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Nairalanders, what are your experience about Airtel 3gig for #1000=

the fact still remain that, you only kiss people you love with your heart

Why babies should not be bathed 24 hours after birth —NISONM President - Tribune
tribuneonlineng.com

President, Nigerian Society of Neonatal Medicine (NISONM), Professor Chinyere Ezeaka, examines the plight of newborns in Nigeria, and says it is worrisome, in this interview with Sade Oguntola.
What is the current situation of newborns in Nigeria and why is your society interested in such an issue?

Nigeria has the highest number of newborn deaths in the whole of Africa and the second highest in the world, coming second after India. Nigeria looses about 264,000 newborns every year, which comes to about 70,000 newborn deaths every day and about 30 newborns die per hour. This is totally unacceptable, given the fact that 90 per cent of these deaths in newborns are preventable.

The major causes of these deaths are prematurity, birth asphyxia (when babies fail to breathe immediately at birth), infection and neonatal jaundice.

You know after delivery, everybody is waiting for these new babies to cry, but due to many antecedent problems, these babies do not cry, and so that is a big problem.

The society has been playing a crucial role to help reduce these major causes of deaths in newborns. Our strategic objective is hinged on advocacy and partnerships with other relevant stakeholders to solve the problem of newborn deaths. We are also building capacity to every partner that is working on newborn health to reduce these deaths.

And in addition to neonatal deaths, we also have a lot of still births. So all these amount to a lot of wastages; deaths of these newborn babies who end up not achieve their potentials.

How are these preventable?

When babies are born premature, you must make them to breathe and to sustain breathing. Respiratory support is very critical to maintain the respiration and continual breathing.

Early and exclusive breastfeeding still remains core to the first immunisation for the newborn to withhold all the infections that abound.

Breast milk gives the child the early best start in life to achieve his life goals, without all the numerous complications that they have when the mother does not breastfeed.

Also, hand washing and the use of chloxidene gel for the umbilical cord care helps to prevent infections.

For modality of transport, kangaroo mother care should be embraced and then as a standard of care, the baby should be kept warm in the kangaroo position.

In science, evidence has shown that when a preterm baby is put skin to skin, that generates warmth, keeps the baby closest to the breast and that it can be used as a modality of transport for a newborn.

It is being used globally for the past 37 years and it is still just catching on very slowly in Nigeria. Incubators are not enough for the Nigeria’s teeming population of preterm babies; we do not have electricity to sustain the incubators and you also need to maintain those incubators.

What about birth asphyxia?

Every delivery centre, even traditional birth attendants (TBA) need to be trained on how to use the ampule bag to initiate breathing in the golden minute. So, instead of turning a baby, beating the baby, turning the child upside down and slapping the baby, this equipment will be put on the baby’s nose and squeezed to expand the lungs of the baby. This is applied within one minute of delivery to ensure air goes in and you see this baby cry.

Unfortunately, many delivery centres do not have this ampule bag which cost about N5,000 despite its importance to initiate breathing. If you do not give oxygen to a baby’s brain within five minutes, that brain is damaged. Such a baby ends up with mental retardation.

So, we are saying that a lot of attention has to be put in the area of newborn health.

A lot of these had to do with ignorance and poverty. Many pregnant women, in fact, are not even registered for antenatal care, so they do not go to clinics to deliver.

No matter how ignorant they are and how poor they may be, they do not want their babies to die. So they need information and we want the government to come to their aid and give some insurance. There should be some free medical insurance or welfare system for these mothers.

Also, a mother who is 28 weeks gestation and is going into labour should be referred to a centre where the baby and the mother will be looked after in appropriate condition after delivery. This is the standard of care. But that is not the scenario that happens and reason many premature babies are dying.

These are babies you have to put in a drip to be able to give them glucose. Due to immaturity, they cannot suck or swallow. These are the problems.

How safe is methylated spirit for umbilical cord care in newborns?

Mothers should not use methylated spirit, chloxidene gel which is an antiseptic gel is superior. The use of this gel should start immediately at delivery, after the cord had been cut off. It means that the gel should be available in the delivery rooms, too.

Also, exposure to naphthalene balls or camphor should be avoided in cord care. It should also not be used to store their cloths. If it is absorbed through their skin, it breaks down there red bloods cells, forming bilirubin. The same is also the case with methylated robs and powders.

Danger signs that new mothers should note?

