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Clinical Kaumarabhritya
Clinical Kaumarabhritya
Description
Foreword

To protect, nurture and fondle once own procreation is an intense desire of every living being. The human, one of the most developed creation of the mother nature has made all efforts to have a healthy, beautiful progeny endewed with all the best qualities. It is but natural to find relevant reference in earliest available written literature i.e. ‘Vedas’ full of knowledge of all the subjects known till to day including about progeny and its health.

Medicine in Vedic era was magicoreligious, where-in prayers were offered to God Aswinis to make the foetus intelligent, agni for making it strong, deities for safe delivery and sky, earth, sun and air etc. to give pleasure and tenderness to it. This description in an insinuation that it was known during those days that intelligence and strength of the foetus, the future man can be modified during intrauterine life, safe delivery is important for future and entire atmosphere influences not only health of foetus and child, but also can help in eradication of certain diseases, as the cough involving each and every part of the body and tuberculosis (yaksma) are said to be cured by nutritive diet (havi) and living in hill or forest areas, the areas having fresh air and abundant sun-rays cures these and other diseases also.

Breast feeding was started after first feed of somarasa an ambrosia by goddess Aditi, the mother of god Indra, probably to inhance immunity and also to test normalcy of gastrointestinal tract. Mother’s lap was considered most comfortable to the child because it offers psychological impetus to the newborn besides being suitable in temperature.

Certain concepts and rituals practiced today seem to have descended from vedic period i.e. concept of first eruption of upper teeth is fatal for parents and pacification to ward-off evil effect, as well as tonsure ceremony to provide better eye-sight, longevity and good health etc. Besides these all the details about clothes, immunoinhansive and nutritive food, piercing of ear (Karna vedhana) and seizure by grahi, yatudhani etc. simulating graham of ayurveda are referred in Vedic literature.

Literature on medicine descended from Vedas to ayurveda, classics of which are most systematized description of medicine with method of teaching/training in theory and practice in most scientific way with the then available tools. Its division in eight branches is based exclusively for its application in practice i.e. preventive, protective, rehabilitative and curative care.

Maharsi Susruta the surgeon has unequivocally emphasized the importance of knowledge of theory and practice both in the worlds that the one possessing knowledge of only theory or practical is like a bird with only one wing thus can not fly, one who is expert in both and intelligent can accomplish his object.

In ayurpveda subject is most systematized and practical Kaumarabhrtya on the eight branches of ayurveda though initially included aspects related to health of child in entirety i.e. Obstetrics, Gynaecology also besides neonatalogy and paediatrics etc., yet today with more emphasis on specialization, Kaumarabhrtya is principally concerned with subject related to the health of the child.

In ayurveda acute dearth of clinical oriented books specially of Kamarabhrtya is existing even today, inspite of such a long time for its systematized education as a distinct speciality. Dr. Upadhyaya an yongue teacher, researcher and clinician has fulfilled the gap to certain extent with his book ‘Clinical kaumarabhritya’ which is according to present curriculum of graduate standard education. To make subject intelligible, he has divided the book in eleven chapters covering the subject from the time of birth of neonate and has included even emergency procedures; explanation of subject through tables and diagrams has increased acceptability specially to novices.

I am sure that it would be a boon to all those associated with care of children more so to the novices entering the field.

I congratulate Dr. P.S. Upadhyaya and wish that he continues his journey in the survice of goddess Saraswati besides accomplishing his duties towards students and born nationals.

About the Author

Dr. P.S. Upadhyay S/o Sri Ram Tej Upadhyay and Smt. Dropati Devi MD (Ay.) Ph.D., Lecturer, Department of Kaumarbhritya, Govt. Ayurvedic College and Hospital, Atarra (Banda) U.P. born on 5th Jan. 1974 at Sultanpur Dist. (U.P.). He has completed B.A.M.S. from Lucknow University, M.D. (Ay.) and Ph.D. from Banaras Hindu University, Varanasi, was senior resident at Institute of Medical Sciences, BHU from 2006-2009. He was elected as District Instructor of Neonatal Resuscitation Programme for year 2009-2011 by Indian Academy of Pediatric in Varanasi. He has published five papers, presented two paper in International seminar and three seminar/conference. He is member of all India Ayurvedic specialist (P.G.) association, Life Member of Bhartiya Sangyaharak Association and Vishwa Ayurveda Parisad. He is skilled in management of neonatal and pediatric disorders.

