For new parents, I request you to review the following playlists Snippets for new parents th-cam.com/play/PLKe2uxLSi6cEAuXao6M9lsXUmbyhbpL1t.html Breastfeeding-th-cam.com/play/PLKe2uxLSi6cFdnNrlnJQ8T5P-qaP8erc5.html Quick snippets on infant feeding th-cam.com/play/PLKe2uxLSi6cEBZDvubZd47QlUoTrpKZS8.html Infant formula feeding th-cam.com/play/PLKe2uxLSi6cE4xpiFAAB28mTY9VuQNe49.html
Thank you Dr. Sridhar, Extremely valuable for first time mothers - like myself & other friends who watched and are greatful. Will continue to help/share to others to bring awareness. Keep up the good work Dr. Sridhar.
Excellent presentation sir! As threshold of c section is low especially in developing countries both in public as well as private setups where mother has effects of anasthesia and trauma of surgery,what could be done to promote breastfeeding in first hour of life. Whenever i evaluate a neonate after birth, most common question asked by attendents is "sir please recommend some formula" as mother is unable to breastfeed because of cessarian.
Thank you-very important question. One issue is to prime mother antenatally and even consider starting expressing before the delivery (especially if planned CS)-avoid sedating medications and use spinal anaesthesia as far as possible. Ensure more support is given to these mothers and educate them on why proper feeding is important and why we should avoid formula as far as possible. Do review video on probiotics and LSCS on this channel and share that as well to know more about long term negatives of LSCS, so we can educate colleagues
Sir, Is anything like breast milk will get reduced by evening 6 or 9pm ? I personally felt , she is breast feeding till evening , after that she is wanting milk ,even after giving for 20 min or more in each breast. As I am feeding from morning , feeling some soreness( but no nipple cracking ) in breast . I am giving 60 ml formula at that time.( I tapered formula Sir, during 2 nd and 3 rd week sometimes I used to give 60ml , four times a day ,as she had weight loss from (3.4 kg at birth to 3kg), breast feeding jaundice and polycythemia due to dehydration( she was also admitted and given phototherapy and iv fluids) and at that time I also did not understand how to properly latch her and how to use electric pump.
Not that the milk reduces but baby gets colicky at that time. Avoid overfeeding, actual intake varies between feeds, 10-20 minutes feed every 2-4 hours is adequate
Each position has its advantages and disadvantages, and it is good to be familiar with 2-3 as it can help avoid bad posture, arm pain in mother as well.
Good evening. It has a role if effective emptying is not adequate. But probably only in a small proportion if adequate support from early on. I leave the prescription part to obstetric colleagues
hello sir my son is 20 days old and he suffered from jaundice on the 6th day after his birth now he is fine but today i saw some orange spots in the urine and he is not urinating very frequently due to this tension my milk output is getting low and i have to use formula milk i m very much stressed out about all this
No need to be stressed, try to express with pump after each feed and stop formula once you get more breast milk. Is there blood in my baby's nappy? #bloodspot #bloodinnappy #bloodindiaper th-cam.com/video/E9S2TLXx4c0/w-d-xo.html
Very nicely expalined in simple way... Specially about empty factor... And i usually force our nursing staff for night time breastfeeding ( more prolactin production)... So sir as we know that baby has store for 2-3 days for energy and breatmilk is verey low in volume so should we continue NNS 2 hourly and give lactogen for hunger of child and should taper lactogen according to breastmilk production?? And my question is... Sir we know that baby loses around 10-12 % of weight in initial 7 days...can we have this percentage according to daywise... Because sometime baby loses 5-6 percent weight in initial 1-2 days then we should wait till baby loses more than 10 % or we should evaluate for the cause???
Thank you. Because the normal baby has stores and can use alternative fuel, we would only suggest formula top up in few situations, better to avoid unless risk factor for hypoglycaemia, mother unable to feed well etc. Even in these situations, we should ensure we keep the latching and expressing ongoing so this top up is for minimum period. Avoid bottle, use syringe or cup feeds
As for weight loss, 5% on day one is not uncommon, especially if mother received IV fluids in labour (particularly hypotonic fluids). After that, it should slow down to 2-3% per day. You are right, we should monitor weight and if weight loss trend suggests excess weight loss at day 2 or so, support lactation aggressively so we can avoid the over 10-12% weight loss situation
If it was not possible, don’t worry, it is encouraged as early expressing helps in early output but that is not the only way. I hope you have milk now. Best wishes
Sir my baby is 10 days old..i had c section but i am not able to produce milk. My baby was on formula feed because i was in icu and baby was is nicu .i ve tried with breast pump but supplu is like 1 teaspoon.what should i do sir..please help me
Get an electric pump and make sure the seal is good, and settings are ok. Don’t be tense, do more skin to skin care, direct feeds and then express every 3-4 hours without fail. Should improve in 2-3 days
Hello sir I am exclusively breastfeeding my 1.5 month old daughter. But still she is not gaining weight. At birth she was 2,9 kg. But last Friday we checked her weight. And it was 2.7 kg. Means the weight reduced. I am so tensed. She is taking feed after every 1 and half hourly. Shepees 10 to 12 times a day also passes the stool everyday. At night she sleeps well for about 4 hours continuously. Pls suggest what should I do gain her weight in a right way.
