Prayagraj (UP), Sep 6 (IANS) In Soraon town in Prayagraj district, she is now referred to as 'pad woman' and woman and girls look forward to her visit.Vandana Singh, an English lecturer at an inter college, carries along sanitary pads and distributes them among women and girls in the rural areas.She gives away 500 to 1,000 pads once in a week now. She has distributed over 1.25 lakh sanitary pads till now and aims to touch the 5 lakh mark.Vandana, who lost a relative four years ago, due to lack of menstrual hygiene, now spends about 10 per cent of her salary every month in purchasing sanitary pads.She said, "Lack of proper sanitation during the menstrual cycle can lead to serious problems. When I started distributing sanitary pads among rural women, people used to crack jokes on me. I continued to inform rural women about menstrual hygiene and kept giving them sanitary pads for free."Vandana admitted that women and girls in rural areas are still not aware about menstrual hygiene and we need to spread awareness on the issue."When I started counselling women, some people even passed lewd comments and said that being a woman, she talks like this. But I did not lose courage and continued my work and gradually succeeded in my efforts," she added.She has also bought five sewing machines to train women in making sanitary pads and plans to expand the initiative further.--IANSamita/rs
Washington, Sep 4 (IANS) A woman from Kansad who died in January 2020 has been listed as the first known person to die with Covid-19 in the US, according to local media reports.The death certificate of Lovell "Cookie" Brown, who died on January 9, 2020, in Leavenworth, Kansas, was recently amended to say she died from the disease, Xinhua news agency quoted The Mercury News daily as saying in a report."Three months ago, Brown's doctor quietly added 'Covid-19 Pneumonia' as one of the causes of her death, not only amending her death record but also effectively rewriting the timeline of when the pandemic reached the US," said the report."Brown's original death certificate said she'd died only from a stroke and chronic obstructive lung disease. "But in May of this year, that changed," said the report, adding Brown's family had no idea until this week."Why is still a mystery. Her death is now included in the Centers for Disease Control and Prevention's official record of US Covid deaths, but the agency wouldn't comment further," it said.Previously, the first known Covid-19 death in the US was thought to have occurred on February 6, 2020, in a woman living in San Jose, California. Since the onset of the pandemic early last year, the US has registered a total of 647,573 Covid-19 deaths, the highest in the world.--IANSksk/
Thiruvananthapuram, Aug 15 (IANS) Attacks on doctors are continuing in Kerala, with a woman doctor the latest target, for insisting that two men arriving for treatment take off their footwear before entering.Anas and Samad were arrested by the Attingal police on Sunday after the woman doctor attached to a private hospital complained to police that she and a woman nurse were attacked by these men late on Saturday. Anas runs a bakery just opposite the hospital and both the youths had reached the hospital following a hand injury.Doctor Jaya Salini complained that both youths were drunk and when she asked them to remove the footwear before entering the dressing room, they abused her and threw the footwear at her. While she escaped unhurt, the footwear hit a woman nurse who was on duty at the time in the emergency room.Police said that both youths were in a drunken state at the time of the incident. They were produced before a magistrate and sent to judicial custody.Recently, a woman doctor was attacked at Government Fort hospital while she was on night duty. Dr Malu Murali told IANS said that two men arrived at the hospital at around 11.45 p.m. on Wednesday, "and when I enquired on the reason for the injury, they turned violent and hit me. My hands were twisted and one of them caught hold of my neck and kicked me. Even after I fell down, they continued to attack and were showering abuses on me".The men, Rafiq and Rashid, were history-sheeters. Police arrested them and they have been sent to judicial custody.In two other cases at Mavelikkara and Thaneermukkam in Alappuzha, doctors were assaulted on the issue of vaccination. In one incident, a CPI-M leader and his accomplices allegedly attacked the doctor and police are yet to arrest the culprits. Protesting the series of attacks, the Indian Medical Association (IMA) conducted a series of protest marches across the state.In another incident, a policeman attacked a doctor at Mavelikkara hospital alleging negligence on the part of the doctor led to the death of his mother. While the doctor and medical staff refuted the charges, the Kerala Government Medical Officers Association (KGMOA), an umbrella body of doctors working in government service, and the IMA are asking as to how doctors can work in such trying conditions.--IANSaal/vd
When a woman hears the news she has conceived and will be mother soon, many thoughts cross her mind about pregnancy, birthing and finally her journey to parenthood.
