National Newborn Care Week (November 15-21)

National Newborn Care Week (November 15-21) is an annual initiative in India aimed at raising awareness about the importance of newborn health and the critical interventions necessary for ensuring healthy neonatal outcomes. Newborns are among the most vulnerable members of society, and providing optimal care during the first few days and weeks of life can significantly reduce infant mortality and long-term health complications. This week-long observance is an opportunity to educate parents, caregivers, healthcare workers, and the broader community on best practices for newborn care.

Importance of Newborn Care

Newborn care is crucial because the neonatal period (the first 28 days of life) is the most sensitive time for an infant’s survival. According to the World Health Organization (WHO), approximately 2.4 million newborns die each year globally, most of them due to preventable causes such as preterm birth complications, infections, and birth asphyxia. In India, neonatal mortality rates have been a significant public health challenge, contributing to a substantial percentage of under-five child mortality. However, with appropriate care and timely interventions, a large number of these deaths can be prevented.

National Newborn Care Week plays a pivotal role in promoting essential newborn care practices, supporting healthcare infrastructure, and advocating for policies that improve neonatal health outcomes.

Key Components of Newborn Care

There are several essential aspects of newborn care that need to be emphasized during this week:

1. Early and Exclusive Breastfeeding

Breastfeeding within the first hour of birth, known as early initiation, is crucial for newborn survival. Breast milk provides all the nutrients an infant needs in the early months of life and contains antibodies that help protect against infections. Exclusive breastfeeding for the first six months is strongly recommended as it strengthens the immune system and reduces the risk of illnesses like diarrhea, respiratory infections, and malnutrition.

2. Thermal Care

Newborns, especially preterm babies, are highly susceptible to hypothermia, a condition in which the body loses heat faster than it can produce it. Simple measures such as skin-to-skin contact (also known as kangaroo care) and keeping the baby wrapped in warm clothing or blankets are essential to maintaining an infant’s body temperature. This is particularly important immediately after birth and in environments where access to modern heating systems is limited.

3. Cord Care and Hygiene

Proper care of the umbilical cord stump is necessary to prevent infections, which can be life-threatening for newborns. It is recommended that the cord be kept clean and dry, and the use of antiseptics may be necessary in areas with high infection rates. Educating caregivers on hygiene practices such as hand washing and maintaining a clean environment is vital for reducing the risk of neonatal sepsis.

4. Newborn Resuscitation

Some newborns may struggle to breathe immediately after birth. Newborn resuscitation involves simple but effective steps to help babies who do not start breathing on their own. Training birth attendants and healthcare workers in resuscitation techniques is crucial, particularly in areas where medical professionals may not be immediately available.

5. Vaccination and Immunization

Immunization is one of the most cost-effective interventions for protecting newborns from life-threatening diseases. National Newborn Care Week underscores the importance of administering the first vaccines, such as the BCG (Bacillus Calmette-Guérin) vaccine for tuberculosis and the hepatitis B vaccine, which should be given shortly after birth. Ensuring that newborns receive timely vaccinations can significantly reduce infant mortality and morbidity.

6. Infection Prevention and Control

Infections such as pneumonia, sepsis, and diarrhea are leading causes of neonatal mortality. National Newborn Care Week promotes infection prevention strategies, including proper hand hygiene, sterilization of feeding bottles and equipment, and the use of clean delivery practices. Educating caregivers about these practices can help prevent infections that threaten newborn health.

7. Preterm and Low-Birth-Weight Babies

Babies born prematurely or with low birth weight are at a higher risk of health complications and death. These infants often require specialized care, including monitoring of their temperature, feeding support (through breastfeeding or formula), and sometimes respiratory support. Providing kangaroo mother care, which involves holding the baby close to the body for warmth and emotional bonding, has been proven effective for stabilizing preterm and low-birth-weight babies.

Government Initiatives for Newborn Care in India

The Government of India has made significant strides in improving newborn care services across the country. Various programs and initiatives have been implemented to address neonatal health challenges and reduce infant mortality. Some of the key government initiatives include:

1. Janani Suraksha Yojana (JSY)

This is a government scheme aimed at promoting institutional deliveries to ensure safe childbirth and immediate newborn care. Under this program, pregnant women, especially those from economically weaker sections, receive financial incentives to give birth in healthcare facilities.

