A Light on Department of OBS & Gynae

I visited Malik Radix Healthcare hospital and found everything about OBS & Gyne. The department is basically a laboratory. How it is arranged and how it has been managed, here is details from that healthcare department.

OBS & Gynae care at MRHC:

Malik Radix Healthcare is a dream project of an enthusiastic doctor couple Dr. Ravi Malik and Dr. Rnu Malik. It is set up as a Private Limited Company. Dr. Renu Malik has done her MBBS and MD from Maulana Azad Medical College, Delhi. After this she had done her senior residency from Safdurjung Hospital, Delhi. Now for last 12 years she is doing a roaring gynecology and obstetrics practical in Delhi.

Antenatal Care

Antenatal checkups are done in the obstetric clinic by Dr. Renu Malik and the pregnant women are monitored serially, scientifically and psychologically.

High Risk Pregnancy

All the high risk pregnancies as those with anemia, heart diseases, previous abortions, diabetes, high blood pressure or with poor growth of babies are managed in help with a team of physicians.

Labour Room Management

After the mother has completed her tenure of pregnancy she comes to the warm labour room of Malik Radix Health care. This labour room is fully equipped with central oxygen, central suction, high tech labour tables & CTG machine. Continuous Topographic Electronic machine tells the doctor about the condition of the baby which is to be delivered. This also records the heart beats of the baby on a paper just like ECG. On the whole, labour room is fully equipped to deal with any kind of obstetric emergency. Till today more than 15 hundred successful deliveries have takes place in this labour room.

Nursery

After the delivery, baby comes under care of pediatrician Dr. Ravi Malik and his team. They have fully equipped nursery to deal with any premature baby or baby with any other problems.

Gynecology Facilities

All kind of gynecological problems like prolapse uterus, fibroid, menstrual abnormalities, and infertility & cancer treatment is also available. High risk patients are treated with a team of surgeons & physicians.

Gynecological Surgeries

All variety of gynecological surgeries such as hysterectomy, cancer surgery, cryosurgery, abortions, ectopic pregnancy & ovarian surgeries are available. Here we would like to mention specifically about laparoscopic surgery. Here the surgery is done through a key hole without much discomfort to the patient.

Facts and Suggestions Regarding Appetite & Health of Your Child

One of the most common complaints heard in a children clinic is “My child does not eat properly.” Often we have seen that the complaint is either far from the truth or a self created one, rather than the one that actually needs medical intervention or treatment. We will consider certain practical aspects of the problem. There are certain facts and suggestions regarding appetite & health of your child which I would like to share with you. These appetite & health suggestions tips are from “From the Malik Radix Health Care”:

1. Appetite of a child depends on age, race, community, season and individual himself. For example – one year old could have much more appetite than three or four year old. North Indian children generally have a better appetite than the south Indian children of the some ago group.

2. It is very surprising to know that two children of the same age, same weight & height can have different appetite, one eating twice than the other.

3. It should be borne in mind that apart from diseases, during which the appetite can be low, there are normal periods during which children naturally lose appetite. This can extend to, weeks together which is quite normal. Attempting to feed them forcefully during these periods will cause aversion for food, which can be very harmful to the overall growth and development of the child.

4. The most common myth is regarding the usage of tonics and appetizers. They are prescribed only to children with some deficiencies of vitamin and other nutrients, or to children suffering from certain diseases, that too for small periods. Tonics and appetizers are not routinely useful and should not be given for longer periods.

5. Some children remain thin and lean despite all efforts as the growth and weight of a child depends more on his genetic constitution. If the child is otherwise healthy, gaining weight and is active one can be assured that his appetite is normal.

6. Mothers should always watch weight rather than appetite. If weight for age is normal then the appetite is also normal.

7. Mothers should prepare different varieties of food and those liked by the child.

8. Do not feed frequently, instead give a gap of at least four to five hours between two meals, and i.e. stick to three to four meals a day and nothing in between.

9. Avoid chocolates, candies, cold drinks and junk food as these will lead to loss appetite.

10. Try to give some quantity from each of the 6 basic food groups i.e. milk/milk products, cereals, pulses, green leafy vegetables, fruits and non vegetarian if you are non vegetarian.

11. Whenever you suspect a reduced appetite, do prepare a complete diet chart of the child, i.e. the quality, the quantity and the time of food taken. Thereafter consult the doctor; this will help the pediatrician to evaluate the child more objectively.

