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juhi pokharna
Mom of a 10 m old boy
1 min ago
#buddies #halfbirthday
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Entonox in Labour - When and How to Use
In many countries, entonox (gas and air) is used as a method to provide relief from labour pain. Gas and air do not provide relief from the pain of contractions, but reduce the tension and anxiety involved in the process. This approach to relieving labour pain is becoming popular now. To know more about it, read the following article!
What Is Entonox or Gas and Air?
Entonox is composed of equal amounts of oxygen and nitrous oxide. This mixture of gases is completely colourless and odourless. It is otherwise commonly called laughing gas. Entonox does not ease labour pain completely, but it helps a woman relax and stay calm during delivery.
In India too, many hospitals or maternity homes are using this method to help a woman deal with labour pain. In many hospitals, it is always made available in the maternity wards as entonox is mostly pumped through the central supply system.
Does Entonox Really Work?
As per a study conducted on women under labour, it was found that there is not much difference in the amount of pain experienced by women who were breathing gas and air from those who did not. Most women thought that they were breathing entonox, but only half of the women were actually breathing it. Hence, it cannot be said for sure that entonox is a surefire way to ease labour pain.
Should You Use Gas and Air for Labour?
Does gas and air help in labour? The answer is not certain because entonox does not provide relief from the pain experienced during labour. However, it helps reduce anxiety and helps a woman relax while giving birth. It is obvious for a woman to get nervous and panicky at the time of delivery. The more a woman panics, her pain increases. This pattern of cyclic behaviour is called “fear tension pain cycle.” To shorten this cycle, it is suggested that women should use entonox.
When Can You Use Gas and Air during Labour
Entonox is very simple to use, and it can be used whenever you wish once you are in labour. Your doctor or midwife will place the mouthpiece between your lips or teeth and ask you to take steady deep breaths. You may feel a little light-headed, and that is when you should take it off. You can also bite down your mouthpiece as this will help you cope with the pain experienced during contractions. You will feel normal again after some time.
How to Use Entonox in Labour
You can ask for entonox whenever you want during labour. You will be asked to breathe gas and air through a mouthpiece or a mask. Here is how you can use it:
Place the mouthpiece in the middle of your lips or teeth. If it is a mask, then bring it up to your face.
Hold it that way and take deep and even breaths. The mask or mouthpiece provided to you will be a two-way valve. This means that gas and air will be released for breathing, and the carbon dioxide you breathe out is taken away.
Keep breathing. At one point you will start to feel slightly light-headed. When this happens, you can take the mask or the mouthpiece away.
After some time, you will feel absolutely normal.
Some practice might be primarily needed for you to get the timing right. It usually takes around 30 seconds of breathing for this to take effect. This is because the gas has to build up in the bloodstream. However, unless you breathe entonox deeply for at least a minute, you may not get the desired benefit.
So it is better to start the process when the contractions start. If you wait for the pain to become extreme, then the effect will be carried out between contractions. Excessive intake of this might make you feel dizzy and tingly.
What Are its Advantages?
Following are the advantages of using Entonox during labour:
It is flexible to use and really fast-acting.
It is easy to handle and operate.
A trained medical staff is enough to operate and provide this while other methods of pain relief have to be supervised by a trained anaesthetist during the entire process.
Controlling this mask and using it is all up to you.
This does not remain in your system. Whenever you stop breathing it, the gas is cleared out by the lungs, and all the side effects will discontinue.
If you face any difficulty when using entonox, you can always ask for help from your attending nurse or your doctor.
Your baby will not be affected by this. Therefore, it is completely safe to use.
The oxygen present in this mixture and the effect of the analgesics might feel energizing to you.
It can also be used in water if you are giving birth in a birth pool or a bath. However, the sensible option is to give birth in a hospital
It is economic making it affordable to use.
What Are the Disadvantages?
Although entonox eases anxiety during labour, it has a few disadvantages to it:
It may make one feel extremely light-headed or sick.