2. Newborn Stabilization Units (NBSUs)

NBSUs are specialized units set up in district hospitals and health centers to provide care for newborns with complications such as respiratory distress, jaundice, and low birth weight. These units are equipped with skilled healthcare providers and necessary equipment to stabilize newborns before referring them to higher centers if needed.

3. Sick Newborn Care Units (SNCUs)

SNCUs are facilities in district hospitals that provide comprehensive care for sick newborns. These units are staffed with pediatricians and neonatal nurses who are trained to manage critically ill newborns. The government has been working on expanding the reach of SNCUs to remote and rural areas, ensuring that even the most vulnerable populations have access to quality neonatal care.

4. National Health Mission (NHM)

Under the NHM, several programs focus on improving maternal and newborn health. The mission emphasizes the importance of skilled birth attendants, promoting early and exclusive breastfeeding, and improving access to immunizations and neonatal care services.

5. India Newborn Action Plan (INAP)

Launched in 2014, INAP aligns with the global Every Newborn Action Plan (ENAP) and aims to end preventable newborn deaths and stillbirths. It focuses on key interventions that can save lives, such as improving antenatal care, strengthening skilled birth attendance, and enhancing care for small and sick newborns.

Challenges in Newborn Care

While significant progress has been made, there are still several challenges that hinder optimal newborn care in India. These include:

1. Lack of Access to Quality Healthcare

In many parts of India, particularly rural and remote areas, access to healthcare facilities and trained professionals is limited. This can result in delays in receiving care, inadequate management of complications, and increased risk of mortality.

2. Cultural Practices and Beliefs

Traditional practices, such as delayed breastfeeding or the use of unhygienic methods for cutting the umbilical cord, can negatively impact newborn health. Educating communities about the importance of modern, evidence-based newborn care practices is essential for overcoming these barriers.

3. Resource Constraints

Inadequate infrastructure, shortages of essential medicines and equipment, and lack of trained healthcare personnel are major challenges in providing quality newborn care in India. Strengthening healthcare systems, increasing investments in neonatal care, and ensuring equitable distribution of resources are critical steps toward improving outcomes.

4. Awareness and Education

Many parents and caregivers lack awareness of the importance of newborn care. National Newborn Care Week serves as a platform to disseminate information and raise awareness, but sustained efforts are needed throughout the year to ensure that caregivers are well-informed and empowered to take the necessary steps for their newborn’s health.

The Role of Healthcare Providers

Healthcare providers play a vital role in ensuring the well-being of newborns. Their responsibilities include:

- Antenatal Care: Ensuring that pregnant women receive adequate antenatal care to detect and manage complications that could affect newborns.

- Skilled Birth Attendance: Providing care during labor and delivery to prevent complications and ensure the newborn’s safety.

- Postnatal Care: Offering support and guidance to new mothers on breastfeeding, thermal care, and hygiene practices.

- Early Identification and Referral: Identifying at-risk newborns early and referring them to higher care facilities when necessary.

Training and capacity-building initiatives for healthcare providers are crucial for equipping them with the knowledge and skills needed to manage neonatal emergencies and provide high-quality care.

Community Involvement and Awareness

National Newborn Care Week encourages active participation from the community, including parents, caregivers, and local leaders, in promoting newborn health. Community health workers, such as ASHAs (Accredited Social Health Activists), play a key role in reaching out to families, educating them about newborn care, and facilitating access to healthcare services.

Conclusion

National Newborn Care Week is an important reminder of the collective responsibility to protect the health and well-being of newborns. By focusing on essential care practices, promoting government initiatives, and addressing the challenges that hinder optimal care, we can significantly reduce neonatal mortality and improve the quality of life for infants. Ensuring that every newborn has the chance to survive and thrive requires a sustained commitment from healthcare providers, policymakers, and communities alike.

Disclaimer: This material, including advice, provides general information only for educational purposes. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your doctor for more details. fittofitter.com does not claim responsibility for this information.

Book Summary: Don't Lose Your Mind, Lose Your Weight by Rujuta Diwekar

"Don't Lose Your Mind, Lose Your Weight" by Rujuta Diwekar is a holistic guide to weight management that goes beyond conventional dieting and calorie counting. The book, written by one of India's leading nutritionists, focuses on adopting a sustainable and balanced approach to achieve and maintain a healthy weight. In a comprehensive exploration of nutrition, exercise, and lifestyle choices, Diwekar provides readers with valuable insights and practical tips for achieving their weight loss goals.

