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PREVENTION OF CEREBRAL PALSY AND OTHER NEURODEVLOPMENTAL DISORDER Dr. Pradeep Dubey MD (Ped.), DCH. Dr. Pradeep Dubey - Consultant Pediatrician EMBRYO Fastest Growth Rate Brain growing still faster hence more prone to injury . Dr. Pradeep Dubey - Consultant Pediatrician NUTRITION OF MOTHER Age at conception >20 yrs. or < 35 yrs. Wt. > 40 kgs. Ht. > 145 cms (4’10”) Wt. gain in pregnancy – 10kgs in 9 mths. Dr. Pradeep Dubey - Consultant Pediatrician DIET Iron – Jaggery, Date palms & Apples etc. Protein – Milk, Cheese, Eggs & nuts etc. Calcium – Milk & Milk products. Smoking & Alcohal Food hygiene & Stay away from pets. Dr. Pradeep Dubey - Consultant Pediatrician MATERNAL BLOOD GROUP Mother – Rh negative Precautions for Rh incompatibility Dr. Pradeep Dubey - Consultant Pediatrician GENITOURINARY INFECTIONS Prolong low grade fever. Burning in micturition – rule out UTI Foul smelling genital discharge. Fever with rashes R/O G. U. infections of father Vaccination Rubella, TT, Hep. B. Dr. Pradeep Dubey - Consultant Pediatrician SYSTEMIC DISEASES OF MOTHER Diabetes, Hypertension, Epilepsy, Heart Disease. Uncontrolled diabetes risk of birth defect. Change drugs like valproate Dr. Pradeep Dubey - Consultant Pediatrician FOLIC ACID 400 mcg. Start before conception Birth defects by 30% Mandatory food fortification in US & Chile Dr. Pradeep Dubey - Consultant Pediatrician GENITOURINARY INFECTIONS Prolong low grade fever. Burning in micturition – rule out UTI Foul smelling genital discharge. Fever with rashes R/O G. U. infections of father Vaccination Rubella, TT, Hep. B. Dr. Pradeep Dubey - Consultant Pediatrician PRE & POST NATAL CARE Hospital delivery - “JANANI SURAKSHA” Asphyxia - < 10% - US study of 45,000 Deliveries. - depressed new born not able to breath Hypothermia Hand wash Dr. Pradeep Dubey - Consultant Pediatrician HEALTHY TRADITIONAL PRACTICES Psychosocial support. Good Nutrition – Milk, Ghee, Dry fruits & Jaggery etc. Isolation and temp. control Hygiene Dr. Pradeep Dubey - Consultant Pediatrician FEEDING Early breast feeding – Colostrum helps Avoid bottle feeding Weaning by 5 - 6 months. Dr. Pradeep Dubey - Consultant Pediatrician VACCINATION Special Attn : - BCG, - Hemoph. B. - MMR Dr. Pradeep Dubey - Consultant Pediatrician ALARMING SIGN Dr. Pradeep Dubey - Consultant Pediatrician WE ARE GUILTY OF MANY ERRORS AND FAULTS, BUT OUR WORST CRIME IS ABANDONING OUR CHILDREN, NEGLECTING FOUNTAIN OF LIFE. MANY THINGS WE NEED IN LIFE CAN WAIT, THE CHILD CAN NOT. RIGHT NOW IS THE TIME – HIS BRAIN IS GROWING , HIS BLOOD IS BEING MADE. HIS SENSES ARE BEING DEVELOPED. TO HIM WE CAN NOT ANSWER TOMORROW HIS NAME IS “TODAY” GABRIELA MISTRAL (NOBEL LAURIET FROM CHILE) Dr. Pradeep Dubey - Consultant Pediatrician FOR FURTHER DETAILS : PLEASE VISIT www.healthychildindia.com “DEVCHHAYA” Early Intervention Centre Prem Mandir Chowk, Wright Town - Jabalpur Dr. Pradeep Dubey - Consultant Pediatrician