Neonatal mortality remains a major health challenge across the world, which involves neonatal sepsis and other related factors of prematurity. Though many strides have been done in reducing NMR, there is a need for more appropriate interventions and strategies directed towards addressing the rise in the escalation of AMR. Combating AMR will be critical in improving neonatal survival rates while giving each newborn a healthier start into life globally.

The newborn period is the key period for infant health, and the first 28 days of life are critically important-both for survival and as a base to set lifetime health and development. Neonatal deaths globally have witnessed a significant decline over the past couple of decades. The neonatal mortality count has significantly reduced dropping from a high of 5 million in 1990 to as low as 2.3 million as of 2022. However, this decline notwithstanding, neonatal mortality is still staggeringly high across low-and middle-income nations.

Neonatal mortality rates are 22 per 1000 live births in India. Neonatal sepsis and prematurity are the main causes of neonatal deaths in these tragic events. Recognizing the gravity of the issue the Indian government started the Indian Newborn Action Plan (INAP) in 2014. The goal is to take NMR down to the single digits by 2030. This initiative has brought in several key interventions, including antenatal care (vaccines, micronutrient supplementation), skilled birth attendance, clean birth practices, and neonatal resuscitation techniques. More promisingly, postnatal interventions, including early initiation of breastfeeding and skin-to-skin contact, have been proven to work well in improving newborn survival rates.

Despite these improvements, one of the biggest concerns in neonatal care today is the growing problem of antimicrobial resistance (AMR) which seriously threatens efforts to reduce neonatal mortality.

What is Antimicrobial Resistance?

Antimicrobial resistance occurs when microorganisms such as bacteria, viruses and fungi evolve over time and become resistant to commonly used antibiotics and other medications. This resistance makes infections more difficult to treat, increasing the risk of mortality and complicating treatment options. The World Health Organization has classified AMR as one of the most urgent global health threats since it not only causes death and disability but also places immense pressure on healthcare systems, significantly raising the economic burden.

The sources of AMR are many, including poor hygiene and infection control in healthcare settings, overuse and misuse of antibiotics. Contributing factors to this rapidly growing problem are antibiotic prescriptions for patient needs that do not require them and failure to complete antibiotic courses, as prescribed.

AMR and Newborn Health

For neonates, the risk is much more vital for AMR. Neonates are particularly prone to developing infections due to their rather weak immune systems. Neonatal sepsis, severe bacterial infection, is one of the leading causes of neonate deaths and it often manifests complications when it is because of drug-resistant pathogens.

According to Dr. Apoorva Taduri, Consultant Neonatologist, "Neonatal sepsis accounts for a significant proportion of neonatal deaths, and AMR is making it worse. MDR pathogens cause around 30% of neonatal sepsis mortality globally.

Maternal health and care are also factors influencing AMR in neonates. Over-prescription of antibiotics during pregnancy increases the risk of neonatal sepsis and the development of multi-drug-resistant pathogens in newborns. This calls for prudent use of antibiotics during pregnancy and at the time of delivery. In fact, studies indicate that indiscriminate use of antibiotics in mothers has a direct impact on neonatal health, which may eventually lead to resistant infections in newborns.

One of the major issues is that the drug-resistant bacteria are causing an increasing number of healthcare-associated infections in the neonatal care settings, which include NICUs. Infections by such bacteria prove to be challenging to treat; they require more advanced, expensive interventions, and the period of risk of mortality and morbidity is extended.

Counteracting AMR in Neonatal Care

To combat AMR and reduce neonatal mortality a multifaceted approach is necessary. Dr. Taduri emphasizes the continuation of the strategies outlined by the Indian Newborn Action Plan (INAP), specifically in reducing neonatal sepsis and improving infection control. However, to combat AMR more must be done to ensure proper use of antibiotics in both maternal and neonatal care settings.

Key strategies for reducing AMR in neonatal care are:

1. Improving Infection Prevention Practice: This implies, therefore, that more efforts would be made regarding stricter hospital hygiene standards, strict equipment sterilization after its usage and even maintaining adequate hand hygiene. Enhanced infection control practices greatly impact minimizing AMR pathogens distribution.

2. Antibiotic Stewardship- Teaching the healthcare providers how not to use antibiotics is a crucial thing in preventing overuse prescription. Antibiotic stewardship programs are designed to promote use of antibiotics only when truly required; appropriate drug, dose and length of treatment should be taken.

3. Improved access to WASH: Access to clean water and sanitation is a fundamental aspect of preventing infections in mothers and newborns. WASH interventions such as clean birthing practices, can reduce the risk of neonatal sepsis due to unsanitary conditions.

4. Maternal Health Strengthening: Proper maternal care, such as proper vaccination, antenatal steroids, and supplementation of micronutrients, can reduce the risk of prematurity and neonatal infection. Prevention of infection in mothers is the first step towards prevention of infection in newborns.