The most worrisome of these danger signs that mothers and health workers miss is newborn jaundice. Within three to five days, after birth, mothers should get to the health centres so that their babies can be checked for jaundice.

Jaundice is a killer. Within a week, if the baby is not brought to the tertiary centre, the brain undergoes an irreversible brain damage due to a high level of bilirubin.

But if it is detected early when the baby is brought to the hospital , the baby is put under a special light. Sometimes, we exchange the blood to remove the bilirubin and reduce damage to the brain.



Some experts are saying babies need not be bathe in the first 24 hours after delivery and that it is protective. What is your view?

Cleaning babies is very good, but we allow them to delay the first bath to at least after the first 24 hours to keep the baby warm. It is the best way of keeping the baby warm.

Also, when you bathe them as soon as they are born, you are removing God’s own bacterial protection on their skin against infection, and you are creating more problems.

If you notice many babies in our community in the first month of life or first two weeks of life come down with a lot of rashes. It is an infection, and it can even can kill.

Introvert are known to be cool headed people that love to do things without much struggle. They don't club much, calm in football viewing center, they find it difficult to dance in social gathering even in the house of God.
if you are an Introvert and you want to worship God, I recommend you join the JW. (Jehovah Witness).
what I observed about these people is that, they are calm and gentle in their worship.







please don't ask me if am a member.

this will help many people especially the beautiful ladies that could no longer show their beautiful skin because of stretch mark

is it Android Fero, or Fero Android
what is more important is the way you make use of it.
Never over load it with unnecessary application

A warm welcome to another g8t week
Itel released its best affordable Android smart phone bet between Itel P51 and infinix hot 4, which one is best prefer to buy for a younger brother in school.

Prudent200:
how much

between #28k - 35k.

OAFMods:
Are you Igbo or ipob ?

What has tribe got to do with the expression.

In Nigeria, black is known to be official with the police with wide condemnation and the police in other to redeem its image, add blue and other colours to its uniform.
majority believe that black is bad, why will our leaders choose to appear in black dresses?
to me, whenever I see them in black in a gathering, I perceived them as wicked human being that have nothing good to offer the people.

love d compilation

one day monkey will go market bet will never return.
1 day mr Liar Mohammed won't be able to defend with lies anymore when the whole thing is revealed.

one day monkey will go market bet will never return.

I believe the gov paid them to leave his state to other state for their violence.

it's just that some people tends to modernize some words and call it new fashion

Harrisonwo:
Judging from the outcome of the NEDC bill, am sure they will support him on the loan since it will benefit the region and in one way or the other themselves.
My question, how will the country repay the loan because our debt profile is rising seriously.
I somehow support the PDP on this, what happened to the recovered loots?

let's give the fg some year to recover more loot but there must be transparently

its true Nigeria is in need of critical infrastructures but the President had emphasized on the rebuild of north east, the fear now is that, will the President obtain loan just for a particular region left for the whole country to pay

It's a welcome idea.
let their be true check & balance in all department but normal procedure must be adopted.

Nigerians should vote wisely because nothing good comes out of their second term. take examples from some governors in their second term. eg Ondo, Osun, Ogun etc no new project, salaries unpaid so why second term?

lordkhalifa:
Nigeria police are evil.... kill them all... police is your worst enemy

if you have brother in the force, will you say the same. your statement is bad remember they may be of help to you one day.

mrvitalis:
3 billion dollars will cultivate, Mill, D stone and Polish over 1000000 hectares of long grain rice.. That's over 120 million bags of rice..

Seriously something is wrong with our brains

it begins with you

Mine is Adekunle Gold - pick up

Look like a Civil Defence staff

Good one from op

serious government, let see how this team takeover from EFCC.

richidinho:
See diz mu.mu mk I no even correct u

you are fantastically rude to your elder.

uncleck:
i hope you won't come back to lament that you don't know when you subscribed to those services that cut your credit

although its my right to complaint but to surprise you, I did my research before the migration stuff.

Stallione:
which one did u migrated to?

extra special

mikolo80:
na 30 second call you de make only ne

am better than you that recharge 100 for 2wk.

CACAWA:
Lai lai, impossible.

So you want Buhari to risk his life on that thing you call monorail.

No way. DSS will not allow.

NSA will not allow.

Prof. Osinbajo will represent him.

better still, Rotimi Amechi might represent the President. afterall he started the project while hr was the state governor.