>Good Evening. I'm Dr. Lata Bhat. I'm a Neonatology and I take ca...

Preterm Labor and Birth

Good Evening. I'm Dr. Lata Bhat. I'm a Neonatology and I take care of the developmental problems of children. So today I want to talk a bit about pre-term babies who're born before 36 weeks. Normal babies are born from 37-40 weeks of gestation after the mother becomes pregnant and babies who're born before 36 weeks have some problems. Babies who're born from 34-36 weeks donot have that much problem but those who're born before 34 weeks, especially those born below 28 weeks have lot of problems and especially babies who're less than 1.5kg or less than 1kg. But in good centers in India, like my center also, we do save babies, about 600 or 700 or 800gm babies and also thos born in about 25-26 weeks of gestation and there is a success rate of about 90%.

Now, globally about 15 million babies are born pre-term and out of this 25% are born in India. So imagine the burden of pre-term babies in India and the facilities that exist in India are abysmal as compared to the number of babies who're born pre-term, and we've to remember out of all the number of deliveries about 12.5% are born pre-term which is a huge number. About 27 million babies are born annually and out of this about 3.6 million babies are born pre-term.

So now considering the problem all the prospective parents and everybody should know what causes prematurity. Because however much educated a gynecologist maybe or a pediatrician maybe there is no full proof method to predict or prevent it but there are certain factors which contributes more to prematurity. So early recognition and timely transfer to higher center with better facilities is very important. Now in India it happens due to complex factors, it happens in poor people as well as rich people. Pregnancy in adoloscent people, whose womb is no yet ready to take babies or if the mother is underweight, there are recurrent infections in the mother, under-nutrition or impropoer nutrition, then substance abuse by the mother, in vitro fertilisation, if the mother has diabetes during pregnancy, mother has uncontrolled blood pressure during pregnancy, infections during pregnancy, especially urinary tract infection or genital infection, Sexually Transmitted Diseases.

These are the conditions where we can definitely predict that baby can be born pre-term, and also in case of multiple pregnancies, especially if the mother has twins or triplets then risk of pre-term birth is more. Now stress also leads to pre-term birth. In the current lifestyle there is stress, everybody is career oriented so we're facing a lot of infertility, people are taking treatment for infertility, having in vitro fertilisation that is also leading to pre-term birth. Now, once we know there are a lot of factors how do we prevent it. First is prevention then comes treatment. For prevention, as I told you before conception we've to think that mother's nutrition should be good, she should be well nourished, mother's age should be appropiate, she should not be a teenager or an adolescent, that is more than 22-23yrs of age. Then pregnancy planning, birth spacing, then we've to think about preventing sexually transmitted diseases, we've to give vaccines which are recommended for adoloscents, then genetic counselling, screening for diabetes, if there is substance abuse you've to stop it, stop smoking, prevent stress and all these things. And also proper ante-natal care by a proper gynecologist where they screen for everything and do regular ultrasound examination of the mother and they train the mother to handle the pregnancy well

Now, despite doing everything if we're not able to avoid pre-term labour then one has to plan to deliver at a center where there are facilities, there is trained new born consultant who'll be attending the delivery and they have all the facilities to take care of the baby after birth. And supposing if sill the baby is born in a center where there are no facilities then a proper transport should be arranged. We should not just pick up the baby and shift to a center because temperature mainatainance is very important, we've to take care the baby is getting continuous glucose, baby is receiving oxygen and is properly transported. Even during transport if these things are not taken care of the baby's brain development can be affected. If transient dip of oxygen, even for a few seconds or for few minutes if the baby is not receiving any glucose or if there is very rigorous transport the baby can suffer haemorrahage in the brain.

So new born babies, especially a pre-term babies can be very very delicate and so transport should be done in a proper manner and then once you've gone to a center where they're saving babies, you've to first maintain the temperature, take care of the breathimg, if require breathing support, if require oxygen then maintanance of blood sugar, prevention of infections, hen regular screening to lok for the eye problems, brain problems and once the baby survives at the time of discharge these babies may stay in a hospital for a long time and after discharge you should listen carefully to what the doctor is telling because a proper follow up is what will give a quality outcome in the long run. Because we just don't want to save lives and give them long term problems like hearing, speech, vision or physical disability.