5. Early Diagnosis and Treatment: Early identification and treatment of neonatal infections are very important. This includes proper screening for sepsis and the use of appropriate antibiotics based on the local resistance patterns. It also involves ensuring that infants receive adequate neonatal care, such as those provided in Special Newborn Care Units (SNCUs).

The rise of antimicrobial resistance is a global health challenge that requires urgent action. Combating AMR requires a coordinated effort from governments, healthcare systems and communities worldwide. In neonatal care, addressing AMR is essential to further reducing neonatal mortality rates and ensuring that every newborn has the opportunity to thrive.

As Dr. Taduri concludes, "While we have made substantial progress in reducing neonatal mortality, the emerging risk of antimicrobial resistance creates a major challenge for our efforts. Combating AMR requires a global collective effort, with priorities on infection prevention, responsible use of antibiotics, and enhancement of healthcare practices to ensure a healthier future for all newborns."

Dr Apoorva Taduri is a Consultant Neonatologist at Fernandez Hospital

Frida Baby thermometer is facing severe backlash after parents criticized the company's marketing language on its packaging. The parents claimed that the company cracked sexual jokes on using baby thermometers and that it crossed a line for a product that was designed for infants.

The controversy gained more traction this week after a social media user posted about it on X with photos stating that the marketing relies on sexual jokes.

An X user @staystaystace wrote: "sexual jokes to market baby products is actually sick and twisted @fridababy this is absolutely appalling and disgusting".

Frida Baby Thermometer: What Was The Problem With Marketing

The photos include a screenshot of the thermometer packaging on which the graphics are pointed out to be problematic and inappropriate by the parents. Furthermore, the caption on the official account of Frida Baby social media reads: 'This is the closest your husband's gonna get to a threesome...'

In another photo of Frida Baby 3-in-1 Eat, Forehead and Touchless Thermometer, the marketing phrase reads: 'How About A Quickie?'

Another photo on steps for using the humidifier, the caption on the packaging reads: 'I Get Turned On Easily'. While a fourth photo reads: 'I'm A [Powerful] Sucker'.

Parents claim that the brand has used sexual market phrases found similarly on self care toys and massagers for products which are made for infants.

Read: Six-year-old Child Dies Of Medical Negligence During MRI At Greater Noida Imaging Centre

Amid this, older content from 2020, including deleted social media posts resurfaced featuring a baby with visible nose discharge and the caption read: 'What Happens When You Pull Out Too Early #nosefrida #dontmove'.

More recently, Frida Baby again drew attention for an Instagram post that centered on breastfeeding. The carousel post includes slides with statements like: 'Boobs, everyone loves to see them', followed by commentary on how breasts are widely accepted in pop culture, but criticized in the context of feeding a child. The final slide reads: 'Show Us What Your Boobs Can Do', which directs readers to company's website. A user on the Instagram post commented: "Hey so why do you sexualize your products??"

Another photo that resurfaced from 2021 reads: 'Top Windi Pro-Tips to tap that [g]ass (and sometimes even [poop emoji]):

• - Massage it real good
• - Lube that ish up
• - Wear a poncho

However, there were some parents who also defended the brand's tone and argued that humor is clearly aimed at adults who are navigated through the realities of parenting.

Frida Baby Thermometer: How Did The Brand React?

In an emailed statement, as reported by Complex, the spokesperson for the brand said:

From the very beginning, Frida has used humor to talk about the real, raw, and messy parts of parenting that too often go unspoken. We do this because parenting can be isolating and overwhelming, and sometimes a moment of levity is what makes a hard experience feel human, shared, and survivable.

Our products are designed for babies, but our voice has always been written for the adults caring for them. Our intention has consistently been to make awkward and difficult experiences feel lighter, more honest, and less isolating for parents.

That said, humor is personal. What’s funny to one parent can feel like too much to another. We’re never trying to offend, push boundaries for shock value, or make anyone uncomfortable. Importantly, our tone is never separate from our product. The humor we use is always grounded in a specific feature, benefit, or innovation — a reflection of the real problem we are solving for families.

Frida was built to support families through some of the most vulnerable and transformative chapters of their lives. We stand firmly behind that mission. We will continue to show up with honesty, empathy, and courage.

With each decision we make, we will continue to evaluate how we express our voice so that our commitment to families is unmistakable and our tone always meets the moment.

Infants cannot speak, so how do new parents know if their babies are hungry?

Picture this. You have just changed your baby's diaper, and went to bed, to finally rest. Suddenly, you hear a loud wail. Your baby is crying, again! This time, it is the hungry cry.

But what if we tell you that you no longer have to disrupt your rest with your baby's cry for hunger? This is only possible when you already know when to feed your baby. Babies cannot tell when they are hungry, so more often than not, parents may miss to understand they are hungry, until the hunger cry starts. But there are some cues you can look for to feed your baby!