Entonox may give one tingling sensation, and pins and needles. You may also get temporary muscle cramps or spasms especially in your wrists or ankle joints.
If it is used for a considerably long time, your mouth might start to dry out.
You might find it difficult to move around and position yourself comfortably while keeping a hold of your mask.
You might begin to feel drowsier if you combine this with pethidine.
Who Shouldn’t Use Entonox?
Women with methylenetetrahydrofolate reductase (MTHFR ) should never use this, even while giving birth. The reason is that the nitrous oxide in entonox completely wipes out the vitamin B12 in the body. The use of this should be closely monitored as it interferes with folate metabolism and vitamin B12 in the body. It is harmful to deplete vitamin B12 from the body especially for a person with MTHFR.
Vitamin B12 and MTHFR enzyme play an important role in the body’s methylation process. If either one of them is lacking the whole methylation cycle would get affected. So for a woman with MTHFR, taking gas and air would cause more problems to the methylation cycle in her body than usual. Around 40% of the population has this variance in the gene; therefore, this possibility cannot be excluded.
Why Gas and Air May Not Be Good for You?
In the following conditions, you should not entonox:
If you prefer an effective pain relief method, then entonox is not the one for you. It is very mild compared to epidurals.
Many women feel sick and drowsy after using this. It could also make your mouth very dry if used for a very long time. So, if you fear that you will feel drowsy then you should avoid it.
At least 30 seconds of deep breathing is required to get the gas and air into your system, and this could take you some time to get the timing right. So, if you don't have enough practice, it is best avoided.
Although it is a popular practice, not everyone finds it comfortable. If this does not work for you while giving birth, you can always ask for other pain relief methods.
Also Read: Using Oxytocin during Labour Read more
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Baby Fighting Sleep - Reasons & Tips to Deal With It
People think that all a baby does is eat, sleep, poop, and repeat but that's not it. Sometimes, a baby may even fight sleep even when he is sleepy or needs to sleep. Clever, isn't he that little boy of yours? Your baby may cry when he is hungry, he may make noise when he wants attention. You will understand all these actions but when he fights sleep even when he needs to sleep, you won't be able to understand it easily. Understanding the cause of this behaviour can help you figure out how to deal with it.
What Does Fighting Sleep Mean?
If you are not aware of the signs of baby fighting sleep, it can get difficult to understand the actual meaning of fighting sleep itself. Try putting your child to sleep the way you do and there will be times when he expresses his irritation or frustration, maybe even crying out loud or pushing you away. This may even evolve into bending the back and rolling around, kicking and punching, and making a fuss in general.
Why Does a Baby Fight Sleep?
Many parents struggle to understand why babies fight sleep during the day or other times when it is actually for their own benefit. There are a number of factors that help a baby fall asleep by itself naturally, and some of them can disturb him if they are not appropriately present or absent.
1. An Absence of a Proper Routine
Having emerged from the safe womb into a world filled with lights and noises, babies can take some time and effort in falling asleep by themselves. The more things are predictable and repetitive, the more babies begin to feel safer and can relax. If the routine after childbirth is quite haphazard, your baby might get confused in knowing when is the time for feeding and when to fall asleep, leading to the feelings of insecurity.
2. An Absence of the Right Atmosphere
The only reference point of a world that babies have is the experience within the womb. The uterus would not only provide a safe haven that was always comfortable, but it also is a place where a baby would be listening to internal body sounds. Once your baby comes outside, make sure that his room has the right temperature; there should be no noise in his room, as well. Some babies even prefer listening to the hum of a fan or a light buzz that helps them fall asleep easily.
3. Being a Light Sleeper
While we might be able to get into deep sleep rather easily, babies usually have a tough time with that. Most sleep cycles of infants last approximately an hour and nearly a third of that time in the initial phase are in the process of reaching a deep sleep stage. Children may find this irritating and fight the natural tendency to fall asleep.