All these are preventable and to a certain extent correctable. If you follow properly the pediatrician and if possible the developmental pediatrician. So that's very important. So the take home message is try to prevent pre-term birth by knowing the factors which cause it and if its inevitable get your delivery done in a center that has facilities to take care of the pre-term babies and after the baby survives follow up all the instructions given by your doctor and pediatrician.

So, if you've any further doubts related to a pre-term baby or any baby you can consult me through librate.com where we can chat or telephonic conversation or you can contact me at Child Developmental Clinic which is at Poorvanchal Plaza, Shop No-106, Mayur Vihar, Phase-2.

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Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.<br/><br/>Good after...

Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.

Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.

Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.

Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it’s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.

You can fix certain household roles, routines so that children can understand the do’s and dont’s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it’s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.

Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child’s future.

For any other further information, you can contact me on lybrate.com.

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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family. ...more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Lata Bhat
With over 30 years of experience in field of Neonatology Dr. Lata Bhat is undoubtedly one of the most efficient neonatologist working in Mayur Vihar , New Delhi. She received her M.B.B.S in 1996 from the very prestigious Lady Hardinge College,New Delhi. She has also acquired Diploma in child Health(DCH) in 1991 from the Well-known Vardhaman Mahavir Medical college and Safdarjung hospital,Delhi and he has also received MRCPCH in 2003 from the Royal college of Pediatrics and child health,UK. Apart from this she has also done a fellowship in Neonatology in 2005 from the St Peter?s Hospital Chertsey,UK. A well reputed name in her field,Dr. Lata Bhat is a professional member of Indian Academy of Paediatrics. Apart from that she is also a member of National Neonatology Forum (NNF). She is currently associated with Palak child Deveolpment Centre in Mayur Vihar, Delhi. In her clinic, one can avail a whole lot services including Adoloescent Problems treatment, limping child treatment, New born care, New born jaundice. Apart from this she is also well- versed with Thyroid Disease in children, Thyroid Disorder Treatment and Child and adolescent treatment. ?

Info

Education
Fellowship in Neonatology - St Peter's Hospital Chertsey - NHS - UK - 2005
MRCPCH(UK) - Royal College Of Pediatrics & Child Health , UK - 2003
Diploma in Child Health (DCH) - Vardhman Mahavir Medical College & Safdarjung Hospital, Delhi, - 1991
...more
MBBS - Lady Hardinge Medical College, New Delhi - 1986
Languages spoken
English
Hindi
Professional Memberships
Indian Academy of Paediatrics (IAP)
National Neonatology Forum (NNF)

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Palak Child Development Centre

106, Purvanchal Plaza,Mayur Vihar, Phasde -2Delhi Get Directions
  4.6  (157 ratings)
500 at clinic
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Child's Immunity - 5 Ways To Boost It!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Child's Immunity - 5 Ways To Boost It!

Children are as vulnerable as they are adorable. Their immune system is not as strong as that of adults, so they are easy victims to environment borne diseases like cold, cough, influenzas and other infections. Here are 5 practical and easy ways in which you can boost your child's immunity and make sure that your role as a parent is sufficiently fulfilled.

1. Decide judiciously what he is supposed to eat and drink

Your child's daily diet must contain a lot of fruits, vegetables, juices, organic foods and proteins. Healthy fats like butter, pastured eggs, coconut etc. Are also essential as they help in absorbing important vitamins like vitamins a, d, e, k and others. Even your child's water intake should be at an optimal level. Processed food and excessive sugar intake should be avoided as they add to your child's calorie count.

2. Get your child to exercise

Regular exercise is a must. It may include running, swimming, jumping or simply strolling. Screen time should be limited as much as possible as those video games and i-pads are robbing your child of his immunity. Make sure your child spends a few hours outside in the sun so as to absorb vitamin d that is obtained from sunlight, for his immunity.

3. Ensure a clean and hygienic environment for your child

You must make sure that that your child learns to keep himself clean. Teach him to wash his hands whenever necessary and tell him not to sneeze and cough in a way that spreads germs. Maintain a clean and healthy environment in and around your home but make sure that you don't shoo away the good bacteria that prevent diseases.

