Will My Baby Survive If I Can’t Breastfeed Within The First 30 Minutes Of Birth?

Q: Hey doctor, thanks so much for helping us young mothers. May God richly bless you..
What can be given to a new born baby like 30mins old baby crying and the mother’s breast milk has not started coming out????

A: Okay, I’m absolutely impressed that 30minutes after having your baby, you’re awake and energetic enough to think of feeding him! 😀 That’s really awesome and that establishes a bond with the baby immediately…

Feeding should, ideally, start within one hour of having your baby. So, you’re on to a great start. Your breast already has a stock of breast milk but it does take your baby sucking to make the breast milk ‘come out.’ So, the earlier you put the baby to the breast, the sooner proper breastfeeding can be established. Your baby will probably sleep away the first 24 hours or so, so it may be a challenge to put the baby to the breast. Try the best you can and make sure that your baby’s mouth covers the areola which is the dark coloured area of the nipple.

Some women who had their babies through Caesarian Section may also experience delays in breast feeding just like some other women. There’s no specific reason for this and the same advice of putting the baby to the breast often suffices. The more often you put your baby to the breast, the better your milk supply will be.

Just in case you’re worried that your baby will starve before full breast feeding is established, don’t be. Your baby doesn’t need more than a few teaspoonfuls of colostrums (which your breast already has and baby gets as he suckles) in the first few days. They contain a lot of substances that help build your baby’s immunity. If, however, by 72 hours you’re still not making breast milk, be sure to discuss with your doctor so that he can confirm that your baby is getting enough to eat. Before this time, don’t get tempted to offer glucose water or formula feeds if you plan to breast feed.

Now just in case you wondered about pap with milk and whether this helps breast milk come in faster? Well, my answer is this. If you want to take your pap, please indulge…in sizeable portions. If it helps your breast milk come in, that’s fine. I guess if the pap is watery enough, it will help hydration and you certainly need to be well hydrated for breast feeding to happen without stress 😀

Have a good night 😀

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I Just Got Married… And Now They Say I Have Fibroids.

Q: Please, Doctor, which food should I eat for fibroid to decrease?
I went to hospital/scan I was told I have intramural fibroid…and I got married 2weeks ago.. which food should I don’t and do eat for fibroid?

A: The first thing you need is information. Knowledge is power. With information, you know what you are dealing with, your options and then, you can take better decisions.

Fibroids develop from the muscle tissue of the uterus (womb). These growths can range in size from seedlings to big masses.

They are differentiated by the sites where they are found:
Inside the cavity of the womb (sub-mucosal),
Within the muscle of the uterus (intramural),
On the surface of the womb (sub-serosal).

Fibroids do not cause infertility per se, but sub-mucosal ones in the cavity of the womb, can take up the place where a baby would have implanted causing infertility. Fibroids can also distort the shape of the ovaries and fallopian tubes causing problems with conception.

Hormones are implicated in the development of fibroids as when women get to menopause with resultant decrease in the level of circulating hormones, estrogen and progesterone, the fibroids shrink.

Fibroids are more likely to occur in black women, people who take alcohol, people with a family history, obese people and those who eat a lot of red meat and little vegetables.

Symptoms of fibroids include heavy menstrual bleeding, prolonged menstrual bleeding, frequent urination as the mass presses on the bladder, feeling of incomplete emptying of the bladder, pelvic pressure etc.

Pain can also result in fibroids when a fibroid has a stalk and gets twisted or when the fibroid grows so fast that it outgrows its blood supply lead to its ‘death’.

There are a couple of different methods for the treatment of fibroids but only your doctor can confirm which one is suitable to you.

If the fibroids are small and causing no problem (probably discovered incidentally), then your doctor will most likely not institute any treatment other than watchful waiting.

If one is around menopausal age and probably has finished having children, some drugs that mimic the effect of menopause are giving. These deprive the fibroids of nutrient supply and thus they shrink.

Other treatment modalities may involve using IUCDs which release hormones that reduce the severity if bleeding and pain medications. With technology advances, there are also non-invasive and minimally invasive procedures that can take care of fibroids. The final options are the tried and tested surgical procedures. One of the surgical procedures, myomectomy, involves removing the fibroids while preserving the healthy tissue of the uterus (womb).