About the Book

My effort embedded in this book is based on revised syllabus (year 2010) by Central Council of Indian Medicine, New Delhi. It covers the practical (clinical) part of the Kaumarbhritya subject having 100 marks. The matter embedded in this book collected from, Brahattariya, Laghuttriye, books of Neonatology, modern pediatric and my clinical practical experiences, which was taught by my teacher during residency period. The main topics covered in this book are examination and Care of newborn, Navjat Shishu Prana- Pratyagaman, Immunization and Vaccine preventable diseases, panchakarma, pediatrie equipments including phototherapy, Intravenous fluid administration and blood sampling, emergency procedure like lumber puncture, bone marrow aspiration, thoracocentesis and abdominal paracentesis, umbilical cord care technique, feeding in children, emergency medicine with normal laboratory values and proforma of Neonatal/pediatric case record. This book will be help full for MD (Ay) Kaumarbhritya scholars, students of PG diploma in Kaumarbhritya, Practioners in field of Kaumarbhritya, B.A.M.S. students and MD (Ay) intrance examination.

Preface

If a child has suffering from birth asphysia/disease, he faces many problems. If he did not have such problems then he is healthy. It is possible when he has protected by anyway. It is best thought that “Prevention is Better than Cure” but it is concerned mostly for preventive aspect. A diseased child, with parent seek doctor to treat the disease. In this view a small effort has made to provide the knowledge for prevention/treatment of infant & children along with the proper caring, proper immunization. Morbindity & mortality of infant & children (below 14 years) is very high in India with reference to other developing country. This text contains care of new born, Immunization, neonatal resuscitation, vaccine preventable diseases, emergency procedure & equipments. The efforts embedded in this book is based on opinion of my teacher Dr. B.M. Singh, Head Department of Kaumarabhritya and Dr. Sangeeta Gehlot, Head Department of Kriyasharir, Faculity of Ayurveda, IMS, BHU, Varanasi. I hope this book will be helpful for BAMS students, M.D (Ay) scholars student of P.G. diploma and Practioners in field of Kaumarbhritya. Any suggestions to improve this book will be grateful acknowledged.