4. Cut down the stress levels of your child

It is very important for you to recognise and eliminate stress from your child's life to ensure immunity for him. Do not force your will upon your child and let him follow his heart. Help him relax if he is stressed and talk to him patiently about things that are worrying him. Maintain a healthy and loving environment in your family to help your child grow.

5. Ensure you child gets adequate rest

Make sure that your child gets adequate amount of comfortable sleep. It is important for you to make your child understand the benefits of sleeping early. This not only increases his/her immunity but also helps him/her to stay attentive and focussed. If you wish to discuss about any specific problem, you can consult a Pediatrics.

3403 people found this helpful

How To Manage Stress?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
How To Manage Stress?

Children, who often develop unmanaged stress during pre-puberty years suffer from conditions like muscle tightness, headaches, stomachaches and other discomforts should try exercising, as it is a great stress buster.

1 person found this helpful

Autistic Spectrum Disorder

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Play video

Good afternoon, I am Dr Lata Bhat, a developmental Pediatrician in Delhi. We take care of developmental disorders in children like Autism, Hyperactivity, ADHD, learning and physical disability. Today I will talk about Autism.

Autism is a spectrum disorder that means there is a wide range of presentations.

Why did I choose to speak on this topic? The incidents are alarmingly high. It is a sort of epidemic and if not addressed, it can lead to a disaster.

The cause is Genetic. If one child has got Autism then the siblings also have the maximum chance to suffer from the same disease.

How does it affect the children?

Autism affects the communication of the child. It affects the speech, language as well as the non- verbal communications. Communication is the exchange of thoughts, ideas between the two or more people. Speech is delayed.

How do the parents or a care taker suspect the child?

Initially, the norms of the communication come first and then the speech.

 

2 people found this helpful

ADHD: Signs And Symptoms You Might Be Suffering From It!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
ADHD: Signs And Symptoms You Might Be Suffering From It!

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:

  1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
  2. Increased restlessness: The child would be extremely restless and gets distracted easily.
  3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:

  1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
  2. Sleep disorders
  3. Difficulty in following directions
  4. Poor executive functioning skills
  5. Disorganization, which can lead to poor motor coordination and impaired movements
  6. ADHD kids tend to forget things very easily and need help with coordinating movements
  7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
  8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.

This will help identify areas that need support from an Occupational Therapy, which are the following:

  1. Support with gross and/or fine motor skills
  2. Support with improving handwriting
  3. Support with engaging in playing sports and games
  4. Support in engaging in social activities
  5. Improving sensory processing difficulties
  6. Improving visual perception
  7. Support in adapting to the environment
  8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition. If you wish to discuss about any specific problem, you can consult a Pediatrician.

4580 people found this helpful

9 Causes Of Iron Deficiency In Children!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
9 Causes Of Iron Deficiency In Children!

Iron deficiency is a common condition in children. It occurs when there is a scarcity of iron in the child's system due to malnutrition. Iron is an extremely important mineral that is required for growth and development in young ones. It is used in transporting oxygen through the bloodstream and is essential for the functioning of the muscles. If the child's diet lacks iron then the condition might worsen and turn into anemia.

Children need different levels of iron intake at different ages for proper development of all mental and physical faculties. As the child gets older and reaches the age of puberty, the requirement of iron and other minerals also increases. Deficiencies can lead to various nutritional disorders that may cause severe complications.

The primary cause of iron deficiency in children is an improper diet which leads to a lack of nourishment. There are a number of other causes of the problem, some of which are as follows:

  1. Low birth weight
  2. Excessive intake of cow's milk at less than 2 years of age
  3. Feeding exclusively on breastmilk beyond 6 months of age
  4. Lead poisoning
  5. Pure vegetarian diet with insufficient sources of iron such as green vegetables
  6. Gastrointestinal disease or infection
  7. Improper diet of the mother during pregnancy
  8. Chronic diarrhea
  9. Infestation of parasites in the digestive system.

If the problem arises due to dietary deficiency, it can be easily solved by making simple modifications to the child's diet plan. If the condition stems from other factors or diseases, the child must be taken to a doctor immediately for a medical diagnosis and remedial treatment. If you wish to discuss about any specific problem, you can consult a Pediatrician.

