Paediatric Clinic
@QHC USJ
Dr.Vasuky D raman
Consultant paediatrician
MRCPCH (united kingdom)
MD (universiti malaysia sarawak)
Early nutrition specialist (munich)
Monday
2pm-4pm
wednesday
10am-12pm
thursday
6pm-8pm
saturday
9am-1pm
Dr Vasuky@paediatrcian
Routine vaccinations
- 6 in 1
- Diphteria
- Pertussis
- Tetanus
- Haemophilus influenza B
- IPV
- Hepatitis B
- Pneumococcal
- MMR
Optional
Vaccinations
- Rotavirus
- Influenza
- Meningitis
- Chicken Pox
- Hepatitis A
- HPV (9 years and above)
Dr Vasuky@paediatrcian
Childhood is a time of rapid growth and change
Children have more well-child visits when they are younger. This is because development is faster during these years.
During the visit, your paediatrician will check your child's growth and development in order to find or prevent problems
She will record your child's height, weight, and other important information. Other than that, immunization will be administered as per the immunization schedule
Even if your child is healthy, well-child visits are a good time to focus on your child's wellness. Talking about ways to improve care and prevent problems helps keep your child healthy
Well Child Visits
Dr Vasuky@paediatrcian
Infant and Childhood Nutrition
Breast Feeding
Breast Feeding Counselling and Other Lactation Related Issues
Complimentary Feeding
Introducing Weaning Diet
Dr Vasuky@paediatrcian
Childhood Nutrition
Picky Eater
Balanced Diet
Food Allergy
Iron Deficiency Anemia
Common Childhood Illnesses
Common Cold | Pneumonia | Asthma | Pre School Wheeze | Allergic Rhinitis | |
Chicken Pox | Skin Rashes | Eczema | Measles | Scarlet Fever | Dengue |
Stomach Flu | Urine Infection | Sore Throat | Earache | Underweight/Overweight/Obese/Nutrition | Allergic Conditions |
Diagnosing Speech Delay | Screening For Autism /ADHD | Behavioural Conditions | Red Eyes | Fever | ETC |
Dr Vasuky@paediatrcian
Newborn
Newborn Screening
All newborns delivered at QHC will be screened by paediatrican at birth
Jaundice and Phototherapy
Jaundice in newborn babies is common and usually harmless. It causes yellowing of the skin and the whites of the eyes
While jaundice is not usually a cause for concern, it's important to determine whether your baby needs treatment
Phototherapy service is availble at QHC
Common Newborn Conditions
- Newborn Jaundice
- Rashes
- Colic
- Feeding Issues (Breastfeeding / Infant Formula)
- ETC
Dr Vasuky@paediatrcian
Adolescent health
what is adolescence
Adolescent age group is a transition period from childood into adulthood. Adolescents may face many issues including health problems related to eating disorders, depression, anxiety, ADHD, menstrual problems, and complex chronic illnesses
Dr Vasuky@paediatrcian
Development and Behavioural Issues
If your child is not meeting the milestones for his or her age, or if you think there could be a problem with the way your child plays, learns, speaks, acts, and moves talk to your child's doctor and share your concerns. Don't wait
Behavioural Concerns
developmental screening
Attention Deficit Hyperactive Disorder Screening
ETC
Screening for
Speech Delay
Autism
screening and diagnosis
Dr Vasuky@paediatrcian
Parenting TIPS
Recommended Amount of Sleep
Dr Vasuky@paediatrcian
More videos on parenting tips are on the way
Introducing Solid Food
Some Cues that they are ready
- stay in a sitting position, holding their head steady
- coordinate their eyes, hands and mouth so they can look at their food, pick it up and put it in their mouth
- swallow food (rather than spit it back out)
- Introduce solid foods around 6 months of age
- Expose baby to a wide variety of healthy foods
- Also offer a variety of textures
What you need
- High Chair
- Spoon
- First Cup
- Bibs/Messy Mat
- Spoon
- Plastic Bowls
How Much To Feed in the beginning?
During the initial period, how much your baby eats is less important than getting them used to the idea of eating. They will still be getting most of the enery and nutrients from breastmilk or infant formula
More Tips are on the way:
Traditional Weaning VS Baby Led Weaning
3-day rule
Fussy Eaters?
by the American Academy of Pediatrics
Recommended amount of sleep
Infants* 4 months to 12 months should sleep 12 to 16 hours per 24 hours (including naps) on a regular basis to promote optimal health.
Children 1 to 2 years of age should sleep 11 to 14 hours per 24 hours (including naps) on a regular basis to promote optimal health
Children 3 to 5 years of age should sleep 10 to 13 hours per 24 hours (including naps) on a regular basis to promote optimal health
Children 6 to 12 years of age should sleep 9 to 12 hours per 24 hours on a regular basis to promote optimal health.
Teenagers 13 to 18 years of age should sleep 8 to 10 hours per 24 hours on a regular basis to promote optimal health
Dr Vasuky@paediatrcian
SCreen time
Should we set a limit?
Children and adolescents may have many different kinds of interactions with technology, therefore it is not feasible to set specific time limits on digital media use,
Current Recommendations
AAP recommends considering the quality of interactions with digital media and not just the quantity, or amount of time.
TIPS
- focus on the content
- co-viewing
- open line of communication
- screen free time/zone rules
Dr Vasuky@paediatrcian
Parenting is Rewarding
Shaping our children’s behaviour is the key part of parenting. It may be challenging at times; here are some principles for reference
Dr Vasuky@paediatrcian
1.Set an example - through modelling
2. Understand where they are developmentally
3. Praise good behaviours
4. Set clear and realistic expectations
5. Create Routines
6. Discipline strategies instead of punishment
7. Repetition and Reinforcement
8. Be calm and consistent
9. Reward system
- they need to be able
- to sense the urge to go
- to verbalize that they need
- to understand what the feeling means
potty training
Waiting until your child is ready will make the experience much faster and more pleasant for everyone involved
TIPS
- Pick a potty-chair - their feet should be able to touch the floor
- Make trips to the potty-chair a routine
- Use cloth training pants /big-kids underwear - explain to them that they need to take control
- Teach proper hygiene habits
- Expect hesitancy
- Be precise with praise
- Understand their fear
- Avoid negative words, like dirty or stinky.
Dr Vasuky@paediatrcian
Level 1
QHC Medical Centre
Tel: 03-80245760
WA:0146405728
Dr Vasuky@paediatrcian