Articles on baby

My Baby Is Teething!

Dr. Poonam.M. Sambhaji, Pediatrician
When will my baby start getting teeth?Its a overjoys moment when parents see the first tooth erupting in their babies little mouth. The vast majority of babies sprout their first teeth when they're between 4 and 7 months of age. An early developer may get his first white cap as early as 3 months, while a late bloomer may have to wait until he's a year old or more. (In rare cases, a baby's first tooth is already visible at birth. Whenever the first tooth makes its appearance, celebrate the milestone by taking pictures and noting the date in your child's baby book.Teeth actually start developing while your baby's in the womb, when tooth buds form in the gums. Teeth break through one at a time over a period of months, and often — but not always— in this order:First the bottom two middle teeth, then the top two middle ones, then the ones along the sides and back. They may not all come in straight, but don't worry — they usually straighten out over time.The last teeth to appear (the second molars, found in the very back of the mouth on the top and bottom) have usually begun coming into place by your baby's second birthday. By age 3,your child should have a full set of 20 baby teeth, which shouldn't fall out until his permanent teeth are ready to start coming in, around age 6. What teething symptoms will my baby experience?Experts disagree about whether teething actually causes symptoms — like fussiness,diarrhea, and fever — or whether these common symptoms are not related to teething at all and just coincidentally appear at the same time as emerging teeth. Regardless, many parents maintain that their teething babies do experience discomfort (though some babies get through the process with no problems at all. The symptoms most likely to trouble a teether include:• Drooling (which can lead to a facial rash)• Gum swelling and sensitivity• Irritability or fussiness• Biting behavior• Refusing food• Sleep problemsThough many parents report that their babies have loose stools, runny noses, or a fever just before a new tooth arrives, most experts don't think teething is to blame for these symptoms. One scientific possible reason may be that  Teething can cause diarrhea and a mild diaper rash because your baby's excessive saliva ends up in his gut and loosens his stools. Inflammation in the gums, may cause a low fever (under 101 degrees Fahrenheit).On the other hand, these may be signs of illness that should be checked out.  Symptoms may be due to an infection unrelated to teething, but that the stress associated with teething could make your child more vulnerable to infection right before a new tooth appears.  If your baby has loose stools — but not diarrhea — don't worry. The condition will clear up on its own.What can I do to ease my baby's discomfort?Give your child something to chew on, such as a firm rubber teething ring or a coldwash cloth. If your baby is old enough to eat solids, he may also get some relief from cold foods such as applesauce or yogurt. Giving him a hard, unsweetened teething cracker  to gnaw on is another time-honored trick. (Avoid carrots, as they can be a choking hazard.) Simply rubbing a clean finger gently but firmly over your baby's sore gums can ease the pain temporarily, too.Rubbing the gums with topical pain relief gel is also an option, but you may want to visit your baby's doctor before trying it. If you use too much, it can numb the back of your baby's throat and weaken his gag reflex (which helps prevent him from choking on his saliva). The gels are generally safe to use, but in rare cases can cause an allergic reaction.If drool causes a rash on your baby's face, wipe, but don't rub, the drool away with a soft cotton cloth. You can also smooth petroleum jelly on his chin before a nap or bedtime to protect the skin from further irritation.This are just few facts parents can try.Happy Parenting