4788 people found this helpful

Causes And Symptoms Of Cyclic Vomiting Syndrome in Children!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Causes And Symptoms Of Cyclic Vomiting Syndrome in Children!

Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: The syndrome (a group of symptoms) usually has 4 phases:

  1. Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.
  2. Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.
  3. Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.
  4. Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

  1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the CVS also.
  2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.
  3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.

However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist. If you wish to discuss about any specific problem, you can consult a Pediatrician.

4217 people found this helpful

Premature Birth

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Play video

Preterm Labor and Birth

Good Evening. I'm Dr. Lata Bhat. I'm a Neonatology and I take care of the developmental problems of children. So today I want to talk a bit about pre-term babies who're born before 36 weeks. Normal babies are born from 37-40 weeks of gestation after the mother becomes pregnant and babies who're born before 36 weeks have some problems. Babies who're born from 34-36 weeks donot have that much problem but those who're born before 34 weeks, especially those born below 28 weeks have lot of problems and especially babies who're less than 1.5kg or less than 1kg. But in good centers in India, like my center also, we do save babies, about 600 or 700 or 800gm babies and also thos born in about 25-26 weeks of gestation and there is a success rate of about 90%.

Now, globally about 15 million babies are born pre-term and out of this 25% are born in India. So imagine the burden of pre-term babies in India and the facilities that exist in India are abysmal as compared to the number of babies who're born pre-term, and we've to remember out of all the number of deliveries about 12.5% are born pre-term which is a huge number. About 27 million babies are born annually and out of this about 3.6 million babies are born pre-term.

So now considering the problem all the prospective parents and everybody should know what causes prematurity. Because however much educated a gynecologist maybe or a pediatrician maybe there is no full proof method to predict or prevent it but there are certain factors which contributes more to prematurity. So early recognition and timely transfer to higher center with better facilities is very important. Now in India it happens due to complex factors, it happens in poor people as well as rich people. Pregnancy in adoloscent people, whose womb is no yet ready to take babies or if the mother is underweight, there are recurrent infections in the mother, under-nutrition or impropoer nutrition, then substance abuse by the mother, in vitro fertilisation, if the mother has diabetes during pregnancy, mother has uncontrolled blood pressure during pregnancy, infections during pregnancy, especially urinary tract infection or genital infection, Sexually Transmitted Diseases.

These are the conditions where we can definitely predict that baby can be born pre-term, and also in case of multiple pregnancies, especially if the mother has twins or triplets then risk of pre-term birth is more. Now stress also leads to pre-term birth. In the current lifestyle there is stress, everybody is career oriented so we're facing a lot of infertility, people are taking treatment for infertility, having in vitro fertilisation that is also leading to pre-term birth. Now, once we know there are a lot of factors how do we prevent it. First is prevention then comes treatment. For prevention, as I told you before conception we've to think that mother's nutrition should be good, she should be well nourished, mother's age should be appropiate, she should not be a teenager or an adolescent, that is more than 22-23yrs of age. Then pregnancy planning, birth spacing, then we've to think about preventing sexually transmitted diseases, we've to give vaccines which are recommended for adoloscents, then genetic counselling, screening for diabetes, if there is substance abuse you've to stop it, stop smoking, prevent stress and all these things. And also proper ante-natal care by a proper gynecologist where they screen for everything and do regular ultrasound examination of the mother and they train the mother to handle the pregnancy well

Now, despite doing everything if we're not able to avoid pre-term labour then one has to plan to deliver at a center where there are facilities, there is trained new born consultant who'll be attending the delivery and they have all the facilities to take care of the baby after birth. And supposing if sill the baby is born in a center where there are no facilities then a proper transport should be arranged. We should not just pick up the baby and shift to a center because temperature mainatainance is very important, we've to take care the baby is getting continuous glucose, baby is receiving oxygen and is properly transported. Even during transport if these things are not taken care of the baby's brain development can be affected. If transient dip of oxygen, even for a few seconds or for few minutes if the baby is not receiving any glucose or if there is very rigorous transport the baby can suffer haemorrahage in the brain.