4. Not Being Swaddled
Swaddling a baby has been recommended widely but many parents believe that babies don’t actually like it because they struggle when you wrap them up. While the struggle is true, the reason behind it is usually the process. Once they are swaddled up, it makes them feel like they are back in the womb. It also helps keep their startling reflexes in check, allowing them to sleep calmly. But if you don' swaddle your baby, he might resist the urge to sleep.
5. Feeding Your Child Fully Prior to Sleeping
This does sound surprising because it goes quite contrary to popular beliefs. Nearly all parents have experienced their babies falling asleep while breastfeeding or bottle feeding, leading them to believe that it is the right approach to do so. However, a baby is usually tired during the bedtime and should not be fed much, as it might interrupt his normal sleep cycle. Give a small feed before you make him sleep and feed him properly when he wakes up.
6. Presence of a Lot of Stimulation Before Sleep Time
Babies are extremely curious about the new world they are in, and are constantly watching, listening and observing closely. They also need a lot of attention and hence they cry so that you interact with them. While this is good, an excess of it can overwhelm the child and leave him excited or disturbed, causing him to fight the instinct to fall asleep.
7. Being Overtly Exhausted or Too Tired
Some parents tend to look at overstimulation from a different perspective. They believe that tiring a baby out will make it easier for them to fall asleep. But babies are not adults and don't understand the tact of falling asleep by themselves. Therefore, your little one might fall asleep only to wake up repeatedly throughout the sleep cycle.
Tips to Deal With Baby Who Fight Sleeps
Understanding the reasons for why your baby might be failing to fall asleep is one thing, knowing how to calm a baby fighting sleep requires a deft balance of care and affection, as well as discipline in the appropriate manner. Some simple tips can bring a major change.
1. Check For Separation Anxiety and Correct it the Right Way
As rare as it might be, babies tend to feel anxious if they don’t feel the presence of their mother or father around them, making it difficult for them to fall asleep. If that seems the case, you can talk to a paediatrician and understand how best to counter it, without creating a habit of requiring your presence to fall asleep every time.
2. Allow Your Child to Be By Himself if Required
Some children require to be cooed and patted to sleep, on the other hand, there are also a few infants who prefer being alone or cuddle a toy when falling asleep. Consider yourself lucky since all you need to do is put down your child on the bed and let him fall asleep by his own volition. You can sit in a chair just to supervise him, making sure he falls asleep the right way.
3. Change His Sleeping and Feeding Schedules
Maybe the time you put your baby to sleep might be when he tends to be the most energetic and active. Conversely, that time may also be a bit too late, leaving the baby too exhausted to sleep well. Try making adjustments in the schedule by talking to your doctor and see what works the best for the little one.
4. Create a Sleeping Ritual
There is a strong reason why bedtime storytelling or lullabies have existed since time immemorial. Apart from calming down the baby and making him feel comfortable, it also subconsciously signals the baby that playing time is over and it is time to sleep. Repeating it regularly can make it easier for the baby to switch moods and be aware of the routine.
5. Let Your Baby Sleep Earlier or Later at Night
If your baby is fighting sleep, it is important to recognize whether it is due to being too tired or overstimulation. In case your baby gets tired sooner, then it is best to shift the sleeping routine an hour or two earlier than usual, allowing him to sleep before he tires himself out. However, if your baby is still energetic and active, you could shift the sleeping routine later in the night, making it easier to fall asleep without effort.
Figuring out when do babies stop fighting sleep may not be answerable with a specific time duration. However, many babies tend to accept the daily routines, the earlier they are exposed to them. By being aware of your baby’s needs and establishing a fixed schedule based on it, things will be easier for you as well as the little one.
Also Read: Sleep Regression in Babies Read more
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6 Important Ways To Ensure Kids Are Safe When On a Swing
Swings are a part of everyone's childhood. Unfortunately, injuries from swings are also a part of most children's lives! Swings are a leading source of injuries in parks. Find out how to ensure your child is safe, yet doesn't miss out on the fun of swinging.