7 Common Reasons Babies Cry — and How to Soothe Them

Dr. Adil Hingora, Homeopath
Obviously, you know that baby’s going to cry, but that doesn’t make it easy to hear. The key to calming those cries is to get to the bottom of what’s causing them. And since babies don’t come out of the womb with a full vocabulary, you’re going to have to use the process of elimination .HungerProbably the first thing that runs through your mind when baby’s crying is, “Could he be hungry again?” They call it hangry for a reason, and babies seem to go from zero to screaming pretty quickly if they haven’t eaten for a while. The key isn’t to watch the clock with feedings — it’s to respond to baby’s cues. “Crying is a late sign of hunger,” says Paul Horowitz, MD, of Discovery Pediatrics in Valencia, California. To avoid crying completely, look for early signs of hunger: lip-smacking, sucking on his hands and rooting — turning his head to find the boob or bottle. When you see those, start the feeding. If baby’s already crying, you might recognize the “feed me” cry as rhythmic and repetitive and (usually) short and low-pitched. All you’ve got to do here is feed baby.Tummy troublesIs your fussy baby’s also wriggling, arching his back or pumping his legs? Classic case of gas, says Preeti Parikh, MD, pediatrician at Pediatrics of New York in New York City. And yes it sounds gross, but you can help him pass it. “Hold baby on the left side or on his or her stomach to help with digestion,” she says. “If baby is gassy, bicycle his legs and push them up to his chest to help relieve the gas.”Dirty diaper Some babies can sit in a wet or dirty diaper for hours without a care in the world. Others go nuts if they’re sitting in it for more then a second. (Can you blame them really?) It doesn’t take much effort to open up the diaper and make a quick check, but there are also some diaper brands with a “wetness indicator” that changes color when they’re wet, so you don’t have to go through the whole undressing process every time you wonder.TeethingBaby can start teething as early as four months old, around which point you may notice more fussiness. Other telltale signs of teething are excess drool and gnawing on anything within reach. “Sucking either on a pacifier or on your thumb or finger can help soothe baby,” Parikh says. You may even want to give her gums a massage. “Massage them frequently until you make a squeaky sound,” Horowitz says. Chewing on frozen or refrigerated teethers, washcloths or even cotton bibs may also give baby some relief.SleepinessYou may be able to fall asleep the minute you hit the mattress, but it’s not the same for baby. In fact the more tired baby is, the harder it might be for him to wind down. Do some trial and error to see what calms your tired baby. Swaddling, for starters, may make baby feel cozy and comfy. Some babies respond to rocking motion or the sound of a lullaby or even a hum of the vacuum. Set a bedtime routine that signals to baby that it’s time for sleep. “Mine is the three Bs: bath, bottle, then bedtime,” says BumpieMammaMoon9. “Baby doesn’t always fall asleep immediately, but the bath does calm him quite a bit.” Resist the urge to limit daytime naps thinking it will help baby sleep at night — it won’t. And even if it’s not his usual naptime, and he seems tired, go ahead and put him down. “Sleepy babies should be allowed to sleep,” Horowitz says.Need to burp“Everyone remembers to burp baby after a feeding, but many babies may need to be burped after sucking a pacifier, having the hiccups or crying,” says Horowitz. “All these activities can result in swallowing air.” So, when baby’s crying and you’re not sure why, it doesn’t hurt to give her a pat on the back. “I hold baby over my left shoulder, making sure his left arm is hanging over my shoulder,” Bumpie KatieDahlia says. “Then I rub in circles on his left side and back, starting down by his hip and working up. Usually after two or three tries, we get a massive burp out of him.”OverstimulationWe all get sensory overload now and again. For baby, it might be after getting passed around by aunts and uncles at a family party, or toted along to the grocery store. Remember: Baby’s still getting used to all that commotion, so it might not take much to get him upset. It’s a good idea to take baby home and relax when he seems overstimulated. Or go for a walk together, suggests Parikh. Some fresh air, quiet and/or familiar surroundings will probably do him some good. But don’t go too crazy trying to keep him away from stimulation completely. “Stimulation is a good thing,” Horowitz explains. “But the best form of it for baby is one-on-one stimulation with a loved one.”