So new born babies, especially a pre-term babies can be very very delicate and so transport should be done in a proper manner and then once you've gone to a center where they're saving babies, you've to first maintain the temperature, take care of the breathimg, if require breathing support, if require oxygen then maintanance of blood sugar, prevention of infections, hen regular screening to lok for the eye problems, brain problems and once the baby survives at the time of discharge these babies may stay in a hospital for a long time and after discharge you should listen carefully to what the doctor is telling because a proper follow up is what will give a quality outcome in the long run. Because we just don't want to save lives and give them long term problems like hearing, speech, vision or physical disability.

All these are preventable and to a certain extent correctable. If you follow properly the pediatrician and if possible the developmental pediatrician. So that's very important. So the take home message is try to prevent pre-term birth by knowing the factors which cause it and if its inevitable get your delivery done in a center that has facilities to take care of the pre-term babies and after the baby survives follow up all the instructions given by your doctor and pediatrician.

So, if you've any further doubts related to a pre-term baby or any baby you can consult me through librate.com where we can chat or telephonic conversation or you can contact me at Child Developmental Clinic which is at Poorvanchal Plaza, Shop No-106, Mayur Vihar, Phase-2.

3814 people found this helpful

Hi my baby is 10 months old and her weight is 6.85 kg. She is not eating properly. And not gaining weight also. Only BM she likes to have Any ways to make her eat better?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Hi my baby is 10 months old and her weight is 6.85 kg. She is not eating properly. And not gaining weight also. Only ...
Do not give breast feeding for 3 hours prior to feeding solid food. Encourage her to eat on har own. Do not force feed her.
1 person found this helpful
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Epilepsy And Seizures In Children - Know More About It!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Epilepsy And Seizures In Children - Know More About It!

Epilepsy is defined as a neurological disorder, which affects people of all age groups. However, the cases of seizures are found more in young children (likely to occur in as many as 4% of children) than in adults. It is still not known as to why a developing brain is more prone to seizures than a mature brain. A child is said to be suffering from epilepsy when they occur frequently. 

As parents your responsibilities are compounded if your child has epilepsy. You not only have to pay heed towards the normal concerns of his/her upbringing but also have to look into your child's emotional aspects, while dealing with the disorder in your day to day life.

You can help your child deal with the condition in the following ways:

1. It is quite likely that your child may feel resentful and develop emotional issues, such as depression or low self-esteem. Help your child cultivates positive attitude towards life and his/her disease.

2. Try to make your child come to terms with reality by helping him/her to understand that even though he/she may be different, he/she shouldn't look upon the condition as something that is abnormal. It is best to help your child concentrate on his/her strengths at such times.

3. Help your child participate in activities of his/her choice to instill positivity in life.

4. Make sure your other children understand their sibling's ailment and if he/she feels neglected try and spend more time with him/her. If need be, seek family counselling to make everyone understand how to deal with your child's illness.

5. Learn about your child's medication schedule thoroughly and also find out what he/she needs to do in case a dose of medication is missed.

6. Develop an environment where he/she feels comfortable and can easily share a concern or anxieties. If you wish to discuss about any specific problem, you can consult a pediatrician.

4487 people found this helpful

Hi my son is 4 months old and since birth he is having formula as well as breast milk but since 2 weeks he has stopped latching so I am pumping out my breast milk and I can only give him 5 oz per day. I want to ask whether it's enough I mean at least he is getting some antibodies from me please tell it's fine for him because I am getting into depression thinking about it whole day. Pls help.

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Hi my son is 4 months old and since birth he is having formula as well as breast milk but since 2 weeks he has stoppe...
Why has your son stopped latching? It could be because you must be giving formula feed by bottle. If you give formula feed by cup and spoon ,he may latch at your breast. If he latches and suckles at breast your milk will increase You must eat balanced diet and drink lot of water and take a 1 l milk or milk products per day to increase your milk There are medicines to increase milk Don't worry just try your best.
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Know More About Meningitis!

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Know More About Meningitis!

Arguably one of the most fatal diseases that threaten human life, Meningitis has been the cause of a lot of recent deaths. Essentially Meningitis is triggered off by the anomalous inflammation of the protective membranes called meninges in the brain and spinal cord. Spurred by some sort of a bacterial or viral attack, this condition emanates from an infection of the fluids in the cranial chamber. Often such conditions are also stimulated by some external injury, cancerous development or even certain kinds of reaction from a given drug or the other. 