You can still get pregnant after this surgical procedure. So, you may want to have a long chat with your doctor to determine what options are available in your location and what applies to you.

On what to eat or not eat, given that these are implicated in the development of fibroids, avoid alcohol, manage your weight and do not get obese, and eat more vegetables.

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Why Does My Child Suddenly Have Body Odour?

Q: Hello Dr….is it normal for a 5 years old child to have smelly armpits??

A: Thanks for writing in. Is this normal? Well, from around the age of 8 to 10 years, children begin to sweat a little more and of course with the sweat comes the possibility of body odour. In hot places, this process could start earlier. So, this is the time to teach him some hygiene lessons that will be helpful forever

He needs to take a shower twice a day or failing that, at least once a day. This helps wash away sweat as well as reduce the number of bacteria on his skin.

Most people don’t know but sweat on its own is virtually odourless. But when bacteria that live naturally on your skin mix with sweat, they multiply quickly and become smelly.

Teach him to towel off after a bath or shower. He needs to pay close attention to areas where he sweats a lot. Sweat causing bacteria love moist areas.

Get him a deodorant or anti-perspirant to use on his underarms twice a day, in the morning and the evening. Deodorants do not actually prevent sweating, but they mask the smell of bacteria on the skin. Now that he has underarm hair, he has to shave that and groin area hairs frequently as they trap sweat and encourage smells.

Change undergarments frequently. Honestly, panties and underpants should be changed whenever you take a bath. And please remember to wash the discarded ones when you change.

When sweating heavily or in very hot weather, he should change clothes frequently…and it’s important to wash those sweaty clothes before wearing them again! Fresh clothes help keep body odour down.

Teach him to change his socks too, especially if he tends to have foot odour. Deodorant powders or detergent based running shoe cleaners used in shoes are useful.

Be sure to reassure him that this is all part of growing up and as is usual with this process, he has new responsibilities that go with this stage

Have a good night, y’all

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Why Is My New Born Baby Yellow?!

Q: Hi Dr ketch, thanks for the good works you do. Could you please address the issue of jaundice in new born and possible and best ways to avoid it during pregnancy and staying healthy. Thanks

A: Jaundice is a condition in which there is yellowing of the eyes or the skin. It can happen in both children and adults.

Usually, when old red blood cells are broken down, a yellow pigment, bilirubin is released as part of that process. The bilirubin is removed from the body through urine and stool.

It is the bilirubin that gives rise to that yellow colour seen in jaundice.

Other symptoms of jaundice include deep yellow urine and pale stools.

In newborn babies, there are two types of jaundice (neonatal jaundice) that can occur: Physiological jaundice and pathological jaundice.

Physiological jaundice occurs as a natural process of life. While in the uterus, the baby’s bilirubin is removed through the placenta.

Once the baby is born, he/she has to handle this bilirubin business by himself/herself ☺️ (talk about responsibility immediately after touching down in planet earth!)because his organs are unable to deal with all the bilirubin released from breakdown of red blood cells. As the bilirubin accumulates in blood, jaundice results.

Typically, this jaundice appears about 24hours after birth, actually gets worse until the 3rd or 4th day. It would usually have disappeared by the end of one or two weeks.

So, this one – you can’t really avoid.

Pathological jaundice is due to a disease condition like infection, mother and baby’s blood groups not being compatible etc.

This is typically present before 24 hours of birth.

Indeed, this is the main difference between the two types of jaundice. The one that occurs naturally is seen after 24 hours while the one due to disease is seen before 24 hours…rule of thumb 😀

Jaundice may be mild, disappearing on its own, especially physiologic jaundice.

However, sometimes, the yellowness deepens, the baby may develop a high-pitched cry and/or develop arched back. These are dangerous signs and this child should be in a hospital.

Indeed, if you observe jaundice in your baby after you have left the hospital, please get it checked out in the hospital just to be sure.

Most babies are able to deal with this excess bilirubin on their own without needing treatment. However, some other babies may be put under special lights called phototherapy or in more serious conditions, an exchange blood transfusion may be done (literally, this involves practically exchanging the baby’s bilirubin-filled blood with ‘new’ blood).

The main focus in jaundice is to bring down the level of the bilirubin.

