Innholdsfortegnelse for August 2019 i Mother & Baby India

You’ve dealt with the nausea and sickness of the first trimester, and the relative ease of the second one. You’re now into the final trimester, and with that, a mile closer to bringing your baby into the world... and your home! The wait is finally over, and you are now nearing the end of the pregnancy journey, to step into a new role for several years to come. It’s natural then, that this requires a whole lot of planning and prepping. Here’s how to make the most of this time. READY TO POP! Though the third trimester begins with a breeze, as it progresses, your growing belly and baby put you through a little physical stress. It is, therefore, important to care for the mind, body and spirit. Make sure…

Hi Team, My friend is a loyal M&B reader who introduced the magazine to me, and boy am I glad she did! There isn’t any problem M&B doesn’t have a solution for. Thank you for all that you do, for being a friend and a guide to every mum and mum-to-be out there, and for being there for us through the rollercoaster that is parenting. I don’t need to tell you to keep up the good work, you guys have mastered that already! :) ALISON D’SOUZA, MUMBAI Dear Alison, Thanks you for such kind words. Letters like these truly warm our hearts and motivate us to work harder to give you the very best. Here’s to being your friend for life! -Swati. Dear Swati, Firstly, I’d like to congratulate you…

So, you’re pregnant and still breastfeeding your baby or toddler. You may be wondering if you can continue to breastfeed though your new pregnancy. Perhaps you have been told it is not safe for your developing foetus or you have been asked to start weaning her. Maybe you know others who have breastfed through subsequent pregnancies and wondered how it all worked. Too many thoughts going around your mind? M&B makes it easy for you. “The mother who is deciding whether to continue nursing during her pregnancy has several factors to consider: her medical history, her physical and emotional comfort level, the nursing child’s age, and his need to breastfeed. If the pregnancy is progressing normally, then the decision of whether to continue to breastfeed is more an individual ‘parenting’…

● Your baby’s mouth is wide open. ● His lower lip is rolled back towards his chin. If you move it carefully aside, you can see his tongue visibly cupping your breast. ● His head is tipped slightly back. ● His chin is firmly on your breast but his nose is not touching (or is only lightly touching) your breast. ● He makes short, ‘chopping’ sucks to start, which then change to deep, regular sucks. There’s also an audible ‘unk’ sound as he swallows, usually every one to three jaw strokes.…

Your milk’s come in and you’ve established a breastfeeding routine without too much bother (or if you’ve experienced any bother, you’ve managed to overcome it), and now you’re hearing other mums talking about expressing milk. Your doctor might have mentioned it – or perhaps another new mum you know has started expressing her milk and freezing it in preparation for a night away from her baby or going back to work. So should you be thinking about it? And what’s it all about? Read on to find out more – it could do you and your baby the world of good. WHY EXPRESS? Going back to work The corporate high-flier who goes back to work two weeks after her baby is born, then expresses and couriers home milk every couple…

Upright row Hold a pair of weights (at least 2kg) in front of your body while standing with your legs slightly bent at the knee and feet hip-width apart. Slowly lift the weights up to your chest height, stopping just under your chin. Lower and repeat 20 times. Breathe out as you lift, and in as you extend arms back to the start. Forward pull-ups Standing with your right leg in front of your body and your knees bent, lower yourself onto your knee. Holding a weight in your left hand with your arm straight, lift the weight up while keeping your elbow close to your body. Your elbow should end up pointing upwards. Repeat 20 times for each arm. Pectoral lift Stand with feet ip-width apart and knees slightly…

DR KIRAN COELHO A succesful gynaecologist and practicing obgyn for the last 30 years. DR DHERANDRA KUMAR Consultant clinical and child psychologist, he is founder and director of Psyindia, and engaged in direct work with children. DR ANITA MADAN A doctorate in education, she is currently the Curriculum Development head with EuroKids International Pvt Ltd where she promotes a developmentally appropriate curriculum. SONALI SHIVLANI Mumbai-based childbirth educator, certified by Childbirth & Postpartum Professional Association, USA. DR GEETANJALI SHAH Popular Mumbai paediatrician, conducts holistic fitness workshops for pregnant women. ANIKA PURI Childbirth educator, prenatal and postnatal massage therapist, certified counsellor, reflexolgist and a holistic practitioner of women’s health and fertility in Delhi. NUTAN PANDIT Breastfeeding counsellor and natural birth therapist who’s been teaching in New Delhi since 1978. EFFATH YASMIN Founder…