Depending on the precise cause of the disease, Meningitis may be categorized as Bacterial Meningitis, Viral Meningitis or Fungal Meningitis. Other forms of Meningitis include parasitic Meningitis, Amebic Meningitis and Non-Infectious Meningitis. Meningitis could potentially be contagious. Through lengthy and proximal contact like coughing or kissing, if saliva or spit gets exchanged, Meningitis causing germs may spread from one person to the other.

Bacterial Meningitis
Streptococcus pneumoniae and Neisseria Meningitidis are the two of the most rampant Meningitis causing bacteria. They have the potential of causing irreversible damage to several vital organs. However, with substantive progress in medical science, effective and suitable medication has been made available to the larger populace. But, immediate attention is imperative in this case.

Viral Meningitis
Viral Meningitis is relatively milder than the other forms of meningitis. Enteroviruses, arboviruses and herpes virus are some of the most common sources of this kind of Meningitis. People with strong immunity are usually able to overcome this without much ado. Vaccines are available widely in the markets to cure viral meningitis.

Fungal Meningitis
Fungal Meningitis are caused primarily from external influences. Inhaling fungal spores from the environment is one of the most prominent factors that lead to Meningitis. People suffering from fatal diseases like cancer, diabetes or HIV are more susceptible to fungal Meningitis. While these are a few of the primary forms of meningitis, other triggers to this disease occur due to various environmental interventions. These are consequent upon interactions with various disease causing allergens. Cure to meningitis is available in the form of intravenous injections. But timely diagnosis and treatment is essential for a good outcome. If you wish to discuss about any specific problem, you can consult a pediatrician.

4481 people found this helpful

Tetanus - Why You Need To Get Your Child Vaccinated Against It?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Tetanus - Why You Need To Get Your Child Vaccinated Against It?

It is the first vaccine that the doctor will ask your child to get if he/she gets wound. Tetanus is a rare but severe condition which occurs when bacteria enter into an open wound. It can turn fatal if left untreated, so you need to follow the vaccination schedule in order to control the infection. Indulging in substance abuse (especially the ones that require injecting with syringes) increases the risk of tetanus.

Causes
This disorder is caused by the bacteria called ‘Clostridium tetani’. The bacterium is known to survive for an extended period outside the body, and is found in places such as soil and the manure of cows and horses. The bacteria enter the body through a wound, multiply rapidly and then release a toxin. This toxin causes muscle spasms and stiffness, thus affecting your nerves. The bacteria can enter the body through cuts, burns, animal bites, body piercings and eye injuries. However, this disorder is not contagious.

Symptoms
The symptoms of this disease can take 5-20 days to develop fully in the body. Your child may experience symptoms such as a rise in the body temperature, sweating, rapid heartbeats, muscle spasms and stiffening of the jaw muscles. These symptoms will worsen if left untreated, eventually leading to cardiac arrest or suffocation in some cases.

Treatment
If your child has a wound, the first step is to administer an injection of tetanus immunoglobulin. Tetanus immunoglobulin contains antibodies that effectively kill the tetanus bacteria. In case the symptoms start, then the child might need to be admitted to a hospital. Here, antibiotics and muscle relaxants are administered and breathing support may also be provided if required.

The preventive measure of this disorder is to be vaccinated against the ‘tetanus’ bacteria. The vaccine consists of five injections that are administered in a specific order. Once the entire course has been completed, it usually provides lifelong protection against the tetanus bacteria. If you wish to discuss about any specific problem, you can consult a pediatrician.

4387 people found this helpful

I do not know whats happening. Even if I drink one sip of water or eat little food I start getting gas prob. It happens every time. And sometimes I feel to vomit while drinking water. Why is tht happening. Is there anything serious? Imagine if m drinking a cup of water. As soon as I drink a sip. Tht irritating gas comes out from my mouth. Can you help me please.

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
I do not know whats happening. Even if I drink one sip of water or eat little food I start getting gas prob. It happe...
Eat bland food .Small frequent Meels. Avoid spices and hot food. Avoid tea, coffee. Take tab Aciloc 1 tab once a day for 1 month.
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My baby is 6 weeks old, I have applied mustard oil on his body massage oil on thursday, now have a bad rash all over his face, ears and some on his neck. What can I use for that and what could be causing that? What I have to do pls guide us.

