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Book Clinic Appointment with Dr. Rajesh R Chokhani
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Care of multiple birth babies
Often, multiples are born small and early. They may be initially cared for in a special care nursery called the neonatal intensive care unit (NICU).
In the NICU
The NICU combines advanced technology and trained healthcare professionals to provide specialized care for the tiniest patients. NICUs may also have intermediate or continuing care areas for babies who are not as sick but do need specialized nursing care. Some hospitals do not have the personnel or an NICU, and babies must be transferred to another hospital.
In most cases, you can be with your babies in the NICU at any time. The staff of the NICU will give you instructions on special hand-washing techniques before entering the area. In some cases, you may need to wear a mask. Occasionally, during a procedure, or when the hospital staff are making "rounds," parents may be asked to wait for a few minutes before coming into the area. Although most NICUs permit visitation of babies by other family members, limiting visitors is a good idea. Many sick and premature babies are very susceptible to infection. Siblings should be carefully checked for signs of colds or other illness. They should also be helped with hand-washing before visiting their baby brother or sister.
Most parents find that becoming involved with their babies' care gives them a sense of control. It also helps them bond with their babies. This is also important for the babies. It helps the babies feel secure and loved. Once the babies' condition is stable, parents are encouraged to hold and rock them. Staff in the NICU can show you how to care for your babies in many ways. Learning these aspects of care is helpful in preparing you to take your babies home.
Once babies are able to feed, grow, and stay warm, they can usually be discharged. Other babies who are healthy at birth may need only a brief check in a special care nursery.
Breastfeeding multiple birth babies
- Breast milk is the perfect food for your baby. It gives your baby many advantages compared with formula. Your milk contains just the right amount of nutrients. And it is gentle on your baby's developing stomach, intestines, and other body systems. It also has the best nutrients for brain and nervous system development and overall growth and development.
- Getting used to breastfeeding more than one baby will take extra patience and persistence. How soon you and your babies can begin to breastfeed will depend on the maturity of your babies' brains and body systems. A baby's gestational age influences the development of stable body systems and the development of the reflexes needed for oral feedings. A baby's physical condition may also affect when direct breastfeeding can begin.
- Lactation specialists can help mothers of multiples learn techniques for breastfeeding their babies separately and together, and to increase their milk supply. Mothers whose babies are unable to breastfeed because they are sick or premature can pump their breast milk and store the milk for later feedings.
- Families with more than one baby need help from family and friends. The first two months are usually the most difficult as everyone learns to cope with frequent feedings, lack of sleep, and little personal time. Having help for household chores and daily tasks can allow the mother the time she needs to get to know her babies, for feedings, and for rest and recovery from delivery.
My son is 4 years old, he is not eating food properly, daily I forcefully feeding to him, he is going to school, & their he is not eating little bit also, please suggest me what can I do for my kid?
My Baby age is 4.2 Month old and she is still under 5 kg, I have concerned about below issue 1.) Not gaining weight 2.) Too much urine a day (Normal colour) 3.) Potty colour is green I am worried and please suggest
Hi, My 1.5 month old baby. Jab baby ko nihakate h to uska face ki skin red ho jati h explain the reason and remedy there for.
My 5 years old daughter having continue cough and khansi. How we can be sure she is asthmatic or not. My mother have asthma for last 30 years.
My kid is of 8 yrs old we had bera test and found 100% loss of hearing impairment in left ear. Please suggest what should we do further.
My daughter age is 15 month And 10 days. When his age is 6and half months than we find that she is suffering from Iron deficiency Anemia. That time hemoglobin level is 6.5% and that time required blood transfusion. After that when she admitted in hospital that time Hemoglobin level is 10.38% and at presently We take some test. At present hemoglobin % is 12.20 and LDH level 597U/L and S. Ferritin level is 63.8 ng/ml and we also taken HB ELECTROPHORESIS and result is HB A- 96.5%, HB A2-2.3% and HB F -1.2%. Now I want to know the above report result mean. Can you tell me please? Presently vomiting problem for 3 days after eating.
Often children are born with bowing of legs, due to folded leg position in utero.
Once they start putting pressure on them while walking, they may straighten out. This happens generally by 2 to 3 years of age.
If not corrected then they may cause some serious problems:
*shortening of 1 leg
*difficulty walking running
*higher risk of arthritis.
Persistent bowing may be due some deficiency:
*lead or fluoride poisoning
First few tests:
25 (oh) vitamin d3 level in serum
Serum free calcium level
X-ray of legs.
How will your pediatrician monitor for a change?
Measurements of distance between knees while a child is lying on the back.
This is monitored to see for any worsening
What can be done?
*any other underlying problem to be ruled out.
*braces orthopedic devices to keep the leg in straightened position (serious cases)
**surgery after 3 years (determined according to individual case basis)
All problems may not be solved but timely intervention can change the life of a child forever.
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