There is scientific evidence that children can regulate their food intake reasonably well according to their energy needs. Any attempt to feed them forcibly will lead to deleterious consequences. Therefore mothers are advised to provide the child with variety of healthy foods in order to improve their appetite and health, and are also requested not to force food the child. Often the mothers offer the food to the child when he is not hungry yet.

How to Deal Children Psychologically to Develop Their Health

There are few suggestions to the parents regarding how to deal with children psychologically so that they turn out to be stable personalities. These health awareness tips are from “From the Malik Radix Health Care”:

1. It is natural that parents can have differences or disharmony among themselves but they should not fight in front of the child as it leads to feeling of insecurity in the delicate mind of child…

2. Although punishment is required at times, but, it should be minimum and the best way to punish is to deprive the child from some privilege. Child will not learn from scolding, beating or ridiculing.

3. Parents should show a consistent behaviour, child should be given a clear and fixed instruction & then the parents should stick to these instructions.

4. Over protection should be avoided especially in the setting of joint family, because it leads to dependence. Over protected children often turnout to be introverts and might not be able to make friends and remain introvert through out the life.

5. Unrealistic expectations should be avoided. Every child can’t maintain first position in the class, must be remembered by the parents.

6. Parents should never shout or shriek at their children for small issues. Instead child should be taken in a separate room and told firmly about his misconduct and that he will not be allowed to cross the norms.

7. Children should not be criticized in an unhealthy manner and should not be compared to other children in unfavorable manners.

8. Parents should not impose beyond a certain limit their own value systems, inspiration and philosophy on the child. Child should be helped in finding his own way out.

9. Busy parents should try to spend some time with their children and should try to engage in their learning activity.

These are the better suggestions to take care health of children psychologically to develop confident in them.

Precautions for Allergic Children

Allergies i.e. rhinitis, bronchitis and Asthma are very common & distressing problems in early childhood. There are certain precautions, recommended for allergic children. To better health care these suggestions are “From the Malik Radix Health Care”:

1. Smoking is one of the key factors to precipitate the allergic attack of bronchitis in children. Try to avoid smoking in the house, because it can lead to serious type of respiratory illness in your child especially in new born child. Parents should avoid smoking.

2. Spray odors such as wet paints, mosquito repellents & disinfectants irritate the bronchial lining and cause a sudden attack of cough and bronchitis. So avoid these things & try to get your child far from these things.

3. Rapid change in temperature and humidity should be avoided especially in the month of Feb-March & Oct. – Nov.

4. Icy cold drinks with artificial beverages are the important precipitating factors of allergies in your children. So try to keep away your child with these things because they can lead to precipitation of allergic process.

5. Take precautions from house dust, dander, mold and feather of pets. These are predisposing factors of allergic diseases. In the house where dogs and cats are present, the children can have frequent attacks of allergic problems. Try to avoid your child from smoky and polluted places. There should be good ventilation in schools and class rooms should not be over crowded.

6. Children should be protected well in winter and rainy seasons.

7. Avoid eatables like chocolates; toffees etc. which contain preservatives which can in turn precipitate allergic attack.

8. Children who have asthma and other allergic problems should be protected by special vaccinations like influenza and pneumoccocal where ever required as per consultation with doctor.

9. Associated problems of upper respiratory systems like adenoids and tonsils should also be managed by the doctors.

10. Any person suffering from cold and cough should avoid visiting the home of allergic children, and if at all they visit, they should cover their face with hanker while coughing or sneezing.

Suggestions about Prevention of Accidents in Children

There are some suggestions about prevention of accidents in children for better health care. These suggestions are from “From the Malik Radix Health Care:”

Children at high accidents risk are likely to be relatively poorly supervised often have disorganized or stressed families and live in hazardous environment. Majority of accidents are preventable. About 1.8 lakh children under 15 years of age die in road accidents mainly by two wheelers.

Type of injuries in children:

Road traffic accidents
Drowning & near drowning
Poisoning
Burns
Bites and other injuries from animals
House hold injuries
Disasters

Prevention of roadside accidents:

Safety education must be given in schools and by parents.
School bus drivers, need to be specially trained for safe driving.
Children and teachers should be trained for first aid.
Children should be seated in rear seats and should learn the use of handles, bars and seat belts during travel.
Major Street should not be crossed alone until the child is 10 years of age.
Pedestrian skill training programs to be included in schools.