Hi, it is not normal to have such low weight gain. Have you noted the trend in past weeks? Maybe birth weight was wrong? You need to express and top up and if not having around 40-60 ml at least when expressing with pump each time, you might need formula feeds in addition for a week or so while you work on increasing output. Just feed on breast for a few minutes each time during this transition but you can breastfeed fully again once milk output good and weight gain better. Do update. Review this How to improve breast milk output during the initial days of feeding. Dr Sridhar Kalyanasundaram th-cam.com/video/Dm__Tv8jdsQ/w-d-xo.html
![[MV] A leap of faith...ความเชื่อใจครั้งสุดท้าย (From "Petrichor the series")](http://i.ytimg.com/vi/U1piZH2CNXA/mqdefault.jpg)
For new parents, I request you to review the following playlists
Snippets for new parents th-cam.com/play/PLKe2uxLSi6cEAuXao6M9lsXUmbyhbpL1t.html
Breastfeeding-th-cam.com/play/PLKe2uxLSi6cFdnNrlnJQ8T5P-qaP8erc5.html
Quick snippets on infant feeding th-cam.com/play/PLKe2uxLSi6cEBZDvubZd47QlUoTrpKZS8.html
Infant formula feeding th-cam.com/play/PLKe2uxLSi6cE4xpiFAAB28mTY9VuQNe49.html
It was nice talking to you today during audit.
Same here, best wishes on your lead role
Sir
Your videos are just awesome
I myself am a Neonatologist based in india
Thank you for your kind words, Dr Shubha. Such words mean a lot. Happy new year
@@SridharKs happy new year sir
Sir
After being in Neonatology for about 6-7 yrsnow
Some videos on nicu follow up protocol would be helpful sir
Sure, will plan one
Very informative. Thanku soo much. Huge respect.
Best wishes
Thankyou doctor..much love from pakistan❤❤
Thank you, best wishes
Thank you Dr. Sridhar, Extremely valuable for first time mothers - like myself & other friends who watched and are greatful. Will continue to help/share to others to bring awareness.
Keep up the good work Dr. Sridhar.
Thank you
Really important msg. Sridhar.
Thank you
Excellent presentation sir! As threshold of c section is low especially in developing countries both in public as well as private setups where mother has effects of anasthesia and trauma of surgery,what could be done to promote breastfeeding in first hour of life. Whenever i evaluate a neonate after birth, most common question asked by attendents is "sir please recommend some formula" as mother is unable to breastfeed because of cessarian.
Thank you-very important question. One issue is to prime mother antenatally and even consider starting expressing before the delivery (especially if planned CS)-avoid sedating medications and use spinal anaesthesia as far as possible. Ensure more support is given to these mothers and educate them on why proper feeding is important and why we should avoid formula as far as possible. Do review video on probiotics and LSCS on this channel and share that as well to know more about long term negatives of LSCS, so we can educate colleagues
Tq to share ur knowledge on this platform sir ,
Best wishes, please support by sharing
🙏🙏🙏👍so nice lecturer
Thank you so much
I wish pehle ye video dekhi hoti
Now it's almost 7 weeks after delivery
Ab bhi supply increase ho sakti hain??
Yes, it will still work and don’t be stressed, try your best without tension
Sir,
Is anything like breast milk will get reduced by evening 6 or 9pm ?
I personally felt , she is breast feeding till evening , after that she is wanting milk ,even after giving for 20 min or more in each breast.
As I am feeding from morning , feeling some soreness( but no nipple cracking ) in breast . I am giving 60 ml formula at that time.( I tapered formula Sir, during 2 nd and 3 rd week sometimes I used to give 60ml , four times a day ,as she had weight loss from (3.4 kg at birth to 3kg), breast feeding jaundice and polycythemia due to dehydration( she was also admitted and given phototherapy and iv fluids) and at that time I also did not understand how to properly latch her and how to use electric pump.
