Bed Wetting(Nocturnal Enuresis). What you need to know.


Many school-age children and even some teenagers suffer from nocturnal enuresis, which is described as nighttime bedwetting after the age of five. It is not a major health issue, and most children outgrow it. Even so, bedwetting can be distressing for both children and parents. Book your appointment with a child specialist in Greater Noida at Shivalik Hospital.

Nocturnal enuresis is classified into two types:

A child with primary enuresis has never had bladder control at night and has still wet the bed.

  • Secondary enuresis occurs when an infant has bladder control at night for at least 6 months but then lost it and wets the bed again.
  • Primary enuresis, on the other hand, is much more normal. A specialist should be consulted if a child or adolescent develops secondary enuresis. Bedwetting at this age may indicate a urinary tract infection or other health problems, neurological disorders (related to the brain), stress, or other issues.

What are some of the reasons for bedwetting?

Although the exact cause of bedwetting is unknown, it is thought to be due to a delay in development in at least one of the three areas mentioned below during the night:

  • Bladder: less bladder space at night
  • Kidney: at night, more urine is produced.
  • Brain: unable to wake up while sleeping

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How long does it take to recover from Dengue fever?

Dengue is a viral infection spread by mosquito bites. It is the fastest-growing mosquito-borne viral infection in the world. Aedes aegypti are the primary vectors of dengue and infected female mosquitoes are responsible for transmission. After incubation, an infected mosquito can spread the virus for the rest of her life.  

According to WHO, half of the world’s population is at risk of developing Dengue. There are four dengue viruses so there are chances of repeated infection. Second-time dengue infection is more dangerous and requires hospitalisation.

The breeding of these mosquitoes takes place in manmade containers like buckets of water, planters, and small containers with settled stored water. Book your appointment with the best paediatrician in Noida.

Symptoms: Symptoms of dengue starts appearing after four to six days of infection. Dengue can be difficult to differentiate from other infections like malaria, typhoid, influenza etc. Symptoms of Dengue are as follows:

  • Fever
  • Headache
  • Generalised body ache,
  • Pain behind eyes,
  • Skin rashes,
  • Muscle and joint pain,
  • Nausea and vomiting,
  • Mild bleeding etc.

 75% of dengue infections are asymptomatic, 20% have mild to moderate symptoms and 5% cases have severe dengue infection with fatal complications. Immuno-compromised persons and children are attacked by dengue.

Diagnosis: Your doctor will ask you about your recent travel history for areas with a high risk of Dengue. A blood test is performed to confirm dengue from other similar viral infections.

Treatment: Doctors will treat you as per your symptoms.  When a doctor confirms Dengue, patients should take as much rest as possible.

Acetaminophen or paracetamol is the drug of choice for the treatment of Dengue.

Drink plenty of water and fluids to stay hydrated. It is important to maintain electrolyte balance.

Take proper care and prevent worsening of symptoms. Severe dengue is a medical emergency. Symptoms of Dengue worsen rapidly within a few hours.

Severe dengue is seen in 1 in 20 people affected by it. It leads to fatal complications such as shock, internal bleeding, and death.

If a patient is infected a second time, he or she may develop severe dengue. Infants and pregnant women are at higher risk of severe symptoms. Book your appointment with the best paediatrician in Noida.

Warning signs of severe dengue: Warning signs can be seen in 24 to 48 hours after the fever is gone.

  •          Belly pain, tenderness
  •          Blood in vomiting or stool
  •          Bleeding nose or gums
  •          Vomiting at least 3 times in 24 hours
  •          Feeling tired, restless, or irritable

Reach out to your doctor, as it is an emergency condition.

Recovery time:

Dengue can be treated with proper treatment and a balanced diet. Recovery time depends on the patient, age, medical condition, symptoms etc. For example, if a patient has a haemorrhagic fever, he may take longer to recover.

The symptoms may start appearing after 4 to 7 from the mosquito bite however the infection remains from day one. The patient may take a time of 10-14 days to get rid of the infection from the body. Once the symptoms start showing, another week is needed for the infection to be flushed out through proper treatment and a balanced diet.

If in case the symptoms are detected late and treatment is not received on time, it may take the patient a little longer to recover. After the incubation period of 10-14 days, one has to go through another week of acute symptoms and then a few days of complete recovery. Book your appointment with the best paediatrician in Noida.

Hemorrhagic dengue fever time for recovery:

When dengue shows severe complications and develops hemorrhagic dengue fever, the symptoms and problems last for a longer time and take more days for recovery.  The symptoms of hemorrhagic fever, which is an emergency case of dengue, result in vascular permeability. It appears from the first week after you start noticing the signs of dengue fever.  The patient with haemorrhagic fever may need to be hospitalized and are usually closely monitored by specialists.

To know more about Dengue and its treatment visit Shivalik Hospital, Noida.

Methods to keep your child safe from Dengue

Dengue is a viral infection spread by mosquitoes. It is the fastest-growing mosquito-borne viral infection in the world. According to WHO, half of the world’s population is at risk of developing Dengue. It is transmitted by the bite of infected female mosquitoes. Aedes aegypti are the primary vectors of dengue. After incubation, an infected mosquito can spread the virus for the rest of her life. The breeding of these mosquitoes takes place in manmade containers like buckets of water, planters, and small containers with unmoving stored water. It is important to protect your children from Dengue. Book your appointment with the best paediatrician in Noida.