How to Get Your Life Ready for a Baby

Dr. Rushabh Mehta, Gynecologist/Obstetrician
What should we think about before we start trying?Before you take the plunge, you and your partner may find it helpful to ask yourselves these questions:Are you both equally committed to becoming parents?Have you thought through how you'll handle childcare responsibilities and balancing work and family?Are you ready to give up sleeping in on Sundays or line up a babysitter every time you want to go out without your baby?Have you thought about how becoming parents may change you, and your relationships with those closest to you?Are you prepared for the possibility that your child may have special needs?If you have religious differences, have you discussed how they will affect your child?Having a baby won't just have a small impact on your life, it's going to shift the centre of your universe. Some new parents find this a shock. Think about how you'll feel, how you usually cope with change, and how you can prepare yourself for the highs (and lows) of parenthood.When should we stop using contraception?For some people, stopping contraception is as easy as shoving the condoms or diaphragm to the back of a drawer. If you're on the pill and want to get pregnant, you can stop taking it and start trying straight away if you're ready to. Or you may want to wait until you've had at least one post-pill period. Knowing the date of your last period can help your midwife or doctor to estimate your due date when you do get pregnant. It can also give you time to make other changes to your lifestyle before you conceive. You may find it takes up to six months for your menstrual cycle to get back on track. If you do get pregnant while you're still on the pill, stop taking it and see your doctor. There's no evidence of an increased risk of miscarriage or abnormalities for women who conceive while taking the pill. But you may want to reassure yourself by talking it through with your doctor. If you've been using the contraceptive injection, it may take up to a year for you to return to your usual fertility.Do I need to change what I eat if I'm trying for a baby?Eating well is essential if you're intent on baby-making. Aim for a balanced diet of three meals a day, including at least five daily portions of fruit and vegetables. Four of the most important nutrients for a healthy start to pregnancy are:folic acidcalciumironvitamin DTo ensure you have these important nutrients, include the following in your meals:dairy producefruit and vegetableswhole grains and cerealsprotein in the form of lean meat, fish, eggs, pulses or nutsYou can take multivitamins designed for women who are trying to conceive or an antenatal supplement. These will contain 400mcg of folic acid. This is a B vitamin that helps to prevent neural tube defects, such as spina bifida in developing babies. Some women need to take more folic acid and have a 5mg dose prescribed by their doctor. However, apart from folic acid, supplements shouldn't be a substitute for a healthy, balanced diet. You shouldn't take high-dose supplements to build up your reserves.Some studies have suggested that having a lot of caffeine may affect your fertility. Although the evidence isn't conclusive, if you're trying for a baby it makes sense to keep your caffeine intake below 200mg a day. Caffeine levels in drinks vary, but two cups of instant coffee contain about 200mg of caffeine.Will my weight affect my fertility?Being either underweight or overweight can cause hormone imbalances. This can affect your fertility by making you less likely to ovulate. It can also increase the risk of complications in pregnancy. If you can, try to achieve a healthy weight, with a body mass index (BMI) of between about 19 and 25, before you conceive. This will increase your chances of conception and of having a healthy pregnancy. You can calculate your body mass index (BMI) with our BMI calculator. If you have irregular periods and your BMI is 30 or higher, try to bring down your BMI. Losing between 10 per cent and 20 per cent of your body weight can help to regulate your menstrual cycle. This, in turn, will improve your chances of conceiving. It's best not to crash diet, though, as this can deplete your body's nutritional stores. Aim to lose between 0.5kg and 1kg (between 1lb and 2lb) a week, which is a safe rate of weight loss. For best results, stick to a healthy, balanced diet of low-fat and low-sugar foods, combined with an exercise programme. If you're underweight, try to put on a few pounds. Being underweight can affect ovulation. And when you do conceive, your risk of miscarriage increases if you're underweight. Just as it's best not to crash diet if you're overweight, it's best not to gorge on sugary, fatty foods to put on weight fast. These types of foods won't give you the important vitamins and minerals you need. Try to get your extra calories from healthy food choices.Should I start exercising more before I conceive?Getting fit before you conceive lays the foundations for a healthy pregnancy. Building your stamina, strength and flexibility can help you to:maintain an active lifestyle during pregnancy and enjoy those nine monthsimprove your mood and energy levelsachieve a healthy pre-pregnancy weightcope with the hormonal shifts of pregnancycope with the rigours of labour, when the time comesBeing active and taking regular exercise that strengthens your back muscles may help to stave off lower back pain later. If you can, build exercise into your everyday life. Try walking or cycling to work instead of taking the bus, or using the stairs instead of the lift. Running and jogging are other good ways to get in shape before pregnancy. If you're not already a runner or a jogger, you may like to start now. Running and jogging shouldn't be started for the first time during pregnancy. Reaching a level of fitness now means you can either continue or tailor your routine once you are pregnant. Start slowly and don't push yourself too hard. If you have a conceptual check-up at your local surgery, you could have a chat with your doctor or nurse about starting an exercise programme.Is smoking, drinking and taking drugs harmful when you're trying?Yes, these can all be harmful when you're trying for a baby. There are many good reasons to stop smoking, stop taking drugs and drink little or no alcohol. Making these changes to your lifestyle is good for your own health and, once you're conceived, for your baby's health and development. Smoking is likely to reduce your fertility and recreational drugs, such as marijuana and cocaine, can affect your ovulatory and tubal function. This can make it harder for you to conceive. Even drugs that are available over-the-counter or by prescription can harm your fertility. It is, therefore, important to discuss your medication with a doctor before you start trying for a baby. Alcohol can also affect your ability to conceive. While trying for a baby, it is best to reduce the amount you drink to no more than one or two units per day. Try not to get drunk during this time. This will help reduce any risk of harm to your baby if your attempts are successful. During pregnancy, smoking, taking illegal drugs and drinking alcohol are connected to an increased risk of miscarriage. Further into your pregnancy, you're more at risk having a low-birth-weight baby and premature birth. Too much alcohol during pregnancy can seriously affect your baby's development. Because experts can't be sure about a safe level of alcohol for an unborn baby, it is best to stick to no more than one or two units, once or twice a week, and don't get drunk.What if my job could be harmful once I get pregnant?Some jobs can be hazardous to you and your unborn baby. If you are exposed to chemicals or radiation often, you may need to consider making changes before you conceive. Likewise, if you fly a lot or stand all day, think about how you might cope if you became pregnant. If possible, tell your employer that you're planning a pregnancy and ask about ways to avoid or eliminate hazards in your workplace. If you don't want to let your employer know that you're trying for a baby, the Health and Safety Executive has information about how to make your work environment safer.

