TWIN BABIES --HOW TO TAKE CARE?

The following principles are applicable for triplets/quadriplets also.

Main principles;

beware of1)infection 2)aspiration 3)sids(sudden infant death syndrome)

prevention of infection: 1)use of mask on face by all elders.2)hand washing with antiseptics 3)fumigation of room (modified method)4)restrictd or absolute prevention
of outsiders/friends to enter baby room. 5)barrier nursing 6)nursing mother's hygiene/sanitation.

First 30 days are very important.brest milk contains cholostrum&it is a must for first week.It specifically prevents a neonatal diarrhoel disorder.
some pediatricians ,intra muscular human immunoglobulins on an empirical basis,
once a week for 6weeks in low birth weight babies if they are precious babies.
use of steroidinjection to mother can prevent possible lung immaturity.All said &done ,well trained pediatricians should be present for neonatal resucitation procedure.A good luxurious cry is a must&is the sign -quo-non against a possible
mental retardation.
5)warmth:maintanace of body emperature above normal is important There will not be any weight gain if there is any hypothermia.so room temperature maintanance is essential.
6)good nutrition vitamin ,minerals +iron are necessary.
7) neonatal screening test is necessary,specially thyroid status(T3 T4 TSH)THIS ESSENTIALLY TELLS UPON THE BABY'S INTELLIGENCE.
8)Any body coughing is not to be allowed into baby's room,as the main problem that can develope is respiratory infection.
9)modified fumigation of baby 's room
10) uMBILLICAL STUMP DRESSING .COMMENEST ROUTE OF ENTRY OF MICROORGANISMS .Absolute aseptic precaution for dressing umbillical cord stump till it falls down &even for one week later.Never touch stump with bare hands.Use gloves.
11)Betadine is best all purpose antiseptic.
12)never be hurry fora baby bath.sponge bath is sufficient.

BOTTLE STERILISATION;Unstrile practice will lead to diarrheal disorders,besides sugar intolerance /cow's milk intolerance ,breast milk intolerance (galectose intolerance) -all may contribute or agravate ehisting diarrhoea.Hence soya been milk is the preferred alternative ,in such state..Redness in the buttocks /anal region is the hall mark of sugar intolerance.
Not more than two people should handle babies.They should wear apron /over coats.


ASPIRATION :Single most common dangerous enemy to babies.It is nothing but milk getting into the respiratory tract,due to faulty feeding technique.causing severe cough ,respiratory distress.Prevention is stressed.treatment is done only in hospital,by a suction machine/broncoscopic aspiration

perfumes:Avoid all perfumes as it may cause allergic bronchiolitis leading to respiratory distress, /vomitingsleading to aspiration