When I met my friend Aishwarya's daughter, Aanya, on a Sunday afternoon, she was building an entire world in her backyard using only sticks, leaves, and her imagination. In her eyes, a stick became a magic wand, leaves turned into currency for her "shop," and an old cardboard box was her fortress. Aishwarya admitted that this was Aanya’s “free play” time—a period without gadgets, instructions, or adult guidance, which made me curious.

To put this to rest, we had a word with Dr Kushal Agrawal, Neonatologist and Head of the Department of Neonatology and Paediatrics at KVR Hospital Kashipur, "Unstructured play is much more than just frivolous fun. It is an integral part of child development. Today, children do not have much scope for free play. With the academic system, straddled by extracurricular activities and digital entertainment, the scope for unstructured play is getting smaller and smaller.". On the contrary, research reveals that unstructured plays hold a lot of benefits for children that structured activities may not have in store.

What are the Physical Benefits of Unstructured Play?

According to Dr Agrawal, "free time plays" are a great way for kids to get involved in physical activities meant for their growth. "When children are left to play freely, their movements become more varied and spontaneous," he says. Science behind this practice does support this because free play increases the levels of physical activity, which is moderately vigorous in children; this is essential in preventing childhood obesity and promoting health in general.

Other than these, the outdoor environments provide opportunities and challenges for natural development outside. While children run, jump, climb, and look around the outdoors, they can become able to develop strength, coordination, and endurance for a healthy and active lifestyle by exercising. Otherwise, structured activities often restrict children to specific movements or instructions.

How Play helps in Social and Emotional Growth of Kids?

Except for physical fitness, disorganized play lays the foundation for basic social and emotional capabilities. During unorganized play, children invent their games, negotiate roles, settle disputes, and collaborate to attain some common objectives. According to Dr. Agrawal, "such interactions build empathy, cooperation, and communication skills as children learn to express themselves, listen to others and adapt to group dynamics.".

Research indicates that children learn emotional resilience through unstructured play, navigating minor setbacks in a low-stakes environment. If the game goes sour, kids learn to solve the problem on the spot; this builds up their self-confidence as well as independence. This is a kind of play that gives children the freedom to learn by themselves and try new things without having the fear of being prohibited by others or the fear of failure.

How Parents can Encourage Creativity and Problem-Solving in Children

Freedom in play helps unlock a child's creativity and the problem-solving aspects. Most structured activities have predetermined tasks or instructions that do not develop creative thought. According to Dr Agrawal, "When children are allowed to be free, they can explore and create their own scenarios, which are meant for developing unique solutions based on critical thinking.".

Unstructured play provides children with a number of materials for play—blocks, sand, or leaves, for example—without script, so that they invent games, build imaginary worlds, and, in a very real sense, answer their natural curiosity. It has been proven that this type of play helps children to make decisions, adaptability, and innovations, qualities useful throughout life.

Is Play Holistic Approach to Child Development?

Dr Agrawal believes that unstructured play is a very important factor of all-rounded child development. "Nowadays, children's lives are very scheduled, so it's very important for the parents to remember how necessary play is", he further adds. Being freely playful would be a great support to their healthy physical development as well as social, emotional, and cognitive development.

As parents, we can encourage free play by creating an environment that encourages exploration and curiosity. What can be very impactful is giving the child a safe outdoor space and setting aside gadgets to allow for uninterrupted time to play. As these spaces tend to be counterintuitive to everything that can be seen as a hallmark of productivity and measurable progress, unstructured play allows the children to build resilience, independence, and joy.

Giving Children the Freedom to Play

More than just being childhood, unstructured play confers a wide range of benefits since children learn to manage social dynamics, solve problems independently, and bring their creativity into life which puts them better prepared for the challenges of adulthood. In this natural form of play, people lay down a foundation for lifelong skills to achieve balanced wellbeing and success.

The next time you catch your child playing carefree—maybe using a stick as a wand or a rock as a pet—take the time to be thankful for the developmental steps.

Are your kids completely safe inside the classroom? A new study has raised concerns about the air quality in classrooms, particularly the bacteria that could result in reduced lung function in children.

Recent research presented at the European Respiratory Society (ERS) Congress in Barcelona, Spain intended to ensure that schools have completely healthy environments for children, particularly their developing lungs.

Classrooms Have High Levels Of Two Harmful Bacteria Groups

The study was presented by Dr. Soutrik Banerjee from the Department of Environmental and Prevention Sciences, University of Ferrara, Italy, and French technology company, Alten S.A.