Read: Are Indians 'Pressure Cooker' Parenting Their Kids? Gurugram CEO Raises Questions

Hunger Cues In Your Baby

Increased Activity

Your baby might become more alert and active. Thinking about food can make babies excited, so you may notice them moving around more than usual.

Head-Turning

Babies often turn their heads from side to side as if searching for food.

Mouth Movements

Look for signs like opening and closing their mouth, resembling a tiny bird waiting to be fed.

Rooting Reflex

Turning their head toward the breast, chest, or bottle is a classic hunger cue.

Sucking Motions

Babies may make sucking motions with their mouths, even if they don’t have a pacifier or bottle nearby.

Lip Smacking or Drooling

Increased drooling, lip-smacking, or sticking out their tongue are all signals they’re getting ready for a meal.

Sucking on Hands or Clothing

Your baby might start sucking on their fingers, hands, or even their clothes as a sign of hunger.

Clenched Fists

Watch for little fists clenching in frustration and impatience.

Focused Eye Contact

Babies who recognize their primary feeder might stare and follow you around the room with their eyes.

Facial Expressions

A furrowed brow or a distressed look might be your baby’s way of saying, “When’s the next meal?”

The “Neh” Sound

According to Dunstan baby language, the sound “neh” just before crying often means hunger.

Also remember that hunger pangs are strong enough to wake most babies, even from deep sleep. However, if your baby consistently sleeps for extended periods, it’s important to ensure they’re feeding frequently enough for their age.

For newborns, it’s generally recommended that they don’t regularly sleep longer than 4 hours at a stretch. Occasional long naps are fine—especially if they give you a much-needed rest! However, if your baby frequently sleeps through feeding times, consult your pediatrician to determine if gentle wake-ups for feeding are necessary.

How do you know your baby is feeding well enough?

It can be difficult to ensure that your baby is well fed, especially if you are breastfeeding, or when your baby is not of the age when he can talk. However, there are signals too for this, in fact your baby also learns how to signal that they need more milk or food.

It also depends on the age. For instance, a newborn will feed often, usually every 2 to 3 hours and sometime smore often. They feed up to 12 times every 24 hours. As your baby grows, their tummies grow too, in fact the tummy grows form a size of cherry at birth to walnut in 3 days. In a week, it is at the size of plum and in a month, it is of the size of a large chicken egg.

The "I am not hungry right now" signs for babies are:

• releasing or pushing away the breast or bottle
• closing their mouth and not responding to encouragement to latch on or suck again
• open and relaxed hands (instead of clenched)
• relaxing their body and even going a little limp
• looking around and showing interest in playing or other things
• looking content and maybe even smiling
• appearing happily drowsy and ready to go back to sleep

"Indian parenting is pressure cooker parenting. One of the worst models globally. Not because parents are evil. But because the system is broken and no one questions it," wrote co-founder and CEO of Knot Dating Jasveer Singh on X.

He further wrote: "Most Indian parents didn't raise children. They raised outcomes. Children are treated like owned assets."

Netizens reacting to his X post acknowledged the truth behind the statements he made. One of the users wrote: "This hit hard. Every line feels personal! You just described half of middle class India in one post."

While another wrote: "Oh my god! I love this post!! I'm sharing it -- it's brilliant. And so true. Hard feel!! I don't know who you are. But bless you".

What Is Pressure Cooker Parenting And Why Is It Being Discussed?

Singh's statement was not centered on parental intent, but on a system that leaves limited space for emotional expression for children and parents alike.

Pressure Cooker parenting comes from the utensil popularly used in Indian households called pressure cooker. It is a sealed pot that cooks food faster by using high pressure steam. It is compared to parenting because children are often under high pressure form their parents and society where they are expected to do certain thing and to become what their parents want.

While 2026 is switching away from gentle parenting, this way of parenting could do more harm to the child.

Pressuring the child could impact their confidence. Furthermore, when Singh wrote: "Children are raised like owned assets". It refers to the norm of how parents raise their kids to become something so they could be used as a social currency.

More often than not, a child's status, in terms of the work he or she does, and the salary he or she earns, the status of a family is decided. While it is an unsaid rule, it does pressurizes children into it.

What Is Wrong With Indian Parenting?

In a 2022 Facebook post shared by entrepreneur Ankur Warikoo, he noted things that are wrong with Indian way of parenting, which included:

• Comparison between children with others' children.
• Killing curiosity by not responding to their questions or saying that they are dumb and silly.
• Focusing more on society, especially on who to marry, how to dress, where to work.
• Looking at the world through their own experiences.
• Emotional blackmail.
• Dismissing mental health.
• Lack of trust in their own kids.
• Not teaching them about financial independence.