Don't Lose Your Mind Lose Your Weight discusses the balance needed between overeating and deprivation of meals. The author highlights the misconceptions that people have regarding nutrition and dieting. The author, instead of focusing on dieting, focuses on the importance of eating right.

The book helps you understand how to eat carbs, protein, fat, and fruits for the best health. What is the best way to eat your food and manage your life?

Main Features

Helps improve your weight loss routine

Reveals the basics of nutrition

Clears misconceptions about dieting as well

Suitable for all ages and body types

Helps you strike a balance between overeating and dieting

‘The four principles of eating right’ is the foundation of Rujuta’s philosophy.

Here you can find the detailed summary of the book, which will ensure you that if you haven’t read the book our effort in this summary will give you the complete insight

Don’t believe solely on the weighing scale

Never look at the weighing scale & BMI and judge your health.
Body is made up of 2 parts: Fat weight & Lean body weight (weight of your muscles and bone.)
You must look at how much fat is there in your body than looking at overall weight. You can differentiate that many people with high-fat percentages will look weak and plum and even with low-fat percentages and high muscles percentage will look lean and toned.

Say ‘No’ to Fruits after a heavy meal

It was discovered that fructose, the sugar which we get from the fruit, gets converted to triglycerides, especially when eaten after a heavy meal,
Triglycerides: a type of fat that circulates in our bloodstream. A high level of triglycerides causes heart disease, and insulin insensitivity and of course leads to the bigger fat cell.
Irrespective of which fruit you intake, it is bound to give you fructose.

What is the best time to eat fruit?

A fruit can be taken as a meal or as a morning meal or after exercise, but definitely not as a dessert after dinner.

Juices intake:

You must avoid juice because the very process increases the surface area and nutrients are lost.
The reason is fruits are antioxidants, when you make a juice its surface area is increased and exposure to air and surroundings has already oxidized its nutrients.
Ideally, they should get oxidized in our body and not outside it.

The bitter truth about sweeteners:

You should not replace sugar with a sweetener.
Regular use of all sweeteners is linked with certain types of cancers, thyroid malfunction, memory loss, acidity, obesity etc.
1-2 teaspoons of sugar are not going to harm you as much as the sweetener.

The stomach's ability to digest food is highest between 7 A.M – 10 A.M and many of us give it tea, coffee, and cigarettes instead.

Overeating:

Stop eating before reaching the overeating threshold.
All you need to train yourself to do, is to be attentive to your stomach.

Top 6 basic rules to increase nutrient intake:

Eat freshly prepared food

Such as, prepared 3 hrs within the cooking

Smaller the number of people for whom food is prepared, the better its nutrient level.
Eat your fruits and vegetables whole instead of cutting them into pieces because you lose nutrition from their surface.
Eat at least one meal daily that you have been eating since childhood/ that reflects your genes.

Such as Tamilians eat idli, etc.

As much as possible, Eat local produce and seasonal food.
Maintain a calm state of mind.

How to reduce cortisol, stress hormone, production

By maintaining a disciplined life which means waking up close to sunrise, exercising, self-expression, and most importantly keeping all our sensing focussed on one thing at a time i.e. while eating you focus only on the food.

Think nutrition first not calories:

A paneer paratha is always better than a pizza. When it comes to food always think about nutrition, not calories. Stick to low GI (Glycemic index) food as a general rule. High GI foods (fast carbs) get converted to fat quickly and low GI foods (slow carbs) have a much better chance of getting utilized for energy instead of getting stored fat.
Examples of low GI food are; Jowar, barley, bajra, legume, etc.
High GI food is all sweets, biscuits, pizzas, jams, etc.
Your body can take high GI(Glycemic index) food only after exercise when your body needs instant sugar.

Careful while protein consumption

In absence of carbs, fats cannot be utilized for energy. During any form of workout, the muscles goes through microscopic wear and tear, and hence post-workout, we must have a meal with high protein and GI carbs.
Too much protein consumption also has limitations. When too much protein is taken at one time, it cannot be stored for future use, instead, it gets converted to fats in your body.
Consume an adequate protein diet and eat a diet with a balanced amount of carbohydrates and fats.
Our protein requirement stands roughly at 1 gm per kilo of body weight. So if you are 70 kgs individual you will need 70 grams of protein a day.

