18 June 2024

Newborn baby health: Mini Parenting Master Class

Newborn baby? You probably have a lot of questions! Join Dr. Alok Patel, parent and pediatrician at Stanford Children's Hospital, as he takes us through some of the most important newborn health topics. What you should know and what you should look out for., Transcript of “Newborn baby health: Mini Parenting Master Class” video, A newborn baby! This means excitement, love, happiness. A lot of photos! But it may also mean some sleepless nights, anxiety and questions like “What's normal?”, “Is my baby sick?”, “What is that sound?” Don’t worry. First thing you want to do is take a deep breath. You’ve got this. I'm Dr. Alok Patel. I'm a pediatrician and I'm also a parent. I…, Newborn poop, First up, poop. Baby poop is marvellous. Does that sound weird? It shouldn't. Because what you see in your child's diaper is an indication of hydration, nutrition and that all the plumbing is working. What you want to pay attention to is the colour of the poop, how often your kid is pooping, and if it's hard, soft or watery. Now, in the very, very…, Hydration for babies, Now we have to talk about hydration, or the lack of – dehydration, which is what we want to avoid. And here is the problem: If babies don't take in enough liquid or if they lose too much liquids, such as from diarrhea or vomiting, they can become dehydrated. And dehydration can happen really fast. And this can be very dangerous for young babies…, Newborn babies and fever, Fevers happen all the time in kids and adults. It's a normal part of our body’s defenses. If a germ or bug invades your body, it may result in a fever. It's totally normal, but in newborn babies, any type of fever may indicate a very dangerous infection, especially in the first month of life. That's why it's also important for anyone who is sick…, Newborn baby breathing, Next up, we're going to talk about newborn baby breathing, which is one of my favorites because it's kind of adorable and it's actually a little musical because you'll hear all kinds of little whistles and squeaks as your baby's tiny nose takes in air. And newborn babies also breathe faster than adults. And sometimes they breathe really quickly…, Babies and vaccines, It's important that babies get their vaccines early when they're the most vulnerable. And if given early, those developing immune systems can learn and prepare to defend your child against a lot of different diseases out there. Vaccines are also perfectly safe for those little immune systems. Your babies encounter countless bugs and germs every…
21 December 2023

A Mother’s Change of Heart

“I gave birth to my first two daughters at home. I was in severe pain, losing a lot of blood, and the baby would not come out,” recounted Ruma Khatun. “I was scared. My family was scared.” At 24, Ruma had already endured two delayed birth deliveries at home. Her first baby, Joti, was born when Ruma was only 16. Five years later, She gave birth to…, Anxious for her third pregnancy, Ruma lived with Johirul, their daughters, two brothers-in-law, and mother-in-law in the village of Dhamainagar, Rajshahi Division, northwest Bangladesh. Their home was situated alone in an isolated, green paddy field that stretched beyond the horizon, far from the main road. “From our house, the Upazila Health Complex is very far away, and in the…, Community health worker, midwife, and a change of heart, Three months into her pregnancy, Ruma met Sadia Islam, a community health worker 2  who had been going from door to door encouraging mothers in the village to visit the Dhamainagarhat Community Clinic, where the Government of Bangladesh (GOB) and UNICEF recently launched Reaching Every Mother and Newborn (REMN) program . With the goal of being…, Sagarika gives Ruma a check-up at the Dhamainagarhat Community Clinic., UNICEF Bangladesh/2023/Paul Ruma and Johirul visit the Dhamainagarhat Community Clinic. REMN22.JPG, Ruma and Johirul visit the Dhamainagarhat Community Clinic., UNICEF Bangladesh/2023/Paul Sagarika gives Ruma a check-up at the Dhamainagarhat Community Clinic. Ruma and Johirul visit the Dhamainagarhat Community Clinic., Ruhi, a bundle of joy, Three-month-old Ruhi was bubbly and curious. With cheek against cheek, hands holding Ruhi’s fingers, Ruma softly beamed with pride and happiness. Ruma gives Ruhi a bath in the morning. REMN04.JPG, Ruma gives Ruhi a bath in the morning., UNICEF Bangladesh/2023/Paul Ruma plays with Ruhi after changing her clothes. REMN08.JPG, Ruma plays with Ruhi after changing her clothes., UNICEF Bangladesh/2023/Paul Ruma gives Ruhi a bath in the morning. Ruma plays with Ruhi after changing her clothes. “I gave birth to her with confidence because there were skilled midwives who delivered my baby. They made me trust that my baby would be healthy, and I would be healthy as well,” commented Ruma. Ruma holds Ruhi in their house. Ruma…
23 November 2023

