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.

Preeclampsia is a life-threatening pregnancy complication that is completely preventable and treatable if identified at an early stage. Yet the condition, majorly characterized by high blood pressure in pregnant women, remains the third leading cause of maternal deaths in India, said an expert from the All India Institute of Medical Sciences, New Delhi, today.

Marking World Preeclampsia Day, observed annually on May 22, Dr. Neena Malhotra, Professor and Head of the Department of Obstetrics and Gynaecology at AIIMS, highlighted the urgent need for early screening and awareness around preeclampsia.

“Preeclampsia is a serious disease. But it has a solution. Preeclampsia is a disease that we can identify very easily and quickly. We can stop it and treat it,” she said, lamenting that even today, women are suffering from the condition and are at an increased risk of death or morbidity due to it.

Dr. Neena stated that India has made major progress in reducing maternal mortality, yet preeclampsia continues to remain a serious challenge in the country.

“Our country’s mortality rate is around 90 per 100,000 live births, which is a significant achievement. However, preeclampsia is one disease we have still not been able to fully control,” she said.

Dr. Malhotra said an estimated 2 to 4 lakh women develop preeclampsia every year in India, making it one of the leading causes of maternal mortality after hemorrhage and infection.

She warned that severe preeclampsia can lead to:

• Brain hemorrhage
• Seizures
• Pulmonary edema
• Kidney failure
• Liver damage
• Sudden collapse

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What Is Preeclampsia? How To Identify?

Dr. Neena explained that preeclampsia is a pregnancy-related condition marked by high blood pressure and organ involvement, usually after 20–24 weeks of pregnancy. She noted that the condition can be identified through blood pressure monitoring and urine testing for protein.

She said common symptoms include swelling of the feet, stomach, and hands, while severe cases may present with severe headaches and epigastric pain.

“There are often no early symptoms, which is why screening during the first trimester becomes very important,” she added.

The expert said the high-risk pregnancy condition can be identified using Doppler ultrasound screening, blood tests, and gestosis scoring systems during the 13th or 14th week of pregnancy.

Women at greater risk include those with:

• High blood pressure
• Twin pregnancies
• Diabetes
• Autoimmune disorders
• Advanced maternal age
• Genetic predisposition

She also noted that women living at high altitudes and environmental factors may contribute to increased risk.

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Preeclampsia: The Importance of Early Screening

Dr. Malhotra stressed that early identification can significantly reduce severe complications.

“If 100 women are at risk of developing preeclampsia, low-dose aspirin under medical supervision can help prevent severe disease in nearly 90 women,” she said.

However, she cautioned women against self-medication and advised that aspirin should only be started after proper medical screening and consultation.

Preeclampsia: Impact On Babies

Preeclampsia can also severely affect babies, leading to:

• Low birth weight
• Growth restriction
• Premature birth
• Stillbirth

Awareness At Grassroots Level Crucial

Highlighting the role of grassroots healthcare workers, Dr. Malhotra said ANMs and primary healthcare workers must educate pregnant women about the importance of regular blood pressure monitoring.

She added that awareness and early identification remain the strongest tools to reduce deaths linked to preeclampsia in India.

Childhood myopia is emerging as a major public health concern in India, and is beyond the need for spectacles, said health experts from All India Institute of Medical Sciences, New Delhi.

Myopia or nearsightedness is a common vision condition where close-up objects appear clear, but distant objects look blurry.

Recent estimates suggest that by 2050, nearly half of the global population may be affected by myopia. In India, prevalence rates among school-going children have risen sharply over the years, with urban studies indicating nearly 14 per cent prevalence, while rural regions have witnessed a rise from 4.6 per cent to 6.8 per cent over the past decade.

“Childhood myopia is no longer just about children needing spectacles earlier in life; it is increasingly becoming a serious long-term eye health concern," said Dr Jeewan Singh Titiyal, President of All India Institute of Medical Sciences Rajkot (AIIMS Rajkot).

High myopia can:

• permanently alter the structure of the eye,
• significantly increase the risk of retinal detachment,
• lead to glaucoma,
• cause cataract,
• lead to irreversible vision loss later in life.

“Combating childhood myopia requires a collective effort involving families, schools, healthcare systems, and policymakers. School environments must encourage outdoor exposure and healthier visual habits, while parents need to monitor screen dependency and ensure balanced lifestyles,” said Dr Rohit Saxena, Senior Pediatric Ophthalmologist, RP Singh AIIMS, New Delhi.