Not that the milk reduces but baby gets colicky at that time. Avoid overfeeding, actual intake varies between feeds, 10-20 minutes feed every 2-4 hours is adequate
What is the feed pattern in a baby on mixed feeds? How much to feed? #feedpattern #infantfeeding
th-cam.com/video/DptF4UsG4yc/w-d-xo.html
Sir, is cross cradle position superior to other positions
Each position has its advantages and disadvantages, and it is good to be familiar with 2-3 as it can help avoid bad posture, arm pain in mother as well.
Good evening sir!?how effective domperidone is in promoting breast milk production? Have u any experience about dosage or lenght of treatment?
Good evening. It has a role if effective emptying is not adequate. But probably only in a small proportion if adequate support from early on. I leave the prescription part to obstetric colleagues
hello sir
my son is 20 days old and he suffered from jaundice on the 6th day after his birth
now he is fine
but today i saw some orange spots in the urine and he is not urinating very frequently
due to this tension my milk output is getting low and i have to use formula milk
i m very much stressed out about all this
No need to be stressed, try to express with pump after each feed and stop formula once you get more breast milk. Is there blood in my baby's nappy? #bloodspot #bloodinnappy #bloodindiaper
th-cam.com/video/E9S2TLXx4c0/w-d-xo.html
Very nicely expalined in simple way... Specially about empty factor... And i usually force our nursing staff for night time breastfeeding ( more prolactin production)... So sir as we know that baby has store for 2-3 days for energy and breatmilk is verey low in volume so should we continue NNS 2 hourly and give lactogen for hunger of child and should taper lactogen according to breastmilk production?? And my question is... Sir we know that baby loses around 10-12 % of weight in initial 7 days...can we have this percentage according to daywise... Because sometime baby loses 5-6 percent weight in initial 1-2 days then we should wait till baby loses more than 10 % or we should evaluate for the cause???
Thank you. Because the normal baby has stores and can use alternative fuel, we would only suggest formula top up in few situations, better to avoid unless risk factor for hypoglycaemia, mother unable to feed well etc. Even in these situations, we should ensure we keep the latching and expressing ongoing so this top up is for minimum period. Avoid bottle, use syringe or cup feeds
As for weight loss, 5% on day one is not uncommon, especially if mother received IV fluids in labour (particularly hypotonic fluids). After that, it should slow down to 2-3% per day. You are right, we should monitor weight and if weight loss trend suggests excess weight loss at day 2 or so, support lactation aggressively so we can avoid the over 10-12% weight loss situation
Thanku sir...
My baby was born preterm and I had C-section.. first hour it was not Possible to express milk. How is this explained on first hour providing?
If it was not possible, don’t worry, it is encouraged as early expressing helps in early output but that is not the only way. I hope you have milk now. Best wishes
please review the other parenting playlists on this channel. Try to like and share as possible so it reaches more
Nice post
Thank you
Sir my baby is 10 days old..i had c section but i am not able to produce milk. My baby was on formula feed because i was in icu and baby was is nicu .i ve tried with breast pump but supplu is like 1 teaspoon.what should i do sir..please help me
Get an electric pump and make sure the seal is good, and settings are ok. Don’t be tense, do more skin to skin care, direct feeds and then express every 3-4 hours without fail. Should improve in 2-3 days
@@SridharKs thank you sir..Pranam and gratitude
0:00
Hello sir
I am exclusively breastfeeding my 1.5 month old daughter. But still she is not gaining weight. At birth she was 2,9 kg. But last Friday we checked her weight. And it was 2.7 kg. Means the weight reduced. I am so tensed. She is taking feed after every 1 and half hourly. Shepees 10 to 12 times a day also passes the stool everyday. At night she sleeps well for about 4 hours continuously. Pls suggest what should I do gain her weight in a right way.
Hi, it is not normal to have such low weight gain. Have you noted the trend in past weeks? Maybe birth weight was wrong? You need to express and top up and if not having around 40-60 ml at least when expressing with pump each time, you might need formula feeds in addition for a week or so while you work on increasing output. Just feed on breast for a few minutes each time during this transition but you can breastfeed fully again once milk output good and weight gain better. Do update. Review this How to improve breast milk output during the initial days of feeding. Dr Sridhar Kalyanasundaram
th-cam.com/video/Dm__Tv8jdsQ/w-d-xo.html