A Family’s Journey from Heartache to Hope

MYMENSINGH, Bangladesh – Wearing a dark green hospital gown, Jui stood still and looked through the glass of the Special Care Newborn Unit (SCANU) in Netrokona District Hospital. Her anxious eyes followed every breath of her beloved baby, Rakiba. At only 18 days old, Rakiba was already a warrior fighting for air every second of her life.…, Jui waited outside of the SCANU, with her eyes anxiously following Rakiba.18 days old, Rakiba started having breathing problems that required oxygen therapy., UNICEF Bangladesh/2022/Mukut Dr. MoumitaSharmin, Medical Officer, checked on Rakiba in the SCANU, Netrokona District Hospital. UNI_06.JPG, Dr. MoumitaSharmin, Medical Officer, checked on Rakiba in the SCANU, Netrokona District Hospital., UNICEF Bangladesh/2022/Mukut Jui waited outside of the SCANU, with her eyes anxiously following Rakiba.18 days old, Rakiba started having breathing problems that required oxygen therapy. Dr. MoumitaSharmin, Medical Officer, checked on Rakiba in the SCANU, Netrokona District Hospital., Lack of oxygen equipment, For months prior to Rakiba’s delivery, Jui and Rafique had waited for their baby to arrive in this world. They had traced fingers along the ultrasound images of Rakiba and kept them like treasure. They had dreamed about holding and protecting her with the love that they couldn’t give to their previous children. And yet now, that chance to love was…, The leading cause of deaths for children under five, Despite progress in Bangladesh, the mortality rate of children under five remains comparatively high, at 31 deaths per 1000 live births 2 .  Newborn deaths are responsible for over 60 per cent of the deaths under five, with birth asphyxia and injury responsible for 29 per cent as the main cause. Pneumonia has also been the leading cause for under-…, A special care unit for babies, Across public hospitals in the country, UNICEF, along with partners, supported the Government in establishing SCANUs, where nurses and doctors treated low-birthweight and sick newborns like Rakiba. These units were equipped with UNICEF-supported medical equipment, including piped medical oxygen to SCANUs, oxygen concentrators, flowmeters, radiant…, With the support of UNICEF and partners, the SCANU in Netrokona District Hospital is equipped with oxygen equipment., UNICEF Bangladesh/2022/Mukut With the support of UNICEF and partners, the SCANU in Netrokona District Hospital is equipped with oxygen equipment. UNI_11.JPG, With the support of UNICEF and partners, the SCANU in Netrokona District Hospital is equipped with oxygen equipment., UNICEF Bangladesh/2022/Mukut With the support of UNICEF and partners, the SCANU in Netrokona District Hospital is equipped with oxygen equipment. With the support of UNICEF and partners, the SCANU in Netrokona District Hospital is equipped with oxygen equipment. “The UNICEF-supported unit has been a blessing in this hospital,” said Dr. Sharmin. “…, Rafique was drying his daughter’s clothes in his house in Netrokona. He regularly sharedhousehold chores with his wife since Rakiba’s delivery., UNICEF Bangladesh/2022/Mukut Jui held her daughter at home in Netrokona UNI_29.JPG, Jui held her daughter at home in Netrokona., UNICEF Bangladesh/2022/Mukut Rafique was drying his daughter’s clothes in his house in Netrokona. He regularly sharedhousehold chores with his wife since Rakiba’s delivery. Jui held her daughter at home in Netrokona Both parents then attentively listened to the doctor’s advice on how they should take care of Rakiba at home and when they could…, For all newborns, a healthy start in life, Outside the glass wall of the UNICEF-supported SCANU stood parents who were waiting with hope, longing to get a glimpse of their children. Inside, doctors and nurses were going from one incubator to the next, patiently checking on one baby after another. A general view of the SCANU unit in Netrokona Sadar Hospital in Netrokona. Outside stood…
19 October 2023