Contents

Chapter Page No.
1 Examination and Care of Newborn 3-23
History and Physical Examination of the Newborn 3
Maternal history 3
Current pregnancy 3
Perinatal history 4
Past obstetric history 4
Drug history 5
Family history 5
Routine physical examination of the neonate 5
Physical examination of the neonate 5
Neurological examination 7
Neonatal reflexes 7
Moro reflex 8
Rooting and sucking reflex 8
Assessment of Gestational Age 8
New Ballard Score 9
Physical Maturity 9
Neuromuscular maturity 9
Apgar Score 14
Care of Normal Newborn 15
Components of neonatal care 15
Preparation for delivery 15
Immediate care at birth 16
Care after birth 16
Essential postnatal care 17
Home messages for care of normal newborn 18
Normal variations of newborns 19
Milia 19
Mongolian blue spots 19
Erythema toxicum 19
Peeling skin 20
Epstein’s pearls 20
Regurgitation and vomiting 20
Failure to pass meconium and urine 21
Disorders due to transplacental passage of maternal hormones 22
Mastitis neonatorum 22
Vaginal bleeding 22
Mucoid vaginal secretions 23
2.Navjat Shishu Prana-Pratyagaman (Neonatal Resuscitation) 24-34
ABC’s of Resuscitation 24
Basic resuscitation 24
Anticipation of need for Resuscitation 25
Ante partum factors 25
Intra partum factors 26
Equipments & Medicines for Resuscitation 26
Positive pressure ventilation 27
Care after successful resuscitation 29
Assessment and timely recognition of the problem 29
Advanced Resuscitation 29
Endotracheal intubation 29
Chest compressions 30
Ayurvedic Approach of Navjat Shishu 32
Prana-Pratyagamana 33
3. Immunization and Vaccine preventable Diseases 35-66
Immunobiologics 35
Vaccine 35
Toxoid 35
Immunoglobulin 36
Antitoxin 36
Vaccination 36
Vaccine contents 36
Types of vaccines 37
Cold chain 37
Immunization schendue 39
National immunization/universal immunization programme 39
IAP immunization schedule 39
Vaccination schedule in adolescents 40
Combination vaccines 41
Vaccination in HIV/AIDS Positive Patients 41
Vaccination schedule of an unimmunized child 42
Immunization schedule for travelers 43
Newer vaccines 43
Adverse events following immunization 46
Details of particular vaccines 48
Vaccine Preventable Diseases 58
4 Panchkarma 67-83
Purva karma 67
Pradhan karma 67
Paschat karma 67
Preparatory procedure of Purvakarma 67
Snehana Karma 67
Procedure of snehana karma 68
Determination of kalawadhi 69
Determination of dose 69
Dietetic management prior to snehana 69
Anupana in snehapana 70
Observation after snehapana 70
Feature of sneha jirna 70
Feature of samyak snehana 70
Feature of asnigdha snehana 70
Acute complication of snehapana 70
Chronic complication of snehapana 70
Post-snehana regiman 70
Scientific approach of snehana 71
Svedana (Dudation) Karma 71
Type of svedana by Kashyap 72
Scientific approach of Svedana 73
Indication of Svedana 74
Contraindication of Svedana 74
Feature of asamyaka Svedana 74
Feature of smayaka Svedana 74
Feature of ati Svedan 74
Post svedana regimen 74
Vamana Karma 74
Indication of Vamana karma 75
Contraindication of Vamana karma 75
Procedure of Vamana 75
Criteria of effective Vamana 75
Features of samyaka Vamana 76
Features of asamyaka Vamana 76
Features of excessive Vamana 76
Complications of Vamana 76
Virechana Karma 76
Pharmacodynamic properties of Virechana drugs 76
Indications of Virechana karma 76
Contraindication of Virechana karma 77
Procedure of Virechana 77
Determination of Drug Doses in Virechana 77
Criteria of effective Virechana 77
Features of samyak Virechana 77
Features of ayoga Virechana 78
Feature of atiyoga Virechana 78
Complications of Virechana 78
Vasti Karma 78
Classification of Vasti 78
Indications of Asthapana Vasti 79
Contraindications of Asthapana Vasti 79
Indications of Anuvasana Vasti 79
Contraindications of Anuvasana Vasti 79
Features of asamayak Vasti 79
Features of asamayak Vasti 79
Features of excess Vasti 79
Sirovirechana Karma 79
Classification of Nasya 80
Indications of Nasya Karma 80
Contraindication of Nasya Karma 80
Age at which Nasya can be given 80
Determination of doses in Nasya karma 80
Features of adequate Nasya 81
Features of inadequate Nasya 81
Features of excessive Nasya 81
Advantages of adequate Nasya karma 81
Scope and importance of Pancha karma 81
Pachan Karma 81
5 Pediatric Equipments 84-91
Phototherapy 84
Indication for phototherapy84
Machanism of phototherapy 85
Methadology for phototherapy 86
Monitoring during and after phototherapy 87
Contraindications for phototherapy 87
Intensive phototherapy 87
Continuous/intermittent phototherapy 87
Intensive phototherapy 87
Contraindications for phototherapy 87
Intensive phototherapy 87
Continuous/intermittent phototherapy 87
Home Phototherapy 88
Sunlight Treatment of Jaundice 88
Side effects of phototherapy 88
Overhead Radiant warmer 89
Constructional detail of Overhead Radiant warmer 89
Purpose of Overhead Radiant warmer89
Key function in Overhead Radiant warmer90
Display and Buzzer function in Overhead Radiant warmer90
Special Resuscitation equipments & Medicines90
6 Intravenous - Fluid and Blood Sampling92-102
Indication of Intravenous - Fluid administration92
Quantity of fluid in Neonates 92
Quantity of fluid in Infant and children93
Deficit fluid93
On going loss94
Maintenance fluid94
Quantity of maintenance fluid based on age of child95
Quantity of maintenance fluid based on weight of child95
Rate of administration95
Blood Sampling96
Femoral blood sampling96
Venous canulation/puncture98
Intra osseous (IO) infusion100
Indications of Intra osseous Infusion100
Contraindications of Intra osseous Infusion100
Steps of Intra osseous Infusion101
Complication of Intra osseous Infusion102
7 Emergency Procedures103-113
Lumbar Puncture103
Indications for Lumbar Puncture103
Contraindications of Lumbar Puncture103
Procedure of Lumbar Puncture103
Complications of Lumbar Puncture104
Bone marrow aspiration104
Indication of Bone marrow aspiration105
Contraindication of Bone marrow aspiration105
Equipment & drugs for Bone marrow aspiration105
Procedure/Usual sites of Bone marrow aspiration106
Complications of Bone marrow aspiration106
Thoracocentesis/Intercostal Drainage106
Indication of Thoracocentesis107
Contraindications of Thoracocentesis107
Position and Site of Thoracocentesis107
Methods of Thoracocentesis107
Post procedure management of Thoracocentesis108
Complications of Thoracocentesis109
Abdominal paracentesis109
Cord Care Technique111
Delivery room procedure111
Method of cord care in Samhita granth113
8 Feeding in children114-122
Objectives of Infant and Young Child Feeding114
Norms for Infant and Young Child Feeding114
Early Initiation of Breastfeeding114
Value of Colostrum115
Exclusive breastfeeding115
Counselling for breastfeeding during pregnancy115
Complementary Feeding115
First food for the baby116
Traditional foods for infants116
Protective foods116
Ten steps to successful breastfeeding117
Problems in breast feeding117
Inverted nipples118
Sore nipple118
Breast engorgement118
Breast abscess119
No enough milk119
Method of breast feeding119
Stana-Pana Vidhi (Method of Breast Feeding)120
Objective of the IMS Act121
The IMS Act-Main Points121
9 Common Medicine123-132
10 Normal Laboratory Value133-140
11 Neonatal Case Record/Pediatric Case Record141-148
References149
Index 151