How to Take Care of Your Baby

Dr. Rushabh Mehta, Gynecologist/Obstetrician
Here are a few guidelines:SwaddlingSwaddling your baby helps your baby feel warm and secure like in the womb. Lay the blanket in a diamond shape. Fold the top point inwards. Lay your baby down on its back on the blanket with his head just a bit above the folded point. Take one of the side points across the baby’s chest and tuck it under his thighs. Bring the bottom point over the baby’s feet. And follow through with the last point of the blanket across the baby’s chest and tuck it also under the opposite thigh.Dressing your babyAvoid disposable diapers as much as possible. Use them only for outings. Use cloth diapers at home to the greatest extent possible. Wash all clothes, blankets and linens before using them the first time. And always use a mild detergent to protect your child from skin-allergies and rashes.When selecting clothes for your baby, realize that they will be repeatedly soiled and have to undergo many washes. Check for sturdy zippers and well-stitched seams. The inside seams should be soft and not rough and itchy.Bunch up shirts before pulling them over your baby’s head. Look for shirts with side or front openings, shoulder buttons and stretchable necklines.Clothes should be comfortable and loose. Purchase a few inexpensive and durable clothes for sizes 0—3 months as babies will outgrow them very quickly.Infants lose heat rapidly from their uncovered heads. It is important to cover the head with a cap and also feet with socks when outside, and also on chilly days.Dress your baby as you would yourself. With just one extra layer when your baby is younger. Avoid exposing them to cold or chill or humidity or heat for long periods. Do not overdress them as this would dehydrate or give heat rashes.Dental HygieneAfter the first tooth erupts, pay extra care to dental hygiene. Family history of gum problems and cavities should be always kept in mind. Schedule a visit for the baby between 6—12 months of age and then follow up regularly. Do not allow the child to go to bed with a bottle containing anything other than water. The baby should be removed from your breast when done feeding. Check with dentist on what toothpastes can be usedCryingCrying is your baby’s way to communicate a whole range of needs and responses. It is also a way to relieve tension and stress. Sometimes going to a quiet place really helps.Hunger, in the early days and weeks of life is the most prominent reasons for crying. Wet diapers are another big cause as they make your baby very uncomfortable. Disposable diapers feel heavy and warm when wet. Illness can be another reason for crying. If a baby is crying too much, contact your pediatrician. Gas can be yet another reason. Newborns need to be burped often.Rub your baby’s back gently or move your baby’s legs back and forth towards the chest in a cyclic motion to relieve gas pains.It might get frustrating or anger you trying to constantly comfort your baby if he is fussy or not responding to your efforts. It is completely alright to be frustrated or angry and you needn’t be hard on yourself. Get someone to help if possible.Never shake a baby or throw them up into the air. The rapid movement causes severe whiplashes around the spinal column, neck or head. The younger the child, the more serious the danger. Avoid raising your hand on children of any age in any way and learn to control your temper and stress and release it in a more mature way.ColicBabies with colic cry frequently and may twist their face in pain, and draw their knees up to the abdomen and pass gas. They usually feed well and gain weight normally, but soothing colicky babies is difficult. Check with the pediatrician to rule out any issues. Cuddle your baby, gently rock or place your baby on your knees to try and soothe. Warm water bottles on the abdomen also help to an extent. After feeding your baby, carry him around on your shoulder and gently rub his back to relieve any gas.Bathing your BabyBabies needn’t be bathed every day; every alternate day works just fine. Use a sponge to gently bathe the face, hands and genitals every day.Never leave your baby alone while bathing him. Use a mild soap always and that the bathwater is lukewarm and never too hot. A way of testing is to dip your little finger to check the heat.Diapering your BabyA major decision parents face is deciding which diaper to use. Cloth and disposable diapers both have their advantages and disadvantages. Availability of time, concerns about environment and costs determine choices. A combination of cloth and disposables has been found viable by several parents. Change diapers after every bowel movement or if the diapers are wet to prevent rashes.Use plain water to clean your baby’s bottom. Use disposable or commercial diapers only for long outings because they usually contain chemicals and alcohol. The elastic around the legs and waist also irritates your baby’s skin. From time to time let your baby go without diaperPostpartum AdjustmentsMothers need good amount of rest after delivery. And those who have undergone C-sections need even more recovery time. Parents need to go an extra mile to render support to each other in their new roles.The biggest change that comes over is the relationship between spouses.As parents you also need to spend time away from the baby and with each other to understand yourself and relax. Divide duties between yourself and don’t place the entire onus on just the mother. Take time out with your partner,enjoy an evening out for a few hours with friends, call relatives over etc.Sexuality and Gender RolesFor women, sexuality and gender places multiple roles and responsibilities according to the society as well as their own aspirations and dreams. Avoid roles dictated to you by the media and society and create a balance that benefits you as well your family. Do not try to be perfect or be hard on yourself. Small compromises here and there are completely fine. A father needs to present as much for his wife as for his baby. Parenting is a combined role. Never just a mother’s job.Sex and Post - partum changesMany couples get worried about their sexual relationship and whether it will ever be the same again after a baby’s birth. Rest assured that it will once a mother’s basic healing process is complete. Vaginal discharge stops usually three to four weeks after birth and stitches if any will usually dissolve in this time frame too. Sexual intercourse may be resumed after this period but do understand and grant yourself the leeway that sex might be uncomfortable the first few times. Use forms of birth control to prevent becoming pregnant right away. Your vagina will be dry and tender because of low estrogen levels, you will be fatigued and the baby might provide distraction often. Try using a water soluble lubricant, contraceptive cream for breastfeeding mothers to help any dryness of the vagina during intercourse. If you are still breastfeeding, your breasts may tend to leak during intercourse. You may get a special bra lined with breast pads.