Symptoms: Symptoms of dengue starts appearing after four to six days of infection. Dengue can be difficult to differentiate from other infections like malaria, typhoid, influenza etc. Dengue is presented as fever, headache and generalised body ache, pain behind eyes, skin rashes, muscle, and joint pain, nausea and vomiting, mild bleeding etc.

75% of dengue infections are asymptomatic, 20% have mild to moderate symptoms and 5% cases have severe dengue infection with fatal complications. Immuno-compromised persons and children are attacked by dengue.

No vaccine can protect from dengue, there are certain steps that can prevent it.

Maintain hygiene at home: Mosquitoes breed in stored water and certain steps can dirty places around our house. Standing water is good for their growth. Prevent mosquitoes from accessing egg-laying habitats. It is important to clean every nook and corner of the house regularly. Do not store water in uncovered utensils or containers. Cover the drainage system around the house to ensure safety from mosquitoes. Dispose of the waste properly and remove artificial man-made habitats. Empty and domestic water containers properly.

If you are surrounded by plenty of trees and greenery, apply a net to all the windows. Insecticide spraying should be done once weekly.

While kids are going out, do not forget to apply mosquito repellent on their clothes. Make them wear long sleeve shirts and full pants. Plan their playing schedule such that they do not get exposed to mosquitoes. Use coils, vaporisers for mosquito protection. Book your appointment with the best paediatrician in Noida.

Include immunity-boosting foods in the diet: Healthy food is a cornerstone to boost immunity. Add multiple fruits and vegetables to your diet. Oranges, broccoli, ginger, spinach, almonds, and yoghurt help fight against infections. Eating a nutrient-rich diet will help your children fight against the Kent dengue virus.

Research is going on for dengue vaccine development and implementation. For more queries book your appointment with Shivalik Hospital, Noida.

How serious is coronavirus for children?

It is the most pressing question for parents since the massive second wave destroyed many lives. Though it is possible for anyone, of any age, can contract with covid 19 infections, statistics show the third wave will endanger children more than any other age group. Book your appointment today with the best paediatrician in Noida.


Why are more children affected due to corona after the first wave?

As many young and adult populations started contracting Covid -19, children also started contracting with Covid-19 infection on a large scale. The second wave was different from the first wave as the infection is spread among all members of the household and had enduring effects on Covid survivors.

Some reasons why children getting covid -19 infection:

  •          Most of the adults and old age persons have already been affected by covid.
  •          Children are not yet vaccinated in India.
  •          Weaker immunity among children
  •          Responsible parents will go outside for day-to-day activities hence will be asymptomatic and carriers of the virus.

 Why is there no vaccine for COVID-19 in children?

Due to the risk of adverse effects, severe adverse effects, trials have not been conducted in children. These are double consent trials that mean children cannot give consent for the trial, so consent is obtained from parents. The immune response for vaccination in children is unpredictable. How much vaccine dose is required, whether the booster dose is required in children, these things are under consideration. In the United States of America, Moderna vaccines have been given to millions of children. The positive side is research is going on covid vaccination in many countries, and soon the vaccines will be available in India. Book your appointment today with the best paediatrician in Noida.

How to prevent Covid-19 infection in children?

Initially, do not panic. Discuss, demonstrate and reiterate the importance of Covid -19 Appropriate Behaviour (CAB) with your children.

COVID-19 is transmitted in children through asymptomatic careers like parents, caregivers, visitors, through social gatherings like birthday parties, family functions etc. These people have to adapt to covid-19 appropriate behaviour.

What is Covid -19 Appropriate Behaviour?

  • The caregivers of children have to be more responsible while going out and follow social distancing.
  • Avoid the use of lifts and congested areas.  
  • Washing hands thoroughly with soap and water, when not possible, sanitization is mandatory.
  • Wear a mask at all times when you interact with people.
  • Face Shields can be used in crowded areas.
  • Avoid touching your nose, eyes, and mouth while in public places.
  • Frequently touched surfaces should be thoroughly washed or sanitised.
  • Avoid unnecessary travelling.
  • Do not spit in the open. maintain respiratory hygiene.
  • Stay away from a social gatherings, family functions, or group playing.
  • With covid appropriate behaviour, we can reduce the number of cases, the severity of cases, perhaps mortality in children.  
  • Immunisation and vaccination should be strictly completed in all children to avoid infections.

 UNICEF tips for parenting while dealing with Covid-19:

  • It is a stressful time – take care of yourself and support your children.
  • Try to answer their questions as per their age and understanding.
  • Parents should approach with positivity social gatherings current situation so that even if children get covid-19 their mind and body will not react to it with fear and negativity.
  • Spending quality time with kids, small acts have a big impact on children’s minds.
  • Incidence of violence is increasing during the Covid-19 pandemic. So, Pause, calm down and then react.
  • Positive parenting practices should be imbibed by each family.
  • Present hand washing and hygiene routine in a fun way to your kids.
  • Keep your children away from misleading information and follow trusted sites to get factual information. Some trusted sources are, Ministry of Health and Family Welfare, UNICEF, WHO etc.

Three types of symptoms are found in children due to COVID-19.

  1. Covid related cold and cough.
  2. Covid pneumonia
  3. Covid misc is a multi-system inflammatory syndrome in which some organs and tissues like the heart, blood vessels, lungs, kidneys, digestive system, brain, skin, or eyes become severely inflamed. Misc is a rare condition, with early diagnosis and proper treatment many kids recover fast. But in some children, it is fatal. Covid MIS can occur in four to six weeks after covid infection. Symptoms are fever, abdominal pain, nausea and vomiting, diarrhoea, redness of eyes, dizziness etc.