Little ones love to spend their playtime on swings and slides, often pestering you for repeated visits to the park through the day! While most parks are built with safety regulations in place to keep your kid away from harm, you still need to take care of certain things to make sure your dear little kid enjoys his swinging in safety. Swings are a common playground equipment that often cause childhood injuries. We list here some important tips to help you keep your little one safe on swings:
1. Make Sure Swings Are Spaced Safely
Swings must be spaced well, leaving a considerable space between them to avoid the risk of collisions and entanglements. Ideally, swings should be at least 22 inches apart from one another. For safe swinging, make sure that the bottom seat of the swing is eight inches above the ground. You can adjust the height of the swing to ensure your little player mounts and dismounts the swing safely. Plus, you’ll avoid the risk of their feet getting scraped.
2. Check Swing’s Dimensions and Material
Make sure that the surface of the swing that extends in the front and back is twice the height of the swing’s suspension chain. So, if the top end of the suspension chain is ten feet high then the swing surface should extend 20 feet to ensure safe swinging. Also, ensure that your child chooses a swing made by using a soft material, such as plastic or rubber. Avoid swings made out of metal or wood.
3. Kids Should Be Seated On The Swing
Ensure your child always sits on the swing, and never kneels or stands. Standing and kneeling on the swing is highly dangerous for kids. Instruct your child to sit and hold the side ropes of the swing with both her hands while swinging. Also, instruct your kid to stop swinging completely before she gets off the swing.
4. Close The ‘S’ Hooks
The seats of the swing are connected by ‘S’ hooks to the long suspension chains that are present at the sides. Make sure you bend the ‘S’ hooks properly towards the closed position to ensure safe swinging of your child. Improperly closed or open ‘S’ hooks increase the risk of kids’ clothes getting entangled. This could lead to injuries and accidents as she mounts or dismounts the swing.
5. Always Supervise Your Kid On The Swing
Never leave your child unsupervised on a swing. Make sure your child is the only person on the swing and no other kid is sitting on the swing along with him while swinging. Swings are meant for one child at a time and more than one on the swing simultaneously is unsafe. Prevent your child from climbing and jumping on a swing. Also, while other kids are swinging, instruct your child to be away from the swings to avoid the risk of injuries and falls as a moving swing might hit her.
6. Keep The Swing’s Surroundings Clear
Make sure no pointed objects, loose items or toys are present in the vicinity of the swing. Keep jump ropes, chains, screws, scarves, connected mittens, and toys that might roll under your kid’s foot, such as balls, toy cars, marbles, and beach buckets, away from the area where your child is swinging. Clearing off the surroundings of the swing prevents the risk of injuries and falls and ensures safe swinging. Read more
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Parents Role in Children's Growth and Development
Parents are the greatest and the first ideals or role models for any growing babies; it is rightly said that whatever the child learns first is from the family, especially the parents. It felt true when I became a mother two years ago. Babies have excellent observation skills, and they grasp things fast; once they see us doing something. Their next step will be to do it independently, so you need to be very cautious with your actions.
One day I was straightening my hair, and my son was watching me; I completed my task and kept the straighter on the bed and left the room too. I thought of keeping it back once it cooled down. I considered putting it away once it had cooled off. Fortunately, my son did not enter the room for several hours, but when the lights were turned on, I saw him in the room, holding the straighter and doing the same thing I was doing; at that point, I got goosebumps and wondered what would have happened if he had entered the room immediately after the straighter was placed. It was hot, and anything could have happened; he could have burnt his hand or cheek if he had taken it near the face. This was just a small act; imagine you and your husband quarrel in front of the baby? Then? What next? The baby would grasp your words, and those words could impact the child in a wrong way.