If this is not done, it could cross the blood/brain barrier and stain the brain leading to brain damage, a condition called Kernicterus.

More frequent feeding is usually suggested as this helps the baby get rid of more bilirubin.

All the best!

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Wait…There’s Another Type Of Diabetes?

Yes – and unlike Diabetes Mellitus, Diabetes Insipidus has NOTHING to do with blood sugar.

Diabetes Insipidus (DI) is a rare condition where the body struggles to properly regulate water balance.

People with DI may:

Feel constantly thirsty

Urinate excessively

Wake up multiple times at night to urinate

Even experience bedwetting in some cases

Normally, a hormone called ADH (Anti-Diuretic Hormone) helps the body conserve water when needed.

But in Diabetes Insipidus, this process is disrupted.

There are different types of DI:

Central DI – caused by problems with the gland producing ADH

Gestational DI – occurs rarely during pregnancy

Nephrogenic DI – when the kidneys do not respond properly to ADH

Primary polydipsia – caused by excessive water intake

In severe cases, urine output can become extremely high, leading to dehydration if fluids are not replaced properly.

Treatment depends on the cause and may include:

Medications like desmopressin

Reducing salt intake

Adjusting medications

Drinking enough water

Reducing excessive fluid intake where necessary

And before you ask 😀

No… Diabetes Insipidus is NOT the same thing as Diabetes Mellitus.

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I Thought I Was Going To Be Super Mum!

Before I had my first child, I had everything planned.

I would exclusively breastfeed.

Work with my baby beside me.

Make packed lunches.

Do the laundry myself.

Raise brilliant, healthy children.

Balance career and motherhood perfectly.

You know how they say you can’t have it all? That was not going to be me! 😀I was going to do it ALL.

Then motherhood humbled me 😅

After my daughter arrived, I tried to be everything at once:

Full-time mother

Full-time caregiver

Homemaker

Future career woman

Exhausted human being running on zero sleep

And because I thought asking for help meant failure, I insisted on doing everything myself.

I was miserable.

What shocked me most was discovering that while society encourages mothers to breastfeed…many workplaces are unwilling to support breastfeeding mothers properly.

No crèches.

No flexibility.

At some point, I had to stop chasing perfection and focus on balance.

With my first daughter, I exclusively breastfed.

With my second, work pressures changed my experience completely.

By my third, I finally found what worked for ME: breastfeeding while working and expressing milk when away.

It was not easy. But it was possible.

Motherhood taught me something very important: You do not have to destroy yourself to be a good mother.

So to every mum trying to be ‘Superwoman’:

Please get help.

Rest.

Use the washing machine.

Accept support.

Stop trying to carry the entire world alone.

A happier mother raises healthier children too

And yes…Breastfeeding is still worth it 🙂

#MotherhoodDiaries #HealthyLivingWithDrKetch

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Your Fridge May Be Making Your Family Sick!

Many cases of food poisoning actually begin with simple kitchen mistakes we make every day without realizing it.

Here are some important food hygiene tips every home should know:

Don’t store opened canned food inside the can
Once opened, transfer the food into a clean container before refrigerating to avoid possible contamination.

Keep raw meat away from other foods
Raw chicken and meat can spread germs that cause food poisoning.

Store meat at the bottom of the fridge
This helps prevent fluids from dripping onto other foods during thawing.

Never mix cooked meat with raw meat
This can transfer harmful bacteria onto ready-to-eat food.

Defrost food properly before cooking
Allow food to thaw completely. If you’re in a hurry, use a microwave instead of leaving food out for long periods.

Wash leafy vegetables properly
Soak vegetables in salted water or food-safe disinfectant and rinse thoroughly before use.

Small kitchen habits can make a BIG difference in protecting your family’s health

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Why Do I Keep Losing My Pregnancies?

‘It happened again…’ 🙁

Few things are more painful than losing a pregnancy or delivering a baby too early – especially when it happens more than once.

Many women silently carry the guilt and unanswered questions that come with miscarriage and premature birth. But one important thing needs to be said – It is not always your fault.

A premature baby is one born before 37 weeks of pregnancy and may require intensive medical care because of breathing difficulties, feeding problems, infections, and other complications.