New Myopia Prevention Guidelines

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In response to the alarming rise in childhood myopia across India and globally, the All India Ophthalmological Society (AIOS) has released a comprehensive Consensus Guideline on “Prevention and Management of Childhood Myopia” as part of World Myopia Week 2026, held from May 18 to 24.

Dr Rohit, who is also the Program Director – Myopia Guideline, urged ensuring that adequate sleep, nutrition, and physical activity are not compromised.

“Early diagnosis and timely management can significantly improve outcomes and help protect children from avoidable visual impairment and future sight-threatening complications,” he said.

Dr Jeewan, also the President of AIOS, added that, unfortunately, many children fail to report blurred vision because they do not realize what normal sight should feel like.

The experts attribute the surge in childhood myopia to lifestyle changes accelerated over recent years, including prolonged screen exposure, increasing academic pressure, reduced outdoor activity, and extended periods of near work.

The transition toward digital learning environments has further contributed to children spending 4–6 hours or more daily on screens, often with inadequate visual hygiene practices.

The AIOS Guidelines And The 20-20-20 Rule

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The new recommendations reinforce the importance of the widely advocated 20-20-20 rule, encouraging children to take a 20-second break every 20 minutes and focus on an object 20 feet away to reduce eye strain.

The newly released AIOS guidelines also strongly emphasize preventive strategies, including:

• annual eye examinations,
• school vision screenings,
• limiting recreational screen time,
• maintaining appropriate reading distance,
• ensuring adequate lighting during study,
• encouraging children to spend at least two hours outdoors daily.

“The prevention and management of childhood myopia require a shift from reactive treatment to proactive prevention. Environmental factors such as prolonged near work, excessive digital exposure, and reduced outdoor time are modifiable risks that demand immediate societal attention," said Dr Namrata Sharma, Professor of Ophthalmology, All India Institute of Medical Sciences, Delhi.

The guidelines also provide insights into currently available myopia control interventions, including:

• atropine eye drops,
• specialized myopia control spectacles,
• orthokeratology,
• soft multifocal contact lenses.

There has been a significant rise in the number of children diagnosed with kidney stones, with some reporting a doubling or quadrupling in incidence over the last 15-20 years. Also, the number of surgical cases related to kidney stones has increased.

While kidney stones are typically associated with adults, they are now being diagnosed in younger children, including infants. The rise in kidney stones among children is a complex issue with multiple contributing factors, including dietary changes, obesity, and possibly environmental factors.

What Is A Kidney Stone?

Kidney stones are deposits of different minerals that can accumulate in the urinary tract. They can travel from the kidney, down the urinary tract, to the bladder and eventually be urinated out.

Some cases require surgical intervention. If left untreated, kidney stones can cause damage to the kidney, serious infection of the urinary tract, and, over time, damage the function of the kidney.

Why Kidney Stones Are Rising?

A major contributor to this rise has been dietary changes like increased consumption of processed foods, high-sodium foods, and sugary drinks, coupled with lower water intake. Also, the growing prevalence of childhood obesity is another contributing factor.

Immobile patients are also more at risk due to decreased flow of urine that can lead to stasis and then to kidney stone formation. Antibiotic use (which can affect gut flora that metabolize oxalate), and potentially even climate change, leading to dehydration, may also play a role.

Some children may be predisposed to kidney stones due to inherited disorders that affect how their bodies process certain minerals.

Prevention Is Key

As always, prevention is better than a cure. So, as parents, there are a few things that can be done so that children can avoid developing stones.

Promote healthy diets: Encourage children to consume a balanced diet low in sodium, processed foods, and sugary drinks, while ensuring adequate calcium intake. Eating out less and cooking meals at home can make sure this happens.

Promote an active lifestyle: Encouraging children to go outdoors to play and exercise can play a big role in preventing childhood obesity, which can also be a contributing factor to stones.

Increase fluid intake: Encourage children to drink plenty of water throughout the day. Having a water bottle for kids to carry at school and using water drinking tracking apps to help keep them accountable and increase their water intake.

Avoid unnecessary antibiotics: Avoid unwarranted usage of antibiotics in children for minor ailments where they are not indicated.

Address underlying medical conditions: If a child has other medical conditions that increase the risk of kidney stones, these should be managed appropriately.

Monitor and manage: Early detection and management of kidney stones in children are crucial to prevent complications and recurrence.

To sum up, by promoting healthy habits and addressing underlying medical conditions, parents and healthcare professionals can help reduce the risk of kidney stones in children.