How Should I Manage Diaper Rash in My Baby?

Dr. Rahul Varma, Pediatrician
I think virtually every parent must have faced this problem once in their babies at some point of time. Diaper rash basically develops due to direct contact of skin with moist surface or soiled diaper. It develops mostly in genital area, perianal area, thigh folds and buttocks.Causes of Diaper Rash:If potty soiled diaper is left for too long.If wet diaper is kept for too long a period.Allergic reaction to diaper material, soaps or baby wipesToo much moistureToo much rubbing of skin while cleaning or too much friction from diaper if put very tightly on baby.Bacterial infection, yeast infectionsOnce the rash has started developing and skin is damaged, there are more chances of developing infections like bacterial, fungal or yeast.Babies who are breast fed have less chance of diaper rashes.More common when baby is having diarrhea, baby on antibiotics, recent change in dietary habits like starting with solid foods. If babies are not kept clean or dry for long periods.Steps to manage/ prevent Diaper rash:Keep area as clean and as dry as possible.Pat dry; the area rather than rubbing. Allow it dry fully before putting on diaper.Use oil based barrier like Vaseline petroleum jelly, coconut oil etc.Keep diaper area dry for as long as possible. Best is to avoid use of diaper during day keep it open to dry air.If temperature of room is ambient, try to keep baby in open without nappies, so that rashes can air dry.Change diaper more frequentlyAvoid wiping with alcohol based wipes, use soft cotton washcloth.Apply thick layer of any Zinc based ointment like Siloderm etc. Or any napirash cream available. Important is to put a thick layer and it is not necessary to completely remove the whole cream on next diaper change.Most important thing to remember is that heavy rubbing or scrubbing is only going to damage it more.Wrap the diaper as loose as possible (too tight diaper can prevent proper air circulation is there and wet or soiled parts do not rub against the skin too much).Avoid use of Steroid based creams as far as possible (unless until recommended by your child doctor, as they can harm your baby).When Consult your child doctor (Pediatrician) ifPus filled blister or sores appear near rashesRashes are not improvingThey are getting worse even after taking all the precautions.Baby has fever along with rashesRashes all over the body

How Can My Baby Participate in Diwali Celebrations?