1 Ask friends to help find you a match Tell colleagues, friends, relatives and your health visitor that you’re looking for a BMF. If they know another mum they think you’ll get on with, ask to be set up on a coffee date. 2 Join the NCT There’s more to the NCT than antenatal courses: take a postnatal course, join your local branch or volunteer and you’ll find a support network of other mums waiting to meet you. Visit nct.org.uk 3 Follow your youngster’s lead As soon as she’s crawling, your baby won’t have any reservations about making new friends. When she starts playing with another child, that’s your cue to start a chat with the mum.…

Nutrition is an important factor for mothers who are breastfeeding during and after pregnancy. You must eat a well balanced diet with nutritious foods and ensure that you are taking adequate nutrients to sustain both your milk supply and pregnancy. During pregnancy, let your appetite be your guide. If you are hungry, don’t be afraid to eat two of every meal and snack on healthy foods constantly. According to Bengalurubased nutritionist Gauri Rokkam, variety and balance is the key to a healthy diet. She says that along with a well balanced, varied diet, there should be the following... ...an increase in the intake of protein, folic acid, vitamin B12 and zinc during your first trimester. ...an increase in protein, iron, calcium, vitamin D and B, DHA and iodine in the…

Mums and dads may think that when their baby emerges from the womb, he is clueless about how to survive in the world outside. The common belief has also been that newborns sleep after the first few minutes of birth and have to be taught how to suck on the breast for feeding. But here comes the surprise! A study by the Karolinska Institute of Sweden in 1987 revealed a most startling natural human phenomenon—when placed on the mother’s abdomen soon after birth, all newborns have the ability to find the mother’s breast on their own and decide when to take the first feed. This beautiful, instinctive act is called the Breast Crawl. LIGHTS, CAMERA... There have been many subsequent studies that have reinforced the fact that every baby is…

Effath Yasmin is India’s leading International Board Certified lactation Consultant (IBCLC), Biodynamic CranioSacral Therapist, internationally certified lactation educator and the founder director of Nourish & Nurture Lactation Care & Parenting Education, an outreach clinic for mothers and families seeking professional clinical lactation management and parenting counselling. Yasmin sits on the board of directors and National Advisory Board of Birth India, an NGO striving for safe and supported birth in India and an active governing council member of the International Association of Tongue-Tie professionals (IATP). M Many babies who have had a difficult and challenging birth experience may also experience difficulty breastfeeding. For such babies, I use my skills of Biodynamic Craniosacral Therapy (BCST). This therapy is an extremely gentle support for the mother and the baby, and is a healing…

One of the best bits about pregnancy has got to be the gloriously big boobs! Your breasts come into their own during pregnancy, swelling as much as three cup sizes as the network of tiny milk ducts prepares for feeding your baby. If you’ve enjoyed having extra cleavage, the bad news is they’ll eventually return to their former size (or even a bit smaller). What’s worse, when they do shrink, they’re likely to be a bit, well, saggy. But we’ve found the best ways to get your boobs back in shape—and there’s not a scalpel in sight. SHOULDERS BACK Poor posture can make you look hunched and hollow-chested. Unfortunately, pregnancy can play havoc with your posture, due to the changes in your weight and centre of balance. “It’s important to…

Who recommends mothers worldwide to breastfeed their infants for a minimum of two years to achieve optimal growth, development and health. To enable mothers to establish and sustain exclusive breastfeeding for six months, WHO and UNICEF recommend initiating breastfeeding within the first hour of life. Exclusive breastfeeding is where the infant only receives breast milk without any additional food or drink; breastfeeding on demand is nursing as often as the child wants to feed, be it day or night. Some mothers are generally under the notion that breastfeeding beyond infancy makes the weaning process difficult. This is not true. It is easiest to begin the weaning process when your baby initiates the process themselves—which might be sooner or later than you expect. After a period of six months, the frequency…

Most colds are just colds – and while your baby is a bit snotty, it’s nothing to worry about. But sometimes complications can develop, and you are the best judge of when to worry. “Trust your instincts,” says Katie. “If you feel there’s something to worry about then talk to a doctor.” And always get medical advice if your child is: ● Suffering from a persistently high temperature of over 38˚C – particularly if your baby is aged under three months. ● Not taking feeds – toddlers might go off their food a bit, but babies and toddlers should both still be drinking. ● Not weeing. ● Drowsy all the time, with no periods of being alert. ● Having breathing difficulties. ● Crying persistently or seeming irritable. ● Unable to…