Clinical Kaumarabhritya

Item Code:
IHL098
Cover:
Paperback
Edition:
2010
Publisher:
Chaukhambha Visvabharati
ISBN:
9788190987127
Size:
8.5 Inch X 5.5 Inch
Pages:
182
Other Details:
weight of book 200 gms
Price:
$20.00   Shipping Free
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Foreword

To protect, nurture and fondle once own procreation is an intense desire of every living being. The human, one of the most developed creation of the mother nature has made all efforts to have a healthy, beautiful progeny endewed with all the best qualities. It is but natural to find relevant reference in earliest available written literature i.e. ‘Vedas’ full of knowledge of all the subjects known till to day including about progeny and its health.

Medicine in Vedic era was magicoreligious, where-in prayers were offered to God Aswinis to make the foetus intelligent, agni for making it strong, deities for safe delivery and sky, earth, sun and air etc. to give pleasure and tenderness to it. This description in an insinuation that it was known during those days that intelligence and strength of the foetus, the future man can be modified during intrauterine life, safe delivery is important for future and entire atmosphere influences not only health of foetus and child, but also can help in eradication of certain diseases, as the cough involving each and every part of the body and tuberculosis (yaksma) are said to be cured by nutritive diet (havi) and living in hill or forest areas, the areas having fresh air and abundant sun-rays cures these and other diseases also.

Breast feeding was started after first feed of somarasa an ambrosia by goddess Aditi, the mother of god Indra, probably to inhance immunity and also to test normalcy of gastrointestinal tract. Mother’s lap was considered most comfortable to the child because it offers psychological impetus to the newborn besides being suitable in temperature.

Certain concepts and rituals practiced today seem to have descended from vedic period i.e. concept of first eruption of upper teeth is fatal for parents and pacification to ward-off evil effect, as well as tonsure ceremony to provide better eye-sight, longevity and good health etc. Besides these all the details about clothes, immunoinhansive and nutritive food, piercing of ear (Karna vedhana) and seizure by grahi, yatudhani etc. simulating graham of ayurveda are referred in Vedic literature.

Literature on medicine descended from Vedas to ayurveda, classics of which are most systematized description of medicine with method of teaching/training in theory and practice in most scientific way with the then available tools. Its division in eight branches is based exclusively for its application in practice i.e. preventive, protective, rehabilitative and curative care.