Dear parents, children are like water; they take the space of the vessel you pour them in. Instil good ideas in your youngster to help them become a great person. And, once again, your actions are critical; be mindful of your negative behaviours and never make the baby suffer due to something you don't want the infant to do in the future.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her. Read more
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Dr Vandan H Kumar has added a new answer
Guardian of 0 children
1 hour ago
Q. my baby girl is not sleeping at night.
Dr Vandan H Kumar
Paediatrician
1 hour ago
A. the sleeping pattern of the child changes from time to time and will improve with increasing age of the child. if the growth and weight gain of the child is proper along with proper urine stool then there is no need to worry regarding the sleeping pattern.
you have to just see that the child is not having any disturbance during the sleep because it can occur due to gas as well as due to digestion problem. aldso see for the comfort of the child and see the bedding on which the child is sleeping.
try to prevent temperature variations around the child that is from hot to cold and cold to hot weather because that also can cause disturbance in the sleep. d
Dr Sameer awadhiya has added a new answer
Trying To Conceive
1 hour ago
Q. #asktheexpert ozone face wash toner and hydrant use kar liya mera face khurdura ho gya kya kare bahut itching hoti hai jalan bhi
Dr Sameer awadhiya
Paediatrician
1 hour ago
A. For the query asked needs consultation with doctor for proper guidance so it is better that the doctor will guide you the correct way .
Online consultation can also be taken abfccnd the expert will give you the proper answer .
Rashmi has added a new answer
Guardian of 0 children
1 hour ago
Q. my baby is not latching the left side Brest milk . She is always crying and straching her leg , stomach. I am not able to understand why she is crying. but she is latching when she is in a sleepy mood
Rashmi
Mom of a 9 yr 7 m old girl
40 mins ago
A. Could be due to stomach pain and sometimes kids have an aversion to a particular breast and they do not like to take direct breastfeeding also since you haven’t mentioned the current age of your child I would recommend you to kindly consult a specialist one time
Dr Sameer awadhiya has added a new answer
Guardian of 0 children
55 mins ago
Q. At end of 4months baby weighed 5.7kg; suffered from loose stools and stomach infection and recurred again ; then at the end of 5.5 months baby weighed 6.1 kg
Baby is active but looks so lean and thin
Is this weight adequate since birth weight was 2.8kgs
Read moreDr Sameer awadhiya
Paediatrician
53 mins ago
A. Loose motion are most of the time infective where it is associatedgn with fever and vomiting and its known as gastroenteritis where symptomatic treatment along with management for dehydration is required if loose motions are associated with foul smell mucous high grade fever than it could be bacterial infection which needs antibiotics treatment
Dr Vandan H Kumar has added a new answer
Guardian of 0 children
48 mins ago
Q. Still having Loose stool once a day but with foul smell but without fever/vomit . 3days passed since she completed her antibiotic dosage.
Dr Vandan H Kumar
Paediatrician
47 mins ago
A. you will have to give ors for every episode of loose motion. you you cannot give heavy diet like milk to the child for few days as well as you cannot give sugar based food. you cannot give packet based foods as well as biscuit maida. kindly give curd buttermilk apple banana poha upma daliya. you can also give any recipe made from rice dal as well as sabudanxa khichdi. you cannot give outside juice as well as glucon d to the child. please meet your doctor because if it is viral or bacterial diarrhea will be confirmed only on examination.
give sachet econorm twice daily for 3days.
meet your doctor if it is not improving x
Rashmi has added a new answer
Guardian of 0 children
12 mins ago
Q. Birth weight:2.8kgs
At end of 4 months : 5.7kg
At end of 5.5 months : 6.1kg
Is it adequate?
Rashmi
Mom of a 9 yr 7 m old girl
11 mins ago
A. Yes it is because your child is almost having more than double the birth fade by completing the age of 5.5 months like you’re mentioning so it’s going good in total the weight of the child currently as per the age is perfectly good so there is nothing nothing for you to be worried in this
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