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

After Australia's social media ban for children under 16, New York is also considering a mental health warning for the young social media users. Social media platforms with infinite scrolling, auto play and algorithmic feeds will now be required to display warning labels about the harm to young users' mental health. This is under a new law, announced New York Governor Kathy Hochul.

“Keeping New Yorkers safe has been my top priority since taking office, and that includes protecting our kids from the potential harms of social media features that encourage excessive use,” Hochul said in a statement. This law aims to create a warning on platforms that offer "addictive feeds" auto play or infinite scrolls and applied to conduct occurring partly or wholly in New York. This however does not work for users when used outside the state. Hochul also compared the social media warning labels with products like tobacco, where there are labels like the risk of cancer on the packaging itself.

Not just this, but even India could be considering brining in a social media ban for teens.

What Is Happening In India With Teen Ban On Social Media?

While hearing a write petition, the Madras High Court asked the Union Government to look for possibilities in passing a legislation similar to the ban of under 16s using social media in Australia. The petition was to emphasize on the awareness of the stakeholders and parental windows in the device that could control the menace of pornographic material which is easily accessible to children. The court asked Centre to order internet provider service companies to provide a 'Parental Window' to prevent children from accessing such content.

The Madurai Bench of Justices G Jayachandran and KK Ramakrishnan told the authorities of child rights to accelerate this matter. The bench also noted that children could only be prevented from consuming such content only if there is a parental control app on the device. Judges also noted that parents have a higher responsibility in this, as children are highly vulnerable to such content.

What Is Happening In Australia?

To protect the mental health of children, Australia is now banning several social media apps, which include: Facebook, Instagram, Snapchat, Threads, TikTok, X, YouTube, Reddit, and streaming platforms Kick and Twitch. YouTube Kids, Google Classroom and WhatsApp are not covered under this rule as they do not fit those criteria. While anyone under 16 will be still able to watch most of the content without logging in, however, they cannot have an account on it. Critics are urging the government to widen the ban to include online gaming platforms such as Roblox and Discord, which are currently not covered.

Read: Australia Social Media Ban Explained: Why Government Plans to Restrict Accounts of Under-16s

The government says that it will also reduce the negative impact of social media's "design features that encourage [young people] to spend more time on screens, while also serving up content that can harm their health and wellbeing". A government study which was commissioned in 2025 found that 96% of children aged 10 to 15 used social media, and that seven out of 10 of them were exposed to harmful content. These content were misogynistic and violent in its nature, furthermore, content promoted eating disorders and suicide.

Children and parents will not be punished for infringing the ban, instead, social media companies will face fines of up to A$49.5m, which is equivalent of US$32m for serious or repeated breaches.

Anyone below the age of 16 in Australia is now banned from using social media services. These platforms include TikTok, X, Facebook, Instagram, YouTube, Snapchat and Threads. The law now says that anyone under 16 cannot make new social media accounts and their existing accounts will be deactivated. This is the first of its kind banned and is also being watched by other countries.

What Is The Reason Behind The Under-16 Social Media Ban?

To protect the mental health of children is the main reason behind the ban. Furthermore, the government says that it will also reduce the negative impact of social media's "design features that encourage [young people] to spend more time on screens, while also serving up content that can harm their health and wellbeing". A government study which was commissioned in 2025 found that 96% of children aged 10 to 15 used social media, and that seven out of 10 of them were exposed to harmful content. These content were misogynistic and violent in its nature, furthermore, content promoted eating disorders and suicide.

Read: AI Therapy Gone Wrong: Psychiatrist Reveals How Chatbots Are Failing Vulnerable Teens

1 in 7 also reported experiencing grooming-type behavior from adults or older children. More than half said that they were also victim of cyberbullying. The ban right now expands over platforms and apps like Facebook, Instagram, Snapchat, Threads, TikTok, X, YouTube, Reddit, and streaming platforms Kick and Twitch.

The government laid down three categories, under which the ban has been considered for the apps, these criteria are:

• whether the platform’s primary or substantial purpose is to enable online social interaction between two or more users
• whether users can interact with some or all other users on the platform
• whether users are able to post or share content

YouTube Kids, Google Classroom and WhatsApp are not covered under this rule as they do not fit those criteria. While anyone under 16 will be still able to watch most of the content without logging in, however, they cannot have an account on it. Critics are urging the government to widen the ban to include online gaming platforms such as Roblox and Discord, which are currently not covered.

Also Read: Why Social Media Trends Could Be Detrimental To Your Health?

Are There Any Checks And Balances On The Ban?