Researchers from the University of Ferrara in Italy and French technology company Alten analysed data from the SINPHONIE project, which examined indoor environmental conditions in multiple schools across Europe.

The analysis is based on nearly 300 classrooms across 22 European countries. Researchers measured the levels of Streptomyces and Mycobacterium in classroom dust and compared this with lung function in children using spirometry, a standard test to measure breathing and respiration health.

The researchers adjusted their analysis for several factors that could affect lung function, including children's age, sex, body mass index, exposure to second-hand smoke, pet allergens, socioeconomic factors, age of the school building, region and local outdoor air pollution.

They found that children in classrooms with higher levels of Streptomyces had a 0.08-litre lower forced vital capacity (FVC).

Also read: 6-Year-Old Australian Kid Dies From Rarely Seen ‘19th Century Disease’: Why Is Scurvy Still A Risk Today?

What Is Forced Vital Capacity?

Meanwhile, higher levels of Mycobacterium were associated with a 0.06-litre lower FEV₁ and a 0.13-litre-per-second lower peak expiratory flow (PEF). FEV₁ measures how much air can be exhaled in the first second of a forceful breath, while PEF measures the fastest rate at which air can be expelled.

Dr Banerjee told the Congress, “We know that indoor air quality in schools can be affected by pollutants, humidity, ventilation, temperature, dampness and biological agents like fungi and bacteria. However, much less is known about whether the types of bacteria growing in classroom dust are linked to children’s lung function.”

“We were particularly interested in two bacterial groups, Streptomyces and Mycobacterium spp., which are found in soil, dust and water systems. We wanted to see whether higher exposure to these bacteria in the classroom is associated with children’s lung health across Europe.”

Also read: US Newborns Are Missing A Crucial Vitamin K Shot Which Can Lead To Brain Bleeding

How Dangerous Are These Bacteria?

Both Streptomyces and Mycobacterium are present widespread in the environment. They are found in soil, dust and water systems. The study did not show that children developed a bacterial disease because of classroom exposure.

Instead, researchers are investigating whether exposure to the bacteria could influence the airways and thereby their lung function.

One possibility is that they could irritate the respiratory tract or activate immune and inflammatory pathways. Another is that the bacteria may simply be markers of other problems inside a classroom, like excess moisture, poor ventilation, inadequate cleaning or outdoor dust entering the building.

Dr Soutrik Banerjee, from the University of Ferrara, said: “The bacteria may either have a direct biological effect, or they may be indicators of other indoor environmental factors that influence lung function.”

A small reduction in a lung function measurement does not automatically mean that a child has lung disease. Lung function naturally varies between children according to age, height, sex and other factors. The differences reported in this study were modest for individual children, according to the researchers.

However, Banerjee said the findings could still matter at a population level because children are repeatedly exposed to school environments. “Children are exposed to school indoor environments every weekday, and a mild to moderate reduction in lung function today may be a precursor to preventable lung disease in later life,” he said.

How Can This Be Prevented?

The European Respiratory Society specifically cautioned against taking extreme measures like sterilising classrooms.

Professor Alexander Möller, Head of the ERS Paediatric Assembly and Professor of Paediatric Pulmonology at the University Children's Hospital Zurich, who was not involved in the study, said: “The practical message is not that schools should become sterile environments.”

But he pointed that adequate ventilation, control of dampness and mould, regular cleaning and proper building maintenance could help.

Nutrition during pregnancy becomes very important. However, once the baby is born, the mother’s diet quietly gets pushed to the back of everyone’s priority. That is a big mistake.

The first six weeks post-birth is an extremely important time for the health of both the woman and her infant according to the WHO; post-natal health care is underemphasized. Delivery poses a lot of stress on the woman. Loss of blood, hormonal changes, healing of the tissue, disturbed sleep pattern and breastfeeding all require more intake of nutrition.

When “I’ll Eat Later” Becomes a Health Issue

Mothers do not eat regularly due to their babies’ feeding pattern, tiredness, or lack of help in the household. Some mothers start eating less food, thinking they will lose their baby weight quickly. This will cause them to lack proteins, iron, calcium, vitamin D, iodine, vitamin B12, and other vitamins that will be necessary during their recovery.

Anemia needs to be considered specifically for Indian women. NFHS-5 found that 52.2% of pregnant women between 15 and 49 years of age in India had anemia. It is also not resolved after giving birth when mothers started labour with an insufficient amount of iron or lost blood during labour.