Dr. Rushabh Mehta, Gynecologist/Obstetrician
Babies under the age of one, won't be able to actively participate in all the festivities, but will be captivated by the sparkling lights, decorations and the music of the season. Toddlers are still too young to really understand what festivals are all about, thought they love participating in family traditions. Your baby can still celebrate Diwali, but perhaps in ways that are appropriately scaled down to match her age and temperament. Here are a few things you could try:Hang small colourful paper lamps or torans and other decorations in your baby's room where she can see them.String up some multicoloured fairy or 'rice' lights; she will love watching the changing patterns.Try making a small rangoli with watercolours near your baby's room. She'll enjoy looking at it, especially if she has started crawling or walking.Depending on her age, you child may even try making her own rangoli. You could allow her to use organic colours or flowers.Toddlers may also enjoy creating a colourful Diwali artwork with some help from an older sibling or parent. Cut small pieces of several brightly coloured papers and let your baby stick them on a sheet of paper. You could then cut the paper in a shape of a large diya, frame it and hang it outside your door.Your baby could also finger-paint little clay diyas with water colours. But, do remember to wash her hands well after the painting session.If she's walking about, your little one may also enjoy placing floral garlands at the door or putting rose petals in the puja room.If she's fascinated by the fireworks, let her watch for a while from a window, glass door or balcony. This way, she will enjoy seeing the fireworks from a distance, and be away from the noise and pollution.Don't forget to buy your child something special. And finally, do not forget to record these memories!

Is Your Body Baby-Ready?

Dr. Swetha Thumula, Gynecologist/Obstetrician
Are you planning for a baby? Yes? Then you must know that your body has to undergo a lot of changes during the 9 months of pregnancy. It is important that you make your body ready to accept these changes easily. There are plenty of preparations that are needed to ensure that you have a healthy pregnancy and give birth to a healthy baby. Here are some important tips to make your body ready for the upcoming motherhood.Maintain a stable weightObesity is the biggest hindrance to pregnancy. Women who are overweight have problem in getting pregnant. Even if they do, they are more vulnerable to complexities like gestational diabetes or preeclamtia. Hence, before you plan motherhood, loose excess body weight. It doesn’t matter if you do down half of your present weight. Consult your dietitian and start a regular exercise regime.Pre-natal vitamins are importantMost women are not aware of their pregnancy until they miss a period. Missing a period signifies that the growth of the baby inside you has already started. Not taking enough vitamins and folic acid from the very advent of pregnancy can interfere with the proper development of your baby. Hence, it is advisable to consult your doctor and start taking regular doses of vitamins even before you have conceived.Beware of harmful chemicalsOver exposure to harmful chemicals, pesticides, radioactive elements not only harm your fertility but also adversely affect your baby’s health. Hence, it is mandatory to stay away from these while you are planning your pregnancy or after you have conceived.Get rid of bad habitsIf you are a chain smoker, regular drinker, addicted to drugs, then this is the time to get rid of your bad habits and get into a more organized and healthy lifestyle.See your doctor regularlyBefore you conceive, it is important that you get in touch with your OB/GYN. Your doctor will schedule your pre-natal diets, exercises, vaccines and medication. Regular checkups will reduce the chances of any health problems, before, during or even after pregnancy. Only a healthy mother can give birth to a healthy baby.Follow these small tips and you will have your body completely ready to welcome your baby. Give your baby a healthy life by having a healthy body. After all you’re a mother’s womb in the first and safest abode for the baby; make it healthy as well.

What Do I Expect in Babies growth... Weight, Length, Brain growth...