The law notes that children and parents will not be punished for infringing the ban, instead, social media companies will face fines of up to A$49.5m, which is equivalent of US$32m for serious or repeated breaches. The government has said that these companies must take 'reasonable steps' to keep kids off the platforms. These 'reasonable steps' include asking for government IDs, face or voice, or "age interference" that analyzes online behavior and interactions to estimate a person's age. Platforms have been advised against relying on users self-certifying or parents vouching for their children. Meta, which own Facebook, Instagram and Threads have started to close teen accounts from December 4 onwards. Snapchat will also be using bank account, photo ID or selfies for verification.

However, government reports have found facial assessment technology to be least reliable for teenagers. Some critics have also raised their concerns on potential fines. Some have also pointed out other platforms which involves gaming platforms, or AI chatbots that have encouraged children to kill themselves and indulged in 'sensual' conversations with minors.

For generations, childbirth has been closely tied to a certain visual and emotional script. Bright lights, clinical beds, beeping monitors, and an air of urgency have long defined labor rooms. Today, that script is being rewritten. Across hospitals and birthing centers, childbirth is undergoing a quiet but powerful aesthetic shift, one that places calm, comfort, and emotional safety at the center of the experience.

At the heart of this transformation is the growing popularity of warm water births and thoughtfully designed birthing spaces. As Dr. Preety Aggarwal, Medical Director of Obstetrics and Gynecology at Motherhood Hospitals, Gurugram explains, “From harsh hospital lights to calm, spa-like spaces, childbirth is being reimagined as a peaceful, deeply personal experience wherein tranquility takes center stage over tension.” What once felt intimidating is increasingly being shaped to feel intimate and reassuring.

From Medical Event to Life Experience

Childbirth has always been transformative, but for decades, the setting often heightened fear rather than eased it. Labor rooms were designed primarily for efficiency and medical control, not for emotional comfort. That approach is now evolving. More couples are actively seeking environments that respect birth as both a physiological and emotional journey.

“Childbirth is a one-of-a-kind experience. It is deeply transforming for the mother,” the doctor notes. This understanding has prompted hospitals to rethink how birthing spaces look and feel. Neutral colous, warm lighting, wooden textures, and minimal visual clutter are replacing stark whites and harsh fluorescents. The goal is not to eliminate medical safety, but to soften its visual dominance.

The rise of warm water birthing pools fits naturally into this shift. These pools are often placed in private, dimly lit rooms that resemble wellness studios rather than hospital wards. Gentle music, controlled lighting, and calming scents further enhance the sense of control and peace.

Why Warm Water Changes the Experience of Birth

Water has an innate ability to soothe. Immersion in warm water relaxes muscles, reduces physical tension, and encourages slower, deeper breathing. According to clinical observations, many women feel a stronger sense of control when laboring in water. The pool acts as a physical and psychological buffer, helping block out noise, distractions, and external stress.

The expert points out that water births are not only about comfort but also about reducing fear. Many mothers report feeling less anxious and more connected to their bodies during labor. This inward focus can make contractions feel more manageable and the overall experience more empowering.

Rephrasing this idea, the essence of water birth lies in its ability to support the body’s natural rhythm. Instead of fighting pain, women are encouraged to work with it, supported by warmth, buoyancy, and privacy.

Aesthetic Calm with Clinical Safety

One of the most common misconceptions about serene birthing environments is that they compromise safety. In reality, the shift is about balance. Modern birthing spaces are designed to keep medical equipment accessible but discreet. The focus is on emotional well-being alongside clinical readiness.

“There is a clear shift in attitude,” the doctor explains, adding that childbirth is no longer seen as just a medical event but as a life experience deserving emotional care. This change also reflects broader conversations around respectful maternity care, where the mother’s comfort, dignity, and choices are prioritized.

Creating a Zen Birth Experience

For expectant parents interested in this approach, preparation plays a key role. Choosing a hospital or birthing center that offers warm water birth options and calming room designs is the first step. Simple additions like soft lighting, calming music, and guided breathing techniques can make a noticeable difference.

Incorporating natural elements such as plants and warm colors helps create a grounding environment. Emotional support from a partner, doula, or trusted caregiver is equally important. A clear birth plan that balances comfort preferences with medical safety allows both parents and healthcare teams to work in harmony.

Redefining How Birth Feels

Warm water pools and serene birthing environments are changing more than the appearance of labor rooms. They are reshaping how birth is felt, remembered, and processed. By replacing tension with tranquility, this approach supports mothers in feeling calmer, more confident, and more present during one of life’s most intense moments.

As the expert advises, anyone considering this option should discuss it with their doctor and make informed decisions based on individual health needs. What is clear, however, is that the aesthetics of childbirth are no longer an afterthought. They are becoming an essential part of how birth itself is experienced, marking a meaningful shift toward gentler, more human-centered care.