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drakjaleel

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    India

Everything posted by drakjaleel

  1. World Breastfeeding Week 2026 – A Message from a Pediatrician World Breastfeeding Week, observed every year from 1st to 7th August, is a global movement coordinated by the World Alliance for Breastfeeding Action (WABA) with the support of WHO and UNICEF. It reminds us that breastfeeding is not only the ideal nutrition for every newborn but also one of the most effective public health interventions for improving maternal and child health. Theme 2026 “Prioritize Breastfeeding: Create Sustainable Support Systems.” This year’s theme highlights that successful breastfeeding is not the responsibility of the mother alone. It requires sustainable support from families, healthcare professionals, employers, communities, governments, and policymakers. Together, we can create an environment where every mother is empowered to initiate and continue breastfeeding successfully. Breast milk is rightly called a baby’s first vaccine. Early initiation of breastfeeding within one hour of birth, exclusive breastfeeding for the first six months, and continued breastfeeding with appropriate complementary feeding up to two years and beyond remain the cornerstone of Infant and Young Child Feeding (IYCF). These practices protect children from infections, improve neurodevelopment, reduce childhood obesity and non-communicable diseases, and contribute to healthier adulthood. Mothers also benefit through reduced risks of breast and ovarian cancers, type 2 diabetes, and cardiovascular disease. Across India, World Breastfeeding Week is being celebrated through awareness campaigns, IYCF promotion programmes, Baby-Friendly Hospital initiatives, community outreach, breastfeeding counselling, and educational activities organized by the Government of India, Indian Academy of Pediatrics (IAP), IAP Infant & Young Child Feeding (IYCF) Chapter, National Neonatology Forum (NNF), medical colleges, and healthcare institutions. These collective efforts reaffirm our national commitment to improving breastfeeding practices and ensuring every child receives the best start in life. Recent reports indicate that exclusive breastfeeding rates in India require renewed attention, reminding us that awareness alone is not sufficient. Continued IYCF counselling, family support, workplace-friendly policies, skilled lactation services, and community participation are essential to improve breastfeeding outcomes and child survival. The Future Perspective The future of breastfeeding lies in strengthening sustainable IYCF support systems. We must expand Baby-Friendly Hospitals, ensure universal access to skilled lactation counselling, create breastfeeding-friendly workplaces, leverage digital health platforms for parent education, and equip every healthcare professional with evidence-based IYCF knowledge. Investing in breastfeeding is an investment in healthier children, healthier mothers, stronger families, and a healthier nation. As pediatricians, we have a unique responsibility. Every antenatal consultation, every delivery room, every newborn assessment, and every well-baby clinic is an opportunity to protect, promote, and support breastfeeding. By championing optimal Infant and Young Child Feeding (IYCF) practices, we can transform the health of future generations. Let us reaffirm our commitment to make breastfeeding everyone’s responsibility—not only during this week, but every day of the year. Together, through strong and sustainable IYCF support systems, we can ensure that every mother is supported and every child receives the healthiest possible start in life. Happy World Breastfeeding Week 2026! Dr A Jaleel Ahamed Coimbatore South India References World Health Organization (WHO): Infant and Young Child Feeding. World Alliance for Breastfeeding Action (WABA): World Breastfeeding Week Campaign. UNICEF & WHO – Global Breastfeeding recommendations. Ministry of Women & Child Development, Government of India – World Breastfeeding Week activities. Indian Academy of Pediatrics (IAP) – Infant & Young Child Feeding (IYCF) Guidelines.
  2. Proud to be a part of this amazing community throughly enjoying the academic journey
  3. Thanks for the input Kid hemodynamically stable
  4. For the baby with bilateral PDA ,stent placed successfully
  5. I have a neonate with critical cyanotic heart disease on prostaglandin infusion after that perfusion improved Now the kid is hemodynamically stable Cardiac CT confirms Pulmonary Atresia and double PDA supplying lungs Shall we stop infusion? What are all options available for the baby survival?
  6. Good information great work please update further about the drug
  7. Dear members Are you still recommending prophylactic eye drops for opthalmia neonatorum(esp Gonococcal conjuntivitis)? What is the rational in doing so. What is the current recommendation. Still silvernitrate eye drops in practice any where! Dr jaleel