Book your appointment today with the best paediatrician in Noida.

 Treatment of covid 19 in children.

Mild to moderate covid 19 can be treated with the symptomatic approach in home isolation. In case of covid pneumonia or covid Mis-C seek medical advice immediately.

Three conditions arise,

1.          When both mother and child are positive, the child can live with his mother by taking all precautions. Only if the mother has mild to moderate symptoms and no need for hospitalization.

2.          When the mother is positive and the child is negative, if possible, the father should take care of the child. Otherwise, the child can live with the mother with all precautions and social distancing.

3.          When the child is positive and the mother is negative, the mother should take care of the child with all precautionary measures, mask on full time etc.

In all three conditions, a mother can breastfeed her baby wearing a mask and proper precaution.


Which children are at high risk of developing life-threatening complications of covid-19?

Children with obesity, diabetes, asthma or chronic lung disease, sickle cell disease, or immunosuppression might also be at increased risk for severe illness from COVID-19. Parents need to closely monitor these children for the development of severe illness, though all children with these conditions may not develop life-threatening complications.

Do all children with Covid 19 infection require ICU?

All children with severe Covid 19 infection may require hospitalisation but not necessarily admission into ICU. Only patients with acute respiratory distress or severe pneumonia require management in ICU.

Do children are super-spreaders of the covid virus?

No, it is just a myth, children are not super spreaders.

How to take care of children when family members are affected with Covid -19?

If all members of the family are affected call child helpline no 1098. If a single-family member is affected, isolate the patient in a separate room. Avoid contact with the elderly and children. Use a mask all the time. Use separate bedding, utensils, and washroom. Maintain proper hand hygiene and disinfect used surfaces frequently.

For more queries related to Covid-19 infection in children Book your appointment with Shivalik Hospital, Noida

Covid 19 and Pregnancy

Pregnancy in the covid era poses new risks and challenges worldwide. Pregnant women are not at higher risk of contracting the Covid-19 virus, but if they catch the covid infection, it will give rise to some serious complications such as preterm birth and stillbirth. Book your appointment with the best gynaecologist in Shivalik hospital.

Symptoms of Covid-19 in pregnant women:

Two-thirds of pregnant women with Covid-19 develop no symptoms at all and most of the women have mild symptoms like flu. A small no of pregnant women can face moderate to severe symptoms from covid -19. Pregnant women in the third trimester are at higher risk of developing severe complications as compared to non-pregnant women. Hence pregnant women are listed as a moderate risk clinically vulnerable group.

The most common symptoms are

  • Fever
  • Dry cough
  • Tiredness

Less common symptoms:

  • Loss of taste or smell
  • Body ache
  • Headache
  • Sore throat
  • Conjunctivitis
  • Diarrhoea
  • Skin rashes, discolouration of finger and toes

Serious symptoms:

  • Difficulty breathing
  • Chest pain and pressure
  • Loss of speech or movement.

Vaccination in pregnancy:  Be a part of the vaccination program. Vaccination is safe for mother and baby; hence it is recommended by gynaecologists. Vaccination is an effective way to combat Covid 19 infections. All pregnant women and over 18 years of age should get vaccinated with two doses. Vaccination prevents the risk of developing serious complications including admission to intensive care and premature birth. If you still have doubts you can discuss the benefits and risks of covid 19 vaccination with the best gynaecologist in Shivalik hospital.

Covid appropriate behaviour: Interim guidance on covid appropriate behaviour

  • Follow social distance at least two hand distance from each other.
  • Washing hands thoroughly with soap and water, when not possible, sanitization is mandatory.  
  • Wear a mask at all times when you interact with people.
  • Face Shields can be used in crowded areas.
  • Avoid the use of lifts and congested areas.
  • Avoid touching your nose, eyes, and mouth while in public places.
  • Frequently touched surfaces should be thoroughly washed or sanitised.
  • Avoid unnecessary travelling.
  • Do not spit in the open.
  • Maintain respiratory hygiene.

As per Ministry of health and family welfare guidelines; three factors help you make safer choices when you are in an area of widespread COVID-19 transmission:

  • Location: open-air spaces are safer than enclosed spaces.
  • Proximity: Farther away from others is safer than closer together.
  • Time: Shorter periods with others are safer.

Diet: Balanced and nutrient-rich diet will help in building immunity and combat all types of infections. Take prenatal vitamins as advised by your gynaecologist. Keep yourself hydrated.

Stay active: Regular exercise, yoga and meditation are important to ensure a healthy pregnancy. Do not panic due to the surrounding situation.

Stay home and stay safe: If required then only step out of the home.

Regular monitoring: Attend all your pregnancy scans and antenatal appointments on time. It will ensure the proper growth and development of the baby. Book your appointment with the best gynaecologist in Shivalik hospital.

What if I get a Covid-19 infection during pregnancy?