Anti-aging secret:

Maintain optimum weight and you must include healthy fats like nuts, ghee, cheese, paneer, and fish in your diet.
Ensure an equal ratio of omega 3 and omega 6 in your diet.

How to eat fat:

You should combine fats with carbs and protein, which works at reducing the glycemic index of food.
Try to include different types/kinds of oil in your diet. This means you could use peanut oil for breakfast, and sunflower oil for dinner.
Have at least 1 teaspoon of homemade ghee every day.
Use Iron cooking ware(tavas and kadhais) and utensils. It helps in improving the iron content of your food.

The right way to drink water:

Drink water all the time, sip by sip, and swirl it in your mouth as if you are relishing every sip.

Four principles of eating right

Principle 1:

Never have tea first thing in the morning. Eat meal food 10-15 mins of waking up.

Principle 2:

Eat every 2 hours. This works on the concept of DIT or Diet Induced Thermogenesis.
This means that every 2 hours, you increase burning just by eating. But remember the threshold level of eating.

Concept – Take 3 main meals (breakfast, lunch & dinner – cut the portion) and add in between small meals like

Meal 1: Fruit/homemade Snacks
Meal 2: Breakfast
Meal 3: Handful of Peanuts/Yogurt/Milk
Meal 4: Lunch
Meal 5: Fruit/ healthy snacks,
Meal 6: Dinner

Principle 3:

Eat more when you are more active and less when you are less active

Principle 4:

Finish your last meal at least 2 hours before sleeping Always maintain your timetable,
Such as, Waking up early and sleeping at a fixed time.
Take at least good 6-7 hours of sleep every day.
Exercise religiously and try any form of workout that interests you. Every time you exercise, it should challenge the body’s current fitness level. This is called the progressive overload principle.
Weight training: At least twice a week for not more than 60 minutes
Yoga: You can do daily, Stomach to be relatively empty and eat a healthy meal post yoga.

Takeaway

All food is good, do not take diet plans which deprive of food
Exercise and dieting are not mutually exclusive
Eat homemade food snacks.
Diet should be customized, it does not fit for all
Train your stomach
Eat fresh food
do not cut vegetables and fruits into small pieces
Go to your genes
Eat local and seasonal food
Eat with the calm state of mind
Learn how to eat fruits
Eat every 2 Hours
Last meal should take before 2 Hour of sleep

Key Concepts:

1. Eating Right, Not Less:

Diwekar challenges the common notion of crash diets and starvation, advocating instead for a balanced and nourishing diet. She encourages readers to focus on the quality of their food, embracing a variety of nutrients from different food groups.

2. Local and Seasonal Eating:

The author emphasizes the significance of consuming locally sourced and seasonal foods. This not only supports the environment but also ensures that individuals receive a diverse range of nutrients throughout the year.

3. Meal Timing and Portion Control:

Diwekar delves into the importance of meal timing and portion control. She recommends regular and timely meals, emphasizing the need to listen to one's body and eat in moderation.

4. Incorporating Traditional Wisdom:

Drawing on traditional Indian practices, the book discusses the value of incorporating foods like ghee, jaggery, and various grains into the diet. Diwekar dispels myths surrounding these items and highlights their nutritional benefits.

5. Mindful Eating:

Mindful eating is a central theme in the book. Diwekar encourages readers to be present and conscious while eating, fostering a healthier relationship with food. This involves savoring each bite and recognizing hunger and satiety cues.

6. Exercise and Lifestyle:

The book stresses the importance of regular physical activity tailored to individual preferences and capabilities. Diwekar also explores the impact of lifestyle factors such as sleep, stress, and hydration on weight management.

7. Customized Plans:

Recognizing that there is no one-size-fits-all solution, Diwekar provides customizable plans based on different body types, activity levels, and health conditions. This approach acknowledges the uniqueness of each individual's body and requirements.

8. Building Sustainable Habits:

Rather than promoting quick fixes, Diwekar guides readers in building sustainable habits. This involves making gradual changes to one's lifestyle, leading to long-term weight management and overall well-being.