Breastfeeding when you return to work

Work and family can be difficult to balance at the best of times. For breastfeeding mothers returning to work after giving birth it can easily feel overwhelming.   Breastfeeding gives children the healthiest start in life. Breastmilk acts as a baby’s first vaccine, stimulates brain development and protects a woman’s health. That’s why UNICEF and…, Plan ahead  , Tell your family, friends and co-workers about your decision to breastfeed and seek out breastfeeding support groups. They can help you find solutions and support you along the way.   Here are some of the ways that women continue to breastfeed their babies while working: Keep their babies with them and breastfeed throughout the day. If the…, Breastfeeding support at work, Does your employer offer any support, such as on-site childcare or can mothers bring their babies to work?  At a minimum, your employer needs to comply with any existing legislation on maternity leave and workplace breastfeeding support. Check what is required where you live.  Ask about your workplace lactation policy. Is there a lactation room?…, 🤱🏽 What should a lactation room look like? UNICEF's recommendations, What is a lactation room?, A lactation or breastfeeding room should be a clean, comfortable, safe and private space. The main function is for mothers to breastfeed their children, express milk and store it properly., What should a breastfeeding room include?, To preserve the breastmilk until you take it and feed it to your child, it is necessary to have a cold storage system available which should preferably be a freezer or fridge for the exclusive use of the breastfeeding room.  Ideally, the breastfeeding room should have handwashing facilities and necessary supplies such as drinking water, liquid…, Location, accessibility and privacy, A breastfeeding room should be located in a physically separate area that is close to your workspace and away from the toilets. The space should be directly accessible and fully available during the workday. To ensure privacy, entrances must close properly and the facilities designed in a way to ensure that mothers using the room are not visible…, Lighting, ventilation and hygiene, Natural light is preferred, but if this is not possible due to space constraints, suitable artificial lighting, ventilation and heating must be provided. The use of air-conditioning is recommended to maintain suitable temperatures. Cleaning should be done with odourless, food-safe products used exclusively in the breastfeeding room. It is…, Checklist before returning to work  , Try to plan out your workday and incorporate your lactation periods. Set alarms or mark your calendar to serve as reminders and help protect this time.  Try out a trial run of your new schedule just before you return to work. This can help you anticipate challenges and identify solutions.  To remember   Pads or cloths to line your bra to prevent…, Collecting and storing breastmilk in the workplace , At work, try to express as often as you would feed your baby and store the breastmilk in sealed containers. Remember to label the container with the date and time of expression. Keep containers inside a refrigerator or an insulated cooler (such as an insulated bag or ice box) with frozen gel/ice packs. When storing in a refrigerator, keep…, Transporting and storing breastmilk at home , Transport the expressed breastmilk home inside your insulated cooler.  Check with your national health authorities for guidance on milk storage, which can vary by country. As a general approach, WHO and UNICEF recommend:  1. Freshly expressed milk to be consumed by your baby within 24 hours is best stored at the back of the refrigerator where the…, Breastfeed directly whenever you can  , Expressing breastmilk in the workplace and directly breastfeeding your baby whenever possible will help you continue making milk. When breastmilk is not regularly removed from your breasts, it may lead to plugged ducts, mastitis and decreased breastmilk supply.  Before going to work and when you get home, it is best to directly feed your baby.…
14 September 2023