Some factors linked to premature birth include:

* high blood pressure

* diabetes

* infections during pregnancy

* heart or kidney disease

* multiple pregnancy (twins/triplets)

* smoking, alcohol, or drug use

* poor nutrition

* problems with the placenta

Miscarriages, especially in the first trimester, are often linked to problems with the pregnancy itself, including issues with the placenta or abnormalities in the baby’s chromosomes.

Other risk factors may include:

* smoking

* alcohol use

* obesity

* trauma

* malnutrition

* advanced maternal age

If you have experienced repeated miscarriage or premature birth, please don’t never suffer in silence. Get checked out in the hospital.

When you become pregnant again:

Start antenatal care early

Attend your clinic appointments consistently

Eat nourishing meals

Discuss your medical history openly with your doctor

Early care can help give your baby the best possible chance 🤍

All the best!

See less

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Why Am I Not Happy After Having My Baby?

Not every new mother feels joyful after childbirth and that does not make her a bad mother.

One mother wrote:

“I have been feeling sort of depressed since I put to bed eight months ago. I don’t want to use antidepressants. Are there natural ways to improve my mood?”

Postpartum depression is more common than many people realize, yet many women suffer silently because they feel ashamed to admit they are struggling after having a baby.

It can show up as:

Persistent sadness

Tearfulness

Irritability

Withdrawal from loved ones

Difficulty bonding with baby

Feeling overwhelmed or inadequate

Postpartum depression may be linked to:

Hormonal changes after childbirth

Physical exhaustion

Emotional stress

Financial pressure

Lack of support

Previous history of depression

The good news is that help is available.

Treatment depends on the cause and severity. Support may include:

Counselling or therapy

Emotional and family support

Lifestyle adjustments

Medication when necessary

For mothers looking for natural ways to support their mental wellbeing:

Eat nourishing meals

Rest when possible

Exercise gently

Create “me time”

Set realistic expectations

Talk openly with trusted people and avoid bottling up your emotions

Please do not suffer in silence.

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Sadness while Breastfeeding!

Why do I feel sad when breastfeeding?

The month of May is Maternal Mental Awareness Month. In honour of that, I share my response to a question I was asked by a new mum.

Q: Good day, ma’am. My baby is 4 months old and anytime, I breastfeed my baby, I feel sad. I don’t know the cause. Should I stop breastfeeding? Looking forward to your sweet reply.

A: Congratulations on your new baby.

Everyone talks about how fleeting the pain of childbirth is once the bundle of joy is held in the arms of the mother. It then appears ‘somewhat’ unnatural when mothers experience sadness in taking care of the baby or as this mother says, sadness when breastfeeding.

This was a previously unknown situation and mother who experienced this felt alienated from family, friends and even their medical personnel as nobody appeared to understand what they were going through. Was this postnatal depression? Was this a psychological problem? I daresay in our environment, people would have asked if the woman was being attacked by her village people 😄

Well, researches have shown that this situation is called D-MER (Dysphoric Milk Ejection Reflex). The term dysphoric refers to dissatisfaction.

Usually, when a baby latches on to the nipple of his mother for breast milk, the hormones, oxytocin and prolactin are released. Prolactin acts on the milk producing cells of the breast and the oxytocin acts to let the breast release the milk (let down reflex). At this same time, the level of dopamine decreases.

In D-MER, the level of decrease in dopamine is extreme leading to sadness, feelings of negativity etc. This feeling is fleeting though, lasting seconds to few minutes as the level of dopamine normalizes. This feeling may also be precipitated at times when the milk ejection reflex is activated like when you think about feeding your baby or when he cries etc. Now it is important to note that while this does not happen to everyone, it is not a psychological problem, neither is it post natal depression.

So, what can you do? Stopping breastfeeding may not be the answer as you will be depriving your baby of all the vital nutrients he needs in his first few months of life. In some instances, just understanding what is going on is sufficient to help the mothers cope with the situation as they can identify when the symptoms start and stop. I hope this works for you.

In more extreme cases, there may be need to prescribe drugs which increase the level of dopamine in the body. Your doctor will determine what makes sense. Anti-depressants have not been found to be useful in this situation. I daresay more work will be done on this condition to better understand and provide relief for it shortly.

I hope understanding what’s going on is helpful. Please see your doctor about options open to you.

Have a great evening, y’all

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