Practical Tips:

1. Create a Balanced Plate:

Diwekar suggests including a variety of foods on your plate, incorporating different colors, textures, and nutritional components. This helps ensure a well-rounded and nourishing meal.

2. Hydration is Key:

Adequate hydration is crucial for overall health and weight management. Diwekar recommends incorporating water, herbal teas, and coconut water into your daily routine.

3. Listen to Your Body:

Pay attention to hunger and fullness cues. Mindful eating involves being aware of your body's signals and avoiding overeating.

4. Include Traditional Superfoods:

The book introduces traditional Indian superfoods like ghee, millets, and local fruits. Diwekar explains their nutritional benefits and suggests ways to incorporate them into your diet.

5. Embrace Regular Physical Activity:

Find an exercise routine that suits your preferences and lifestyle. Whether it's yoga, walking, or gym workouts, staying active is essential for maintaining a healthy weight.

6. Prioritize Mental Well-being:

Stress management and adequate sleep are emphasized in the book. Diwekar explains the impact of stress on weight gain and encourages practices such as meditation and relaxation techniques.

The book is great to read and interesting for all those people who want to maintain good health and weight.

Critique:

While "Don't Lose Your Mind, Lose Your Weight" offers valuable insights, some critics argue that the book's recommendations may not be universally applicable. Individual responses to diet and exercise can vary, and factors like genetics and medical conditions should be considered.

Conclusion:

Rujuta Diwekar's book provides a refreshing perspective on weight management, focusing on sustainable lifestyle changes rather than quick fixes. By combining traditional wisdom with modern nutritional science, she offers a holistic approach that resonates with a wide audience. "Don't Lose Your Mind, Lose Your Weight" serves as a guide for those seeking a balanced and mindful approach to achieving and maintaining a healthy weight.

Who is the Author? Who is Rujuta Diweka?

Rujuta Diwekar is a nutritionist and fitness expert from Mumbai. Rujuta Diwekar is a renowned nutritionist and fitness expert who has worked with several Bollywood celebrities. Her approach to weight management is rooted in traditional Indian practices and emphasizes the importance of a well-rounded lifestyle.

She has written another book titled Women and The Weight Loss Tamasha.

Rujuta pursued a Sports Nutrition course and completed her post graduation from SNDT College.

She is the recipient of the Nutrition Award from the Asian Institute of Gastroenterology.

She was also on the list of the People magazine's 2012 list of the 50 most powerful people in India.

Specifications:

Contents: 288 pages
Language: English
Publisher: Random House India
Binding Type: Paperback
Genre: Health and Nutrition
Dimensions: 12.9 x 1.8 x 19.6 cms

Let's know about Coronavirus (COVID 19): Symptoms and prevention

Let's know about Coronavirus (COVID 19): Symptoms and Prevention (About Coronavirus Symptoms and Prevention)

Coronavirus commonly affects the respiratory tract of birds and mammals, including humans. Doctors associate them with the common cold, bronchitis, pneumonia, severe acute respiratory syndrome (SARS), and coronavirus disease 2019 ( COVID-19). This virus can also affect the intestine.

Coronavirus usually causes the common cold, although it can be

responsible for more serious illnesses. Over the past 80 years, scientists have found that the virus can infect rats, dogs, cats, turkeys, horses, pigs, and cattle. Sometimes, these animals transmit the virus to humans. Recently, officials identified a new coronavirus outbreak in China that has now spread to other countries. The virus is called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and can cause COVID-19.

In this article, we will talk about Coronavirus, its symptoms, and how it can infect people.

What is coronavirus ?

Researchers first identified a coronavirus in 1937, responsible for a type of bronchitis that had the potential to destroy poultry in birds.

symptoms and prevention

In the 1960s, scientists found evidence of the human coronavirus in the noses of people with the common cold. Human coronaviruses that are particularly prevalent include 229E, NL63, OC43, and HKU1. The name "coronavirus" comes from the crown-like projections on their surfaces. "Corona" means "halo" or "crown" in Latin. In humans, coronavirus infection is often

Occurs during the light months and early spring.

