Every Parent Must Know This Before Their Child Turns 2 : Pediatrician Explains | Telugu Podcast |
Author Name: Doctor's desk
Youtube Channel Url:https://www.youtube.com/@Doctorsdeskofficials
Youtube Video URL:https://www.youtube.com/watch?v=16778G5hVQY
Transcript:
(00:00) feeding mobile [screaming] pediatricians first thousand days of nutrition learning skill development this is very good children they're mostly towards obesity side on regular basis I see most of the parents hospital. Every there is a dopamine hit. It's an overstimulated brain response that is very dangerous.
(00:45) Only thing they're going into some other psychiatric [screaming] more of autism and ADHD because of the screen addiction they start asking to give antibiotics giving social They won't verify whether it is correct
(01:30) or wrong. Make sure it is from a proper person, proper source like recent months [music] back just examination just hi hello welcome to doctor's test by media and newborns. So doubts and questions. Hello ma'am. Hi first days.
(02:16) So child so first days it is starting from the pregnancy till baby birth days of nutrition. So it is very important since you can see that baby brain development is very rapid. So first two years it is very important. So starting from conception motheric acid iron supplementations baby maximum brain growth. So after birth first 6 months of life proper breastfeeding. So 6 months of
(03:03) exclusive breastfeeding apart from breast milk after 6 months of life you can see that compliment. So along with the breastfeeding compliment feeding it is a top feed. So you have to continue even breastfeed. So complimentary feeding you have to include everything that is very nutritious and junk food outside processed food there are many reasons.
(03:31) So when you give proper nutrition and proper care and support to the child and you can see that thousand days of nutrition you can see that children learning abilities and their emotional development. This is very good. So first days of life is very important breastfeeding formula breastfeeding baby. So first important thing is breast milk.
(04:18) So formula feed when the breast milk is not available and in the sense mother if there are some medical conditions where you can't provide breast milk conditions you have to go for formula feed. So formula feed completely it can't replace breast milk. So breast milk along with the fat carbohydrates grow we also have antibodies immunity develop availability of enzymes hormones.
(04:50) So formula completely. So that is why maximum certain conditions where mothers if the mother is working so time they can't provide breast milk every time. So condition you can go for formula feed but it doesn't completely replace the breast milk. Okay. >> So initial starting few days of life. So first two weeks of life flow we emphasize every 3 hours more than 3 hours gap you have to feed the baby.
(05:25) So after two weeks you can give the baby milk on demands and babyu can give feeding on. Okay. So formula effects formula exactly there are no side effects actually but the thing is formula feed it should be prepared in an hygienic way. So that is very important for the bottle has to be very clean and first important handful they prepare the formula feed and mostly
(06:10) it is almost similar to breast milk but active enzymes hormones but maximum it will replace the mother milk. Oh ma'am actually doubts frankly telling daily in the hospital basis I see any number of reasonings they give grandparents cow you parents cow you but I feel that parents have more affection towards the kids.
(06:53) So they go through multiple information multiple they try to get information and they try to do the best for the children. So process they develop many myths. So most dangerous and alarming they come for the fever they start asking to give antibiotics actually. So that is most dangerous. Okay. Because it is not like uh injections or tablet form.
(07:34) So they ask so I would say that first thing fever is just a symptom body infection. It comes out as fever. It's just a symptom. So antibiotics will not work in every time. So maximum child fever, cold, cough, they're mostly because of virus. So antibiotics will not work against virus first thing.
(08:04) So and moreover every time you're giving antibiotics to the child. So after few days or few years they develop antibiotic resistance. Okay. So that is very dangerous. So you're making that bacteria get habituated with that antibiotic. Okay. [clears throat] And next when the child is in actual need of antibiotics bacterial infection when you're giving simple antibiotics they won't work actually.
(08:41) So then we have to direct. So it is very dangerous. they start giving antibiotics like over the counter so that should be stopped actually without prescription I'll give one small example actually so it is in different strengths 100 drops so each ml 100 mg so 12 so 5 ml 120 mg so the strength is different.
(09:29) So if I'm writing P 100 drops for suppose.5 muan and if they're giving P 250 P 120 if they're giving same 5 ml strength is either it will be very more or very less work. So parents previous but it is very wrong especially exact we call it as fever 99.5 they feel it as fever they start giving paracetal So every time using that
(10:15) paracetamol is very dangerous in kids. So liver damage. So it is very important strength check. If I'm writing P and R take P only you shouldn't take P25 or P250 same strength P250 you're giving more strength. Okay. >> So it is very dangerous to the child poisoning paraset poisoning. So that is very important.