Midwife Razia's journey to combat lead poisoning in Mirzapur

“Children are extremely vulnerable to the effects of lead poisoning. However, if parents have the knowledge early on of how to mitigate its effects – their children will live a better life,” says Razia Sultana Tania resolutely. Razia is a young midwife who is the lifeline of the Upazila Health Complex in Zamurki, Mirzapur. With specialized…, An invisible threat, Lead poisoning is a silent and pervasive problem, especially in Bangladesh, with devastating effects on children's development and overall health. It is particularly destructive to babies and children under the age of five, because it can cause irreparable harm to children’s brains and hamper their ability to develop fully. Moderate to high levels…, Empowering the frontlines, In March 2023, a total of 35 health and education staff were trained as resource persons to support subnational capacity building activities using the recently developed national clinical management guideline on lead poisoning. Then, between May and August 2023, a total of 379 health care providers received training in four selected districts,…, Officials speak to health workers at the training on clinical management of lead poisoning in Mirzapur, Tangail., UNICEF Bangladesh/2023/Salek Officials speak to health workers at the training on clinical management of lead poisoning in Mirzapur, Tangail., Officials speak to health workers at the training on clinical management of lead poisoning in Mirzapur, Tangail., UNICEF Bangladesh/2023/Salek Officials speak to health workers at the training on clinical management of lead poisoning in Mirzapur, Tangail. Officials speak to health workers at the training on clinical management of lead poisoning in Mirzapur, Tangail. The training covered the background and situation of lead poisoning in Bangladesh, principal…, A voice of prevention, The training transformed Razia's approach to her work. She emerged from the program not only as a healthcare provider but as a beacon of knowledge and empowerment. With a deep understanding of lead poisoning and how it could affect the communities around her, Razia has become a trusted resource person in the health complex. Her newfound expertise…, Razia speaks to members of the community while on duty at the Upazila Health Complex in Mirzapur, Tangail., UNICEF Bangladesh/2023/Emran Razia speaks to members of the community while on duty at the Upazila Health Complex in Mirzapur, Tangail., Razia speaks to members of the community while on duty at the Upazila Health Complex in Mirzapur, Tangail., UNICEF Bangladesh/2023/Emran Razia speaks to members of the community while on duty at the Upazila Health Complex in Mirzapur, Tangail. Razia speaks to members of the community while on duty at the Upazila Health Complex in Mirzapur, Tangail. Amid her busy schedule, Razia took a moment to reflect on the impact of this training on her community. "…, A transformative partnership, Razia's dedication extends beyond the clinic walls. She has become a passionate advocate for lead poisoning prevention, spreading awareness about the principal sources of lead exposure, such as contaminated water, paint, and household items to pregnant and new mothers, making a significant difference in the lives of the families she serves. UNICEF…
17 August 2023

Breastfeeding: Mini Parenting Master Class

We sat down with Dr. Michele Griswold, lactation expert and former president of the International Lactation Consultant Association to answer some of the many questions surrounding breastfeeding., Transcript of 'Breastfeeding: Mini Parenting Master Class' video, "Did you know that your nipples have good bacteria? So you don’t need to wash them before breastfeeding. My name is Dr. Michele Griswald, and this is my Mini Parenting Master Class on breastfeeding." , Is breastfeeding easy?, "Sometimes mothers get messages that breastfeeding is natural and it’s easy. Sometimes breastfeeding can be easy with the first baby, and hard with the second baby for the same mother. So it really just depends." > Read:  14 myths about breastfeeding, Does breastfeeding hurt?, "You shouldn’t stop breastfeeding if your nipples hurt. You should keep breastfeeding but you should get help to see why it’s hurting.", How much should my baby eat?, "They should see signs of hunger about 8 to 12 times in 24 hours. Newborn babies need to eat a lot because they’re growing rapidly. They double their birth weight in the first six months of life, or before. So you can imagine how much you would need to eat if you had to double your weight.", Should I wash my nipples before breastfeeding?, "It’s not necessary to wash your nipples before you breastfeed, because the breasts and the skin around the nipple actually produces good bacteria. And it’s that good bacteria that helps to prevent infections on the mother’s breast.", When should I start breastfeeding?, "The first hour after birth is a very important time for the mother and the baby. Breastfeeding is a very organized, neurological behavior. And so right after birth, keeping them against the mother’s skin can help them to be calm enough to start to seek the breast. And if we do just leave mothers and babies like that after birth, then they will…, What should I eat while breastfeeding?, "Most mothers can eat anything they want when they breastfeed. They can follow their normal diet. And the interesting thing is whatever they eat, the babies will taste through their milk and start to get them ready for table foods when they’re about 6 months old.", Will I have to stop breastfeeding my baby when I got back to work?, "We would hope that mothers who return to work do not have to wean their babies. Mothers need time and they need support to continue to breastfeed their babies. They need the support of their family, they need the support of their workplace, their employers, they need the support of their entire community. Breastfeeding is not just about food. It’…
07 August 2023