Maharsi Susruta the surgeon has unequivocally emphasized the importance of knowledge of theory and practice both in the worlds that the one possessing knowledge of only theory or practical is like a bird with only one wing thus can not fly, one who is expert in both and intelligent can accomplish his object.

In ayurpveda subject is most systematized and practical Kaumarabhrtya on the eight branches of ayurveda though initially included aspects related to health of child in entirety i.e. Obstetrics, Gynaecology also besides neonatalogy and paediatrics etc., yet today with more emphasis on specialization, Kaumarabhrtya is principally concerned with subject related to the health of the child.

In ayurveda acute dearth of clinical oriented books specially of Kamarabhrtya is existing even today, inspite of such a long time for its systematized education as a distinct speciality. Dr. Upadhyaya an yongue teacher, researcher and clinician has fulfilled the gap to certain extent with his book ‘Clinical kaumarabhritya’ which is according to present curriculum of graduate standard education. To make subject intelligible, he has divided the book in eleven chapters covering the subject from the time of birth of neonate and has included even emergency procedures; explanation of subject through tables and diagrams has increased acceptability specially to novices.

I am sure that it would be a boon to all those associated with care of children more so to the novices entering the field.

I congratulate Dr. P.S. Upadhyaya and wish that he continues his journey in the survice of goddess Saraswati besides accomplishing his duties towards students and born nationals.

About the Author

Dr. P.S. Upadhyay S/o Sri Ram Tej Upadhyay and Smt. Dropati Devi MD (Ay.) Ph.D., Lecturer, Department of Kaumarbhritya, Govt. Ayurvedic College and Hospital, Atarra (Banda) U.P. born on 5th Jan. 1974 at Sultanpur Dist. (U.P.). He has completed B.A.M.S. from Lucknow University, M.D. (Ay.) and Ph.D. from Banaras Hindu University, Varanasi, was senior resident at Institute of Medical Sciences, BHU from 2006-2009. He was elected as District Instructor of Neonatal Resuscitation Programme for year 2009-2011 by Indian Academy of Pediatric in Varanasi. He has published five papers, presented two paper in International seminar and three seminar/conference. He is member of all India Ayurvedic specialist (P.G.) association, Life Member of Bhartiya Sangyaharak Association and Vishwa Ayurveda Parisad. He is skilled in management of neonatal and pediatric disorders.

About the Book

My effort embedded in this book is based on revised syllabus (year 2010) by Central Council of Indian Medicine, New Delhi. It covers the practical (clinical) part of the Kaumarbhritya subject having 100 marks. The matter embedded in this book collected from, Brahattariya, Laghuttriye, books of Neonatology, modern pediatric and my clinical practical experiences, which was taught by my teacher during residency period. The main topics covered in this book are examination and Care of newborn, Navjat Shishu Prana- Pratyagaman, Immunization and Vaccine preventable diseases, panchakarma, pediatrie equipments including phototherapy, Intravenous fluid administration and blood sampling, emergency procedure like lumber puncture, bone marrow aspiration, thoracocentesis and abdominal paracentesis, umbilical cord care technique, feeding in children, emergency medicine with normal laboratory values and proforma of Neonatal/pediatric case record. This book will be help full for MD (Ay) Kaumarbhritya scholars, students of PG diploma in Kaumarbhritya, Practioners in field of Kaumarbhritya, B.A.M.S. students and MD (Ay) intrance examination.

Preface

If a child has suffering from birth asphysia/disease, he faces many problems. If he did not have such problems then he is healthy. It is possible when he has protected by anyway. It is best thought that “Prevention is Better than Cure” but it is concerned mostly for preventive aspect. A diseased child, with parent seek doctor to treat the disease. In this view a small effort has made to provide the knowledge for prevention/treatment of infant & children along with the proper caring, proper immunization. Morbindity & mortality of infant & children (below 14 years) is very high in India with reference to other developing country. This text contains care of new born, Immunization, neonatal resuscitation, vaccine preventable diseases, emergency procedure & equipments. The efforts embedded in this book is based on opinion of my teacher Dr. B.M. Singh, Head Department of Kaumarabhritya and Dr. Sangeeta Gehlot, Head Department of Kriyasharir, Faculity of Ayurveda, IMS, BHU, Varanasi. I hope this book will be helpful for BAMS students, M.D (Ay) scholars student of P.G. diploma and Practioners in field of Kaumarbhritya. Any suggestions to improve this book will be grateful acknowledged.