(10:43) So previous especially kids we shouldn't give medication I would suggest if it is past 4 weeks they were visiting me 4 weeks back so there would be no much change of weight soant time they can use but if you're seeing prescription of 3 4 months back 6 months back now if you're using it is not correct >> it's not safe So you have to visit a doctor. Yeah.
(11:15) >> So ma'am actually exclusive breastfeeding time. So medical reason so actually exclusive breastfeed only milk we shouldn't give anything else. So milk it is an interesting fact milk 85 to 90% water. So there is no need of extra water to the baby and first 6 months baby body is designed only to digest milk not for the water and you see parents asking like it would last a few summer season they were coming and asking baby
(11:59) I would say no it's a definitely no because breast milk already you're giving 85 to 90% waterm M >> so baby doesn't need extra water they don't have proper kidney developed so body fluid imbalance even you can see that they'll get fits you not adise them to have any and so first if you see first six years brain development as I said and at the same
(12:45) time 85 to 90% and five years so temperature. It is the basic common thing. High temperature nervous system but feile seizures after age of it is not the thing. So if babyong Okay. So and working
(13:43) um no actually breast pump is a uh I don't say it as a trend it's actually a gift to the mother because breast pump working mothers as you said 6 months after 6 months they are away from their kids so babies same breast milk provide breast pump is So they express the breast milk. So breast pump is not a trend actually and even before 6 months we adise breast pump because baby latch so proper holding so baby can't feed
(14:29) properly direct to the breast. So we ask them to have breast pump used express the breast milk and give it to the baby on. So we adise so it is not a trend actually it's a blessing actually. >> So they can express the breast milk they can store and room temperature you can store till 4 to 6 hours. Okay. >> Okay.
(14:52) If you're storing in refrigerator 24 hours and deep freeze almost 3 months you can store breast milk. >> Okay. So that is a blessing actually. Uh yeah whenever the mother has excess breast milk feed they can store it and they can use it later. >> Okay. >> So that is a blessing actually. It's not a trend. >> Okay.
(15:14) [clears throat] And human milk banks and so actually human milk bank is a good initiative. So very premature 37 months 7 months babies. So they need extra care they need human milk bank. So formula feeding. So in that scenario we ask them to have breast milk. If for suppose mother so that is the next best option is other
(16:02) mother's milk that is from the human milk bank. So it is a good initiative. So but milk it is not like that. So lactating if she has excess milk first they'll screen them properly they'll screen from all the viruses deadly disases then they collect the milk they store it in a very proper okay so whenever the pediatrician adistter babies so tiny drops lactating mothers if they really donating the milk it is very useful and monthsid
(16:53) and actually first months completed months. Okay. >> So that is the first step everyone take it in a wrong way. 6 months and six completed months. So six completed months if you're starting complimented to the baby. So I would suggest family most of the families. So I would suggest initial starting and rice everything start each item only at
(17:39) once. >> Okay. allerg. So if the baby has really allergic to that or allerg you would know if you're giving everything mixed at one plate you you never know you will never know. So start in you can start with mashed dal rice and when you start feeding the child initial the first few days just two or three teaspoons or tablespoons you have to feed.
(18:11) So You can give mashed banana, apple puree. Parents often mistake meal you take it as a snack. So meal time exactly it is not like that. So meal you have you should have proper carbohydrates and rice is the best choice one time of snack till 8 months. So three times a day meal and one time snack.
(18:54) So snacks you can go for banana puri like apple puri papaya gani any seasonal fruit anything you can introduce. So vegetables use same vegetable you can use for the baby. >> Okay. >> But you have to make sure that if you're introducing a new food you have to wait for at least 48 hours. 48 hours waiting baby mouthp so then you can continue the same food.
(19:27) So maxian foods and sesame seeds and you can see uh some of them are allergent to soy soya soy milk. So you have to see fish key shellfish prawns crabs. So when you're introducing this high allergen foods because you'll observe the baby would be sleeping. So daytime any new food highergen recent studies you can see that when you're introducing high allergen content foods at early age
(20:13) 6 months 7 months 8 months reaction next would have reaction to the baby recent studies say that. So we have to follow that. So try to introduce to the baby. So divers very important baby. Okay. First important thing biscuits are of no
(21:02) use. Biscuits they do nothing good to the baby. Biscuits, chips, processed food. What are the preservatives? They they have very small tummy size. you're filling it with all the junk food. So once you give all those food to the baby then come starts from here. So biscuits, junk food they have many processed item in that and preservatives and that
(21:48) completely disturb. So at the same time they won't feel that appetite. If you giving sugar you can see you have excess salt content. So which is not good for the baby. Soak there is chance of developing metabolic diseases BP, sugar, obese, child obesity. It is very uh wide range India because every parent is working.