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My baby is 6 weeks old, I have applied mustard oil on his body massage oil on thursday, now have a bad rash all over ...
Mustard oil is very strong for baby skin, so it can causes rash and skin burn so don't use it. If baby is cranky because of itching or burning use caladril lotion local application. You can use coconut oil, olive oil etc for massage.
1 person found this helpful
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Bedwetting - 7 Possible Reasons Behind It

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Bedwetting - 7 Possible Reasons Behind It

Bedwetting or nocturnal enuresis, refers to the unintentional passage of urine during sleep. Enuresis is the medical term for wetting, whether in the clothing during the day or in bed at night. Another name for enuresis is urinary incontinence. For infants and young children, urination is involuntary. Wetting is normal for them. Most children achieve some degree of bladder control by 4 years of age. Daytime control is usually achieved first, while nighttime control comes later.

The age at which bladder control is expected varies considerably. Some parents expect dryness at a very early age, while others not until much later. Such a time line may reflect the culture and attitudes of the parents and caregivers.

Factors that affect the age at which wetting is considered a problem include the following:

  1. The child's gender: Bedwetting is more common in boys.
  2. The child's development and maturity
  3. The child's overall physical and emotional health. Chronic illness and/or emotional and physical abuse may predispose to bedwetting.

Causes

No one knows for sure what causes bed-wetting, but various factors may play a role:

  1. A small bladder: Your child's bladder may not be developed enough to hold urine produced during the night.
  2. Inability to recognize a full bladder: If the nerves that control the bladder are slow to mature, a full bladder may not wake your child, especially if your child is a deep sleeper.
  3. A hormone imbalance: During childhood, some kids don't produce enough anti-diuretic hormone (ADH) to slow nighttime urine production.
  4. Stress: Stressful events, such as becoming a big brother or sister, starting a new school, or sleeping away from home, may trigger bed-wetting.
  5. Urinary tract infection: This infection can make it difficult for your child to control urination.
  6. Sleep apnea: Sometimes bed-wetting is a sign of obstructive sleep apnea, a condition in which the child's breathing is interrupted during sleep.
  7. Diabetes: For a child who's usually dry at night, bed-wetting may be the first sign of diabetes.

A structural problem in the urinary tract or nervous system. Rarely, bed-wetting is related to a defect in the child's neurological system or urinary system.

Symptoms

  1. Wetting during the day
  2. Frequency, urgency, or burning on urination
  3. Straining, dribbling, or other unusual symptoms with urination
  4. Cloudy or pinkish urine, or blood stains on underpants or pajamas
  5. Soiling, being unable to control bowel movements
  6. Constipation

Most kids are fully toilet trained by age 5, but there's really no target date for developing complete bladder control. Between the ages of 5 and 7, bed-wetting remains a problem for some children. After 7 years of age, a small number of children still wet the bed.

When to see a doctor: Most children outgrow bed-wetting on their own, but some need a little help. In other cases, bed-wetting may be a sign of an underlying condition that needs medical attention.

Consult your child's doctor if: 

  1. Your child still wets the bed after age 7
  2. Your child starts to wet the bed after a few months or more of being dry at night
  3. Bed-wetting is accompanied by painful urination, unusual thirst, pink or red urine, hard stools, or snoring
  4. Self-Care at Home

Here are some tips for helping your child stop wetting the bed. These are techniques that are most often successful

  1. Reduce evening fluid intake.
  2. The child should urinate in the toilet before bedtime.
  3. A system of sticker charts and rewards works for some children.
  4. Make sure the child has safe and easy access to the toilet.

Some believe that you should avoid using diapers or pull-ups at home because they can interfere with the motivation to wake up and use the toilet. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2855 people found this helpful

ADHD (Attention Deficit Hyperactivity Disorder)

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
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Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.

Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.

Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.

Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it’s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.

You can fix certain household roles, routines so that children can understand the do’s and dont’s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it’s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.

Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child’s future.

For any other further information, you can contact me on lybrate.com.

