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Dr. Marionette B Pereira

Pediatrician, Mumbai

500 at clinic
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Dr. Marionette B Pereira Pediatrician, Mumbai
500 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Marionette B Pereira
Dr. Marionette B Pereira is a trusted Pediatrician in Malad East, Mumbai. You can visit him at Veena Childrens Nursing Home in Malad East, Mumbai. Book an appointment online with Dr. Marionette B Pereira and consult privately on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 38 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Veena Childrens Nursing Home

Poddar Road, Malad East. Landmark:Near Dhiraj Apts, MumbaiMumbai Get Directions
500 at clinic
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Stress and Trauma Related to Teenage Pregnancy

MBBS, MD - Psychiatry
Sexologist, Mumbai
Stress and Trauma Related to Teenage Pregnancy

Pregnancy is a journey in itself where you tend to go through physical changes, psychological changes and social changes as well. While the body struggles to cope with the hormonal and other major changes, the mind also tries continuously to adapt and cope with emotional as well as mental stress. Teenagers are considered to still be in a maturing stage when they have difficulty dealing with factors such as peer stress, emotional ups and downs, identity issues, personality building challenges and psychological barriers. 

So, getting pregnant at this stage can be very traumatizing. Issues such as postpartum depression have become very common among teenagers. 

Psychological Barrier in Teenage Pregnancy: As per the Pediatrics Journal, teenage mothers tend to have higher rate of depression compared with adult women who experience pregnancy. This may be due to various reasons like difficulty to face the society, unplanned pregnancy, immaturity to deal with pregnancy and related symptoms, own social involvements, which come between pregnancy and a whole lot of reasons.

However, the psychological effects and stress, which account for these barriers are sometimes quite severe and according to researchers, teen mothers often show symptoms of Post Traumatic Stress Disorder, which may sometimes lead to suicidal tendencies.

Signs and Symptoms of Stress and Trauma:

  1. Some of the major stress signs in teenage pregnancy either in the prepartum or postpartum period may include anxiety, depression, concentration difficulties, eating disorders, insufficient sleep, sadness or mood swings.
  2. Already teenage pregnancy leads to excessive mental stress and if there is a complication in delivery or premature birth before 37 weeks, the level of depression tends to get higher.
  3. There is a distinct difference between postpartum depression and baby blues. While baby blues are similar to stress and sleep problems, eating troubles, mood fluctuations seem the same as postpartum depression, they tend to go off within two to three weeks, while depression lasts.
  4. Excessive fatigue resulting into a brittle mood.
  5. Sudden attacks of panic are also quite common.
  6. Difficulties in bonding with baby or having patience with baby's demands.

This type of stress and trauma may lead to child abuse, neglecting children or depression. Lowered self-confidence and irritated state of mind are also some of the common complaints. Therefore, to avoid the postpartum stress and major difficulties, teenage pregnant moms can consult psychiatrists for help and advice.

4 people found this helpful

I would be very thankful if you could help me with diet planing for expecting mother and lactating mother. Thank you.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Nutritious balanced diet available at home including milk and its products, green vegetables seasonal fruits nuts are sufficient which should be more than prior to pregnancy.
2 people found this helpful
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Hi, my son is of 2 years and 8 month. Every week he gots cold, cough and fever. I am visiting doctors for the past 2.5 years. And also gets infected regularly in 3/4 months. Please advice me what to do.

M.D.( Pediatrics), DCH
Pediatrician,
This happens to many children up to the age of 5-6 years. He like many others may have hyper active airways. Brochodialator like ashalin in inhaled form may help.
1 person found this helpful
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My baby is 5 month old she is passing lot of gas and she had pain in her stomach. Whole night she was crying. Frequently this problem occurs and she spends sleepless nights only crying. She is being formula fed we r giving her NAN PRO 1.

MBBS
General Physician, Bangalore
My baby is 5 month old she is passing lot of gas and she had pain in her stomach. Whole night she was crying. Frequen...
Sir, You should burp the child for 10 minutes after each feed. You can give colopep drops 10 drops 4times per day 1/2 hour after feeds for 2 weeks. Get back to me if excessive crying continues.
1 person found this helpful

My baby is 1.5 month old, he is passing green stool, he is on formula and breast milk both.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 1.5 month old, he is passing green stool, he is on formula and breast milk both.
You have to stop the formula and if it is given in bottle you must stop bottle feeding and give it with spoon or a sipper . Give only breastmilk for a healthy baby
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My baby is 1 month old and she is suffering from constipation from last 3 days. Kindly suggest as she is unable to sleep at night from last 2 days and is uncomfortable.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jamnagar
My baby is 1 month old and she is suffering from constipation from last 3 days. Kindly suggest as she is unable to sl...
Hello usually baby should not be given any medicine. Advice you should take papaya in your diet you should not take cold water, cold food, outside food take warm food only. Do daily massage to baby put mild warm sesame oil on umbilicus of. Baby for 2 min. It will be ok. If not do consult. Thanks it will be ok. With this only.
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If a week old baby had meningitis. can it cause problems in later years as mental disorders?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
If a week old baby had meningitis. can it cause problems in later years as mental disorders?
Meningitis in infant may be cause of several mental disorder like epilepsy, poor or delayed mile stones, difficulty in hearing speech & vision.
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2 year old nephew totally avoiding milk feels like vomit, tried flavour but nothing works .what to do or alternates of calcium.