(22:29) Every parent is in a fast mode that supermarket but that is not correct. It is spoiling a lot. So future health risk of cardiac diseases you can see you can see them getting diabetes. So diabetes, blood pressure, thyroid disases, PCOS, adolesence girls. So they're suffering a lot. So recent practice I saw a child um more of junk food.
(23:10) Um I advised them two months, 3 months back but later they came with complaints of child um urine complaint. Then she gained weight a lot. Last summer holiday she gained weight a lot. So I asked them to get diabetic panel. So unfortunately she turned out to be having diabetes. So it is very wrong when you're very busy or any other thing snacks but give them one whole fruit >> even that also is nutritious.
(23:42) Instead of going for packaged food, junk food anytime 2 months restaurants it is very okay. If you're going out you have to eat something, you have to feed baby something. So once in a time is fine but on regular basis weekly twice thrice same food same chips chocolate say this is the thing while lifelong they'll suffer with that.
(24:10) So we have to be very careful when you're providing some food to the baby or children. You should be very careful. >> Exactly. And the packaged food homemade snacks like homemade snacks same you are trying to give fruits and vegetables to the baby but baby they're not very colorful actually. >> So I would suggest feed them in a colorful plate.
(24:39) So starting since from the 6th months if you're feeding child in a colorful plate or a bowl and a different shapes look like you get packaged fruit triangle shapes smiley shapes. So at the same alternative best option is sweet potato mash you can cut it into round pieces and smile or you can make dosa as a in a different shape like panda shape or you can um different shapes or different present and every child needs some different color or rainbow colors colors they easily get attracted.
(25:20) So prepare colorful plate if you're trying to give different shapes and different colors of food neutral colors like rice same white color curry same color. So daily different color carrot is different color beetroot is different color. So there are many other alternatives instead of junk food. So you can try papaya is different color watermelon is different color.
(25:47) So different colors. So, so they'll pick and eat chicken fried chicken already. So, >> so if you can understand children they're mostly towards obesity side >> it is because you're start you're starting giving French fries fried chicken instead I suggest potato make sweet
(26:33) potato as French fries same shape make it as make it at home air fry so you can do it so fried chicken same steamed chicken or boiled chicken or chicken curry for suppose if you're preparing at home you can offer to the child so it is giving same uh protein but food as I said every time it is not possible I don't say it is causing regular basis don't immediately say Yes.
(27:23) So if you start saying no to these things will be very in good hands. So I don't suggest giving French fries, fried chicken is fine. On regular basis it is not good. It may sound funny but [laughter] I understand of course biryani lover. So I feel like homemade I said pot family eating. So till one year 2 years child has to eat.
(28:13) mention you can prepare at home. So bite of food you'll see. So if you want to really give that taste to the baby chicken biryani same chicken with very less salt and spices you can give offer to the child after one year of age you can definitely give. >> Okay. But chicken very soft. So it shouldn't cause any choking to the babyc boiled chicken with rice.
(28:59) Okay. And biggest discussion. It's completely so you can see western countries mostly they won't have mostly they start giving them chicken. It depends upon what nutrition it is good. So chicken
(29:49) and egg you have substance which is very good for brain development. So everyday egg chicken regular basis and vegetarians they're strict to vegetarians alternative to the protein like paneer. So it doesn't depend upon nonve. So it is just you see that family >> if you are from a vegetarian family >> almost genetic genetics they their body is trained in to have vegetarian dietic
(30:35) but I don't say that so you have to You have to see sources incially standard food basic ideal If you're planning food, you have to divide your plate into four
(31:19) portions first thing. So maximum staple foodies rice rice is a staple food. So rice staple food and at the same time carbohydrates nothing but brain carbohydrates brain carbohydrates. So child carbohydrates you are giving in the form of rice. So vitamins, minerals, you have to add vegetables and fruits. Okay.
