Tribune News ServiceCHANDIGARH,
Nov 21 — The risk of a newborn baby dying in India is roughly 10 to 15 times more than any developed country. In India, every year as many as 12 lakh newborn babies die within the first month of their birth. Out of these, while one third die due to infection, the other main causes of the newborn deaths are asphyxia , low birth weight and premature deliveries.
The aim of the week-long National Neonatal Workshop which concluded here today, was to reduce the neonatal mortalities by at least one to two per cent every year, which according to the specialists can be possible only deliveries take place in hospitals under the supervision of a trained staff.
The concluding session of the workshop, organised at the Government Hospital by the Chandigarh Administration in collaboration with the Indian Association of Paediatrics, especially focussed on the management of low birthweight babies, hypothermia and feeding fluid and electrolytes in these babies.
Dr Minocha stresses that to bring down the neonatal deaths, it is equally important give nourishing and balanced food to future mothers from adolescence itself.
‘‘Besides,’’ adds Dr Upendra Narang, it is equally important for all expectant mothers to get themselves registered in the primary health centres. Interestingly, even in a modern city like Chandigarh, 10 per cent deliveries do not take place under proper medical care. The country over, the figures are more alarming as 75 per cent of the births take place at home with many families not even taking the assistance of a trained birth attendant or a dai, let alone a doctor or a nurse.
Most of these deaths within the first month of the life, due to infections, premature births and breathing problems, are very much preventable, with a little care of course. According to the neonatologists, care of the newborns begin much before the birth and includes age of the mother, interval during pregnancies and care during pregnancy time. Moreover, effective resuscitation for asphyxia, one of the major killers of the newborn, establishes respiration and ensures better survival of the baby.
During the week-long sensitisation for the doctors, nurses and paramedics, all these factors for safeguarding the health and lives of the newborns were dwelled upon. Besides, a common disorder, jaundice, which affects as many as 65 per cent of the full term babies was also discussed.
According to Dr Kanya Mukhopadhyay, for physiological jaundice no medication is required, but pathological jaundice, which might affect two to five per cent of the babies , requires immediate action. However, it is only the doctor who can differentiate between pathological and physiological jaundice, therefore, a newborn needs to be shown to a specialist at the first appearance of the symptoms.
Pathological jaundice largely occurs when the blood group of the expecting mother is RH-ve. Doctors lay stress on such mothers to go in for a anti-D injection after her first delivery.
The panel of specialists during these sessions, which also included Dr Saurabh Dutta and Dr Bhavneet also discussed other issues including some age-old beliefs practiced on newborn babies. The doctors stress on a specific need to differentiate between the good and the bad before practicing the age-old customs.
With a specific stress on the customary janam ghutti, doctors say that there is no evidence that a new born needed anything other than mother’s milk during the first six months of its life. Moreover, at times, these ghuttis may contain heavy metals, besides other substances, whose combination is not specified on the label.
— A healthy mother gives birth to a healthy baby. For that she needs adequate diet, rest and a regular check-up.
—All deliveries should be essentially in a clean and warm environment
— All deliveries should be conducted under a trained birth attendant
—Prevent the baby from developing an infection by keeping it clean and warm.
— Establishing breast feeding as early as possible.
— Immunisation at the right time.
— Seek medical help early in case the baby is sick and transport the baby to the nearest hospital, properly covered and warm.