MBBS MD DCH, Dch
Pediatrician, Muzaffarpur
2 year old nephew totally avoiding milk feels like vomit, tried flavour but nothing works .what to do or alternates o...
Family diet and milk bases products as par his choice is sufficient to meet his nutritional requirement. No need to forcefeed milk. Lot of food has calcium phosphate minerals and vitamins too.
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My daughter is 3 and a half months. She was born on Dec 1st,14. Her weight is 5.4. As of her health she is a healthy baby. Her growth is good. She is 60 cm. But she didn't become fat at all. Ppl tell she looks like a 45 days old baby. I see other babies are very fat and healthy by this stage. I only breast feed her. No supliments. What to do to make her fat?

M.D.( Pediatrics), DCH
Pediatrician,
You should be happy and congratulate yourself for exclusively breast feeding the child.Breast fed children gain appropriate weight. Fatty babies are usually overfed and form a launching pad for obesity in childhood and adult life. Your baby's weight 5.4 kg & length 60 cms at 3.5 month is within normal range.(Refer to IAP Growth charts for girls) Please don't make her fat you will regret in future.Instead of worrying play, talk and laugh in plenty with her. She will be confident secure adult emotionally.
4 people found this helpful
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Diabetes- Everyone should know about (Dos And Don'ts)

MD - Homeopathy, BHMS
Homeopath, Vadodara
Diabetes- Everyone should know about (Dos And Don'ts)

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care: 

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap. 

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.

Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.

1 person found this helpful

My son age 5 month 15 days, weight:- 5. 3kg, he had suffered the whole of heart (size-6mm). So what I can do?

MBBS DCH
Pediatrician, Gandhinagar
Probably he is having asd or vsd. Repeat echocardiography after 6 months. Most probably hole will be closed by 5-6 yrs of age. Just confirm with your echocardiography report.
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Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? I...
Mood swings, irritability, tics, alteration in appetite, delayed growth are all side effects of that treatment. Please consult a proper homeopathic doctor for this. I would suggest you to go for at least one consultation. Either with me or some other doctor whom you trust. That will be better for you. Still if you have any queries, please feel free to ask me. Take care :)
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Suggest some precautions to do with 1 month new born baby while traveling with baby in flight?

BHMS
Homeopath, Delhi
Suggest some precautions to do with 1 month new born baby while traveling with baby in flight?
Dear Nikhil , you can travel safely with your new born child. while take off and landing of plane , feeding can be done to avoid air pressure in babies ear. There are no other special instructions as such.Carry baby safely.
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Today my 6 week old child was administered pentaxim vaccine's first dose but I have read that this vaccine is banned by Indian govt and its efficacy reduces in few years. It's mentioned that better to administer quadravac along with polio but they are not painless. Kindly suggest.

DCH, MBBS (MAMC)
Pediatrician, Delhi
Pentaxim is not banned by govt. Pentaxim is also a good vaccine, we prefer Pentaxim in those child where there is risk of complications because of quadravac.
1 person found this helpful
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My wife delivered baby girl 3 months back. Her MC has started now last only for day in a month. We had unprotected sex yesterday and now worried if she may get present again. I would like to know1- what are the chances she may get pregnant 2- can she take any contraceptive pills? If yes which one. 3- will there any side effect of those pills as she is breast feeding and will it affect on her body or milk? Please advice.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
My wife delivered baby girl 3 months back. Her MC has started now last only for day in a month. We had unprotected se...
With one sex there may not be much chance of pregnancy and she is lactational anovulatory period and that is why mc was just one day. As a breastfeeding mother she need not take any pill. Safe and best is to insert an intrauterine device like iucd (copper t)
4 people found this helpful
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My health suddenly becomes weak what is the reason for that my age is 15 years and my weight is 35kg.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
You are underweight. Get investigated for tuberculosis and diabetes as these problems commen at this age.
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What all food has to be given for 9 months old baby? Is cow milk healthy for baby?

MBBS, FELLOWSHIP IN PAEDIATRICS
Pediatrician, Ghaziabad
What all food has to be given for 9 months old baby? Is cow milk healthy for baby?
You can introduce semisolid foods initially like cerelac, mashed vegetables, mashed fruits. Yes you give cows milk.
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Dear Sir, Meri ek beti h vo bhut weak h. Uski age 3.5 years h. Me uski health kaise improve ker sakti hu. Vaise to me usse pediasure de rahi hu. Per koi farak ni LG rha h. So please help me

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Dear Sir, Meri ek beti h vo bhut weak h. Uski age 3.5 years h. Me uski health kaise improve ker sakti hu. Vaise to me...
Pediasure se kuchh laabh nahee jab tak usko purn nutritious v caloric diet n mile. Ghar mein bana protein yukt talaa khanaa bachche ke swad ke anusaar de. Doodh, sabzee, phal v dry fruits samay-samay par de. Jabaran khilaane ka prayatan n kare. Is aayu par usakaa vajan lag-bhag 14 - 15 kg hona chaahiye.
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