(31:51) At the same time, fiber balanced meal. So first basic thing everything should be included in the meal. Carbohydrates sundali 30 to 40% carbohydrates sundali 20 to 30% protein protein take in the form of chicken ghi soya milkmaker paneer anything any kind of protein probiotics like curd which is good for gut health and fiber you can add vegetables fruits vitamins mineral leafy vegetables a whole meal so
(32:39) So you prepare a rice, you prepare some curry, give that vegetable to the child, add some seasonal fruit so that it gives some fiber, vitamins, minerals and at the same time add probiotic that is a simple meal you can give to a child which is healthy. So oats, dry fruits you can't prepare anything. >> Okay. So as I said child brain or growing brainhydrates okay so carbohydrates from pulses
(33:29) cereals rice so if you're avoiding this just giving oats There is no nutrition. Yeah, exactly. But meal don't substitute it with oats. Oats ragi is good. Rai is good. Rai is rich in iron, calcium, three times. It is not a harmful thing. So that is what I'm saying. items. It is not as a meal, it is as a snack.
(34:08) Soack don't mix it with the meal. You should have carbohydrates. Oats is different. grow. So first thing boost and born all these are like they have vitamins baby but my suggestion is first thing. Okay. So child grow it will depend upon only not on the magic
(34:55) formula because child height it is determined by father and mother. Okay. So father mother height child height almostus 5 cm. So it will depend upon how well nutrition or how well food you're giving to the child. So baby it's completely wrong. So these are all not required. Okay. So there is just added sugars and okay.
(35:35) >> So not necessary to the child which is very healthy for that. So it is not needed. So you can see the substitutes. So as you said heights of sugar
(36:25) so you completely avoid Jesus. That's the best. >> See 2 years below completely avoid sugar. Okay. So 2 years below sugar obesity risk. So these are the studies that has been done. So 2 years below avoid sugar but 2 years you can give added sugar like you can use honey. >> Yeah honey before 2 years or 1 year honey completely.
(36:56) So it is not advisable after 2 years add honey or add jaggery. So sugar very mild quantity like two spo inevitable you have to add. So instead of adding the sugar as I said dry fruit they get habituated to that. months they have the same flavor. So the taste are very high. So 6 months breast milk breast milk doesn't have any taste but that is the favorite food for them 6 months. So at the same time six months
(37:44) without salt and without sugar as we say till two years same that is why years okay [laughter] parents seeant. Okay. So it is just because so that is the reason it is out of the expression of that
(38:35) emotion we cry or we express it to someone. So that is the reason in the other form as a temper tantrum it comes out. So temperant don't immediately sayant demanding something don't immediately say yes. So yes and child give some time out completely ignore the tantrum until harmful objects objects.
(39:21) Ignore the tantrum. Give them some time out. So this will work. Once you ignore the tantrum the child tends to learn. So eventually they improve but eventually goes off because they start speaking. I see most of the parents. Okay. That is very wrong. Ignore the tantrum. 5 seconds once they count on you can take child to you
(40:07) express the love. So that will change the behavior of the child. They start they start scrolling everything everything. [clears throat] >> So their brain is very immature. >> Okay. bright colors and every there is a dopamine hit oxytocin hormone.
(40:53) So that is excitement. So it's an overstimulated brain response that is very dangerous. So they they can't concentrate on any task for school going. So they are very habituated with mobile since childhood. So they can't concentrate on anything. Lack of concentration and mobile. So they don't have social interaction.
(41:24) They are completely into mobile because there is no they [clears throat] just give mobile. But that is very wrong. the concentration and emotional bonding development they can't get it. So every they swipe is like harming their future mental health. So that is very dangerous. So and YouTube shorts they try to imitate >> exactly >> the same thing that is very dangerous.
(42:01) So mobile if you're really giving first two years zero screen time you shouldn't give the mobile two years you can allow them watch TV but only for 30 minutes to 1 hour okay so that is the recommended time [snorts] >> so 30 minutes 1 hour make supervision of the child you should have supervision you should know what the child is looking at everything because how do they know 10 years 11 years you can see that they try to self harm themselves where do they learn all this from without see watching movies or without
(42:42) seeing any real or YouTube shots so whenever the child is with mobile make sure it is well supervised supervision you can give but it only for a limited period of time So mental health over the long period it is harming them years till now
(43:28) 2 to 3 So they come with complaints like two words. It is all because of this mobile. When I asked them only working mobile but it is harming their future language they start watching mobile. So they're completely into mobile.
(44:12) Mobile speech reason because of mobile they're going into some other psychiatric issues like ADHD. It is because of this screen time. Excess screen time is not good for the children. like recent months back there was a child just examination he just hanged himself in the >> like 10 years child so I felt really bad 10 years
(44:58) he about life >> he went inside and inside a washroom and he tried to take such dare step just because mother. So my suggestion is parents how is the child behavior pay attention to that. So talk as a friend to them is more important. So you're trying to give best children at the same time best you're trying to ignore their emotional connection.
