CARE BEFORE BIRTH
Maternal vaccine against rubella 6 months before PLANNING PREGNANCY
• Folic acid tab 3 months before PLANNING PREGNANCY
• Complete antenatal care
• Special prenatal tests in special situation (maternal age more than 30, genetic disease)
CARE OF NORMAL NEWBORN AT BIRTH
• Wrap well in winter, keep open when fever
• Feed the baby within 30 min of birth
• Give only mother’s milk (not even water) for 6 months.
• Baby passes more than 8 times urine when milk is adequate
• Baby gains 200gms wt every week
• Sleeps in day, plays and cries in night
CARE UPTO 6 MONTHS
• Frequent feeding
• THERE ARE NO ANY DROPS IN WORLD WICH CAN PROVIDE ENERGY -- “TAKAAT”
• Energy comes only from mother’s milk
• Cry is not always a symptom of hunger
• There are no special soaps or creams or massage oils for baby
• Best massage oil is coconut oil
VACCINATION
• Any baby more than 2.0 kg birth wt should be started vaccination from birth.
• Only DPT causes fever for 2 days.
• Ask your doctor regarding never vaccines like Hep b, Hib etc.
• Vaccines either can be given on the same day or can be given 4 wks apart for optimum response
FEEDING AND WEANING
• For 6months - only mother’s milk
• Start semi solids when 7nth month starts
• Best weaning food is what we eat daily
• Thicker the food more the wt gain
• Wt gain is not the only goal of feeding
• It is usual for babies to spit and vomit a little in beginning
MY BABY IS WEAK
• Compare with standard wt chart (not with neighbor!)
• Wt depends on…
• Genetic make up
• emotional make up
• Food habits
FOSTER GOOD FOOD HABITS
• Babies are social-they learn by seeing others. So let the baby eat with family.
• No force feeding. Let the baby eat by himself as soon as possible.
• Encourage routine food and fruits
• Role of special “energy” drinks is limited
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