Credits: Unsplash
Breastfeeding rates are similar around the world, however, there are certain barriers breastfeeding mothers face. These challenges differ in developed and developing countries. Dr Avneet Kaur, neonatologist and Pediatrician at the Apollo Cradle Hospital, says that in developed worlds, perceived inconvenience of breastfeeding and ease of bottle feeding, false idea of healthiness in chubby babies, lack of family support and lack of breastfeeding-friendly work environment played a significant role in poor breastfeeding rate.
On the other hand, in the developing world, due to lack of education and poor access to healthcare facilities, “false beliefs regarding breastfeeding being roadblocks to success” is what led to the discouragement of breastfeeding, points out Dr Kaur.
If there is a lack of breastfeeding, it may lead to health problems for the baby. Some babies may develop medical conditions like postnatal weight loss, dehydration, and fever. “Mother faces issues like mental stress, breast engorgement and delayed emotional bonding,” says Dr Kaur.
Breastfeeding also benefits premature or preterm babies. “Premature babies who are formula fed and do not receive breastmilk are more likely to get a life-threatening bowel condition called necrotising enterocolitis or NEC,” says Dr Kaur.
She suggests that breastfeeding and human milk feeding support optimal growth, improve immune function and neurodevelopment, and prevent bowel and septic complications, including necrotizing enterocolitis in preterm babies.
However, breastfeeding is still not easy for many mothers. Many workplaces still lack provisions for maternity leave, not allowing enough rest for the mother to look after her child. Other factors could be the lack of private space to feed the child and the lack of social, emotional and familial support. This can make the mother prone to depression.
Dr Chugh mentions the reason for a breastfeeding mother to feel depressed is the lack of support that she receives from her family. “Social support is crucial. Emotional support from partners, family, and friends can help alleviate feelings of isolation and stress. Support groups and professional counselling can also provide necessary emotional backing and practical advice,” he says.
Especially at home, a baby may be required to be breastfed at night, which can disrupt a mother’s sleep cycle, pushing her more towards depression. “Sleep deprivation and chronic fatigue are significant risk factors for depression. The demands of breastfeeding, especially frequent night feedings, can disrupt sleep patterns and contribute to emotional and physical exhaustion,” says Dr Chugh.
However, Dr Chugh also notes that if the mother is given the support that she requires, and the responsibility is shared, then the mother can enjoy the benefits that breastfeeding. “Prolactin and oxytocin levels increase during breastfeeding, which can also influence mood and emotional well-being,” he says.
Taking care of the mother is of utmost importance right after delivery, especially when she is breastfeeding. He suggests that adequate rest and helping the mother with the baby must be the top priority. A mother must not feel alone, and she should be given the support she needs to ensure that she also benefits from breastfeeding.
“Mother should start taking good diet and remain hydrated, get optimum sleep and rest in first 4 weeks to recover in the postpartum period. Stress and inadequate sleep are major hindrances to breastmilk production,” says Dr Kaur.
Leaving mothers alone with her babies discourages the purpose of the breastfeeding awareness week and pushes the mother further into depression.
Credits: Instagram
Katrina Kaif and Vicky Kaushal are set to welcome their first child. They have shared a photo where Katrina is flaunting her baby bump on her Instagram.
She is 42 and her choice also mirrors a growing trend among urban Indian women who are embracing motherhood later in life, often after focusing on education, careers, and financial independence. In fact, late pregnancies have become increasingly common in recent years. Deepika Padukone, for example, welcomed her daughter on September 8, 2024, at the age of 38, joining a growing number of public figures who are redefining the timeline of motherhood.
The National Institute of Health (NIH), US (2022), 20% of women in the US are now having their first child after the age of 35. While it is the new trend, the NIH doctor Dr Alan Decherney, a fertility expert explains that "As women age, they are still fertile, but their odds of pregnancy are decreased because they are not making as many good eggs that will fertile and divide normally and turn out to be an embryo."
ALSO READ: Women Are Now Waiting More Before Becoming A Mother, Age Trend Shows Motherhood From 2016 to 2023
After age 30, a woman's fertility decreases ever year, notes the NIH July 2022 issue. It notes: "The number and quality of her eggs goes down until she reaches menopause."
However, experts do point out that getting pregnant in your 30s need not be a stressful affair at all times. As it is at this age when you experience more stability, and also someone you know who have a personal experience in handling one. Most important, you are more mature at this age, which you may not be in your 20s.
Quit Habits: If you are a smoker, or consume alcohol, this is a good time to leave it.
Reduce Stress: While pregnancy for some can bring stress, try to find activities that help you release it.
Healthy Weight: Ensure that your weight is right, reduce your waist to bring it to a healthy range for a healthy pregnancy.
Food Habits: Stop eating junk and start eating more whole grains.
Exercise: A sedentary lifestyle can impact negatively on the child. You do not have to do HIIT, however, regular easy workouts can make both the pregnancy and delivery easy.