The topic of breastfeeding brings up so many personal memories and challenges, that I can never get past a conversation without acknowledging them. As someone who could not carry my baby in my own womb, I was desperate to get the most out of my experience of being a new mum. My dear friend and the most passionate lactation consultant I have come across, Effath Yasmin, put everything on line to give me this experience. We worked diligently and incessantly, and I was able to induce lactation—one of the most outstanding miracles of my life! There were many obstacles in this journey, and it was cut short despite my desire and Effath’s persistent support. But, that doesn’t take away from the miracle. And, I am thankful that for the first…

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The Mother  Classically, the mother should be comfortably seated, with good back support. Hold the entire breast in a ‘U-hold’, from behind the areola. Lightly, touch the nipple to baby’s upper lip (or filtrum, the space between upper lip and nose), to stimulate the rooting effect. As soon as the baby opens his mouth wide, mother should bring the baby forward, so that the baby gets a deep, wide latch. The ‘scissor hold’ is a wrong way of holding the breast, as it covers the areola and blocks the flow of milk. The Baby The baby should be completely turned towards the mother in a ‘tummy to mummy’ position. The head, neck and body should be in a straight line and properly supported. Just turning the baby’s face or head…

Dr Roya Mankar, is an Obstetrician, a member of the Breastfeeding Promotion Network of India (BPNI) & holds a post graduate program in paediatric nutrition from Boston University The arrival of a newborn brings forth a plethora of emotions. It is the onset of a new journey that parents embark on. It is an emotional roller-coaster with responsibilities. It can become overwhelming to maintain a balance of home, family, and work commitments. The first few months, and even years, is part of a new journey for the family, and supporting one another through it all is the key. MILLENNIAL FATHERS AS THE CUSTODIANS The concept of paternal commitment is gaining widespread popularity. This is because millennial parents are increasingly dissolving division of roles and accepting equal responsibility in all household…

When Nisha K had her first panic attack, she was driving along the highway with her five-week-old son smiling in his car seat behind her. Her palms started sweating, her pulse was racing and she thought she was going to faint. Hyperventilating and terrified of having an accident, she stopped by the side of the road. She was suddenly overwhelmed with an irrational fear of everything – the sun was too bright, the world too enormous. The weight of responsibility she’d felt after having her son seemed to be crushing her and she felt utterly helpless. Since having her baby, she’d felt more vulnerable than ever. The world was filled with fear and she had begun to worry irrationally about anything and everything that could happen to her child. To…

In the last decade, even though the advancement in breastfeeding medicine and lactation management across the world has been phenomenal, it still remains a broken system—lack of social, cultural, political, clinical, and emotional support that fails breastfeeding families in achieving their goals. It is with this intention to bring together some of these broken links of family-centered care that made Effath Yasmin, India’s leading International Board Certified lactation consultant, introduce Nourish & Nurture. It has now grown into a 2500 sq.ft unique facility in Suburban Mumbai. Nourish & Nurture is the only breastfeeding clinic in India that provides a two bed facility for breastfeeding hospitalisation. It is also the only facility that provides holistic care around breastfeeding issues. It has now become a tertiary referral center for high risk and…

Your body is primed to produce milk as soon and as often as your baby needs it – before he even asks for it. Your milk supply is largely based on how much milk your baby drains from your breasts. The more frequently and effectively he drains them, the more milk you will produce. While your breast size doesn’t determine how much milk you will produce, it does indicate how much storage capacity you have. Your body regulates milk supply by gauging how full your breasts are, so this can affect how much milk you make. Your storage capacity also has implications for how often you’ll need to feed your baby, and how easy it will be for you to express your milk. Your breast size and shape can also…

* Why have my breasts got bigger? The extra oestrogen and progesterone hormones in your body during pregnancy are what causes breasts to grow. * How soon will my breasts start changing? As soon as you conceive! For many women the first sign of pregnancy is breast tenderness. * I’ve had a boob job—can I still breastfeed? It’s unlikely that it will prevent you from breastfeeding, and there’s no evidence that silicone can get into your breastmilk. Go back to the surgeon who performed your operation and tell him you plan to breastfeed. He should be able to tell you if it’s possible. Some women find they’re unable to breastfeed, because of where the surgeon made his incisions. * Does the size of my boobs make a difference to breastfeeding?…

As the second baby arrives, there may arise feelings of insecurity and envy in the older child. Up till now, he has been the center of attention in his parent’s life but now he has to share his world with someone else. Children have feelings too and this phase in the older child’s life can be very traumatic. You need to exercise great care at this stage to help your older child adapt to the changed situation. You don’t want your child to hurt but, at the same time, you do not want him to feel that he needs to indulge in cute emotional blackmail for attention either! Tender loving care is of course essential but is not a panacea by itself. A bit of forethought and application of basic…