  8. Dear Dr Stefan Greetings Ever heard about this Could you please tell us something more about this innovative therapy!
  9. Organic Acidemia is a lethal disease ,we have few confirmed cases of OA diagnosed for years when the facility of TMS in our country is available by using dry sample and again cinfirming the disease with enzyme assay. So far no survival or follow up of these infants. Once you have an index case confirmed and that was a mae baby then you can very well plan and counsel the future pregnancy and managed in the postnatal period (avoiding metabolites) in this way we have come out with a good results Challenging the infant after the metabolic screen result.
  10. Is there any recommended or evidence based sibling/any other attender visiting policies available for NICU
  11. Dear dr Selvam many times our nicu ac units are under worked so we dont get into hypothermia but still you can regulate the required temperature in the ac unit.....
  12. Hi Servo-i , SLE perfect. For beginners SLE5000 (HFO)can be used as dual and rescue ventilation ,cost effective .
  13. Thanks ,the HPE report as Osteofibrous dysplasia . Suggestion for further line of management.
  14. Male neonate at birth noted bony hard swelling right lower limp with few creases over lower end of leg(? amniotic band).All joint movement are free.Reflex complete. Imaging pictures are posted for comments. Plan for HPE examination. All maternal serology negative. ?Neonatal Osteofibrousdysplasia
  15. Dear dr selvan we also tried Mgso4 for MAS/PPHN but many times it is not encouraging outcomes.As of now we have HFO with oral Sildnafil with reasonable intact survival.To Prof Jack- would like to know how one should suspect Pulmonary Alveolar Dysplasia.Thanks.
  16. How many days old ? By this time natural resolution might have occured ,simple early nasal CPAP at the delivery room itself will do wonder effect as for HMD is concerned in a set up where ventilation also available .PPROM has to be addressed .Many preterm steroid covered will do well with noninvasive ventilation.
  17. We have a 40 days old male baby born to consang couple At the age of 10 had abcess over left lower thigh for which I&D done Staph isolated & treated with Vancomycin ,resolved. At the time of presentation to our NICU baby had biphasic stridor,virtual bronchoscope revealed retropharyngeal abscess which was drained and PCR ,Blood C/S isolated Staph (not MRSA) Responded well to Teicoplanin,Amikacin.Clindamycin (14days) Now occassional stridor feeding well Wonder that this could be CGD (NBT not done) Need your advise regn further workup and management Jaleel
  18. Thank you Jack & Stefan for your valuble suggestion.Greetings and prayers from India for wonderful 2010. After connecting to icd bottle instead of collapsable bag now lung expanded but CXR showing ? Early CLD started on low dose dexamethazone and frusimide Now the kid is hemodynamically stable We don't have true HFOV We have dual one with CMV/HFO(SLE2000) Started in minimal trophic feeds thro RT What else i can do Regards Jaleel
  19. Hi all i just wanted to share your opinion on this baby Delivered by emergent CS needed resque SRT for HMD ,initially needed higher ventilator setting for target SPO2 85-90% Noted labile SPO2,early PPHN started on Silsnafil,MgSo4 ,Ianotropes. Developed spontaneious tenson pneumothrax- ICD done Now developed moderate biliiary stasis with thrombocytopenia Given FFP.PLT concentrate,PCV transfusion for low Hct,partial TPN. Cranial imaging Grade11 ICH on left parital region Pneumothrax still not resolved only partial expansion,ICD working well As of today completed 10th day of ventilation Parents want to support the infant Kindly give your suggestions ?kid going for early CLD/PIE what is the further approch Baby GA 34WKS/SGA Regards DrAKJ Ahamed
  20. Thank you dr M.Bharathi I just wanted to know is there any evidence based on this molecule ,have you ever tried Allready gone thro the article just want to know the current trend in using this newer molecule thanks once again DRAKJ Ahamed
  21. Are they delivered in an institution like yours Some time preparations make lot of difference Some authors suggest you can go upto 5 mg Did you check D-dimor ? Any long term antibiotics? Very crucial situations is altered perfusion states we need to monitor BP preferably invasive??
  22. Hi all i just want to know how safe this molecule in non hemolitic jaundice in newborn When to start? What is the dosage? How long to continue? How safe? DRAKJ Ahmed Coimbatore,S.India
  23. Sclerema in a neonate is a frustating end results if we pick up early as it first appears on the cheek decends down with good appropriate iv antibiotics will improve where overwheming sepsis with sclerema may get some benificial effort fron ET again an risky invasive procedure.Are these babies are premies??

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