When mothers initially feed their babies, they make them lie on their laps, however, the same position may not be safe when the baby is feeding off the bottle.
It is important to feed your baby through the bottle in a semi-upright position and support their head. Do not feed them lying down, as formula or the milk from the bottle can flow into the middle ear, and cause infection. Also, unlike breast and its nipple, the bottle does not have the mechanism to ensure that milk is being overflowed. Also, in order to prevent your little ones from swallowing air as they suck, tilt the bottle so that the formula fills the neck of the bottles and covers the nipple.
While some babies happily drink from any bottle, some are much pickier. Yes, you read it right, babies need different bottles, based on how their bodies react after being fed.
If you have a baby with gas, it is best to try a bottle with a venting system. Now, this allows your baby to avoid air in the milk while feeding. Such bottles mimic the shape and feel of a breast or an actual nipple. Bottles with fewer parts are also easier to clean, which could be great during the middle-of-the-night feedings.
For new moms, it is also a great advice to start with a slow-flow nipple to avoid overwhelming your baby and switch to a faster flow when they seem to hold the bottle themselves and can finish milk in less time.
As per the National Health Scheme (UK), NHS UK, it is important to be prepared to experiment well with the kind of bottles that suits your baby the best. Thee is no evidence that only one type of teat or bottle is better than any other.
It is always best to ensure that you screw the top tightly into the bottle before you feed your baby.
Bottle feeding is more than just feeding and nourishing your baby, it is also an opportunity to bond with your babies. Babies also feel secure when their caregivers are feeding. This is why it is important that even before you start bottle feeding, you first find a comfortable spot to sit with your baby close to you. Look at them and gently hold the and talk as you feed.
Hold your baby in a semi-upright position during bottle feeds, with their head supported. This ensures they can breathe and swallow comfortably. Brush the teat gently against their lips, and when they open their mouth wide, let them draw the teat in.
Take your time—babies feed at their own pace, so be patient and allow them plenty of time to enjoy their meal.
Always supervise your baby during feeding sessions. Do not prop the bottle or leave them alone with it. This can also cause choking hazard, or the milk could pool in their mouth which could increase ear infections.
The bottle's position matters as much as baby's position. When feeding, hold the bottle in a horizontal position, tipping it slightly. This helps the milk flow steadily and reduces the amount of air your baby may swallow. If the teat flattens, gently pull the corner of your baby’s mouth to release the suction. Should the teat become blocked, replace it with a fresh, sterile one.
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Seeing your child suddenly screaming at night, with wide eyes and thrashing limbs, can be deeply unsettling. However, remaining calm and focusing on safety is crucial for parents during the sleep terror episodes, said health experts.
Sleep terrors, also known as night terrors, are episodes of sudden fear, screaming, or intense distress that occur during sleep.
The condition is more common in children, especially between the ages of 3 and 8 years, as their sleep patterns are still maturing.
Unlike nightmares, which usually happen during dreaming (REM sleep) and are often remembered, sleep terrors occur during deep non-REM sleep.
Dr Preeti Singh, Senior Consultant, Clinical Psychology, Max Super Speciality Hospital, Dwarka told HealthandMe, that while it may be frightening to witness, especially for parents, sleep terrors themselves are usually not harmful.
Although most kids outgrow this naturally, if the episodes are violent or very frequent, consult a specialist, added Dr Sudhir Kumar, a neurologist at Apollo Hospitals, Hyderabad.
During sleep terror, the child may sit up abruptly, shout, appear frightened, sweat, breathe rapidly, and be difficult to console. In most cases, they do not recall the episode the next morning.
Sleep terrors typically occur in the first third of the night, during deep sleep (slow-wave sleep). They are considered a type of parasomnia, meaning an unusual behavior during sleep.
Dr Kumar, in a post on social media platform X, explained that unlike a bad dream, a sleep terror happens in deep sleep (Stage N3).
It is characterized by abrupt sitting up/screaming, with physical signs that include a fast heart rate, sweating, and dilated pupils.
"It is 11 PM. Your child suddenly sits up, screams at the top of their lungs, and looks terrified. They are not responding to you, and they seem to be looking right through you. This is likely a sleep terror (night terror), a common NREM sleep parasomnia in children aged 3-12,” said Dr Kumar, popularly known as the Hyderabad doctor, on X.
The expert noted that the children are unlikely to recognize the parents and be "consoled" during the episodes.
For children, sleep terrors are often developmental and tend to reduce as the nervous system matures, Dr Singh told HealthanMe.
Parents often feel alarmed during a sleep terror episode, but the key is to remain calm, the experts said. They said during an episode:
Other preventive measures include:
Most children do not require medical treatment, as sleep terrors usually resolve on their own with age. Treatment is considered when episodes are frequent, severe, cause injury, or significantly disrupt family life.
However, addressing sleep deprivation, treating any underlying medical conditions (e.g., sleep apnea), counseling or stress management strategies can help.
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Mexico has reported more than 2,700 new cases of measles so far this year, as per the government data. Most of these infections have been detected among infants and young children. Not too far away, in the US, as per the Centers for Disease Control and Prevention (CDC) data, 900 new cases have been confirmed.
