The HEALTH : August 2018 | Page 20

20 electric children The HEALTH | AUGUST, 2018 DIZBOOK.COM BABYCENTRE A good latch position is when your baby draw your nipple and areola into her mouth. No milk low milk Sudden infant death syndrome Recognising the risk and how to prevent them S UDDEN infant death syndrome (SIDS) also known as cot death or crib death is the death of a child under one year of age with causes unknown. It is not because of a disease or an infection,” explained Pantai Hospital Kuala Lumpur Neonatologist and Paediatri- cian consultant Dr Uma Sothinathan (pic). “As difficult as it is, going for a post mortem or considering it is important because it might give parents an answer for future pregnancies, the things that can be put right which was preventable or near preventable.” There is a trend where it becomes common in babies two months and above with the peak being six month and after where it becomes a little less frequent. Latch it right Ensure your baby’s latch is correct to stimulate milk production efficiently. “A good latch stimulates milk letdown (oxytocin hormone), leading to increase milk supply; keeping your baby contented. It also gives a cue to the mother’s To swaddle your baby or not Safe sleeping techniques There is a few interventions that is shown to reduce the rates of SIDS. One of it is safe sleeping. “The easiest way to remember this is back to sleep. Children should always be put on their back when they are sleeping, not on side lays and not on front. A child who is sleeping on a side lay could easily tip and go on its front,” said Uma. Another worry of a child sleeping on its front is that children can sleep very deep sometimes and might smother themselves in the process - their own face against the mattress. Thus it is important that a child’s mattress is a firm one - not a cushy, soft or feathered one that fluffs in when a child lays on it – because they could smother themselves when they lay on it more easily. She also advises against overheating the child as in not over dressing kids for bed. “It is important if it is an air conditioned room with a temperature of between 25 – 26 degrees, use a swaddle. If you’re using a blanket, then the blanket should be tucked, and the child’s leg should be towards the end of the cot before you tuck. This prevents the child from moving towards the end and getting its head underneath the blanket.” T HE delivery of the placenta tells the body to start producing milk. This happens whether a mother is breastfeeding or not. By day three to five, mother’s milk comes in and volume increases. The first milk the baby gets after birth is called colostrum. It is rich in antibodies and other protective factors. The small quantities give babies a chance to learn how to suckle without being overwhelmed by milk. Pantai Hospital Kuala Lumpur Lactation consultant Elizabeth Richard emphasised that frequent nursing and effective suckling signal the mother’s body to produce the amount of milk her baby needs. Co-sleeping is also not encouraged although it is much easier for a breastfeeding mother to have the child right beside other than to get up and put the child into the cot. “She may be tired and sleep deprived. When the child is beside, there is a possibility that you could roll over without realising because these are not big lumps laying beside but tiny bumps. No matter how much you trust yourself, don’t take the chance.” There are cots these days that are attached to the bed. So, if the mother chooses to sleep on side, she could attach and just move the baby into the cot. If that is impossible, have a Moses basket beside you on your bed. So, mothers could just lift the baby, feed and put them back into the basket. Two other causes are parents sleeping with the baby on their body – overheating the child and dozing off while watching television. The dead weight of the parent’s arm that is holding on to the baby may make it difficult for the infant to breath. SWADDLING involves snugly wrapping infants in a blanket to restrict movement. It’s been around f