Contents

Chapter Page No.
1 Examination and Care of Newborn 3-23
History and Physical Examination of the Newborn 3
Maternal history 3
Current pregnancy 3
Perinatal history 4
Past obstetric history 4
Drug history 5
Family history 5
Routine physical examination of the neonate 5
Physical examination of the neonate 5
Neurological examination 7
Neonatal reflexes 7
Moro reflex 8
Rooting and sucking reflex 8
Assessment of Gestational Age 8
New Ballard Score 9
Physical Maturity 9
Neuromuscular maturity 9
Apgar Score 14
Care of Normal Newborn 15
Components of neonatal care 15
Preparation for delivery 15
Immediate care at birth 16
Care after birth 16
Essential postnatal care 17
Home messages for care of normal newborn 18
Normal variations of newborns 19
Milia 19
Mongolian blue spots 19
Erythema toxicum 19
Peeling skin 20
Epstein’s pearls 20
Regurgitation and vomiting 20
Failure to pass meconium and urine 21
Disorders due to transplacental passage of maternal hormones 22
Mastitis neonatorum 22
Vaginal bleeding 22
Mucoid vaginal secretions 23
2.Navjat Shishu Prana-Pratyagaman (Neonatal Resuscitation) 24-34
ABC’s of Resuscitation 24
Basic resuscitation 24
Anticipation of need for Resuscitation 25
Ante partum factors 25
Intra partum factors 26
Equipments & Medicines for Resuscitation 26
Positive pressure ventilation 27
Care after successful resuscitation 29
Assessment and timely recognition of the problem 29
Advanced Resuscitation 29
Endotracheal intubation 29
Chest compressions 30
Ayurvedic Approach of Navjat Shishu 32
Prana-Pratyagamana 33
3. Immunization and Vaccine preventable Diseases 35-66
Immunobiologics 35
Vaccine 35
Toxoid 35
Immunoglobulin 36
Antitoxin 36
Vaccination 36
Vaccine contents 36
Types of vaccines 37
Cold chain 37
Immunization schendue 39
National immunization/universal immunization programme 39
IAP immunization schedule 39
Vaccination schedule in adolescents 40
Combination vaccines 41
Vaccination in HIV/AIDS Positive Patients 41
Vaccination schedule of an unimmunized child 42
Immunization schedule for travelers 43
Newer vaccines 43
Adverse events following immunization 46
Details of particular vaccines 48
Vaccine Preventable Diseases 58
4 Panchkarma 67-83
Purva karma 67
Pradhan karma 67
Paschat karma 67
Preparatory procedure of Purvakarma 67
Snehana Karma 67
Procedure of snehana karma 68
Determination of kalawadhi 69
Determination of dose 69
Dietetic management prior to snehana 69
Anupana in snehapana 70
Observation after snehapana 70
Feature of sneha jirna 70
Feature of samyak snehana 70
Feature of asnigdha snehana 70
Acute complication of snehapana 70
Chronic complication of snehapana 70
Post-snehana regiman 70
Scientific approach of snehana 71
Svedana (Dudation) Karma 71
Type of svedana by Kashyap 72
Scientific approach of Svedana 73
Indication of Svedana 74
Contraindication of Svedana 74
Feature of asamyaka Svedana 74
Feature of smayaka Svedana 74
Feature of ati Svedan 74
Post svedana regimen 74
Vamana Karma 74
Indication of Vamana karma 75
Contraindication of Vamana karma 75
Procedure of Vamana 75
Criteria of effective Vamana 75
Features of samyaka Vamana 76
Features of asamyaka Vamana 76
Features of excessive Vamana 76
Complications of Vamana 76
Virechana Karma 76
Pharmacodynamic properties of Virechana drugs 76
Indications of Virechana karma 76
Contraindication of Virechana karma 77
Procedure of Virechana 77
Determination of Drug Doses in Virechana 77
Criteria of effective Virechana 77
Features of samyak Virechana 77
Features of ayoga Virechana 78
Feature of atiyoga Virechana 78
Complications of Virechana 78
Vasti Karma 78
Classification of Vasti 78
Indications of Asthapana Vasti 79