  • When you are suspected or detected as corona positive Isolate yourself in a separate room for 14 days.
  • Inform the people with whom you come in contact within 2 days or more than 15 minutes.
  • Use a separate bathroom, utensils, and bedding.
  • Wash your hands from time to time with soap and water.
  • Your room should be properly ventilated and all members of the family should wear masks at all times when interacting with you.
  • Routine monitoring of fever and oxygen saturation is mandatory. In case of persistent fever or fluctuation in oxygen saturation contact your healthcare provider.
  • Do not eat oily and heavy to digest food. A healthy and nutrient-rich diet is important for recovery.
  • Keep yourself hydrated.
  • Do not indulge in vigorous activities. Focus on breathing exercises.
  • Take your medicines on time. In pregnancy do not self-medicate yourself with over-the-counter medication. Take only prescribed medication.
  • Properly clean common areas frequently touched surfaces with disinfectant.
  • If a separate room is not available, keep social distance and stay home.
  • The majority of pregnant women recover at home and do not need hospitalisation.

Transmission to baby: Studies show that if the mother is infected with coronavirus it is unlikely to cause problems with the baby’s development.

No evidence suggests that COVID-19 infection in early pregnancy increases the chance of a miscarriage.

Transmission of the COVID-19 from a woman to her baby during pregnancy or childbirth is known as vertical transmission and it is not commonly seen.

If you have further queries about pregnancy and covid infection consult at Shivalik hospital, Noida.

10 things a new mom doesn’t know about breastfeeding.

Just delivered a baby, congratulations on being a mother! Being a new mom is overwhelming – baby blues, breastfeeding, sleepless nights, and lots of confusion about doing the best thing for your baby. Everyone has a say about dos and don’ts for a new mom. Between all these breastfeedings is the ultimate gift for your baby, and you can start it immediately after your delivery. Let us focus on some facts about breastfeeding which are helpful for all new mothers.

  1.  It is not just milk but love and care: Breastfeeding helps you form a special bond with your baby in the initial hours after birth. When you embrace your baby while breastfeeding, he/she feels comfortable and safe in the new world. Breastfeeding is called liquid gold for its multiple health benefits.
  2. Health benefits for babies: Babies with breastfeeding have a lower risk of developing allergies, eczema, asthma, childhood cancers like leukaemia and lymphoma, respiratory illness, speech, and orthodontic problems. Consult the best gynaecologist in Shivalik hospital.
  3. Antibodies: Breast milk is also called colostrum. It contains antibodies called immunoglobulins which are passed from mother to baby through a special protein. Breast milk contains immunoglobulin IgA, IgM, IgG.

If a mother is exposed to viruses and bacteria she produces antibodies in her body which are transferred to the baby through breast milk. Breast Milk is good for brain development at an early age.

Breast Milk is constantly changing as per the growing needs of your baby.

  1. Health benefits for mothers: Breastfeeding burns 500 -600 calories a day, which is why some moms lose weight without any exercise.

Breastfeeding releases hormones like prolactin and oxytocin which imparts a feeling of peace and calm. These hormones will help mothers to recover from labour, childbirth and postpartum. Breastfeeding helps in bringing back the menstrual cycle in routine.

  1. Technique: Breastfeeding is natural, but it takes some time for the mother and her baby to adapt to it. Mother and baby can face difficulty in feeding in the beginning but after they are both accustomed to it, the process is smooth. In hospitals, nurses and doctors will guide you about proper techniques. Consult the best gynaecologist in Shivalik hospital.
  2. Convenience: Breastfeeding requires the significant time of a mother from the day and overnight. When it comes to bottle-feeding it requires a lot of preparation in terms of sterilisation of bottles, nipples, containers etc. You need to keep running in case of emergency for a formula feed supply. Breastfeeding eliminates all these extra steps. A working mom can pump her milk in advance and a caregiver can feed the baby.
  1. Economical: Breastfeeding is far more economical as compared to formula feed. Breastfeeding just requires a mother to have a healthy and nutrient-rich diet. Frequently purchasing formula milk is not economical for every family and it puts a burden on them.
  2. Supplementation: Some women prefer exclusive breastfeeding for 6 months, which is ideal. But supplementing with formula can ensure your baby gets enough nutrients. In the case of breastmilk supply issues, most women prefer breastfeeding along with formula feed, which is completely fine. It is a myth that supplementing with formula can reduce your breast milk supply.

  1. Breastfeeding should not be painful: Breastfeeding can be painful for some mothers, but if pain persists for more than a minute; you should consult your health care professional. It could be due to a bad latch, which means the improper holding of nipples by the baby.

The baby should involve the entire jaw while feeding. Consult the best gynaecologist in Shivalik hospital.

  1. Weight management:  Obesity is increasing among children, but breastfeeding excludes unhealthy fat and just supplies essential nutrients. Breastfeeding protects babies from weight-related problems in early childhood. Breastfeeding regulates metabolism and hormones like insulin. Breastfeeding will ensure the proper growth and development of babies from an early age.

For more queries related to breastfeeding consult at Shivalik Hospital, Noida.

सी-सेक्शन डिलीवरी के बाद महिलाओं को किन बातों का ध्यान रखना चाहिए ?

गर्भावस्था हर औरत के लिए बहुत विशेष होती है। इस दौरान उसके अंदर कई तरह के शारीरिक, मानसिक और भावनात्मक बदलाव होते रहते हैं और इस दौरान महिलाओं की अपनी सेहत के प्रति जिम्मेदारी और ज्यादा बढ़ जाती है। ऐसे में शरीर को पोषक तत्वों, विटामिन और मिनरल्स की आवश्यकता भी होती है। आमतौर पर हर महिला डिलिवरी नॉर्मल चाहती है, लेकिन कई बार कुछ कॉम्प्लिकेशन होने की वजह से महिलाओं को सिज़ेरियन डिलिवरी की जरूरत पड़ती है। ऐसे में सी-सेक्शन के बाद किन बातों का ध्यान रखना चाहिए और अगली प्रेग्नेंसी में कितना गैप रखना चाहिए ।

क्या होती है सी – सेक्शन डिलीवरी ?