Dr. Poonam.M. Sambhaji, Pediatrician
Hello,When a baby enters a pediatric clinic for a WELL BABY VISIT, many a times I as a doctor find that parents do not know what is the purpose of the visit. Today I thought of making a list of this. Few things to keep in your mind before visiting your doctor:Feed yourself and your baby before going, so that baby is calm, and you are also full of energy to care fore baby.Carry a quick snacks like fruit sandwich etc and water in sipper ( for a baby on complementary feed )Take a baby bag with diapers, wipes and disposable plastic bags.Carry medical record file with  immunization card and old prescriptions .Carry a toy for the kid.Dress yourself and your baby in comfortable cloths, (easy for you to feed), Baby should be easily undress-able. Most important Write down your questions and concerns and bring them with you. This will help you get the most out of the visit. This saves your time, as well as doctors time, and for sure your doctor will appreciate this time management and organised behavior of yours.What should you expect in WELL BABY VISIT?Childhood is a time of rapid growth and change. Children have more well-child visits when they are younger. This is because development is faster during these years.Each visit includes:A complete physical exam. Child's growth checked by Length / Height, Weight, and Head circumference, and Development in order to find or prevent problems.The provider will record your child's height, weight, and other important information.Even if your child is healthy, well-child visits are a good time to focus on your child's wellness. Talking about ways to improve care and prevent problems helps keep your child healthy.This is also the time to discuss about Vaccination schedule of your baby. After the baby is born, the next visit should be 2 to 3 days after bringing the baby home (for breastfed babies) or when the baby is 2 to 4 days old (for all babies who are released from a hospital before they are 2 days old). Some providers will delay the visit until the baby is 1 to 2 weeks old for parents who have had babies before.After that, it is recommended that visits occur at the following ages (your provider may have you add or skip visits depending on your child's health or your parenting experience):By 1 month2 months4 months6 months9 months12 months15 months18 months2 years2 1/2 years3 yearsEach year after that until age 15This visits will keep a track on child's weight height and growth. With changing life styles its important to maintain a BP check also of children once in a year. Always make it a habit to undress the baby as much as possible and socially acceptable before doctor starts examining him/her. If child is more than 1 year make an attempt every time to explain to baby that Doctor will only check him, and not do any harm. It is important that the baby knows what he/she is to expect on examination table. Usually in Pediatric clinic we try to examine the baby  on mothers lap, so that baby is comfortable, but at times we need to examine on examination tableAlso, you should visit a provider any time your baby or child seems ill or whenever you are worried about your baby's health or development.Happy parenting!