Contraindications of Asthapana Vasti 79
Indications of Anuvasana Vasti 79
Contraindications of Anuvasana Vasti 79
Features of asamayak Vasti 79
Features of asamayak Vasti 79
Features of excess Vasti 79
Sirovirechana Karma 79
Classification of Nasya 80
Indications of Nasya Karma 80
Contraindication of Nasya Karma 80
Age at which Nasya can be given 80
Determination of doses in Nasya karma 80
Features of adequate Nasya 81
Features of inadequate Nasya 81
Features of excessive Nasya 81
Advantages of adequate Nasya karma 81
Scope and importance of Pancha karma 81
Pachan Karma 81
5 Pediatric Equipments 84-91
Phototherapy 84
Indication for phototherapy84
Machanism of phototherapy 85
Methadology for phototherapy 86
Monitoring during and after phototherapy 87
Contraindications for phototherapy 87
Intensive phototherapy 87
Continuous/intermittent phototherapy 87
Intensive phototherapy 87
Contraindications for phototherapy 87
Intensive phototherapy 87
Continuous/intermittent phototherapy 87
Home Phototherapy 88
Sunlight Treatment of Jaundice 88
Side effects of phototherapy 88
Overhead Radiant warmer 89
Constructional detail of Overhead Radiant warmer 89
Purpose of Overhead Radiant warmer89
Key function in Overhead Radiant warmer90
Display and Buzzer function in Overhead Radiant warmer90
Special Resuscitation equipments & Medicines90
6 Intravenous - Fluid and Blood Sampling92-102
Indication of Intravenous - Fluid administration92
Quantity of fluid in Neonates 92
Quantity of fluid in Infant and children93
Deficit fluid93
On going loss94
Maintenance fluid94
Quantity of maintenance fluid based on age of child95
Quantity of maintenance fluid based on weight of child95
Rate of administration95
Blood Sampling96
Femoral blood sampling96
Venous canulation/puncture98
Intra osseous (IO) infusion100
Indications of Intra osseous Infusion100
Contraindications of Intra osseous Infusion100
Steps of Intra osseous Infusion101
Complication of Intra osseous Infusion102
7 Emergency Procedures103-113
Lumbar Puncture103
Indications for Lumbar Puncture103
Contraindications of Lumbar Puncture103
Procedure of Lumbar Puncture103
Complications of Lumbar Puncture104
Bone marrow aspiration104
Indication of Bone marrow aspiration105
Contraindication of Bone marrow aspiration105
Equipment & drugs for Bone marrow aspiration105
Procedure/Usual sites of Bone marrow aspiration106
Complications of Bone marrow aspiration106
Thoracocentesis/Intercostal Drainage106
Indication of Thoracocentesis107
Contraindications of Thoracocentesis107
Position and Site of Thoracocentesis107
Methods of Thoracocentesis107
Post procedure management of Thoracocentesis108
Complications of Thoracocentesis109
Abdominal paracentesis109
Cord Care Technique111
Delivery room procedure111
Method of cord care in Samhita granth113
8 Feeding in children114-122
Objectives of Infant and Young Child Feeding114
Norms for Infant and Young Child Feeding114
Early Initiation of Breastfeeding114
Value of Colostrum115
Exclusive breastfeeding115
Counselling for breastfeeding during pregnancy115
Complementary Feeding115
First food for the baby116
Traditional foods for infants116
Protective foods116
Ten steps to successful breastfeeding117
Problems in breast feeding117
Inverted nipples118
Sore nipple118
Breast engorgement118
Breast abscess119
No enough milk119
Method of breast feeding119
Stana-Pana Vidhi (Method of Breast Feeding)120
Objective of the IMS Act121
The IMS Act-Main Points121
9 Common Medicine123-132
10 Normal Laboratory Value133-140
11 Neonatal Case Record/Pediatric Case Record141-148
References149
Index 151
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