Dr Michelle Y Owens, professor of obstetrics and gynecology and a practicing maternal-fetal medicine specialist at the University of Mississippi Medical Center in Jackson, writes for the American College of Obstetricians and Gynecologists (ACOG) that "the longer your eggs have been around, the more likely they are to produce a pregnancy with a chromosome problem that can lead to a condition like Down syndrome. The risk goes up significantly after 35."
However, she says, there is a good news. Now, we have tools to detect and respond to pregnancy complications early.
Credits: AP
"Don't take Tylenol if you're pregnant, and don't give Tylenol to your child," said President Donald Trump in a White House briefing as a result of which many Americans would pull out acetaminophen from their medicine cabinet. While science does not back the claim of acetaminophen causing childhood autism if pregnant mothers consume it, however, the Trump administration has blamed it to cause the rise in autism cases in the recent years.
Helen Tager-Flusberg, director of Boston University's Center for Autism Research Excellence told NPR, "Are thy [parents] going to listen to people who are not physicians, who have no expertise in autism, or are they going to turn to their medical providers, their treatment providers and ask them what their view of the current science is? That's what they should be doing."
However, the truth of the matter is that parents are in fact worried and are wondering what decision must they take. Brian Lee of Drexel University, and one of the authors of the studies on acetaminophen told NPR in an interview rightly points out that while it is important to rely on science, "Who has time to sit there and go through the dozens or hundreds of scientific articles on any given topic?"
So, what is the solution? Lee says, it is to trust medical experts. "We trust our experts. And if our experts are telling us one thing, but other experts are saying another thing, it causes confusion."
Read: Trump's Claim On Linking Tylenol And Autism Is Unscientific, According To Doctors
Nicole Baldwin, MD, a pediatrician from Cincinnati, Ohio, told NPR that any association that's been seen between autism and acetaminophen in studies doesn't necessarily mean there's a causal relationship. The comparison Baldwin provides is of the shark attacks in the summer and eating ice cream in the same season. "But that doesn't mean that one causes the other," she says.
"These studies that have been out show correlation, but don't actually show causation," says Baldwin." "And I think that's an important thing for parents to realize — that the science is not known just yet, despite what has been said."
While many might argue that one can just avoid Tylenol altogether in pregnancy and "tough it out" like Trump suggested, however, experts in maternal-fetal medicine say that untreated fever is known to be dangerous in pregnancy, and pain is also a problem. So, Trump's repeated comment that there was "no downside" to not taking acetaminophen does not necessarily stand correct.
The Society for Maternal-Fetal Medicine pointed out that "untreated fever, particularly in the first trimester, increases the risk of miscarriage, birth defects, and premature birth."
In fact, Baldwin noted that when she was pregnant with her daughter, she had ab mild injury. "And if I hadn't had Tylenol to take, I can't imagine the suffering I would have had for two months," she says.
The problem is that there are no other medications that pregnant women can take, this is because other pain and fever reducing drugs have been proven unsafe in pregnancy. For instance, another popular drug, ibuprofen, has been linked to kidney problems in fetuses.
(Credit-Canva)
While recent research has shown that children with obesity rates have been rising, a new report showed exactly how fast and high the rates have become within the span of a few years.
September is National Childhood Obesity Awareness Month, and new data from the Indiana Youth Institute (IYI) and Jump IN for Healthy Kids shows a troubling trend. The report highlights that one in five children in Indiana, aged 2 to 19, are living with obesity.
This is a significant problem with wide-ranging consequences. The most alarming finding is a dramatic 83% increase in obesity among children ages 2 to 5 between 2014 and 2023, with much of this rise happening during the pandemic.
Childhood obesity has been linked with numerous health problems, whether it is decrease in the quality of life or even premature death according to HPI (Health Policy institute). It has also been named as a risk factor of the 4 leading causes of death in the US, which are coronary heart disease, type-2 diabetes, stroke and cancer.
One Childhood obesity isn't just a matter of weight. It deeply impacts a child's overall well-being.
Kids with obesity are at a much higher risk of developing serious medical conditions. This includes type 2 diabetes, high blood pressure, and orthopedic issues caused by the extra weight on their growing bones and joints. These problems can follow them into adulthood, leading to chronic diseases.
The struggle with obesity can also affect a child's mental state. They may experience low self-esteem and anxiety, which can cause them to feel insecure and withdraw from social activities. This may lead to them skipping school or avoiding extracurricular activities they might otherwise enjoy.
There are also significant financial costs. A child with obesity is estimated to have $19,000 more in lifetime medical costs than a child who is at a healthy weight. This places a financial burden on families and the healthcare system.
Several factors contribute to childhood obesity, including genetics, access to healthy food, opportunities for physical activity, and neighborhood safety. HPI explains that obesity is linked with physical inactivity. Two factors that caused it were over-reliance on electronics for entertainment and decreased participation in physical education programs in school
Economic challenges can also push families toward less expensive, highly processed foods instead of fresh, nutritious options. This makes it harder for them to maintain a healthy diet, even when they know it's important. The good news is that solutions are within reach. It's a complex problem that requires a combined effort from everyone.
The key is to work together without blame or shame. As Tami Silverman of the IYI says, it’s about taking practical steps as a community to create lasting change for our kids.
© 2024 Bennett, Coleman & Company Limited