सी-सेक्शन या सिजेरियन में डिलिवरी के दौरान ऑपरेशन किया जाता है। इसके बाद गर्भ से बच्चे को बाहर निकाला जाता है। ऑपरेशन के बाद पेट और गर्भाशय को बंद कर दिया जाता है और डॉक्टर डिजॉल्व हो जाने वाले टांके लगा देते हैं ।

अगली प्रेग्नेंसी के लिए लें थोड़ा ब्रेक

अगर आपकी पहली डिलिवरी सिजेरियन हुई है, तो दूसरी प्रेग्नेंसी में थोड़ा गैप रखें। अगर आप दूसरी डिलिवरी नॉर्मल चाहती हैं, तो एक प्रेग्नेंसी से दूसरी प्रेग्नेंसी के बीच करीब 18 महीने का अंतर बेहतर नतीजे देगा ।

सी-सेक्शन डिलीवरी में इन बातों पर रखें विशेष ध्यान –

  •     सिजेरियन डिलीवरी के 3 से 6 महीने तक भारी सामान उठाने से बचें।
  •       डिलीवरी के बाद कांट्रेसेप्शन का ध्यान जरूर रखें।
  •       दूसरी प्रेग्नेंसी में नॉर्मल डिलीवरी चाहते है तो 18 महीने का गैप रखें।
  •       डिलिवरी के बाद 6 महीने तक आयरन और कैल्शियम जरूर लें।
  •       खाने में हाई प्रोटीन डाइट लेना शुरू करें।
  •       एब्डॉमिनल एक्सरसाइज करें।
  •       पर्सनल हाइजीन का ध्यान रखें।

 क्यों की जाती है सिज़ेरियन डिलीवरी  ?

बच्चा जब गर्भ में पूरी तरह विकसित हो जाता है तो प्रेग्नेंसी के करीब 39वें महीने में सिजेरियन डिलीवरी की सलाह डॉक्टर्स देते हैं। अगर लेबर पेन के दौरान जच्चा-बच्चा की जान खतरे में हो या फिर बच्चे को निकलने में दिक्कत हो रही हो, तब भी यह फैसला लिया जाता है । सी- सेक्‍शन यानी सिज़ेरियन कोई छोटी बात नहीं है। यह बहुत बड़ी सर्जरी होती है और इसके बाद रिकवर करने में महिलाओं का काफी समय लग जाता है। ऑपरेशन के बाद सेक्‍स दिमाग में आने वाली सबसे आखिरी चीज होनी चाहिए। शरीर को ऑपरेशन के घावों से उभरने के लिए थोड़ासमय चाहिए होता है।

पीएं खूब पानी

डॉक्टरों का कहना है कि डिलीवरी के बाद महिला को भरपूर मात्रा में पानी पीना चाहिए। अमूमन भारतीय घरों में ऐसा माना जाता है कि डिलीवरी के बाद अधिक मात्रा में पानी पीने से पेट फूल जाएगा और इसलिए जच्चा को कम पानी पीने के लिए दिया जाता है। हालांकि, इससे महिला के शरीर में पानी की कमी हो जाती है और फिर उसके टांके पकने की संभावना भी बढ़ जाती है।

एंटीबायोटिक दवाओं का सेवन

कई बार औरतें डिलीवरी के बाद अपनी दवाईयों को लेना छोड़ देती हैं, जिसकी वजह से टांकों के पकने की संभावना बढ़ जाती है। आमतौर पर डिलीवरी के बाद एंटी-बायोटिक दवाएं दी जाती है, महिला को उसका सेवन सही समय और सही तरह से करना चाहिए। अगर आप अपनी दवाईयों को समय पर लेती हैं तो इससे आपको टांके पकने की समस्या नहीं होगी ।

पहली बार गर्भधारण करने के बाद थोड़ा सा ब्रेक

यदि आपकी पहली डिलीवरी सिजेरियन हुई है तो दूसरी बार गर्भधारण करने से पहलें ब्रेक लें। विशेषज्ञों की मानें तो कम से कम 1 से 2 साल का अंतर लेकर ही बच्चा प्लान करें ।

अब अनचाहे गर्भ की न लें टेंशन, इन 7 तरीकों से सब होगा ठीक

सामान्य तौर पर महिलाओं में गर्भधारण करने से बचने के लिए गर्भनिरोधक गोलियों का सहारा लेने को ज्यादा सुविधाजनक रास्ता माना जाता है। इन गोलियों से मुंह पर होने वाले दाने और पीरियड के दौरान होने वाले दर्द से थोड़ी राहत भी मिलती है लेकिन यह दवाएँ हर किसी पर सूट नहीं करता है। इस लेख में ऐसे 7 ऐसे आसान तरीकों के बारे में बताया जा रहा है जिसकी मदद से अनचाहे गर्भ से बचा जा सकता है।

अनचाही प्रेगनेंसी से बचने का सबसे अच्छा तरीका कंडोम व गर्भनिरोधक गोलियां हैं। जिला स्तरीय घरेलू सर्वेक्षण (2007-2008) में भी यही बात सामने आई थी कि भारत में 67 प्रतिशत महिलाएं पारंपरिक रूप से गर्भनिरोधक तरीकों का इस्तेमाल करती हैं । समय के बढ़ने  के साथ-साथ बाद में धीरे-धीरे इसमें इजाफा भी हुआ और अब ज्यादातर महिलाएं अनचाही प्रेगनेंसी से बचने के लिए गर्भनिरोधक तरीके अपनाती हैं।