Prevention of house holds injuries:

Younger children often fall from bed while rolling. Care should be taken regarding that.
Younger children toys should be of stuffed variety rather than having pointed edges etc.
Younger child should never be left unattended at staircases, fire, height etc.

Prevention of burns:

About 30 to 40% of burn patients are below 15 years of age.
Parents and care providers to be educated regarding prevention measures of burn injuries.
Install smoke detectors.
Prohibition of smoking reduces the incidence of burns.
Learn to use fire matches and lighters properly to prevent injuries.
Roll, not run if clothing catches fire. Child should be wrapped in blanket carpet in case of clothes catch fire.
First aid for burns to be taught to children and parents.

Prevention of animal bites:

Children should be taught that.
Don’t disturb any animal that is eating or sleeping.
Don’t approach unfamiliar animals.
Don’t disturb any animal caring or feeding her puppies.
Never run from unaccompanied dog/animals.
Remain still if unfamiliar animal approaches.
Always allow a dog to see and sniff you before touching it.
Pet animals should be properly vaccinated.

Prevention of drowning:

It is major cause of injury death for children younger than 5 years. Older accounts for nearly 40% of all drowning cases. In one to four year old children drowning is one of the leading causes of injury death.
Parents are advised to closely supervise children at every moment during swimming.
Educational training in addition at appropriate pool fencing can prevent 80% of drowning in many children.
Fences should completely isolate the pool from the house and yard.
Pools should be covered properly after swim time.
Parents should appreciate the risk of common house hold items like bath tubs, buckets, toilets and washing machine. They should be kept away from small children.

Prevention of poisoning:

Keep drugs, mosquito repellents, and rat killers in lock and key and at a height not approachable to small children.
If a child takes harmful substances immediately rush to doctor where he will do a stomach wash to remove the poison.

It is biggest work for parents to take care health after delivery of a child. Prevention of accidents is the care of life a child.

Care of Health after Delivery

One of the most important parts of health care is caring health of a new baby and mother after delivery. I want to share it “From the Malik Radix Health Care”:

Care after delivery, also called postnatal care, involves not only the care of the mother but also of the new born baby. The basic goal of this care, is to help the mother to come back to the normal pregnancy state, over a period of six weeks. I would like to discuss few of the normal complaints which might appear abnormal to the mother during this period.

During initial 3-4 days after delivery she can have reddish discharge which becomes lighter and lighter & finally disappears by two weeks. If the discharge has bad smell, or is associated with high fever doctor should be consulted.

Mild engorgement and pain in the breast is a normal finding. If you notice swelling, redness or any localized hardening in the breast, consult your doctor.

Although slightly increased emotional sensitivity, over concern and obsessions for the baby is a normal phenomenon, but if panic attacks, severe depression or abnormal behaviours are experienced by you then consult the specialist.

Vaginal area should be cleaned thoroughly with soap and water and kept dry, an antiseptic solution can be applied. Frank bleeding from the area after 3rd day should be taken seriously and the gynecologist should be consulted.

Any time after delivery if there is difficulty during urination or there is retention of urine the doctor should be consulted as urinary infections are very common after delivery.

Special attention should be given to nutrition of the mother. The diet should be rich in proteins and other nutrients.

Mother should continue taking iron and calcium preparations as she was taking during pregnancy, till the time she is feeding the baby. For initial one day soft diet is advised but from second day onwards you can resume to the normal high protein diet.

The mother becomes emotionally sensitive and is little over concerned about her baby. At this juncture of life she requires the social support from the family members and the husband. Most of these fears, insecurities and apprehensions are because of ignorance and they can be nicely handled by the both gynecologist and pediatrician.

An important aspect to the stressed is contraception. Although location offers some protection against conception but it should not be depended upon & proper contraceptive measure should be taken.

After one week of delivery post natal exercises should be started to tone up the muscles and get the body back to shape.

Very important aspect which is often ignored is proper advice on breast feeding for baby food, Mother should be encouraged to give only breast feeding and no top milk supplements for at least initial four to six months. There is no need to give water to the baby as breast milk has sufficient water for the new born for initial six months.

These are the suggestions of Doctor Renu Malik MD who is the senior Obstratecian & Gynecologist of Malik Radix Health Care.