Most moms-to-be in nuclear families don't have any experience of handling a baby post birth. This makes them nervous about the whole process and apprehensive about whether or not she will be able to breastfeed the baby. As a lactation consultant, I often come across mothers who have many questions related to breastfeeding and milk production such as when will the milk production start, what does lactation delay look like, will I produce enough colostrum?
It is important to understand that hormones play a major role in pregnancy and milk production. During pregnancy, hormonal activities increase, and this in turn causes the mammary glands to produce milk. However, this is all just preparation for breastfeeding. Mature milk production can start within three to five days of the baby being born.
Milk production starts during the midpoint of pregnancy that is around 16-22 week of pregnancy. During the second trimester, your breasts begin to create colostrum. Colostrum is the first food your breasts produce for your baby. It is usually thick and yellowish and contains high amounts of proteins and antibodies to strengthen your baby's immune system. Many mothers are not aware about this because it does not flow like mature milk. It might start as few watery drops as this is first milk that's called "colostrum".
Colostrum does not leak and not all pregnant mothers produce it during pregnancy, for many colostrum starts after the birthing process. This is absolutely normal. During the pregnancy a mother-to-be should not express or pump colostrum as it might trigger the labor process. Mothers can use a breast pad just for comfort. If there is good quantity of colostrum or leaky colostrum, one can express it with hand after 37 weeks of pregnancy and store it.
Also, Read This► Breastfeeding Results in a Healthier Mother-Child Duo
You may start producing breast milk months or weeks before your due date of delivery. One of the first signs that your breasts have started producing milk is that they will become fuller and heavier, and they may even hurt sometimes. Immediately after the birth, a mother will see a transparent or yellowish colour of drops at the nipple area i.e. colostrum or liquid gold.
It is the first stage of milk production. It is thick, sticky, concentrated and very nutritious. The baby should suckle at the breast with in one hour of birth, this period is called Golden hour. Colostrum is known as "liquid gold" because it's packed with protein, growth factors, white blood cells, and antibodies, especially Immunoglobulin A (IgA) to fight off infections. It's very important for the baby's health and immune system. In the first 24 hours after your baby is born, a mother will produceï¿½on an average - 1 ounce (30 milliliters) within 24 hours. On the second and third day, she will make approximately 2 ounces (60 milliliters) of colostrum. Some people's breasts may leak during this colostrum phase. This is normal. Within three to five days of delivery, your breasts go through a transition where mature milk gradually replaces colostrum. By the time your baby is around two weeks old, your breasts will only be producing mature breast milk.
Colostrum is replaced by transitional milk which will start from day 3-5 up to 2 weeks. Watery or yellowish milk will change in to whitish milk. The breast will feel warm and full. Transitional milk will be combination of colostrum and mature milk. Frequent breastfeeding or regular milk expression will help with milk production and also o avoid engorgement. Transitional milk will be replaced by mature milk usually between 10 to 15 days. It's a whitish milk packed with nutrients and its production depends upon the demand and supply principle. Frequent nursing will stimulus mothers brain to release milk hormone and accordingly milk supply will be there.
Once supply of breastmilk settles down it keeps on adjusting as per demand of the baby, for example if the baby gets growth spurts baby it will demand frequent feeding and this might cause confusion in the mother that her supply is not enough and the baby is hungry; but actually the baby is expressing its demand to the mother's body so that the milk supply increases and settles down mostly within a week.
As per my clinical experience many new mothers complain of low milk supply and after assessment most of the cases the demand or stimulus to mothers body is missing. This can be because of many reasons like preterm baby, medical condition of the mother and baby, supplementation of formula, stress or postpartum depression etc. For example if a mother is giving formula feed to the baby without trying to breastfeed, that demand or stimulus to the mother's body will be missing and accordingly her body will produce less breastmilk.