कंडोम : अनचाही प्रेगनेंसी से बचने का सबसे बेहतरीन तरीका कंडोम को माना जाता है। यह न सिर्फ शुक्राणुओं को महिला में जाने से रोकता है बल्कि यौन रोग से भी बचाता है। बहुत कम लोग जानते हैं कि कंडोम न सिर्फ पुरुषों के लिए बल्कि महिलाओं के लिए भी आते हैं।

विदड्रॉल : इसे पुलआउट प्रक्रिया भी कहते हैं। इस प्रक्रिया में पुरुष वीर्यपात से तुरंत पहले अपने प्राइवेट पार्ट को योनि से बाहर निकाल लेते हैं। ऐसा करने से गर्भवती होने की संभावना काफी हद तक कम हो जाती है। यह प्रक्रिया पूरी तरह से सुरक्षित नहीं है, क्योंकि सही समय पर पुलआउट करना थोड़ा मुश्किल भरा हो सकता है।

पुरुष नसबंदी : पुरुष नसबंदी अनचाहे गर्भ से बचाव का एक स्थायी तरीका है, जो पूरी तरह सफल साबित हुआ है। इसे गर्भनिरोध करने का सबसे सही तरीका माना गया है। साथ ही इससे पुरुष की यौन क्षमता पर भी कोई असर नहीं पड़ता होती है। यह एक सर्जिकल प्रक्रिया है, जिसमें पुरुषों की शुक्रवाहक नलिका को अवरुद्ध कर दिया जाता है। ऐसा करने से शुक्राणु वीर्य के साथ पुरुष लिंग तक नहीं पहुंच पाते। पुरुष नसबंदी दो तरह की होती हैं – चीरा विधि और नो स्केलपेल विधि।

चीरा विधि : इस प्रक्रिया से डॉक्टर चीरा लगाकर उस ट्यूब को काट देते हैं, जो शुक्राणुओं को लिंग तक लेकर जाती है। इस प्रक्रिया के बाद भी वीर्यपात हो सकता है, लेकिन इसमें शुक्राणु नहीं होते। यह सर्जरी ज्यादा से ज्यादा 30 मिनट का समय लेती है

नो स्केलपेल विधि : इस प्रक्रिया में किसी तरह का कट नहीं लगाया जाता। इसमें स्क्रोटम (पुरुष अंडकोष) पर छोटा-सा पंक्चर लगाकर ट्यूब को ब्लॉक कर दिया जाता है। यह पंक्चर बिना किसी परेशानी के जल्दी ठीक भी हो जाता है। यह प्रक्रिया उन्हीं पुरुषों को अपनानी चाहिए, जिन्हें भविष्य में संतान की इच्छा न हो, क्योंकि इसके बाद दोबारा प्रजनन क्षमता विकसित नहीं की जा सकती ।

बर्थ कंट्रोल पैच : प्रेगनेंसी से बचाने वाला यह प्लास्टिक का एक पतला पैच होता है। यह पैच हॉर्मोन को अवशोषित करता है, जो अंडे को महिला के अंडाशय में जाने से रोकता है और अनचाहे गर्भ से बचाता है। यह पैच शरीर की त्वचा पर लगाया जाता है। इसे कूल्हे पर, पेट पर या हाथ के ऊपरी भाग पर कहीं भी लगा सकते हैं ।

गर्भनिरोधक शॉट : यह एक इन्जेक्शन है, जो हर तीन महीने में लगाया जाता है। इस शॉट में प्रोजेस्टिन हॉर्मोन होता है, जो ओव्युलेशन को रोककर गर्भधारण की संभावना को बहुत कम कर देता है। महिला के ट्यूब में अंडा न होने से गर्भधारण की संभावना नहीं रहती। इसका प्रभाव बनाए रखने के लिए आपको बिना भूले हर तीन महीने में एक बार यह इन्जेक्शन लेना होगा।

Baby’s skincare in monsoon

Monsoon has already arrived, and parents have to be extra cautious during the damp weather. Baby’s skin is sensitive and 40 to 60 times thinner than an adult’s skin. In babies’ immune systems are not fully developed and they are more prone to infections.

New-born babies easily develop rashes from chemicals, dyes, synthetic clothes, and diapers. Skin dryness, soreness, and itching can cause discomfort to your baby. Here is a monsoon skincare guide for babies. Book your appointment today with the best paediatrician in Noida.

Vernix: It is a white, creamy biofilm that covers the neonatal skin during the last trimester. This coating facilitates protection to newborn skin and extrauterine adaptation in the first postneonatal week.

It covers the skin of a baby at the time of delivery and is absorbed within 24 hours. Sometimes it takes 5 to 6 days to shed completely, do not be in a hurry to remove it by rubbing or applying lotion.

Baby bath: Frequent bathing is not required at first for a few months. It may remove essential oils from the body and leave the skin dry. The dryness scan leads to eczema or dermatitis.

After delivery, a sponge bath 3 to 4 times a week is sufficient for the first month. The baby is not getting dirty unless drools and poops. Gently cleaning that area with a soft cloth will ensure hygiene.

