Baby wearing – are u doing it the right way? Good news from medical world

Life changes ,literally changes when u become a mom . All that life of a carefree woman vanishes all of sudden and then u sit there breastfeeding the little one for hours together, praying god to grant that little nap u haven’t had in days or months like in my case.

It was a time when i preferred staying home than carry him around along with the baggage  rather luggage. But today i see so many moms with all that baby wearing slings , harnasses happily walking around. I am jealous. Y did i not know this?? No i belong to the same era as u smart moms. maybe i was drowned in my books or just ignorant.

The mobility baby wearing gives.. is such a relief. Believe me.

However thats not the reason of this blog.

When i saw so many people embracing so many  baby carrying accessories , I remembered reading during my MBBS about baby carrying and a pediatric hip condition (DDH). But i was not very sure about the relationship. So did some searching and this is what i found.

This is to introduce all you moms to be and new moms to something called developmental  dysplasia of hip (DDH).I will try my best to keep it simple.

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This is a simple diagram showing the hip joint. It is a ball and socket joint.

DDH is a condition in which the surfaces ( ball and socket) which form the hip joint become loose and can lead to improper development of joint. The infants in first few months are more vulnerable due to their natural flexibility and also the joint surfaces are partially soft yet.

So the main aim is to position the baby such that the ball remains in socket , so that socket develops normally and fully.

The first born child, the female child , the child born with breech presentation, or positive family history have more chances of DDH.

And u know how our moms used to carry us ( in India and few other countries ), yes on their hips , with us clinging on to them.Thank them for the same, that positioning reduces the chances of DDH.

The safe position is when the hips fall apart to the side with hips and knees bent.

The unhealthy position/increased risk is  is where the hips and knees are straight and both legs kept together.

With all the baby wearing slings, baby harnesses and car seats which we are using today  , the child is bound to spend some time in there. So we should carefully position the baby during such times.

The recommended position for baby wearing is called spread squat position/ M position / Jockey position – where thigh is spread around the mothers body, thigh supported, hips flexed ( bent ) and knee slightly above /at the level of hips.

It is also important to look for size of carriers and the baby for proper positioning of baby. 

It is simple once u are familiarised but just keep an eye if u are new to parenting.

So when u carry the baby ,check for this ,

  1. hips are spread out
  2. the hips and knees are bent
  3. thigh is supported

Here are some of the illustrations from International hip dysplasia Institute which gives a guidance

CAR SEATS

   NOT RECOMMENDED

carseat-07-v2

Not recommended

BETTER

carseat-08-v2-better

Better

Here the car seat in first image is not recommended because of restricted leg movement whereas the second one is better.

 

 

BABY HARNESS

              NOT RECOMMENDED

all_carriers

not recommended

BETTER

harness_onmom-679x1024-better

Better

Here again the first baby harness is not recommended as the thigh is not supported and leg is straight , whereas second one is better where the thigh is supported, hips are apart, hip and knee bent.

 

BABY SLINGS

                     NOT RECOMMENDED

sling-01-v2-not-rec

Not recommended

BETTER

sling-02-v2-better

Better

Again here , first one is not recommended whereas second one is better.

Infact there are few studies showing that proper baby wearing may reduce the incidence of DDH.

Ofcourse i have touched upon very specific part of baby wearing. There maybe so many other considerations you need to make such as back support, baby safety, buckle grip etc.

There are so many experts out there and i am sure they can guide you.

Hope this is of help to u.

Happy parenting.

And for those of u who want to read the entire guidance from the International hip dysplasia Institute , the link is here

 

 

 

 

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The pink ribbon-we can do much more than we think

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“Mamma I love you .. I care for u ” this was what my 5 year old told me giving this as soon as he was back from school.He did not know the reason behind this small gift but i knew he meant it and reminded me that i need to take care of myself .

 

 

 

The pink ribbon worn in the month of October as a part of breast cancer awareness month in support of  women with breast cancer.

Y wait till October to become aware .Let us do it right now.

Breast cancer is the most common cancer among women world wide.But how much do we know about it ??. There is still so much need and scope for awareness.We do not take it seriously in the subcontinent unless we know someone who is suffering from cancer or is on treatment .

But before u read ahead please remember that when u find a breast lump , it does not always mean cancer, there are many other causes for a lump in breast which are more common than carcinoma. So do not panic. All u have to do is take immediate consultation with your doctor- surgeon or your gynecologist who will guide you further regarding what tests you may require based on your individual condition.

So here i am sharing  some things about breast carcinoma  which may help us fight it together.

Breast cancer is treatable when detected early. So awareness is a crucial part.

The first step is self breast examination- that is examining your own breasts to look for any lumps or signs of carcinoma.

  • All women above the age of 20  should be practicing this self breast examination.
  • Frequency? maybe once a month preferably the days just after your monthly menstruation/ periods is complete.

Here are simple instructions how it can be done.

  1. Begin by looking at both breasts in mirror with hands on hips and shoulders straight. Look for their usual shape , size. Any nipple or skin changes.
  2. Now do the same with your arms raised above your head. Also look for any nipple discharge.
  3. Now feel the breasts while lying down.Use the tips of your fingers and keep them together. Use right hand for left breast and vice versa.You can use either circular motion or above downwards and side to side motion to cover the entire breast (from collarbone to top of your abdomen, from armpit to cleavage).
  4. Now repeat the same  either in sitting/standing position.

U can follow the link here for picture illustration of self breast examination

Next is screening,

Let me first introduce you to term screening . Screening is the medical term used when we look for a disease before it causes any symptoms or signs.So in this context we are looking for breast carcinoma in earlier stage even before it causes any symptoms or signs.

The tool used for breast carcinoma is called mammography. It is something similar (but not same) to radiograph/ x-ray of the breasts. It is started at the age of 40-45 years and then repeated every year. This applies to individuals with no family history of breast cancer /any other risk factors. If you have a known risk factor like anyone in the family has had carcinoma of breast  or any radiotherapy to chest due to some other reasons then you may have to start screening at an earlier age.

Please discuss with your doctor when u have decided to opt for screening as they may be able to guide and suggest to you  the nearest appropriate center and further details. 

Once screening mammography is done , if the report is normal, u should be returning back for your screening next year with self breast examination in the between time.

If the mammogram shows any suspicious lesion, then your doctor will be guiding you to take further tests accordingly to confirm the lesion.

Red flags : ( needs immediate attention)

  1. nipple retraction , new signs of inversion (pushed inwards instead of pointing out).
  2. breast lump with or without pain.
  3. any type of discharge from nipple.
  4. skin redness, soreness or rash

Any of the above signs, needs earliest consultation with the concerned doctor.

MYTH FACT
Breast cancer occurs in elderly Breast cancer can occur at any age
Breast cancer occurs only in females Very rarely can occur in males
Breast cancer cannot be treated Can be treated if detected early

Is it not easy?

 

How can we contribute. Again simple.

Practice self breast examination.

Share the information with ladies around u and spread the awareness. Somewhere someday someone may be benefited. You never know.