If baby is preterm and cheeks stability is not there, there might be ineffective or nonnutritive suckling by the baby on the breast which further reduces the milk supply. Because of some external stress factors or postpartum depression milk hormones can be affected and a mother might face low milk production.
Breastfeeding takes a lot of diligent commitment, effort, and energy. Consult a lactation specialist or who will help you answer your questions and continually educate you about the ways your body is changing as milk production increases. Early initiation at the breast is good start for good milk production. If you are not comfortable medically to feed your baby after birth, colostrum expression should be done within one hour of the birth followed by frequent feeding or removal of milk.
An expecting couple should prepare themselves during pregnancy for breastfeeding. Antenatal classes are great help which help in proper guidance and support that will help them sail through this journey of breastfeeding.
Read More► Not Producing Enough Breast Milk, Don't Worry
New Delhi, Aug 12 (IANS) Doctors at Fortis Hospital here performed a life saving Whipple surgery, a first in India, on a six-month pregnant pancreatic cancer patient from Afghanistan.Fahima, was five and a half months pregnant when she was diagnosed with pancreatic cancer. On account of her pregnancy, she could also not undergo chemotherapy. In addition, her uterus was already quite large and above the umbilicus. It was already obscuring access to the pancreas. A surgery to remove the cancer from the pancreas, in this condition, was difficult and posed a potential risk for both the mother and the baby. "In a standard Whipple's operation, we remove the cancerous tumour together with the head of pancreas, remove part of the stomach, small intestine, gall bladder, bile duct, and lymph nodes and reattach the remaining organs (allowing for the normal digestion of food). This was a complex procedure considering that the cancerous area (in the pancreas) and the uterus were very close to one another," said Amit Javed, Director, Gastrointestinal Oncology, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, in a statement on Thursday. "All necessary measures were taken during the procedure to ensure complete cancer removal; the foetus was not harmed in any way and the mother remained safe," he added.The surgery, which took four hours, was done without ‘moving the baby' and the postoperative tests showed complete tumour removal and a healthy baby. Fahima had a smooth post-operative recovery and was discharged after seven days, the doctors said. "The Whipple surgery proved to be a lifeline for me. I was adamant that this pregnancy was very important to me. Dr Javed and his team gave me hope and it is because of their expertise, skill and faith that me and my baby are alive today. I will always be grateful and thankful to them for giving me a new lease of life and for saving my child," Fahima said. --IANSrvt/bg
Beijing, Aug 11 (IANS) As the virus continues to mutate, new variants of Covid-19 will emerge so the world must prepare to coexist with them, top Chinese virologist Shi Zhengli has said.Zhengli, also known as the "bat woman", renewed calls for the public to get vaccinated against the coronavirus, the South China Morning Post reported."As the number of infected cases has just become too big, this allowed the novel coronavirus more opportunities to mutate and select. New variants will continue to emerge," she was quoted as saying.The coronavirus that causes Covid-19 was documented first from the central Chinese city of Wuhan in December 2019. It has since, evolved into several variants, spreading across the world. The public should be prepared to coexist with the virus "for a long time or forever", Professor Jin Dongyan, a molecular virologist with the University of Hong Kong was quoted as saying.However, Dongyan also suggested that SARS-CoV-2 could eventually be eradicated like smallpox or polio as vaccines were improved.It is because that even with more variants, the mutation rate of SARS-CoV-2 was lower than that for influenza and HIV-1. "The virus does not have unlimited potential to mutate," Dongyan said.While the Covid-19 had become more transmissible, more mutations could follow as it continued to evolve -- just like many other viruses."When it becomes best adapted, it could stabilise," he said.Meanwhile, Zhengli also called on the scientific community to speed up with the development of new vaccines and medications to prevent upper respiratory infection against the virus, the report said."The current vaccines are injected into our muscles and protect our lungs but have yet to be able to neutralise infection with our upper respiratory system," Dongyan added.--IANSrvt/in