Diaper hygiene: Diaper dermatitis and yeast infections are common problems of diaper use. Proper care should be taken when using diapers. Tight and wet diapers lead to sweating during humid weather and cause infection of the perineal areas. Diapers should be checked and removed frequently to prevent diaper rashes. Apply a nappy rash cream every time to avoid breakouts. Alcohol-free wet wipes should be used to clean diaper areas.

Cotton diapers are best for baby skin, if possible, baby should be kept diaper free.  Book your appointment today with the best paediatrician in Noida.

Baby products: Using certified and trusted products will ensure the baby’s safety. Scented soaps, shampoos, detergents should not be used in the initial months.

For bathing a gentle soap preferably mild and with natural elements will be beneficial for baby skin. Natural elements make the skin supple and hydrated. Almond oil moisturises the skin and olive oil provides nourishment to the skin.

Always follow a Cloth rule:  Wash each and every new baby’s clothes and ensure softness. Use cotton clothes preferably which are gentle against baby skin, airy and breathable. Soft and dye-free baby detergents should be used to wash baby clothes. Wash babies’ clothes, cloth diapers, bedding, blankets separately. Clothes should be properly dry before wearing. The baby should be kept warm with a light sweater during cold weather due to the monsoon.

Oil massage: Massaging babies is a traditional and time-tested technique used for its multitude of benefits in every Indian household. Massaging provides moisture to the skin, improves skin texture, and strengthens the muscles.

Suitable quality oil should be used for baby massage. According to the Indian Academy of Paediatrics (IAP) if massage is done systematically with dried baby oil it results in less stress behaviour, lower cortisol levels and improved cognitive performance in babies.

Time of massage is important; the baby should enjoy the massage. The baby should not be hungry and cranky at the time of massage. Make the room calm and the room temperature should be warm. Non-sticky oil in small amounts should be applied with gentle strokes. Rigorous massaging should be avoided. Massage should be done in an upward direction and circular motion front and back alternatively.

Massaging is bonding time between parents and baby. Baby starts recognising the touch of parents and feels comfortable. With regular massage, baby skin is improved and adapts to changing weather.

Use a good moisturizer: In the Indian climate, 1 in 4 babies suffer from dryness of the skin. A good moisturising cream or lotion will hold on to moisture and protect the baby’s skin. Nowadays a 24-hour locking system with glycerine and milk extracts and rice bran protein formula is available which is beneficial for babies. Book your appointment today with the best paediatrician in Noida.

After taking the above precautions if your baby gets rash, itching, soreness, scaling consult a paediatrician immediately.

For paediatric care and treatment consult at Shivalik Hospital, the best Hospital in Noida.

Baby stool related problems

Baby care puts enormous pressure on new mothers, and it is a 24/7 responsibility. Initially, it is difficult to understand what causes discomfort to your baby especially when you are alone.

Store related problems are very common in newborn babies.  Constipation and gases can cause colic pain in babies, and they become extremely cranky.

Common stool related problems in babies:

Constipation: Constipation is common in children; it means hard stools and problems in passing stool. An infant has pain while trying to push and stressful bowel movements. Bowel movements are different in each child. Consult the best paediatrician in Noida.

In some babies in the first month, bowel movement occurs on alternate days or once daily. After that baby’s pass stool two to three times a week. In babies, abdominal muscles are weak which makes it difficult for bowel movement. Due to strain and discomfort, babies cry continuously.

Signs of Constipation:

  •          Extreme crying
  •          Difficulty passing stool
  •          Being very fussy
  •          Pain while passing stool
  •          Belly is sensitive to touch and bloating
  •          Hard or dry stool
  •          Large wide stools
  •          Blood on stool
  •          Having less than 3 bowel movements per week
  •          Leakage of liquid or stool on child’s underwear can be a sign of faecal impaction.
  •          Moving the body in different positions to achieve comfort or clenching their buttocks.

Causes of Constipation:

  •          Dehydration
  •          Lack of fibre intake
  •          Too much water is absorbed by the colon
  •          Winning period, that is the transition from breast milk to formula milk or solid food
  •          Change in weather, travelling or stressful condition
  •          Bowel diseases that affect bowel muscles and nerves
  •          Use of some medicines
  •          Medical conditions that affect bowel movement

Home care:

  • Gentle massage and exercise will help to relieve pain.
  • Ensure sufficient fluid intake, after six months different fruit juices can be introduced to the baby.
  • Ensure fibre intake through the addition of whole grains, fruits, and vegetables.
  • Avoid packaged and canned food, junk food, always give homemade and freshly cooked food for kids.
  • Do not self-medicate kids, laxatives and enemas should not be given without prescription.
  • Toilet training at the proper age is an important factor to rule out stool problems. Stopping the urge to pass stool can lead to constipation.

When to consult a paediatrician?

  • An infant-only on breastfeeding who have not passed stool for more than three days, irritable, and vomiting frequently
  • The non-breastfeeding infant has not passed stool for more than three days having discomfort and pain
  • Blood in stool
  • Child avoiding toilet training by holding back bowel movement. Consult the best paediatrician in Noida.

Diarrhoea: Diarrhoea is another commonly occurring problem in children, it is characterised by passing loose stool several times.

In infants, the first bowel movement is greenish-black in colour and called meconium. After birth, a sticky substance is released from the intestines, that imparts greenish-black colour to the stools. After a few days when it’s completely removed, stools started appearing normal. Some infants can pass a stool after every breastfeeding. Breastfeeding babies tend to have a soft and seedy bowel movement.