3811 people found this helpful

My 50 days old baby has caught cough and cold my doctor has suggested novamox and solvin cold .he is feeling very restless because of problem in breathing due to cold. Suggest me measure to take care of him including hone remedies also. thanks sirs.

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
My 50 days old baby has caught cough and cold my doctor has suggested novamox and solvin cold .he is feeling very res...
Nasoclear nasal drops to open his blocked nose syp Phenergan 1 ml every 8 hourly for 3 days if there is breathing problem or baby is not taking feeds show him to child specialist.
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How to Deal With Abnormal Sleep Behaviour in Children?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
How to Deal With Abnormal Sleep Behaviour in Children?

Sleep problems, which can be defined as a sleeping pattern where the parents are unsatisfied, are one of the leading concerns of parents. Children should get a minimum nine hours of sleep so that their health and brain development can occur. Sleep problems can affect not only their health, but also their social and school life. Any interruption or abnormality in a child's sleeping patterns should be examined by a doctor and parents should make necessary efforts for knowing the actual causes of sleep interruption of their kids.

What are the causes of sleep disorders in children?

  1. Injuries and accidents
  2. Behavioural troubles
  3. Overeating
  4. Slow-reaction times
  5. Performance problems
  6. Mood problems
  7. Learning, concentration and memory troubles

Common signs of sleep troubles in kids:

  1. Difficulty in falling asleep
  2. Occurrence of unusual events at the time of sleeping like nightmares or sleep-walking
  3. Snoring and breathing pauses
  4. Difficulty in staying awake in daylight
  5. Daytime performances can be adversely affected

Best methods for dealing with sleep disorders in children:

  1. Regular bed-timing should be sincerely maintained at night.
  2. Relaxing routine for bedtime needs to be followed,including story-book reading, getting warm bath and others.
  3. Noise in the house, especially at night, should be minimized so that unwanted disturbances can be eliminated.
  4. If the room temperature is pretty comfortable, then your kids can sleep peacefully.
  5. Giving caffeine in excess quantity, especially before sleeping, should be reduced otherwise the kids will not sleep well.
  6. Meals should not be provided just before bedtime; rather they should be taken a few hours before sleeping.
  7. If your kids are so very addicted to different electronic gadgets or devices like telephones, televisions, computers and others, then they might face sleeping troubles. Thus, it is your duty to keep your kids away from this kind of addiction.
  8. If your kids are too very tired, then do not keep them awake forcibly; rather you should make them sleep immediately so that they can get a relaxed sleep at night.

If you think that sleep disorder has become a serious issue with your kids as well, then nothing can be a better option than consulting any health physician. They can best analyse the underlying cause of this issue with your kids.

4663 people found this helpful

Gas Pain in Children

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
Gas Pain in Children

Gas or flatulence is a condition where the microorganisms present in the intestines break down the food and release excessive gases, such as carbon dioxide and methane, which is usually let out from the anus. It can lead to pain in the stomach and an uneasy feeling in the body.

Causes:

  1. When foods that are not digested properly are broken down
  2. Lactose intolerance
  3. Swallowing air
  4. Certain foods not being absorbed properly in the digestive system
  5. When a child does other activities, while eating, then it can cause gas to accumulate air in the intestines leading to gas
  6. The sweeteners present in chewing gums can get trapped in the intestines and ferment into gas
  7. Vegetables such as cauliflower and broccoli can cause gas
  8. Soft drinks that cause phosphoric acid can also lead to gas
  9. Some children are sensitive to fat and fiber, and consuming these nutrients can lead to gas

The symptoms of gas pain in children are cramps in the stomach region along with diarrhea. It can also lead to irregular eating, being fussy about food and pulling up the legs to the belly.

Treatments and preventive measures:

  1. Consuming food containing probiotics such as yoghurt and soy can help in treating gas
  2. Eliminating vegetables such as broccoli and cauliflower from your child's diet
  3. Decreasing the amount of milk in the diet
  4. Limiting consumption of chewing gums as they contain artificial sweeteners , which cause gas
  5. A hot drink such as tea made from herbs like peppermint can help in easing the symptoms of gas
  6. Encouraging your child to exercise can help in preventing gas
  7. Getting your child to drink water in proper amounts
  8. Consuming a healthy diet of vegetables and fruits
4336 people found this helpful
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