COVID-19, the coronavirus

In 2019, the Centers for Disease Control and Prevention (CDC- a US organization ) began monitoring the outbreak of a new coronavirus, SARS-CoV-2, which causes COVID -19. is formed. Officials first identified the virus in Wuhan, China. The virus has since spread to almost every country, prompting the World Health Organization (WHO) to declare it a pandemic. The new coronavirus is responsible for millions of infections globally, causing thousands of deaths. The United States has seen the highest number of these deaths. from COVID-19

Infected early people had connections to an animal and seafood market. This suggests that animals initially transmitted the virus to humans. Then, people with no connection to the market developed the disease, confirming that humans could pass the virus to each other.

Most people infected with COVID-19 will have a mild form of the disease. According to the WHO, about 80% of people who get COVID-19 will recover without hospitalization.

The remaining 20% become seriously ill and develop breathing difficulties.

Certain groups have a higher risk of serious disease, including older adults and people with underlying medical concerns, including high blood pressure, heart and lung problems, diabetes, and cancer.

Mortality rates vary between countries. In the US, the mortality rate is around 6%.

According to the CDC, children are no more at risk of COVID-19 than adults.

Pregnant women are at the same risk of COVID-19 as other adults. However, during pregnancy, women are at higher risk of serious illness from viruses that are similar to SARS-CoV-2 and influenza.

The CDC also recommends that babies born with suspected or confirmed COVID-19 be placed in isolation.

Symptoms of COVID-19

People can start experiencing symptoms within 2-14 days after being exposed to the virus. Symptoms may include:
Fever
Chills
Cough
Shortness of breath or difficulty breathing
Sore throat
Congestion or runny nose
Fatigue
Headache
Muscle pain
New loss of taste or smell
Vomiting or nausea
Diarrhea
There is currently no vaccine available for COVID-19. However, scientists have now replicated the virus. This may allow for early detection and treatment in people who have the virus but are not experiencing symptoms.

The following groups have a higher risk of developing serious illness from COVID-19:

people 65 years of age or older
people living in nursing homes or care facilities
People of any age who have serious underlying medical conditions, including chronic lung disease, serious heart conditions, severe obesity, a compromised immune system, or diabetes.
COVID-19 most commonly causes mild symptoms in children.
Common symptoms of coronavirus infection

Cold or flu-like symptoms usually set in about 2-4 days after the infection develops. Typically, symptoms are mild, although they vary from person to person. In some people, coronavirus infections are fatal.

Symptoms may include:
a runny nose
Headache
Cough
fever
sore throat
feel generally unwell

There is currently no cure for diseases such as colds caused by the coronavirus. Treatments include self-care and over-the-counter medications.

Taking the following steps may help:
Rest and avoid overwork
Drink plenty of water
Avoiding smoking and smoky areas
Taking acetaminophen (Tylenol) to reduce pain and fever
Using a Clean Humidifier or Cool Mist Vaporizer
A doctor can identify the virus responsible for a sample of fluid from a person's body, such as a sample of blood or mucus from the nose.

Type

The different types of coronaviruses differ in terms of the severity of the disease they cause and how far they spread.

Doctors currently recognize seven types of coronaviruses that can infect humans.

Common types include:

229E (alpha coronavirus)
NL63 (alpha coronavirus)
OC43 (beta coronavirus)
HKU1 (beta coronavirus)

Rare strains that cause more serious diseases include MERS-CoV, which causes the disease MERS, and SARS-CoV, the virus responsible for SARS causes.

In 2019, a new strain called SARS-CoV-2 began circulating, causing the disease COVID-19.

Infection

All people wearing cloth face masks in public places where it is difficult to maintain a 6-foot (2-metre) distance from others. People should wear cloth face masks while practicing physical distancing.

Researchers believe that viruses are transmitted through fluids in the respiratory system, such as mucus. For example, a coronavirus

can spread when a person:
coughing or sneezing without covering your mouth, spreading droplets into the air
touches someone who has an infection
touches a surface that contains the virus, then touches your nose, eyes, or mouth

Some animal coronaviruses can be spread to humans through contact with feces, although it is not clear whether the human coronavirus can be spread similarly.

To prevent infection, people with symptoms should stay home, rest, and avoid close contact with other people

Covering their mouth and nose with a tissue or handkerchief when coughing or sneezing can also help prevent infection. Can do. It is important to dispose of used tissues immediately and maintain proper hygiene around the home.

Source: www.medicalnewstoday.com

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