Celebrating Your Baby's First Diwali

Dr. Rushabh Mehta, Gynecologist/Obstetrician
With all its accompanying celebrations, noise and excitement, Diwali may be a bit overwhelming for your baby. It's easy to get caught up in the festivities, and forget that too much going on at once can take its toll on a young baby. We've put together some of the key things that will keep you and your family safe and content during the festive season.    How can I help my baby enjoy her first Diwali?Stick to your baby's routine Disrupting a baby's schedule could make her cranky and irritable. Whenever possible, try to stick to your little one's routine. It's better to make the effort to find a room where she can take a nap than to spend the rest of the day with an overtired baby.Try to keep familiar faces around Too many new faces, sights and sounds can over-stimulate even the most laid back baby. While young babies love to be touched, held, cooed and smiled at, they can tell the difference between strange and familiar faces by the time they are five or six months old. It may take longer for an older baby to warm up to visitors once she is more aware that she's an individual separate from you. So allow her the time she needs, she'll feel more secure if she has a familiar face with her.  Choose comfortable clothing Clothes made out of natural fabrics are best as they will not irritate your baby's delicate skin. It's best to pick a colourful, traditional, yet simple outfit that does not have long drawstrings, sequins, beads or mirror work, as these may pose a risk of choking.  Watch what your baby eats and drinks If your baby is exclusively breastfed and not weaned yet, it is best to not give her any sweets and savouries. Keep mithais, food, drinks and dried fruits out of your baby's reach. Even if your baby is eating solid food, some foods may not be safe for her just yet. It is best not to give your baby small pieces of food such as whole nuts, cashews (kaju) or raisins (kishmish), when she is just starting solids. Any small piece of food could be a choking risk for your baby. Any foods containing honey should not be given to your baby until she is a year old. Only feed her food which is right for her age. You could offer familiar foods like homemade kheer or aloo puri. If she has a favourite mithai you could offer a small piece. For your toddler, you may want to restrict the intake of sweets to just one or two.It's best to offer home-cooked meals. During the festive season, large batches of sweets and savouries are prepared by caterers. Outside food may sometimes cause stomach infections if the food has not been prepared, stored or packaged hygienically. No festival is complete without lots of fizzy drinks, sherbets and juices. However, it's best to limit sugary drinks and beverages and only offer those that are right for your baby's age. See our slideshow on best and worst drinks for children to help you make the right choices. What safety precautions should I take for my baby's Diwali? To help you make this a special occasion safe for your baby and enjoyable for you too, keep the following in mind:Never leave your baby unattended. There may be a string of visitors entering and leaving your home, so it's best to stay alert and ensure your child is always close to you. You and your husband could take turns to look after her or she might have a grandparent or relative who doesn't mind babysitting while you handle other chores.Almost every home is adorned with flowers, floral garlands or with petals floating in water bowls. Some flowers could trigger allergies such as hayfever or asthma. It might help to leave the floral garlands or flowers outside until the last possible moment. Spray them with water before bringing them indoors. This will help to remove any dust, pollen and mould spores.Choose decorations with care. Floating diyas are beautiful but attract little ones as well. If placed in a large tub of water they can be dangerous. Small babies can drown in less than 3cm of water and it can take just seconds for a baby to slip into the water and be helpless.If using electrical lights at home, ensure the power sockets are baby proofed and that there are no loose or naked wires. Hide electrical cords behind furniture or buy a cord holder.Candles, diyas, oil lamps and agarbattis should be placed well out of your baby's reach. Read more about how you can prevent burn injuries.Do not light firecrackers inside the house. Keep your baby at a safe distance from the fireworks and do not allow anyone to carry her while bursting crackers. Older siblings and cousins usually have a trick or two up their sleeve. Speak to them and explain why they need to be careful with a small baby.Care should be taken when handling sparklers (phool jhadis) Children should not run around with sparklers in their hands or wave them about or point them towards another person. Sparklers can cause serious burns and injuries if not handled with care.If family and friends are bursting crackers in the neighbourhood park, there might also be acquaintances or people you do not know well enough. It's best to stay away, as some people may enjoy rowdy play and throw crackers or point rockets towards crowds which may result in serious injuries.Ensure that your baby is not exposed to smoke and ash in the air from firecrackers as it may lead to respiratory problems.Protect your little one from sudden and loud noises from firecrackers, parties or street processions. They might startle or frighten her. It may be a good idea to keep your baby in a room where outside noise levels are lower and won't affect her hearing.Always keep a first-aid kit handy. Make sure you have ointment for burns, bandages and disinfectant. It's a good idea to have a bucket of water or fire extinguisher close by as a precautionary measure against fires.How can my baby participate in Diwali celebrations?Babies under the age of one, won't be able to actively participate in all the festivities, but will be captivated by the sparkling lights, decorations and the music of the season. Toddlers are still too young to really understand what festivals are all about, thought they love participating in family traditions. Your baby can still celebrate Diwali, but perhaps in ways that are appropriately scaled down to match her age and temperament. Here are a few things you could try:Hang small colourful paper lamps or torans and other decorations in your baby's room where she can see them.String up some multicoloured fairy or 'rice' lights; she will love watching the changing patterns.Try making a small rangoli with watercolours near your baby's room. She'll enjoy looking at it, especially if she has started crawling or walking.Depending on her age, you child may even try making her own rangoli. You could allow her to use organic colours or flowers.Toddlers may also enjoy creating a colourful Diwali artwork with some help from an older sibling or parent. Cut small pieces of several brightly coloured papers and let your baby stick them on a sheet of paper. You could then cut the paper in a shape of a large diya, frame it and hang it outside your door.Your baby could also finger-paint little clay diyas with water colours. But, do remember to wash her hands well after the painting session.If she's walking about, your little one may also enjoy placing floral garlands at the door or putting rose petals in the puja room.If she's fascinated by the fireworks, let her watch for a while from a window, glass door or balcony. This way, she will enjoy seeing the fireworks from a distance, and be away from the noise and pollution.Don't forget to buy your child something special. Use our guide to choose the perfect gift for newborns, one-year-olds, two-year-olds and three-year-olds.And finally, do not forget to record these memories!