However, unlike in the 1990s, the Secretary of Public Education in Baja California Sur, Alicia Meza Osuna, clarified that it is not a requirement to present the complete vaccination schedule for children to attend schools. However, in the Mexican city of Cabo San Lucas, specific health measures are being taken.
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In the 1990s, the Ministry of Health (SSA) and the Ministry of Public Education (SEP) required that children be protected against diseases such as measles, polio, rubella, tetanus, diphtheria and tuberculosis before entering preschool or primary school, as part of the health prevention policies. However, at present, as Alicia Meza Osuna stated, "It is not a requirement to enroll children in school to present their vaccination card. Under no circumstances is it a requirement to present a complete vaccination schedule for a child to attend school."
Measles, also known as rubeola, is an extremely contagious viral illness that typically causes high fever, cough, runny nose, red and watery eyes, and a characteristic rash that begins on the face and spreads downward across the body. It spreads through respiratory droplets and can lead to severe and sometimes fatal complications, including pneumonia and inflammation of the brain known as encephalitis.
Although it is preventable through the safe and effective MMR vaccine, measles remains a serious threat in many regions. There is no specific cure, and treatment focuses on managing symptoms, according to the Cleveland Clinic.
Measles has a high transmissibility, and high measles immunity levels are required to prevent sustained measles virus transmission.
This is why herd immunity for measles could be easily breached.
It easily spreads from one infected person to another through breathes, coughs or sneezes and could cause severe disease, complications, and even death.
The most unique symptom or the early sign of measles in the Koplik spots. These are tiny white dots that look like grains of salt on red gums inside the cheeks that appear before the red rash starts to appear on a person's face and then the body.
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Furthermore, the symptoms of measles are also characterized by the three Cs:
The progression of the symptom comes in two stages, first is the prodromal stage or Days 1 to 4, where one would notice high fever, cough, runny nose, red and watery eyes, sore throat, fatigue, and Koplik spots.
The second stage is called the rash stage or the days 5 to 10 or even more where rash start to appear on the hairline, and then it runs down the body. It lasts for several days and fades in the same order.
The first symptoms, notes the Centers for Disease Control and Prevention (CDC), appear 7 to 14 days after a measles infection. Often, it could also lead to ear infection, or even diarrhea. Though these complications happen in every 1 in 10 children or individual with measles.
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As per the American Psychological Association (APA), only 58.5 per cent of US teens always or usually receive the social and emotional support they need, as per the report by the US Centers for Disease Control and Prevention (CDC).
Another National Institutes of Health (NIH, US) report notes that the most mental health disorders among children ages 3 to 17 in 2016 to 2019 were attention deficit disorder (9.8%, approximately 6 million), anxiety (9.4%, approximately 5.8 million), behavior problems (8.9%, approximately 5.5 million), and depression (4.4%, approximately 2.7 million). For adolescents, depression is concerning because 15.1% of adolescents ages 12-17 years had a major depressive episode in 2018-201.
However, not all are able to receive the help, in fact, parents too find themselves struggling when it comes to helping their children.
Despite growing concern about a mental health crisis among young people in the United States, a large national study suggests the care system continues to fall short for many families.
Researchers from the Harvard Pilgrim Health Care Institute in Boston found that nearly one quarter of children who require mental health treatment are not receiving it.
The findings come from survey data collected from more than 173,000 households between June 2023 and September 2024.
The analysis showed that about one in five households, or 20 per cent, had at least one child who needed mental health support. Yet among those families, nearly 25 per cent said those needs were not met.
Even families that eventually obtained care often faced significant hurdles. Nearly 17 per cent described the process as difficult and exhausting.
The research letter was published February 16 in JAMA Pediatrics.
The study found that family circumstances strongly influenced how easy it was to navigate the health care system.
Families with multiple children reported higher unmet needs at 28 per cent, compared with 21 per cent in households with only one child. Single parent households also reported more difficulty securing appointments.
Education setting played a role as well. Homeschooled children had higher unmet needs at 31 per cent compared with 25 per cent among children attending public school. Researchers suggest this may reflect the absence of school counselors and other school based support systems.
Insurance and finances created additional barriers. About 40 per cent of families covered by Medicaid or without insurance said they could not get care specifically because it was too hard to access.
In a news release, lead author Alyssa Burnett said nearly one quarter of parents reported that at least one child did not receive needed mental health care, highlighting persistent access gaps.
Researchers noted several common barriers. Families cited treatment costs, a shortage of clinicians and logistical issues such as scheduling and travel.
The study also found disparities among racial and ethnic groups. Families from minority backgrounds had higher rates of unmet needs compared with non Hispanic white households. However, Black households reported less difficulty accessing care at 13 per cent compared with 17 per cent among white households.
Experts involved in the study say improving access may require shifting where care is delivered.
Senior author Hao Yu, an associate professor of population medicine at the institute, said states should expand the child mental health workforce and integrate mental health services into primary care settings to remove barriers and improve access to needed treatment.
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