(45:38) >> So working parents so they're very busy with their lives. We can't say no to that because they have to work. Everyone has their own pressures. But at the same time when you come back from the office or your working hours is very important. I felt really bad. 10 years, he doesn't even know what life is. Luckily, he got saved. He's discharged.
(46:06) Well, disability. So, luckily this child is saved. He's lally fine. But um my suggestion is parents create a bond with the child. So, freedom they should have. So your child is on safe hands. So that is very important and newborn to most common health problem. So 1 to 3 years children as I said
(46:54) and one more important thing uh children junk food processed food ultrarocessed food they are more than the weight they are actually should have. So obesity and starting from this three years first three years as I said it is very important period. So it is harming their future health. So long that is affecting their future health.
(47:31) They'll be fine. It is not correct. So on an average >> normal birth weight I think 2.5 to 3.5 kg is ideal weight. So Child 9 to 11. So from 1 year of age every year two improve. >> Okay. >> For suppose 2 years 13 to 15 kes 3 years then exactly 16 or 17 kes. So that is enough. So rel this is the complaint mother but when I see the weight it is normal.
(48:16) So you have to see how active your child is. Aim infections like active his intelligence is good. His connection is good. emotional bonding, development, your child is healthy and effect for now after 10 years. child after 10 years or puberty she can develop PC PCOS. Previously it is called as PCOS.
(49:01) So they can develop that hormonal imbalance obesity increase that causes their body to have hormonal imbalance. different hormones different places hormonal imbalance they can have all the metabolic diseases like diabetes hypertension even cardiac risk early ages early 20 to 30 ages you can see all these things and obesity now you feel the child is 10 years if they're still of the same weight other children he get bullied or she get bullied so mental health So don't feel that.
(49:52) So you should be very careful. [snorts] Interesting. Vaccinations are designed to give protection. children. They feel it. But the actual thing is child immunity. So vaccination timely vaccination is very important. influing baby.
(50:52) So that is not just for the sake of money. It is completely wrong. So vaccination dangerous complications grandparents. So vaccinations now you have vaccination you have protection. So complication definitely you have to take it. Okay. So
(51:37) serious complication problem. So till 5 years of age while preschool they come in contact with different viruses they come in contact soar they come in contact with some different virus they'll of course get cold cough so five to six times child is common it is a growing phmunity
(52:26) so once infection is building they have that memory So next time if they come in contact with the virus they have it correct. Okay. >> Because they're new to it. But if your child is not getting recovered, it is getting then you have some problem.
(53:12) So just mild cough six to seven times it is commonalated. Okay. And final general question before and after people mindset these children before children more oft comput
(54:05) more of autism and ADHD. Okay. >> Because of the screen addiction. >> So before I can see this major difference and period regular vaccination centers were covered there was completely locked down. So you can see recent surge of moms previously because so that is the screening part is fine but impact. >> Yeah. >> So breast milk or formula? >> Breast milk.
(54:47) >> Okay. Vaccin myth or must? >> Must. >> One food every child should eat daily. >> Egg. >> Okay. One food parent should avoid giving regularly. >> Processed food. >> Okay. Mobile phone or outdoor play? >> Outdoor play. >> Okay. One parenting mistake you see the most? >> Comparing your kids with others? [laughter] >> This is general.
(55:13) >> Fever or cough. Which worries parents more unnecessarily? Okay. Fever. >> Okay. Tea, coffee for kids, yes or no? >> No. >> Okay. If you could give every parent just one piece of advice, what would be? >> Uh, so my advice to all the parents is your presence is more important to the children than giving them the perfection.
(55:37) So me presence, me bonding, me love is more important to the children. This is not important. emotional bonding, connection, your presence, your love, your empathy that is more important to the child. >> Okay, >> that is what I advise all the parents. So parents social meds or if they're trying to get children or conceive of they of course go through Instagram they go through but uh I don't say parents
(56:25) because in that sense multiple places they won't verify whether it is correct or wrong. So social media is a very good platform mental health physical health take information but from a proper source proper certified person if you see the information you can take step but multiple influences treaties
(57:14) influenc many doctors are educating giving awareness. So proper source get information instead of trusting some influencer just for views. So whenever make sure it is from a proper person, proper source, proper person doesn't give any harm. Thank you so much. Thank you ma'am.
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