Babies with diarrhoea have a watery bowel movement which occurs more frequently than normal. The baby may not show signs of cramping but become pale and dehydrated. Early diagnosis and treatment are required in diarrhoea. Seek medical help for persistent diarrhoea and blood in stool at the earliest. Consult the best paediatrician in Noida.

Colic: It is a problem of unknown aetiology that affects the babies during the initial three to four months. It causes colic pain that lasts for several hours and the baby cries excessively for a long time. It starts at three weeks of age, and it is a stressful and frustrating condition for parents. Colic results in bloating and belly cramps or gases.

Causes of colic:

Sensitivity to gas: In babies, abdominal muscles are weak, and they take time to digest food which causes gases. Though gases cause colic is not completely understood.

Difficulty in adjusting to temperature and surroundings: Babies possess difficulty in adjusting to temperature changes, loud noises, and lights.

Allergies: Milk is often considered to cause colic in babies. Paediatricians recommend using milk only after completion of 1 year in babies. Avoid milk and milk products in babies.

Hirschsprung disease: It is a disease of the large intestines in new-born and toddlers. It can cause irregular bowel movements like constipation, diarrhoea, and vomiting. It leads to serious complications like enterocolitis and toxic megacolon which can be fatal. If an infant does not pass stool in the first 48 hours after birth, doctors suspect Hirschsprung disease.

Other signs include:

  •          Swollen belly, gas, and bloating
  •          diarrhoea
  •          Vomiting of green or brown colour.

Early diagnosis and treatment are required in Hirschsprung disease. Consult the best paediatrician in Noida.

For paediatric care and treatment consult at Shivalik Hospital, the best Hospital in Noida.

Skin changes in new-born

The skin of a newborn changes from time to time in appearance as well as in texture. Rashes are very common in new-born and a cause of concern for parents. The skin of a newborn depends on the timing of birth, a baby with premature delivery has thin and transparent skin whereas a baby with full-term pregnancy has comparatively thick skin. Consult the best paediatrician in Noida.

At birth, healthy new-born have deep red or purple coloured skin, on their first cry it becomes redder.

Vernix: It is a white, creamy biofilm that covers the neonatal skin during the last trimester from amniotic fluid. This coating facilitates protection to newborn skin and extrauterine adaptation in the first postneonatal week.

It covers the skin of a baby at the time of delivery and is absorbed within 24 hours. Sometimes it takes 5 to 6 days to shed completely, do not be in a hurry to remove it by rubbing or applying lotion.

Lanugo: Fine, soft hairs are present on the scalp, forehead, cheeks, shoulders and back. This is common in children with premature delivery. During the first few weeks, this hair will diminish completely.

The second or third day after birth the baby’s skin becomes dry and flaky and light in colour, it will turn red when the baby is crying loudly.

Milia: Milia are tiny white bumps present on newborns’ noses, cheeks, chin, and foreheads. Milia are made up of oil glands and disappear on their own. Book your appointment with the best paediatrician in Noida.

Pink pimples: It is also known as neonatal acne and as a result of exposure to maternal hormones. It will subside on its own in a few weeks or months, no treatment is required.

Erythema toxicum on newborn rash: It is a red rash with ill-defined borders and may have white or yellow centres. It is of unknown aetiology and harmless, and does not require any treatment. It will disappear in a few days.

Salmon patches or stroke bite: It is due to exposure to maternal hormones and goes off on its own after a few weeks or months. The back of the neck or in between both eyes is the common site of occurrence.

Jaundice: It is a very common and yellowish discolouration of skin and eyes. It is due to excess bilirubin which is produced by the breakdown of red blood cells. In a newborn baby’s liver is not mature enough to remove bilirubin, as the liver develops and the baby starts feeding, jaundice may be cured on its own. If jaundice persists for more than three weeks, it can cause complications.

Congenital melanocytic or Mongolian spots: These are commonly found in dark-skinned babies. It is a flat grey; it can be small or large. These spots sometimes present till school age and fade away on their own.

Cradle cap or seborrhoea: It shows up at the age of 1-2 months of age. Yellowish crust appears on the scalp and sometimes the rash extends to the face, behind the ears, on the neck, and in the armpits. It requires symptomatic treatment.

Eczema: It is characterised by red itchy patches on the chest, arms, legs, face, elbow, and backside of knees. It is commonly seen in dry skin. Eczema can be treated with, application of steroid cream. General precautions should be taken like using gentle soap for bathing, gentle detergent for baby laundry, and use of good moisturizers to prevent dryness.

Prickly heat: It appears due to excessive sweating and increases in temperature. It can be seen on the neck, diaper area, back and armpits. It can be prevented by using cotton and airy clothes and keeping the baby skin dry.

Fungal infection or candidiasis: Fungal infection grows in moist areas and presents as a red rash with bumps surrounded by edges. Anti-fungal ointment or liquid is given to treat candidiasis. Oral Candidiasis is also known as thrush. Consult the best paediatrician in Noida.

 When to consult a paediatrician?

If rashes are persistent, not getting corrected on their own; underlying medical conditions like infection, feeding problems, fever, cough can be ruled out with the help of a paediatrician.

Fluid-filled blisters containing yellowish fluid can be due to bacterial infection or herpes indicate a serious condition and needs immediate attention.

Petechiae are small red purplish dots over the body, indicative of serious viral or bacterial infections that require doctors’ evaluation.

For paediatric care and treatment consult at Shivalik Hospital, the Best Hospital in Noida.