Also read: Lindsay Clancy Trial: What Postpartum Psychosis Really Looks Like, From A Survivor

Breastfeeding Changes Nutritional Needs

Breastfeeding imposes extra requirements for energy. As per the CDC of USA, well-nourished lactating mothers require about 330 to 400 kilocalories extra per day than what they consumed before pregnancy.

It is not “eating for two,” but eating more nutritiously. Proper meals should comprise of proteins, grains, vegetables, fruits, milk or its alternative sources, nuts, seeds, and enough water. Iron, calcium, and Vitamin D supplements, as prescribed, should also be taken.

Recovery Needs a Care Plan Too

The recovery from childbirth needs to be considered in terms of medical recovery and not something that mothers do if they want to. Families can contribute by making sure that the new mother is eating regularly, has healthy foods at hand and that there is shared care giving to give her some time to eat and rest.

Exhaustion, dizziness, breathlessness, weakness or lack of appetite should not be brushed off as "normal postpartum symptoms". Having a healthy baby does not give reason for the mother to be forgotten. The fourth trimester is where recovery starts, not the point when mothers' care ends.

By Dr. Himani Sharma, Clinical Head and Senior Consultant – Obstetrics and Gynaecology, Cocoon Hospital, Jaipur

A rare 19th century disease that was once seen in sailors has claimed the life of a six-year-old boy in Queensland, Australia. A severe vitamin C deficiency, which went undetected for a long time, seems to be the reason behind the child's unfortunate death.

Connor Dean passed in August 2024 at Queensland Children’s Hospital. Newly released findings from Deputy State Coroner, Stephanie Gallagher, concluded that severe vitamin C deficiency, consistent with scurvy, was the most likely factor in his death that happened following cardiac arrest.

The case has drawn attention as scurvy is now considered extremely rare in countries where fresh food is widely available. But it has not disappeared completely.

Most Severe Outcome Of Scurvy

Scurvy develops when the body does not get enough vitamin C, or ascorbic acid, for a prolonged period. Vitamin C is needed to make collagen, a protein that helps maintain blood vessels, skin, bones, cartilage, and other tissues.

When there is a severe deficiency, blood vessels and connective tissues can become fragile, leading to bleeding, inflammation and problems with wound healing.

In Connor's case, his symptoms initially did not indicate scurvy clearly. He developed knee pain, limping and a shuffling gait in July 2024. His symptoms were initially thought to possibly be related to a playground injury. Doctors also considered conditions like infection and leukaemia.

His health deteriorated further. Doctors observed that he developed a persistent rash, reduced blood flow to the brain, renal problems, multi-organ failure and sepsis.

Severe vitamin C deficiency eventually emerged as the condition that could connect many of these symptoms. The coroner found that Connor's death was associated with severe vitamin C deficiency consistent with scurvy.

Also read: US Newborns Are Missing A Crucial Vitamin K Shot Which Can Lead To Brain Bleeding

Why Was The Child Become Deficient In Vitamin C?

According to the coroner, Connor's paediatrician had raised concerns about his growth and nutrition due to his diet. By 2023, he had become a very fussy eater and was avoiding fruits or vegetables completely. His diet was described as containing foods like white bread, beef sausage, custard and chocolate.

His mother had also said that he was taking a multivitamin. However, the supplement he was taking was not the one his doctor had specifically recommended. The coroner also found that the product's label did not include vitamin C.

Does Scurvy Risk Exist Even Today?

Scurvy exists even today even though severe cases are uncommon. A child does not develop scurvy because they refuse to eat fruits and vegetables for a few days. Severe deficiency generally develops after prolonged inadequate vitamin C intake.

Children with highly restricted diets are in high-risk groups, especially when their food choices exclude most sources of vitamin C. The risk can also be greater when there are underlying medical or developmental challenges that affect eating.

Connor had Down syndrome and a congenital heart condition, along with prolonged concerns about his growth and diet.

Also read: UK Flu Jabs Begin For Children And Pregnant Women: What You Need To Know

What Are The Warning Signs Of Scurvy?

Early symptoms are not specific, which can make the condition difficult to recognise. Possible signs include:

• Fatigue and weakness
• Irritability
• Poor appetite
• Leg or joint pain
• Swollen or bleeding gums
• Easy bruising
• Skin changes or small haemorrhages
• Poor wound healing
• Anaemia

As deficiency becomes severe, bleeding, tissue damage and serious complications can develop.

While modern food availability has made severe vitamin C deficiency uncommon, prolonged restrictive eating can still create serious nutritional gaps.