Breastfeeding when sick

If you are breastfeeding or planning to breastfeed your baby, it is natural to wonder what to do when you fall ill. The good news is that the evidence is overwhelmingly in support of continuing breastfeeding. Breastfeeding and skin-to-skin contact and early, exclusive breastfeeding helps your baby to thrive and provides lifelong health benefits.…, Can I safely breastfeed my child if I’m feeling sick?, With most common illnesses like a cold or flu, it is safe to continue breastfeeding your baby as long as you take proper hygiene precautions like handwashing. Continuing to breastfeed will help you to maintain your milk supply and will provide your baby with protection against the illness you are experiencing.  , Can I take medication while breastfeeding?, If you need to take any medication while ill, let your health care provider know that you are breastfeeding and ask for baby-safe options.  , What should I do if I’m too unwell to breastfeed?, If you are feeling too sick to nurse, try to find other ways to safely provide your child with breastmilk. Try expressing milk and giving to your child via a clean cup or spoon. Speak to your breastfeeding counsellor or healthcare professional about the options available to you. Expressing breastmilk is also important to sustain milk production so…, Should I breastfeed if my child is sick?, Continue to breastfeed your child if they become ill. Breastfeeding boosts your baby’s immune system, and your antibodies are passed to them through breastmilk, helping them to fight infections.  , What precautions should I take when breastfeeding if I’m sick?, If you are sick or suspect you may be, speak to your healthcare provider for guidance. Be sure to follow simple hygiene steps to help protect your child. Your hands should be washed with soap and water before and after touching your baby. You may also use an alcohol-based hand rub. It is also important to clean and disinfect any surfaces that you…, Should I breastfeed if I have or suspect I have COVID-19?, Yes, you should continue breastfeeding with appropriate precautions. The transmission of COVID-19 through breastmilk and breastfeeding has not been detected. Precautions include wearing a mask, washing your hands with soap and water or with an alcohol-based hand rub before and after touching your baby, and routinely cleaning and disinfecting…, Should I get the COVID-19 vaccine if I'm breastfeeding or providing expressed milk?, Yes, the COVID-19 vaccines are recommended for healthy individuals who are lactating or expressing milk.
02 May 2023

Your baby’s first foods: Mini Parenting Master Class

What are the best first foods for babies? What should I do if my baby refuses to eat? We speak to nutrition expert Dr. Purnima Menon to find out what parents need to know about introducing first foods to their children. , Transcript of “Mini Parenting Master Class on your baby’s first foods” video, Feeding babies isn’t just about putting food in their mouths. It’s also about them learning to eat. It’s about them learning to enjoy their food. It’s about a positive interaction between parents and babies and about food being part of that positive relationship.   My name is Dr. Purnima Menon and this is my Mini Parenting Master Class on your…, When is my baby ready to try her first foods?, Six months is just about the right time to start introducing babies to first foods. It’s the time when breast milk stops being enough in terms of fulfilling nutritional needs. It’s also a time when children a developmentally ready and are, themselves, interested in trying new foods. So six months is just about right., What are the best first foods for babies?, It’s quite important that these first foods be as packed with nutrients as we can possibly make happen. So pureed coloured vegetables, like carrots, pumpkins and sweet potatoes. Pureed fruits are nice. You can feed them pureed meats, if your family eats those. Eggs are a great first foods for babies. You can actually modify almost anything you’re…, How should I prepare first foods for my baby?, If you’re starting first foods when babies are six months old, you absolutely need to puree them. First foods need to be soft. The babies need to be able to swallow them easily. Now you can adapt this over time so when you first introduce foods, you need to puree them but you can adapt the texture a little bit as the babies grow a little bit older., How can I make the introduction of first foods a fun and positive experience for me and my baby?, First foods are about so much more than just about the food. It’s about culture. It’s about love. It’s about children learning to become part of our families. And if parents keep that whole picture in mind, it just takes the stress off a little bit from just getting food into your baby’s mouth. And I think the best thing we can do is remind…, What should I do if my baby refuses to eat first foods?, Oh, babies refuse foods all the time and again, we have to remember it’s them learning. You’re tasting something new. It’s very natural for babies sometimes to refuse that taste and sometimes, the science tells us in fact that babies need to taste some things several times before they can be comfortable with it. So it’s quite important that…, Should I spoon-feed my baby or let him reach for the food himself?, You can feed babies with either a spoon or with very clean hands. It’s really quite important to wash hands and make sure that everything you’re feeding the baby with is as clean as it can be. Again, the one thing we have to remember is that babies are learning and they’re very interested in their food, so the feeding of babies really needs to be…, How often should I feed my baby solid foods?, When you start first foods, you want to start offering them about three or more times a day. And then as the babies grow older, so as soon as maybe they’re 9 or 12 months of age, you need to increase this to about four times a day. And you need to increase the quantities as well, so it isn’t enough to feed the same quantities at 12 months that you…, After introducing solid foods, should I continue breastfeeding?, You should absolutely continue to breastfeed. It’s currently recommended that breastfeeding is continued for at least two years and perhaps, even beyond. In a sense, breast milk and the nutrients that breast milk provides is the basis of good nutrition for babies. And the first foods are adding in other critical missing nutrients that babies need…